Visits & medical services prices at Santiam Hospital & Clinics
Stayton, OR · every code in this section with a posted price and a Medicare benchmark.
176 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | $356 | $356 | 3.1× |
| Acoustic Reflex Testing (92568) | $37 | $37 | 0.9× |
| Actigraphy Testing Recording Analysis I&R (95803) range across 2 matching MRF lines |
$257.61–$381 | $257.61–$381 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$63–$73.41 | $63–$73.41 | varies |
| Advncd Care Plan 30 Min (99497) | $234 | $234 | 2.1× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$43–$858.26 | $43–$858.26 | varies |
| Analyze neurostim complex (95972) | $140 | $140 | 1.3× |
| Analyze neurostim no prog (95970) | $48 | $48 | 0.3× |
| Analyze Neurostim Simple (95971) | $115 | $115 | 1.1× |
| Assessment of aphasia per hr (96105) | $395.69 | $395.69 | 4.1× |
| Behavral qualit analys voice (92524) | $448.18 | $448.18 | 4.1× |
| Bioimpedance Cv Analysis (93701) | $61 | $61 | 0.4× |
| Brief Emotional/Behav Assmt (96127) | $42 | $42 | 1.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$96–$1,255.16 | $96–$1,255.16 | varies |
| Canalith repositioning proc (95992) | $176.97 | $176.97 | 4.3× |
| Car seat/bed test 60 min (94780) | $165.98 | $165.98 | 4.0× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,255.16 | $1,255.16 | 5.2× |
| Cardiopulmonary exercise testing (94621) | $1,352.55 | $1,352.55 | 3.2× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$785–$1,255.16 | $785–$1,255.16 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$435–$2,635.90 | $435–$2,635.90 | varies |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $128 | $128 | 3.0× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $10 | $10 | 0.2× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $98.02 | $98.02 | 3.8× |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$173–$520.38 | $173–$520.38 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $302.38 | $302.38 | 3.7× |
| Chemo IV infusion addl hr (96415) | $309 | $309 | 3.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,490.73 | $1,490.73 | 4.0× |
| Chest Wall Manipulation (94668) | $520.38 | $520.38 | 3.5× |
| Chron Care Mgmt Srvc 20 Min (99490) | $168 | $168 | 1.5× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$742–$1,046.58 | $742–$1,046.58 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$467–$620.92 | $467–$620.92 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $323 | $323 | 1.6× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $547.48 | $547.48 | 3.7× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $253.12 | $253.12 | 3.8× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$61–$651.78 | $61–$651.78 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $858.26 | $858.26 | 3.5× |
| Cpt initial (94667) | $520.38 | $520.38 | 3.5× |
| Critical care first hour (99291) | $777 | $777 | 0.8× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$247–$809.32 | $247–$809.32 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $265 | $265 | 1.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$120–$1,014.06 | $120–$1,014.06 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$105–$1,049.88 | $105–$1,049.88 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$65–$550.09 | $65–$550.09 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$124–$1,103.80 | $124–$1,103.80 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$108–$886.14 | $108–$886.14 | varies |
| Duplex up extrem art unilat/ltd (93931) | $550.09 | $550.09 | 4.7× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$263–$1,046.58 | $263–$1,046.58 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$269–$2,303.20 | $269–$2,303.20 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $317 | $317 | 0.5× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$258–$2,254.92 | $258–$2,254.92 | varies |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $125 | $125 | 1.2× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $95 | $95 | 2.3× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$18–$257.61 | $18–$257.61 | varies |
| Emergency Dept Visit Level 2 (99282) | $230 | $230 | 1.3× |
| Emergency Dept Visit Level 3 (99283) | $351 | $351 | 1.1× |
| Emergency Dept Visit Level 4 (99284) | $483 | $483 | 1.0× |
| Er level 1 (99281) | $166 | $166 | 1.8× |
| Er level v (99285) | $617 | $617 | 0.9× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$41–$858.26 | $41–$858.26 | varies |
