Visits & medical services prices at Olympic Medical Center

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

224 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) $132 $165 1.2×
Actigraphy Testing Recording Analysis I&R (95803) $194.40 $243 3.0×
Actinotherapy Ultraviolet Light (96900) $294.40 $368 7.1×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines		 $220.80–$400 $276–$500 varies
Analyze neurostim no prog (95970) $228.80 $286 1.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $36.80 $46 2.6×
Application on-body injector (96377) $116.80 $146 2.2×
Assessment of aphasia per hr (96105) $208 $260 2.1×
Behavral qualit analys voice (92524) $177.60 $222 1.6×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $148.80 $186 1.8×
Bfb training ea addl 15 min (90913) $52 $65 1.6×
Biofeedback training any modality (90901) $71.20 $89 1.7×
Breathing response to hypoxia (94450) $220 $275 1.5×
Brief Emotional/Behav Assmt (96127) $8 $10 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,160 $1,450 2.8×
Canalith repositioning proc (95992) $83.20 $104 2.0×
Car seat/bed test 60 min (94780) $136 $170 3.3×
Cardiac Stress Tst,Tracing Only (93017) $623.20 $779 2.6×
Cardiopulmonary exercise testing (94621) $540 $675 1.3×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines		 $643.20–$688 $804–$860 varies
Cardioversion (92960) $1,039.20 $1,299 1.4×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $64.80 $81 2.5×
Cbt 1st hour (94644) $400 $500 2.7×
Chemo Anti-Neopl Sq/Im (96401) $237.60 $297 3.0×
Chemo Hormon Antineopl Sq/Im (96402) $132.80 $166 1.7×
Chemo IV infusion addl hr (96415) $164 $205 2.0×
Chemo IV push addl drug (96411) $235.20 $294 2.9×
Chemother Prolong Infuse W/Pump (96416) $711.20 $889 1.9×
Chemotherapy Into Cns (96450) $711.20 $889 1.9×
Chemotherapy Unspecified (96549) $75.20 $94 1.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $164 $205 2.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $780 $975 2.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $458.40 $573 1.2×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $412.80 $516 1.1×
Chest Wall Manipulation (94668)
range across 3 matching MRF lines		 $120–$540 $150–$675 varies
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $220 $275 0.5×
Color/duplex Doppler, complete (93975) $1,228 $1,535 4.6×
Color/duplex Doppler, limited (93976) $783.20 $979 6.7×
Community/Work Reintegration Trainj Ea 15 Min (97537) $81.60 $102 2.5×
Cont gluc mntr physician/qhp provided equiptment (95250) $404 $505 2.7×
Continuous Pulse Ox (94762) $185.60 $232 1.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines		 $120–$400 $150–$500 varies
Cpt initial (94667) $220 $275 1.5×
Critical care first hour (99291) $1,728 $2,160 1.9×
Debridement Open Wound 20 Sq Cm< (97597) $212 $265 0.9×
Developmental tst admin phys/qhp 1st hour (96112) $486.40 $608 3.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $783.20 $979 2.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $488 $610 4.2×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,300.80 $1,626 4.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $916.80 $1,146 7.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,239.20 $1,549 4.7×
Dup-scan xtr veins unilateral/limited study (93971) $709.60 $887 6.1×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $1,239.20 $1,549 4.7×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $872.80 $1,091 7.5×
Duplex Scan Hemodialysis Access (93990) $489.60 $612 4.2×
Duplex up extrem art bilat (93930) $783.20 $979 2.9×
Duplex up extrem art unilat/ltd (93931) $448.80 $561 3.9×
Echo Congenital Complete (93303) $1,551.20 $1,939 2.5×
Echo Heart Xthoracic,Limited (93308) $472 $590 1.8×
Echo transesophag montr cardiac pump functj (93318) $1,407.20 $1,759 2.3×
Echo transesophageal (93312) $1,319.20 $1,649 2.2×
Echo Transesophageal - Congenital Tee Complete (93315) $1,114.40 $1,393 1.8×
Eeg 41-60 Minutes (95812) $708 $885 2.9×
EEG awake and asleep (95819) $656.80 $821 2.7×
EEG awake drowsy (95816) $539.20 $674 2.2×
EEG cerebral death evaluation (95824) $588 $735 1.4×
EEG extended monitoring 61-119 minutes (95813) $860 $1,075 3.6×
Eeg Sleep Only (95822) $796.80 $996 3.3×
Electrical Stimulation Ea 15 Min (97032) $48.80 $61 3.3×
Electrocardiogram Tracing (93005) $121.60 $152 1.8×
Emergency Dept Visit Level 2 (99282) $417.60 $522 2.4×
Emergency Dept Visit Level 3 (99283) $730.40 $913 2.4×
