Visits & medical services prices at Jefferson Healthcare

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

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

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ProcedureCash priceGross charge× Medicare
Actigraphy testing recording analysis i&r (95803) $87.60 $109.50 1.3×
Advance care planning first 30 mins (99497) $197.60 $247 1.7×
Airway inhalation treatment (94640) $242.40 $303 1.0×
Analyze neurostim complex (95972) $147.20 $184 1.4×
Analyze neurostim no prog (95970) $48 $60 0.3×
Analyze neurostim simple (95971) $123.20 $154 1.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $88.80 $111 6.2×
Application on-body injector (96377) $182.40 $228 3.5×
Assessment of aphasia per hr (96105) $300 $375 3.1×
Assmt & care planning pt w/cognitive impairment (99483) $504 $630 4.5×
Bedside Swallowing Eval (92610) $362.40 $453 4.3×
Behavioral and qualitative analysis of voice and resonance (92524) $312 $390 2.8×
Brief Emotional/Behavioral Assessment (96127) $22 $27.50 0.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $282.40 $353 0.7×
Canalith Repositioning Procedure (95992) $125.60 $157 3.1×
Cardiac Stress Tst,Tracing Only (93017) $1,024 $1,280 4.3×
Cardiopulmonary exercise testing (94621) $1,134.40 $1,418 2.7×
Cardiopulmonary resuscitation (92950) $1,122.80 $1,403.50 4.7×
Cardioversion (92960) $908.80 $1,136 1.2×
Cbt 1st hour (94644) $360 $450 2.4×
Cervical & ocular vemp testing w/i&r (92519) $249.60 $312 1.0×
Chemo Admin Peritoneal Cavity (96446) $340.40 $425.50 0.9×
Chemo Hormon Antineopl Sq/Im (96402) $197.60 $247 2.5×
Chemo IV push addl drug (96411) $310.40 $388 3.9×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,150.40 $1,438 3.1×
Chemother, IV infusion, 1 hr (96413) $839.20 $1,049 2.3×
Chemother, IV infusion, ea add hr (96415) $289.60 $362 3.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $334.40 $418 4.2×
Chemotherapy Administration Intralesional </7 (96405) $168.40 $210.50 2.1×
Chemotherapy into cns (96450) $708.40 $885.50 1.9×
Chemotherapy, unspecified procedure (96549) $232.80 $291 4.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $370.40 $463 4.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $579.20 $724 1.6×
Chronic care management services 1st 20 min (99490) $78.40 $98 0.7×
Color Vision Examination (92283) $112.80 $141 1.7×
Color/duplex Doppler, complete (93975) $1,372.80 $1,716 5.2×
Color/duplex Doppler, limited (93976) $504.40 $630.50 4.3×
Cont Gluc Monitoring Patient Provided Equipment (95249) $165.60 $207 2.5×
Continuous Glucose Monitoring (95250) $512.40 $640.50 3.5×
Cpap/bipap (94660) $776 $970 3.2×
Cpt initial (94667) $200.80 $251 1.4×
Critical care (99291) $1,945.60 $2,432 2.1×
Dbrdmt prmlg les w/pdt (96574) $567.60 $709.50 2.5×
Debridement Open Wound 20 Sq Cm< (97597) $365.60 $457 1.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,052.80 $1,316 4.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $546.40 $683 4.7×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,250.40 $1,563 4.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $933.60 $1,167 8.0×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,048 $1,310 3.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $600.80 $751 5.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,515.20 $1,894 5.7×
Dup-scan xtr veins unilateral/limited study (93971) $510.80 $638.50 4.4×
Duplex scan extracranial art compl bi study (93880) $1,104 $1,380 4.2×
Duplex Scan Hemodialysis Access (93990) $601.60 $752 5.2×
Echo Heart Xthoracic,Limited (93308) $670.80 $838.50 2.5×
Echo transesophageal (93312) $1,062 $1,327.50 1.7×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,951.20 $2,439 3.2×
EEG awake and asleep (95819) $212.80 $266 0.9×
EKG rhythm strip (93041) $143.20 $179 2.2×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $126.40 $158 1.2×
Elec alys implt cplx cn npgt prgrmg (95977) $123.20 $154 1.2×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $92.80 $116 2.2×
Elec Alys Nstim Pls Gen Gastric Sbsq W/Reprgrmg (95982) $157.60 $197 3.8×
Electrocardiogram Tracing (93005) $200.80 $251 3.1×
Electrocochleography (92584) $125.60 $157 0.9×
Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration,… (95981) $108 $135 1.6×
Er level 1 (99281) $148 $185 1.6×
