Visits & medical services prices at St. Clare Hospital
Lakewood, WA · every code in this section with a posted price and a Medicare benchmark.
207 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Ablation av node (93650) unusually low: confirm this is the full procedure |
$3,526.58 | $12,234.81 | 0.4× |
| Airway inhalation treatment (94640) | $131.10 | $454.82 | 0.5× |
| Bedside Swallowing Eval (92610) | $236.53 | $820.59 | 2.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $318.99 | $1,106.66 | 0.7× |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$2,507.01 | $8,697.62 | 0.3× |
| C motor evoked upr&lwr limbs (95939) | $530.39 | $1,840.09 | 0.5× |
| Car seat/bed test 60 min (94780) | $50.22 | $174.21 | 1.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $533.47 | $1,850.75 | 2.1× |
| Cardiopulmonary exercise testing (94621) | $436.37 | $1,513.88 | 1.0× |
| Cardiopulmonary resuscitation (92950) | $807.72 | $2,802.21 | 3.2× |
| Cardioversion (92960) | $875.16 | $3,036.21 | 1.1× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $45.55 | $158 | 1.7× |
| Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) unusually low: confirm this is the full procedure |
$6,970.54 | $24,183.04 | 0.3× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $9,391.27 | $32,581.32 | 2.5× |
| Cbt 1st hour (94644) | $134.81 | $467.69 | 0.9× |
| Chemo Admin Peritoneal Cavity (96446) | $313.87 | $1,088.90 | 0.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $235.12 | $815.68 | 2.8× |
| Chemo IV push addl drug (96411) | $164 | $568.95 | 2.0× |
| Chemo prolong 8+ hrs infuse w/pump (96416) | $529.83 | $1,838.15 | 1.4× |
| Chemother, IV infusion, 1 hr (96413) | $420.51 | $1,458.85 | 1.1× |
| Chemother, IV infusion, ea add hr (96415) | $164 | $568.95 | 2.0× |
| Chemother,ia infusn tech,<1 hr (96422) | $294.98 | $1,023.35 | 0.8× |
| Chemother,Ia Push Technique (96420) | $204.55 | $709.63 | 0.5× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) | $235.12 | $815.68 | 2.8× |
| Chemotherapy Administration Intralesional </7 (96405) | $68.95 | $239.18 | 0.8× |
| Chemotherapy into cns (96450) | $196.67 | $682.28 | 0.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $168.21 | $583.54 | 2.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $218.66 | $758.60 | 0.6× |
| Color/duplex Doppler, complete (93975) | $774.53 | $2,687.06 | 2.8× |
| Color/duplex Doppler, limited (93976) | $484.08 | $1,679.42 | 4.0× |
| Cont Gluc Monitoring Patient Provided Equipment (95249) | $58.49 | $202.91 | 0.8× |
| Continuous Glucose Monitoring (95250) | $125.20 | $434.36 | 0.8× |
| Coronary art/grft angio s&i (93455) | $7,350.11 | $25,499.87 | 1.9× |
| Coronary artery angio s&i (93454) | $6,681.92 | $23,181.70 | 1.8× |
| Cpap/bipap (94660) | $446.23 | $1,548.09 | 1.7× |
| Cpt initial (94667) | $96.47 | $334.66 | 0.6× |
| Critical care (99291) | $5,357.40 | $18,586.50 | 5.6× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $479.46 | $1,663.37 | 1.1× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Upr Limbs (95928) | $479.46 | $1,663.37 | 0.5× |
| Debridement Open Wound 20 Sq Cm< (97597) | $191.02 | $662.68 | 0.8× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) | $642.86 | $2,230.26 | 2.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $410.50 | $1,424.14 | 3.4× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) | $311.53 | $1,080.79 | 2.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) | $664.60 | $2,305.68 | 2.4× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) | $567.42 | $1,968.55 | 2.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $701.14 | $2,432.47 | 2.5× |
| Duplex penile vessels ltd (93981) | $199.06 | $690.59 | 1.6× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) | $785.61 | $2,725.52 | 2.8× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) | $394.47 | $1,368.51 | 3.2× |
| Duplex scan extracranial art compl bi study (93880) | $622.06 | $2,158.12 | 2.2× |