| Evaluate Swallowing Function (92610) | $346.64 | $346.64 | 4.1× |
| Evaluation of speech fluency (92521) | $543.68 | $543.68 | 4.1× |
| Evoked Auditory Test,Limited (92587) | $1,255.16 | $1,255.16 | 5.2× |
| External ECG rec>48hr<7d recording (93242) | $152.20 | $152.20 | 3.6× |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$32–$257.61 | $32–$257.61 | varies |
| External Ecg Scanning Analysis Report (93226) | $520.38 | $520.38 | 7.9× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$145–$1,046.58 | $145–$1,046.58 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $211 | $211 | 0.2× |
| Health Behavior Assessment/Re-Assessment (96156) | $234 | $234 | 2.1× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $170 | $170 | 4.0× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $24 | $24 | 0.6× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $160 | $160 | 0.8× |
| High altitude simulation test (94452) range across 2 matching MRF lines |
$41–$520.38 | $41–$520.38 | varies |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) range across 2 matching MRF lines |
$54–$520.38 | $54–$520.38 | varies |
| Holter monitor recording (93225) | $520.38 | $520.38 | 3.5× |
| Hypnotherapy (90880) | $545 | $545 | 4.8× |
| Icd Device Progr Eval Mult (93284) | $172 | $172 | 4.1× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $65 | $65 | 0.8× |
| Immunization administration (90471) range across 2 matching MRF lines |
$63–$129.25 | $63–$129.25 | varies |
| Inital newborn e/m (99460) | $260 | $260 | 1.7× |
| Insert/Place Heart Catheter (93503) | $219 | $219 | 0.1× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$187–$193.36 | $187–$193.36 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$88–$925.80 | $88–$925.80 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$177–$302.38 | $177–$302.38 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$133–$189.89 | $133–$189.89 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$96–$925.80 | $96–$925.80 | varies |
| Low frequency non-thermal us (97610) | $828.52 | $828.52 | 3.7× |
| Lung Function Test (Mbc/Mvv) (94200) | $66 | $66 | 1.0× |
| Mechanical chest wall oscillation per session (94669) | $858.26 | $858.26 | 3.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $111.30 | $111.30 | 3.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $131.98 | $131.98 | 3.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $62.95 | $62.95 | 3.7× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$91–$1,255.16 | $91–$1,255.16 | varies |
| Multiple Family Group Psychotherapy (90849) | $120 | $120 | 0.6× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$990–$2,166.62 | $990–$2,166.62 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$920–$1,672.01 | $920–$1,672.01 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,672.01 | $1,672.01 | 3.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$106–$809.32 | $106–$809.32 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$126–$1,672.01 | $126–$1,672.01 | varies |
| Neurobehavioral Status Exam (96116) | $280 | $280 | 1.2× |
| Neuromuscular Reeducation (97112) | $138.60 | $138.60 | 4.2× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$398–$2,635.90 | $398–$2,635.90 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $63 | $63 | 2.5× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $92 | $92 | 2.6× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $33 | $33 | 2.4× |
| Oral Function Therapy (92526) | $346.80 | $346.80 | 4.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $115 | $115 | 2.5× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $81 | $81 | 3.3× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $115 | $115 | 4.7× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $151 | $151 | 6.2× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $186 | $186 | 7.7× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $220 | $220 | 9.1× |
| Ot eval high complexity (97167) | $411.41 | $411.41 | 4.1× |
| Ot Eval Low Complex (97165) | $411.41 | $411.41 | 4.1× |
| Ot Eval Moderate Complexity (97166) | $411.41 | $411.41 | 4.1× |
| Ot manual therapy 15 min (97140) | $115.81 | $115.81 | 4.2× |
| Ot Re-Eval Est Plan Care (97168) | $282.74 | $282.74 | 4.1× |
| Phlebotomy therapeutic (99195) | $520.38 | $520.38 | 3.5× |
| Plethysmography (94726) range across 2 matching MRF lines |
