Visits & medical services prices at Providence Holy Family Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Actigraphy testing recording analysis i&r (95803) $129.50 $185 2.0×
Aep Thrshld Est Mlt Freq I&R (92652) $681.80 $974 2.8×
Airway inhalation treatment (94640) $870.80 $1,244 3.6×
Anogenital examination, magnified, in childhood for suspected trauma, including image recording when performed Facility (99170) $463.40 $662 2.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $42.70 $61 3.0×
Assessment of aphasia per hr (96105) $243.60 $348 2.5×
Bedside Swallowing Eval (92610) $261.80 $374 3.1×
Behavioral and qualitative analysis of voice and resonance (92524) $155.40 $222 1.4×
Biofeedback training any modality (90901) $46.20 $66 1.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $591.50 $845 1.4×
Canalith Repositioning Procedure (95992) $114.10 $163 2.8×
Car seat/bed test 60 min (94780) $104.30 $149 2.5×
Cardiac Stress Tst,Tracing Only (93017) $874.30 $1,249 3.6×
Cardiopulmonary resuscitation (92950) $460.60 $658 1.9×
Cardioversion (92960) $1,681.40 $2,402 2.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $6,557.60 $9,368 1.8×
Chemo Admin Peritoneal Cavity (96446) $973.70 $1,391 2.6×
Chemo Hormon Antineopl Sq/Im (96402) $181.30 $259 2.3×
Chemo IV push addl drug (96411) $164.50 $235 2.1×
Chemo prolong 8+ hrs infuse w/pump (96416) $861 $1,230 2.3×
Chemother, IV infusion, 1 hr (96413) $884.80 $1,264 2.4×
Chemother, IV infusion, ea add hr (96415) $130.90 $187 1.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $313.60 $448 3.9×
Chemotherapy into cns (96450) $884.80 $1,264 2.4×
Chemotherapy, unspecified procedure (96549) $114.80 $164 2.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $170.80 $244 2.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $508.90 $727 1.4×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $621.60 $888 1.5×
Color/duplex Doppler, complete (93975) $362.60 $518 1.4×
Color/duplex Doppler, limited (93976) $362.60 $518 3.1×
Coronary art/grft angio s&i (93455) $10,809.40 $15,442 3.0×
Coronary artery angio s&i (93454) $6,557.60 $9,368 1.8×
Cpap/bipap (94660) $366.10 $523 1.5×
Cpt initial (94667) $299.60 $428 2.0×
Critical care (99291) $7,005.25 $10,007.50 7.6×
Debridement Open Wound 20 Sq Cm< (97597) $562.80 $804 2.5×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,015 $1,450 3.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $256.20 $366 2.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $362.60 $518 1.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $256.20 $366 2.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,041.60 $1,488 3.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $256.20 $366 2.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $362.60 $518 1.4×
Dup-scan xtr veins unilateral/limited study (93971) $256.20 $366 2.2×
Duplex penile vessels ltd (93981) $362.60 $518 3.1×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $853.30 $1,219 3.2×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $411.60 $588 3.5×
Duplex scan extracranial art compl bi study (93880) $546 $780 2.1×
Duplex Scan Hemodialysis Access (93990) $482.30 $689 4.1×
Echo Heart Xthoracic,Limited (93308) $683.90 $977 2.6×
Echo transesophageal (93312) $1,696.80 $2,424 2.8×
Echo Transthoracic - Congenital Tte Complete (93303) $1,771.70 $2,531 2.9×
Echo Transthoracic - Congenital Tte Limited (93304) $1,401.40 $2,002 2.3×
EEG awake and asleep (95819) $519.40 $742 2.2×
EEG awake drowsy (95816) $519.40 $742 2.2×
EEG cerebral death evaluation (95824) $1,162 $1,660 2.8×
EEG coma or sleep only (95822) $519.40 $742 2.2×
EEG cont rec w/video by tech min 8 channels (95700) $863.10 $1,233 3.6×
EEG greater than 1 hour (95813) $519.40 $742 2.2×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $643.30 $919 2.7×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $1,186.50 $1,695 2.9×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $1,591.10 $2,273 3.8×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $737.10 $1,053 3.1×
EKG rhythm strip (93041) $192.50 $275 2.9×
Electrocardiogram Tracing (93005) $98.70 $141 1.5×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,122.80 $1,604 4.7×
Er level 1 (99281) $346.15 $494.50 3.7×
Er level ii (99282) $560 $800 3.3×
Er level iii (99283) $828.10 $1,183 2.7×
Er level IV (99284) $1,376.20 $1,966 3.0×
Er level v (99285) $2,949.45 $4,213.50 4.4×
Eval speech sound production (92522) $149.80 $214 1.3×
Eval to use/fit voice prosth (92597) $264.60 $378 3.7×
