Visits & medical services prices at Lost Rivers Medical Center
Arco, ID · every code in this section with a posted price and a Medicare benchmark.
149 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | $230.40 | $288 | 2.3× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $32.80 | $41 | 0.8× |
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$110.40–$131.20 | $138–$164 | varies |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$20.80–$201.25 | $26–$251.56 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $49.60 | $62 | 3.5× |
| Assmt & care planning pt w/cognitive impairment (99483) | $466.40 | $583 | 4.6× |
| Audiometry Air & Bone (92553) | $68 | $85 | 0.5× |
| Basic vestibular evaluation (92540) | $204 | $255 | 1.0× |
| Behavral qualit analys voice (92524) | $179.20 | $224 | 1.6× |
| Breath hydrogen/methane test (91065) | $712.80 | $891 | 3.3× |
| Brief Emotional/Behav Assmt (96127) | $8 | $10 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 4 matching MRF lines |
$65.60–$290.40 | $82–$363 | varies |
| Caloric vestibular test w/rec bi monothermal (92538) | $40.80 | $51 | 0.2× |
| Caloric Vstblr Test W/Rec (92537) | $80 | $100 | 0.6× |
| Canalith repositioning proc (95992) | $74.40 | $93 | 1.8× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,120 | $1,400 | 5.3× |
| Cardiopulmonary resuscitation (92950) | $360.80 | $451 | 1.7× |
| Cardioversion (92960) range across 3 matching MRF lines |
$245.60–$1,204 | $307–$1,505 | varies |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $80 | $100 | 2.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $740 | $925 | 2.3× |
| Chest Wall Manipulation (94668) | $104.80 | $131 | 0.8× |
| Chiropract manj 3-4 regions (98941) | $63.20 | $79 | 3.0× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $43.20 | $54 | 2.0× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) | $81.60 | $102 | 3.8× |
| Chron Care Mgmt Srvc 20 Min (99490) | $83.20 | $104 | 0.8× |
| Color/duplex Doppler, complete (93975) | $1,000 | $1,250 | 4.2× |
| Color/duplex Doppler, limited (93976) | $560 | $700 | 5.4× |
| Computerized dynamic posturography (92548) | $192 | $240 | 1.5× |
| Cpt initial (94667) | $138.40 | $173 | 1.1× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$769.60–$1,664.80 | $962–$2,081 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$118.40–$323.20 | $148–$404 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $940 | $1,175 | 4.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $520 | $650 | 5.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $920 | $1,150 | 3.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $540 | $675 | 5.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $960 | $1,200 | 4.1× |
| Dup-scan xtr veins unilateral/limited study (93971) | $580 | $725 | 5.6× |
| Duplex up extrem art bilat (93930) | $860 | $1,075 | 3.6× |
| Duplex up extrem art unilat/ltd (93931) | $500 | $625 | 4.8× |
| Echo Heart Xthoracic,Limited (93308) | $752 | $940 | 3.2× |
| Electrocardiogram Tracing (93005) | $165.60 | $207 | 2.8× |
| Electrogastrography, diagnostic, transcutaneous; Non-Facility (91132) | $642.40 | $803 | 3.0× |
| Emergency Dept Visit Level 2 (99282) | $187.20 | $234 | 1.2× |
| Emergency Dept Visit Level 3 (99283) | $275.20 | $344 | 1.0× |
| Emergency Dept Visit Level 4 (99284) | $466.40 | $583 | 1.1× |
| Er level 1 (99281) | $92.80 | $116 | 1.1× |
| Er level v (99285) | $660 | $825 | 1.1× |
| Evaluate pt use of inhaler (94664) | $26.40 | $33 | 0.1× |
| Evaluate Speech Production (92522) | $184.80 | $231 | 1.7× |
| Evaluate Swallowing Function (92610) | $148 | $185 | 1.7× |
| Evaluation of speech fluency (92521) | $222.40 | $278 | 1.7× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$166.40–$167.20 | $208–$209 | varies |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$166.40–$167.20 | $208–$209 | varies |
| External Ecg Scanning Analysis Report (93226) | $160.80 | $201 | 2.8× |
| Extracranial Bilat Study (93880) | $1,000 | $1,250 | 4.2× |
| Extracranial Uni/Ltd Study (93882) | $540 | $675 | 5.2× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $104 | $130 | 0.6× |
| Holter monitor recording (93225) | $224.80 | $281 | 1.7× |
| Icd Device Interrogate (93289) | $106.40 | $133 | 2.9× |
| Ilr Device Interrogate (93291) | $80.80 | $101 | 2.8× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $24 | $30 | 0.3× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $48 | $60 | 1.3× |
| Immunization administration (90471) range across 3 matching MRF lines |
$16–$40 | $20–$50 | varies |
| Inital newborn e/m (99460) | $135.20 | $169 | 1.0× |
| Interrogate Subq Defib (93261) | $116.80 | $146 | 3.2× |
| Iontophoresis 15 min (97033) | $56 | $70 | 2.9× |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$42.40–$1,120 | $53–$1,400 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$22.40–$146.40 | $28–$183 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$56–$321.60 | $70–$402 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $208 | $260 | 2.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $151.20 | $189 | 3.3× |
| IV push initial (96374) range across 2 matching MRF lines |
$64.80–$182.40 | $81–$228 | varies |
