Visits & medical services prices at South Peninsula Hospital

Homer, AK · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Actinotherapy Ultraviolet Light (96900) $123.04 $164.05 3.0×
Admn Sarscov2 Vacc 1 Dose (90480) $127.67 $170.23 2.8×
Advncd Care Plan 30 Min (99497) $300.17 $400.22 2.7×
Airway Inhalation Treatment (94640) $1,322.30 $1,763.07 5.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $141.50 $188.66 9.9×
Assessment of aphasia per hr (96105) $401.09 $534.79 4.1×
Behavral qualit analys voice (92524) $523.43 $697.91 4.8×
Biofeedback training any modality (90901) $129.23 $172.30 3.1×
Brief Emotional/Behav Assmt (96127) $47.55 $63.40 1.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $710.15 $946.86 1.7×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$372.36–$464.50 $496.48–$619.33 varies
Car seat/bed test 60 min (94780) $8.11 $10.81 0.2×
Cardiac Stress Tst,Tracing Only (93017) $1,420.28 $1,893.71 5.9×
Cardiopulmonary resuscitation (92950) $1,772.98 $2,363.97 7.4×
Cardioversion (92960)
range across 2 matching MRF lines
$1,116.58–$1,544.47 $1,488.77–$2,059.29 varies
Caregiver hlth risk assmt score doc stnd instrm (96161) $33.75 $45 0.8×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $322.50 $430 12.4×
Cbt 1st hour (94644) $351.09 $468.12 2.4×
Chemo Anti-Neopl Sq/Im (96401) $311.51 $415.35 3.9×
Chemo Hormon Antineopl Sq/Im (96402) $226.61 $302.14 2.8×
Chemo IV infusion addl hr (96415) $226.61 $302.14 2.8×
Chemo IV push addl drug (96411) $351.29 $468.38 4.4×
Chemother Prolong Infuse W/Pump (96416) $657.47 $876.63 1.8×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $844.10 $1,125.46 2.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $267.03 $356.04 3.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $910.34 $1,213.78 2.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $397.46 $529.95 1.1×
Chest Wall Manipulation (94668) $260.66 $347.54 1.8×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$1,176.05–$1,179.66 $1,568.06–$1,572.88 varies
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$226.56–$661.40 $302.08–$881.87 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $125.46 $167.28 3.9×
Cont Gluc Mntr Pt Prov Eqp (95249) $296.69 $395.59 4.5×
Continuous Pulse Ox (94762) $587.15 $782.87 4.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $2,458.37 $3,277.83 10.1×
Cpt initial (94667) $276.62 $368.83 1.9×
Critical care first hour (99291) $1,224.47 $1,632.63 1.3×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$181.93–$358.15 $242.57–$477.53 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$479.24–$1,019.52 $638.98–$1,359.36 varies
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980)
range across 2 matching MRF lines
$479.24–$1,019.52 $638.98–$1,359.36 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$218.71–$1,249.85 $291.61–$1,666.46 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$144.41–$769.13 $192.55–$1,025.51 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$314.99–$1,394.06 $419.98–$1,858.74 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$155.93–$1,089.76 $207.90–$1,453.01 varies
Duplex up extrem art bilat (93930)
range across 2 matching MRF lines
$224.54–$1,091.46 $299.38–$1,455.28 varies
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$120.35–$637.34 $160.46–$849.79 varies
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$146.50–$1,114.82 $195.33–$1,486.42 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,720.25 $2,293.67 2.8×
Eeg 41-60 Minutes (95812)
range across 2 matching MRF lines
$833.05–$855 $1,110.73–$1,140 varies
EEG awake and asleep (95819)
range across 2 matching MRF lines
$769.82–$930.75 $1,026.42–$1,241 varies
EEG awake drowsy (95816)
range across 2 matching MRF lines
$131.25–$781.16 $175–$1,041.55 varies
EEG extended monitoring 61-119 minutes (95813)
range across 2 matching MRF lines
$919.37–$1,120.50 $1,225.82–$1,494 varies
Eeg Sleep Only (95822) $917.06 $1,222.74 3.8×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $1,520.56 $2,027.41 14.4×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $1,368.50 $1,824.67 13.0×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $470.30 $627.07 11.4×
Electrical Stimulation Ea 15 Min (97032) $141.50 $188.66 9.6×
Electrocardiogram Tracing (93005) $352.84 $470.45 5.4×
Emergency Dept Visit Level 2 (99282) $293.08 $390.77 1.7×
Emergency Dept Visit Level 3 (99283) $521.91 $695.88 1.7×
Emergency Dept Visit Level 4 (99284) $647.62 $863.49 1.4×