| Duplex Scan Hemodialysis Access (93990) | $331.48 | $1,150.01 | 2.7× |
| Echo Heart Xthoracic,Limited (93308) | $550.12 | $1,908.51 | 2.0× |
| Echo transesophag montr cardiac pump functj (93318) | $1,160.15 | $4,024.93 | 1.8× |
| Echo transesophageal (93312) | $1,459.28 | $5,062.68 | 2.3× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $743.34 | $2,578.87 | 1.2× |
| Echo Transthoracic - Congenital Tte Complete (93303) | $719.02 | $2,494.51 | 1.1× |
| Echo Transthoracic - Congenital Tte Limited (93304) | $401.69 | $1,393.58 | 0.6× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $788.21 | $2,734.55 | 1.2× |
| EEG awake and asleep (95819) | $635.66 | $2,205.30 | 2.5× |
| EEG awake drowsy (95816) | $680.16 | $2,359.67 | 2.7× |
| EEG cerebral death evaluation (95824) | $347.57 | $1,205.83 | 0.8× |
| EEG coma or sleep only (95822) | $525.90 | $1,824.51 | 2.1× |
| EEG cont rec w/video by tech min 8 channels (95700) | $596.21 | $2,068.41 | 2.4× |
| EEG greater than 1 hour (95813) | $810.56 | $2,812.08 | 3.2× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $596.21 | $2,068.41 | 2.4× |
| EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) | $794.94 | $2,757.88 | 1.8× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) | $794.94 | $2,757.88 | 1.8× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $596.21 | $2,068.41 | 2.4× |
| EKG rhythm strip (93041) | $70.30 | $243.86 | 1.0× |
| Electrocardiogram Tracing (93005) | $147.72 | $512.47 | 2.1× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) | $681.14 | $2,363.09 | 2.7× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) likely a partial charge, not the full procedure |
$1,874.72 | $6,503.99 | 0.2× |
| EMG two extremities (95861) | $211.28 | $732.98 | 1.4× |
| Endomyocardial biopsy (93505) | $1,214.75 | $4,214.34 | 0.3× |
| Ep & ablate supravent arrhyt (93653) | $16,029.88 | $55,612.78 | 0.5× |
| Ep & ablate ventric tachy (93654) | $18,754.96 | $65,066.95 | 0.6× |
| Ep Analyze Pacer Sys (93724) | $203.68 | $706.63 | 0.6× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) unusually low: confirm this is the full procedure |
$3,730.85 | $12,943.49 | 0.4× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) unusually low: confirm this is the full procedure |
$2,914.73 | $10,112.10 | 0.3× |
| Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) | $1,294.65 | $4,491.53 | 0.9× |
| Er level 1 (99281) | $221.66 | $769 | 2.3× |
| Er level ii (99282) | $362.90 | $1,259 | 2.0× |
| Er level iii (99283) | $745.97 | $2,588 | 2.3× |
| Er level IV (99284) | $1,149.22 | $3,987 | 2.4× |
| Er level v (99285) | $2,015.96 | $6,994 | 2.9× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $391.52 | $1,358.30 | 0.9× |
| Evaluate Pt Use Of Inhaler (94664) | $99.03 | $343.56 | 0.4× |
| Exhaled Air Analysis (94690) | $177.29 | $615.05 | 2.6× |
| External Ecg Scanning Analysis Report (93226) | $427.94 | $1,484.64 | 6.2× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $706.84 | $2,452.25 | 1.6× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $395.12 | $1,370.77 | 1.6× |
| Hemodialysis (90935) | $823.96 | $2,858.56 | 1.0× |
| Holter Monitor (93225) | $192.31 | $667.18 | 1.2× |
| Imm admn sarscov2 vaccine single dose (90480) | $30.27 | $105 | 0.6× |
| Immune Admin Oral/Nasal (90473) | $36.62 | $127.03 | 0.4× |
| Immunization Admin (90471) | $38.64 | $134.02 | 0.5× |
| Induction of arrhythmia by electrical pacing (93618) | $1,423.35 | $4,938.03 | 1.0× |
| Inhalation bronchial challenge testing (95070) | $266.17 | $923.40 | 0.6× |
| Injection intra arterial (96373) | $144.01 | $499.59 | 0.6× |
| Ins swan ganz bedside (93503) | $1,602.81 | $5,560.64 | 0.9× |
| Interrog dev eval icpms phys/qhp in person (93290) | $37.23 | $129.15 | 0.9× |
| Intra Atrial Recording (93602) likely a partial charge, not the full procedure |
$2,507.01 | $8,697.62 | 0.3× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$1,595.32 | $5,534.67 | 0.2× |
