Visits & medical services prices at Providence St. Peter Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $8,107.32 $15,591 0.9×
Actinotherapy Ultraviolet Light (96900) $379.60 $730 8.8×
Advncd Care Plan 30 Min (99497) $157.04 $302 1.3×
Aep neurodiagnostic i&r (92653) $412.88 $794 1.7×
Airway Inhalation Treatment (94640) $585.52 $1,126 2.3×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $352.04 $677 1.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $27.04 $52 1.9×
Behavral qualit analys voice (92524) $262.60 $505 2.4×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $151.84 $292 1.8×
Bfb training ea addl 15 min (90913) $151.84 $292 4.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $951.60 $1,830 2.2×
C motor evoked uppr limbs (95928) $334.88 $644 0.3×
C motor evoked upr&lwr limbs (95939) $3,305.12 $6,356 3.3×
Canalith repositioning proc (95992) $62.40 $120 1.5×
Car seat/bed test 60 min (94780) $111.28 $214 2.6×
Cardiac Stress Tst,Tracing Only (93017) $866.32 $1,666 3.5×
Cardiopulmonary exercise testing (94621) $889.20 $1,710 2.1×
Cardiopulmonary resuscitation (92950) $369.20 $710 1.5×
Cardioversion (92960) $1,567.28 $3,014 2.1×
Cardioversion elective internal (92961) $1,361.36 $2,618 1.8×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $52 $100 2.0×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $4,212 $8,100 1.1×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $4,212 $8,100 1.1×
Chemo Anti-Neopl Sq/Im (96401) $222.56 $428 2.7×
Chemo Hormon Antineopl Sq/Im (96402) $222.56 $428 2.7×
Chemo IV infusion addl hr (96415) $222.56 $428 2.7×
Chemo IV push addl drug (96411) $222.56 $428 2.7×
Chemotherapy Into Cns (96450) $1,134.12 $2,181 3.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $222.56 $428 2.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $932.88 $1,794 2.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $731.12 $1,406 1.9×
Chest Wall Manipulation (94668) $320.84 $617 2.1×
Color/duplex Doppler, complete (93975) $1,120.08 $2,154 4.1×
Color/duplex Doppler, limited (93976) $485.16 $933 4.0×
Community/Work Reintegration Trainj Ea 15 Min (97537) $49.92 $96 1.6×
Continuous Pulse Ox (94762) $428.48 $824 2.9×
Coronary Art/Grft Angio S&I (93455) $4,212 $8,100 1.1×
Coronary Artery Angio S&I (93454) $4,212 $8,100 1.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $980.72 $1,886 3.9×
Cpt initial (94667) $306.28 $589 2.0×
Critical care first hour (99291)
range across 2 matching MRF lines		 $5,980–$6,532.76 $11,500–$12,563 varies
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $936.52 $1,801 2.2×
Debridement Open Wound 20 Sq Cm< (97597) $516.36 $993 2.2×
Dialysis One Evaluation (90945) $1,266.72 $2,436 2.6×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $543.40 $1,045 2.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $543.40 $1,045 4.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,120.08 $2,154 4.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $814.84 $1,567 6.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,120.08 $2,154 4.1×
Dup-scan xtr veins unilateral/limited study (93971) $543.40 $1,045 4.5×
Duplex Scan Hemodialysis Access (93990) $404.04 $777 3.4×
Duplex up extrem art bilat (93930) $543.40 $1,045 2.0×
Duplex up extrem art unilat/ltd (93931) $543.40 $1,045 4.5×
Echo Congenital Complete (93303) $1,257.36 $2,418 2.0×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines		 $654.68–$752.96 $1,259–$1,448 varies
Echo transesophag montr cardiac pump functj (93318) $1,311.44 $2,522 2.1×
Echo transesophageal (93312) $1,495.52 $2,876 2.4×
Eeg 41-60 Minutes (95812) $686.92 $1,321 2.8×
EEG awake and asleep (95819) $781.56 $1,503 3.1×
EEG awake drowsy (95816) $781.56 $1,503 3.1×
EEG cont rec w/video by tech min 8 channels (95700) $2,808 $5,400 11.3×
EEG extended monitoring 61-119 minutes (95813) $781.56 $1,503 3.1×
Eeg Sleep Only (95822) $781.56 $1,503 3.1×
Electrical Stimulation Ea 15 Min (97032) $48.36 $93 3.3×
Electrocardiogram Tracing (93005) $196.04 $377 2.9×
Electrophysiology Evaluation (93642) $2,848.56 $5,478 2.0×
Emergency Dept Visit Level 2 (99282) $539.76 $1,038 3.1×
Emergency Dept Visit Level 3 (99283) $826.80 $1,590 2.6×
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines		 $1,394.12–$1,394.32 $2,681–$2,681.38 varies
Emg 3 Extremities (95863) $345.80 $665 2.3×
Ep & ablate supravent arrhyt (93653) $25,597.52 $49,226 0.9×