Evaluate Pt Use Of Inhaler (94664) $506.45 $723.50 2.1×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $229.60 $328 1.9×
Evaluation of speech fluency (92521) $185.50 $265 1.4×
Exercise tst brncspsm (94617) $385 $550 2.6×
Exhaled Air Analysis (94690) $253.40 $362 3.9×
Exhaled air analysis o2 (94680) $621.60 $888 4.3×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $351.40 $502 1.8×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $440.30 $629 0.5×
Gi tract capsule endoscopy (91110) $2,103.50 $3,005 2.1×
Group Therapeutic Procedures (97150) $55.30 $79 3.1×
Hemodialysis (90935) $2,136.40 $3,052 2.8×
Imm admn sarscov2 vaccine single dose (90480) $53.90 $77 1.2×
Immunization Admin (90471) $99.40 $142 1.2×
Inhalation bronchial challenge testing (95070) $1,478.40 $2,112 3.6×
Injection intra arterial (96373) $575.40 $822 2.4×
Ins swan ganz bedside (93503) $4,023.60 $5,748 2.3×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $70 $100 0.3×
Iontophoresis 15 min (97033) $46.90 $67 2.5×
Irrig drug delivery device (96523) $241.50 $345 3.7×
IV infusion hydration each additional hour (96361) $102.20 $146 2.0×
IV infusion hydration initial 31 min-1 hour (96360) $355.60 $508 1.5×
IV infusion ther proph addl sequential to 1 hr (96367) $149.10 $213 1.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $578.20 $826 2.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $102.20 $146 2.0×
IV push ea addl new drug (96375) $149.10 $213 2.9×
IV push initial (96374) $355.60 $508 1.5×
L hrt art/grft angio (93459) $6,557.60 $9,368 1.8×
Manual therapy 15 min (97140) $53.20 $76 1.9×
Massage 15 min (97124) $48.30 $69 1.6×
Maximum voluntary ventilation (94200) $225.40 $322 3.4×
Mechanical chest wall oscillation (94669) $150.50 $215 0.6×
Mechanical traction (97012) $69.30 $99 4.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $99.40 $142 3.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $99.40 $142 2.7×
Methacholine challenge (94070) $1,059.10 $1,513 2.5×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $318.50 $455 3.5×
Multiple Family Group Psychotherapy (90849) $258.30 $369 1.3×
Multiple Sleep Latency Test (95805) $1,698.20 $2,426 1.8×
Nasopharyngoscopy (92511) $473.20 $676 2.1×
Neg press wound tx >50 cm (97608) $707.35 $1,010.50 1.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $733.25 $1,047.50 1.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $319.90 $457 1.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $562.80 $804 1.2×
Neurobehavioral Status Exam (96116) $429.80 $614 1.8×
Newborn resuscitation (99465) $384.30 $549 0.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $308 $440 2.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $572.60 $818 4.0×
Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92002) $280 $400 1.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $58.10 $83 1.3×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $32.90 $47 1.0×
Ot Contrast Bath Ea 15 Min (97034) $31.50 $45 2.2×
Ot eval high complex 60 min (97167) $244.30 $349 2.4×
Ot eval low complex 30 min (97165) $182 $260 1.8×
Ot eval mod complex 45 min (97166) $212.80 $304 2.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $58.10 $83 1.2×
Ot re-evaluation (97168) $72.10 $103 1.1×
Ot therapeutic activity 15 min (97530) $72.10 $103 2.1×
Paraffin bath pt (97018) $42 $60 7.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $308 $440 1.3×
Peritoneal Dialysis (90945) $2,520 $3,600 5.4×
Perq Transcath Cls Mitral (93590) $41,885.90 $59,837 2.1×
Perq transcath cls paravalvr leak 1 aortic valve (93591) $41,885.90 $59,837 2.1×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $11,757.20 $16,796 1.9×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $14,389.20 $20,556 1.1×
Phlebotomy therapeutic (99195) $311.50 $445 2.1×
Plethysmography (94726) $389.20 $556 0.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,698.20 $2,426 1.8×
Polysom <6 yrs 4/> paramtrs (95782) $866.60 $1,238 0.9×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $866.60 $1,238 0.9×
Prq Card Stent W/Angio 1 Vsl (92928) $14,389.20 $20,556 1.1×
Prq Card Stent/Ath/Angio (92933) $14,389.20 $20,556 0.7×
Prq Revasc Byp Graft 1 Vsl (92937) $14,389.20 $20,556 1.1×
Prq trluml coronary angio/atherect one art/brnch (92924) $18,063.50 $25,805 1.4×
Psychiatric diagnostic evaluation (90791) $397.60 $568 2.0×
Psytx crisis initial 60 min (90839) $325.15 $464.50 1.6×
Pt Electrical Stimulation (97032) $40.60 $58 2.8×
Pt eval high complex 45 min (97163) $244.30 $349 2.5×
