Visits & medical services prices at Norton Sound Regional Hospital

Nome, AK · every code in this section with a posted price and a Medicare benchmark.

222 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $25 $50 0.2×
Acoustic Reflex Testing (92568) $80.50 $161 1.9×
Acupunct W/Stimul 15 Min (97813)
range across 2 matching MRF lines
$93–$94.50 $186–$189 varies
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810)
range across 2 matching MRF lines
$72.50–$99 $145–$198 varies
Admn Sarscov2 Vacc 1 Dose (90480) $130.50 $261 2.9×
Advncd Care Plan 30 Min (99497)
range across 2 matching MRF lines
$143.50–$203 $287–$406 varies
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $311.50 $623 1.3×
Aep neurodiagnostic i&r (92653) $311.50 $623 1.3×
Aep threshold estimation mlt frequencies i&r (92652) $311.50 $623 1.3×
Airway Inhalation Treatment (94640) $120 $240 0.5×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601)
range across 2 matching MRF lines
$289.50–$387 $579–$774 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$67.50–$72 $135–$144 varies
Assessment of aphasia per hr (96105) $324.50 $649 3.3×
Assessment of tinnitus (92625) $89.50 $179 0.6×
Audiometry Air & Bone (92553) $187.50 $375 1.3×
Auditory Function, 60 Min (92620) $187.50 $375 1.3×
Basic vestibular evaluation (92540) $328.50 $657 1.4×
Behavral qualit analys voice (92524) $265.50 $531 2.4×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $136.50 $273 1.7×
Bfb training ea addl 15 min (90913) $35 $70 1.1×
Caloric vestibular test w/rec bi monothermal (92538) $169 $338 0.7×
Caloric Vstblr Test W/Rec (92537) $338.50 $677 2.4×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$113–$172.50 $226–$345 varies
Cardiopulmonary resuscitation (92950) $521 $1,042 2.2×
Cardioversion (92960)
range across 2 matching MRF lines
$211–$1,437.50 $422–$2,875 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $36 $72 1.4×
Cbt 1st hour (94644)
range across 2 matching MRF lines
$241–$251 $482–$502 varies
Cervical & Ocular Vemp Testing W/I&R (92519) $253 $506 1.1×
Cervical Vemp Testing W/I&R (92517) $134.50 $269 0.9×
Chemo Anti-Neopl Sq/Im (96401)
range across 2 matching MRF lines
$216–$242.50 $432–$485 varies
Chemo Hormon Antineopl Sq/Im (96402) $90 $180 1.1×
Chemo IV infusion addl hr (96415) $245.50 $491 3.1×
Chemo IV push addl drug (96411) $226.50 $453 2.8×
Chemother Prolong Infuse W/Pump (96416) $580 $1,160 1.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $293.50 $587 3.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 2 matching MRF lines
$455.50–$528 $911–$1,056 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409) $372 $744 1.0×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $215.50 $431 0.6×
Chest Wall Manipulation (94668) $107.50 $215 0.7×
Color Vision Xm Extended Anomaloscope/Equiv (92283) $76.50 $153 1.2×
Color/duplex Doppler, complete (93975) $506 $1,012 1.9×
Color/duplex Doppler, limited (93976) $470.50 $941 4.1×
Community/Work Reintegration Trainj Ea 15 Min (97537) $77 $154 2.4×
Comprehensive Hearing Test (92557) $187.50 $375 1.3×
Computerized dynamic posturography (92548) $182 $364 1.2×
Computerized Ophthalmic Imaging Optic Nerve (92133) $84.50 $169 1.3×
Computerized Ophthalmic Imaging Retina (92134) $84.50 $169 1.3×
Conditioning Play Audiometry (92582) $187.50 $375 1.3×
Continuous Pulse Ox (94762) $394 $788 2.8×
Corneal Topography (92025) $48.50 $97 0.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
$80–$336.50 $160–$673 varies
Cpt initial (94667) $132 $264 0.9×
Critical care first hour (99291) $2,068.50 $4,137 2.3×
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$50.50–$360 $101–$720 varies
Developmental tst admin phys/qhp 1st hour (96112)
range across 2 matching MRF lines
$128–$301 $256–$602 varies
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602)
range across 2 matching MRF lines
