Visits & medical services prices at Klickitat Valley Health

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

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

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ProcedureCash priceGross charge× Medicare
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $48.48 $101 1.5×
Advance care planning first 30 mins (99497) $99.36 $207 0.9×
Airway inhalation treatment (94640) $142.56 $297 0.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $61.44 $128 4.3×
Assessment of aphasia per hr (96105) $182.40 $380 1.9×
Bedside Swallowing Eval (92610) $230.40 $480 2.7×
Behavioral and qualitative analysis of voice and resonance (92524) $216 $450 2.0×
Brief Emotional/Behavioral Assessment (96127) $5.28 $11 0.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $297.60 $620 0.7×
Canalith Repositioning Procedure (95992) $96.96 $202 2.4×
Cardiac Stress Tst,Tracing Only (93017) $452.64 $943 1.9×
Cardiopulmonary exercise testing (94621) $447.60 $932.50 1.1×
Cardiopulmonary resuscitation (92950) $586.08 $1,221 2.4×
Cardioversion (92960) $389.28 $811 0.5×
Caregiver hlth risk assmt score doc stnd instrm (96161) $30.72 $64 0.7×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $30.72 $64 1.2×
Cbt 1st hour (94644) $122.40 $255 0.8×
Chronic care management services 1st 20 min (99490) $79.20 $165 0.7×
Color/duplex Doppler, complete (93975) $495.12 $1,031.50 1.9×
Color/duplex Doppler, limited (93976) $394.32 $821.50 3.4×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $109.44 $228 0.6×
Cpap/bipap (94660) $100.80 $210 0.4×
Critical care (99291) $1,275.12 $2,656.50 1.4×
Debridement Open Wound 20 Sq Cm< (97597) $168 $350 0.8×
Developmental tst admin phys/qhp 1st hour (96112) $288 $600 2.0×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $431.28 $898.50 1.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $225.36 $469.50 1.9×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $456.72 $951.50 1.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $381.60 $795 3.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $504 $1,050 1.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $291.36 $607 2.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $474.72 $989 1.8×
Dup-scan xtr veins unilateral/limited study (93971) $319.44 $665.50 2.7×
Duplex scan extracranial art compl bi study (93880) $457.92 $954 1.7×
Echo Heart Xthoracic,Limited (93308) $278.64 $580.50 1.0×
Electrocardiogram Tracing (93005) $157.92 $329 2.4×
Er level 1 (99281) $153.60 $320 1.6×
Er level ii (99282) $255.12 $531.50 1.5×
Er level iii (99283) $336 $700 1.1×
Er level IV (99284) $574.08 $1,196 1.2×
Er level v (99285) $1,090.32 $2,271.50 1.6×
Eval speech sound production (92522) $264 $550 2.4×
Eval to use/fit voice prosth (92597) $139.20 $290 2.0×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $235.20 $490 1.9×
Evaluation of speech fluency (92521) $211.20 $440 1.6×
Exercise tst brncspsm (94617) $164.40 $342.50 1.1×
External ECG rec>7d<15d recording (93246) $192 $400 4.6×
Eye service or procedure (92499) $18.24 $38 0.6×
Group Therapeutic Procedures (97150) $84 $175 4.7×
Imm admn sarscov2 vaccine single dose (90480) $36 $75 0.8×
Immune Admin Oral/Nasal (90473) $18.24 $38 0.2×
Immunization Admin (90471) $53.76 $112 0.7×
Inhalation bronchial challenge testing (95070) $178.08 $371 0.4×
Irrig drug delivery device (96523) $86.40 $180 1.3×
IV infusion hydration each additional hour (96361) $117.36 $244.50 2.2×
IV infusion hydration initial 31 min-1 hour (96360) $205.20 $427.50 0.9×
IV infusion ther proph addl sequential to 1 hr (96367) $187.20 $390 2.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $336.48 $701 1.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $153.60 $320 2.9×
IV push ea addl new drug (96375) $167.76 $349.50 3.2×
IV push initial (96374) $190.80 $397.50 0.8×
Manual therapy 15 min (97140) $73.92 $154 2.7×
Massage 15 min (97124) $53.76 $112 1.8×
Maximum voluntary ventilation (94200) $316.80 $660 4.8×
Mechanical traction (97012) $50.88 $106 3.5×
Methacholine challenge (94070) $297.60 $620 0.7×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $216 $450 2.4×
Nitric oxide expired gas determination (95012) $168 $350 4.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $211.44 $440.50 1.4×
Nonphysician Telephone Assessment 11-20 Min (98967) $110.40 $230 4.4×
