Visits & medical services prices at Garfield County Memorial Hospital

Pomeroy, WA · every code in this section with a posted price and a Medicare benchmark.

59 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $136 $160 1.2×
Airway inhalation treatment (94640) $13.60 $16 0.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $72.25 $85 5.0×
Cardiopulmonary resuscitation (92950) $881.45 $1,037 3.7×
Cardioversion (92960) $1,415.25 $1,665 1.9×
Chronic care management services 1st 20 min (99490) $103.70 $122 0.9×
Color/duplex Doppler, complete (93975) $530.82 $624.50 2.0×
Color/duplex Doppler, limited (93976) $670.65 $789 5.8×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $227.80 $268 1.2×
Critical care (99291) $431.80 $508 0.5×
Debridement Open Wound 20 Sq Cm< (97597) $123.25 $145 0.6×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $461.55 $543 1.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $341.70 $402 2.9×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $561.42 $660.50 2.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $318.75 $375 2.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $149.60 $176 0.6×
Dup-scan xtr veins unilateral/limited study (93971) $447.52 $526.50 3.8×
Duplex scan extracranial art compl bi study (93880) $720.38 $847.50 2.7×
Duplex Scan Hemodialysis Access (93990) $520.20 $612 4.5×
Echo Heart Xthoracic,Limited (93308) $456.02 $536.50 1.7×
Electrocardiogram Tracing (93005) $257.55 $303 3.9×
Er level 1 (99281) $37.40 $44 0.4×
Er level ii (99282) $70.55 $83 0.4×
Er level iii (99283) $106.25 $125 0.3×
Er level IV (99284) $193.80 $228 0.4×
Er level v (99285) $264.35 $311 0.4×
Holter Monitor (93225) $310.25 $365 2.1×
Imm admn sarscov2 vaccine single dose (90480) $46.75 $55 1.0×
Immunization Admin (90471) $37.40 $44 0.5×
Irrig drug delivery device (96523) $169.15 $199 2.6×
IV infusion hydration each additional hour (96361) $119.85 $141 2.3×
IV infusion hydration initial 31 min-1 hour (96360) $404.60 $476 1.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $498.95 $587 2.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $172.55 $203 3.3×
IV push ea addl new drug (96375) $156.40 $184 3.0×
IV push initial (96374) $263.50 $310 1.1×
Manual therapy 15 min (97140) $100.30 $118 3.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $136 $160 0.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $204.85 $241 0.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $352.75 $415 2.4×
Ot therapeutic activity 15 min (97530) $109.65 $129 3.1×
Psych diag eval w/med srvcs (90792) $322.15 $379 1.6×
Psychiatric diagnostic evaluation (90791) $286.45 $337 1.4×
Pt Electrical Stimulation (97032) $71.40 $84 4.9×
Pt eval high complex 45 min (97163) $294.10 $346 3.0×
Pt eval low complex 20 min (97161) $243.10 $286 2.5×
Pt eval mod complex 30 min (97162) $264.35 $311 2.7×
Pt gait training 15 min (97116) $100.30 $118 3.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $106.25 $125 3.2×
Pt re-evaluation (97164) $147.90 $174 2.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $104.55 $123 3.2×
Refill/Maint Pump/Resvr Syst (96522) $251.60 $296 1.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $311.10 $366 1.4×
Therapeutic prophylactic/dx injection subq/im (96372) $80.32 $94.50 1.0×
Tte w/doppler, complete (93306) $929.05 $1,093 1.5×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $946.05 $1,113 3.6×
Upr/lxtr art stdy 3+ lvls (93923) $339.15 $399 1.4×
Vasc Duplex Scan Extracranial,Limited (93882) $311.52 $366.50 2.7×
Wheelchair Mgmt Ea 15 Min (97542) $41.65 $49 1.3×