Visits & medical services prices at Shriners Hospitals For Children Northern Calif

Sacramento, CA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $965.31 $965.31 5.8×
Airway Inhalation Treatment (94640) $200.60 $200.60 0.7×
Airway resistance by oscillometry (94728) $360.70 $360.70 2.2×
Anrct mano rct sensation&rct balo expulsion test (91125) $2,472.72 $2,472.72 5.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $83.20 $83.20 5.8×
Application Modality 1/> Areas Diathermy (97024) $39.20 $39.20 5.3×
Application Modality 1/> Areas Infrared (97026) $36.60 $36.60 5.5×
Assessment of aphasia per hr (96105) $497.80 $497.80 5.1×
Assessment of tinnitus (92625) $965.31 $965.31 5.8×
Audiometry Air & Bone (92553) $965.31 $965.31 5.8×
Auditory Function, 60 Min (92620) $965.31 $965.31 5.8×
Behavral qualit analys voice (92524) $353.70 $353.70 3.2×
Biofeedback training any modality (90901) $91.20 $91.20 2.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $699.10 $699.10 1.4×
Canalith repositioning proc (95992) $175.60 $175.60 4.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $112.70 $112.70 4.3×
Cbt 1st hour (94644) $396.90 $396.90 2.3×
Chemo IV infusion addl hr (96415) $435.34 $435.34 4.7×
Chemother Prolong Infuse W/Pump (96416) $2,092.90 $2,092.90 4.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $2,092.90 $2,092.90 4.9×
Chest Wall Manipulation (94668) $200.60 $200.60 1.2×
Colon Motility 6 Hr Study (91117) $2,019.74 $2,019.74 7.2×
Color/duplex Doppler, complete (93975) $1,657.90 $1,657.90 5.4×
Color/duplex Doppler, limited (93976) $892.80 $892.80 6.6×
Community/Work Reintegration Trainj Ea 15 Min (97537) $185 $185 5.8×
Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) $1,591.40 $1,591.40 1.4×
Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) $1,326.30 $1,326.30 2.7×
Comprehensive Hearing Test (92557) $965.31 $965.31 5.8×
Conditioning Play Audiometry (92582) $965.31 $965.31 5.8×
Continuous Pulse Ox (94762) $965.31 $965.31 5.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $699.10 $699.10 2.5×
Cpt initial (94667) $240.70 $240.70 1.4×
Debridement Open Wound 20 Sq Cm< (97597) $1,171.24 $1,171.24 4.5×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $1,939.70 $1,939.70 4.0×
Duodenal motility study (91022) $10,667.05 $10,667.05 22.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,137.10 $1,137.10 3.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $713.60 $713.60 5.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,137.10 $1,137.10 3.7×
Dup-scan xtr veins unilateral/limited study (93971) $713.60 $713.60 5.3×
Duplex up extrem art bilat (93930) $1,137.10 $1,137.10 3.7×
Duplex up extrem art unilat/ltd (93931) $713.60 $713.60 5.3×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $1,014.80 $1,014.80 6.1×
Dyn surf EMG walkg/funcjal actv 1-12 musc (96002)
range across 2 matching MRF lines
$563.30–$563.40 $563.30–$563.40 varies
Ear and throat examination (92502) $3,303 $3,303 4.7×
Electrical Stimulation Ea 15 Min (97032)
range across 3 matching MRF lines
$113.60–$116.40 $113.60–$116.40 varies
Electrocardiogram Tracing (93005) $194.70 $194.70 2.5×
Emg 3 Extremities (95863) $932.80 $932.80 5.6×
Emg 4 Extremities (95864) $194.70 $194.70 1.2×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $932.80 $932.80 5.6×
Evaluate pt use of inhaler (94664) $1,318.08 $1,318.08 4.6×
Evaluate Speech Production (92522) $336.50 $336.50 3.0×
Evaluate Swallowing Function (92610) $781.40 $781.40 9.2×
Evaluation of speech fluency (92521) $414.60 $414.60 3.1×
