Visits & medical services prices at Providence St. Joseph's Hospital

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

152 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) $135.80 $194 1.2×
Airway inhalation treatment (94640) $231 $330 0.9×
Anogenital examination, magnified, in childhood for suspected trauma, including image recording when performed Facility (99170) $310.80 $444 1.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $56 $80 3.9×
Application Modality 1/> Areas Infrared (97026) $59.50 $85 8.9×
Assessment of aphasia per hr (96105) $243.60 $348 2.5×
Bedside Swallowing Eval (92610) $194.60 $278 2.3×
Behavioral and qualitative analysis of voice and resonance (92524) $104.30 $149 1.0×
Breath Hydrogen/Methane Test (91065) $270.90 $387 1.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $264.25 $377.50 0.6×
Canalith Repositioning Procedure (95992) $81.90 $117 2.0×
Cardiac Stress Tst,Tracing Only (93017) $326.90 $467 1.4×
Cardiopulmonary resuscitation (92950) $1,050 $1,500 4.4×
Cardioversion (92960) $390.60 $558 0.5×
Cbt 1st hour (94644) $130.90 $187 0.9×
Chemother, IV infusion, 1 hr (96413) $562.80 $804 1.5×
Chemother, IV infusion, ea add hr (96415) $204.40 $292 2.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $393.40 $562 1.1×
Color/duplex Doppler, complete (93975) $1,399.30 $1,999 5.3×
Color/duplex Doppler, limited (93976) $621.60 $888 5.3×
Cpap/bipap (94660) $339.50 $485 1.4×
Cpt initial (94667) $91 $130 0.6×
Critical care (99291) $914.90 $1,307 1.0×
Debridement Open Wound 20 Sq Cm< (97597) $119.70 $171 0.5×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $975.80 $1,394 3.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $468.30 $669 4.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,722.70 $2,461 6.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $740.60 $1,058 6.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,321.60 $1,888 5.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $847 $1,210 7.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,337 $1,910 5.0×
Dup-scan xtr veins unilateral/limited study (93971) $919.10 $1,313 7.9×
Duplex scan extracranial art compl bi study (93880) $802.20 $1,146 3.0×
Echo Heart Xthoracic,Limited (93308) $403.20 $576 1.5×
Echo Transesophageal - Congenital Tee Complete (93315) $283.50 $405 0.5×
EKG rhythm strip (93041) $60.90 $87 0.9×
Electrocardiogram Tracing (93005) $140 $200 2.1×
Er level 1 (99281) $92.75 $132.50 1.0×
Er level ii (99282) $158.55 $226.50 0.9×
Er level iii (99283) $232.75 $332.50 0.8×
Er level IV (99284) $620.90 $887 1.3×
Er level v (99285) $711.20 $1,016 1.1×
Eval speech sound production (92522) $99.40 $142 0.9×
Eval to use/fit voice prosth (92597) $239.40 $342 3.4×
Evaluate Pt Use Of Inhaler (94664) $234.50 $335 1.0×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $217 $310 1.8×
Evaluation of speech fluency (92521) $123.20 $176 0.9×
Exercise tst brncspsm (94617) $284.20 $406 1.9×
Exhaled Air Analysis (94690) $137.20 $196 2.1×
Exhaled air analysis o2 (94680) $341.60 $488 2.4×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $197.40 $282 1.0×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $373.80 $534 0.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $373.80 $534 0.4×
Gi tract capsule endoscopy (91110) $1,463.70 $2,091 1.4×
Gi wireless capsule measure (91112) $494.20 $706 0.5×
Group Therapeutic Procedures (97150) $67.20 $96 3.7×
Imm admn sarscov2 vaccine single dose (90480) $42.70 $61 0.9×
Immunization Admin (90471) $76.30 $109 1.0×
Injection intra arterial (96373) $308.70 $441 1.3×
Iontophoresis 15 min (97033) $54.60 $78 2.9×
Irrig drug delivery device (96523) $110.60 $158 1.7×
IV infusion hydration each additional hour (96361) $113.40 $162 2.2×
IV infusion hydration initial 31 min-1 hour (96360) $270.90 $387 1.1×
IV infusion ther proph addl sequential to 1 hr (96367) $95.20 $136 1.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $305.20 $436 1.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $142.80 $204 2.7×
IV push ea addl new drug (96375) $149.10 $213 2.9×
IV push initial (96374) $148.40 $212 0.6×
Manual therapy 15 min (97140) $67.20 $96 2.4×
Massage 15 min (97124) $56 $80 1.9×
Maximum voluntary ventilation (94200) $116.90 $167 1.8×
Mechanical chest wall oscillation (94669) $49.70 $71 0.2×
