Visits & medical services prices at Providence St. Mary Medical Center

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

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

Compare against other hospitals interactively →

ProcedureCash priceGross charge× Medicare
Actigraphy testing recording analysis i&r (95803) $210.70 $301 3.2×
Aep Thrshld Est Mlt Freq I&R (92652) $1,512 $2,160 6.3×
Airway inhalation treatment (94640) $140.70 $201 0.6×
Ambulatory Bp Analysis (93788) $194.60 $278 1.3×
Ambulatory Bp Recording (93786) $170.80 $244 1.2×
Anogenital examination, magnified, in childhood for suspected trauma, including image recording when performed Facility (99170) $436.10 $623 1.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $32.20 $46 2.2×
Assessment of aphasia per hr (96105) $400.40 $572 4.1×
Bedside Swallowing Eval (92610) $387.80 $554 4.6×
Behavioral and qualitative analysis of voice and resonance (92524) $387.80 $554 3.5×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $43.40 $62 0.5×
Bfb training ea addl 15 min (90913) $43.40 $62 1.3×
Biofeedback training any modality (90901) $105.70 $151 2.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $246.40 $352 0.6×
Canalith Repositioning Procedure (95992) $111.65 $159.50 2.7×
Car seat/bed test 60 min (94780) $170.10 $243 4.1×
Cardiac Stress Tst,Tracing Only (93017) $964.60 $1,378 4.0×
Cardiopulmonary exercise testing (94621) $455.70 $651 1.1×
Cardiopulmonary resuscitation (92950) $501.20 $716 2.1×
Cardioversion (92960) $1,274.70 $1,821 1.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $12,903.10 $18,433 3.6×
Chemo Admin Peritoneal Cavity (96446) $968.80 $1,384 2.6×
Chemo Hormon Antineopl Sq/Im (96402) $200.20 $286 2.5×
Chemo IV push addl drug (96411) $333.90 $477 4.2×
Chemo prolong 8+ hrs infuse w/pump (96416) $968.80 $1,384 2.6×
Chemother, IV infusion, 1 hr (96413) $647.50 $925 1.8×
Chemother, IV infusion, ea add hr (96415) $233.80 $334 2.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $200.20 $286 2.5×
Chemotherapy into cns (96450) $828.10 $1,183 2.2×
Chemotherapy, unspecified procedure (96549) $128.80 $184 2.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $333.90 $477 4.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $558.60 $798 1.5×
Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) $632.10 $903 1.7×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $333.90 $477 0.9×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $1,528.80 $2,184 3.7×
Color/duplex Doppler, complete (93975) $2,650.90 $3,787 10.0×
Color/duplex Doppler, limited (93976) $2,558.50 $3,655 22.0×
Cont Gluc Monitoring Patient Provided Equipment (95249) $203.70 $291 3.1×
Continuous Glucose Monitoring (95250) $809.90 $1,157 5.5×
Coronary art/grft angio s&i (93455) $9,971.50 $14,245 2.8×
Coronary artery angio s&i (93454) $9,971.50 $14,245 2.8×
Cpap/bipap (94660) $780.85 $1,115.50 3.2×
Cpt initial (94667) $576.80 $824 3.9×
Critical care (99291) $1,649.55 $2,356.50 1.8×
Debridement Open Wound 20 Sq Cm< (97597) $512.40 $732 2.3×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $137.90 $197 0.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,412.60 $2,018 5.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $959.70 $1,371 8.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,074.50 $1,535 4.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $718.20 $1,026 6.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,787.80 $2,554 6.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $759.50 $1,085 6.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,188.60 $1,698 4.5×
Dup-scan xtr veins unilateral/limited study (93971) $794.50 $1,135 6.8×
Duplex scan extracranial art compl bi study (93880) $998.90 $1,427 3.8×
Duplex Scan Hemodialysis Access (93990) $557.20 $796 4.8×
Echo Heart Xthoracic,Limited (93308) $842.80 $1,204 3.2×
Echo transesophageal (93312) $1,925.70 $2,751 3.2×
Echo Transthoracic - Congenital Tte Complete (93303) $2,058.70 $2,941 3.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,506 $3,580 4.1×
EEG awake and asleep (95819) $1,021.30 $1,459 4.2×
EEG awake drowsy (95816) $1,061.90 $1,517 4.4×
EEG cerebral death evaluation (95824) $1,061.90 $1,517 2.6×
EEG coma or sleep only (95822) $1,012.90 $1,447 4.2×
EEG cont rec w/video by tech min 8 channels (95700) $794.50 $1,135 3.3×
EEG greater than 1 hour (95813) $1,164.10 $1,663 4.8×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $842.10 $1,203 3.5×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $2,055.90 $2,937 4.9×
EKG rhythm strip (93041) $58.80 $84 0.9×
Electrocardiogram Tracing (93005) $184.10 $263 2.8×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,089.20 $1,556 4.5×
EMG one extremity (95860) $387.80 $554 2.6×
EMG two extremities (95861) $387.80 $554 2.6×
Endomyocardial biopsy (93505) $4,561.90 $6,517 1.3×
