Visits & medical services prices at Peace Harbor Medical Center

Florence, OR · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Advncd Care Plan 30 Min (99497) $61.75 $95 0.5×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$120.90–$248.95 $186–$383 varies
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $112.45 $173 0.8×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $273.65 $421 1.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $33.15 $51 2.3×
Assessment of aphasia per hr (96105) $176.15 $271 1.8×
Behavral qualit analys voice (92524)
range across 2 matching MRF lines
$62.40–$253.50 $96–$390 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $653.90 $1,006 1.6×
Canalith repositioning proc (95992) $97.50 $150 2.4×
Cardiac Stress Tst,Tracing Only (93017) $410.15 $631 1.7×
Cardiopulmonary resuscitation (92950) $783.25 $1,205 3.3×
Cardioversion (92960)
range across 3 matching MRF lines
$1,867.45–$3,734.90 $2,873–$5,746 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $64.35 $99 2.5×
Cbt 1st hour (94644) $157.30 $242 1.1×
Chemo Hormon Antineopl Sq/Im (96402) $193.05 $297 2.4×
Chemo IV infusion addl hr (96415) $46.80 $72 0.6×
Chemotherapy Unspecified (96549) $86.45 $133 1.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $151.45 $233 1.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $193.70 $298 0.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $466.70 $718 1.3×
Chest Wall Manipulation (94668) $85.15 $131 0.6×
Color/duplex Doppler, complete (93975) $1,403.35 $2,159 5.3×
Color/duplex Doppler, limited (93976) $287.95 $443 2.5×
Continuous Pulse Ox (94762) $153.40 $236 1.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $713.05 $1,097 2.9×
Cpt initial (94667) $267.15 $411 1.8×
Critical care first hour (99291)
range across 3 matching MRF lines
$2,301–$2,728.70 $3,540–$4,198 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$17.55–$222.95 $27–$343 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $845.65 $1,301 3.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $330.20 $508 2.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,229.15 $1,891 4.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $740.35 $1,139 6.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $977.60 $1,504 3.7×
Dup-scan xtr veins unilateral/limited study (93971) $666.90 $1,026 5.7×
Duplex Scan Hemodialysis Access (93990) $728 $1,120 6.2×
Duplex up extrem art bilat (93930) $709.15 $1,091 2.7×
Duplex up extrem art unilat/ltd (93931) $642.85 $989 5.5×
ECG/monitoring and analysis (93271) $610.35 $939 5.8×
Echo Heart Xthoracic,Limited (93308) $807.95 $1,243 3.0×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$46.80–$93.60 $72–$144 varies
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines
$184.60–$553.80 $284–$852 varies
Emergency Dept Visit Level 2 (99282) $220.35 $339 1.3×
Emergency Dept Visit Level 3 (99283) $397.15 $611 1.3×
Emergency Dept Visit Level 4 (99284) $882.70 $1,358 1.9×
Er level 1 (99281) $137.15 $211 1.5×
Er level v (99285)
range across 2 matching MRF lines
$1,322.75–$2,821.65 $2,035–$4,341 varies
Evaluate pt use of inhaler (94664) $128.05 $197 0.5×
Evaluate Speech Production (92522) $99.45 $153 0.9×
Evaluate Swallowing Function (92610) $143.65 $221 1.7×
Evaluation of speech fluency (92521) $235.95 $363 1.8×
External ECG rec>48hr<7d recording (93242) $85.80 $132 2.1×
External ECG rec>48hr<7d scanning alys w/report (93243) $141.70 $218 1.0×
External ECG rec>7d<15d recording (93246) $141.05 $217 3.4×
External Ecg Scanning Analysis Report (93226) $295.10 $454 4.5×
Extracranial Bilat Study (93880) $1,018.55 $1,567 3.8×
Extracranial Uni/Ltd Study (93882) $536.25 $825 4.6×
Holter monitor recording (93225) $928.20 $1,428 6.3×
Immunization administration (90471) $170.95 $263 2.1×
Iontophoresis 15 min (97033) $68.25 $105 3.6×
Irrig Drug Delivery Device (96523) $83.85 $129 1.3×
IV infusion hydration each additional hour (96361)
range across 6 matching MRF lines
$48.10–$1,086.80 $74–$1,672 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$65–$271.70 $100–$418 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$243.75–$487.50 $375–$750 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$91.65–$183.30 $141–$282 varies
IV push initial (96374) $124.15 $191 0.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $291.20 $448 7.9×
