Visits & medical services prices at Logan Health - Whitefish

Whitefish, MT · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $242.45 $373 2.3×
Actigraphy Testing Recording Analysis I&R (95803) $175.18 $269.50 2.9×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines
$30.88–$43.39 $47.50–$66.75 varies
Advncd Care Plan 30 Min (99497) $125.29 $192.75 1.2×
Airway Inhalation Treatment (94640) $123.50 $190 0.6×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $30.06 $46.25 0.8×
Anrct mano rct sensation&rct balo expulsion test (91125) $319.80 $492 0.8×
Application on-body injector (96377)
range across 3 matching MRF lines
$93.28–$94.09 $143.50–$144.75 varies
Assessment of aphasia per hr (96105) $222.62 $342.50 2.3×
Breathing response to hypoxia (94450) $89.05 $137 0.7×
Canalith repositioning proc (95992) $266.34 $409.75 6.5×
Cardiac Stress Tst,Tracing Only (93017)
range across 16 matching MRF lines
$60.78–$734.34 $93.50–$1,129.75 varies
Cardiopulmonary exercise testing (94621) $550.22 $846.50 1.4×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$505.70–$546 $778–$840 varies
Cardioversion (92960) $803.56 $1,236.25 1.2×
Care mgmt services behavioral hlth cond 20 mins (99484) $69.55 $107 1.8×
Cbt 1st hour (94644) $116.68 $179.50 0.9×
Chemo Anti-Neopl Sq/Im (96401) $208.98 $321.50 2.8×
Chemo Hormon Antineopl Sq/Im (96402) $105.46 $162.25 1.4×
Chemo intralesional up to 7 (96405) $140.24 $215.75 1.9×
Chemo IV infusion addl hr (96415)
range across 4 matching MRF lines
$47.78–$104.49 $73.50–$160.75 varies
Chemo IV push addl drug (96411) $221.81 $341.25 3.0×
Chemotherapy Into Cns (96450) $256.75 $395 0.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417)
range across 2 matching MRF lines
$235.30–$266.34 $362–$409.75 varies
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 2 matching MRF lines
$387.72–$429.49 $596.50–$660.75 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409) $385.12 $592.50 1.1×
Chest Wall Manipulation (94668) $128.70 $198 0.9×
Color/duplex Doppler, complete (93975) $85.15 $131 0.3×
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$58.50–$393.09 $90–$604.75 varies
Cont Gluc Mntr Pt Prov Eqp (95249) $99.45 $153 1.7×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$209.62–$237.25 $322.50–$365 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660) $397.80 $612 1.8×
Cpt initial (94667) $165.91 $255.25 1.2×
Critical care first hour (99291)
range across 2 matching MRF lines
$418.76–$1,344.20 $644.25–$2,068 varies
Debridement Open Wound 20 Sq Cm< (97597) $123.01 $189.25 0.6×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$59.15–$675.19 $91–$1,038.75 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $36.40 $56 0.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$57.20–$400.72 $88–$616.50 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$35.75–$400.72 $55–$616.50 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 3 matching MRF lines
$50.70–$693.06 $78–$1,066.25 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$33.15–$430.95 $51–$663 varies
Duplex Scan Hemodialysis Access (93990) $36.40 $56 0.3×
Duplex up extrem art bilat (93930)
range across 2 matching MRF lines
$59.80–$463.61 $92–$713.25 varies
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$36.40–$698.59 $56–$1,074.75 varies
Echo Heart Xthoracic,Limited (93308) $38.35 $59 0.2×
Electrocardiogram Tracing (93005) $87.26 $134.25 1.4×
Emergency Dept Visit Level 2 (99282) $67.44 $103.75 0.4×
Emergency Dept Visit Level 3 (99283) $100.91 $155.25 0.4×
Emergency Dept Visit Level 4 (99284) $183.95 $283 0.4×
Er level 1 (99281) $35.42 $54.50 0.4×
Er level v (99285) $267.64 $411.75 0.4×
Evaluate pt use of inhaler (94664) $49.56 $76.25 0.2×
External ECG rec>48hr<7d recording (93242) $308.26 $474.25 8.1×
Extracranial Bilat Study (93880)
range across 3 matching MRF lines
$58.50–$390.98 $90–$601.50 varies
Extracranial Uni/Ltd Study (93882) $37.05 $57 0.3×
Im Adm Intransl/Oral 1 Vaccine (90473) $34.12 $52.50 0.5×
Immunization administration (90471)
range across 2 matching MRF lines
$45.82–$47.12 $70.50–$72.50 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $616.36 $948.25 1.6×
Inital newborn e/m (99460) $144.46 $222.25 1.1×
Intracranial Complete Study (93886) $70.20 $108 0.3×
Irrig Drug Delivery Device (96523)
range across 3 matching MRF lines
$36.56–$59.96 $56.25–$92.25 varies
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$103.68–$117.49 $159.50–$180.75 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines
$228.15–$272.19 $351–$418.75 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 3 matching MRF lines
$59.48–$66.62 $91.50–$102.50 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 3 matching MRF lines