Emg 3 Extremities (95863)
range across 2 matching MRF lines
$325.72–$702.92 $434.29–$937.22 varies
Emg 4 Extremities (95864)
range across 2 matching MRF lines
$371.17–$769.84 $494.89–$1,026.45 varies
Er level 1 (99281) $215.82 $287.76 2.3×
Er level v (99285) $1,127.30 $1,503.06 1.7×
Evaluate Speech Production (92522) $465.71 $620.94 4.2×
Evaluate Swallowing Function (92610) $771.32 $1,028.43 9.1×
Evaluation of speech fluency (92521) $493.65 $658.20 3.7×
Evoked Auditory Test,Limited (92587) $73.66 $98.21 0.3×
External ECG rec>48hr<7d recording (93242) $473.43 $631.24 11.4×
External ECG rec>48hr<7d scanning alys w/report (93243)
range across 2 matching MRF lines
$581.37–$640.34 $775.16–$853.79 varies
External ECG rec>7d<15d recording (93246) $473.43 $631.24 11.4×
External ECG rec>7d<15d scanning alys w/report (93247) $699.32 $932.42 4.7×
External Ecg Scanning Analysis Report (93226) $640.34 $853.79 9.8×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$261.62–$1,614.45 $348.82–$2,152.60 varies
Flexible endoscopic eval swallow c/v rec (92612) $731.96 $975.95 3.7×
Group Therapeutic Procedures (97150) $115.42 $153.89 6.4×
Holter monitor recording (93225) $473.43 $631.24 3.2×
Im Adm Intransl/Oral 1 Vaccine (90473) $20.58 $27.44 0.3×
Immunization administration (90471)
range across 2 matching MRF lines
$20.58–$121.29 $27.44–$161.72 varies
Inital newborn e/m (99460) $346.26 $461.68 2.3×
Iontophoresis 15 min (97033) $141.50 $188.66 7.4×
Irrig Drug Delivery Device (96523) $218.63 $291.50 3.3×
IV infusion hydration each additional hour (96361) $156.23 $208.30 3.0×
IV infusion hydration initial 31 min-1 hour (96360) $568.12 $757.49 2.4×
IV infusion ther proph addl sequential to 1 hr (96367) $165.71 $220.94 2.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $142.03 $189.37 2.7×
IV push initial (96374) $236.72 $315.62 1.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $66.40 $88.53 2.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $66.40 $88.53 1.8×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $47.18 $62.90 2.8×
Methacholine challenge (94070) $870.93 $1,161.24 2.1×
Motion Fluoroscopy/Swallow (92611) $1,041.55 $1,388.73 11.4×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $160.59 $214.12 0.3×
Multiple Sleep Latency Test (95805)
range across 2 matching MRF lines
$335.99–$3,344.23 $447.98–$4,458.97 varies
Muscle Test 2 Limbs (95861)
range across 2 matching MRF lines
$280.28–$524.92 $373.70–$699.89 varies
Muscle Test One Limb (95860)
range across 2 matching MRF lines
$234.82–$407.48 $313.09–$543.31 varies
Nasopharyngoscopy (92511) $331.23 $441.64 1.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,749.44 $2,332.59 3.9×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,749.45 $2,332.60 3.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$204.78–$388.42 $273.04–$517.89 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$301.11–$518.90 $401.48–$691.86 varies
Nerve Conduction Studies 1-2 Studies (95907)
range across 2 matching MRF lines
$178.96–$547.28 $238.61–$729.71 varies
Nerve Conduction Studies 11-12 Studies (95912)
range across 2 matching MRF lines
$835.13–$3,181.45 $1,113.51–$4,241.93 varies
Nerve conduction studies 13 or more studies (95913)
range across 2 matching MRF lines
$757.49–$3,305.07 $1,009.98–$4,406.76 varies
Nerve Conduction Studies 3-4 Studies (95908)
range across 2 matching MRF lines
$218.36–$873.37 $291.14–$1,164.49 varies
Nerve conduction studies 5-6 studies (95909)
range across 2 matching MRF lines
$401.96–$1,637.12 $535.94–$2,182.82 varies
Nerve conduction studies 7-8 studies (95910)
range across 2 matching MRF lines
$596.52–$2,181.56 $795.36–$2,908.75 varies
Nerve Conduction Studies 9-10 Studies (95911)
range across 2 matching MRF lines
$737.70–$2,810.27 $983.60–$3,747.03 varies
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937)
range across 2 matching MRF lines
$197.95–$272.69 $263.93–$363.59 varies
Neuromuscular Reeducation (97112) $141.50 $188.66 4.3×
Newborn resuscitation (99465) $541.52 $722.02 0.7×
Nonphysician Telephone Assessment 11-20 Min (98967) $144.72 $192.96 5.8×
Oral Function Therapy (92526) $365.98 $487.97 4.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $180.86 $241.15 3.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $159 $212 3.4×
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 2 matching MRF lines
$65.45–$120.44 $87.26–$160.59 varies
Osteopathic manipulative tx 3-4 body regions (98926)
