Visits & medical services prices at Mammoth Hospital
Mammoth Lakes, CA · every code in this section with a posted price and a Medicare benchmark.
187 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$18.22–$30.10 | $26.03–$43 | varies |
| Advncd Care Plan 30 Min (99497) | $123.90 | $177 | 0.9× |
| Airway Inhalation Treatment (94640) range across 35 matching MRF lines |
$175–$218.40 | $250–$312 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $39.20 | $56 | 2.7× |
| Assessment of aphasia per hr (96105) | $328.30 | $469 | 3.4× |
| Behavral qualit analys voice (92524) | $224 | $320 | 2.0× |
| Biofeedback training any modality (90901) | $113.40 | $162 | 2.8× |
| Brief Emotional/Behav Assmt (96127) | $11.20 | $16 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$56–$401.10 | $80–$573 | varies |
| Canalith repositioning proc (95992) | $100.10 | $143 | 2.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $442.40 | $632 | 1.6× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $11.90 | $17 | 0.2× |
| Cbt 1st hour (94644) | $147.70 | $211 | 0.9× |
| Chemo Anti-Neopl Sq/Im (96401) | $107.80 | $154 | 1.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $92.40 | $132 | 1.0× |
| Chemo Intralesional Over 7 (96406) | $304.50 | $435 | 1.1× |
| Chemo intralesional up to 7 (96405) | $194.60 | $278 | 2.1× |
| Chemo IV infusion addl hr (96415) | $147.70 | $211 | 1.6× |
| Chemo IV push addl drug (96411) | $232.40 | $332 | 2.5× |
| Chemother Prolong Infuse W/Pump (96416) | $562.10 | $803 | 1.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $272.30 | $389 | 2.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $529.20 | $756 | 1.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $379.40 | $542 | 0.9× |
| Chest Wall Manipulation (94668) range across 3 matching MRF lines |
$167.30–$219.10 | $239–$313 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $91 | $130 | 0.7× |
| Color/duplex Doppler, complete (93975) | $1,778.70 | $2,541 | 5.8× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $90.30 | $129 | 2.8× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 2 matching MRF lines |
$110.60–$134.40 | $158–$192 | varies |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$144.90–$189 | $207–$270 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $696.50 | $995 | 2.5× |
| Cpt initial (94667) range across 5 matching MRF lines |
$238–$296.10 | $340–$423 | varies |
| Critical care first hour (99291) | $1,780.10 | $2,543 | 1.7× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$78.40–$278.60 | $112–$398 | varies |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) | $741.30 | $1,059 | 2.9× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,953.70 | $2,791 | 6.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $1,448.30 | $2,069 | 10.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,722.70 | $2,461 | 5.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$1,327.90–$1,394.40 | $1,897–$1,992 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,551.90 | $2,217 | 5.1× |
| Dup-scan xtr veins unilateral/limited study (93971) | $922.60 | $1,318 | 6.9× |
| Duplex Scan Hemodialysis Access (93990) | $1,313.20 | $1,876 | 9.8× |
| Duplex up extrem art bilat (93930) | $2,065.70 | $2,951 | 6.7× |
| Duplex up extrem art unilat/ltd (93931) | $1,551.90 | $2,217 | 11.5× |
| EEG awake drowsy (95816) | $266.70 | $381 | 1.0× |
| Elec alys implt brn npgt prgrmg 1st 15 min (95983) | $146.30 | $209 | 1.2× |
| Electrocardiogram Tracing (93005) range across 5 matching MRF lines |
$91.70–$96.60 | $131–$138 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$153.30–$239.40 | $219–$342 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$263.20–$438.90 | $376–$627 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$447.30–$1,015 | $639–$1,450 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$83.30–$167.30 | $119–$239 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$648.20–$1,529.50 | $926–$2,185 | varies |
| Evaluate pt use of inhaler (94664) range across 7 matching MRF lines |
$175–$218.40 | $250–$312 | varies |
| Evaluate Speech Production (92522) | $216.30 | $309 | 1.9× |
| Evaluate Swallowing Function (92610) | $314.30 | $449 | 3.7× |
| Evaluation of speech fluency (92521) | $266 | $380 | 2.0× |
| External ECG rec>48hr<7d recording (93242) | $1,348.90 | $1,927 | 28.1× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $518 | $740 | 3.0× |
| External Ecg Scanning Analysis Report (93226) | $259.70 | $371 | 3.4× |
| Extracranial Bilat Study (93880) | $1,836.80 | $2,624 | 6.0× |
| Eye Exam With Photos (92230) | $93.80 | $134 | 0.2× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $628.60 | $898 | 0.9× |