Emergency Dept Visit Level 4 (99284) $1,032.80 $1,291 2.2×
Emg 3 Extremities (95863) $312.80 $391 2.2×
Emg 4 Extremities (95864) $332.80 $416 2.3×
Er level 1 (99281) $312.80 $391 3.3×
Er level v (99285) $1,330.40 $1,663 2.0×
Evaluate Speech Production (92522) $172 $215 1.5×
Evaluate Swallowing Function (92610) $262.40 $328 3.1×
Evaluation of speech fluency (92521) $208.80 $261 1.6×
Evoked Auditory Test,Limited (92587) $175.20 $219 0.7×
Exercise test for bronchospasm (94617) $400 $500 2.7×
Exhaled Air Analysis O2 (94680) $400 $500 2.8×
External ECG rec>48hr<7d recording (93242) $200 $250 4.8×
External ECG rec>7d<15d recording (93246) $200 $250 4.8×
External Ecg Scanning Analysis Report (93226)
range across 2 matching MRF lines		 $194.40–$202.40 $243–$253 varies
Extracranial Bilat Study (93880) $472.80 $591 1.8×
Extracranial Uni/Ltd Study (93882) $771.20 $964 6.6×
F-up/limited tthrc echo congenital car anomaly (93304) $1,169.60 $1,462 1.9×
Flexible endoscopic eval swallow c/v rec (92612) $443.20 $554 2.2×
High altitude simulation test (94452) $268 $335 1.8×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $268 $335 1.8×
Holter monitor recording (93225)
range across 2 matching MRF lines		 $194.40–$202.40 $243–$253 varies
Icd Device Interrogate (93289) $120.80 $151 2.9×
Icd device progr eval dual (93283) $177.60 $222 4.3×
Icd Device Progr Eval Mult (93284) $229.60 $287 5.5×
Ilr Device Eval Progr (93285) $101.60 $127 2.4×
Ilr Device Interrogate (93291) $88 $110 2.7×
Immunization administration (90471) $63.20 $79 0.8×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $220 $275 0.5×
Interrogate Subq Defib (93261) $132.80 $166 3.2×
Iontophoresis 15 min (97033) $43.20 $54 2.3×
Irrig Drug Delivery Device (96523) $125.60 $157 1.9×
IV infusion hydration each additional hour (96361) $80.80 $101 1.5×
IV infusion hydration initial 31 min-1 hour (96360) $445.60 $557 1.9×
IV infusion ther proph addl sequential to 1 hr (96367) $108 $135 1.3×
IV infusion therapy prophylaxis/dx ea hour (96366) $108 $135 2.1×
IV push initial (96374) $424 $530 1.8×
Lung Function Test (Mbc/Mvv) (94200) $540 $675 8.2×
Lwr Xtr Vasc Stdy Bilat (93924) $587.20 $734 2.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $60 $75 1.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $60 $75 1.6×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $44.80 $56 2.6×
Methacholine challenge (94070) $400 $500 1.0×
Motion Fluoroscopy/Swallow (92611) $747.20 $934 8.2×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $630.40 $788 1.3×
Multiple Sleep Latency Test (95805) $2,663.20 $3,329 2.8×
Muscle Test 2 Limbs (95861) $308 $385 2.1×
Muscle Test Nonparaspinal (95870) $164 $205 1.1×
Muscle Test One Limb (95860) $273.60 $342 1.8×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $652 $815 2.7×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $500 $625 2.1×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $252 $315 1.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $683.20 $854 1.5×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $841.60 $1,052 1.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $320 $400 1.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $480 $600 1.1×
Nerve Conduction Studies 1-2 Studies (95907) $272.80 $341 1.1×
Nerve Conduction Studies 11-12 Studies (95912) $924 $1,155 2.2×
Nerve conduction studies 13 or more studies (95913) $1,008 $1,260 2.4×
Nerve Conduction Studies 3-4 Studies (95908) $500 $625 2.1×
Nerve conduction studies 5-6 studies (95909) $512.80 $641 2.1×
Nerve conduction studies 7-8 studies (95910) $588 $735 1.4×
Nerve Conduction Studies 9-10 Studies (95911) $860.80 $1,076 2.1×
Neuromuscular Reeducation (97112) $92 $115 2.8×
Newborn resuscitation (99465) $1,156.80 $1,446 1.6×
Oral Function Therapy (92526) $168.80 $211 2.0×
Oral Speech Device Eval (92597) $180.80 $226 2.5×
Orthc/Prostc Mgmt Sbsq Enc (97763) $122.40 $153 2.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $84 $105 1.8×
Ot Contrast Bath Ea 15 Min (97034) $43.20 $54 3.1×
Ot eval high complexity (97167) $363.20 $454 3.6×
Ot Eval Low Complex (97165) $253.60 $317 2.5×
Ot Eval Moderate Complexity (97166) $302.40 $378 3.0×
Ot manual therapy 15 min (97140) $84 $105 3.0×
Ot paraffin bath (97018) $21.60 $27 3.6×
Ot Prosthetic Training, Each 15 Min (97761) $85.60 $107 2.1×
Ot Re-Eval Est Plan Care (97168) $210.40 $263 3.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $226.40 $283 1.6×
