Visits & medical services prices at Lake Chelan Health Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $160 $160 1.4×
Airway inhalation treatment (94640) $291.80 $291.80 1.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $78.22 $78.22 5.4×
Application Modality 1/> Areas Infrared (97026) $21.05 $21.05 3.2×
Assessment of aphasia per hr (96105) $443.70 $443.70 4.6×
Basic vestibular evaluation (92540) $144.35 $144.35 0.6×
Bedside Swallowing Eval (92610) $535.15 $535.15 6.3×
Behavioral and qualitative analysis of voice and resonance (92524) $363.75 $363.75 3.3×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $116.85 $116.85 1.4×
Bfb training ea addl 15 min (90913) $65 $65 2.0×
Biofeedback training any modality (90901) $51.95 $51.95 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $448.90 $448.90 1.1×
Canalith Repositioning Procedure (95992) $108.20 $108.20 2.7×
Car seat/bed test 60 min (94780) $377.50 $377.50 9.1×
Cardiac Stress Tst,Tracing Only (93017) $507 $507 2.1×
Cardiopulmonary resuscitation (92950) $764.28 $764.28 3.2×
Cardioversion (92960) $472.48 $472.48 0.6×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $65 $65 2.5×
Cbt 1st hour (94644) $255.65 $255.65 1.7×
Color/duplex Doppler, complete (93975) $1,485.50 $1,485.50 5.6×
Color/duplex Doppler, limited (93976) $826.85 $826.85 7.1×
Cpap/bipap (94660) $472.78 $472.78 1.9×
Cpt initial (94667) $321.60 $321.60 2.2×
Critical care (99291) $1,318.50 $1,318.50 1.4×
Debridement Open Wound 20 Sq Cm< (97597) $127.35 $127.35 0.6×
Developmental tst admin phys/qhp 1st hour (96112) $209.20 $209.20 1.5×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $783.95 $783.95 3.3×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,178.05 $1,178.05 4.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $288.50 $288.50 2.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,145.65 $1,145.65 4.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $575.45 $575.45 4.9×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $492.95 $492.95 1.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $284.92 $284.92 2.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $916.98 $916.98 3.4×
Dup-scan xtr veins unilateral/limited study (93971) $572.62 $572.62 4.9×
Duplex scan extracranial art compl bi study (93880) $952.35 $952.35 3.6×
Echo Heart Xthoracic,Limited (93308) $424.02 $424.02 1.6×
EKG rhythm strip (93041) $188.22 $188.22 2.9×
Electrocardiogram Tracing (93005) $170.98 $170.98 2.6×
Er level 1 (99281) $97.15 $97.15 1.0×
Er level ii (99282) $168.25 $168.25 1.0×
Er level iii (99283) $377.15 $377.15 1.2×
Er level IV (99284) $458.25 $458.25 1.0×
Er level v (99285) $523 $523 0.8×
Eval speech sound production (92522) $376.90 $376.90 3.4×
Evaluate Pt Use Of Inhaler (94664) $241.90 $241.90 1.0×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $438.75 $438.75 3.6×
Evaluation of speech fluency (92521) $172.80 $172.80 1.3×
Group Therapeutic Procedures (97150) $61.25 $61.25 3.4×
Holter Monitor (93225) $441.30 $441.30 3.0×
Imm admn sarscov2 vaccine single dose (90480) $105.25 $105.25 2.3×
Immune Admin Oral/Nasal (90473) $50.70 $50.70 0.6×
Immunization Admin (90471) $41 $41 0.5×
Injection intra arterial (96373) $668.25 $668.25 2.8×
Iontophoresis 15 min (97033) $70.20 $70.20 3.7×
Irrig drug delivery device (96523) $204.25 $204.25 3.1×
IV infusion hydration each additional hour (96361) $181.78 $181.78 3.5×
IV infusion hydration initial 31 min-1 hour (96360) $552.25 $552.25 2.3×
IV infusion ther proph addl sequential to 1 hr (96367) $449.48 $449.48 5.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $562.22 $562.22 2.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $449.48 $449.48 8.6×
IV push ea addl new drug (96375) $147.85 $147.85 2.8×
IV push initial (96374) $596.40 $596.40 2.5×
Low frequency non-thermal us (97610) $192.25 $192.25 0.9×
Manual therapy 15 min (97140) $129.20 $129.20 4.7×
Massage 15 min (97124) $111.30 $111.30 3.7×
Mechanical traction (97012) $84.85 $84.85 5.9×
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 Fluor Eval Swlng Funcj C/V Rec (92611) $627 $627 6.9×