| Group Therapeutic Procedures (97150) | $49.70 | $71 | 2.8× |
| Health Behavior Assessment/Re-Assessment (96156) | $224 | $320 | 1.7× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $163.10 | $233 | 3.4× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $23.10 | $33 | 0.5× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $156.10 | $223 | 0.7× |
| Holter monitor recording (93225) | $1,068.20 | $1,526 | 6.2× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $23.10 | $33 | 0.2× |
| Immunization administration (90471) range across 4 matching MRF lines |
$14.70–$31.50 | $21–$45 | varies |
| Intracranial Complete Study (93886) | $1,739.50 | $2,485 | 5.7× |
| Iontophoresis 15 min (97033) | $53.90 | $77 | 2.8× |
| Irrig Drug Delivery Device (96523) | $73.50 | $105 | 1.0× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$46.20–$137.90 | $66–$197 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$153.30–$277.90 | $219–$397 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $193.20 | $276 | 2.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$96.60–$98 | $138–$140 | varies |
| IV push initial (96374) | $280 | $400 | 1.0× |
| Low frequency non-thermal us (97610) | $1,178.80 | $1,684 | 4.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $406 | $580 | 1.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $28.70 | $41 | 0.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $32.20 | $46 | 0.9× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $29.40 | $42 | 1.7× |
| Motion Fluoroscopy/Swallow (92611) | $414.40 | $592 | 4.5× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $194.60 | $278 | 0.3× |
| Muscle Test 2 Limbs (95861) | $238 | $340 | 1.4× |
| Nasopharyngoscopy (92511) | $216.30 | $309 | 0.8× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $332.50 | $475 | 1.2× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $190.40 | $272 | 0.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 6 matching MRF lines |
$693–$1,823.50 | $990–$2,605 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 6 matching MRF lines |
$700.70–$1,832.60 | $1,001–$2,618 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$112.70–$118.30 | $161–$169 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 4 matching MRF lines |
$88.90–$140.70 | $127–$201 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $520.10 | $743 | 1.9× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,424.50 | $2,035 | 3.0× |
| Nerve conduction studies 13 or more studies (95913) | $1,644.30 | $2,349 | 3.4× |
| Nerve Conduction Studies 3-4 Studies (95908) | $644.70 | $921 | 2.3× |
| Nerve conduction studies 5-6 studies (95909) | $774.20 | $1,106 | 2.8× |
| Nerve conduction studies 7-8 studies (95910) | $1,010.80 | $1,444 | 2.1× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,218.70 | $1,741 | 2.5× |
| Neurobehavioral Status Exam (96116) | $219.10 | $313 | 0.8× |
| Neuromuscular Reeducation (97112) | $92.40 | $132 | 2.8× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$364.70–$476.70 | $521–$681 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $64.40 | $92 | 2.6× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $98 | $140 | 2.8× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $32.20 | $46 | 2.4× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $306.60 | $438 | 0.6× |
| Oral Function Therapy (92526) | $306.60 | $438 | 3.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 6 matching MRF lines |
$31.50–$144.20 | $45–$206 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 5 matching MRF lines |
$32.90–$131.60 | $47–$188 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $41.30 | $59 | 1.5× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $62.30 | $89 | 2.2× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $82.60 | $118 | 3.0× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $105 | $150 | 3.8× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $126 | $180 | 4.5× |
| Ot Contrast Bath Ea 15 Min (97034) | $39.20 | $56 | 2.8× |
| Ot eval high complexity (97167) | $279.30 | $399 | 2.8× |
| Ot Eval Low Complex (97165) | $279.30 | $399 | 2.8× |
| Ot Eval Moderate Complexity (97166) | $279.30 | $399 | 2.8× |
| Ot manual therapy 15 min (97140) range across 9 matching MRF lines |
$49–$88.20 | $70–$126 | varies |
| Ot paraffin bath (97018) | $15.40 | $22 | 2.6× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 4 matching MRF lines |
$32.90–$114.80 | $47–$164 | varies |
| Ot Re-Eval Est Plan Care (97168) | $193.20 | $276 | 2.8× |
| Ot rom hand (95852) range across 2 matching MRF lines |
$36.40–$38.50 | $52–$55 | varies |
