Visits & medical services prices at Gritman Medical Center
Moscow, ID · every code in this section with a posted price and a Medicare benchmark.
173 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acupunct W/Stimul 15 Min (97813) range across 4 matching MRF lines |
$23.78–$93 | $23.78–$93 | varies |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 4 matching MRF lines |
$15.25–$79 | $15.25–$79 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) | $46 | $46 | 1.1× |
| Advncd Care Plan 30 Min (99497) range across 4 matching MRF lines |
$14.51–$170 | $14.51–$170 | varies |
| Airway Inhalation Treatment (94640) range across 13 matching MRF lines |
$16–$574 | $16–$574 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $344 | $344 | 2.6× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $344 | $344 | 2.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $28 | $28 | 1.9× |
| Application on-body injector (96377) | $123 | $123 | 2.7× |
| Assessment of aphasia per hr (96105) | $283 | $283 | 2.9× |
| Assmt & care planning pt w/cognitive impairment (99483) range across 4 matching MRF lines |
$155.36–$561 | $155.36–$561 | varies |
| Behavral qualit analys voice (92524) | $299 | $299 | 2.7× |
| Brief Emotional/Behav Assmt (96127) | $9 | $9 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 6 matching MRF lines |
$21.48–$807 | $21.48–$807 | varies |
| Canalith repositioning proc (95992) | $88 | $88 | 2.2× |
| Car seat/bed test 60 min (94780) | $104 | $104 | 2.8× |
| Cardiac Stress Tst,Tracing Only (93017) | $807 | $807 | 3.8× |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$352–$807 | $352–$807 | varies |
| Cardioversion (92960) range across 6 matching MRF lines |
$208–$1,713 | $208–$1,713 | varies |
| Cbt 1st hour (94644) | $344 | $344 | 2.6× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$143–$190 | $143–$190 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 4 matching MRF lines |
$64–$190 | $64–$190 | varies |
| Chemo IV infusion addl hr (96415) | $190 | $190 | 2.7× |
| Chemo IV push addl drug (96411) | $190 | $190 | 2.7× |
| Chemother Prolong Infuse W/Pump (96416) | $973 | $973 | 3.0× |
| Chemotherapy Unspecified (96549) | $123 | $123 | 2.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $190 | $190 | 2.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $973 | $973 | 3.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $624 | $624 | 1.9× |
| Chest Wall Manipulation (94668) | $344 | $344 | 2.6× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 4 matching MRF lines |
$24–$129 | $24–$129 | varies |
| Color/duplex Doppler, complete (93975) | $702 | $702 | 3.0× |
| Color/duplex Doppler, limited (93976) | $699 | $699 | 6.8× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 4 matching MRF lines |
$84.43–$276 | $84.43–$276 | varies |
| Continuous Pulse Ox (94762) range across 4 matching MRF lines |
$50–$426 | $50–$426 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 15 matching MRF lines |
$57.08–$574 | $57.08–$574 | varies |
| Cpt initial (94667) | $344 | $344 | 2.6× |
| Critical care first hour (99291) range across 6 matching MRF lines |
$120.54–$2,272 | $120.54–$2,272 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$45–$548 | $45–$548 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) range across 2 matching MRF lines |
$256.40–$259 | $256.40–$259 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $449 | $449 | 4.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $702 | $702 | 3.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $449 | $449 | 4.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $702 | $702 | 3.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $449 | $449 | 4.3× |
| Duplex up extrem art unilat/ltd (93931) | $449 | $449 | 4.3× |
| Echo Heart Xthoracic,Limited (93308) | $779 | $779 | 3.3× |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$703–$807 | $703–$807 | varies |
| EEG awake and asleep (95819) | $807 | $807 | 3.8× |
| EEG cont rec w/video by tech min 8 channels (95700) | $807 | $807 | 3.8× |
| EEG w/o vid 2-12hr cont mntr (95707) | $807 | $807 | 3.8× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,489 | $1,489 | 4.0× |
| Electrical Stimulation Ea 15 Min (97032) | $36 | $36 | 2.4× |
| Electrocardiogram Tracing (93005) range across 4 matching MRF lines |
$12–$250 | $12–$250 | varies |
| Emergency Dept Visit Level 2 (99282) range across 4 matching MRF lines |
$85–$559 | $85–$559 | varies |
| Emergency Dept Visit Level 3 (99283) range across 4 matching MRF lines |
$145–$750 | $145–$750 | varies |
| Emergency Dept Visit Level 4 (99284) range across 4 matching MRF lines |
$247–$1,403 | $247–$1,403 | varies |
