Visits & medical services prices at Othello Community Hospital
Othello, WA · every code in this section with a posted price and a Medicare benchmark.
73 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Airway inhalation treatment (94640) | $128.06 | $170.75 | 0.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $67.69 | $90.25 | 4.7× |
| Biofeedback training any modality (90901) | $78.19 | $104.25 | 1.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $460.69 | $614.25 | 1.1× |
| Cardiopulmonary resuscitation (92950) | $1,271.91 | $1,695.88 | 5.3× |
| Cardioversion (92960) | $719.81 | $959.75 | 1.0× |
| Cbt 1st hour (94644) | $36.56 | $48.75 | 0.2× |
| Color/duplex Doppler, complete (93975) | $460.13 | $613.50 | 1.7× |
| Color/duplex Doppler, limited (93976) | $230.81 | $307.75 | 2.0× |
| Cpap/bipap (94660) | $333.75 | $445 | 1.4× |
| Cpt initial (94667) | $166.13 | $221.50 | 1.1× |
| Critical care (99291) | $1,190.25 | $1,587 | 1.3× |
| Debridement Open Wound 20 Sq Cm< (97597) | $100.69 | $134.25 | 0.5× |
| Distort Product Evoked Otoacoustic Emisns Limitd (92587) | $109.69 | $146.25 | 0.5× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) | $611.44 | $815.25 | 2.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $657.19 | $876.25 | 5.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,190.81 | $1,587.75 | 4.5× |
| Dup-scan xtr veins unilateral/limited study (93971) | $724.50 | $966 | 6.2× |
| Duplex scan extracranial art compl bi study (93880) | $1,003.13 | $1,337.50 | 3.8× |
| Echo Heart Xthoracic,Limited (93308) | $647.25 | $863 | 2.4× |
| EKG rhythm strip (93041) | $567.94 | $757.25 | 8.6× |
| Electrocardiogram Tracing (93005) | $141.56 | $188.75 | 2.2× |
| Er level 1 (99281) | $297 | $396 | 3.2× |
| Er level ii (99282) | $514.69 | $686.25 | 3.0× |
| Er level iii (99283) | $623.06 | $830.75 | 2.0× |
| Er level IV (99284) | $733.88 | $978.50 | 1.6× |
| Er level v (99285) | $866.06 | $1,154.75 | 1.3× |
| Evaluate Pt Use Of Inhaler (94664) | $206.44 | $275.25 | 0.8× |
| Immunization Admin (90471) | $109.31 | $145.75 | 1.4× |
| Iontophoresis 15 min (97033) | $86.44 | $115.25 | 4.5× |
| Irrig drug delivery device (96523) | $152.25 | $203 | 2.3× |
| IV infusion hydration each additional hour (96361) | $135.56 | $180.75 | 2.6× |
| IV infusion hydration initial 31 min-1 hour (96360) | $312.38 | $416.50 | 1.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $223.88 | $298.50 | 2.8× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) | $402.56 | $536.75 | 1.7× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) | $204.75 | $273 | 3.9× |
| IV push ea addl new drug (96375) | $240.56 | $320.75 | 4.6× |
| IV push initial (96374) | $338.06 | $450.75 | 1.4× |
| Manual therapy 15 min (97140) | $100.31 | $133.75 | 3.6× |
| Massage 15 min (97124) | $84.94 | $113.25 | 2.9× |
| Maximum voluntary ventilation (94200) | $221.06 | $294.75 | 3.4× |
| Mechanical traction (97012) | $70.88 | $94.50 | 4.9× |
| Multiple Sleep Latency Test (95805) | $3,818.25 | $5,091 | 4.0× |
| Newborn resuscitation (99465) | $834 | $1,112 | 1.1× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) | $244.50 | $326 | 1.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $119.63 | $159.50 | 2.6× |
| Ot Contrast Bath Ea 15 Min (97034) | $75.19 | $100.25 | 5.4× |
| Ot Prosthetic Training, Each 15 Min (97761) | $129.19 | $172.25 | 3.2× |
| Ot therapeutic activity 15 min (97530) | $120.94 | $161.25 | 3.4× |
| Paraffin bath pt (97018) | $70.88 | $94.50 | 11.8× |
| Phlebotomy therapeutic (99195) | $149.44 | $199.25 | 1.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $4,019.25 | $5,359 | 4.2× |
| Polysom <6 yrs 4/> paramtrs (95782) | $3,818.25 | $5,091 | 4.0× |
| Pt Electrical Stimulation (97032) | $72.94 | $97.25 | 5.0× |
| Pt eval high complex 45 min (97163) | $309.75 | $413 | 3.2× |
| Pt eval low complex 20 min (97161) | $229.69 | $306.25 | 2.3× |
| Pt gait training 15 min (97116) | $90.19 | $120.25 | 3.1× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) | $104.81 | $139.75 | 3.2× |
| Pt re-evaluation (97164) | $114.19 | $152.25 | 1.7× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) | $116.44 | $155.25 | 3.6× |
| Pt Whirlpool Therapy (97022) | $78.56 | $104.75 | 5.0× |
| Pulmonary stress test simple (94618) | $373.13 | $497.50 | 2.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $94.31 | $125.75 | 0.4× |
| Rt Chest Wall Manipulation,Subsequent (94668) | $144.75 | $193 | 1.0× |
| Sleep study unattended (95806) | $552.94 | $737.25 | 2.3× |
| Spirometry (94010) | $308.25 | $411 | 1.3× |
| Temp transcutaneous pacing (92953) | $503.25 | $671 | 0.7× |
| Therapeutic prophylactic/dx injection subq/im (96372) | $156.75 | $209 | 2.0× |
| Tte w/doppler, complete (93306) | $1,204.13 | $1,605.50 | 2.0× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) | $679.69 | $906.25 | 2.6× |
| Vent mgmt inpat init day (94002) | $572.06 | $762.75 | 0.8× |
| Vital capacity, total (94150) | $88.31 | $117.75 | 0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) | $112.31 | $149.75 | 3.6× |