Er level 1 (99281) $193.20 $276 2.1×
Er level ii (99282) $328.30 $469 1.9×
Er level iii (99283) $561.05 $801.50 1.8×
Er level IV (99284) $1,612.10 $2,303 3.5×
Er level v (99285) $1,279.60 $1,828 1.9×
Eval speech sound production (92522) $387.80 $554 3.5×
Eval to use/fit voice prosth (92597) $483 $690 6.8×
Evaluate Pt Use Of Inhaler (94664) $211.40 $302 0.9×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $483 $690 4.0×
Evaluation of speech fluency (92521) $387.80 $554 2.9×
Exercise tst brncspsm (94617) $195.30 $279 1.3×
External ECG rec>48hr<7d recording (93242) $169.40 $242 4.1×
External ECG rec>48hr<7d scanning alys w/report (93243) $305.90 $437 2.1×
External ECG rec>7d<15d recording (93246) $116.90 $167 2.8×
External ECG rec>7d<15d scanning alys w/report (93247) $233.80 $334 1.6×
External Ecg Scanning Analysis Report (93226) $511 $730 7.8×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $537.60 $768 2.7×
Group Therapeutic Procedures (97150) $68.60 $98 3.8×
Hemodialysis (90935) $1,369.90 $1,957 1.8×
Holter Monitor (93225) $284.20 $406 1.9×
Imm admn sarscov2 vaccine single dose (90480) $49 $70 1.1×
Immunization Admin (90471) $70 $100 0.9×
Injection intra arterial (96373) $296.80 $424 1.3×
Ins swan ganz bedside (93503) $9,619.40 $13,742 5.5×
Interrog device eval heart (93289) $105 $150 2.5×
Interrogate subq defib (93261) $79.80 $114 1.9×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $167.30 $239 0.7×
Iontophoresis 15 min (97033) $36.40 $52 1.9×
Irrig drug delivery device (96523) $182.70 $261 2.8×
IV infusion hydration each additional hour (96361) $114.10 $163 2.2×
IV infusion hydration initial 31 min-1 hour (96360) $372.40 $532 1.6×
IV infusion ther proph addl sequential to 1 hr (96367) $164.50 $235 2.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $553.70 $791 2.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $114.80 $164 2.2×
IV push ea addl new drug (96375) $205.10 $293 3.9×
IV push initial (96374) $297.50 $425 1.3×
L hrt art/grft angio (93459) $14,086.80 $20,124 3.9×
Manual therapy 15 min (97140) $59.50 $85 2.1×
Massage 15 min (97124) $44.10 $63 1.5×
Mechanical chest wall oscillation (94669) $149.80 $214 0.6×
Mechanical traction (97012) $30.10 $43 2.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $60.90 $87 1.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $154 $220 4.2×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $142.80 $204 8.4×
Methacholine challenge (94070) $455.70 $651 1.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $514.50 $735 5.6×
Multiple Sleep Latency Test (95805) $2,258.55 $3,226.50 2.4×
Nasopharyngoscopy (92511) $309.75 $442.50 1.4×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $387.80 $554 1.6×
Neg press wound tx >50 cm (97608) $742.70 $1,061 1.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $731.50 $1,045 1.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $326.20 $466 1.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $505.40 $722 1.1×
Newborn resuscitation (99465) $495.60 $708 0.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $307.30 $439 2.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $264.60 $378 1.8×
Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92002) $179.90 $257 1.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $63 $90 1.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $52.50 $75 1.6×
Ot Contrast Bath Ea 15 Min (97034) $31.50 $45 2.2×
Ot eval high complex 60 min (97167) $118.30 $169 1.2×
Ot eval low complex 30 min (97165) $118.30 $169 1.2×
Ot eval mod complex 45 min (97166) $118.30 $169 1.2×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $58.10 $83 1.2×
Ot Prosthetic Training, Each 15 Min (97761) $59.50 $85 1.5×
Ot re-evaluation (97168) $66.50 $95 1.0×
Ot therapeutic activity 15 min (97530) $56.70 $81 1.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $309.40 $442 2.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $173.60 $248 1.2×
Paraffin bath pt (97018) $30.10 $43 5.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $245 $350 1.0×
Peripheral arterial disease rehab per session (93668) $128.80 $184 2.0×
Peritoneal Dialysis (90945) $1,814.40 $2,592 3.9×
Perq Transcath Cls Mitral (93590) $32,437.30 $46,339 1.6×
Perq transcath cls paravalvr leak 1 aortic valve (93591) $32,437.30 $46,339 1.6×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $11,085.90 $15,837 1.7×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $18,382 $26,260 1.4×
Phlebotomy therapeutic (99195) $269.50 $385 1.8×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $114.80 $164 1.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $170.80 $244 2.6×
Plethysmography (94726) $196 $280 0.5×
Pm device progr eval dual (93280) $129.50 $185 3.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,722.60 $5,318 3.9×