| Er level 1 (99281) range across 4 matching MRF lines |
$23–$290 | $23–$290 | varies |
| Er level v (99285) range across 4 matching MRF lines |
$358–$1,889 | $358–$1,889 | varies |
| Esophageal Capsule Endoscopy (91111) range across 2 matching MRF lines |
$1,747–$2,467 | $1,747–$2,467 | varies |
| Evaluate pt use of inhaler (94664) range across 4 matching MRF lines |
$35–$574 | $35–$574 | varies |
| Evaluate Speech Production (92522) | $247 | $247 | 2.2× |
| Evaluate Swallowing Function (92610) | $184 | $184 | 2.2× |
| Evaluation of speech fluency (92521) | $262 | $262 | 2.0× |
| External ECG rec>48hr<7d recording (93242) | $170 | $170 | 4.6× |
| External ECG rec>7d<15d recording (93246) | $170 | $170 | 4.6× |
| External Ecg Scanning Analysis Report (93226) | $344 | $344 | 5.9× |
| Extracranial Bilat Study (93880) | $702 | $702 | 3.0× |
| Gi tract capsule endoscopy (91110) | $2,467 | $2,467 | 2.8× |
| Health Behavior Assessment/Re-Assessment (96156) range across 3 matching MRF lines |
$22.18–$210 | $22.18–$210 | varies |
| Health behavior ivntj indiv f2f 1st 30 min (96158) range across 3 matching MRF lines |
$15.86–$143 | $15.86–$143 | varies |
| Holter monitor recording (93225) range across 5 matching MRF lines |
$36–$344 | $36–$344 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 3 matching MRF lines |
$34–$190 | $34–$190 | varies |
| Immunization administration (90471) range across 5 matching MRF lines |
$42–$190 | $42–$190 | varies |
| Inital newborn e/m (99460) range across 3 matching MRF lines |
$181–$191 | $181–$191 | varies |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$50–$170 | $50–$170 | varies |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$25–$123 | $25–$123 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 5 matching MRF lines |
$65–$624 | $65–$624 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $190 | $190 | 2.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$39–$123 | $39–$123 | varies |
| IV push initial (96374) range across 6 matching MRF lines |
$74–$624 | $74–$624 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $170 | $170 | 2.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $63 | $63 | 2.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $72 | $72 | 2.0× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $34 | $34 | 2.0× |
| Methacholine challenge (94070) range across 3 matching MRF lines |
$68.54–$807 | $68.54–$807 | varies |
| Motion Fluoroscopy/Swallow (92611) | $329 | $329 | 3.6× |
| Multiple Sleep Latency Test (95805) range across 7 matching MRF lines |
$123.25–$1,806 | $123.25–$1,806 | varies |
| Muscle Test Nonparaspinal (95870) | $344 | $344 | 2.6× |
| Nasopharyngoscopy (92511) range across 3 matching MRF lines |
$77.04–$236 | $77.04–$236 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$548–$99,080 | $548–$99,080 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 5 matching MRF lines |
$33–$548 | $33–$548 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 5 matching MRF lines |
$36–$500 | $36–$500 | varies |
| Neurobehavioral Status Exam (96116) range across 3 matching MRF lines |
$25.01–$193 | $25.01–$193 | varies |
| Neuromuscular Reeducation (97112) | $68 | $68 | 2.1× |
| Newborn resuscitation (99465) range across 5 matching MRF lines |
$275–$1,713 | $275–$1,713 | varies |
| Nitric oxide expired gas determination (95012) | $37 | $37 | 1.0× |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 3 matching MRF lines |
$46.81–$270 | $46.81–$270 | varies |
| Oral Function Therapy (92526) | $283 | $283 | 3.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $108 | $108 | 2.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $96 | $96 | 2.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 4 matching MRF lines |
$16.18–$65 | $16.18–$65 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 4 matching MRF lines |
$20.01–$93 | $20.01–$93 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 4 matching MRF lines |
$24.86–$122 | $24.86–$122 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 4 matching MRF lines |
$26.73–$149 | $26.73–$149 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 4 matching MRF lines |
$28.67–$175 | $28.67–$175 | varies |
| Ot eval high complexity (97167) | $199 | $199 | 2.0× |
| Ot Eval Low Complex (97165) | $199 | $199 | 2.0× |
| Ot Eval Moderate Complexity (97166) | $199 | $199 | 2.0× |
| Ot manual therapy 15 min (97140) | $61 | $61 | 2.2× |
| Ot paraffin bath (97018) | $16 | $16 | 2.7× |
| Ot Re-Eval Est Plan Care (97168) | $137 | $137 | 2.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $354 | $354 | 2.8× |
