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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actigraphy Testing Recording Analysis I&R (95803) | $203 | $290 | 3.1× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $49.70 | $71 | 1.1× |
| Advncd Care Plan 30 Min (99497) range across 3 matching MRF lines |
$129.50–$135.80 | $185–$194 | varies |
| Airway Inhalation Treatment (94640) | $95.90 | $137 | 0.4× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (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× |
| Behavral qualit analys voice (92524) | $103.60 | $148 | 0.9× |
| Breath hydrogen/methane test (91065) | $284.90 | $407 | 1.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$122.50–$430.50 | $175–$615 | varies |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$65.10–$77.70 | $93–$111 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $408.10 | $583 | 1.7× |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$314.30–$1,202.60 | $449–$1,718 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$248.50–$725.20 | $355–$1,036 | varies |
| Chemo IV infusion addl hr (96415) | $157.50 | $225 | 2.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $434 | $620 | 1.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $370.30 | $529 | 1.0× |
| Chest Wall Manipulation (94668) range across 4 matching MRF lines |
$50.40–$225.40 | $72–$322 | varies |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$178.50–$2,151.80 | $255–$3,074 | varies |
| Color/duplex Doppler, limited (93976) | $1,122.80 | $1,604 | 9.6× |
| Continuous Pulse Ox (94762) | $277.20 | $396 | 1.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $339.50 | $485 | 1.4× |
| Cpt initial (94667) | $76.30 | $109 | 0.5× |
| Critical care first hour (99291) range across 6 matching MRF lines |
$372.40–$1,198.40 | $532–$1,712 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$39.90–$188.30 | $57–$269 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$65.10–$1,251.60 | $93–$1,788 | varies |
| 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) range across 2 matching MRF lines |
$57.40–$2,396.80 | $82–$3,424 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$39.90–$1,030.40 | $57–$1,472 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$67.90–$1,621.20 | $97–$2,316 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$37.10–$1,222.90 | $53–$1,747 | varies |
| 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 Hemodialysis Access (93990) | $236.60 | $338 | 2.0× |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$65.10–$1,302 | $93–$1,860 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$40.60–$1,177.40 | $58–$1,682 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$52.50–$372.40 | $75–$532 | varies |
| 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) range across 2 matching MRF lines |
$175.70–$854 | $251–$1,220 | varies |
| Eeg 41-60 Minutes (95812) | $299.60 | $428 | 1.2× |
| 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 extended monitoring 61-119 minutes (95813) | $299.60 | $428 | 1.2× |
| Eeg Sleep Only (95822) | $299.60 | $428 | 1.2× |
| Electrical Stimulation Ea 15 Min (97032) | $61.60 | $88 | 4.2× |
| Electrocardiogram Tracing (93005) | $121.80 | $174 | 1.9× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$79.80–$212.80 | $114–$304 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$119.70–$308.70 | $171–$441 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$224–$554.40 | $320–$792 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$41.30–$128.80 | $59–$184 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$326.90–$998.90 | $467–$1,427 | varies |
| Evaluate pt use of inhaler (94664) | $335.30 | $479 | 1.4× |
| Evaluate Speech Production (92522) | $100.10 | $143 | 0.9× |
| Evaluate Swallowing Function (92610) | $196.70 | $281 | 2.3× |
| Evaluation of speech fluency (92521) | $123.20 | $176 | 0.9× |
| Evoked Auditory Test,Limited (92587) | $137.90 | $197 | 0.6× |
| Exercise test for bronchospasm (94617) | $506.80 | $724 | 3.4× |
| Exhaled Air Analysis O2 (94680) | $359.10 | $513 | 2.5× |
| External Ecg Scanning Analysis Report (93226) | $62.30 | $89 | 0.9× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$506.80–$802.20 | $724–$1,146 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$42–$389.90 | $60–$557 | varies |
| 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 recording (93225) | $43.40 | $62 | 0.3× |
| Icd device progr eval dual (93283) | $133.70 | $191 | 3.2× |
| Icd Device Progr Eval Mult (93284) | $147.70 | $211 | 3.6× |
| Ilr Device Eval Progr (93285) | $69.30 | $99 | 1.7× |
| Ilr Device Interrogate (93291) | $59.50 | $85 | 1.8× |
| Immunization administration (90471) | $64.40 | $92 | 0.8× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $75.60 | $108 | 0.2× |
| 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 therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$6.30–$141.40 | $9–$202 | varies |
| IV push initial (96374) | $160.30 | $229 | 0.7× |
| Lung Function Test (Mbc/Mvv) (94200) | $100.80 | $144 | 1.5× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$50.40–$998.20 | $72–$1,426 | varies |
| Mechanical chest wall oscillation per session (94669) | $59.50 | $85 | 0.2× |
| 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) range across 2 matching MRF lines |
$122.50–$672 | $175–$960 | varies |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$376.60–$627.90 | $538–$897 | varies |
| Motion Fluoroscopy/Swallow (92611) | $244.30 | $349 | 2.7× |
