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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ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $148.85 $229 1.3×
Advncd Care Plan 30 Min (99497) $52 $80 0.5×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$13–$151.45 $20–$233 varies
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×
Behavral qualit analys voice (92524) $276.90 $426 2.5×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $75.40 $116 0.9×
Canalith repositioning proc (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 Anti-Neopl Sq/Im (96401)
range across 2 matching MRF lines
$95.55–$191.10 $147–$294 varies
Chemo Hormon Antineopl Sq/Im (96402) $109.20 $168 1.4×
Chemo IV infusion addl hr (96415)
range across 2 matching MRF lines
$126.75–$253.50 $195–$390 varies
Chemo IV push addl drug (96411) $195.65 $301 2.4×
Chemother Prolong Infuse W/Pump (96416) $484.25 $745 1.3×
Chemotherapy Unspecified (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 nfs tq up 1 hr 1/1st sbst/drug (96413) $552.50 $850 1.5×
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×
Cont gluc mntr physician/qhp provided equiptment (95250) $304.85 $469 2.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $461.50 $710 1.9×
Critical care first hour (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×
Echo Congenital Complete (93303) $1,197.30 $1,842 2.0×
Echo Heart Xthoracic,Limited (93308) $343.20 $528 1.3×
Electrical Stimulation Ea 15 Min (97032) $39 $60 2.7×
Electrocardiogram Tracing (93005) $138.45 $213 2.1×
Emergency Dept Visit Level 2 (99282) $167.70 $258 1.0×
Emergency Dept Visit Level 3 (99283) $477.10 $734 1.6×
Emergency Dept Visit Level 4 (99284) $772.85 $1,189 1.7×
Er level 1 (99281) $79.30 $122 0.8×
Er level v (99285)
range across 2 matching MRF lines
$1,130.35–$2,186.60 $1,739–$3,364 varies
Evaluate pt use of inhaler (94664) $280.80 $432 1.2×
Evaluate Speech Production (92522) $145.60 $224 1.3×
Evaluate Swallowing Function (92610) $196.95 $303 2.3×
Evaluation of speech fluency (92521) $152.75 $235 1.1×
Extracranial Bilat Study (93880) $812.50 $1,250 3.1×
Extracranial Uni/Ltd Study (93882) $603.20 $928 5.2×
Group Therapeutic Procedures (97150) $53.95 $83 3.0×
Icd device progr eval dual (93283) $70.20 $108 1.7×
Immunization administration (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)
range across 4 matching MRF lines
$55.25–$497.25 $85–$765 varies
IV infusion hydration initial 31 min-1 hour (96360) $207.35 $319 0.9×
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$109.85–$329.55 $169–$507 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$65–$325 $100–$500 varies
IV push initial (96374) $199.55 $307 0.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $38.35 $59 1.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$48.10–$205.40 $74–$316 varies
Motion Fluoroscopy/Swallow (92611) $364 $560 4.0×
Neuromuscular Reeducation (97112)
range across 3 matching MRF lines
$70.20–$140.40 $108–$216 varies
Oral Function Therapy (92526) $200.85 $309 2.4×
Oral Speech Device Eval (92597) $301.60 $464 4.2×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 2 matching MRF lines
$79.30–$83.20 $122–$128 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$72.80–$77.35 $112–$119 varies
Ot Contrast Bath Ea 15 Min (97034) $56.55 $87 4.0×
Ot eval high complexity (97167) $265.20 $408 2.6×
Ot Eval Low Complex (97165) $210.60 $324 2.1×
Ot Eval Moderate Complexity (97166) $241.15 $371 2.4×
Ot manual therapy 15 min (97140)
range across 3 matching MRF lines
$63.05–$189.15 $97–$291 varies
Ot paraffin bath (97018) $59.15 $91 9.8×
Ot Prosthetic Training, Each 15 Min (97761) $68.90 $106 1.7×
Ot Re-Eval Est Plan Care (97168) $152.75 $235 2.2×
Phlebotomy therapeutic (99195) $163.15 $251 1.1×
Physical Performance Test (97750) $69.55 $107 2.1×
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×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $104.65 $161 2.8×
Pt Eval High Complex (97163) $241.15 $371 2.5×
Pt eval low complex 20 min (97161) $208 $320 2.1×
Pt Eval Mod Complex (97162) $221 $340 2.3×
Pt gait training 15 min (97116)
range across 3 matching MRF lines
$59.15–$177.45 $91–$273 varies
Pt group caregiver training (97552) $44.20 $68 2.0×
Pt mechanical traction (97012) $35.10 $54 2.4×
Pt Re-Eval Est Plan Care (97164) $131.30 $202 1.9×
Refill/Maint Portable Pump (96521) $473.85 $729 2.0×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $46.80 $72 1.8×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $370.50 $570 3.0×
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×
Self Care Mngment Training (97535) $72.15 $111 2.2×
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×
Subcutaneous Infusion Each Additional Hour (96370) $75.40 $116 1.4×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $460.85 $709 1.9×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $50.05 $77 2.2×
Ther Ivntj Ea Addl 15 Min (97130) $50.05 $77 2.4×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 2 matching MRF lines
$83.85–$251.55 $129–$387 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $54.60 $84 1.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $339.30 $522 3.3×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$23.40–$301.60 $36–$464 varies
Ther/Proph/Diag Iv Inf Init (96365) $289.25 $445 1.2×
Therapeutic Activities (97530)
range across 3 matching MRF lines
$57.85–$71.50 $89–$110 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$11.05–$54.60 $17–$84 varies
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/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$108.55–$325.65 $167–$501 varies
Wheelchair Mgmt Ea 15 Min (97542) $85.80 $132 2.8×
Whirlpool Therapy (97022) $40.95 $63 2.6×
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.