Visits & medical services prices at PeaceHealth Peace Island Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
1St psyc collab care mgmt (99492) $148.85 $229 1.3×
Advance care planning first 30 mins (99497) $52 $80 0.5×
Airway inhalation treatment (94640) $82.22 $126.50 0.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $27.95 $43 1.9×
Application on-body injector (96377) $102.05 $157 2.0×
Assessment of aphasia per hr (96105) $268.45 $413 2.8×
Bedside Swallowing Eval (92610) $196.95 $303 2.3×
Behavioral and qualitative analysis of voice and resonance (92524) $276.90 $426 2.5×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $75.40 $116 0.9×
Canalith Repositioning Procedure (95992) $82.55 $127 2.0×
Cardiopulmonary resuscitation (92950) $858 $1,320 3.6×
Cardioversion (92960) $1,216.80 $1,872 1.7×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $52.65 $81 2.0×
Cbt 1st hour (94644) $222.95 $343 1.5×
Chemo Hormon Antineopl Sq/Im (96402) $109.20 $168 1.4×
Chemo IV push addl drug (96411) $195.65 $301 2.4×
Chemo prolong 8+ hrs infuse w/pump (96416) $484.25 $745 1.3×
Chemother, IV infusion, 1 hr (96413) $552.50 $850 1.5×
Chemother, IV infusion, ea add hr (96415) $190.12 $292.50 2.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $143.32 $220.50 1.8×
Chemotherapy, unspecified procedure (96549) $86.45 $133 1.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $249.60 $384 3.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $343.85 $529 0.9×
Color/duplex Doppler, complete (93975) $910 $1,400 3.4×
Color/duplex Doppler, limited (93976) $936.65 $1,441 8.0×
Continuous Glucose Monitoring (95250) $304.85 $469 2.1×
Cpap/bipap (94660) $461.50 $710 1.9×
Critical care (99291) $2,531.10 $3,894 2.7×
Debridement Open Wound 20 Sq Cm< (97597) $250.90 $386 1.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,032.85 $1,589 3.9×
Dup-scan xtr veins unilateral/limited study (93971) $676.65 $1,041 5.8×
Duplex scan extracranial art compl bi study (93880) $812.50 $1,250 3.1×
Echo Heart Xthoracic,Limited (93308) $343.20 $528 1.3×
Echo Transthoracic - Congenital Tte Complete (93303) $1,197.30 $1,842 2.0×
Electrocardiogram Tracing (93005) $138.45 $213 2.1×
Er level 1 (99281) $79.30 $122 0.8×
Er level ii (99282) $167.70 $258 1.0×
Er level iii (99283) $477.10 $734 1.6×
Er level IV (99284) $772.85 $1,189 1.7×
Er level v (99285) $1,658.48 $2,551.50 2.5×
Eval speech sound production (92522) $145.60 $224 1.3×
Eval to use/fit voice prosth (92597) $301.60 $464 4.2×
Evaluate Pt Use Of Inhaler (94664) $280.80 $432 1.2×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $370.50 $570 3.0×
Evaluation of speech fluency (92521) $152.75 $235 1.1×
Group Therapeutic Procedures (97150) $53.95 $83 3.0×
Immunization Admin (90471) $92.95 $143 1.2×
Iontophoresis 15 min (97033) $59.80 $92 3.1×
Irrig drug delivery device (96523) $109.20 $168 1.7×
IV infusion hydration each additional hour (96361) $110.50 $170 2.1×
IV infusion hydration initial 31 min-1 hour (96360) $207.35 $319 0.9×
IV infusion ther proph addl sequential to 1 hr (96367) $219.70 $338 2.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $289.25 $445 1.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $195 $300 3.7×
IV push ea addl new drug (96375) $108.55 $167 2.1×
IV push initial (96374) $199.55 $307 0.8×
Manual therapy 15 min (97140) $126.10 $194 4.5×
Massage 15 min (97124) $54.60 $84 1.8×
Mechanical traction (97012) $35.10 $54 2.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $38.35 $59 1.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $126.75 $195 3.4×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $364 $560 4.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $75.08 $115.50 1.6×
Ot Contrast Bath Ea 15 Min (97034) $56.55 $87 4.0×
Ot eval high complex 60 min (97167) $265.20 $408 2.6×
Ot eval low complex 30 min (97165) $210.60 $324 2.1×
Ot eval mod complex 45 min (97166) $241.15 $371 2.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $81.25 $125 1.6×
Ot Prosthetic Training, Each 15 Min (97761) $68.90 $106 1.7×
Ot Range Motion Measure,Each Extrem (95851) $46.80 $72 1.8×
Ot re-evaluation (97168) $152.75 $235 2.2×
Ot therapeutic activity 15 min (97530) $71.50 $110 2.0×
Paraffin bath pt (97018) $59.15 $91 9.8×
Phlebotomy therapeutic (99195) $163.15 $251 1.1×
Pm device progr eval dual (93280) $70.20 $108 1.7×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $48.10 $74 0.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $48.10 $74 0.9×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $70.20 $108 1.7×
Pt Aquatic Therapy/Exercises (97113) $167.70 $258 4.5×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $104.65 $161 2.8×
Pt Electrical Stimulation (97032) $39 $60 2.7×
Pt eval high complex 45 min (97163) $241.15 $371 2.5×
Pt eval low complex 20 min (97161) $208 $320 2.1×
Pt eval mod complex 30 min (97162) $221 $340 2.3×
Pt gait training 15 min (97116) $59.15 $91 2.0×
Pt group caregiver training (97552) $44.20 $68 2.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $70.20 $108 2.1×
Pt Physical Performance Test (97750) $69.55 $107 2.1×
Pt re-evaluation (97164) $131.30 $202 1.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $72.15 $111 2.2×
Pt Whirlpool Therapy (97022) $40.95 $63 2.6×
Refill/Maint Portable Pump (96521) $473.85 $729 2.0×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $75.40 $116 1.6×
Sbsq psyc collab care mgmt (99493) $117 $180 1.0×
Sensory Integration Ea 15 Min (97533) $111.15 $171 1.8×
Slp caregiver training 1st 30 min (97550) $106.60 $164 2.0×
Speech sound lang comprehen (92523) $137.80 $212 0.6×
Standardized Cognitive Performance Testing (96125) $268.45 $413 2.6×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $460.85 $709 1.9×
Subcutaneous Infusion Each Additional Hour (96370) $75.40 $116 1.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $50.05 $77 2.2×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $50.05 $77 2.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $339.30 $522 3.3×
Therapeutic prophylactic/dx injection subq/im (96372) $113.10 $174 1.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $32.82 $50.50 0.8×
Trans Care Mgmt 14 Day Disch (99495) $234 $360 1.6×
Trans Care Mgmt 7 Day Disch (99496) $251.55 $387 1.7×
Tte w/doppler, complete (93306) $1,441.70 $2,218 2.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $92.95 $143 1.2×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $57.85 $89 2.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $200.85 $309 2.4×
Vasc Duplex Scan Extracranial,Limited (93882) $603.20 $928 5.2×
Wheelchair Mgmt Ea 15 Min (97542) $85.80 $132 2.8×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $190.45 $293 2.9×