Ep & ablate ventric tachy (93654) $18,788.64 $36,132 0.6×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $14,308.32 $27,516 1.6×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $15,783.04 $30,352 1.8×
Er level 1 (99281) $284.44 $547 2.9×
Er level v (99285) $2,809.56 $5,403 4.1×
Evaluate pt use of inhaler (94664) $442.52 $851 1.8×
Evaluate Speech Production (92522) $251.16 $483 2.2×
Evaluate Swallowing Function (92610) $344.24 $662 4.1×
Evaluation of speech fluency (92521) $228.28 $439 1.7×
Extracranial Bilat Study (93880) $326.04 $627 1.2×
Extracranial Uni/Ltd Study (93882) $326.04 $627 2.7×
Flexible endoscopic eval swallow c/v rec (92612) $166.40 $320 0.8×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $2,297.88 $4,419 2.3×
Health behavior ivntj group f2f 1st 30 min (96164) $63.44 $122 1.5×
Health behavior ivntj indiv f2f 1st 30 min (96158) $157.56 $303 0.8×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $4,212 $8,100 1.1×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,747.72 $3,361 2.2×
Immunization administration (90471) $104 $200 1.3×
Insert/Place Heart Catheter (93503) $1,499.16 $2,883 0.8×
Intracranial Complete Study (93886) $326.04 $627 1.2×
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines		 $200.20–$213.72 $385–$411 varies
IV infusion hydration each additional hour (96361) $119.08 $229 2.2×
IV infusion hydration initial 31 min-1 hour (96360) $613.60 $1,180 2.5×
IV infusion ther proph addl sequential to 1 hr (96367) $186.68 $359 2.3×
IV infusion therapy prophylaxis/dx ea hour (96366) $119.08 $229 2.2×
IV push initial (96374) $613.60 $1,180 2.5×
L Hrt Art/Grft Angio (93459) $4,212 $8,100 1.1×
Lung Function Test (Mbc/Mvv) (94200) $408.20 $785 6.0×
Mechanical chest wall oscillation per session (94669) $421.20 $810 1.7×
Motion Fluoroscopy/Swallow (92611) $453.96 $873 5.0×
Multiple Sleep Latency Test (95805) $2,349.88 $4,519 2.4×
Muscle Test 2 Limbs (95861) $313.56 $603 2.0×
Muscle Test One Limb (95860) $279.76 $538 1.8×
Nasopharyngoscopy (92511) $305.24 $587 1.3×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $417.04 $802 1.7×
Needle electromyography larynx (95865) $359.84 $692 2.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $830.96 $1,598 1.8×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines		 $894.92–$895.96 $1,721–$1,723 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $213.20 $410 0.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines		 $895.96–$950.04 $1,723–$1,827 varies
Nerve Conduction Studies 1-2 Studies (95907) $486.20 $935 2.0×
Nerve Conduction Studies 11-12 Studies (95912) $936.52 $1,801 2.2×
Nerve conduction studies 13 or more studies (95913) $1,539.20 $2,960 3.6×
Nerve Conduction Studies 3-4 Studies (95908) $889.20 $1,710 3.6×
Nerve conduction studies 5-6 studies (95909) $889.20 $1,710 3.6×
Nerve conduction studies 7-8 studies (95910) $889.20 $1,710 2.1×
Nerve Conduction Studies 9-10 Studies (95911) $937.56 $1,803 2.2×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $521.56 $1,003 3.5×
Neuromuscular Reeducation (97112) $80.08 $154 2.4×
Newborn resuscitation (99465) $1,378.52 $2,651 1.8×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $261.04 $502 1.7×
Oral Function Therapy (92526) $344.24 $662 4.1×
Oral Speech Device Eval (92597) $177.32 $341 2.5×
Orthc/Prostc Mgmt Sbsq Enc (97763) $55.64 $107 1.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $82.68 $159 1.8×
Ot Contrast Bath Ea 15 Min (97034) $46.80 $90 3.3×
Ot eval high complexity (97167) $233.48 $449 2.3×
Ot Eval Low Complex (97165) $117 $225 1.2×
Ot Eval Moderate Complexity (97166) $175.24 $337 1.7×
Ot manual therapy 15 min (97140) $70.20 $135 2.5×
Ot Prosthetic Training, Each 15 Min (97761) $79.56 $153 2.0×
Ot Re-Eval Est Plan Care (97168) $79.56 $153 1.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $204.36 $393 1.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $204.36 $393 1.4×
Oxygen Uptake Rest Indirect (94690) $140.10 $269.42 2.1×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $7,358.52 $14,151 1.1×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $15,009.80 $28,865 1.1×
Phlebotomy therapeutic (99195) $198.64 $382 1.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $198.12 $381 2.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $198.12 $381 2.9×
Physical Performance Test (97750) $55.64 $107 1.6×
