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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actigraphy Testing Recording Analysis I&R (95803) range across 2 matching MRF lines |
$81.60–$93.60 | $102–$117 | varies |
| Actinotherapy Ultraviolet Light (96900) | $92.80 | $116 | 2.2× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $37.60 | $47 | 0.8× |
| Advncd Care Plan 30 Min (99497) | $197.60 | $247 | 1.7× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$212.80–$274.40 | $266–$343 | varies |
| 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× |
| Ans parasymp & symp w/tilt (95924) | $349.60 | $437 | 1.5× |
| 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× |
| Behavral qualit analys voice (92524) | $312 | $390 | 2.8× |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$12–$32 | $15–$40 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$54.40–$510.40 | $68–$638 | varies |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$123.20–$128 | $154–$160 | varies |
| 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) range across 2 matching MRF lines |
$1,056.80–$1,188.80 | $1,321–$1,486 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$687.20–$1,130.40 | $859–$1,413 | varies |
| 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) range across 2 matching MRF lines |
$59.20–$621.60 | $74–$777 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $334.40 | $418 | 4.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $197.60 | $247 | 2.5× |
| Chemo Intralesional Over 7 (96406) range across 2 matching MRF lines |
$108–$495.20 | $135–$619 | varies |
| Chemo intralesional up to 7 (96405) range across 2 matching MRF lines |
$72–$264.80 | $90–$331 | varies |
| Chemo IV infusion addl hr (96415) | $289.60 | $362 | 3.6× |
| Chemo IV push addl drug (96411) | $310.40 | $388 | 3.9× |
| Chemother Prolong Infuse W/Pump (96416) | $1,150.40 | $1,438 | 3.1× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$200–$1,216.80 | $250–$1,521 | varies |
| Chemotherapy Unspecified (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 nfs tq up 1 hr 1/1st sbst/drug (96413) | $839.20 | $1,049 | 2.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $579.20 | $724 | 1.6× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$124–$148 | $155–$185 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $78.40 | $98 | 0.7× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $112.80 | $141 | 1.7× |
| Color/duplex Doppler, complete (93975) | $1,372.80 | $1,716 | 5.2× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$88.80–$920 | $111–$1,150 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $88.80 | $111 | 2.8× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$444.80–$580 | $556–$725 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $165.60 | $207 | 2.5× |
| Continuous Pulse Ox (94762) | $328.80 | $411 | 2.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $776 | $970 | 3.2× |
| Cpt initial (94667) | $200.80 | $251 | 1.4× |
| Critical care first hour (99291) | $1,945.60 | $2,432 | 2.1× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$167.20–$457.60 | $209–$572 | varies |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) range across 2 matching MRF lines |
$492–$643.20 | $615–$804 | varies |
| 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 Xtr Veins Complete Bilateral Study (93970) | $1,515.20 | $1,894 | 5.7× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$53.60–$968 | $67–$1,210 | varies |
| Duplex Scan Hemodialysis Access (93990) | $601.60 | $752 | 5.2× |
| Duplex up extrem art bilat (93930) | $1,048 | $1,310 | 3.9× |
| Duplex up extrem art unilat/ltd (93931) | $600.80 | $751 | 5.2× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$122.40–$1,219.20 | $153–$1,524 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$248.80–$1,875.20 | $311–$2,344 | varies |
| 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× |
| 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× |
| Electrical Stimulation Ea 15 Min (97032) | $88.80 | $111 | 6.0× |
| Electrocardiogram Tracing (93005) | $200.80 | $251 | 3.1× |
| Electrocochleography (92584) | $125.60 | $157 | 0.9× |
| Emergency Dept Visit Level 2 (99282) | $220.80 | $276 | 1.3× |