Evoked Auditory Test,Limited (92587) $1,939.70 $1,939.70 6.9×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $316.20 $316.20 2.1×
Flexible endoscopic eval swallow c/v rec (92612) $322.60 $322.60 1.6×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $475 $475 2.1×
Gastric motility studies (91020) $3,441.47 $3,441.47 7.1×
Gi wireless capsule measure (91112) $6,081.01 $6,081.01 5.2×
Group Therapeutic Procedures (97150) $124.30 $124.30 6.9×
Hubbard tank 15 min (97036) $176.30 $176.30 5.1×
Iontophoresis 15 min (97033) $165.60 $165.60 8.7×
Irrig Drug Delivery Device (96523) $378 $378 4.9×
IV infusion hydration each additional hour (96361) $180.60 $180.60 3.0×
IV infusion hydration initial 31 min-1 hour (96360) $503.90 $503.90 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $252.30 $252.30 2.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $180.60 $180.60 3.0×
IV push initial (96374) $252.30 $252.30 0.9×
Laryngeal Function Studies (92520) $789.41 $789.41 4.6×
Low frequency non-thermal us (97610) $1,237.20 $1,237.20 4.8×
Lung Function Test (Mbc/Mvv) (94200) $287.80 $287.80 3.8×
Mechanical chest wall oscillation per session (94669) $1,371.70 $1,371.70 4.8×
Motility study esophagus (91010)
range across 3 matching MRF lines
$3,312.27–$3,441.47 $3,312.27–$3,441.47 varies
Motion Fluoroscopy/Swallow (92611) $807.40 $807.40 8.8×
Muscle Test 2 Limbs (95861) $716.10 $716.10 4.1×
Muscle Test Nonparaspinal (95870) $789.41 $789.41 4.6×
Muscle Test One Limb (95860) $789.41 $789.41 4.6×
Nasopharyngoscopy (92511)
range across 2 matching MRF lines
$417–$1,224.10 $417–$1,224.10 varies
Needle Electromyography Cranial Nrv Muscle Bi (95868) $194.70 $194.70 0.7×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $910 $910 3.2×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $194.70 $194.70 0.7×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $194.70 $194.70 0.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $2,419.73 $2,419.73 4.6×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$2,147.40–$2,464.16 $2,147.40–$2,464.16 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $2,419.73 $2,419.73 9.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $2,464.16 $2,464.16 4.7×
Nerve Conduction Studies 1-2 Studies (95907) $965.31 $965.31 3.4×
Nerve Conduction Studies 11-12 Studies (95912) $3,312.27 $3,312.27 6.8×
Nerve Conduction Studies 3-4 Studies (95908) $1,939.70 $1,939.70 6.9×
Nerve conduction studies 5-6 studies (95909)
range across 2 matching MRF lines
$1,939.70–$5,720.20 $1,939.70–$5,720.20 varies
Nerve conduction studies 7-8 studies (95910) $1,796.90 $1,796.90 3.7×
Nerve Conduction Studies 9-10 Studies (95911)
range across 2 matching MRF lines
$3,312.27–$3,737.56 $3,312.27–$3,737.56 varies
Neuromuscular Reeducation (97112) $206.50 $206.50 6.3×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $419.90 $419.90 0.9×
Oral Function Therapy (92526) $612.50 $612.50 7.3×
Oral Speech Device Eval (92597) $742 $742 10.4×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 3 matching MRF lines
$157–$314 $157–$314 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 3 matching MRF lines
$235–$1,175 $235–$1,175 varies
Ot Contrast Bath Ea 15 Min (97034) $100.50 $100.50 7.2×
Ot eval high complexity (97167) $664.40 $664.40 6.6×
Ot Eval Low Complex (97165) $332.10 $332.10 3.3×
Ot Eval Moderate Complexity (97166) $498.40 $498.40 5.0×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$179.90–$184.40 $179.90–$184.40 varies