Multiple Family Group Psychotherapy (90849) $99.85 $99.85 0.5×
Neg press wound tx >50 cm (97608) $89.90 $89.90 0.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $79.25 $79.25 0.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $361.35 $361.35 1.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $451.55 $451.55 1.0×
Neurobehavioral Status Exam (96116) $283.40 $283.40 1.2×
Newborn resuscitation (99465) $1,372.10 $1,372.10 1.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $451.42 $451.42 3.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $277.35 $277.35 1.9×
Nonphysician Telephone Assessment 11-20 Min (98967) $85.85 $85.85 3.4×
Nonphysician Telephone Assessment 21-30 Min (98968) $128.80 $128.80 3.7×
Nonphysician Telephone Assessment 5-10 Min (98966) $42.95 $42.95 3.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $159.28 $159.28 3.5×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $110.35 $110.35 3.4×
Ot eval high complex 60 min (97167) $639.95 $639.95 6.4×
Ot eval low complex 30 min (97165) $301.25 $301.25 3.0×
Ot eval mod complex 45 min (97166) $480.25 $480.25 4.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $142.80 $142.80 2.9×
Ot Prosthetic Training, Each 15 Min (97761) $137.85 $137.85 3.4×
Ot re-evaluation (97168) $237.35 $237.35 3.5×
Ot therapeutic activity 15 min (97530) $146.10 $146.10 4.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $350 $350 2.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $275 $275 1.9×
Psych diag eval w/med srvcs (90792) $376.96 $376.96 1.9×
Psychiatric diagnostic evaluation (90791) $335.25 $335.25 1.7×
Pt Aquatic Therapy/Exercises (97113) $129.80 $129.80 3.5×
Pt Electrical Stimulation (97032) $92.35 $92.35 6.3×
Pt eval high complex 45 min (97163) $480.25 $480.25 4.9×
Pt eval low complex 20 min (97161) $300.40 $300.40 3.1×
Pt eval mod complex 30 min (97162) $333.25 $333.25 3.4×
Pt gait training 15 min (97116) $140.15 $140.15 4.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $136.20 $136.20 4.2×
Pt Physical Performance Test (97750) $116.25 $116.25 3.4×
Pt re-evaluation (97164) $206.90 $206.90 3.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $138.15 $138.15 4.3×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $75.35 $75.35 2.2×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $28.55 $28.55 2.3×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98971) $50.22 $50.22 2.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $319 $319 1.4×
Rt Chest Wall Manipulation,Subsequent (94668) $321.60 $321.60 2.2×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $93.70 $93.70 2.0×
Sensory Integration Ea 15 Min (97533) $142.80 $142.80 2.3×
Slp caregiver training 1st 30 min (97550) $150 $150 2.8×
Smoking cessation > 10 min (99407) $56 $56 1.3×
Speech sound lang comprehen (92523) $481.25 $481.25 2.1×
Spirometry (94010) $357.70 $357.70 1.5×
Standardized Cognitive Performance Testing (96125) $463.50 $463.50 4.5×
Subq Infusion Additional Pump Infusion Site (96371) $200.90 $200.90 2.5×
Temp transcutaneous pacing (92953) $78.45 $78.45 0.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $129.80 $129.80 5.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $101.50 $101.50 4.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $133.85 $133.85 1.3×
Ther/prop/diag inj/inf proc (96379) $201.85 $201.85 3.9×
Therapeutic prophylactic/dx injection subq/im (96372) $82.30 $82.30 1.0×
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) $1,177.38 $1,177.38 1.9×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $122.05 $122.05 0.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $316.90 $316.90 4.2×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $65.55 $65.55 2.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $342.40 $342.40 4.1×
Ultraviolet Light Therapy (96900) $59 $59 1.4×
Unlisted psychiatric service or procedure (90899) $101.60 $101.60 2.4×
Vasc Duplex Scan Extracranial,Limited (93882) $892.50 $892.50 7.7×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $489.48 $489.48 2.0×
Vent mgmt inpat init day (94002) $1,306.65 $1,306.65 1.9×
Wheelchair Mgmt Ea 15 Min (97542) $111.90 $111.90 3.6×