Visits & medical services prices at Lanai Community Hospital

Lanai City, HI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Acoustic reflex testing (92568) $133.93 $227 3.0×
Airway inhalation treatment (94640) $324.50 $550 1.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $61.36 $104 4.3×
Application Modality 1/> Areas Infrared (97026) $36.58 $62 5.5×
Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes Facility (97036) $201.19 $341 5.8×
Application on-body injector (96377) $152.81 $259 2.8×
Basic vestibular evaluation (92540) $554.60 $940 2.2×
Bedside Swallowing Eval (92610) $345.15 $585 4.1×
Behavioral and qualitative analysis of voice and resonance (92524) $346.33 $587 3.2×
Breathing response to hypoxia (94450) $438.96 $744 2.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $378.19 $641 0.9×
Canalith Repositioning Procedure (95992) $142.78 $242 3.5×
Cardiopulmonary resuscitation (92950) $564.04 $956 2.2×
Cbt 1st hour (94644) $159.30 $270 1.0×
Comprehensive Hearing Test (92557) $369.93 $627 2.4×
Conditioning Play Audiometry (92582) $554.60 $940 3.6×
Cpap/bipap (94660) $760.51 $1,289 2.9×
Cpt initial (94667) $463.74 $786 3.0×
Cptrized oph dx img anterior segment uni/bi (92132) $205.32 $348 2.9×
Cptrized oph dx img pst segment uni/bi optic nrv (92133) $136.88 $232 2.0×
Cptrized oph dx img pst segment uni/bi retina (92134) $136.88 $232 2.0×
Critical care (99291) $4,720 $8,000 4.8×
Debridement Open Wound 20 Sq Cm< (97597) $339.84 $576 1.4×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $988.84 $1,676 3.9×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $988.84 $1,676 2.2×
Ear Protector Evaluation (92596) $133.93 $227 3.0×
EKG rhythm strip (93041) $249.57 $423 3.6×
Ekg Signal Averaging (93278) $358.13 $607 5.1×
Electrocardiogram Tracing (93005) $324.50 $550 4.7×
Electrocochleography (92584) $554.60 $940 3.6×
Ergonovine provocation test (93024) $1,641.97 $2,783 3.1×
Eval speech sound production (92522) $540.44 $916 4.8×
Eval to use/fit voice prosth (92597) $421.85 $715 5.9×
Evaluate Pt Use Of Inhaler (94664) $274.35 $465 1.1×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $568.17 $963 4.6×
Evaluation of speech fluency (92521) $654.31 $1,109 4.9×
Exhaled Air Analysis (94690) $159.89 $271 2.3×
Exhaled air analysis o2 (94680) $438.96 $744 2.9×
External ECG rec>48hr<7d recording (93242) $119.77 $203 2.7×
External ECG rec>48hr<7d scanning alys w/report (93243) $196.47 $333 1.2×
External ECG rec>7d<15d recording (93246) $243.08 $412 5.5×
External ECG rec>7d<15d scanning alys w/report (93247) $395.30 $670 2.5×
Group Therapeutic Procedures (97150) $133.34 $226 7.4×
Holter Monitor (93225) $413.59 $701 2.6×
Immunization Admin (90471) $76.70 $130 0.9×
Injection intra arterial (96373) $329.81 $559 1.3×
Interrogate subq defib (93261) $195.29 $331 4.4×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $908.60 $1,540 3.5×
Iontophoresis 15 min (97033) $132.16 $224 6.9×
IV infusion hydration each additional hour (96361) $147.50 $250 2.7×
IV infusion hydration initial 31 min-1 hour (96360) $265.50 $450 1.1×
IV infusion ther proph addl sequential to 1 hr (96367) $176.41 $299 2.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $295 $500 1.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $241.90 $410 4.4×
IV push ea addl new drug (96375) $153.40 $260 2.8×
IV push initial (96374) $257.24 $436 1.0×
Laryngeal Function Studies (92520) $452.53 $767 2.9×
Loudness balance test, alternate binaural or monaural Facility (92562) $554.60 $940 2.2×
Manual therapy 15 min (97140) $155.76 $264 5.6×
Massage 15 min (97124) $158.12 $268 5.3×
Maximum voluntary ventilation (94200) $346.92 $588 5.0×
Mechanical traction (97012) $83.19 $141 5.8×
Methacholine challenge (94070) $566.99 $961 1.3×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $354.59 $601 3.9×
Neg press wound tx >50 cm (97608) $967.01 $1,639 2.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $967.01 $1,639 2.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $446.04 $756 1.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $967.01 $1,639 2.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $215.35 $365 1.4×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $566.99 $961 1.3×
Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording Non-Facility (92544) $554.60 $940 3.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $126.26 $214 2.7×