Plethysmography (94726) $889.20 $1,710 2.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,349.88 $4,519 2.4×
Prq Card Angio/Athrect 1 Art (92924) $14,872.52 $28,601 1.1×
Prq Card Stent W/Angio 1 Vsl (92928) $14,872.52 $28,601 1.1×
Prq Revasc Byp Graft 1 Vsl (92937) $14,872.52 $28,601 1.1×
Psych diag eval w/med srvcs (90792) $294.32 $566 1.4×
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines		 $281.84–$304.20 $542–$585 varies
Pt Eval High Complex (97163) $324.48 $624 3.3×
Pt eval low complex 20 min (97161) $216.32 $416 2.2×
Pt Eval Mod Complex (97162) $224.64 $432 2.3×
Pt gait training 15 min (97116) $55.12 $106 1.9×
Pt mechanical traction (97012) $37.44 $72 2.6×
Pt Re-Eval Est Plan Care (97164) $79.56 $153 1.2×
Pulm function test by gas (94727) $486.20 $935 2.0×
R Hrt Art/Grft Angio (93457) $4,212 $8,100 1.1×
R hrt coronary artery angio (93456) $4,212 $8,100 1.1×
R&L Hrt Cath W/Ventriclgrphy (93453) $4,212 $8,100 1.1×
Refill/Maint Portable Pump (96521) $731.12 $1,406 3.0×
Refill/Maint Pump/Resvr Syst (96522) $494 $950 2.0×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $288.60 $555 1.9×
Right Heart Cath (93451) $4,212 $8,100 1.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $429 $825 1.9×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $526.24 $1,012 4.3×
Self Care Mngment Training (97535) $81.12 $156 2.5×
Sensory Integration Ea 15 Min (97533) $59.80 $115 1.0×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $644.80 $1,240 2.6×
Short-latency somatosens ep std upr limbs (95925) $942.24 $1,812 3.8×
Slp caregiver training 1st 30 min (97550) $105.56 $203 2.0×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $526.24 $1,012 2.1×
Somatosensory Testing (95938) $1,589.12 $3,056 1.6×
Speech sound lang comprehen (92523) $131.56 $253 0.6×
Spirometry (94010) $521.56 $1,003 2.1×
Ssep lower limbs (95926) $736.84 $1,417 3.0×
Standardized Cognitive Performance Testing (96125) $308.88 $594 3.0×
Stress Tte Only (93350) $1,495.52 $2,876 2.4×
Subcutaneous Infusion Each Additional Hour (96370) $102.96 $198 1.9×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $501.28 $964 2.0×
Subq Infusion Additional Pump Infusion Site (96371) $160.16 $308 1.9×
Temp transcutaneous pacing (92953) $1,567.28 $3,014 2.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $63.96 $123 2.9×
Ther Ivntj Ea Addl 15 Min (97130) $63.96 $123 3.0×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $61.88 $119 1.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $43.68 $84 1.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $319.28 $614 3.1×
Ther/Prop/Diag Inj/Inf Proc (96379) $100.36 $193 1.9×
Ther/Proph/Diag Inj Ia (96373) $525.72 $1,011 2.1×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines		 $144.56–$186.68 $278–$359 varies
Ther/Proph/Diag Iv Inf Init (96365) $613.60 $1,180 2.5×
Therapeutic Activities (97530) $70.20 $135 2.0×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,115.92 $2,146 2.6×
Transcath Closure of Asd (93580) $24,439.48 $46,999 1.2×
Tte w/doppler, complete (93306) $1,495.52 $2,876 2.4×
Tx atrial fib pulm vein isol (93656) $16,129.36 $31,018 0.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $325.52 $626 4.3×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $148.20 $285 6.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $119.08 $229 2.2×
Unlisted cardiovascular service/procedure (93799)
range across 4 matching MRF lines		 $451.88–$4,405.44 $869–$8,472 varies
Upr/L Xtremity Art 2 Levels (93922) $397.28 $764 2.6×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $515.84 $992 2.1×
Valvuloplasty aortic valve (92986) $7,757.36 $14,918 1.2×
Veeg 2-12 Hr Cont Mntr (95713) $2,808 $5,400 6.5×
Veeg 2-12 hr intmt mntr (95712) $2,808 $5,400 6.5×
Veeg 2-12 hr unmonitored (95711) $2,808 $5,400 11.3×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $2,808 $5,400 6.5×
Veeg Ea 12-26 Hr Unmntr (95714) $2,808 $5,400 6.5×
Veeg ea 12-26hr cont mntr (95716) $2,808 $5,400 2.8×
Vent Mgmt Inpat Init Day (94002) $2,424.24 $4,662 3.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,424.24 $4,662 3.4×
Visual Evoked Potential Test (95930) $521.56 $1,003 2.1×
Vital capacity, total (94150) $481 $925 3.3×
Wada Activation Test Hemispheric Function W/Eeg (95958) $2,748.20 $5,285 2.8×
Wheelchair Mgmt Ea 15 Min (97542) $50.44 $97 1.6×

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.