Pt eval low complex 20 min (97161) $182 $260 1.9×
Pt eval mod complex 30 min (97162) $212.80 $304 2.2×
Pt gait training 15 min (97116) $47.60 $68 1.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $63 $90 1.9×
Pt Physical Performance Test (97750) $50.40 $72 1.5×
Pt re-evaluation (97164) $72.10 $103 1.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $69.30 $99 2.1×
Pt Whirlpool Therapy (97022) $79.80 $114 5.1×
Pulmonary Service/Procedure (94799) $78.40 $112 0.5×
Pulmonary stress test simple (94618) $385 $550 2.6×
R & l hrt cath w/njx l ventriculog img s&i (93453) $13,256.60 $18,938 3.7×
R hrt art/grft angio (93457) $17,875.20 $25,536 4.9×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $8,584.80 $12,264 2.4×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $8,584.80 $12,264 2.4×
R hrt coronary artery angio (93456) $15,922.90 $22,747 4.4×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $6,557.60 $9,368 1.8×
R&l hrt art/ventricle angio (93460) $6,557.60 $9,368 1.8×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $8,584.80 $12,264 2.4×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $8,584.80 $12,264 2.4×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $529.90 $757 1.4×
Refill/Maint Portable Pump (96521) $517.30 $739 2.2×
Refill/Maint Pump/Resvr Syst (96522) $361.90 $517 1.5×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $377.30 $539 2.5×
Respiratory flow volume loop (94375) $159.60 $228 0.7×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $529.90 $757 1.5×
Right heart cath (93451) $7,152.60 $10,218 2.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $319.90 $457 1.4×
Rt Chest Wall Manipulation,Subsequent (94668) $150.50 $215 1.0×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $98 $140 2.1×
Sensory Integration Ea 15 Min (97533) $39.20 $56 0.6×
Short-latency somatosens ep std upr limbs (95925) $836.50 $1,195 3.5×
Sleep study unattended (95806) $340.90 $487 1.4×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $359.80 $514 1.5×
Smoking cessation > 10 min (99407) $67.20 $96 1.6×
Somatosensory testing (95938) $658.70 $941 0.7×
Speech sound lang comprehen (92523) $310.80 $444 1.4×
Spirometry (94010) $389.20 $556 1.6×
Ssep lower limbs (95926) $836.50 $1,195 3.5×
Standardized Cognitive Performance Testing (96125) $305.90 $437 3.0×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $575.40 $822 2.4×
Subcutaneous Infusion Each Additional Hour (96370) $117.60 $168 2.3×
Subq Infusion Additional Pump Infusion Site (96371) $188.30 $269 2.3×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $247.10 $353 2.1×
Temp transcutaneous pacing (92953) $609 $870 0.8×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $133 $190 5.9×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $133 $190 6.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $352.80 $504 3.4×
Ther/prop/diag inj/inf proc (96379) $100.10 $143 1.9×
Therapeutic prophylactic/dx injection subq/im (96372) $149.10 $213 1.9×
Tilt table evaluation (93660) $787.50 $1,125 1.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $59.50 $85 1.4×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $1,074.50 $1,535 4.0×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $385.70 $551 3.3×
Tte w/doppler, complete (93306) $1,219.40 $1,742 2.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $74.20 $106 1.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $56.70 $81 2.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $90.30 $129 1.1×
Unlisted otorhinolaryngological service (92700) $45.50 $65 1.4×
Upr/lxtr art stdy 3+ lvls (93923) $1,498 $2,140 6.2×
Vasc Duplex Scan Extracranial,Limited (93882) $546 $780 4.7×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $572.60 $818 2.4×
Vasopneumatic device (97016) $30.80 $44 2.6×
Veeg 2-12 hr unmonitored (95711) $863.10 $1,233 3.6×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $1,591.10 $2,273 3.8×
Veeg by tech 2-12 hr intermittent monitoring (95712) $863.10 $1,233 2.1×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,591.10 $2,273 3.8×
Veeg Ea 12-26 Hr Unmntr (95714) $1,505.70 $2,151 3.6×
Vent mgmt inpat init day (94002) $1,623.30 $2,319 2.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,623.30 $2,319 2.4×
Visual Evoked Potential Test (95930) $558.60 $798 2.3×
Vital capacity, total (94150) $250.60 $358 1.7×
Wada Activation Test Hemispheric Function W/Eeg (95958) $421.40 $602 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $45.50 $65 1.5×