Oxygen Uptake Rest Indirect (94690) $640 $800 9.7×
Phlebotomy therapeutic (99195) $200 $250 1.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $148 $185 2.3×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $132 $165 2.0×
Physical Performance Test (97750) $84.80 $106 2.5×
Pm device eval in person (93288) $120.80 $151 2.9×
Pm device progr eval dual (93280) $124.80 $156 3.0×
Pm device progr eval multi (93281) $136 $170 3.3×
Pm Device Progr Eval Sngl (93279) $97.60 $122 2.3×
Pm/Icd Remote Tech Serv (93296) $104.80 $131 2.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,344.80 $4,181 3.5×
Polysom <6 yrs 4/> paramtrs (95782) $2,952 $3,690 3.1×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $132.80 $166 3.2×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $119.20 $149 2.9×
Psych diag eval w/med srvcs (90792) $164 $205 0.8×
Psychiatric diagnostic evaluation (90791) $164 $205 0.8×
Pt Eval High Complex (97163) $320.80 $401 3.3×
Pt eval low complex 20 min (97161) $235.20 $294 2.4×
Pt Eval Mod Complex (97162) $268 $335 2.7×
Pt gait training 15 min (97116) $78.40 $98 2.7×
Pt group caregiver training (97552) $256.80 $321 11.7×
Pt mechanical traction (97012) $131.20 $164 9.1×
Pt Re-Eval Est Plan Care (97164) $195.20 $244 2.9×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $54.40 $68 1.3×
Pulm function test by gas (94727) $268 $335 1.1×
Pulmonary Stress Testing (94618) $268 $335 1.8×
Refill/Maint Portable Pump (96521) $432.80 $541 1.8×
Refill/Maint Pump/Resvr Syst (96522) $432.80 $541 1.8×
Rem interrog icpms <30 d phys/qhp (93297) $126.40 $158 3.0×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $126.40 $158 3.0×
Remote 30 Day Ecg Rev/Report (93270) $156.80 $196 3.8×
Respiratory flow volume loop (94375) $268 $335 1.1×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $121.60 $152 1.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines		 $252–$320 $315–$400 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $57.60 $72 2.2×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $312 $390 2.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $87.20 $109 1.8×
Sbsq Psyc Collab Care Mgmt (99493) $124.80 $156 1.1×
Self Care Mngment Training (97535) $97.60 $122 3.0×
Sensory Integration Ea 15 Min (97533) $84 $105 1.4×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $847.20 $1,059 3.5×
Short-latency somatosens ep std upr limbs (95925) $651.20 $814 2.7×
Sleep study attended (95807) $1,489.60 $1,862 3.6×
Sleep study unattended (95806) $291.20 $364 1.2×
Slp caregiver training 1st 30 min (97550) $128.80 $161 2.4×
Speech sound lang comprehen (92523) $373.60 $467 1.6×
Spirometry (94010)
range across 2 matching MRF lines		 $400–$1,160 $500–$1,450 varies
Ssep lower limbs (95926) $651.20 $814 2.7×
Standardized Cognitive Performance Testing (96125) $281.60 $352 2.7×
Stress Tte Only (93350) $1,236 $1,545 2.0×
Temp transcutaneous pacing (92953) $870.40 $1,088 1.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $144.80 $181 6.5×
Ther Ivntj Ea Addl 15 Min (97130) $52 $65 2.5×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $88.80 $111 2.4×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $72 $90 2.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $177.60 $222 1.7×
Ther/Proph/Diag Inj Ia (96373) $420.80 $526 1.8×
Ther/Proph/Diag Inj Sc/Im (96372) $120 $150 1.5×
Ther/Proph/Diag Iv Inf Init (96365) $504 $630 2.1×
Therapeutic Activities (97530) $92 $115 2.6×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $124 $155 3.0×
Tte w/doppler, complete (93306) $1,580.80 $1,976 2.6×
Tte W/O Doppler Complete (93307) $596 $745 2.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $126.40 $158 1.7×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $58.40 $73 2.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $104 $130 2.0×
Unlis neurological/neuromuscular dx px (95999) $2,796 $3,495 19.5×
Upr/L Xtremity Art 2 Levels (93922) $264 $330 1.8×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $847.20 $1,059 3.5×
Vasopneumatic device (97016) $20.80 $26 1.7×
Vent Mgmt Inpat Init Day (94002) $400 $500 0.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $400 $500 0.6×
Vital capacity, total (94150) $220 $275 1.5×
Wheelchair Mgmt Ea 15 Min (97542) $85.60 $107 2.8×
Whirlpool Therapy (97022) $41.60 $52 2.6×

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.