Visits & medical services prices at Providence Mount Carmel Hospital

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

187 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) $203 $290 3.1×
Advance care planning first 30 mins (99497) $135.80 $194 1.2×
Airway inhalation treatment (94640) $95.90 $137 0.4×
Anogenital examination, magnified, in childhood for suspected trauma, including image recording when performed Facility (99170) $311.50 $445 1.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $49.70 $71 3.5×
Application Modality 1/> Areas Infrared (97026) $59.50 $85 8.9×
Assessment of aphasia per hr (96105) $229.60 $328 2.4×
Bedside Swallowing Eval (92610) $196.70 $281 2.3×
Behavioral and qualitative analysis of voice and resonance (92524) $103.60 $148 0.9×
Breath Hydrogen/Methane Test (91065) $284.90 $407 1.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $276.50 $395 0.7×
Canalith Repositioning Procedure (95992) $71.40 $102 1.8×
Cardiac Stress Tst,Tracing Only (93017) $408.10 $583 1.7×
Cardiopulmonary resuscitation (92950) $785.75 $1,122.50 3.3×
Cardioversion (92960) $486.85 $695.50 0.7×
Chemother, IV infusion, 1 hr (96413) $434 $620 1.2×
Chemother, IV infusion, ea add hr (96415) $157.50 $225 2.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $370.30 $529 1.0×
Color/duplex Doppler, complete (93975) $1,165.15 $1,664.50 4.4×
Color/duplex Doppler, limited (93976) $1,122.80 $1,604 9.6×
Cpap/bipap (94660) $339.50 $485 1.4×
Cpt initial (94667) $76.30 $109 0.5×
Critical care (99291) $436.80 $624 0.5×
Debridement Open Wound 20 Sq Cm< (97597) $188.30 $269 0.8×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $137.90 $197 0.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $658.35 $940.50 2.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $742 $1,060 6.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,227.10 $1,753 4.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $535.15 $764.50 4.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $683.55 $976.50 2.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $609 $870 5.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $844.55 $1,206.50 3.2×
Dup-scan xtr veins unilateral/limited study (93971) $630 $900 5.4×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $444.50 $635 1.7×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $214.20 $306 1.8×
Duplex scan extracranial art compl bi study (93880) $654.50 $935 2.5×
Duplex Scan Hemodialysis Access (93990) $236.60 $338 2.0×
Echo Heart Xthoracic,Limited (93308) $372.40 $532 1.4×
Echo Transesophageal - Congenital Tee Complete (93315) $283.50 $405 0.5×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $514.85 $735.50 0.8×
EEG awake and asleep (95819) $299.60 $428 1.2×
EEG awake drowsy (95816) $299.60 $428 1.2×
EEG cerebral death evaluation (95824) $319.20 $456 0.8×
EEG coma or sleep only (95822) $299.60 $428 1.2×
EEG greater than 1 hour (95813) $299.60 $428 1.2×
EKG rhythm strip (93041) $75.60 $108 1.1×
Electrocardiogram Tracing (93005) $121.80 $174 1.9×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $299.60 $428 1.2×
Er level 1 (99281) $85.05 $121.50 0.9×
Er level ii (99282) $146.30 $209 0.9×
Er level iii (99283) $214.20 $306 0.7×
Er level IV (99284) $534.80 $764 1.2×
Er level v (99285) $662.90 $947 1.0×
Eval speech sound production (92522) $100.10 $143 0.9×
Eval to use/fit voice prosth (92597) $239.40 $342 3.4×
Evaluate Pt Use Of Inhaler (94664) $335.30 $479 1.4×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $218.40 $312 1.8×
Evaluation of speech fluency (92521) $123.20 $176 0.9×
Exercise tst brncspsm (94617) $506.80 $724 3.4×
Exhaled Air Analysis (94690) $144.20 $206 2.2×
Exhaled air analysis o2 (94680) $359.10 $513 2.5×
External Ecg Scanning Analysis Report (93226) $62.30 $89 0.9×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $228.20 $326 1.1×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $485.10 $693 0.5×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $446.60 $638 1.1×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $446.60 $638 0.5×
Gi tract capsule endoscopy (91110) $1,614.20 $2,306 1.6×
Gi wireless capsule measure (91112) $569.80 $814 0.6×
Group Therapeutic Procedures (97150) $53.90 $77 3.0×
Holter Monitor (93225) $43.40 $62 0.3×
Ilr Device Eval Progr (93285) $69.30 $99 1.7×
Imm admn sarscov2 vaccine single dose (90480) $49.70 $71 1.1×
Immunization Admin (90471) $64.40 $92 0.8×
Inhalation bronchial challenge testing (95070) $75.60 $108 0.2×
Injection intra arterial (96373) $170.80 $244 0.7×
Interrog dev eval scrms phys/qhp in person (93291) $59.50 $85 1.8×
Iontophoresis 15 min (97033) $59.50 $85 3.1×
Irrig drug delivery device (96523) $293.30 $419 4.5×
IV infusion hydration each additional hour (96361) $105 $150 2.0×
IV infusion hydration initial 31 min-1 hour (96360) $198.10 $283 0.8×
IV infusion ther proph addl sequential to 1 hr (96367) $113.40 $162 1.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $305.20 $436 1.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $141.40 $202 2.7×
IV push ea addl new drug (96375) $161 $230 3.1×
IV push initial (96374) $160.30 $229 0.7×
Manual therapy 15 min (97140) $64.40 $92 2.3×
Massage 15 min (97124) $45.50 $65 1.5×
Maximum voluntary ventilation (94200) $100.80 $144 1.5×
Mechanical chest wall oscillation (94669) $59.50 $85 0.2×
Mechanical traction (97012) $60.20 $86 4.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $37.10 $53 1.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $37.10 $53 1.0×
Methacholine challenge (94070) $397.25 $567.50 1.0×