Polysom <6 yrs 4/> paramtrs (95782) $3,115.70 $4,451 3.3×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $3,402 $4,860 3.6×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $1,598.80 $2,284 1.7×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $79.80 $114 1.9×
Prq Card Stent W/Angio 1 Vsl (92928) $13,565.30 $19,379 1.1×
Prq Card Stent/Ath/Angio (92933) $13,815.90 $19,737 0.7×
Prq Revasc Byp Graft 1 Vsl (92937) $15,414 $22,020 1.2×
Prq trluml coronary angio/atherect one art/brnch (92924) $17,030.30 $24,329 1.3×
Pt Aquatic Therapy/Exercises (97113) $70.70 $101 1.9×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $70.70 $101 1.9×
Pt Electrical Stimulation (97032) $32.20 $46 2.2×
Pt eval high complex 45 min (97163) $130.90 $187 1.3×
Pt eval low complex 20 min (97161) $130.90 $187 1.3×
Pt eval mod complex 30 min (97162) $130.90 $187 1.3×
Pt gait training 15 min (97116) $50.40 $72 1.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $56 $80 1.7×
Pt Physical Performance Test (97750) $59.15 $84.50 1.8×
Pt re-evaluation (97164) $88.20 $126 1.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $56.70 $81 1.8×
Pt Whirlpool Therapy (97022) $39.20 $56 2.5×
Pulm function test by gas (94727) $109.90 $157 0.5×
Pulmonary Service/Procedure (94799) $167.30 $239 1.2×
Pulmonary stress test simple (94618) $240.80 $344 1.6×
Pure Tone Audiometry Air Only (92552) $70.70 $101 0.5×
R & l hrt cath w/njx l ventriculog img s&i (93453) $9,835 $14,050 2.7×
R hrt art/grft angio (93457) $18,897.20 $26,996 5.2×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $6,648.60 $9,498 1.8×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $6,648.60 $9,498 1.8×
R hrt coronary artery angio (93456) $17,715.60 $25,308 4.9×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $14,086.80 $20,124 3.9×
R&l hrt art/ventricle angio (93460) $12,903.10 $18,433 3.6×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $6,648.60 $9,498 1.8×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $6,648.60 $9,498 1.8×
Rapid Desensitization Procedure Each Hour (95180) $254.10 $363 0.5×
Refill/Maint Pump/Resvr Syst (96522) $638.40 $912 2.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $340.20 $486 8.2×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $172.20 $246 1.2×
Right heart cath (93451) $7,744.10 $11,063 2.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $310.80 $444 1.4×
Rt Chest Wall Manipulation,Subsequent (94668) $310.45 $443.50 2.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $347.90 $497 7.3×
Sensory Integration Ea 15 Min (97533) $52.50 $75 0.9×
Short-latency somatosens ep std upr limbs (95925) $1,616.65 $2,309.50 6.7×
Sleep study unattended (95806) $616 $880 2.6×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $276.50 $395 1.1×
Smoking cessation > 10 min (99407) $44.10 $63 1.1×
Somatosensory testing (95938) $396.90 $567 0.4×
Speech sound lang comprehen (92523) $387.80 $554 1.7×
Spirometry (94010) $195.30 $279 0.8×
Ssep lower limbs (95926) $1,892.10 $2,703 7.9×
Standardized Cognitive Performance Testing (96125) $483 $690 4.7×
Stress echo (93350) $2,548 $3,640 4.2×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $425.60 $608 1.8×
Subcutaneous Infusion Each Additional Hour (96370) $157.50 $225 3.0×
Subq Infusion Additional Pump Infusion Site (96371) $212.80 $304 2.7×
Temp transcutaneous pacing (92953) $840 $1,200 1.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $56.70 $81 2.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $56.70 $81 2.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $207.20 $296 2.0×
Ther/prop/diag inj/inf proc (96379) $126.70 $181 2.4×
Therapeutic prophylactic/dx injection subq/im (96372) $145.60 $208 1.8×
Tilt table evaluation (93660) $991.90 $1,417 2.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $40.60 $58 1.0×
Tte w/doppler, complete (93306) $1,771 $2,530 2.9×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,330.70 $1,901 5.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $322.70 $461 4.2×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $155.40 $222 6.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $316.40 $452 3.8×
Ultraviolet Light Therapy (96900) $122.50 $175 2.9×
Unlisted otorhinolaryngological service (92700) $109.20 $156 3.4×
Upr/lxtr art stdy 3+ lvls (93923) $442.40 $632 1.8×
Vasc Duplex Scan Extracranial,Limited (93882) $664.30 $949 5.7×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $905.80 $1,294 3.8×
Vasopneumatic device (97016) $30.10 $43 2.5×
Vent mgmt inpat init day (94002) $1,737.40 $2,482 2.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,492.40 $2,132 2.2×
Visual Evoked Potential Test (95930) $782.25 $1,117.50 3.3×
Vital capacity, total (94150) $296.80 $424 2.1×
Wheelchair Mgmt Ea 15 Min (97542) $79.80 $114 2.6×
Xtrnl mobile cv telemetry w/technical support (93229) $755.30 $1,079 1.8×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $338.80 $484 3.2×