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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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $42.70 $61 0.9×
Advncd Care Plan 30 Min (99497) $135.80 $194 1.2×
Airway Inhalation Treatment (94640) $231 $330 0.9×
Airway resistance by oscillometry (94728) $85.40 $122 0.6×
Anogenital Xm Magnify Child/Suspect Trauma W Img (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×
Behavral qualit analys voice (92524) $104.30 $149 1.0×
Breath hydrogen/methane test (91065) $270.90 $387 1.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$122.50–$406 $175–$580 varies
Canalith repositioning proc (95992) $81.90 $117 2.0×
Cardiac Stress Tst,Tracing Only (93017) $326.90 $467 1.4×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$368.90–$1,050 $527–$1,500 varies
Cardioversion (92960)
range across 2 matching MRF lines
$248.50–$532.70 $355–$761 varies
Cbt 1st hour (94644) $130.90 $187 0.9×
Chemo IV infusion addl hr (96415) $204.40 $292 2.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $562.80 $804 1.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $393.40 $562 1.1×
Chest Wall Manipulation (94668) $70.70 $101 0.5×
Color/duplex Doppler, complete (93975) $1,399.30 $1,999 5.3×
Color/duplex Doppler, limited (93976) $621.60 $888 5.3×
Community/Work Reintegration Trainj Ea 15 Min (97537) $53.20 $76 1.7×
Continuous Pulse Ox (94762) $300.30 $429 2.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $339.50 $485 1.4×
Cpt initial (94667) $91 $130 0.6×
Critical care first hour (99291)
range across 2 matching MRF lines
$436.80–$1,393 $624–$1,990 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines
$71.40–$520.10 $102–$743 varies
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 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 up extrem art bilat (93930) $1,321.60 $1,888 5.0×
Duplex up extrem art unilat/ltd (93931) $847 $1,210 7.3×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$372.40–$434 $532–$620 varies
Echo Transesophageal - Congenital Tee Complete (93315) $283.50 $405 0.5×
Electrical Stimulation Ea 15 Min (97032) $61.60 $88 4.2×
Electrocardiogram Tracing (93005) $140 $200 2.1×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$79.80–$237.30 $114–$339 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$119.70–$345.80 $171–$494 varies
Emergency Dept Visit Level 4 (99284)
range across 3 matching MRF lines
$224–$620.90 $320–$887 varies
Er level 1 (99281)
range across 2 matching MRF lines
$41.30–$144.20 $59–$206 varies
Er level v (99285)
range across 2 matching MRF lines
$326.90–$1,095.50 $467–$1,565 varies
Evaluate pt use of inhaler (94664) $234.50 $335 1.0×
Evaluate Speech Production (92522) $99.40 $142 0.9×
Evaluate Swallowing Function (92610) $194.60 $278 2.3×
Evaluation of speech fluency (92521) $123.20 $176 0.9×
Exercise test for bronchospasm (94617) $284.20 $406 1.9×
Exhaled Air Analysis O2 (94680) $341.60 $488 2.4×
Extracranial Bilat Study (93880) $802.20 $1,146 3.0×
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×
Immunization administration (90471) $76.30 $109 1.0×
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 therapy prophylaxis/dx ea hour (96366) $142.80 $204 2.7×
IV push initial (96374) $148.40 $212 0.6×
Lung Function Test (Mbc/Mvv) (94200) $116.90 $167 1.8×
Lwr Xtr Vasc Stdy Bilat (93924) $704.20 $1,006 2.9×
Mechanical chest wall oscillation per session (94669) $49.70 $71 0.2×
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)
range across 2 matching MRF lines
$122.50–$543.90 $175–$777 varies
Motility study esophagus (91010) $596.40 $852 1.4×
Motion Fluoroscopy/Swallow (92611) $266 $380 2.9×
Nasopharyngoscopy (92511)
range across 2 matching MRF lines
$84.70–$126.70 $121–$181 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$85.40–$598.50 $122–$855 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$149.10–$699.30 $213–$999 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $126 $180 0.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$222.60–$699.30 $318–$999 varies
Neuromuscular Reeducation (97112) $88.20 $126 2.7×
Newborn resuscitation (99465)
range across 2 matching MRF lines
$245–$459.20 $350–$656 varies
Ophth Medical Xm&Eval Intermediate New Pt (92002) $232.40 $332 1.6×
Oral Function Therapy (92526) $141.40 $202 1.7×
Oral Speech Device Eval (92597) $239.40 $342 3.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $51.80 $74 1.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $66.50 $95 1.4×
Ot Contrast Bath Ea 15 Min (97034) $59.50 $85 4.2×
Ot eval high complexity (97167) $193.20 $276 1.9×
Ot Eval Low Complex (97165) $182.70 $261 1.8×
Ot Eval Moderate Complexity (97166) $187.60 $268 1.9×
Ot manual therapy 15 min (97140) $67.20 $96 2.4×
Ot paraffin bath (97018) $44.80 $64 7.5×
Ot Prosthetic Training, Each 15 Min (97761) $53.90 $77 1.3×
Ot Re-Eval Est Plan Care (97168) $49.70 $71 0.7×
Oxygen Uptake Rest Indirect (94690) $137.20 $196 2.1×
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×
Physical Performance Test (97750) $62.30 $89 1.8×
Plethysmography (94726)
range across 2 matching MRF lines
$108.50–$300.30 $155–$429 varies
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) $60.90 $87 4.2×
Pt Re-Eval Est Plan Care (97164) $52.50 $75 0.8×
Pulm function test by gas (94727) $466.90 $667 1.9×
Pulmonary Stress Testing (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×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $60.90 $87 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$179.20–$296.80 $256–$424 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $100.80 $144 3.9×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $217 $310 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) $51.10 $73 0.8×
Speech sound lang comprehen (92523) $207.90 $297 0.9×
Spirometry (94010)
range across 3 matching MRF lines
$72.80–$174.30 $104–$249 varies
Standardized Cognitive Performance Testing (96125) $205.10 $293 2.0×
Stress Tte Only (93350) $763 $1,090 1.3×
Subcutaneous Infusion Each Additional Hour (96370) $74.20 $106 1.4×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $361.20 $516 1.5×
Subq Infusion Additional Pump Infusion Site (96371) $118.30 $169 1.5×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$18.20–$236.60 $26–$338 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $40.60 $58 1.8×
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) $56 $80 1.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $182.70 $261 1.8×
Ther/Prop/Diag Inj/Inf Proc (96379) $74.20 $106 1.4×
Ther/Proph/Diag Inj Ia (96373) $308.70 $441 1.3×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$47.60–$117.60 $68–$168 varies
Ther/Proph/Diag Iv Inf Init (96365) $305.20 $436 1.3×
Therapeutic Activities (97530) $46.20 $66 1.3×
Tobacco Use Cessation Intensive >10 Minutes (99407) $54.60 $78 1.3×
Tte w/doppler, complete (93306) $854 $1,220 1.4×
Tte W/O Doppler Complete (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/Pro/Dx Inj New Drug Addon (96375) $149.10 $213 2.9×
Unlisted Diagnostic Gastroenterology Procedure (91299) $270.90 $387 1.9×
Unlisted otorhinolaryngological service (92700) $49 $70 1.5×
Upr/L Xtremity Art 2 Levels (93922) $349.30 $499 2.4×
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×
Whirlpool Therapy (97022) $70.70 $101 4.5×

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.