Motility study esophagus (91010) $502.25 $717.50 1.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $244.30 $349 2.7×
Multiple Sleep Latency Test (95805) $3,523.80 $5,034 3.7×
Nasopharyngoscopy (92511) $112.70 $161 0.5×
Neg press wound tx >50 cm (97608) $438.90 $627 1.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $383.25 $547.50 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $151.20 $216 0.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $266 $380 0.6×
Newborn resuscitation (99465) $745.50 $1,065 1.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $294 $420 2.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $277.20 $396 1.9×
Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92002) $211.40 $302 1.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $45.50 $65 1.0×
Ot eval high complex 60 min (97167) $160.30 $229 1.6×
Ot eval low complex 30 min (97165) $160.30 $229 1.6×
Ot eval mod complex 45 min (97166) $160.30 $229 1.6×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $45.50 $65 0.9×
Ot Prosthetic Training, Each 15 Min (97761) $45.50 $65 1.1×
Ot re-evaluation (97168) $43.40 $62 0.6×
Ot therapeutic activity 15 min (97530) $46.20 $66 1.3×
Paraffin bath pt (97018) $42.70 $61 7.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $143.50 $205 0.6×
Phlebotomy therapeutic (99195) $203 $290 1.4×
Plethysmography (94726) $213.50 $305 0.5×
Pm device eval in person (93288) $60.90 $87 1.5×
Pm device progr eval dual (93280) $95.20 $136 2.3×
Pm device progr eval multi (93281) $112 $160 2.7×
Pm device progr eval sngl (93279) $81.20 $116 2.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,790.80 $6,844 5.0×
Polysom <6 yrs 4/> paramtrs (95782) $4,351.90 $6,217 4.5×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $4,790.80 $6,844 5.0×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $147.70 $211 3.6×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $102.90 $147 2.5×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $133.70 $191 3.2×
Pt Aquatic Therapy/Exercises (97113) $53.90 $77 1.5×
Pt Electrical Stimulation (97032) $61.60 $88 4.2×
Pt eval high complex 45 min (97163) $123.20 $176 1.3×
Pt eval low complex 20 min (97161) $123.20 $176 1.3×
Pt eval mod complex 30 min (97162) $123.20 $176 1.3×
Pt gait training 15 min (97116) $46.20 $66 1.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $67.20 $96 2.1×
Pt Physical Performance Test (97750) $62.30 $89 1.8×
Pt re-evaluation (97164) $54.60 $78 0.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $57.40 $82 1.8×
Pulm function test by gas (94727) $198.10 $283 0.8×
Pulmonary stress test simple (94618) $506.80 $724 3.4×
Pure Tone Audiometry Air Only (92552) $201.60 $288 1.4×
Refill/Maint Pump/Resvr Syst (96522) $361.20 $516 1.5×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $15.40 $22 0.4×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $211.40 $302 1.4×
Respiratory flow volume loop (94375) $90.30 $129 0.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $74.90 $107 0.3×
Rt Chest Wall Manipulation,Subsequent (94668) $137.90 $197 0.9×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $92.40 $132 1.9×
Sensory Integration Ea 15 Min (97533) $119.70 $171 2.0×
Short-latency somatosens ep std upr limbs (95925) $366.80 $524 1.5×
Sleep study unattended (95806) $487.20 $696 2.0×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $273.70 $391 1.1×
Smoking cessation > 10 min (99407) $57.40 $82 1.4×
Somatosensory testing (95938) $366.80 $524 0.4×
Speech sound lang comprehen (92523) $207.90 $297 0.9×
Spirometry (94010) $182.70 $261 0.8×
Ssep lower limbs (95926) $366.80 $524 1.5×
Standardized Cognitive Performance Testing (96125) $203.70 $291 2.0×
Stress echo (93350) $454.65 $649.50 0.7×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $359.45 $513.50 1.5×
Subcutaneous Infusion Each Additional Hour (96370) $80.15 $114.50 1.5×
Subq Infusion Additional Pump Infusion Site (96371) $118.30 $169 1.5×
Temp transcutaneous pacing (92953) $150.85 $215.50 0.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $182 $260 8.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $182 $260 8.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $139.30 $199 1.4×
Ther/prop/diag inj/inf proc (96379) $74.20 $106 1.4×
Therapeutic prophylactic/dx injection subq/im (96372) $117.60 $168 1.5×
Tilt table evaluation (93660) $871.50 $1,245 2.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $25.90 $37 0.6×
Tte w/doppler, complete (93306) $854 $1,220 1.4×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $421.05 $601.50 1.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $145.60 $208 1.9×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $92.40 $132 3.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $142.80 $204 1.7×
Unlisted Diagnostic Gastroenterology Procedure (91299) $1,442.70 $2,061 10.1×
Unlisted otorhinolaryngological service (92700) $49 $70 1.5×
Upr/lxtr art stdy 3+ lvls (93923) $494.55 $706.50 2.1×
Vasc Duplex Scan Extracranial,Limited (93882) $215.95 $308.50 1.9×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $524.30 $749 2.2×
Vasopneumatic device (97016) $33.60 $48 2.8×
Veeg Ea 12-26 Hr Unmntr (95714) $805 $1,150 1.9×
Vent mgmt inpat init day (94002) $1,542.10 $2,203 2.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,024.80 $1,464 1.5×
Visual Evoked Potential Test (95930) $366.80 $524 1.5×
Vital capacity, total (94150) $90.30 $129 0.6×
Wada Activation Test Hemispheric Function W/Eeg (95958) $245 $350 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $45.50 $65 1.5×