Visits & medical services prices at St. Anthony Hospital

Pendleton, OR · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Actinotherapy Ultraviolet Light (96900) $105.60 $155 2.5×
Admn Sarscov2 Vacc 1 Dose (90480) $73.58 $108 1.6×
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$70.17–$166.91 $103–$245 varies
Application on-body injector (96377) $80.39 $118 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $485.05 $712 1.2×
Car seat/bed test 60 min (94780) $133.53 $196 3.2×
Cardiac Stress Tst,Tracing Only (93017) $621.98 $913 2.6×
Cardiopulmonary resuscitation (92950) $645.82 $948 2.7×
Cardioversion (92960)
range across 2 matching MRF lines
$793.65–$881.53 $1,165–$1,294 varies
Cardioversion elective internal (92961) $755.50 $1,109 1.0×
Cbt 1st hour (94644) $173.04 $254 1.2×
Chemo Anti-Neopl Sq/Im (96401) $160.10 $235 2.0×
Chemo Hormon Antineopl Sq/Im (96402) $151.92 $223 1.9×
Chemo IV infusion addl hr (96415) $116.50 $171 1.5×
Chemo IV push addl drug (96411) $116.50 $171 1.5×
Chemother Prolong Infuse W/Pump (96416) $344.71 $506 0.9×
Chemotherapy Into Cns (96450) $600.86 $882 1.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $174.40 $256 2.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 2 matching MRF lines
$319.51–$431.91 $469–$634 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409) $232.31 $341 0.6×
Chest Wall Manipulation (94668) $141.02 $207 1.0×
Color/duplex Doppler, complete (93975) $962.60 $1,413 3.6×
Color/duplex Doppler, limited (93976) $534.10 $784 4.6×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$326.32–$346.76 $479–$509 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660) $547.72 $804 2.3×
Cpt initial (94667) $185.30 $272 1.3×
Critical care first hour (99291) $2,561.48 $3,760 2.8×
Debridement Open Wound 20 Sq Cm< (97597) $237.08 $348 1.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $810 $1,189 3.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $587.24 $862 5.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $989.17 $1,452 3.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,206.49 $1,771 4.5×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$890.39–$957.15 $1,307–$1,405 varies
Duplex up extrem art bilat (93930) $922.41 $1,354 3.5×
ECG/monitoring and analysis (93271) $448.26 $658 4.2×
Echo Heart Xthoracic,Limited (93308) $504.81 $741 1.9×
Echo transesophag montr cardiac pump functj (93318) $1,293.69 $1,899 2.1×
Echo transesophageal (93312) $1,632.95 $2,397 2.7×
Eeg 41-60 Minutes (95812) $889.71 $1,306 3.7×
EEG awake and asleep (95819) $951.02 $1,396 4.0×
EEG awake drowsy (95816) $864.50 $1,269 3.6×
EEG cont rec w/video by tech min 8 channels (95700) $673.75 $989 2.8×
EEG extended monitoring 61-119 minutes (95813) $1,092.04 $1,603 4.6×
Eeg Sleep Only (95822) $651.27 $956 2.7×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $673.75 $989 2.8×
EEG w/o vid 2-12hr cont mntr (95707) $673.75 $989 2.8×
EEG w/o vid ea 12-26hr intmt (95709) $1,107.03 $1,625 2.7×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $1,107.03 $1,625 2.7×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $673.75 $989 2.8×
EEG wo vid ea 12-26hr unmntr (95708) $1,107.03 $1,625 2.7×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$235.72–$250.70 $346–$368 varies
Emergency Dept Visit Level 2 (99282) $474.83 $697 2.8×
Emergency Dept Visit Level 3 (99283) $733.70 $1,077 2.4×
Emergency Dept Visit Level 4 (99284) $1,509.64 $2,216 3.3×
Er level 1 (99281) $242.53 $356 2.6×
Er level v (99285) $2,156.14 $3,165 3.3×
Evaluate pt use of inhaler (94664) $196.88 $289 0.8×
Evoked Auditory Test,Limited (92587) $234.35 $344 1.0×
External ECG rec>48hr<7d recording (93242) $449.63 $660 10.8×
External ECG rec>7d<15d recording (93246) $449.63 $660 10.8×
Extracranial Bilat Study (93880) $1,191.50 $1,749 4.5×
Extracranial Uni/Ltd Study (93882) $763 $1,120 6.6×
Immunization administration (90471) $80.39 $118 1.0×
Irrig Drug Delivery Device (96523) $216.64 $318 3.3×
IV infusion hydration each additional hour (96361) $112.41 $165 2.2×
IV infusion hydration initial 31 min-1 hour (96360) $312.01 $458 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $166.91 $245 2.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $112.41 $165 2.2×
IV push initial (96374) $213.23 $313 0.9×
Low frequency non-thermal us (97610) $237.08 $348 1.1×
Lung Function Test (Mbc/Mvv) (94200) $140.34 $206 2.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $24.53 $36 0.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $83.12 $122 2.3×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $16.35 $24 1.0×
Multiple Sleep Latency Test (95805) $1,980.38 $2,907 2.1×
Nasopharyngoscopy (92511) $196.20 $288 0.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $305.88 $449 0.7×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $354.25 $520 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $185.30 $272 0.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $185.30 $272 0.4×
Newborn resuscitation (99465) $944.89 $1,387 1.3×
Phlebotomy therapeutic (99195) $168.95 $248 1.1×
Plethysmography (94726) $380.14 $558 0.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$2,806.73–$2,997.48 $4,120–$4,400 varies
Polysom <6 yrs 4/> paramtrs (95782) $2,587.37 $3,798 2.7×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,587.37 $3,798 2.7×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$72.22–$136.25 $106–$200 varies
Pulmonary Stress Testing (94618) $177.13 $260 1.2×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $341.99 $502 0.9×
Remote 30 Day Ecg Rev/Report (93270) $247.30 $363 6.0×
Respiratory flow volume loop (94375) $238.44 $350 1.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $109.69 $161 1.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $139.66 $205 0.6×
Spirometry (94010) $226.18 $332 0.9×
Stress Tte Only (93350) $1,067.51 $1,567 1.8×
Ther/Proph/Diag Inj Sc/Im (96372) $152.60 $224 1.9×
Ther/Proph/Diag Iv Inf Init (96365) $363.11 $533 1.5×
Tobacco Use Cessation Intensive >10 Minutes (99407) $76.30 $112 1.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $44.97 $66 1.1×
Tte w/doppler, complete (93306) $2,438.86 $3,580 4.0×
Tte W/O Doppler Complete (93307) $959.20 $1,408 3.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $151.24 $222 2.9×
Vent Mgmt Inpat Init Day (94002) $1,500.78 $2,203 2.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,156.07 $1,697 1.7×
Vital capacity, total (94150) $139.66 $205 1.0×

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.