| Intracutaneous (intradermal) tests with allergenic extracts, delayed type reaction, including reading, specify number… (95028) | $29.41 | $102.02 | 0.7× |
| Intralesional Chemo Admin,8+ Lesn (96406) | $165.99 | $575.87 | 0.7× |
| Intrapulmonary Surfactant Administj Phys/Qhp (94610) | $88.24 | $306.12 | 0.3× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$2,642.39 | $9,167.29 | 0.3× |
| Irrig drug delivery device (96523) | $117.71 | $408.34 | 1.7× |
| IV infusion hydration each additional hour (96361) | $121.95 | $423.07 | 2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) | $273.33 | $948.25 | 1.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $121.95 | $423.07 | 1.5× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) | $281.74 | $977.43 | 1.1× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) | $121.95 | $423.07 | 2.2× |
| IV push ea addl new drug (96375) | $153.20 | $531.48 | 2.8× |
| IV push initial (96374) | $179.24 | $621.83 | 0.7× |
| L hrt art/grft angio (93459) | $9,860.84 | $34,210.39 | 2.6× |
| Low frequency non-thermal us (97610) | $123.59 | $428.76 | 0.5× |
| Manual therapy 15 min (97140) | $23.38 | $81.09 | 0.8× |
| Massage 15 min (97124) | $30.21 | $104.78 | 1.0× |
| Mechanical chest wall oscillation (94669) | $101.70 | $352.82 | 0.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $54.10 | $187.67 | 1.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $54.10 | $187.67 | 1.5× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $19.18 | $66.53 | 1.1× |
| Methacholine challenge (94070) | $526.33 | $1,825.99 | 1.2× |
| Motility study esophagus (91010) | $567.94 | $1,970.35 | 1.3× |
| Multiple Sleep Latency Test (95805) | $1,882.52 | $6,531.04 | 1.9× |
| Nasopharyngoscopy (92511) | $182.48 | $633.05 | 0.8× |
| Neg press wound tx >50 cm (97608) | $415.55 | $1,441.66 | 0.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $337.85 | $1,172.08 | 0.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $175.02 | $607.17 | 0.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $175.02 | $607.17 | 0.4× |
| Newborn resuscitation (99465) | $736.68 | $2,555.75 | 1.0× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) | $253.71 | $880.19 | 1.6× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) | $86.81 | $301.16 | 0.6× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $41.91 | $145.37 | 1.7× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $39.91 | $138.45 | 1.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $130.32 | $452.09 | 0.9× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $104.25 | $361.67 | 0.7× |
| Patch/Application Test Specify Number Tests (95044) | $388.86 | $1,349.06 | 0.4× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $101.77 | $353.04 | 0.4× |
| Peripheral arterial disease rehab per session (93668) | $72.46 | $251.37 | 1.1× |
| Peritoneal Dialysis (90945) | $943.22 | $3,272.32 | 1.9× |
| Perq transcath closure pda (93582) likely a partial charge, not the full procedure |
$6,118.25 | $21,226.15 | 0.3× |
| Perq Transcath Cls Mitral (93590) unusually low: confirm this is the full procedure |
$7,442.82 | $25,821.51 | 0.3× |
| Perq transcath cls paravalvr leak 1 aortic valve (93591) unusually low: confirm this is the full procedure |
$7,442.82 | $25,821.51 | 0.3× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $7,832.77 | $27,174.39 | 0.6× |
| Phlebotomy therapeutic (99195) | $135.78 | $471.05 | 0.9× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $108.79 | $377.41 | 1.6× |
| Plethysmography (94726) | $250.67 | $869.63 | 0.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,554.68 | $12,332.32 | 3.5× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $3,209.68 | $11,135.41 | 3.2× |
| Prq balloon valvuloplasty aortic valve (92986) | $3,725.42 | $12,924.66 | 0.6× |
| Prq Balloon Valvuloplasty Mitral Valve (92987) unusually low: confirm this is the full procedure |