| Patch/Application Test Specify Number Tests (95044) | $8.40 | $12 | 0.0× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $72.80 | $104 | 2.9× |
| Pdt dstr prmlg les phys/qhp (96573) | $401.10 | $573 | 1.6× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $401.10 | $573 | 1.6× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$76.30–$99.40 | $109–$142 | varies |
| Physical Performance Test (97750) range across 4 matching MRF lines |
$89.60–$93.80 | $128–$134 | varies |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $85.40 | $122 | 0.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $16.80 | $24 | 0.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $25.20 | $36 | 0.4× |
| Psych diag eval w/med srvcs (90792) | $462.70 | $661 | 2.0× |
| Psychiatric diagnostic evaluation (90791) | $411.60 | $588 | 1.8× |
| Psychological tst eval svc phys/qhp first hour (96130) range across 2 matching MRF lines |
$282.80–$283.50 | $404–$405 | varies |
| Psycl/Nrpsyc Tst Auto Result (96146) | $5.60 | $8 | 0.2× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $80.50 | $115 | 0.1× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $100.80 | $144 | 0.6× |
| Psytx Crisis Initial 60 Min (90839) | $332.50 | $475 | 1.5× |
| Pt Eval High Complex (97163) | $276.50 | $395 | 2.8× |
| Pt eval low complex 20 min (97161) | $276.50 | $395 | 2.8× |
| Pt Eval Mod Complex (97162) | $276.50 | $395 | 2.8× |
| Pt gait training 15 min (97116) | $81.20 | $116 | 2.8× |
| Pt mechanical traction (97012) | $39.20 | $56 | 2.7× |
| Pt Re-Eval Est Plan Care (97164) | $191.80 | $274 | 2.8× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $11.90 | $17 | 0.2× |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$105–$326.20 | $150–$466 | varies |
| Pure Tone Audiometry Air (92552) | $50.40 | $72 | 0.3× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $54.60 | $78 | 2.4× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $80.50 | $115 | 2.3× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $30.80 | $44 | 2.5× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $70.70 | $101 | 0.2× |
| Refill/Maint Portable Pump (96521) range across 2 matching MRF lines |
$329.70–$431.90 | $471–$617 | varies |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $130.90 | $187 | 2.7× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $55.30 | $79 | 0.3× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $110.60 | $158 | 2.7× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $140 | $200 | 2.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $21 | $30 | 0.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $42 | $60 | 0.2× |
| Self Care Mngment Training (97535) | $90.30 | $129 | 2.8× |
| Self-meas bp pt educaj/traing & dev calibration (99473) | $33.60 | $48 | 0.9× |
| Sensory Integration Ea 15 Min (97533) | $172.20 | $246 | 2.8× |
| Speech sound lang comprehen (92523) | $448.70 | $641 | 2.0× |
| Spirometry (94010) range across 4 matching MRF lines |
$200.90–$249.90 | $287–$357 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $86.10 | $123 | 1.4× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $214.20 | $306 | 0.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $61.60 | $88 | 2.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $58.80 | $84 | 2.8× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $101.50 | $145 | 2.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$25.20–$32.90 | $36–$47 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$153.30–$338.80 | $219–$484 | varies |
| Therapeutic Activities (97530) | $101.50 | $145 | 2.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $49 | $70 | 1.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $23.80 | $34 | 0.5× |
| Trans Care Mgmt 14 Day Disch (99495) | $243.60 | $348 | 1.4× |
| Trans Care Mgmt 7 Day Disch (99496) | $357.70 | $511 | 2.1× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $1,449.70 | $2,071 | 10.8× |
| Tte w/doppler, complete (93306) | $1,654.10 | $2,363 | 2.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $245.70 | $351 | 3.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$34.30–$116.20 | $49–$166 | varies |
| Tympanometry (92567) | $42.70 | $61 | 0.9× |
| Tympanometry and reflex threshold measurements (92550) | $98 | $140 | 0.4× |
| Vasopneumatic device (97016) | $32.20 | $46 | 2.7× |
| Vent Mgmt Inpat Init Day (94002) | $973 | $1,390 | 1.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $746.20 | $1,066 | 0.9× |
| Vital capacity, total (94150) | $55.30 | $79 | 0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $87.50 | $125 | 2.8× |
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.