Visits & medical services prices at St. Mary's Health

Cottonwood, ID · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $58.53 $78.04 0.6×
Airway inhalation treatment (94640) $186.75 $249 0.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $106.50 $142 7.4×
Assessment of aphasia per hr (96105) $168 $224 1.7×
Bedside Swallowing Eval (92610) $219 $292 2.6×
Behavioral and qualitative analysis of voice and resonance (92524) $288 $384 2.6×
Brief Emotional/Behavioral Assessment (96127) $9.75 $13 0.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $186.75 $249 0.5×
Canalith Repositioning Procedure (95992) $82.88 $110.50 2.0×
Cardiac Stress Tst,Tracing Only (93017) $545.25 $727 2.6×
Cardiopulmonary resuscitation (92950) $661.12 $881.50 3.1×
Cardioversion (92960) $174.75 $233 0.3×
Cbt 1st hour (94644) $99 $132 0.8×
Chemo IV push addl drug (96411) $356.25 $475 5.0×
Chemother, IV infusion, 1 hr (96413) $584.25 $779 1.8×
Chemother, IV infusion, ea add hr (96415) $239.25 $319 3.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $98.25 $131 1.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $807 $1,076 2.5×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) $20.95 $27.93 1.0×
Chronic care management services 1st 20 min (99490) $58.50 $78 0.6×
Color/duplex Doppler, complete (93975) $250.50 $334 1.1×
Color/duplex Doppler, limited (93976) $130.88 $174.50 1.3×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $138.75 $185 0.8×
Cont Gluc Monitoring Patient Provided Equipment (95249) $78.75 $105 1.4×
Continuous Glucose Monitoring (95250) $223.50 $298 1.7×
Cpap/bipap (94660) $141 $188 0.7×
Cpt initial (94667) $153.75 $205 1.2×
Critical care (99291) $351.75 $469 0.4×
Debridement Open Wound 20 Sq Cm< (97597) $72.82 $97.09 0.4×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $319.88 $426.50 1.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $127.12 $169.50 1.2×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $271.88 $362.50 2.6×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $345.38 $460.50 1.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $225.75 $301 2.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $246 $328 1.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $183.38 $244.50 1.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $356.62 $475.50 1.5×
Dup-scan xtr veins unilateral/limited study (93971) $291 $388 2.8×
Duplex penile vessels ltd (93981) $202.50 $270 2.0×
Duplex scan extracranial art compl bi study (93880) $421.50 $562 1.8×
Duplex Scan Hemodialysis Access (93990) $154.88 $206.50 1.5×
Echo Heart Xthoracic,Limited (93308) $872.25 $1,163 3.7×
Echo Transthoracic - Congenital Tte Complete (93303) $643.50 $858 1.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,199.75 $2,933 4.1×
EKG rhythm strip (93041) $42 $56 0.7×
Electrocardiogram Tracing (93005) $160.50 $214 2.8×
Er level 1 (99281) $36 $48 0.4×
Er level ii (99282) $66 $88 0.4×
Er level iii (99283) $111.75 $149 0.4×
Er level IV (99284) $189 $252 0.5×
Er level v (99285) $274.50 $366 0.5×
Eval speech sound production (92522) $153.75 $205 1.4×
External ECG rec>48hr<7d recording (93242) $481.50 $642 13.0×
External ECG rec>7d<15d recording (93246) $627 $836 17.0×
Health Behavior Assessment/Re-Assessment (96156) $84.32 $112.42 0.8×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $61.73 $82.31 1.7×
Health behavior ivntj group f2f 1st 30 min (96164) $9.17 $12.23 0.2×
Health behavior ivntj indiv f2f 1st 30 min (96158) $56.96 $75.94 0.3×
Holter Monitor (93225) $308.25 $411 2.3×
Imm admn sarscov2 vaccine single dose (90480) $36 $48 0.9×
Immune Admin Oral/Nasal (90473) $29.25 $39 0.4×
Immunization Admin (90471) $40.12 $53.50 0.6×
Inital newborn e/m (99460) $135 $180 1.0×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) $172.50 $230 1.3×
Iontophoresis 15 min (97033) $56.25 $75 3.0×
Irrig drug delivery device (96523) $66 $88 1.1×
IV infusion hydration each additional hour (96361) $163.50 $218 3.5×
IV infusion hydration initial 31 min-1 hour (96360) $314.25 $419 1.5×
IV infusion ther proph addl sequential to 1 hr (96367) $201.75 $269 2.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $448.50 $598 2.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $86.25 $115 1.9×
IV push ea addl new drug (96375) $63 $84 1.4×
IV push initial (96374) $97.50 $130 0.5×
Manual therapy 15 min (97140) $106.50 $142 3.8×
Mechanical traction (97012) $75.75 $101 5.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $11.25 $15 0.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $11.25 $15 0.3×
Multiple Sleep Latency Test (95805) $2,058 $2,744 2.4×
Nasopharyngoscopy (92511) $60.75 $81 0.3×