$219.50–$289.50 $439–$579 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $182 $364 0.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $961 $1,922 3.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $734 $1,468 6.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,036.50 $2,073 3.9×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$750–$754.50 $1,500–$1,509 varies
Duplex up extrem art bilat (93930) $991.50 $1,983 3.7×
Duplex up extrem art unilat/ltd (93931) $533 $1,066 4.6×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $198.50 $397 1.4×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604)
range across 2 matching MRF lines
$209.50–$289.50 $419–$579 varies
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603)
range across 2 matching MRF lines
$289.50–$375 $579–$750 varies
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$79.50–$342.50 $159–$685 varies
Electrocardiogram Tracing (93005)
range across 4 matching MRF lines
$41.50–$244 $83–$488 varies
Emergency Dept Visit Level 2 (99282) $253 $506 1.5×
Emergency Dept Visit Level 3 (99283) $340.50 $681 1.1×
Emergency Dept Visit Level 4 (99284) $522.50 $1,045 1.1×
Emg 3 Extremities (95863) $311.50 $623 2.2×
Er level 1 (99281) $139 $278 1.5×
Er level v (99285) $993.50 $1,987 1.5×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $528 $1,056 3.7×
Evaluate Speech Production (92522) $276 $552 2.5×
Evaluate Swallowing Function (92610) $590.50 $1,181 7.0×
Evaluation of speech fluency (92521) $339 $678 2.5×
Evoked Auditory Test,Limited (92587)
range across 2 matching MRF lines
$182–$208.50 $364–$417 varies
Extracranial Bilat Study (93880) $469.50 $939 1.8×
Extracranial Uni/Ltd Study (93882) $438 $876 3.8×
Flexible endoscopic eval swallow c/v rec (92612) $258.50 $517 1.3×
Full Field Electroretinography W/I&R (92273) $230.50 $461 1.0×
Fundus photography (92250) $123 $246 0.8×
Gonioscopy (92020) $41.50 $83 0.3×
Group Therapeutic Procedures (97150)
range across 2 matching MRF lines
$40–$61.50 $80–$123 varies
Holter monitor recording (93225)
range across 2 matching MRF lines
$229.50–$890 $459–$1,780 varies
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines
$27–$143 $54–$286 varies
Immunization administration (90471)
range across 2 matching MRF lines
$130.50–$143 $261–$286 varies
Inital newborn e/m (99460) $313.50 $627 2.1×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$76–$87.50 $152–$175 varies
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$136–$165.50 $272–$331 varies
IV infusion hydration each additional hour (96361) $142.50 $285 2.7×
IV infusion hydration initial 31 min-1 hour (96360) $323 $646 1.4×
IV infusion ther proph addl sequential to 1 hr (96367) $142.50 $285 1.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $142.50 $285 2.7×
IV push initial (96374)
range across 2 matching MRF lines
$179.50–$258.50 $359–$517 varies
Liver Elastography W/O Imag W/I&R (91200)
range across 2 matching MRF lines
$41.50–$55 $83–$110 varies
Low frequency non-thermal us (97610) $136.50 $273 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $31 $62 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $36 $72 1.0×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $79.50 $159 4.7×
Modification of contact lens (separate procedure), with medical supervision of adaptation Facility (92325) $219 $438 1.5×
Motion Fluoroscopy/Swallow (92611) $258.50 $517 2.8×
Multifocal Electroretinography W/I&R (92274) $234.50 $469 1.6×
Multiple Family Group Psychotherapy (90849)
range across 2 matching MRF lines
$45.50–$92 $91–$184 varies
Muscle Test 2 Limbs (95861) $311.50 $623 2.1×
Muscle Test One Limb (95860) $123.50 $247 0.8×
Nasopharyngoscopy (92511)
range across 2 matching MRF lines
$189–$252 $378–$504 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $205.50 $411 0.9×
