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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ProcedureCash priceGross charge× Medicare
1St psyc collab care mgmt (99492) $263.90 $377 2.3×
Advance care planning first 30 mins (99497) $234.50 $335 2.1×
Airway inhalation treatment (94640) $23.10 $33 0.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $42.70 $61 3.0×
Assessment of aphasia per hr (96105) $332.50 $475 3.4×
Bedside Swallowing Eval (92610) $235.90 $337 2.8×
Behavioral and qualitative analysis of voice and resonance (92524) $303.10 $433 2.8×
Brief Emotional/Behavioral Assessment (96127) $9.80 $14 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $154.35 $220.50 0.4×
Canalith Repositioning Procedure (95992) $115.50 $165 2.8×
Cardiac Stress Tst,Tracing Only (93017) $276.15 $394.50 1.1×
Cardiopulmonary resuscitation (92950) $594.30 $849 2.5×
Cardioversion (92960) $298.90 $427 0.4×
Care mgmt svc bhvl hlth cond (99484) $86.10 $123 2.1×
Chronic care management services 1st 20 min (99490) $88.90 $127 0.8×
Color/duplex Doppler, complete (93975) $206.15 $294.50 0.8×
Color/duplex Doppler, limited (93976) $334.60 $478 2.9×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $161 $230 0.8×
Cont Gluc Monitoring Patient Provided Equipment (95249) $121.80 $174 1.9×
Continuous Glucose Monitoring (95250) $266 $380 1.8×
Critical care (99291) $1,169.70 $1,671 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $203.70 $291 0.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $698.60 $998 2.6×
Dup-scan xtr veins unilateral/limited study (93971) $173.60 $248 1.5×
Duplex scan extracranial art compl bi study (93880) $350 $500 1.3×
Echo Heart Xthoracic,Limited (93308) $395.50 $565 1.5×
EKG rhythm strip (93041) $64.40 $92 1.0×
Electrocardiogram Tracing (93005) $91 $130 1.4×
Er level 1 (99281) $100.80 $144 1.1×
Er level ii (99282) $194.60 $278 1.1×
Er level iii (99283) $330.75 $472.50 1.1×
Er level IV (99284) $364 $520 0.8×
Er level v (99285) $809.90 $1,157 1.2×
Eval speech sound production (92522) $307.30 $439 2.7×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $402.50 $575 3.3×
Evaluation of speech fluency (92521) $347.90 $497 2.6×
Fundus photography w/interpretation & report (92250) $65.80 $94 0.4×
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 (93225) $210 $300 1.4×
Immune Admin Oral/Nasal (90473) $53.42 $76.32 0.7×
Immunization Admin (90471) $24.01 $34.30 0.3×
Inital newborn e/m (99460) $215.60 $308 1.5×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) $298.20 $426 2.0×
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) $138.48 $197.82 1.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $121.80 $174 0.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $53.90 $77 1.0×
IV push ea addl new drug (96375) $27.30 $39 0.5×
IV push initial (96374) $70.70 $101 0.3×
Manual therapy 15 min (97140) $83.30 $119 3.0×
Massage 15 min (97124) $17.50 $25 0.6×
Mechanical traction (97012) $44.45 $63.50 3.1×
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 Fluor Eval Swlng Funcj C/V Rec (92611) $253.40 $362 2.8×
Multiple Family Group Psychotherapy (90849) $83.30 $119 0.4×
Neg press wound tx >50 cm (97608) $82.60 $118 0.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $653.10 $933 1.4×
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×
Newborn resuscitation (99465) $520.10 $743 0.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $117.60 $168 0.8×
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×
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 complex 60 min (97167) $279.30 $399 2.8×
Ot eval low complex 30 min (97165) $279.30 $399 2.8×
Ot eval mod complex 45 min (97166) $279.30 $399 2.8×
Ot Prosthetic Training, Each 15 Min (97761) $125.30 $179 3.1×
Ot re-evaluation (97168) $189.70 $271 2.8×
Ot therapeutic activity 15 min (97530) $97.30 $139 2.8×
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) $232.40 $332 0.6×
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 Electrical Stimulation (97032) $48.30 $69 3.3×
Pt eval high complex 45 min (97163) $296.80 $424 3.0×
Pt eval low complex 20 min (97161) $258.30 $369 2.6×
Pt eval mod complex 30 min (97162) $258.30 $369 2.6×
Pt gait training 15 min (97116) $87.50 $125 3.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $107.10 $153 3.3×
Pt re-evaluation (97164) $175 $250 2.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $106.40 $152 3.3×
Rom meas&reprt hand w/wo comparison normal sid (95852) $18.90 $27 0.9×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $161.70 $231 3.4×
Sbsq psyc collab care mgmt (99493) $289.10 $413 2.6×
Sensory Integration Ea 15 Min (97533) $105.70 $151 1.7×
Smoking cessation > 10 min (99407) $74.20 $106 1.8×
Speech sound lang comprehen (92523) $626.50 $895 2.8×
Spirometry (94010) $104.30 $149 0.4×
Temp transcutaneous pacing (92953) $8.40 $12 0.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $70 $100 3.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $65.10 $93 3.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $329.35 $470.50 3.2×
Therapeutic prophylactic/dx injection subq/im (96372) $25.20 $36 0.3×
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 Swallowing Dysfunction&/Oral Funcj Feeding (92526) $235.20 $336 2.8×
Upr/lxtr art stdy 3+ lvls (93923) $185.15 $264.50 0.8×
Vent mgmt inpat init day (94002) $668.34 $954.77 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $101.50 $145 3.3×