Oscillating Tracking Test (92545) $554.60 $940 2.2×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $180.54 $306 5.6×
Ot Contrast Bath Ea 15 Min (97034) $109.74 $186 7.8×
Ot eval high complex 60 min (97167) $438.96 $744 4.4×
Ot eval low complex 30 min (97165) $219.48 $372 2.2×
Ot eval mod complex 45 min (97166) $256.65 $435 2.6×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $157.53 $267 3.1×
Ot Prosthetic Training, Each 15 Min (97761) $197.65 $335 4.9×
Ot re-evaluation (97168) $303.85 $515 4.4×
Ot therapeutic activity 15 min (97530) $113.87 $193 3.2×
Paraffin bath pt (97018) $69.03 $117 11.5×
Pdt dstr prmlg les phys/qhp (96573) $742.81 $1,259 3.1×
Pediatric apnea monitor analyses computer (94776) $711.54 $1,206 4.7×
Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of… (94775) $711.54 $1,206 4.7×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $908.60 $1,540 3.5×
Phlebotomy therapeutic (99195) $275.53 $467 1.8×
Plethysmography (94726) $378.19 $641 0.9×
Positional Nystagmus Test (92542) $452.53 $767 2.9×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $195.29 $331 4.4×
Pt Aquatic Therapy/Exercises (97113) $185.26 $314 5.0×
Pt diathermy (97024) $40.71 $69 5.5×
Pt Electrical Stimulation (97032) $113.87 $193 7.7×
Pt eval high complex 45 min (97163) $292.64 $496 3.0×
Pt eval low complex 20 min (97161) $219.48 $372 2.2×
Pt eval mod complex 30 min (97162) $256.65 $435 2.6×
Pt gait training 15 min (97116) $92.04 $156 3.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $116.82 $198 3.6×
Pt re-evaluation (97164) $226.56 $384 3.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $94.40 $160 2.9×
Pt ultraviolet (97028) $44.25 $75 5.3×
Pt Whirlpool Therapy (97022) $146.32 $248 9.3×
Pulm Funct Test Oscillometry (94728) $566.99 $961 3.7×
Pulm function test by gas (94727) $292.64 $496 1.1×
Pulmonary stress test simple (94618) $277.89 $471 1.8×
Pure Tone Audiometry Air & Bone (92553) $554.60 $940 3.6×
Pure Tone Audiometry Air Only (92552) $237.18 $402 1.5×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $284.38 $482 6.4×
Respiratory flow volume loop (94375) $566.99 $961 2.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $954.03 $1,617 4.0×
Rt Chest Wall Manipulation,Subsequent (94668) $378.78 $642 2.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $237.18 $402 5.0×
Select Picture Audiometry (92583) $133.93 $227 1.9×
Sensory Integration Ea 15 Min (97533) $174.64 $296 2.9×
Sinusoidal Vertical Axis Rotational Testing (92546) $554.60 $940 3.6×
Speech Audiometry Complete (92556) $133.93 $227 1.9×
Speech audiometry threshold (92555) $133.93 $227 1.9×
Speech sound lang comprehen (92523) $469.05 $795 2.1×
Spirometry (94010) $383.50 $650 1.5×
Spontaneous nystagmus test (92541) $452.53 $767 2.9×
Staggered Spondaic Word Test (92572) $554.60 $940 3.6×
Standardized Cognitive Performance Testing (96125) $602.39 $1,021 5.9×
Stenger Test Speech (92577) $1,912.19 $3,241 4.3×
Stenger Test, Pure Tone (92565) $89.09 $151 1.3×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $438.96 $744 1.7×
Subcutaneous Infusion Each Additional Hour (96370) $217.12 $368 3.9×
Subq Infusion Additional Pump Infusion Site (96371) $330.99 $561 3.9×
Synthetic Sentence Identification Test (92576) $133.93 $227 3.0×
Test to assess hearing loss using different tone pitches (92575) $133.93 $227 3.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $659.03 $1,117 6.4×
Therapeutic prophylactic/dx injection subq/im (96372) $165.20 $280 1.9×
Tone Decay Test (92563) $133.93 $227 3.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $256.65 $435 3.4×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $138.06 $234 5.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $223.61 $379 2.7×
Tympanometry (92567) $33.63 $57 0.8×
Vasopneumatic device (97016) $119.18 $202 9.9×
Vent mgmt inpat init day (94002) $2,197.75 $3,725 3.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,978.86 $3,354 2.7×
Visual reinforcement audiometry (vra) (92579) $554.60 $940 2.2×
Vital capacity, total (94150) $438.96 $744 2.9×
Wheelchair Mgmt Ea 15 Min (97542) $182.31 $309 5.9×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $196.47 $333 2.8×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $713.90 $1,210 6.4×