Nerve Conduction Studies 1-2 Studies (95907) $273 $546 1.1×
Nerve Conduction Studies 11-12 Studies (95912) $531 $1,062 1.3×
Nerve conduction studies 13 or more studies (95913) $531 $1,062 1.3×
Nerve Conduction Studies 3-4 Studies (95908) $268.50 $537 1.1×
Nerve conduction studies 5-6 studies (95909) $531 $1,062 2.2×
Nerve conduction studies 7-8 studies (95910) $531 $1,062 1.3×
Nerve Conduction Studies 9-10 Studies (95911) $531 $1,062 1.3×
Neurobehavioral Status Exam (96116) $537.50 $1,075 2.2×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$75.50–$104 $151–$208 varies
Newborn resuscitation (99465) $268.50 $537 0.4×
Nrpsyc tst eval phys/qhp 1st (96132) $266 $532 0.6×
Ocular Vemp Testing W/I&R (92518) $134.50 $269 0.9×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $150 $300 1.0×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $114 $228 0.8×
Ophth medical xm&eval intermediate estab pt (92012) $149 $298 1.0×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $90.50 $181 0.6×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $41 $82 0.6×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $63 $126 1.0×
Optokinetic Nystagmus Test (92544) $193 $386 1.4×
Oral Function Therapy (92526)
range across 2 matching MRF lines
$135.50–$255 $271–$510 varies
Oral Speech Device Eval (92597) $289.50 $579 4.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $109 $218 2.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 3 matching MRF lines
$86–$113 $172–$226 varies
Oscillating Tracking Test (92545) $182 $364 0.8×
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 3 matching MRF lines
$39.50–$83.50 $79–$167 varies
Osteopathic manipulative tx 3-4 body regions (98926)
range across 3 matching MRF lines
$56.50–$117 $113–$234 varies
Osteopathic manipulative tx 5-6 body regions (98927)
range across 3 matching MRF lines
$52.50–$142 $105–$284 varies
Osteopathic manipulative tx 7-8 body regions (98928)
range across 3 matching MRF lines
$52.50–$177.50 $105–$355 varies
Osteopathic manipulative tx 9-10 body regions (98929)
range across 3 matching MRF lines
$50–$178 $100–$356 varies
Ot eval high complexity (97167)
range across 2 matching MRF lines
$128.50–$280 $257–$560 varies
Ot Eval Low Complex (97165)
range across 2 matching MRF lines
$116.50–$149 $233–$298 varies
Ot Eval Moderate Complexity (97166)
range across 2 matching MRF lines
$123–$215.50 $246–$431 varies
Ot manual therapy 15 min (97140) $206 $412 7.4×
Ot paraffin bath (97018)
range across 2 matching MRF lines
$61.50–$75.50 $123–$151 varies
Ot Prosthetic Training, Each 15 Min (97761) $75.50 $151 1.9×
Ot Re-Eval Est Plan Care (97168)
range across 2 matching MRF lines
$58.50–$149 $117–$298 varies
Ot rom hand (95852) $135 $270 6.3×
Phlebotomy therapeutic (99195) $215.50 $431 1.5×
Physical Performance Test (97750)
range across 2 matching MRF lines
$119.50–$130 $239–$260 varies
Pm device eval in person (93288)
range across 2 matching MRF lines
$53–$69.50 $106–$139 varies
Positional nystagmus test (92542) $182 $364 1.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 2 matching MRF lines
$28–$65.50 $56–$131 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 2 matching MRF lines
$26.50–$65.50 $53–$131 varies
Psych diag eval w/med srvcs (90792) $430.50 $861 2.2×
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines
$385–$430 $770–$860 varies
Psychological tst eval svc phys/qhp first hour (96130)
range across 2 matching MRF lines
$272–$307 $544–$614 varies
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $60 $120 0.1×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $142 $284 1.0×
Pt Eval High Complex (97163) $333 $666 3.4×
Pt eval low complex 20 min (97161) $221 $442 2.3×
Pt Eval Mod Complex (97162) $277.50 $555 2.8×
Pt gait training 15 min (97116)
range across 3 matching MRF lines
$67–$107.50 $134–$215 varies
