Visits & medical services prices at Grande Ronde Hospital
La Grande, OR · every code in this section with a posted price and a Medicare benchmark.
188 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Reflex Testing (92568) | $40.92 | $68.20 | 1.0× |
| Actinotherapy Ultraviolet Light (96900) | $89.01 | $148.35 | 2.1× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $27.06 | $45.10 | 0.6× |
| Advncd Care Plan 30 Min (99497) | $167.94 | $279.90 | 1.5× |
| Airway Inhalation Treatment (94640) | $72.69 | $121.15 | 0.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $54.66 | $91.10 | 3.8× |
| Audiometry Air & Bone (92553) range across 2 matching MRF lines |
$50.04–$55.62 | $83.40–$92.70 | varies |
| Brief Emotional/Behav Assmt (96127) | $13.59 | $22.65 | 0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$60.75–$478.50 | $101.25–$797.50 | varies |
| Canalith repositioning proc (95992) | $221.97 | $369.95 | 5.4× |
| Car seat/bed test 60 min (94780) | $84.78 | $141.30 | 2.0× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$142.56–$560.25 | $237.60–$933.75 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$463.41–$554.67 | $772.35–$924.45 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$342.45–$392.13 | $570.75–$653.55 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) range across 2 matching MRF lines |
$11.25–$11.31 | $18.75–$18.85 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $38.49 | $64.15 | 1.5× |
| Cbt 1st hour (94644) | $157.56 | $262.60 | 1.1× |
| Chemo Anti-Neopl Sq/Im (96401) | $86.31 | $143.85 | 1.1× |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$84.84–$89.10 | $141.40–$148.50 | varies |
| Chemo IV infusion addl hr (96415) | $114.93 | $191.55 | 1.4× |
| Chemo IV push addl drug (96411) | $162 | $270 | 2.0× |
| Chemother Prolong Infuse W/Pump (96416) | $383.34 | $638.90 | 1.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $129.03 | $215.05 | 1.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $289.23 | $482.05 | 0.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $189.87 | $316.45 | 0.5× |
| Chest Wall Manipulation (94668) | $43.71 | $72.85 | 0.3× |
| Chron Care Mgmt Srvc 20 Min (99490) | $81 | $135 | 0.7× |
| Color/duplex Doppler, complete (93975) | $585.39 | $975.65 | 2.2× |
| Color/duplex Doppler, limited (93976) | $57.51 | $95.85 | 0.5× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $145.80 | $243 | 0.7× |
| Comprehensive Hearing Test (92557) | $66.72 | $111.20 | 0.5× |
| Conditioning Play Audiometry (92582) range across 2 matching MRF lines |
$83.40–$104.82 | $139–$174.70 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $298.95 | $498.25 | 2.0× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $103.56 | $172.60 | 1.6× |
| Continuous Pulse Ox (94762) | $39.93 | $66.55 | 0.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $478.53 | $797.55 | 2.0× |
| Cpt initial (94667) | $50.22 | $83.70 | 0.3× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$542.46–$1,824 | $904.10–$3,040 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$145.14–$179.13 | $241.90–$298.55 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $125.10 | $208.50 | 0.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$58.35–$500.85 | $97.25–$834.75 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$36.39–$409.47 | $60.65–$682.45 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$53.13–$874.86 | $88.55–$1,458.10 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$34.14–$576.69 | $56.90–$961.15 | varies |
| Duplex up extrem art unilat/ltd (93931) | $340.29 | $567.15 | 2.9× |
| Ear and throat examination (92502) | $278.49 | $464.15 | 0.5× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$74.61–$401.73 | $124.35–$669.55 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$658.32–$1,317.99 | $1,097.20–$2,196.65 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$134.67–$625.23 | $224.45–$1,042.05 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$134.67–$710.13 | $224.45–$1,183.55 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $73.95 | $123.25 | 5.0× |
| Electrocardiogram Tracing (93005) | $180.63 | $301.05 | 2.8× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$122.79–$275.07 | $204.65–$458.45 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$155.73–$482.43 | $259.55–$804.05 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$260.25–$816.24 | $433.75–$1,360.40 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$56.85–$160.62 | $94.75–$267.70 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$392.40–$1,052.76 | $654–$1,754.60 | varies |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$48.36–$49.05 | $80.60–$81.75 | varies |
| Evaluate Speech Production (92522) | $209.46 | $349.10 | 1.9× |
| Evaluate Swallowing Function (92610) | $281.13 | $468.55 | 3.3× |
