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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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $9.75 $13 0.2×
Advncd Care Plan 30 Min (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×
Behavral qualit analys voice (92524) $91.50 $122 0.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$318.75–$427.50 $425–$570 varies
Canalith repositioning proc (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)
range across 3 matching MRF lines
$99.75–$564 $133–$752 varies
Cardioversion (92960)
range across 2 matching MRF lines
$361.50–$758.25 $482–$1,011 varies
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 Anti-Neopl Sq/Im (96401) $196.50 $262 2.8×
Chemo Hormon Antineopl Sq/Im (96402) $150.75 $201 2.1×
Chemo Intralesional Over 7 (96406) $168.75 $225 0.8×
Chemo intralesional up to 7 (96405)
range across 2 matching MRF lines
$155.25–$195.75 $207–$261 varies
Chemo IV infusion addl hr (96415) $152.25 $203 2.1×
Chemo IV push addl drug (96411) $186.75 $249 2.6×
Chemother Prolong Infuse W/Pump (96416) $406.50 $542 1.2×
Chemotherapy Into Cns (96450) $612.75 $817 1.9×
Chemotherapy Intracavitary (96440) $162.75 $217 0.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $190.50 $254 2.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $369 $492 1.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $198.75 $265 0.6×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $306.75 $409 0.9×
Chest Wall Manipulation (94668) $89.25 $119 0.7×
Chron Care Mgmt Srvc 20 Min (99490)
range across 3 matching MRF lines
$41.25–$105.75 $55–$141 varies
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×
Continuous Pulse Ox (94762) $214.50 $286 1.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $453 $604 2.1×
Critical care first hour (99291) $513.75 $685 0.6×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$78–$165 $104–$220 varies
Debridement Prmlg Hyperkeratotic Les W/Pdt (96574)
range across 2 matching MRF lines
$292.50–$486 $390–$648 varies
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 Xtr Veins Complete Bilateral Study (93970) $468 $624 2.0×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$55.50–$402 $74–$536 varies
Duplex up extrem art bilat (93930) $468 $624 2.0×
Duplex up extrem art unilat/ltd (93931) $453 $604 4.4×
ECG/monitoring and analysis (93271) $531.75 $709 5.7×
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×
Electrical Stimulation Ea 15 Min (97032) $69 $92 4.7×
Electrocardiogram Tracing (93005) $145.50 $194 2.5×
Emergency Dept Visit Level 2 (99282) $127.50 $170 0.8×
Emergency Dept Visit Level 3 (99283) $188.25 $251 0.7×
Emergency Dept Visit Level 4 (99284) $279.75 $373 0.7×
Er level 1 (99281) $96 $128 1.2×
Er level v (99285) $418.50 $558 0.7×
Evaluate Speech Production (92522) $87 $116 0.8×
Evaluate Swallowing Function (92610) $242.25 $323 2.9×
Evaluation of speech fluency (92521) $107.25 $143 0.8×
Exercise test for bronchospasm (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×
Extracranial Bilat Study (93880) $706.50 $942 3.0×
Extracranial Uni/Ltd Study (93882) $77.25 $103 0.7×
Fundus photography (92250) $77.25 $103 0.6×
Group Therapeutic Procedures (97150) $68.25 $91 3.8×
Holter monitor recording (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×
Immunization administration (90471)
range across 3 matching MRF lines
$9.75–$16.50 $13–$22 varies
Inital newborn e/m (99460) $257.25 $343 2.0×
Iontophoresis 15 min (97033) $77.25 $103 4.1×
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$99.75–$110.25 $133–$147 varies
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$99.75–$105.75 $133–$141 varies
IV infusion hydration initial 31 min-1 hour (96360) $188.25 $251 0.9×
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$36.75–$39 $49–$52 varies
IV infusion therapy prophylaxis/dx ea hour (96366) $84 $112 1.8×
IV push initial (96374)
range across 2 matching MRF lines
$75.75–$111 $101–$148 varies
Low frequency non-thermal us (97610) $45 $60 0.2×
Mechanical chest wall oscillation per session (94669) $69 $92 0.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $48 $64 1.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$36–$51.75 $48–$69 varies
