Visits & medical services prices at North Canyon Medical Center
Gooding, ID · every code in this section with a posted price and a Medicare benchmark.
110 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $236.80 | $296 | 1.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$24.80–$27.20 | $31–$34 | varies |
| Behavral qualit analys voice (92524) | $189.60 | $237 | 1.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $402.40 | $503 | 1.1× |
| C motor evoked upr&lwr limbs (95939) | $213.60 | $267 | 0.3× |
| Canalith repositioning proc (95992) | $125.60 | $157 | 3.1× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$472–$751.20 | $590–$939 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$102.40–$411.20 | $128–$514 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 3 matching MRF lines |
$58.40–$193.60 | $73–$242 | varies |
| Chemo IV infusion addl hr (96415) | $224.80 | $281 | 3.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $840.80 | $1,051 | 2.6× |
| Chest Wall Manipulation (94668) | $126.40 | $158 | 1.0× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 3 matching MRF lines |
$20–$68 | $25–$85 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$200–$245.60 | $250–$307 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $135.20 | $169 | 2.3× |
| Continuous Pulse Ox (94762) | $391.20 | $489 | 3.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $288 | $360 | 1.3× |
| Cpt initial (94667) | $173.60 | $217 | 1.3× |
| Critical care first hour (99291) range across 4 matching MRF lines |
$527.20–$2,000 | $659–$2,500 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$28.80–$114.40 | $36–$143 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$41.60–$382.40 | $52–$478 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$60–$493.60 | $75–$617 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 11 matching MRF lines |
$38.40–$408 | $48–$510 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$80–$160 | $100–$200 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $60 | $75 | 4.1× |
| Electrocardiogram Tracing (93005) | $240 | $300 | 4.1× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$134.40–$384 | $168–$480 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$304–$680 | $380–$850 | varies |
| Emergency Dept Visit Level 4 (99284) range across 4 matching MRF lines |
$575.20–$1,060 | $719–$1,325 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$100–$212 | $125–$265 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$895.20–$1,520 | $1,119–$1,900 | varies |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$52.80–$184 | $66–$230 | varies |
| Evaluate Speech Production (92522) | $191.20 | $239 | 1.7× |
| Evaluate Swallowing Function (92610) | $239.20 | $299 | 2.8× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$69.60–$486.40 | $87–$608 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $16 | $20 | 0.2× |
| Immunization administration (90471) | $16 | $20 | 0.2× |
| Iontophoresis 15 min (97033) | $77.60 | $97 | 4.1× |
| Irrig Drug Delivery Device (96523) | $104.80 | $131 | 1.8× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$56–$108 | $70–$135 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$520.80–$579.20 | $651–$724 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $167.20 | $209 | 2.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $173.60 | $217 | 3.8× |
| IV push initial (96374) range across 3 matching MRF lines |
$274.40–$388 | $343–$485 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $13.60 | $17 | 0.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $27.20 | $34 | 0.7× |
| Motion Fluoroscopy/Swallow (92611) | $319.20 | $399 | 3.5× |
| Muscle Test 2 Limbs (95861) | $213.60 | $267 | 1.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$97.60–$541.60 | $122–$677 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$19.20–$97.60 | $24–$122 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $179.20 | $224 | 0.4× |
| Nerve Conduction Studies 1-2 Studies (95907) | $213.60 | $267 | 1.0× |
| Nerve Conduction Studies 3-4 Studies (95908) | $213.60 | $267 | 1.0× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $213.60 | $267 | 1.7× |
| Neuromuscular Reeducation (97112) | $72.80 | $91 | 2.2× |
| Oral Function Therapy (92526) | $164 | $205 | 1.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $24 | $30 | 0.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $82.40 | $103 | 1.8× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $40.80 | $51 | 1.9× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $54.40 | $68 | 2.6× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $71.20 | $89 | 3.3× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $83.20 | $104 | 3.9× |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$102.40–$140.80 | $128–$176 | varies |
| Ot Eval Moderate Complexity (97166) | $196.80 | $246 | 2.0× |
| Ot manual therapy 15 min (97140) | $68 | $85 | 2.5× |
| Ot paraffin bath (97018) | $24 | $30 | 4.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $70.40 | $88 | 1.7× |
| Ot Re-Eval Est Plan Care (97168) | $160 | $200 | 2.3× |
| Phlebotomy therapeutic (99195) | $148.80 | $186 | 1.1× |
| Physical Performance Test (97750) | $56.80 | $71 | 1.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,272 | $4,090 | 3.9× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $68 | $85 | 0.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $8 | $10 | 0.2× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $13.60 | $17 | 0.3× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$20–$269.60 | $25–$337 | varies |
| Psychiatric diagnostic evaluation (90791) | $200 | $250 | 1.1× |
| Psytx Crisis Initial 60 Min (90839) | $148.80 | $186 | 0.8× |
| Pt Eval High Complex (97163) | $171.20 | $214 | 1.7× |
| Pt eval low complex 20 min (97161) | $139.20 | $174 | 1.4× |
| Pt Eval Mod Complex (97162) | $168.80 | $211 | 1.7× |
| Pt gait training 15 min (97116) | $66.40 | $83 | 2.3× |
| Pt mechanical traction (97012) | $24 | $30 | 1.7× |
| Pt Re-Eval Est Plan Care (97164) | $139.20 | $174 | 2.1× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $210.40 | $263 | 0.6× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$60.80–$134.40 | $76–$168 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$104–$107.20 | $130–$134 | varies |
| Self Care Mngment Training (97535) | $88.80 | $111 | 2.7× |
| Sensory Integration Ea 15 Min (97533) | $90.40 | $113 | 1.5× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $213.60 | $267 | 1.0× |
| Sleep study attended (95807) | $1,793.85 | $2,242.31 | 4.9× |
| Sleep study unattended (95806) | $469.60 | $587 | 2.2× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$188–$469.60 | $235–$587 | varies |
| Somatosensory Testing (95938) | $213.60 | $267 | 0.3× |
| Speech sound lang comprehen (92523) | $421.60 | $527 | 1.9× |
| Spirometry (94010) | $236 | $295 | 1.1× |
| Standardized Cognitive Performance Testing (96125) | $302.40 | $378 | 2.9× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $47.20 | $59 | 2.1× |
| Ther Ivntj Ea Addl 15 Min (97130) | $47.20 | $59 | 2.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$16–$178.40 | $20–$223 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$533.60–$640 | $667–$800 | varies |
| Therapeutic Activities (97530) | $76 | $95 | 2.2× |
| Tte w/doppler, complete (93306) | $728 | $910 | 1.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $152.80 | $191 | 2.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$95.20–$108 | $119–$135 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$60–$241.60 | $75–$302 | varies |
| Vasopneumatic device (97016) | $112 | $140 | 9.3× |
| Vent Mgmt Inpat Init Day (94002) | $742.40 | $928 | 1.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $742.40 | $928 | 1.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $54.40 | $68 | 1.8× |
| Whirlpool Therapy (97022) | $33.60 | $42 | 2.1× |
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.