Pt group caregiver training (97552) $16 $32 0.7×
Pt mechanical traction (97012) $40 $80 2.8×
Pt Re-Eval Est Plan Care (97164) $221 $442 3.3×
Pulmonary service/procedure (94799) $186.50 $373 1.3×
Pure Tone Audiometry Air (92552) $97.50 $195 0.7×
Refill/Maint Portable Pump (96521) $421 $842 1.8×
Refill/Maint Pump/Resvr Syst (96522)
range across 2 matching MRF lines
$277–$351 $554–$702 varies
Remote 30 Day Ecg Rev/Report (93270) $1,018.50 $2,037 24.6×
Respiratory flow volume loop (94375) $397 $794 1.7×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $175 $350 2.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $205.50 $411 0.9×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $135 $270 5.2×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $385 $770 3.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $153.50 $307 3.2×
Same day nb discharge (99463) $313.50 $627 2.1×
Self Care Mngment Training (97535)
range across 3 matching MRF lines
$78–$90 $156–$180 varies
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $69 $138 1.1×
Sensory Integration Ea 15 Min (97533)
range across 2 matching MRF lines
$44–$101 $88–$202 varies
Sinusoidal Vertical Axis Rotational Testing (92546) $84 $168 0.6×
Sleep study unattended (95806)
range across 2 matching MRF lines
$96–$245.50 $192–$491 varies
Slp caregiver training 1st 30 min (97550) $67.50 $135 1.3×
Speech Audiometry Complete (92556) $187.50 $375 2.9×
Speech audiometry threshold (92555) $80.50 $161 1.2×
Speech sound lang comprehen (92523)
range across 2 matching MRF lines
$193.50–$587.50 $387–$1,175 varies
Spirometry (94010) $290.50 $581 1.2×
Spontaneous Nystagmus Test (92541) $182 $364 1.2×
Standardized Cognitive Performance Testing (96125) $349.50 $699 3.4×
Stenger Test Speech (92577) $289.50 $579 0.7×
Stenger Test, Pure Tone (92565) $80.50 $161 1.2×
Subcutaneous Infusion Each Additional Hour (96370) $107.50 $215 2.1×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $420 $840 1.8×
Subq Infusion Additional Pump Infusion Site (96371) $186.50 $373 2.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $34 $68 1.5×
Ther Ivntj Ea Addl 15 Min (97130) $33 $66 1.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $76 $152 2.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $321.50 $643 3.1×
Ther/Proph/Diag Inj Ia (96373) $369.50 $739 1.6×
Ther/Proph/Diag Inj Sc/Im (96372) $130.50 $261 1.6×
Ther/Proph/Diag Iv Inf Init (96365) $421 $842 1.8×
Therapeutic Activities (97530)
range across 4 matching MRF lines
$50–$95 $100–$190 varies
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$78–$81.50 $156–$163 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$42–$78 $84–$156 varies
Tone Decay Test (92563) $80.50 $161 1.9×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $161 $322 3.9×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$219–$1,049.50 $438–$2,099 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 3 matching MRF lines
$103.50–$289.50 $207–$579 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $68.50 $137 2.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $148 $296 2.8×
Tympanometry (92567)
range across 2 matching MRF lines
$42–$106.50 $84–$213 varies
Vasopneumatic device (97016) $116 $232 9.7×
Vent Mgmt Inpat Init Day (94002) $751.50 $1,503 1.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $360.50 $721 0.5×
Visual Evoked Potential Test (95930) $195 $390 0.8×
Visual Field Exam Extended (92083) $97.50 $195 0.7×
Visual field xm uni/bi w/interp intermed exam (92082) $97.50 $195 1.5×
Visual field xm uni/bi w/interpretj limited exam (92081) $34.50 $69 0.5×
Visual reinforcement audiometry (vra) (92579) $187.50 $375 0.8×
Wheelchair Mgmt Ea 15 Min (97542) $109 $218 3.5×
Whirlpool Therapy (97022) $74.50 $149 4.7×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $65 $130 1.6×

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.