Nonphysician Telephone Assessment 21-30 Min (98968) $124.80 $260 3.6×
Nonphysician Telephone Assessment 5-10 Min (98966) $96 $200 7.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $72.72 $151.50 1.6×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $43.68 $91 1.8×
Osteopathic manipulative tx 3-4 body regions (98926) $63.84 $133 2.7×
Osteopathic manipulative tx 5-6 body regions (98927) $76.32 $159 3.2×
Osteopathic manipulative tx 7-8 body regions (98928) $94.32 $196.50 3.9×
Osteopathic manipulative tx 9-10 body regions (98929) $96.96 $202 4.0×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $61.44 $128 1.9×
Ot Contrast Bath Ea 15 Min (97034) $33.12 $69 2.4×
Ot eval high complex 60 min (97167) $208.80 $435 2.1×
Ot eval low complex 30 min (97165) $165.60 $345 1.6×
Ot eval mod complex 45 min (97166) $201.12 $419 2.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $69.12 $144 1.4×
Ot Prosthetic Training, Each 15 Min (97761) $66.24 $138 1.6×
Ot re-evaluation (97168) $109.44 $228 1.6×
Ot therapeutic activity 15 min (97530) $66.24 $138 1.9×
Paraffin bath pt (97018) $42 $87.50 7.0×
Patient-initiated spirometric recording per 30-day period of time; review and interpretation only by a physician or… (94016) $174.24 $363 7.0×
Phlebotomy therapeutic (99195) $185.76 $387 1.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $134.40 $280 2.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $124.80 $260 1.9×
Plethysmography (94726) $196.80 $410 0.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $23.04 $48 0.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $28.32 $59 0.5×
Psych diag eval w/med srvcs (90792) $152.64 $318 0.8×
Psychiatric diagnostic evaluation (90791) $152.64 $318 0.8×
Pt Aquatic Therapy/Exercises (97113) $69.12 $144 1.9×
Pt Electrical Stimulation (97032) $50.88 $106 3.5×
Pt eval high complex 45 min (97163) $218.88 $456 2.2×
Pt eval low complex 20 min (97161) $160.32 $334 1.6×
Pt eval mod complex 30 min (97162) $188.64 $393 1.9×
Pt gait training 15 min (97116) $61.44 $128 2.1×
Pt group caregiver training (97552) $28.32 $59 1.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $66.24 $138 2.0×
Pt re-evaluation (97164) $107.04 $223 1.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $76.32 $159 2.4×
Pulm Funct Test Oscillometry (94728) $127.20 $265 0.9×
Pulmonary stress test simple (94618) $175.20 $365 1.2×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $120 $250 3.5×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $91.20 $190 7.4×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98971) $105.60 $220 4.6×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $168 $350 1.1×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $28.80 $60 0.7×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $120 $250 2.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $104.64 $218 0.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $93.60 $195 2.0×
Sensory Integration Ea 15 Min (97533) $66.24 $138 1.1×
Sleep study unattended (95806) $312 $650 1.3×
Slp caregiver training 1st 30 min (97550) $58.56 $122 1.1×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $312 $650 1.3×
Smoking cessation > 10 min (99407) $40.80 $85 1.0×
Speech sound lang comprehen (92523) $264 $550 1.2×
Spirometry (94010) $182.40 $380 0.8×
Standardized Cognitive Performance Testing (96125) $144 $300 1.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $61.92 $129 2.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $49.68 $103.50 2.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $196.80 $410 1.9×
Therapeutic prophylactic/dx injection subq/im (96372) $127.20 $265 1.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $23.04 $48 0.6×
Trans Care Mgmt 14 Day Disch (99495) $157.92 $329 1.1×
Trans Care Mgmt 7 Day Disch (99496) $228.96 $477 1.5×
Tte w/doppler, complete (93306) $768.48 $1,601 1.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $182.40 $380 2.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $201.60 $420 2.4×
Unlisted otorhinolaryngological service (92700) $50.40 $105 1.6×
Upr/lxtr art stdy 3+ lvls (93923) $120 $250 0.5×
Vasopneumatic device (97016) $43.68 $91 3.6×
Vent mgmt inpat init day (94002) $713.28 $1,486 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $984 $2,050 1.4×
Vital capacity, total (94150) $148.80 $310 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $69.12 $144 2.2×