Motion Fluoroscopy/Swallow (92611) $292.50 $390 3.2×
Nasopharyngoscopy (92511) $113.25 $151 0.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$33.75–$147 $45–$196 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $177.75 $237 0.4×
Nerve Conduction Studies 1-2 Studies (95907)
range across 2 matching MRF lines
$54.75–$205.50 $73–$274 varies
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×
Neuromuscular Reeducation (97112) $75.75 $101 2.3×
Newborn resuscitation (99465)
range across 2 matching MRF lines
$165–$365.25 $220–$487 varies
Oral Function Therapy (92526) $162 $216 1.9×
Oral Speech Device Eval (92597) $331.50 $442 4.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $63 $84 1.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $75 $100 1.6×
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 2 matching MRF lines
$25.50–$69 $34–$92 varies
Ot Contrast Bath Ea 15 Min (97034) $29.25 $39 2.1×
Ot eval high complexity (97167) $306 $408 3.0×
Ot Eval Low Complex (97165) $190.50 $254 1.9×
Ot Eval Moderate Complexity (97166) $247.50 $330 2.5×
Ot manual therapy 15 min (97140) $92.25 $123 3.3×
Ot paraffin bath (97018) $72 $96 12.0×
Ot Re-Eval Est Plan Care (97168) $124.50 $166 1.8×
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×
Patch/Application Test Specify Number Tests (95044) $45 $60 0.1×
Pdt dstr prmlg les phys/qhp (96573)
range across 2 matching MRF lines
$333.75–$407.25 $445–$543 varies
Pdt dstr prmlg les skn illum/activj per day (96567)
range across 2 matching MRF lines
$345–$610.50 $460–$814 varies
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)
range across 2 matching MRF lines
$65.25–$76.50 $87–$102 varies
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 Eval High Complex (97163) $306 $408 3.1×
Pt eval low complex 20 min (97161) $190.50 $254 1.9×
Pt Eval Mod Complex (97162) $247.50 $330 2.5×
Pt gait training 15 min (97116) $70.50 $94 2.4×
Pt mechanical traction (97012) $92.25 $123 6.4×
Pt Re-Eval Est Plan Care (97164) $124.50 $166 1.8×
Pt ultraviolet (97028) $20.25 $27 2.4×
Pulmonary Stress Testing (94618) $252.75 $337 1.9×
Pure Tone Audiometry Air (92552)
range across 2 matching MRF lines
$33.75–$52.50 $45–$70 varies
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 (93270) $261 $348 7.1×
Remote 30 Day Ecg Tech Supp (93229) $1,579.50 $2,106 4.3×
Respiratory flow volume loop (94375) $221.25 $295 1.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $84.75 $113 1.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$79.50–$94.50 $106–$126 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $304.50 $406 2.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $128.25 $171 2.7×
Same day nb discharge (99463) $361.50 $482 2.7×
Self Care Mngment Training (97535) $78.75 $105 2.4×
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×
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 Tte Only (93350) $1,398 $1,864 2.6×
Subcutaneous Infusion Each Additional Hour (96370) $161.25 $215 3.5×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $297 $396 1.4×
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 Ea Addl 15 Min (97130) $50.25 $67 2.4×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $99 $132 2.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $70.50 $94 2.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $196.50 $262 1.9×
Ther/Proph/Diag Inj Ia (96373) $158.25 $211 0.8×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$23.25–$24.75 $31–$33 varies
Ther/Proph/Diag Iv Inf Init (96365) $177 $236 0.8×
Therapeutic Activities (97530) $75 $100 2.1×
Tobacco Use Cessation Intensive >10 Minutes (99407) $57 $76 1.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$23.25–$42.75 $31–$57 varies
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 (93307) $722.25 $963 3.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $200.25 $267 2.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $94.50 $126 2.0×
Tympanometry (92567)
range across 2 matching MRF lines
$33.75–$81 $45–$108 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$61.50–$454.50 $82–$606 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$106.50–$692.25 $142–$923 varies
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×

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.