| Oxygen Uptake Rest Indirect (94690) | $170 | $170 | 2.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $574 | $574 | 2.7× |
| Peripheral arterial disease rehab per session (93668) | $170 | $170 | 2.9× |
| Phlebotomy therapeutic (99195) range across 4 matching MRF lines |
$189–$344 | $189–$344 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $170 | $170 | 2.9× |
| Physical Performance Test (97750) | $66 | $66 | 2.0× |
| Plethysmography (94726) range across 5 matching MRF lines |
$25.75–$807 | $25.75–$807 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 6 matching MRF lines |
$263.50–$2,806 | $263.50–$2,806 | varies |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) range across 4 matching MRF lines |
$24.40–$128 | $24.40–$128 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $20 | $20 | 0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $24 | $24 | 0.5× |
| Psych diag eval w/med srvcs (90792) range across 3 matching MRF lines |
$47.45–$409 | $47.45–$409 | varies |
| Psychiatric diagnostic evaluation (90791) range across 4 matching MRF lines |
$46.65–$408 | $46.65–$408 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) range across 3 matching MRF lines |
$22.52–$252 | $22.52–$252 | varies |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) range across 3 matching MRF lines |
$37.26–$86 | $37.26–$86 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 3 matching MRF lines |
$33.23–$311 | $33.23–$311 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $75 | $75 | 2.0× |
| Pt Eval High Complex (97163) | $198 | $198 | 2.0× |
| Pt eval low complex 20 min (97161) | $198 | $198 | 2.0× |
| Pt Eval Mod Complex (97162) | $198 | $198 | 2.0× |
| Pt gait training 15 min (97116) | $58 | $58 | 2.0× |
| Pt mechanical traction (97012) | $32 | $32 | 2.2× |
| Pt Re-Eval Est Plan Care (97164) | $136 | $136 | 2.0× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $6 | $6 | 0.2× |
| Pulmonary Stress Testing (94618) range across 5 matching MRF lines |
$23.17–$344 | $23.17–$344 | varies |
| Pure Tone Audiometry Air (92552) | $75 | $75 | 0.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $114 | $114 | 3.1× |
| Respiratory flow volume loop (94375) range across 3 matching MRF lines |
$30.61–$79 | $30.61–$79 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $170.83 | $170.83 | 2.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $548 | $548 | 2.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $291 | $291 | 2.4× |
| Same day nb discharge (99463) | $222 | $222 | 1.7× |
| Self Care Mngment Training (97535) | $66 | $66 | 2.0× |
| Sleep study unattended (95806) range across 5 matching MRF lines |
$94–$426 | $94–$426 | varies |
| Speech sound lang comprehen (92523) | $446 | $446 | 2.0× |
| Spirometry (94010) range across 7 matching MRF lines |
$17.34–$426 | $17.34–$426 | varies |
| Standardized Cognitive Performance Testing (96125) | $206 | $206 | 2.0× |
| Stress Tte Only (93350) | $1,474 | $1,474 | 2.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $54 | $54 | 2.4× |
| Ther Ivntj Ea Addl 15 Min (97130) | $44 | $44 | 2.1× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $73 | $73 | 2.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $59 | $59 | 2.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$29–$190 | $29–$190 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$123–$624 | $123–$624 | varies |
| Therapeutic Activities (97530) | $74 | $74 | 2.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 4 matching MRF lines |
$5.21–$81 | $5.21–$81 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 5 matching MRF lines |
$5.90–$81 | $5.90–$81 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 4 matching MRF lines |
$130.16–$425 | $130.16–$425 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 4 matching MRF lines |
$173.76–$575 | $173.76–$575 | varies |
| Tte w/doppler, complete (93306) | $2,083.35 | $2,083.35 | 3.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $153 | $153 | 2.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$31–$179.52 | $31–$179.52 | varies |
| Tympanometry (92567) range across 3 matching MRF lines |
$11.37–$34 | $11.37–$34 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 6 matching MRF lines |
$128–$344 | $128–$344 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$42–$426 | $42–$426 | varies |
| Vent Mgmt Inpat Init Day (94002) | $1,486 | $1,486 | 2.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,486 | $1,486 | 2.4× |
| Vital capacity, total (94150) | $426 | $426 | 3.4× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 4 matching MRF lines |
$64–$66 | $64–$66 | varies |
| Whirlpool Therapy (97022) | $36 | $36 | 2.3× |
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.