Visits & medical services prices at Lake Chelan Health Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Actinotherapy Ultraviolet Light (96900) $63.13 $63.13 1.5×
Admn Sarscov2 Vacc 1 Dose (90480) $105.25 $105.25 2.3×
Advncd Care Plan 30 Min (99497) $160 $160 1.4×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$40.95–$542.65 $40.95–$542.65 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$72.49–$94.91 $72.49–$94.91 varies
Application Modality 1/> Areas Infrared (97026) $22.52 $22.52 3.4×
Assessment of aphasia per hr (96105) $474.76 $474.76 4.9×
Basic vestibular evaluation (92540) $154.45 $154.45 0.6×
Behavral qualit analys voice (92524) $389.21 $389.21 3.6×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $125.03 $125.03 1.5×
Bfb training ea addl 15 min (90913) $69.55 $69.55 2.1×
Biofeedback training any modality (90901) $55.59 $55.59 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$151.20–$746.60 $151.20–$746.60 varies
Canalith repositioning proc (95992) $115.77 $115.77 2.8×
Car seat/bed test 60 min (94780) $377.50 $377.50 9.1×
Cardiac Stress Tst,Tracing Only (93017)
range across 3 matching MRF lines
$220.85–$1,396 $220.85–$1,396 varies
Cardiopulmonary resuscitation (92950)
range across 4 matching MRF lines
$659–$993 $659–$993 varies
Cardioversion (92960)
range across 4 matching MRF lines
$362–$635 $362–$635 varies
Cardioversion elective internal (92961)
range across 3 matching MRF lines
$731.50–$847 $731.50–$847 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $69.55 $69.55 2.7×
Cbt 1st hour (94644) $255.65 $255.65 1.7×
Chest Wall Manipulation (94668) $321.60 $321.60 2.2×
Chron Care Mgmt Srvc 20 Min (99490) $102 $102 0.9×
Color/duplex Doppler, complete (93975) $1,589.49 $1,589.49 6.0×
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$497.44–$1,272.02 $497.44–$1,272.02 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $118.07 $118.07 3.7×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $180 $180 0.9×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$69.60–$485.10 $69.60–$485.10 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$218.65–$726.90 $218.65–$726.90 varies
Cpt initial (94667) $321.60 $321.60 2.2×
Critical care first hour (99291)
range across 2 matching MRF lines
$1,318.50–$1,410.80 $1,318.50–$1,410.80 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$117.90–$341.33 $117.90–$341.33 varies
Developmental tst admin phys/qhp 1st hour (96112) $223.84 $223.84 1.6×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,260.51 $1,260.51 4.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $308.70 $308.70 2.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$769.60–$1,682.09 $769.60–$1,682.09 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$112.08–$1,119.38 $112.08–$1,119.38 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$591.23–$1,371.10 $591.23–$1,371.10 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$369.36–$856.05 $369.36–$856.05 varies
Duplex up extrem art bilat (93930) $527.46 $527.46 2.0×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$82.28–$527.46 $82.28–$527.46 varies
ECG/monitoring and analysis (93271)
range across 2 matching MRF lines
$1,752–$2,082 $1,752–$2,082 varies
Echo Congenital Complete (93303)
range across 2 matching MRF lines
$400–$2,500 $400–$2,500 varies
Echo Heart Xthoracic,Limited (93308)
range across 4 matching MRF lines
$96.78–$1,001 $96.78–$1,001 varies
Echo r-t 2d w/probe placement only (93313)
range across 2 matching MRF lines
$296–$1,993 $296–$1,993 varies
Echo transesophageal (93312)
range across 2 matching MRF lines
$383–$2,344 $383–$2,344 varies
Echo Transesophageal - Congenital Tee Complete (93315)
range across 2 matching MRF lines
$424–$2,227 $424–$2,227 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines
$619–$2,371 $619–$2,371 varies
Electrical Stimulation Ea 15 Min (97032) $98.81 $98.81 6.7×
Electrocardiogram Tracing (93005)
range across 6 matching MRF lines
$42–$318.29 $42–$318.29 varies
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines
$168.25–$180.03 $168.25–$180.03 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines
$301–$403.55 $301–$403.55 varies
Emergency Dept Visit Level 4 (99284)
range across 4 matching MRF lines
$327.60–$630.12 $327.60–$630.12 varies
Er level 1 (99281)
range across 2 matching MRF lines
$99.46–$108.44 $99.46–$108.44 varies
Er level v (99285)
range across 4 matching MRF lines
$128.10–$982.15 $128.10–$982.15 varies
Evaluate pt use of inhaler (94664) $241.90 $241.90 1.0×
Evaluate Speech Production (92522) $403.28 $403.28 3.6×
Evaluate Swallowing Function (92610) $572.61 $572.61 6.7×
Evaluation of speech fluency (92521) $184.90 $184.90 1.4×
Evoked Auditory Test,Limited (92587)
range across 2 matching MRF lines
$746.60–$821.30 $746.60–$821.30 varies
External ECG rec>48hr<7d recording (93242)
range across 2 matching MRF lines
$46–$78 $46–$78 varies
External ECG rec>48hr<7d scanning alys w/report (93243)
range across 2 matching MRF lines
$315–$645 $315–$645 varies
External ECG rec>7d<15d recording (93246)
range across 2 matching MRF lines
$50–$78 $50–$78 varies
External ECG rec>7d<15d scanning alys w/report (93247) $345 $345 2.3×
External Ecg Scanning Analysis Report (93226)
range across 3 matching MRF lines
$86–$200 $86–$200 varies
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$605.03–$1,433 $605.03–$1,433 varies
Extracranial Uni/Ltd Study (93882) $954.98 $954.98 8.2×
F-up/limited tthrc echo congenital car anomaly (93304)
range across 2 matching MRF lines
$333–$1,300 $333–$1,300 varies
Group Therapeutic Procedures (97150) $65.54 $65.54 3.6×
Holter monitor recording (93225)
range across 3 matching MRF lines
$96–$441.30 $96–$441.30 varies
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines
$50.70–$54.25 $50.70–$54.25 varies
Immunization administration (90471)
range across 2 matching MRF lines
$24.05–$62.01 $24.05–$62.01 varies
Iontophoresis 15 min (97033) $75.11 $75.11 3.9×
Irrig Drug Delivery Device (96523) $218.55 $218.55 3.3×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$173.10–$203.78 $173.10–$203.78 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines
$188.91–$650.03 $188.91–$650.03 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$428.05–$503.86 $428.05–$503.86 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$428.05–$503.86 $428.05–$503.86 varies
IV push initial (96374)
range across 2 matching MRF lines
$552.25–$650.03 $552.25–$650.03 varies
Low frequency non-thermal us (97610) $205.71 $205.71 0.9×
Lwr Xtr Vasc Stdy Bilat (93924)
range across 2 matching MRF lines
$495.73–$551.75 $495.73–$551.75 varies
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $55 $55 1.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $44.10 $44.10 1.2×
Motion Fluoroscopy/Swallow (92611) $670.89 $670.89 7.3×
Multiple Family Group Psychotherapy (90849) $99.85 $99.85 0.5×
Nasopharyngoscopy (92511) $307 $307 1.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $84.80 $84.80 0.2×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $96.19 $96.19 0.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $386.64 $386.64 1.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $483.16 $483.16 1.1×
Neurobehavioral Status Exam (96116) $283.40 $283.40 1.2×
Neuromuscular Reeducation (97112) $145.73 $145.73 4.5×
Newborn resuscitation (99465) $1,372.10 $1,372.10 1.9×
Nonphysician Telephone Assessment 11-20 Min (98967)
range across 2 matching MRF lines
$85.85–$91.86 $85.85–$91.86 varies
Nonphysician Telephone Assessment 21-30 Min (98968)
range across 2 matching MRF lines
$128.80–$137.82 $128.80–$137.82 varies
Nonphysician Telephone Assessment 5-10 Min (98966)
range across 2 matching MRF lines
$42.95–$45.96 $42.95–$45.96 varies
Oral Function Therapy (92526) $366.37 $366.37 4.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $152.80 $152.80 3.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$158.80–$170.93 $158.80–$170.93 varies
Ot eval high complexity (97167) $684.75 $684.75 6.8×
Ot Eval Low Complex (97165) $322.34 $322.34 3.2×
Ot Eval Moderate Complexity (97166) $513.87 $513.87 5.1×