| Emergency Dept Visit Level 3 (99283) | $420.80 | $526 | 1.4× |
| Emergency Dept Visit Level 4 (99284) | $697.60 | $872 | 1.5× |
| Er level 1 (99281) | $148 | $185 | 1.6× |
| Er level v (99285) | $1,132.80 | $1,416 | 1.7× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$56.80–$216 | $71–$270 | varies |
| Evaluate Speech Production (92522) | $279.20 | $349 | 2.5× |
| Evaluate Swallowing Function (92610) | $362.40 | $453 | 4.3× |
| Evaluation of speech fluency (92521) | $322.40 | $403 | 2.4× |
| Exercise test for bronchospasm (94617) | $187.20 | $234 | 1.3× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$38.40–$56.80 | $48–$71 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) range across 2 matching MRF lines |
$136.80–$203.20 | $171–$254 | varies |
| 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× |
| Extracranial Bilat Study (93880) | $1,104 | $1,380 | 4.2× |
| Extracranial Uni/Ltd Study (93882) | $797.60 | $997 | 6.8× |
| Flexible endoscopic eval swallow c/v rec (92612) | $579.20 | $724 | 2.9× |
| Group Therapeutic Procedures (97150) | $63.20 | $79 | 3.5× |
| Holter monitor recording (93225) | $110.40 | $138 | 0.7× |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$122.40–$160 | $153–$200 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$161.60–$184 | $202–$230 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$191.20–$198.40 | $239–$248 | varies |
| Ilr Device Eval Progr (93285) range across 2 matching MRF lines |
$80–$124 | $100–$155 | varies |
| Ilr Device Interrogate (93291) range across 2 matching MRF lines |
$62.40–$109.60 | $78–$137 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$24.80–$58.40 | $31–$73 | varies |
| Immunization administration (90471) range across 2 matching MRF lines |
$58.40–$60 | $73–$75 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $436.80 | $546 | 1.1× |
| Inital newborn e/m (99460) | $226.40 | $283 | 1.5× |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) range across 2 matching MRF lines |
$96–$211.20 | $120–$264 | varies |
| Intracranial Complete Study (93886) | $1,053.60 | $1,317 | 4.0× |
| Io anal gast n-stim subsq (95981) | $108 | $135 | 1.6× |
| Io ga n-stim subsq w/reprog (95982) | $157.60 | $197 | 3.8× |
| 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 therapy prophylaxis/dx ea hour (96366) | $208.80 | $261 | 4.0× |
| IV push initial (96374) | $399.20 | $499 | 1.7× |
| Mechanical chest wall oscillation per session (94669) | $175.20 | $219 | 0.7× |
| 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) range across 2 matching MRF lines |
$90.40–$745.60 | $113–$932 | varies |
| Motion Fluoroscopy/Swallow (92611) | $546.40 | $683 | 6.0× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$893.60–$3,308 | $1,117–$4,135 | varies |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$91.20–$281.60 | $114–$352 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $32 | $40 | 0.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$259.20–$312 | $324–$390 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$146.40–$562.40 | $183–$703 | varies |
| Neuromuscular Reeducation (97112) | $128.80 | $161 | 3.9× |
| Newborn resuscitation (99465) range across 3 matching MRF lines |
$346.40–$800 | $433–$1,000 | varies |
| Oral Function Therapy (92526) | $298.40 | $373 | 3.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $143.20 | $179 | 2.9× |
| 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 eval high complexity (97167) | $332.80 | $416 | 3.3× |
| Ot Eval Low Complex (97165) | $284 | $355 | 2.8× |
| Ot Eval Moderate Complexity (97166) | $307.20 | $384 | 3.1× |
| Ot manual therapy 15 min (97140) | $120 | $150 | 4.3× |
| Ot paraffin bath (97018) | $66.40 | $83 | 11.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $100 | $125 | 2.5× |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$190.40–$194.40 | $238–$243 | varies |
| 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× |
| Patch/Application Test Specify Number Tests (95044) | $838.40 | $1,048 | 0.9× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $62.40 | $78 | 2.5× |
| Pdt dstr prmlg les phys/qhp (96573) range across 2 matching MRF lines |
$446.40–$499.20 | $558–$624 | varies |
| Pdt dstr prmlg les skn illum/activj per day (96567) range across 2 matching MRF lines |