range across 2 matching MRF lines
$154.55–$160.59 $206.07–$214.12 varies
Osteopathic manipulative tx 5-6 body regions (98927) $195.72 $260.96 8.2×
Osteopathic manipulative tx 7-8 body regions (98928) $230.85 $307.80 9.6×
Osteopathic manipulative tx 9-10 body regions (98929) $273.88 $365.17 11.4×
Ot Contrast Bath Ea 15 Min (97034) $141.50 $188.66 10.1×
Ot eval high complexity (97167) $418.10 $557.46 4.2×
Ot Eval Low Complex (97165) $361.72 $482.29 3.6×
Ot Eval Moderate Complexity (97166) $397.50 $530 4.0×
Ot manual therapy 15 min (97140) $141.50 $188.66 5.1×
Ot paraffin bath (97018) $141.50 $188.66 23.5×
Ot Prosthetic Training, Each 15 Min (97761) $221.29 $295.05 5.5×
Ot Re-Eval Est Plan Care (97168) $328.21 $437.61 4.8×
Phlebotomy therapeutic (99195) $227.43 $303.24 1.5×
Photochemotx Tar&Uvb/Petrolatum/Uvb (96910) $212.09 $282.79 3.2×
Physical Performance Test (97750) $169.16 $225.54 5.0×
Plethysmography (94726) $755.25 $1,007 1.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$848.60–$5,125.74 $1,131.47–$6,834.32 varies
Polysom <6 yrs 4/> paramtrs (95782)
range across 2 matching MRF lines
$803.93–$4,753.45 $1,071.91–$6,337.93 varies
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $31.01 $41.35 0.6×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $41.35 $55.13 0.8×
Psych diag eval w/med srvcs (90792) $582.23 $776.30 3.0×
Psychiatric diagnostic evaluation (90791) $450.72 $600.96 2.3×
Pt Eval High Complex (97163) $418.10 $557.46 4.3×
Pt eval low complex 20 min (97161) $361.72 $482.29 3.7×
Pt Eval Mod Complex (97162) $397.50 $530 4.1×
Pt gait training 15 min (97116) $141.50 $188.66 4.9×
Pt mechanical traction (97012) $141.50 $188.66 9.9×
Pt Re-Eval Est Plan Care (97164) $328.21 $437.61 4.9×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $51.69 $68.92 1.2×
Pulmonary service/procedure (94799) $198.94 $265.25 1.4×
Pulmonary Stress Testing (94618) $390.45 $520.60 2.6×
Pure Tone Audiometry Air (92552) $68.76 $91.68 0.5×
Refill/Maint Portable Pump (96521) $445.77 $594.36 1.9×
Repet tms tx initial w/map/motr threshld/del&m (90867)
range across 2 matching MRF lines
$740.25–$884.84 $987–$1,179.78 varies
Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869)
range across 2 matching MRF lines
$831–$1,011.24 $1,108–$1,348.32 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$71.29–$248.91 $95.05–$331.88 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $378.39 $504.52 3.1×
Same day nb discharge (99463) $388.43 $517.90 2.6×
Self Care Mngment Training (97535) $141.50 $188.66 4.4×
Sensory Integration Ea 15 Min (97533) $125.46 $167.28 2.1×
Sleep study unattended (95806)
range across 2 matching MRF lines
$407.48–$1,337.90 $543.31–$1,783.86 varies
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800)
range across 2 matching MRF lines
$407.48–$1,337.90 $543.31–$1,783.86 varies
Speech sound lang comprehen (92523) $654.29 $872.39 2.9×
Spirometry (94010) $378.74 $504.99 1.6×
Standardized Cognitive Performance Testing (96125) $542.59 $723.45 5.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $118.36 $157.81 5.3×
Ther Ivntj Ea Addl 15 Min (97130) $106.40 $141.86 5.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $141.50 $188.66 4.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $93.34 $124.45 0.9×
Ther/Proph/Diag Inj Sc/Im (96372) $127.67 $170.23 1.6×
Ther/Proph/Diag Iv Inf Init (96365) $568.12 $757.49 2.4×
Therap repetitive tms tx subseq delivery & mng (90868)
range across 2 matching MRF lines
$553.50–$674.16 $738–$898.88 varies
Therapeutic Activities (97530) $141.50 $188.66 4.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $57.95 $77.27 1.4×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$491.84–$3,309.62 $655.79–$4,412.83 varies
Tte W/O Doppler Complete (93307) $264.76 $353.01 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $411.72 $548.96 5.4×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $119.43 $159.24 5.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $143.26 $191.01 2.8×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$130.99–$565.06 $174.65–$753.41 varies
Vasopneumatic device (97016) $186.68 $248.91 15.5×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$808.56–$867.17 $1,078.08–$1,156.23 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 2 matching MRF lines
$511.30–$762.80 $681.73–$1,017.06 varies
Wheelchair Mgmt Ea 15 Min (97542) $141.50 $188.66 4.6×

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.