| Motion Fluoroscopy/Swallow (92611) | $174.40 | $218 | 1.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$30.40–$562.40 | $38–$703 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $81.60 | $102 | 0.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $416.80 | $521 | 1.0× |
| Neurobehavioral Status Exam (96116) | $149.60 | $187 | 0.7× |
| Neuromuscular Reeducation (97112) | $51.20 | $64 | 1.6× |
| Optokinetic Nystagmus Test (92544) | $33.60 | $42 | 0.3× |
| Oral Function Therapy (92526) | $173.60 | $217 | 2.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $51.20 | $64 | 1.1× |
| Oscillating Tracking Test (92545) | $30.40 | $38 | 0.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$48.80–$63.20 | $61–$79 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) | $70.40 | $88 | 3.3× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $91.20 | $114 | 4.3× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $121.60 | $152 | 5.7× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $132 | $165 | 6.2× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$42.40–$56 | $53–$70 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $233.60 | $292 | 1.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $184 | $230 | 1.4× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$172–$228 | $215–$285 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $84 | $105 | 1.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $72.80 | $91 | 1.2× |
| Pm device eval in person (93288) | $93.60 | $117 | 2.5× |
| Pm device progr eval dual (93280) | $122.40 | $153 | 3.3× |
| Positional nystagmus test (92542) | $56.80 | $71 | 0.4× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $16 | $20 | 0.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $17.60 | $22 | 0.4× |
| Psych diag eval w/med srvcs (90792) | $312 | $390 | 1.8× |
| Psychiatric diagnostic evaluation (90791) | $279.20 | $349 | 1.6× |
| Psychoanalysis (90845) | $151.20 | $189 | 0.9× |
| Psytx Crisis Initial 60 Min (90839) | $229.60 | $287 | 1.3× |
| Pt Eval High Complex (97163) | $208 | $260 | 2.1× |
| Pt eval low complex 20 min (97161) | $128 | $160 | 1.3× |
| Pt Eval Mod Complex (97162) | $168 | $210 | 1.7× |
| Pt gait training 15 min (97116) | $64 | $80 | 2.2× |
| Pt mechanical traction (97012) | $23.20 | $29 | 1.6× |
| Pt Re-Eval Est Plan Care (97164) | $120 | $150 | 1.8× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $4 | $5 | 0.1× |
| Pulm function test by gas (94727) | $100 | $125 | 0.5× |
| Pulmonary Stress Testing (94618) | $96 | $120 | 0.7× |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$56–$60.80 | $70–$76 | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $85.60 | $107 | 2.3× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $80.80 | $101 | 2.2× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $31.20 | $39 | 0.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $318.40 | $398 | 5.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$122.40–$180 | $153–$225 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $40.80 | $51 | 1.6× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $255.20 | $319 | 2.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $105.60 | $132 | 2.2× |
| Sbsq Psyc Collab Care Mgmt (99493) | $232 | $290 | 2.3× |
| Self Care Mngment Training (97535) | $56 | $70 | 1.7× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $196.80 | $246 | 1.5× |
| Speech sound lang comprehen (92523) | $392.80 | $491 | 1.7× |
| Spirometry (94010) range across 2 matching MRF lines |
$51.20–$208.80 | $64–$261 | varies |
| Spontaneous Nystagmus Test (92541) | $50.40 | $63 | 0.4× |
| Stress Tte Only (93350) | $336 | $420 | 0.6× |
| Synthetic Sentence Identification Test (92576) | $64 | $80 | 1.7× |
| Temp transcutaneous pacing (92953) | $1,160.80 | $1,451 | 1.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $44.80 | $56 | 1.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $220.80 | $276 | 2.2× |
| Ther/Proph/Diag Inj Ia (96373) | $300 | $375 | 1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$20.80–$104.80 | $26–$131 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$126.40–$371.20 | $158–$464 | varies |
| Therapeutic Activities (97530) | $55.20 | $69 | 1.6× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$44.80–$45.60 | $56–$57 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $24 | $30 | 0.6× |
| Trans Care Mgmt 14 Day Disch (99495) | $319.20 | $399 | 2.4× |
| Trans Care Mgmt 7 Day Disch (99496) | $432 | $540 | 3.3× |
| Tte w/doppler, complete (93306) | $2,000 | $2,500 | 3.7× |
| Tte W/O Doppler Complete (93307) | $1,120 | $1,400 | 4.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $158.40 | $198 | 2.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$27.20–$203.20 | $34–$254 | varies |
| Tympanometry (92567) | $24 | $30 | 0.7× |
| Tympanometry and reflex threshold measurements (92550) | $44 | $55 | 0.2× |
| Unlisted cardiovascular service/procedure (93799) | $957.60 | $1,197 | 7.5× |
| Upr/L Xtremity Art 2 Levels (93922) | $420 | $525 | 3.2× |
| Vent Mgmt Inpat Init Day (94002) | $140.80 | $176 | 0.2× |
| Whirlpool Therapy (97022) | $51.20 | $64 | 3.3× |
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.