Visits & medical services prices at PeaceHealth St. John Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $64.35 $99 0.6×
Airway inhalation treatment (94640) $419.25 $645 1.7×
Ambulatory Bp Analysis (93788) $383.50 $590 2.6×
Ambulatory Bp Recording (93786) $482.30 $742 3.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $70.85 $109 4.9×
Application on-body injector (96377) $125.45 $193 2.4×
Assessment of aphasia per hr (96105) $366.60 $564 3.8×
Bedside Swallowing Eval (92610) $499.85 $769 5.9×
Behavioral and qualitative analysis of voice and resonance (92524) $303.55 $467 2.8×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $76.70 $118 0.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,126.78 $1,733.50 2.7×
Canalith Repositioning Procedure (95992) $104 $160 2.6×
Cardiac Stress Tst,Tracing Only (93017) $1,110.20 $1,708 4.6×
Cardiopulmonary exercise testing (94621) $1,269.45 $1,953 3.0×
Cardiopulmonary resuscitation (92950) $930.80 $1,432 3.9×
Cardioversion (92960) $2,351.70 $3,618 3.2×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $74.75 $115 2.9×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $12,371.78 $19,033.50 3.4×
Cbt 1st hour (94644) $356.85 $549 2.4×
Chemo Hormon Antineopl Sq/Im (96402) $218.08 $335.50 2.7×
Chemo IV push addl drug (96411) $416.32 $640.50 5.2×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,087.12 $1,672.50 2.9×
Chemother, IV infusion, 1 hr (96413) $1,092.65 $1,681 3.0×
Chemother, IV infusion, ea add hr (96415) $295.42 $454.50 3.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $307.45 $473 3.8×
Chemotherapy, unspecified procedure (96549) $174.85 $269 3.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $867.10 $1,334 10.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $433.88 $667.50 1.2×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $566.80 $872 1.5×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) $13 $20 0.5×
Color/duplex Doppler, complete (93975) $1,404 $2,160 5.3×
Color/duplex Doppler, limited (93976) $652.60 $1,004 5.6×
Coronary art/grft angio s&i (93455) $8,319.35 $12,799 2.3×
Coronary artery angio s&i (93454) $12,554.75 $19,315 3.5×
Cpap/bipap (94660) $534.30 $822 2.2×
Cpt initial (94667) $228.80 $352 1.5×
Critical care (99291) $4,925.70 $7,578 5.3×
Debridement Open Wound 20 Sq Cm< (97597) $472.22 $726.50 2.1×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $975 $1,500 3.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $642.20 $988 5.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,015.95 $1,563 3.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $898.62 $1,382.50 7.7×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $874.25 $1,345 3.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $515.45 $793 4.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,070.88 $1,647.50 4.0×
Dup-scan xtr veins unilateral/limited study (93971) $1,001.65 $1,541 8.6×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $678.92 $1,044.50 2.6×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $288.92 $444.50 2.5×
Duplex scan extracranial art compl bi study (93880) $1,010.42 $1,554.50 3.8×
Duplex Scan Hemodialysis Access (93990) $676.32 $1,040.50 5.8×
Echo Heart Xthoracic,Limited (93308) $1,015.30 $1,562 3.8×
Echo transesophageal (93312) $2,189.85 $3,369 3.6×
Echo Transesophageal - Congenital Tee Complete (93315) $1,212.25 $1,865 2.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $3,446.95 $5,303 5.7×
EEG awake and asleep (95819) $814.45 $1,253 3.4×
EEG awake drowsy (95816) $851.18 $1,309.50 3.5×
EEG coma or sleep only (95822) $2,214.55 $3,407 9.2×
EEG greater than 1 hour (95813) $1,138.15 $1,751 4.7×
EKG rhythm strip (93041) $167.05 $257 2.5×
Electrocardiogram Tracing (93005) $242.45 $373 3.7×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $720.20 $1,108 3.0×
EMG four extremities (95864) $468.65 $721 3.3×
EMG one extremity (95860) $222.30 $342 1.5×
EMG two extremities (95861) $347.10 $534 2.3×
Er level 1 (99281) $320.45 $493 3.4×
Er level ii (99282) $856.05 $1,317 5.0×
Er level iii (99283) $934.05 $1,437 3.1×
Er level IV (99284) $1,634.10 $2,514 3.5×
Er level v (99285) $3,281.85 $5,049 4.9×
Eval speech sound production (92522) $340.60 $524 3.0×
Eval to use/fit voice prosth (92597) $368.55 $567 5.2×
Evaluate Pt Use Of Inhaler (94664) $419.25 $645 1.7×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $322.40 $496 2.6×
Evaluation of speech fluency (92521) $340.60 $524 2.6×
External ECG rec>48hr<7d recording (93242) $170.30 $262 4.1×
External ECG rec>48hr<7d scanning alys w/report (93243) $217.10 $334 1.5×