Motion Fluoroscopy/Swallow (92611) $148.85 $229 1.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$1,798.11–$2,528.50 $2,766.33–$3,890 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $176.15 $271 0.8×
Neuromuscular Reeducation (97112)
range across 6 matching MRF lines
$77.35–$232.05 $119–$357 varies
Newborn resuscitation (99465) $1,141.40 $1,756 1.5×
Oral Function Therapy (92526) $139.10 $214 1.7×
Oral Speech Device Eval (92597) $301.60 $464 4.2×
Orthc/Prostc Mgmt Sbsq Enc (97763) $74.10 $114 1.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 3 matching MRF lines
$70.20–$101.40 $108–$156 varies
Ot eval high complexity (97167) $245.70 $378 2.4×
Ot Eval Low Complex (97165) $202.15 $311 2.0×
Ot Eval Moderate Complexity (97166) $211.25 $325 2.1×
Ot manual therapy 15 min (97140)
range across 7 matching MRF lines
$70.85–$216.45 $109–$333 varies
Ot paraffin bath (97018) $33.80 $52 5.6×
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines
$101.40–$304.20 $156–$468 varies
Ot Re-Eval Est Plan Care (97168) $101.40 $156 1.5×
Ot rom hand (95852) $39 $60 1.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 3 matching MRF lines
$128.05–$256.10 $197–$394 varies
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $102.05 $157 0.7×
Peripheral arterial disease rehab per session (93668) $98.80 $152 1.5×
Phlebotomy therapeutic (99195) $118.30 $182 0.8×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $196.30 $302 3.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $174.20 $268 2.6×
Physical Performance Test (97750) $65 $100 1.9×
Plethysmography (94726) $277.55 $427 0.7×
Psych diag eval w/med srvcs (90792) $57.20 $88 0.3×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $92.95 $143 2.5×
Pt Eval High Complex (97163) $218.40 $336 2.2×
Pt eval low complex 20 min (97161) $198.25 $305 2.0×
Pt Eval Mod Complex (97162) $206.70 $318 2.1×
Pt gait training 15 min (97116) $59.80 $92 2.1×
Pt group caregiver training (97552) $53.95 $83 2.4×
Pt mechanical traction (97012) $42.25 $65 2.9×
Pt Re-Eval Est Plan Care (97164) $121.55 $187 1.8×
Pulm function test by gas (94727) $332.80 $512 1.4×
Pulmonary Stress Testing (94618) $182 $280 1.2×
Refill/Maint Portable Pump (96521) $460.85 $709 1.9×
Refill/Maint Pump/Resvr Syst (96522) $460.85 $709 1.9×
Remote 30 Day Ecg Rev/Report (93270) $258.05 $397 6.2×
Respiratory flow volume loop (94375) $458.25 $705 1.9×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $55.25 $85 0.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $113.75 $175 0.5×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $29.90 $46 1.1×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $230.75 $355 1.9×
Self Care Mngment Training (97535)
range across 4 matching MRF lines
$74.10–$222.30 $114–$342 varies
Sensory Integration Ea 15 Min (97533)
range across 2 matching MRF lines
$57.85–$115.70 $89–$178 varies
Sleep study attended (95807) $273 $420 0.7×
Slp caregiver training 1st 30 min (97550) $129.35 $199 2.5×
Speech sound lang comprehen (92523) $149.50 $230 0.7×
Spirometry (94010) $229.45 $353 1.0×
Standardized Cognitive Performance Testing (96125) $176.80 $272 1.7×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $277.55 $427 1.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $61.75 $95 2.8×
Ther Ivntj Ea Addl 15 Min (97130)
range across 2 matching MRF lines
$61.75–$123.50 $95–$190 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $191.10 $294 1.9×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$28.60–$140.40 $44–$216 varies
Ther/Proph/Diag Iv Inf Init (96365) $331.50 $510 1.4×
Therapeutic Activities (97530)
range across 6 matching MRF lines
$67.60–$237.90 $104–$366 varies
Trans Care Mgmt 14 Day Disch (99495) $224.25 $345 1.5×
Trans Care Mgmt 7 Day Disch (99496) $301.60 $464 2.0×
Tte w/doppler, complete (93306) $1,524.25 $2,345 2.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $150.80 $232 2.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $57.85 $89 2.4×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$100.75–$503.75 $155–$775 varies
Unlisted ophthalmological service/procedure (92499) $550.11 $846.33 17.0×
Upr/L Xtremity Art 2 Levels (93922) $425.10 $654 2.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $500.50 $770 2.1×
Wheelchair Mgmt Ea 15 Min (97542)
range across 3 matching MRF lines
$76.05–$189.80 $117–$292 varies
Whirlpool Therapy (97022) $55.25 $85 3.5×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $190.45 $293 2.9×

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.