Visits & medical services prices at Mid-Valley Hospital

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

115 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) $263.90 $377 2.3×
Advncd Care Plan 30 Min (99497) $234.50 $335 2.1×
Airway Inhalation Treatment (94640) $23.10 $33 0.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 3 matching MRF lines
$42.70–$69.30 $61–$99 varies
Assessment of aphasia per hr (96105) $332.50 $475 3.4×
Behavral qualit analys voice (92524) $303.10 $433 2.8×
Brief Emotional/Behav Assmt (96127) $9.80 $14 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$38.50–$270.20 $55–$386 varies
Canalith repositioning proc (95992) $115.50 $165 2.8×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines
$271.60–$280.70 $388–$401 varies
Cardiopulmonary resuscitation (92950)
range across 4 matching MRF lines
$464.80–$594.30 $664–$849 varies
Cardioversion (92960)
range across 2 matching MRF lines
$277.90–$319.90 $397–$457 varies
Care mgmt services behavioral hlth cond 20 mins (99484) $86.10 $123 2.1×
Chron Care Mgmt Srvc 20 Min (99490) $88.90 $127 0.8×
Color/duplex Doppler, complete (93975)
range across 6 matching MRF lines
$140–$278.92 $200–$398.45 varies
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$97.30–$571.90 $139–$817 varies
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $161 $230 0.8×
Cont gluc mntr physician/qhp provided equiptment (95250) $266 $380 1.8×
Cont Gluc Mntr Pt Prov Eqp (95249) $121.80 $174 1.9×
Critical care first hour (99291)
range across 3 matching MRF lines
$639.10–$1,947.40 $913–$2,782 varies
Debridement Open Wound 20 Sq Cm< (97597) $203.70 $291 0.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 4 matching MRF lines
$121.10–$1,397.20 $173–$1,996 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 8 matching MRF lines
$79.10–$268.10 $113–$383 varies
Echo Heart Xthoracic,Limited (93308) $395.50 $565 1.5×
Electrical Stimulation Ea 15 Min (97032) $48.30 $69 3.3×
Electrocardiogram Tracing (93005) $91 $130 1.4×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$96.60–$292.60 $138–$418 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$163.80–$497.70 $234–$711 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$275.80–$452.20 $394–$646 varies
Er level 1 (99281)
range across 2 matching MRF lines
$49.70–$151.90 $71–$217 varies
Er level v (99285)
range across 2 matching MRF lines
$400.40–$1,219.40 $572–$1,742 varies
Evaluate Speech Production (92522) $307.30 $439 2.7×
Evaluate Swallowing Function (92610) $235.90 $337 2.8×
Evaluation of speech fluency (92521) $347.90 $497 2.6×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$140.70–$559.30 $201–$799 varies
Fundus photography (92250)
range across 2 matching MRF lines
$59.50–$72.10 $85–$103 varies
Health Behavior Assessment/Re-Assessment (96156) $225.40 $322 2.0×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $172.90 $247 4.1×
Health behavior ivntj indiv f2f 1st 30 min (96158) $161.70 $231 0.8×
Holter monitor recording (93225) $210 $300 1.4×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines
$17.50–$89.35 $25–$127.64 varies
Immunization administration (90471)
range across 2 matching MRF lines
$16.41–$31.61 $23.44–$45.15 varies
Inital newborn e/m (99460) $215.60 $308 1.5×
Irrig Drug Delivery Device (96523) $79.80 $114 1.2×
IV infusion hydration each additional hour (96361) $59.50 $85 1.1×
IV infusion hydration initial 31 min-1 hour (96360) $200.90 $287 0.8×
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$135.10–$141.86 $193–$202.65 varies
IV infusion therapy prophylaxis/dx ea hour (96366) $53.90 $77 1.0×
IV push initial (96374) $70.70 $101 0.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $58.10 $83 1.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $62.30 $89 1.7×
Motion Fluoroscopy/Swallow (92611) $253.40 $362 2.8×