Mechanical traction (97012) $60.90 $87 4.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $30.10 $43 0.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $30.10 $43 0.8×
Methacholine challenge (94070) $333.20 $476 0.8×
Motility study esophagus (91010) $596.40 $852 1.4×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $266 $380 2.9×
Nasopharyngoscopy (92511) $105.70 $151 0.5×
Neg press wound tx >50 cm (97608) $424.20 $606 0.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $341.95 $488.50 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $126 $180 0.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $222.60 $318 0.5×
Newborn resuscitation (99465) $352.10 $503 0.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $349.30 $499 2.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $300.30 $429 2.1×
Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92002) $232.40 $332 1.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $66.50 $95 1.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $53.20 $76 1.7×
Ot Contrast Bath Ea 15 Min (97034) $59.50 $85 4.2×
Ot eval high complex 60 min (97167) $193.20 $276 1.9×
Ot eval low complex 30 min (97165) $182.70 $261 1.8×
Ot eval mod complex 45 min (97166) $187.60 $268 1.9×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $51.80 $74 1.0×
Ot Prosthetic Training, Each 15 Min (97761) $53.90 $77 1.3×
Ot Range Motion Measure,Each Extrem (95851) $100.80 $144 3.9×
Ot re-evaluation (97168) $49.70 $71 0.7×
Ot therapeutic activity 15 min (97530) $46.20 $66 1.3×
Paraffin bath pt (97018) $44.80 $64 7.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $119.70 $171 0.5×
Phlebotomy therapeutic (99195) $173.60 $248 1.2×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $128.10 $183 1.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $128.10 $183 1.9×
Plethysmography (94726) $204.40 $292 0.5×
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) $88.20 $126 2.7×
Pt Physical Performance Test (97750) $62.30 $89 1.8×
Pt re-evaluation (97164) $52.50 $75 0.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $57.40 $82 1.8×
Pt Whirlpool Therapy (97022) $70.70 $101 4.5×
Pulm Funct Test Oscillometry (94728) $85.40 $122 0.6×
Pulm function test by gas (94727) $466.90 $667 1.9×
Pulmonary stress test simple (94618) $284.20 $406 1.9×
Refill/Maint Pump/Resvr Syst (96522) $397.60 $568 1.7×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $232.40 $332 1.6×
Respiratory flow volume loop (94375) $85.40 $122 0.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $179.20 $256 0.8×
Rt Chest Wall Manipulation,Subsequent (94668) $70.70 $101 0.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $92.40 $132 1.9×
Sensory Integration Ea 15 Min (97533) $51.10 $73 0.8×
Smoking cessation > 10 min (99407) $54.60 $78 1.3×
Speech sound lang comprehen (92523) $207.90 $297 0.9×
Spirometry (94010) $174.30 $249 0.7×
Standardized Cognitive Performance Testing (96125) $205.10 $293 2.0×
Stress echo (93350) $763 $1,090 1.3×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $361.20 $516 1.5×
Subcutaneous Infusion Each Additional Hour (96370) $74.20 $106 1.4×
Subq Infusion Additional Pump Infusion Site (96371) $118.30 $169 1.5×
Temp transcutaneous pacing (92953) $127.40 $182 0.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $40.60 $58 1.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $182 $260 8.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $182.70 $261 1.8×
Ther/prop/diag inj/inf proc (96379) $74.20 $106 1.4×
Therapeutic prophylactic/dx injection subq/im (96372) $117.60 $168 1.5×
Tte w/doppler, complete (93306) $854 $1,220 1.4×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $749.70 $1,071 2.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $149.10 $213 2.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $93.10 $133 3.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $141.40 $202 1.7×
Unlisted Diagnostic Gastroenterology Procedure (91299) $270.90 $387 1.9×
Unlisted otorhinolaryngological service (92700) $49 $70 1.5×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $704.20 $1,006 2.9×
Vasopneumatic device (97016) $33.60 $48 2.8×
Vent mgmt inpat init day (94002) $1,180.20 $1,686 1.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,452.50 $2,075 2.1×
Vital capacity, total (94150) $85.40 $122 0.6×
Wheelchair Mgmt Ea 15 Min (97542) $54.60 $78 1.8×