Er level ii (99282) $220.80 $276 1.3×
Er level iii (99283) $420.80 $526 1.4×
Er level IV (99284) $697.60 $872 1.5×
Er level v (99285) $1,132.80 $1,416 1.7×
Eval speech sound production (92522) $279.20 $349 2.5×
Evaluate Pt Use Of Inhaler (94664) $136.40 $170.50 0.6×
Evaluation of speech fluency (92521) $322.40 $403 2.4×
Exercise tst brncspsm (94617) $187.20 $234 1.3×
External ECG rec>48hr<7d recording (93242) $47.60 $59.50 1.1×
External ECG rec>48hr<7d scanning alys w/report (93243) $170 $212.50 1.1×
External ECG rec>7d<15d recording (93246) $67.20 $84 1.6×
External ECG rec>7d<15d scanning alys w/report (93247) $203.20 $254 1.4×
External Ecg Scanning Analysis Report (93226) $242.40 $303 3.7×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $579.20 $724 2.9×
Group Therapeutic Procedures (97150) $63.20 $79 3.5×
Holter Monitor (93225) $110.40 $138 0.7×
Ilr Device Eval Progr (93285) $102 $127.50 2.5×
Imm admn sarscov2 vaccine single dose (90480) $37.60 $47 0.8×
Immune Admin Oral/Nasal (90473) $41.60 $52 0.5×
Immunization Admin (90471) $59.20 $74 0.7×
Inhalation bronchial challenge testing (95070) $436.80 $546 1.1×
Inital newborn e/m (99460) $226.40 $283 1.5×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) $261.60 $327 1.8×
Injection intra arterial (96373) $173.60 $217 0.7×
Interrog dev eval scrms phys/qhp in person (93291) $86 $107.50 2.7×
Interrog device eval heart (93289) $141.20 $176.50 3.4×
Interrog&prgrmg impl phrenic nrv stimulator sys (93151) $153.60 $192 1.4×
Intralesional Chemo Admin,8+ Lesn (96406) $301.60 $377 1.3×
Irrig drug delivery device (96523) $226.40 $283 3.4×
IV infusion hydration each additional hour (96361) $225.60 $282 4.3×
IV infusion hydration initial 31 min-1 hour (96360) $512 $640 2.2×
IV infusion ther proph addl sequential to 1 hr (96367) $221.60 $277 2.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $574.40 $718 2.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $208.80 $261 4.0×
IV push ea addl new drug (96375) $169.60 $212 3.3×
IV push initial (96374) $399.20 $499 1.7×
Manual therapy 15 min (97140) $120 $150 4.3×
Mechanical chest wall oscillation (94669) $175.20 $219 0.7×
Mechanical traction (97012) $104.80 $131 7.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $79.20 $99 2.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $80.80 $101 2.2×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $53.60 $67 3.1×
Methacholine challenge (94070) $418 $522.50 1.0×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $546.40 $683 6.0×
Multiple Sleep Latency Test (95805) $2,100.80 $2,626 2.2×
Nasopharyngoscopy (92511) $186.40 $233 0.8×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $32 $40 0.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $296.80 $371 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $354.40 $443 0.8×
Newborn resuscitation (99465) $412.80 $516 0.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $499.20 $624 3.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $328.80 $411 2.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $143.20 $179 3.1×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $76.80 $96 3.2×
Osteopathic manipulative tx 3-4 body regions (98926) $81.60 $102 3.4×
Osteopathic manipulative tx 5-6 body regions (98927) $108.80 $136 4.5×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $88.80 $111 2.8×
Ot eval high complex 60 min (97167) $332.80 $416 3.3×
Ot eval low complex 30 min (97165) $284 $355 2.8×
Ot eval mod complex 45 min (97166) $307.20 $384 3.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $143.20 $179 2.9×
Ot Prosthetic Training, Each 15 Min (97761) $100 $125 2.5×
Ot Range Motion Measure,Each Extrem (95851) $57.60 $72 2.2×
Ot re-evaluation (97168) $192.40 $240.50 2.8×
Ot therapeutic activity 15 min (97530) $141.60 $177 4.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $302.40 $378 2.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $302.40 $378 2.1×
Paraffin bath pt (97018) $66.40 $83 11.0×
Patch/Application Test Specify Number Tests (95044) $838.40 $1,048 0.9×
Patient-initiated spirometric recording per 30-day period of time; review and interpretation only by a physician or… (94016) $62.40 $78 2.5×
Pdt dstr prmlg les phys/qhp (96573) $472.80 $591 2.1×
Pdt dstr prmlg les skn illum/activj per day (96567) $664.40 $830.50 3.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $375.20 $469 1.5×