Multiple Family Group Psychotherapy (90849) $83.30 $119 0.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $653.10 $933 1.4×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $82.60 $118 0.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $84.70 $121 0.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $82.60 $118 0.2×
Neuromuscular Reeducation (97112) $107.10 $153 3.3×
Newborn resuscitation (99465) $520.10 $743 0.7×
Nonphysician Telephone Assessment 11-20 Min (98967) $57.40 $82 2.3×
Nonphysician Telephone Assessment 21-30 Min (98968) $85.40 $122 2.5×
Nonphysician Telephone Assessment 5-10 Min (98966) $29.40 $42 2.1×
Oral Function Therapy (92526) $235.20 $336 2.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $144.90 $207 3.1×
Ot Contrast Bath Ea 15 Min (97034) $46.90 $67 3.3×
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 2 matching MRF lines
$80.50–$86.10 $115–$123 varies
Ot Prosthetic Training, Each 15 Min (97761) $125.30 $179 3.1×
Ot Re-Eval Est Plan Care (97168) $189.70 $271 2.8×
Ot rom hand (95852) $18.90 $27 0.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $204.40 $292 1.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $198.80 $284 1.4×
Phlebotomy therapeutic (99195) $489.30 $699 3.3×
Plethysmography (94726)
range across 3 matching MRF lines
$37.10–$362.60 $53–$518 varies
Psych diag eval w/med srvcs (90792) $379.40 $542 1.9×
Psychiatric diagnostic evaluation (90791) $335.30 $479 1.7×
Psychoanalysis (90845) $238.70 $341 1.2×
Psytx Crisis Initial 60 Min (90839) $350 $500 1.8×
Pt Eval High Complex (97163) $296.80 $424 3.0×
Pt eval low complex 20 min (97161) $258.30 $369 2.6×
Pt Eval Mod Complex (97162) $258.30 $369 2.6×
Pt gait training 15 min (97116) $87.50 $125 3.0×
Pt mechanical traction (97012)
range across 2 matching MRF lines
$43.40–$45.50 $62–$65 varies
Pt Re-Eval Est Plan Care (97164) $175 $250 2.6×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $64.40 $92 1.0×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $402.50 $575 3.3×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $161.70 $231 3.4×
Same day nb discharge (99463) $298.20 $426 2.0×
Sbsq Psyc Collab Care Mgmt (99493) $289.10 $413 2.6×
Self Care Mngment Training (97535) $106.40 $152 3.3×
Sensory Integration Ea 15 Min (97533) $105.70 $151 1.7×
Speech sound lang comprehen (92523) $626.50 $895 2.8×
Spirometry (94010)
range across 2 matching MRF lines
$24.50–$184.10 $35–$263 varies
Temp transcutaneous pacing (92953) $8.40 $12 0.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 3 matching MRF lines
$63–$88.20 $90–$126 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 2 matching MRF lines
$60.20–$70 $86–$100 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $17.50 $25 0.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609)
range across 2 matching MRF lines
$321.30–$337.40 $459–$482 varies
Ther/Proph/Diag Inj Sc/Im (96372) $25.20 $36 0.3×
Ther/Proph/Diag Iv Inf Init (96365) $121.80 $174 0.5×
Therapeutic Activities (97530)
range across 2 matching MRF lines
$84–$110.60 $120–$158 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $74.20 $106 1.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $35.70 $51 0.9×
Trans Care Mgmt 14 Day Disch (99495) $403.20 $576 2.7×
Trans Care Mgmt 7 Day Disch (99496) $543.90 $777 3.7×
Tte w/doppler, complete (93306) $929.60 $1,328 1.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $212.10 $303 2.8×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $70.70 $101 2.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $27.30 $39 0.5×
Upr/L Xtremity Art 2 Levels (93922)
range across 8 matching MRF lines
$30.80–$332.50 $44–$475 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 4 matching MRF lines
$81.20–$370.30 $116–$529 varies
Vent Mgmt Inpat Init Day (94002) $668.34 $954.77 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $101.50 $145 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.