Ot paraffin bath (97018)
range across 2 matching MRF lines
$55.80–$57.20 $55.80–$57.20 varies
Ot Prosthetic Training, Each 15 Min (97761) $205.40 $205.40 5.1×
Ot Re-Eval Est Plan Care (97168) $408.70 $408.70 6.0×
Ot rom hand (95852) $104.20 $104.20 4.9×
Oxygen Uptake Rest Indirect (94690) $295 $295 3.9×
Physical Performance Test (97750)
range across 3 matching MRF lines
$286.50–$1,432.50 $286.50–$1,432.50 varies
Plethysmography (94726) $398.80 $398.80 0.8×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $233.70 $233.70 6.2×
Pt Eval High Complex (97163) $587.60 $587.60 6.0×
Pt eval low complex 20 min (97161) $261.20 $261.20 2.7×
Pt Eval Mod Complex (97162) $391.80 $391.80 4.0×
Pt gait training 15 min (97116)
range across 3 matching MRF lines
$169.20–$346.80 $169.20–$346.80 varies
Pt mechanical traction (97012) $105.20 $105.20 7.3×
Pt Re-Eval Est Plan Care (97164) $319.60 $319.60 4.7×
Pt ultraviolet (97028) $47.20 $47.20 5.7×
Pulm function test by gas (94727) $369.70 $369.70 1.3×
Pure Tone Audiometry Air (92552) $789.41 $789.41 4.6×
Rectal sensation tone&compliance study (91124) $1,430.81 $1,430.81 5.1×
Respiratory flow volume loop (94375) $360.70 $360.70 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$370.70–$1,237.20 $370.70–$1,237.20 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $131.80 $131.80 5.1×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $1,123.20 $1,123.20 9.2×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $232.90 $232.90 4.9×
Self Care Mngment Training (97535) $212.20 $212.20 6.5×
Sensory Integration Ea 15 Min (97533)
range across 2 matching MRF lines
$176.90–$185.60 $176.90–$185.60 varies
Slp caregiver training 1st 30 min (97550) $226.90 $226.90 4.3×
Speech Audiometry Complete (92556) $378 $378 4.9×
Speech audiometry threshold (92555) $378 $378 4.9×
Speech sound lang comprehen (92523) $699.30 $699.30 3.1×
Spin/Brain Pump Refil & Main (95991) $1,830.35 $1,830.35 4.6×
Spirometry (94010) $419.90 $419.90 1.5×
Standardized Cognitive Performance Testing (96125) $548.70 $548.70 5.3×
Stenger Test Speech (92577) $3,312.27 $3,312.27 6.8×
Stenger Test, Pure Tone (92565) $378 $378 4.9×
Surfactant Admin Thru Tube (94610) $360.70 $360.70 1.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $179.20 $179.20 8.0×
Ther Ivntj Ea Addl 15 Min (97130) $173.70 $173.70 8.3×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $234.70 $234.70 6.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $160 $160 5.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $597.70 $597.70 5.8×
Ther/Proph/Diag Inj Ia (96373) $1,324.57 $1,324.57 4.8×
Ther/Proph/Diag Inj Sc/Im (96372) $269.30 $269.30 2.9×
Ther/Proph/Diag Iv Inf Init (96365) $913.20 $913.20 3.3×
Therapeutic Activities (97530)
range across 3 matching MRF lines
$209.50–$419 $209.50–$419 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $489.70 $489.70 6.4×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $212.40 $212.40 8.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $252.30 $252.30 4.2×
Tympanometry (92567) $247.83 $247.83 5.1×
Vasopneumatic device (97016) $106.20 $106.20 8.8×
Vent Mgmt Inpat Init Day (94002) $1,830.90 $1,830.90 2.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,525.60 $1,525.60 1.9×
Visual reinforcement audiometry (vra) (92579) $965.31 $965.31 3.4×
Vital capacity, total (94150) $295 $295 1.8×
Wheelchair Mgmt Ea 15 Min (97542) $202.40 $202.40 6.5×
Whirlpool Therapy (97022) $120.10 $120.10 7.6×

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.