Neg press wound tx >50 cm (97608) $606.75 $809 1.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $417.70 $556.93 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $31.49 $41.98 0.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $40.50 $54 0.1×
Newborn resuscitation (99465) $204 $272 0.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $117.38 $156.50 0.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $172.12 $229.50 1.4×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $25.53 $34.04 1.2×
Osteopathic manipulative tx 3-4 body regions (98926) $38.03 $50.70 1.8×
Osteopathic manipulative tx 5-6 body regions (98927) $50.18 $66.90 2.4×
Osteopathic manipulative tx 7-8 body regions (98928) $61.41 $81.88 2.9×
Osteopathic manipulative tx 9-10 body regions (98929) $72.70 $96.93 3.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $91.50 $122 2.9×
Ot eval high complex 60 min (97167) $226.50 $302 2.3×
Ot eval low complex 30 min (97165) $226.50 $302 2.3×
Ot eval mod complex 45 min (97166) $226.50 $302 2.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $84.75 $113 1.7×
Ot Range Motion Measure,Each Extrem (95851) $29.25 $39 1.1×
Ot re-evaluation (97168) $108 $144 1.6×
Ot therapeutic activity 15 min (97530) $97.50 $130 2.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $171 $228 1.3×
Paraffin bath pt (97018) $33 $44 5.5×
Phlebotomy therapeutic (99195) $271.12 $361.50 2.1×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $45 $60 0.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $30.75 $41 0.5×
Plethysmography (94726) $303.75 $405 0.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,502.75 $3,337 2.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $14.25 $19 0.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $15.75 $21 0.3×
Psych diag eval w/med srvcs (90792) $151.46 $201.94 0.9×
Psychiatric diagnostic evaluation (90791) $136.03 $181.37 0.8×
Psytx crisis initial 60 min (90839) $107.25 $143 0.6×
Pt Aquatic Therapy/Exercises (97113) $93 $124 2.5×
Pt Electrical Stimulation (97032) $61.50 $82 4.2×
Pt eval high complex 45 min (97163) $204.75 $273 2.1×
Pt eval low complex 20 min (97161) $201 $268 2.1×
Pt eval mod complex 30 min (97162) $204.75 $273 2.1×
Pt gait training 15 min (97116) $73.50 $98 2.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $106.50 $142 3.3×
Pt Physical Performance Test (97750) $120 $160 3.6×
Pt re-evaluation (97164) $106.50 $142 1.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $99.75 $133 3.1×
Pulm function test by gas (94727) $420.75 $561 2.0×
Pulmonary Service/Procedure (94799) $442.50 $590 3.5×
Pure Tone Audiometry Air Only (92552) $47.25 $63 0.4×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $321 $428 1.0×
Refill/Maint Portable Pump (96521) $600 $800 2.9×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $445.50 $594 12.1×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $65.25 $87 0.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $33.75 $45 0.2×
Rom meas&reprt hand w/wo comparison normal sid (95852) $27.75 $37 1.3×
Rt Chest Wall Manipulation,Subsequent (94668) $54 $72 0.4×
Self-measured blood pressure using a device validated for clinical accuracy; patient education/training and device… (99473) $15 $20 0.5×
Sleep study unattended (95806) $364.50 $486 1.7×
Smoking cessation > 10 min (99407) $39.75 $53 1.1×
Speech sound lang comprehen (92523) $311.25 $415 1.4×
Spirometry (94010) $111.38 $148.50 0.5×
Standardized Cognitive Performance Testing (96125) $182.25 $243 1.8×
Temp transcutaneous pacing (92953) $15 $20 0.0×
Tensilon test (95857) $69.75 $93 0.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $100.88 $134.50 4.5×
Therapeutic prophylactic/dx injection subq/im (96372) $78.75 $105 1.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $21.75 $29 0.6×
Trans Care Mgmt 14 Day Disch (99495) $106.83 $142.44 0.8×
Trans Care Mgmt 7 Day Disch (99496) $144.96 $193.28 1.1×
Tte w/doppler, complete (93306) $1,650 $2,200 3.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $180 $240 2.4×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $39.75 $53 1.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $163.50 $218 1.9×
Tympanometry (92567) $19.50 $26 0.5×
Unlisted Cardiovascular Service/Procedure (93799) $81.75 $109 0.6×
Upr/lxtr art stdy 3+ lvls (93923) $245.25 $327 1.1×
Vasc Duplex Scan Extracranial,Limited (93882) $330 $440 3.2×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $141.38 $188.50 0.7×
Vasopneumatic device (97016) $40.50 $54 3.4×
Vent mgmt inpat init day (94002) $469.50 $626 0.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $357 $476 0.6×
Vital capacity, total (94150) $58.50 $78 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $56.25 $75 1.8×
Xtrnl mobile cv telemetry w/technical support (93229) $3,900 $5,200 10.6×