| Evoked Auditory Test,Limited (92587) | $33.36 | $55.60 | 0.1× |
| External ECG rec>48hr<7d recording (93242) | $26.01 | $43.35 | 0.6× |
| External ECG rec>7d<15d recording (93246) | $26.70 | $44.50 | 0.6× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $199.68 | $332.80 | 1.4× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$59.73–$741.60 | $99.55–$1,236 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $138.60 | $231 | 0.7× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,141.26 | $1,902.10 | 1.5× |
| Holter monitor recording (93225) | $364.68 | $607.80 | 2.5× |
| Icd Device Interrogate (93289) | $135.33 | $225.55 | 3.3× |
| Icd device progr eval dual (93283) | $132.75 | $221.25 | 3.2× |
| Icd Device Progr Eval Mult (93284) | $187.53 | $312.55 | 4.5× |
| Icm Device Eval (93290) | $72.45 | $120.75 | 1.7× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $31.14 | $51.90 | 0.4× |
| Immunization administration (90471) range across 3 matching MRF lines |
$26.04–$63.15 | $43.40–$105.25 | varies |
| Inital newborn e/m (99460) | $169.95 | $283.25 | 1.1× |
| Intracutaneous tests w/allergenic extracts (95024) | $10.80 | $18 | 0.2× |
| Irrig Drug Delivery Device (96523) | $64.35 | $107.25 | 1.0× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$61.92–$62.01 | $103.20–$103.35 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$211.17–$211.47 | $351.95–$352.45 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $87.12 | $145.20 | 1.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $92.94 | $154.90 | 1.8× |
| IV push initial (96374) range across 3 matching MRF lines |
$179.61–$188.31 | $299.35–$313.85 | varies |
| Low frequency non-thermal us (97610) | $57 | $95 | 0.3× |
| Mechanical chest wall oscillation per session (94669) | $163.26 | $272.10 | 0.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $36.36 | $60.60 | 1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $40.26 | $67.10 | 1.1× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$96.54–$601.77 | $160.90–$1,002.95 | varies |
| Motion Fluoroscopy/Swallow (92611) | $257.61 | $429.35 | 2.8× |
| Multiple Family Group Psychotherapy (90849) range across 2 matching MRF lines |
$50.22–$50.28 | $83.70–$83.80 | varies |
| Multiple Sleep Latency Test (95805) | $1,076.46 | $1,794.10 | 1.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $385.80 | $643 | 0.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $90.54 | $150.90 | 0.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $103.35 | $172.25 | 0.2× |
| Nerve Conduction Studies 11-12 Studies (95912) | $481.50 | $802.50 | 1.2× |
| Nerve conduction studies 13 or more studies (95913) | $575.34 | $958.90 | 1.4× |
| Nerve Conduction Studies 3-4 Studies (95908) | $207.03 | $345.05 | 0.9× |
| Nerve conduction studies 5-6 studies (95909) | $247.68 | $412.80 | 1.0× |
| Nerve conduction studies 7-8 studies (95910) | $326.25 | $543.75 | 0.8× |
| Nerve Conduction Studies 9-10 Studies (95911) | $395.91 | $659.85 | 1.0× |
| Neuromuscular Reeducation (97112) | $89.64 | $149.40 | 2.7× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$321–$430.05 | $535–$716.75 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $50.55 | $84.25 | 2.0× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $76.71 | $127.85 | 2.2× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $25.29 | $42.15 | 1.8× |
| Oral Function Therapy (92526) | $218.28 | $363.80 | 2.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $68.55 | $114.25 | 1.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $89.88 | $149.80 | 2.0× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $71.91 | $119.85 | 3.0× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $107.64 | $179.40 | 4.5× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $92.88 | $154.80 | 3.9× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $113.13 | $188.55 | 4.7× |
| Ot eval high complexity (97167) | $247.80 | $413 | 2.5× |
| Ot Eval Low Complex (97165) | $170.40 | $284 | 1.7× |
| Ot Eval Moderate Complexity (97166) | $210.06 | $350.10 | 2.1× |
| Ot manual therapy 15 min (97140) | $86.16 | $143.60 | 3.1× |
| Ot paraffin bath (97018) | $51.78 | $86.30 | 8.6× |
| Ot Prosthetic Training, Each 15 Min (97761) | $76.56 | $127.60 | 1.9× |
| Ot Re-Eval Est Plan Care (97168) | $148.14 | $246.90 | 2.2× |
| Percutaneous tests w/allergenic extracts (95004) | $7.71 | $12.85 | 0.0× |
| Phlebotomy therapeutic (99195) | $177.24 | $295.40 | 1.2× |
| Physical Performance Test (97750) | $60.90 | $101.50 | 1.8× |
| Plethysmography (94726) range across 2 matching MRF lines |
$85.47–$375.81 | $142.45–$626.35 | varies |
| Pm device eval in person (93288) | $81.15 | $135.25 | 2.0× |
| Pm device progr eval dual (93280) | $124.83 | $208.05 | 3.0× |
| Pm device progr eval multi (93281) | $152.64 | $254.40 | 3.7× |
