Visits & medical services prices at Steele Memorial Medical Center

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

177 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) $201 $268 2.0×
Airway inhalation treatment (94640) $95.25 $127 0.4×
Analyze neurostim complex (95972) $136.50 $182 1.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $65.25 $87 4.5×
Bedside Swallowing Eval (92610) $242.25 $323 2.9×
Behavioral and qualitative analysis of voice and resonance (92524) $91.50 $122 0.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $373.12 $497.50 1.0×
Canalith Repositioning Procedure (95992) $72 $96 1.8×
Car seat/bed test 60 min (94780) $54 $72 1.5×
Cardiac Stress Tst,Tracing Only (93017) $847.50 $1,130 4.0×
Cardiopulmonary exercise testing (94621) $894.75 $1,193 2.4×
Cardiopulmonary resuscitation (92950) $433.50 $578 2.0×
Cardioversion (92960) $559.88 $746.50 0.9×
Caregiver hlth risk assmt score doc stnd instrm (96161) $8.25 $11 0.2×
Cbt 1st hour (94644) $195 $260 1.5×
Chemo Admin Peritoneal Cavity (96446) $498 $664 1.5×
Chemo Hormon Antineopl Sq/Im (96402) $150.75 $201 2.1×
Chemo IV push addl drug (96411) $186.75 $249 2.6×
Chemo prolong 8+ hrs infuse w/pump (96416) $406.50 $542 1.2×
Chemother, IV infusion, 1 hr (96413) $369 $492 1.1×
Chemother, IV infusion, ea add hr (96415) $152.25 $203 2.1×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $196.50 $262 2.8×
Chemotherapy Administration Intralesional </7 (96405) $175.50 $234 2.5×
Chemotherapy into cns (96450) $612.75 $817 1.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $190.50 $254 2.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $198.75 $265 0.6×
Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) $162.75 $217 0.5×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $306.75 $409 0.9×
Chronic care management services 1st 20 min (99490) $42.75 $57 0.4×
Color/duplex Doppler, complete (93975) $823.50 $1,098 3.5×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $191.25 $255 1.1×
Comprehensive Hearing Test (92557) $90.75 $121 0.7×
Cpap/bipap (94660) $453 $604 2.1×
Critical care (99291) $513.75 $685 0.6×
Dbrdmt prmlg les w/pdt (96574) $389.25 $519 2.0×
Debridement Open Wound 20 Sq Cm< (97597) $156 $208 0.8×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $692.25 $923 2.9×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $519 $692 2.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $350.25 $467 3.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $468 $624 2.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $453 $604 4.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $468 $624 2.0×
Dup-scan xtr veins unilateral/limited study (93971) $228.75 $305 2.2×
Duplex scan extracranial art compl bi study (93880) $706.50 $942 3.0×
Echo Heart Xthoracic,Limited (93308) $408.75 $545 1.7×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,707.75 $2,277 3.2×
EKG rhythm strip (93041) $84.75 $113 1.5×
Electrocardiogram Tracing (93005) $145.50 $194 2.5×
Er level 1 (99281) $96 $128 1.2×
Er level ii (99282) $127.50 $170 0.8×
Er level iii (99283) $188.25 $251 0.7×
Er level IV (99284) $279.75 $373 0.7×
Er level v (99285) $418.50 $558 0.7×
Eval speech sound production (92522) $87 $116 0.8×
Eval to use/fit voice prosth (92597) $331.50 $442 4.7×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $304.50 $406 2.5×
Evaluation of speech fluency (92521) $107.25 $143 0.8×
Exercise tst brncspsm (94617) $200.25 $267 1.5×
External ECG rec>48hr<7d recording (93242) $273 $364 7.4×
External ECG rec>48hr<7d scanning alys w/report (93243) $492.75 $657 3.7×
External ECG rec>7d<15d recording (93246) $273 $364 7.4×
External ECG rec>7d<15d scanning alys w/report (93247) $288 $384 2.2×
External Ecg Scanning Analysis Report (93226) $422.25 $563 7.2×
Fundus photography w/interpretation & report (92250) $77.25 $103 0.6×
Group Therapeutic Procedures (97150) $68.25 $91 3.8×
Holter Monitor (93225) $345 $460 2.6×
Img retina detcj/mntr ds rem clin staff uni/bi (92227) $35.25 $47 0.6×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $61.50 $82 1.7×
Imm admn sarscov2 vaccine single dose (90480) $9.75 $13 0.2×
Immunization Admin (90471) $15.75 $21 0.2×
Inital newborn e/m (99460) $257.25 $343 2.0×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) $361.50 $482 2.7×
Injection intra arterial (96373) $158.25 $211 0.8×
Intralesional Chemo Admin,8+ Lesn (96406) $168.75 $225 0.8×
Iontophoresis 15 min (97033) $77.25 $103 4.1×
Irrig drug delivery device (96523) $105 $140 1.8×
IV infusion hydration each additional hour (96361) $102.75 $137 2.2×
IV infusion hydration initial 31 min-1 hour (96360) $188.25 $251 0.9×
IV infusion ther proph addl sequential to 1 hr (96367) $37.88 $50.50 0.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $177 $236 0.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $84 $112 1.8×
IV push ea addl new drug (96375) $94.50 $126 2.0×
IV push initial (96374) $93.38 $124.50 0.4×
Low frequency non-thermal us (97610) $45 $60 0.2×
Manual therapy 15 min (97140) $92.25 $123 3.3×
Massage 15 min (97124) $70.50 $94 2.4×
Mechanical chest wall oscillation (94669) $69 $92 0.3×