Ot manual therapy 15 min (97140) $138.24 $138.24 5.0×
Ot Prosthetic Training, Each 15 Min (97761) $147.50 $147.50 3.6×
Ot Re-Eval Est Plan Care (97168) $253.96 $253.96 3.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $374.50 $374.50 2.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $294.25 $294.25 2.0×
Physical Performance Test (97750) $124.39 $124.39 3.7×
Pm device eval in person (93288) $105 $105 2.5×
Psych diag eval w/med srvcs (90792)
range across 2 matching MRF lines
$364.75–$389.18 $364.75–$389.18 varies
Psychiatric diagnostic evaluation (90791)
range across 3 matching MRF lines
$63.81–$352 $63.81–$352 varies
Pt Eval High Complex (97163) $513.87 $513.87 5.3×
Pt eval low complex 20 min (97161) $321.43 $321.43 3.3×
Pt Eval Mod Complex (97162) $356.58 $356.58 3.6×
Pt gait training 15 min (97116) $149.96 $149.96 5.2×
Pt mechanical traction (97012) $90.79 $90.79 6.3×
Pt Re-Eval Est Plan Care (97164) $221.38 $221.38 3.3×
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $51.41 $51.41 2.2×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $80.62 $80.62 2.3×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970)
range across 3 matching MRF lines
$29.21–$31.89 $29.21–$31.89 varies
Remote 30 Day Ecg Rev/Report (93270)
range across 2 matching MRF lines
$100–$189 $100–$189 varies
Remote 30 Day Ecg Tech Supp (93229) $2,287 $2,287 5.5×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)
range across 2 matching MRF lines
$179.25–$211 $179.25–$211 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $341.33 $341.33 1.5×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $469.46 $469.46 3.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $100.26 $100.26 2.1×
Self Care Mngment Training (97535) $147.82 $147.82 4.6×
Sensory Integration Ea 15 Min (97533) $152.80 $152.80 2.5×
Slp caregiver training 1st 30 min (97550) $160.50 $160.50 3.0×
Speech sound lang comprehen (92523) $514.94 $514.94 2.3×
Spirometry (94010)
range across 3 matching MRF lines
$283.30–$394.95 $283.30–$394.95 varies
Standardized Cognitive Performance Testing (96125) $495.95 $495.95 4.8×
Stress Tte Only (93350)
range across 2 matching MRF lines
$264–$408 $264–$408 varies
Subq Infusion Additional Pump Infusion Site (96371) $200.90 $200.90 2.5×
Temp transcutaneous pacing (92953) $83.94 $83.94 0.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $138.89 $138.89 6.2×
Ther Ivntj Ea Addl 15 Min (97130) $108.61 $108.61 5.2×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $138.89 $138.89 3.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $119.09 $119.09 4.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $143.22 $143.22 1.4×
Ther/Prop/Diag Inj/Inf Proc (96379) $201.85 $201.85 3.9×
Ther/Proph/Diag Inj Ia (96373) $715.03 $715.03 3.0×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 8 matching MRF lines
$40.15–$335.45 $40.15–$335.45 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines
$535.45–$4,268.80 $535.45–$4,268.80 varies
Therapeutic Activities (97530) $156.33 $156.33 4.5×
Tobacco Use Cessation Intensive >10 Minutes (99407) $56 $56 1.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $32 $32 0.8×
Trans Care Mgmt 14 Day Disch (99495) $457.55 $457.55 3.1×
Trans Care Mgmt 7 Day Disch (99496) $649.45 $649.45 4.4×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$350–$2,330.19 $350–$2,330.19 varies
Tte W/O Doppler Complete (93307)
range across 3 matching MRF lines
$130.59–$1,737 $130.59–$1,737 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $339.08 $339.08 4.5×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $70.14 $70.14 2.9×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$140.80–$165.74 $140.80–$165.74 varies
Unlisted cardiovascular service/procedure (93799) $1,416.31 $1,416.31 9.9×
Unlisted Psychiatric Service/Procedure (90899) $101.60 $101.60 2.4×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$257.55–$708.50 $257.55–$708.50 varies
Vent Mgmt Inpat Init Day (94002) $1,306.65 $1,306.65 1.9×
Wheelchair Mgmt Ea 15 Min (97542) $119.73 $119.73 3.9×

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.