Phlebotomy therapeutic (99195) $266.40 $333 1.8×
Photochemotherapy; psoralens and ultraviolet A (PUVA) Facility (96912) $204 $255 3.1×
Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B Facility (96910) $154.40 $193 2.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $245.60 $307 3.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $239.20 $299 3.6×
Plethysmography (94726) $259.60 $324.50 0.6×
Pm device eval in person (93288) $77.20 $96.50 1.9×
Pm device progr eval dual (93280) $125.60 $157 3.0×
Pm device progr eval multi (93281) $134 $167.50 3.2×
Pm device progr eval sngl (93279) $100.40 $125.50 2.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,295.20 $5,369 4.5×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $194.80 $243.50 4.7×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $45.20 $56.50 0.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $62.40 $78 1.2×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $151.20 $189 3.6×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $172.80 $216 4.2×
Psych diag eval w/med srvcs (90792) $377.60 $472 1.9×
Psychiatric diagnostic evaluation (90791) $308 $385 1.6×
Psytx crisis initial 60 min (90839) $265.60 $332 1.3×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $72 $90 1.9×
Pt Electrical Stimulation (97032) $88.80 $111 6.0×
Pt eval high complex 45 min (97163) $321.60 $402 3.3×
Pt eval low complex 20 min (97161) $271.20 $339 2.8×
Pt eval mod complex 30 min (97162) $294.40 $368 3.0×
Pt gait training 15 min (97116) $111.20 $139 3.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $128.80 $161 3.9×
Pt Physical Performance Test (97750) $101.60 $127 3.0×
Pt re-evaluation (97164) $180.80 $226 2.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $126.40 $158 3.9×
Pulm function test by gas (94727) $141.60 $177 0.6×
Pulmonary stress test simple (94618) $159.20 $199 1.1×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $71.20 $89 2.1×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $25.60 $32 2.1×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98971) $44.80 $56 1.9×
Refill/Maint Portable Pump (96521) $722.40 $903 3.0×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $41.60 $52 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $185.60 $232 0.8×
Rt Chest Wall Manipulation,Subsequent (94668) $136 $170 0.9×
Sensory Integration Ea 15 Min (97533) $125.60 $157 2.1×
Sleep study attended (95807) $1,474 $1,842.50 3.5×
Sleep study unattended (95806) $216 $270 0.9×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $308 $385 1.3×
Smoking cessation > 10 min (99407) $76.80 $96 1.8×
Speech sound lang comprehen (92523) $460 $575 2.0×
Spirometry (94010) $168.80 $211 0.7×
Standardized Cognitive Performance Testing (96125) $379.20 $474 3.7×
Stress echo (93350) $1,009.60 $1,262 1.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $112 $140 5.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $88 $110 4.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $287.20 $359 2.8×
Therapeutic prophylactic/dx injection subq/im (96372) $149.20 $186.50 1.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $41.60 $52 1.0×
Trans Care Mgmt 14 Day Disch (99495) $436 $545 2.9×
Trans Care Mgmt 7 Day Disch (99496) $588.80 $736 4.0×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $1,053.60 $1,317 4.0×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $640 $800 5.5×
Tstg ans funcj parasymp&symp w/5 min pasive tilt (95924) $349.60 $437 1.5×
Tte w/doppler, complete (93306) $1,171.20 $1,464 1.9×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $733.20 $916.50 2.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $279.20 $349 3.7×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $199.20 $249 8.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $298.40 $373 3.5×
Tympanometry (92567) $54.40 $68 1.3×
Ultraviolet Light Therapy (96900) $92.80 $116 2.2×
Upr/lxtr art stdy 3+ lvls (93923) $264.80 $331 1.1×
Vasc Duplex Scan Extracranial,Limited (93882) $797.60 $997 6.8×
Vasopneumatic device (97016) $65.60 $82 5.5×
Vent mgmt inpat init day (94002) $2,012 $2,515 2.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,144.80 $1,431 1.7×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $594.40 $743 9.0×