Mechanical traction (97012) $92.25 $123 6.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $48 $64 1.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $43.88 $58.50 1.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $292.50 $390 3.2×
Nasopharyngoscopy (92511) $113.25 $151 0.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $138 $184 0.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $177.75 $237 0.4×
Nerve Conduction Studies 3-4 Studies (95908) $254.25 $339 1.2×
Nerve Conduction Studies 5-6 Studies (95909) $303.75 $405 1.4×
Nerve Conduction Studies 7-8 Studies (95910) $400.50 $534 1.1×
Nerve conduction studies; 1-2 studies (95907) $130.12 $173.50 0.6×
Newborn resuscitation (99465) $265.12 $353.50 0.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $258 $344 2.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $214.50 $286 1.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $75 $100 1.6×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $47.25 $63 2.2×
Ot Contrast Bath Ea 15 Min (97034) $29.25 $39 2.1×
Ot eval high complex 60 min (97167) $306 $408 3.0×
Ot eval low complex 30 min (97165) $190.50 $254 1.9×
Ot eval mod complex 45 min (97166) $247.50 $330 2.5×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $63 $84 1.3×
Ot re-evaluation (97168) $124.50 $166 1.8×
Ot therapeutic activity 15 min (97530) $75 $100 2.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $135.75 $181 1.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $155.25 $207 1.2×
Paraffin bath pt (97018) $72 $96 12.0×
Patch/Application Test Specify Number Tests (95044) $45 $60 0.1×
Pdt dstr prmlg les phys/qhp (96573) $370.50 $494 1.9×
Pdt dstr prmlg les skn illum/activj per day (96567) $477.75 $637 2.4×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $225 $300 1.0×
Peripheral arterial disease rehab per session (93668) $111 $148 1.9×
Phlebotomy therapeutic (99195) $123 $164 0.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $54.75 $73 0.9×
Plethysmography (94726) $124.50 $166 0.3×
Pm device eval in person (93288) $70.88 $94.50 1.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,674.50 $3,566 3.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $20.25 $27 0.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $24.75 $33 0.5×
Psych diag eval w/med srvcs (90792) $160.50 $214 0.9×
Psychiatric diagnostic evaluation (90791) $284.25 $379 1.6×
Pt Aquatic Therapy/Exercises (97113) $99 $132 2.7×
Pt Electrical Stimulation (97032) $69 $92 4.7×
Pt eval high complex 45 min (97163) $306 $408 3.1×
Pt eval low complex 20 min (97161) $190.50 $254 1.9×
Pt eval mod complex 30 min (97162) $247.50 $330 2.5×
Pt gait training 15 min (97116) $70.50 $94 2.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $75.75 $101 2.3×
Pt re-evaluation (97164) $124.50 $166 1.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $78.75 $105 2.4×
Pt ultraviolet (97028) $20.25 $27 2.4×
Pulmonary stress test simple (94618) $252.75 $337 1.9×
Pure Tone Audiometry Air Only (92552) $43.12 $57.50 0.3×
Refill/Maint Portable Pump (96521) $334.50 $446 1.6×
Refill/Maint Pump/Resvr Syst (96522) $331.50 $442 1.6×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $261 $348 7.1×
Respiratory flow volume loop (94375) $221.25 $295 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $87 $116 0.4×
Rt Chest Wall Manipulation,Subsequent (94668) $89.25 $119 0.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $128.25 $171 2.7×
Sensory Integration Ea 15 Min (97533) $84 $112 1.4×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $239.25 $319 1.1×
Smoking cessation > 10 min (99407) $57 $76 1.5×
Speech sound lang comprehen (92523) $179.25 $239 0.8×
Spirometry (94010) $231 $308 1.1×
Standardized Cognitive Performance Testing (96125) $276.75 $369 2.7×
Stress echo (93350) $1,398 $1,864 2.6×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $297 $396 1.4×
Subcutaneous Infusion Each Additional Hour (96370) $161.25 $215 3.5×
Subq Infusion Additional Pump Infusion Site (96371) $123 $164 1.7×
Temp transcutaneous pacing (92953) $102.75 $137 0.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $66.75 $89 3.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $50.25 $67 2.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $196.50 $262 1.9×
Therapeutic prophylactic/dx injection subq/im (96372) $24 $32 0.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $33 $44 0.9×
Trans Care Mgmt 14 Day Disch (99495) $321 $428 2.4×
Trans Care Mgmt 7 Day Disch (99496) $501 $668 3.8×
Tte w/doppler, complete (93306) $1,742.25 $2,323 3.2×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $722.25 $963 3.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $200.25 $267 2.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $162 $216 1.9×
Tympanometry (92567) $57.38 $76.50 1.6×
Upr/lxtr art stdy 3+ lvls (93923) $399.38 $532.50 1.9×
Vasc Duplex Scan Extracranial,Limited (93882) $77.25 $103 0.7×
Vent mgmt inpat init day (94002) $1,014.75 $1,353 1.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $891 $1,188 1.5×
Vital capacity, total (94150) $108 $144 0.8×
Wheelchair Mgmt Ea 15 Min (97542) $73.50 $98 2.4×
Xtrnl mobile cv telemetry w/technical support (93229) $1,579.50 $2,106 4.3×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $531.75 $709 5.7×