$5,718.86 | $19,840.54 | 0.4× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $6,952.69 | $24,121.09 | 0.5× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) likely a partial charge, not the full procedure |
$5,987.55 | $20,772.73 | 0.3× |
| Pt group caregiver training (97552) | $38.26 | $132.72 | 1.7× |
| Pulm function test by gas (94727) | $205.55 | $713.10 | 0.8× |
| Pulmonary Service/Procedure (94799) | $61.75 | $214.23 | 0.4× |
| Pulmonary stress test simple (94618) | $251.43 | $872.29 | 1.6× |
| R & l hrt cath w/njx l ventriculog img s&i (93453) | $10,536.53 | $36,554.60 | 2.8× |
| R hrt art/grft angio (93457) | $9,579.10 | $33,232.95 | 2.5× |
| R hrt coronary artery angio (93456) | $9,015.62 | $31,278.07 | 2.4× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) | $11,081.70 | $38,445.96 | 2.9× |
| R&l hrt art/ventricle angio (93460) | $10,612.14 | $36,816.89 | 2.8× |
| Refill/Maint Portable Pump (96521) | $412.76 | $1,431.97 | 1.7× |
| Refill/Maint Pump/Resvr Syst (96522) | $189.87 | $658.71 | 0.8× |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) | $246.47 | $855.08 | 0.7× |
| Right heart cath (93451) | $4,641.65 | $16,103.35 | 1.2× |
| Right ventricular recording (93603) | $1,588.11 | $5,509.64 | 1.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $147.58 | $511.97 | 0.6× |
| Rt Chest Wall Manipulation,Subsequent (94668) | $53.01 | $183.88 | 0.3× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $1,174.79 | $4,075.72 | 4.7× |
| Short-latency somatosens ep std upr limbs (95925) | $350.49 | $1,215.93 | 1.4× |
| Sleep study attended (95807) | $1,393.06 | $4,832.97 | 3.2× |
| Slp caregiver training 1st 30 min (97550) | $91.09 | $316 | 1.7× |
| Smoking cessation > 10 min (99407) | $20.74 | $71.93 | 0.5× |
| Somatosensory testing (95938) | $511.65 | $1,775.06 | 0.5× |
| Spirometry (94010) | $167.62 | $581.52 | 0.7× |
| Ssep lower limbs (95926) | $350.49 | $1,215.93 | 1.4× |
| Stress echo (93350) | $606.32 | $2,103.50 | 1.0× |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) | $272.69 | $946.03 | 1.1× |
| Subcutaneous Infusion Each Additional Hour (96370) | $116.43 | $403.92 | 2.1× |
| Subq Infusion Additional Pump Infusion Site (96371) | $116.43 | $403.92 | 1.4× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $438.56 | $1,521.50 | 3.6× |
| Temp transcutaneous pacing (92953) | $269.41 | $934.65 | 0.3× |
| Therapeutic prophylactic/dx injection subq/im (96372) | $96.52 | $334.83 | 1.1× |
| Tilt table evaluation (93660) | $708.12 | $2,456.67 | 1.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $15.56 | $53.95 | 0.4× |
| Transcran Doppler Intracran Art - Transcranial Doppler (93886) | $451.56 | $1,566.58 | 1.6× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $438.56 | $1,521.50 | 3.6× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $379.31 | $1,315.93 | 3.1× |
| Tte w/doppler, complete (93306) | $1,602.57 | $5,559.81 | 2.5× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) | $792.16 | $2,748.25 | 2.8× |
| Tx atrial fib pulm vein isol (93656) | $16,959.63 | $58,838.40 | 0.6× |
| Ultraviolet Light Therapy (96900) | $65.92 | $228.69 | 1.5× |
| Unlisted Cardiovascular Service/Procedure (93799) | $944.94 | $3,278.28 | 6.3× |
| Upr/lxtr art stdy 3+ lvls (93923) | $330.41 | $1,146.29 | 1.3× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) | $413.01 | $1,432.86 | 1.6× |
| Veeg 2-12 hr unmonitored (95711) | $596.21 | $2,068.41 | 2.4× |
| Veeg by tech 2-12 hr intermittent monitoring (95712) | $596.21 | $2,068.41 | 1.4× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $794.94 | $2,757.88 | 1.8× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $794.94 | $2,757.88 | 1.8× |
| Vent mgmt inpat init day (94002) | $2,277.69 | $7,902.02 | 3.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,708.26 | $5,926.51 | 2.4× |
| Visual Evoked Potential Test (95930) | $312.73 | $1,084.93 | 1.2× |
| Vital capacity, total (94150) | $96.55 | $334.95 | 0.6× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $507.81 | $1,761.73 | 0.5× |