| Multiple Sleep Latency Test (95805) | $3,523.80 | $5,034 | 3.7× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$84.70–$140.70 | $121–$201 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$101.50–$665 | $145–$950 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$178.50–$699.30 | $255–$999 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$151.20–$315.70 | $216–$451 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$266–$699.30 | $380–$999 | varies |
| Neuromuscular Reeducation (97112) | $67.20 | $96 | 2.1× |
| Newborn resuscitation (99465) range across 3 matching MRF lines |
$745.50–$849.10 | $1,065–$1,213 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $211.40 | $302 | 1.4× |
| Oral Function Therapy (92526) | $142.80 | $204 | 1.7× |
| Oral Speech Device Eval (92597) | $239.40 | $342 | 3.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $45.50 | $65 | 0.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $45.50 | $65 | 1.0× |
| Ot eval high complexity (97167) | $160.30 | $229 | 1.6× |
| Ot Eval Low Complex (97165) | $160.30 | $229 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $160.30 | $229 | 1.6× |
| Ot manual therapy 15 min (97140) | $64.40 | $92 | 2.3× |
| Ot paraffin bath (97018) | $42.70 | $61 | 7.1× |
| Ot Prosthetic Training, Each 15 Min (97761) | $45.50 | $65 | 1.1× |
| Ot Re-Eval Est Plan Care (97168) | $43.40 | $62 | 0.6× |
| Oxygen Uptake Rest Indirect (94690) | $144.20 | $206 | 2.2× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $143.50 | $205 | 0.6× |
| Phlebotomy therapeutic (99195) | $203 | $290 | 1.4× |
| Physical Performance Test (97750) | $62.30 | $89 | 1.8× |
| Plethysmography (94726) range across 2 matching MRF lines |
$108.50–$318.50 | $155–$455 | varies |
| 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) range across 3 matching MRF lines |
$2,395.40–$4,790.80 | $3,422–$6,844 | varies |
| 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× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $102.90 | $147 | 2.5× |
| Pt Eval High Complex (97163) | $123.20 | $176 | 1.3× |
| Pt eval low complex 20 min (97161) | $123.20 | $176 | 1.3× |
| Pt Eval Mod Complex (97162) | $123.20 | $176 | 1.3× |
| Pt gait training 15 min (97116) | $46.20 | $66 | 1.6× |
| Pt mechanical traction (97012) | $60.20 | $86 | 4.2× |
| Pt Re-Eval Est Plan Care (97164) | $54.60 | $78 | 0.8× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$85.40–$310.80 | $122–$444 | varies |
| Pulmonary Stress Testing (94618) | $506.80 | $724 | 3.4× |
| Pure Tone Audiometry Air (92552) | $201.60 | $288 | 1.4× |
| Refill/Maint Pump/Resvr Syst (96522) | $361.20 | $516 | 1.5× |
| Remote 30 Day Ecg Rev/Report (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× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $75.60 | $108 | 1.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $74.90 | $107 | 0.3× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $218.40 | $312 | 1.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $92.40 | $132 | 1.9× |
| Self Care Mngment Training (97535) | $57.40 | $82 | 1.8× |
| 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× |
| Somatosensory Testing (95938) | $366.80 | $524 | 0.4× |
| Speech sound lang comprehen (92523) | $207.90 | $297 | 0.9× |
| Spirometry (94010) range across 3 matching MRF lines |
$72.80–$182.70 | $104–$261 | varies |
| Ssep lower limbs (95926) | $366.80 | $524 | 1.5× |
| Standardized Cognitive Performance Testing (96125) | $203.70 | $291 | 2.0× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$146.30–$763 | $209–$1,090 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) range across 2 matching MRF lines |
$74.20–$86.10 | $106–$123 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) range across 2 matching MRF lines |
$357.70–$361.20 | $511–$516 | varies |
| Subq Infusion Additional Pump Infusion Site (96371) | $118.30 | $169 | 1.5× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$18.20–$283.50 | $26–$405 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $182 | $260 | 8.1× |
| Ther Ivntj Ea Addl 15 Min (97130) | $182 | $260 | 8.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $53.90 | $77 | 1.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $45.50 | $65 | 1.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $139.30 | $199 | 1.4× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $74.20 | $106 | 1.4× |
| Ther/Proph/Diag Inj Ia (96373) | $170.80 | $244 | 0.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$43.40–$117.60 | $62–$168 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $305.20 | $436 | 1.3× |
| Therapeutic Activities (97530) | $46.20 | $66 | 1.3× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$317.80–$1,425.20 | $454–$2,036 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $57.40 | $82 | 1.4× |
| 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 (93307) range across 2 matching MRF lines |
$92.40–$749.70 | $132–$1,071 | varies |
| 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/Pro/Dx Inj New Drug Addon (96375) | $161 | $230 | 3.1× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $1,442.70 | $2,061 | 10.1× |
| Unlisted otorhinolaryngological service (92700) | $49 | $70 | 1.5× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$24.50–$563.50 | $35–$805 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$44.80–$944.30 | $64–$1,349 | varies |
| 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× |
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.