| Pm Device Progr Eval Sngl (93279) | $106.89 | $178.15 | 2.6× |
| Pm/Icd Remote Tech Serv (93296) | $60.87 | $101.45 | 1.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$162–$1,854.33 | $270–$3,090.55 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $16.20 | $27 | 0.3× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $157.35 | $262.25 | 3.8× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $78.60 | $131 | 0.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $22.26 | $37.10 | 0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $27.12 | $45.20 | 0.5× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$275.52–$275.55 | $459.20–$459.25 | varies |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$184.80–$285.48 | $308–$475.80 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$111.12–$187.65 | $185.20–$312.75 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $55.59 | $92.65 | 1.5× |
| Pt Eval High Complex (97163) | $227.88 | $379.80 | 2.3× |
| Pt eval low complex 20 min (97161) | $160.38 | $267.30 | 1.6× |
| Pt Eval Mod Complex (97162) | $192.90 | $321.50 | 2.0× |
| Pt gait training 15 min (97116) | $84.72 | $141.20 | 2.9× |
| Pt group caregiver training (97552) | $35.46 | $59.10 | 1.6× |
| Pt mechanical traction (97012) | $63.21 | $105.35 | 4.4× |
| Pt Re-Eval Est Plan Care (97164) | $151.02 | $251.70 | 2.2× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $11.28 | $18.80 | 0.3× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$68.73–$203.46 | $114.55–$339.10 | varies |
| Pulmonary Stress Testing (94618) | $67.08 | $111.80 | 0.5× |
| Pure Tone Audiometry Air (92552) | $45.48 | $75.80 | 0.3× |
| Refill/Maint Portable Pump (96521) | $361.05 | $601.75 | 1.5× |
| Rem interrog icpms <30 d phys/qhp (93297) | $99.21 | $165.35 | 2.4× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $99.21 | $165.35 | 2.4× |
| Remote 30 Day Ecg Rev/Report (93270) | $264.03 | $440.05 | 6.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $102.93 | $171.55 | 1.6× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $205.71 | $342.85 | 1.7× |
| Same day nb discharge (99463) | $209.16 | $348.60 | 1.4× |
| Self Care Mngment Training (97535) | $77.85 | $129.75 | 2.4× |
| Sleep study unattended (95806) | $130.95 | $218.25 | 0.5× |
| Slp caregiver training 1st 30 min (97550) | $83.79 | $139.65 | 1.6× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$235.44–$414.84 | $392.40–$691.40 | varies |
| Speech audiometry threshold (92555) range across 2 matching MRF lines |
$32.58–$35.07 | $54.30–$58.45 | varies |
| Speech sound lang comprehen (92523) | $210.42 | $350.70 | 0.9× |
| Spirometry (94010) range across 2 matching MRF lines |
$42.18–$231.42 | $70.30–$385.70 | varies |
| Standardized Cognitive Performance Testing (96125) | $201.87 | $336.45 | 2.0× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$167.52–$1,072.59 | $279.20–$1,787.65 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $46.08 | $76.80 | 2.1× |
| Ther Ivntj Ea Addl 15 Min (97130) | $43.71 | $72.85 | 2.1× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $94.47 | $157.45 | 2.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $100.50 | $167.50 | 1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$44.46–$72.90 | $74.10–$121.50 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $226.38 | $377.30 | 1.0× |
| Therapeutic Activities (97530) | $80.64 | $134.40 | 2.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $58.95 | $98.25 | 1.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $25.32 | $42.20 | 0.6× |
| Trans Care Mgmt 14 Day Disch (99495) | $272.70 | $454.50 | 1.8× |
| Trans Care Mgmt 7 Day Disch (99496) | $404.61 | $674.35 | 2.7× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$603.09–$1,368.87 | $1,005.15–$2,281.45 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $226.38 | $377.30 | 3.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$77.16–$81.03 | $128.60–$135.05 | varies |
| Tympanometry (92567) range across 2 matching MRF lines |
$36.12–$36.15 | $60.20–$60.25 | varies |
| Unlisted allergy/clinical immunologic srvc/px (95199) | $214.80 | $358 | 6.7× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$172.86–$264.21 | $288.10–$440.35 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $185.07 | $308.45 | 0.8× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $989.19 | $1,648.65 | 2.4× |
| Vent Mgmt Inpat Init Day (94002) | $1,569.60 | $2,616 | 2.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,154.88 | $1,924.80 | 1.7× |
| Visual reinforcement audiometry (vra) (92579) range across 2 matching MRF lines |
$72.78–$72.81 | $121.30–$121.35 | varies |
| Vital capacity, total (94150) | $59.19 | $98.65 | 0.4× |
| Wheelchair Mgmt Ea 15 Min (97542) | $86.25 | $143.75 | 2.8× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.