$31.36–$106.28 $48.25–$163.50 varies
IV push initial (96374)
range across 4 matching MRF lines
$83.69–$164.45 $128.75–$253 varies
Lwr Xtr Vasc Stdy Bilat (93924) $36.40 $56 0.2×
Mechanical chest wall oscillation per session (94669) $14.14 $21.75 0.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $41.11 $63.25 1.1×
Methacholine challenge (94070) $625.62 $962.50 1.6×
Motion Fluoroscopy/Swallow (92611) $252.69 $388.75 2.8×
Multiple Sleep Latency Test (95805) $1,134.90 $1,746 1.3×
Nasopharyngoscopy (92511) $109.36 $168.25 0.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $95.71 $147.25 0.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $132.92 $204.50 0.3×
Newborn resuscitation (99465) $212.55 $327 0.3×
Oral Speech Device Eval (92597) $248.46 $382.25 3.5×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $64.84 $99.75 2.9×
Ot eval high complexity (97167) $134.39 $206.75 1.3×
Ot Eval Low Complex (97165) $128.05 $197 1.3×
Ot Eval Moderate Complexity (97166) $150.64 $231.75 1.5×
Ot manual therapy 15 min (97140) $45.82 $70.50 1.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $288.92 $444.50 2.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $207.19 $318.75 1.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $154.21 $237.25 0.7×
Peripheral arterial disease rehab per session (93668) $54.44 $83.75 0.9×
Phlebotomy therapeutic (99195) $123.01 $189.25 0.9×
Photo patch test(s) (95052) $11.54 $17.75 0.2×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $191.91 $295.25 3.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $166.89 $256.75 2.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,070.88 $1,647.50 1.2×
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $55.90 $86 1.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 2 matching MRF lines
$15.11–$29.41 $23.25–$45.25 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 2 matching MRF lines
$17.06–$17.71 $26.25–$27.25 varies
Psych diag eval w/med srvcs (90792)
range across 3 matching MRF lines
$13–$264.88 $20–$407.50 varies
Psychiatric diagnostic evaluation (90791)
range across 3 matching MRF lines
$13–$236.28 $20–$363.50 varies
Psytx Crisis Initial 60 Min (90839)
range across 3 matching MRF lines
$13–$211.09 $20–$324.75 varies
Pt Eval High Complex (97163)
range across 2 matching MRF lines
$109.04–$143.49 $167.75–$220.75 varies
Pt eval low complex 20 min (97161) $150.64 $231.75 1.5×
Pt Eval Mod Complex (97162) $150.64 $231.75 1.5×
Pt gait training 15 min (97116) $42.90 $66 1.5×
Pulm function test by gas (94727) $161.85 $249 0.7×
Pulmonary Stress Testing (94618) $131.95 $203 1.0×
Refill/Maint Portable Pump (96521) $259.02 $398.50 1.2×
Refill/Maint Pump/Resvr Syst (96522) $153.89 $236.75 0.7×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $42.90 $66 1.0×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $59.15 $91 1.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$95.71–$100.59 $147.25–$154.75 varies
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $64.84 $99.75 1.4×
Sbsq Psyc Collab Care Mgmt (99493) $229.61 $353.25 2.2×
Self Care Mngment Training (97535) $69.39 $106.75 2.1×
Sleep study attended (95807) $1,638.65 $2,521 4.3×
Sleep study unattended (95806) $324.35 $499 1.5×
Slp Stdy Unatnd W/Anal (95801) $132.11 $203.25 2.2×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $392.44 $603.75 1.8×
Stress Tte Only (93350) $105.95 $163 0.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines
$47.94–$75.72 $73.75–$116.50 varies
Ther Ivntj Ea Addl 15 Min (97130) $38.02 $58.50 1.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $39 $60 1.3×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$39.32–$93.28 $60.50–$143.50 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 4 matching MRF lines
$101.56–$285.84 $156.25–$439.75 varies
Therapeutic Activities (97530)
range across 2 matching MRF lines
$45.82–$67.76 $70.50–$104.25 varies
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $39 $60 0.4×
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines
$67.60–$545.84 $104–$839.75 varies
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 4 matching MRF lines
$26.49–$65.65 $40.75–$101 varies
Upr/L Xtremity Art 2 Levels (93922) $19.50 $30 0.1×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $33.15 $51 0.2×
Vasopneumatic device (97016) $30.22 $46.50 2.5×
Vent Mgmt Inpat Init Day (94002) $1,166.42 $1,794.50 1.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $821.92 $1,264.50 1.3×
Vital capacity, total (94150) $40.14 $61.75 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $62.24 $95.75 2.0×

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.