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.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $236.80 $296 1.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $26 $32.50 1.8×
Bedside Swallowing Eval (92610) $239.20 $299 2.8×
Behavioral and qualitative analysis of voice and resonance (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 Procedure (95992) $125.60 $157 3.1×
Cardiopulmonary resuscitation (92950) $611.60 $764.50 2.9×
Cardioversion (92960) $256.80 $321 0.4×
Chemo Hormon Antineopl Sq/Im (96402) $135.20 $169 1.9×
Chemother, IV infusion, 1 hr (96413) $840.80 $1,051 2.6×
Chemother, IV infusion, ea add hr (96415) $224.80 $281 3.2×
Chronic care management services 1st 20 min (99490) $68 $85 0.7×
Cont Gluc Monitoring Patient Provided Equipment (95249) $135.20 $169 2.3×
Continuous Glucose Monitoring (95250) $222.80 $278.50 1.7×
Cpap/bipap (94660) $288 $360 1.3×
Cpt initial (94667) $173.60 $217 1.3×
Critical care (99291) $1,263.60 $1,579.50 1.5×
Debridement Open Wound 20 Sq Cm< (97597) $71.60 $89.50 0.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $212 $265 2.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $493.60 $617 2.1×
Dup-scan xtr veins unilateral/limited study (93971) $312 $390 3.0×
Duplex scan extracranial art compl bi study (93880) $278 $347.50 1.2×
Echo Heart Xthoracic,Limited (93308) $120 $150 0.5×
EKG rhythm strip (93041) $105.60 $132 1.8×
Electrocardiogram Tracing (93005) $240 $300 4.1×
EMG two extremities (95861) $213.60 $267 1.6×
Er level 1 (99281) $156 $195 1.9×
Er level ii (99282) $259.20 $324 1.7×
Er level iii (99283) $492 $615 1.8×
Er level IV (99284) $817.60 $1,022 2.0×
Er level v (99285) $1,207.60 $1,509.50 2.1×
Eval speech sound production (92522) $191.20 $239 1.7×
Evaluate Pt Use Of Inhaler (94664) $118.40 $148 0.5×
Immune Admin Oral/Nasal (90473) $16 $20 0.2×
Immunization Admin (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) $108 $135 2.3×
IV infusion hydration initial 31 min-1 hour (96360) $550 $687.50 2.6×
IV infusion ther proph addl sequential to 1 hr (96367) $167.20 $209 2.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $533.60 $667 2.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $173.60 $217 3.8×
IV push ea addl new drug (96375) $108 $135 2.3×
IV push initial (96374) $274.40 $343 1.3×
Manual therapy 15 min (97140) $68 $85 2.5×
Mechanical traction (97012) $24 $30 1.7×
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 Fluor Eval Swlng Funcj C/V Rec (92611) $319.20 $399 3.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $319.60 $399.50 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $78.40 $98 0.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $179.20 $224 0.4×
Nerve Conduction Studies 3-4 Studies (95908) $213.60 $267 1.0×
Nerve conduction studies; 1-2 studies (95907) $213.60 $267 1.0×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $213.60 $267 1.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $150.80 $188.50 1.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $391.20 $489 3.1×
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 30 min (97165) $121.60 $152 1.2×
Ot eval mod complex 45 min (97166) $196.80 $246 2.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $24 $30 0.5×
Ot Prosthetic Training, Each 15 Min (97761) $70.40 $88 1.7×
Ot re-evaluation (97168) $160 $200 2.3×
Ot therapeutic activity 15 min (97530) $76 $95 2.2×
Paraffin bath pt (97018) $24 $30 4.0×
Phlebotomy therapeutic (99195) $148.80 $186 1.1×
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) $144.80 $181 0.8×
Psychiatric diagnostic evaluation (90791) $200 $250 1.1×
Psytx crisis initial 60 min (90839) $148.80 $186 0.8×
Pt Electrical Stimulation (97032) $60 $75 4.1×
Pt eval high complex 45 min (97163) $171.20 $214 1.7×
Pt eval low complex 20 min (97161) $139.20 $174 1.4×
Pt eval mod complex 30 min (97162) $168.80 $211 1.7×
Pt gait training 15 min (97116) $66.40 $83 2.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $72.80 $91 2.2×
Pt Physical Performance Test (97750) $56.80 $71 1.7×
Pt re-evaluation (97164) $139.20 $174 2.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $88.80 $111 2.7×
Pt Whirlpool Therapy (97022) $33.60 $42 2.1×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $210.40 $263 0.6×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $97.60 $122 2.6×
Rt Chest Wall Manipulation,Subsequent (94668) $126.40 $158 1.0×
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) $328.80 $411 1.5×
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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $47.20 $59 2.2×
Therapeutic prophylactic/dx injection subq/im (96372) $70 $87.50 1.0×
Tte w/doppler, complete (93306) $728 $910 1.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $152.80 $191 2.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $164 $205 1.9×
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×