External ECG rec>7d<15d recording (93246) $297.05 $457 7.1×
External ECG rec>7d<15d scanning alys w/report (93247) $381.22 $586.50 2.6×
External Ecg Scanning Analysis Report (93226) $667.55 $1,027 10.1×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $741 $1,140 3.7×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $4,380.35 $6,739 4.6×
Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report Non-Facility (91113) $2,581.80 $3,972 2.5×
Gi tract capsule endoscopy (91110) $1,828.45 $2,813 1.8×
Group Therapeutic Procedures (97150) $148.20 $228 8.2×
Hemodialysis (90935) $2,313.68 $3,559.50 3.0×
Holter Monitor (93225) $468.98 $721.50 3.2×
Ilr Device Eval Progr (93285) $224.25 $345 5.4×
Immunization Admin (90471) $181.35 $279 2.3×
Interrog device eval heart (93289) $160.55 $247 3.9×
Interrogate subq defib (93261) $119.60 $184 2.9×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $289.25 $445 1.2×
Irrig drug delivery device (96523) $247 $380 3.8×
IV infusion hydration each additional hour (96361) $316.22 $486.50 6.1×
IV infusion hydration initial 31 min-1 hour (96360) $674.38 $1,037.50 2.8×
IV infusion ther proph addl sequential to 1 hr (96367) $545.02 $838.50 6.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $674.38 $1,037.50 2.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $160.55 $247 3.1×
IV push ea addl new drug (96375) $347.75 $535 6.7×
IV push initial (96374) $444.60 $684 1.9×
L hrt art/grft angio (93459) $13,169 $20,260 3.6×
Manual therapy 15 min (97140) $146.25 $225 5.3×
Maximum voluntary ventilation (94200) $253.50 $390 3.9×
Mechanical traction (97012) $65 $100 4.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $50.70 $78 1.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $63.70 $98 1.7×
Methacholine challenge (94070) $744.58 $1,145.50 1.8×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $580.45 $893 6.3×
Multiple Sleep Latency Test (95805) $2,654.28 $4,083.50 2.8×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $607.75 $935 2.5×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $438.10 $674 1.8×
Needle electromyography larynx (95865) $152.75 $235 1.0×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $316.55 $487 1.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $384.15 $591 1.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,110.20 $1,708 2.4×
Nerve Conduction Studies 11-12 Studies (95912) $1,334.45 $2,053 3.2×
Nerve conduction studies 13/> studies (95913) $1,387.10 $2,134 3.3×
Nerve Conduction Studies 3-4 Studies (95908) $804.05 $1,237 3.3×
Nerve Conduction Studies 5-6 Studies (95909) $838.50 $1,290 3.5×
Nerve Conduction Studies 7-8 Studies (95910) $551.20 $848 1.3×
Nerve Conduction Studies 9-10 Studies (95911) $1,296.10 $1,994 3.1×
Nerve conduction studies; 1-2 studies (95907) $423.80 $652 1.8×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $303.55 $467 2.1×
Newborn resuscitation (99465) $1,581.45 $2,433 2.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $397.15 $611 2.7×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $607.10 $934 4.2×
Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for… (92019) $4,681.95 $7,203 1.8×
Orbicularis Oculi Reflx Electrodiagnostic Test (95933) $146.25 $225 2.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $159.90 $246 3.5×
Osteopathic manipulative tx 3-4 body regions (98926) $43.55 $67 1.8×
Ot eval high complex 60 min (97167) $391.30 $602 3.9×
Ot eval low complex 30 min (97165) $249.28 $383.50 2.5×
Ot eval mod complex 45 min (97166) $308.10 $474 3.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $112.45 $173 2.2×
Ot Prosthetic Training, Each 15 Min (97761) $95.55 $147 2.4×
Ot Range Motion Measure,Each Extrem (95851) $37.70 $58 1.4×
Ot re-evaluation (97168) $174.20 $268 2.5×
Ot therapeutic activity 15 min (97530) $114.72 $176.50 3.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $304.52 $468.50 2.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $240.50 $370 1.7×
Paraffin bath pt (97018) $61.75 $95 10.3×
Peritoneal Dialysis (90945) $1,287 $1,980 2.8×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $11,439.35 $17,599 1.8×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $23,419.50 $36,030 1.8×
Phlebotomy therapeutic (99195) $468.98 $721.50 3.2×
Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B Facility (96910) $245.05 $377 3.7×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $232.38 $357.50 3.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $212.22 $326.50 3.2×
Plethysmography (94726) $678.92 $1,044.50 1.6×
Pm device eval in person (93288) $119.60 $184 2.9×
Pm device progr eval dual (93280) $206.70 $318 5.0×