$328–$1,000.80 | $410–$1,251 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $375.20 | $469 | 1.5× |
| Phlebotomy therapeutic (99195) | $266.40 | $333 | 1.8× |
| Photochemotx Psoralens&Ultraviolet Puva (96912) | $204 | $255 | 3.1× |
| Photochemotx Tar&Uvb/Petrolatum/Uvb (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× |
| Physical Performance Test (97750) | $101.60 | $127 | 3.0× |
| Plethysmography (94726) range across 2 matching MRF lines |
$53.60–$465.60 | $67–$582 | varies |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$53.60–$100.80 | $67–$126 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$120–$131.20 | $150–$164 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$131.20–$136.80 | $164–$171 | varies |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$99.20–$101.60 | $124–$127 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$893.60–$4,844.80 | $1,117–$6,056 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$142.40–$160 | $178–$200 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$33.60–$56.80 | $42–$71 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$44.80–$80 | $56–$100 | varies |
| 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 Eval High Complex (97163) | $321.60 | $402 | 3.3× |
| Pt eval low complex 20 min (97161) | $271.20 | $339 | 2.8× |
| Pt Eval Mod Complex (97162) | $294.40 | $368 | 3.0× |
| Pt gait training 15 min (97116) | $111.20 | $139 | 3.8× |
| Pt mechanical traction (97012) | $104.80 | $131 | 7.3× |
| Pt Re-Eval Est Plan Care (97164) | $180.80 | $226 | 2.7× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$28.80–$254.40 | $36–$318 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$52.80–$265.60 | $66–$332 | varies |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $44.80 | $56 | 1.9× |
| 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× |
| Refill/Maint Portable Pump (96521) | $722.40 | $903 | 3.0× |
| Remote 30 Day Ecg Rev/Report (93270) | $41.60 | $52 | 1.0× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $143.20 | $179 | 2.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$74.40–$296.80 | $93–$371 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $57.60 | $72 | 2.2× |
| Same day nb discharge (99463) | $261.60 | $327 | 1.8× |
| Self Care Mngment Training (97535) | $126.40 | $158 | 3.9× |
| Sensory Integration Ea 15 Min (97533) | $125.60 | $157 | 2.1× |
| Sleep study attended (95807) range across 2 matching MRF lines |
$893.60–$2,054.40 | $1,117–$2,568 | varies |
| Sleep study unattended (95806) | $216 | $270 | 0.9× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $308 | $385 | 1.3× |
| Speech sound lang comprehen (92523) | $460 | $575 | 2.0× |
| Spirometry (94010) range across 2 matching MRF lines |
$36.80–$300.80 | $46–$376 | varies |
| Standardized Cognitive Performance Testing (96125) | $379.20 | $474 | 3.7× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$101.60–$1,917.60 | $127–$2,397 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $112 | $140 | 5.0× |
| Ther Ivntj Ea Addl 15 Min (97130) | $88 | $110 | 4.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $287.20 | $359 | 2.8× |
| Ther/Proph/Diag Inj Ia (96373) | $173.60 | $217 | 0.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$148–$150.40 | $185–$188 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $574.40 | $718 | 2.4× |
| Therapeutic Activities (97530) | $141.60 | $177 | 4.0× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $76.80 | $96 | 1.8× |
| 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× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $640 | $800 | 5.5× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$265.60–$2,076.80 | $332–$2,596 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$176.80–$1,289.60 | $221–$1,612 | varies |
| 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/Pro/Dx Inj New Drug Addon (96375) | $169.60 | $212 | 3.3× |
| Tympanometry (92567) | $54.40 | $68 | 1.3× |
| Upr/L Xtremity Art 2 Levels (93922) | $499.20 | $624 | 3.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$57.60–$472 | $72–$590 | varies |
| 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× |
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.