$39–$1,213.89 | $39–$1,213.89 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$1,697–$5,294.08 | $1,697–$5,294.08 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$2,535–$6,224.68 | $2,535–$6,224.68 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 2 matching MRF lines |
$418–$6,617.60 | $418–$6,617.60 | varies |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) range across 2 matching MRF lines |
$269–$4,187.68 | $269–$4,187.68 | varies |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $168 | $168 | 1.5× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $22 | $22 | 0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $37 | $37 | 0.7× |
| Psych diag eval w/med srvcs (90792) | $600 | $600 | 3.0× |
| Psychiatric diagnostic evaluation (90791) | $520 | $520 | 2.6× |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$480–$652.99 | $480–$652.99 | varies |
| Pt Eval High Complex (97163) | $411.41 | $411.41 | 4.2× |
| Pt eval low complex 20 min (97161) | $411.41 | $411.41 | 4.2× |
| Pt Eval Mod Complex (97162) | $411.41 | $411.41 | 4.2× |
| Pt gait training 15 min (97116) | $120.77 | $120.77 | 4.2× |
| Pt Re-Eval Est Plan Care (97164) | $284.06 | $284.06 | 4.2× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) range across 2 matching MRF lines |
$132–$136.49 | $132–$136.49 | varies |
| Pulm function test by gas (94727) | $137 | $137 | 0.6× |
| Pulmonary service/procedure (94799) | $651.78 | $651.78 | 4.5× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$63–$520.38 | $63–$520.38 | varies |
| Pure Tone Audiometry Air (92552) | $73 | $73 | 0.5× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$32–$156.86 | $32–$156.86 | varies |
| Remote 30 Day Ecg Tech Supp (93229) | $2,401 | $2,401 | 5.7× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $257.61 | $257.61 | 3.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$168–$809.32 | $168–$809.32 | varies |
| Same day nb discharge (99463) | $304 | $304 | 2.0× |
| Sbsq Psyc Collab Care Mgmt (99493) | $327 | $327 | 2.9× |
| Self Care Mngment Training (97535) | $134.30 | $134.30 | 4.1× |
| Sleep study attended (95807) range across 2 matching MRF lines |
$184–$2,166.62 | $184–$2,166.62 | varies |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$136–$651.78 | $136–$651.78 | varies |
| Slp caregiver training 1st 30 min (97550) | $182.52 | $182.52 | 3.5× |
| Slp Stdy Unatnd W/Anal (95801) range across 2 matching MRF lines |
$126–$520.38 | $126–$520.38 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$398–$651.78 | $398–$651.78 | varies |
| Speech sound lang comprehen (92523) | $932.34 | $932.34 | 4.1× |
| Spirometry (94010) range across 2 matching MRF lines |
$26–$651.78 | $26–$651.78 | varies |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$310–$417.86 | $310–$417.86 | varies |
| Stress Tte Only (93350) | $215 | $215 | 0.4× |
| Tensilon Test (95857) | $132 | $132 | 0.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $105.47 | $105.47 | 4.7× |
| Ther Ivntj Ea Addl 15 Min (97130) | $88.43 | $88.43 | 4.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $123 | $123 | 4.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$59–$302.38 | $59–$302.38 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$728–$925.80 | $728–$925.80 | varies |
| Therapeutic Activities (97530) | $151.87 | $151.87 | 4.3× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $2,304.62 | $2,304.62 | 5.5× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $89 | $89 | 2.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$42–$125.12 | $42–$125.12 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $498 | $498 | 3.3× |
| Trans Care Mgmt 7 Day Disch (99496) | $675 | $675 | 4.5× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$222–$2,254.92 | $222–$2,254.92 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $312.76 | $312.76 | 4.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$41–$189.89 | $41–$189.89 | varies |
| Tympanometry (92567) | $33 | $33 | 0.8× |
| Unlisted cardiovascular service/procedure (93799) | $1,401.57 | $1,401.57 | 9.7× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$207–$520.38 | $207–$520.38 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $66 | $66 | 0.3× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$221–$2,495.09 | $221–$2,495.09 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$163–$2,495.09 | $163–$2,495.09 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $127.31 | $127.31 | 4.1× |
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.