Pm device progr eval multi (93281) $244.72 $376.50 5.9×
Pm device progr eval sngl (93279) $203.78 $313.50 4.9×
Pm/Icd Remote Tech Serv (93296) $162.82 $250.50 3.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,982.25 $7,665 5.2×
Polysom <6 yrs 4/> paramtrs (95782) $3,881.80 $5,972 4.1×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $131.30 $202 3.2×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $312.65 $481 7.5×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $162.82 $250.50 3.9×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $162.82 $250.50 3.9×
Prq Card Stent W/Angio 1 Vsl (92928) $24,584.95 $37,823 1.9×
Prq Revasc Byp Graft 1 Vsl (92937) $20,935.20 $32,208 1.6×
Prq tcat plmt ntrac st 2+les (92930) $32,199.05 $49,537 1.6×
Pt Aquatic Therapy/Exercises (97113) $102.70 $158 2.8×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $107.25 $165 2.8×
Pt Electrical Stimulation (97032) $70.85 $109 4.8×
Pt eval high complex 45 min (97163) $378.30 $582 3.9×
Pt eval low complex 20 min (97161) $242.78 $373.50 2.5×
Pt eval mod complex 30 min (97162) $290.88 $447.50 3.0×
Pt gait training 15 min (97116) $89.70 $138 3.1×
Pt group caregiver training (97552) $64.35 $99 2.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $105.95 $163 3.2×
Pt Physical Performance Test (97750) $213.85 $329 6.3×
Pt re-evaluation (97164) $187.85 $289 2.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $117.65 $181 3.6×
Pt Whirlpool Therapy (97022) $72.80 $112 4.6×
Pulm function test by gas (94727) $458.90 $706 1.9×
Pulmonary stress test simple (94618) $342.22 $526.50 2.3×
R & l hrt cath w/njx l ventriculog img s&i (93453) $8,929.05 $13,737 2.5×
R hrt art/grft angio (93457) $12,609.35 $19,399 3.5×
R hrt coronary artery angio (93456) $14,468.35 $22,259 4.0×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $13,492.05 $20,757 3.7×
R&l hrt art/ventricle angio (93460) $15,135.90 $23,286 4.2×
Refill/Maint Portable Pump (96521) $952.25 $1,465 4.0×
Refill/Maint Pump/Resvr Syst (96522) $523.90 $806 2.2×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $85.15 $131 2.0×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $317.85 $489 7.6×
Respiratory flow volume loop (94375) $1,908.08 $2,935.50 7.9×
Right heart cath (93451) $7,279.02 $11,198.50 2.0×
Right ventricular recording (93603) $3,183.05 $4,897 2.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $238.22 $366.50 1.1×
Rt Chest Wall Manipulation,Subsequent (94668) $228.80 $352 1.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $170.95 $263 3.6×
Sbsq psyc collab care mgmt (99493) $146.25 $225 1.3×
Sensory Integration Ea 15 Min (97533) $128.05 $197 2.1×
Sleep study unattended (95806) $916.50 $1,410 3.8×
Slp caregiver training 1st 30 min (97550) $151.45 $233 2.9×
Smoking cessation > 10 min (99407) $70.85 $109 1.7×
Speech sound lang comprehen (92523) $467.68 $719.50 2.1×
Spirometry (94010) $265.20 $408 1.1×
Standardized Cognitive Performance Testing (96125) $332.80 $512 3.2×
Stress echo (93350) $1,597.70 $2,458 2.6×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $601.25 $925 2.5×
Subcutaneous Infusion Each Additional Hour (96370) $122.85 $189 2.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $97.50 $150 4.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $87.75 $135 4.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $269.75 $415 2.6×
Therapeutic prophylactic/dx injection subq/im (96372) $175.50 $270 2.2×
Tilt table evaluation (93660) $1,675.70 $2,578 4.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $52 $80 1.2×
Trans Care Mgmt 14 Day Disch (99495) $234 $360 1.6×
Trans Care Mgmt 7 Day Disch (99496) $313.95 $483 2.1×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $1,118.65 $1,721 4.2×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $630.50 $970 5.4×
Tte w/doppler, complete (93306) $2,275.32 $3,500.50 3.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $279.82 $430.50 3.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $338.65 $521 4.0×
Unlisted Cardiovascular Service/Procedure (93799) $2,955.88 $4,547.50 20.6×
Upr/lxtr art stdy 3+ lvls (93923) $807.62 $1,242.50 3.4×
Vasc Duplex Scan Extracranial,Limited (93882) $622.38 $957.50 5.3×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $963.62 $1,482.50 4.0×
Vasopneumatic device (97016) $48.75 $75 4.1×
Vent mgmt inpat init day (94002) $1,554.80 $2,392 2.3×
Vital capacity, total (94150) $377 $580 2.6×
Wheelchair Mgmt Ea 15 Min (97542) $87.75 $135 2.8×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $217.10 $334 3.3×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $850.20 $1,308 8.0×