Visits & medical services prices at Sutter Amador Hospital

Jackson, CA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $80 $80 1.5×
Airway Inhalation Treatment (94640) $685 $685 2.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $162 $162 11.3×
Application on-body injector (96377) $269 $269 4.4×
Behavral qualit analys voice (92524) $475 $475 4.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,449 $1,449 3.0×
Cardiac Stress Tst,Tracing Only (93017) $2,345 $2,345 8.4×
Cardiopulmonary exercise testing (94621) $1,684 $1,684 3.5×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines		 $979–$2,316 $979–$2,316 varies
Cardioversion (92960)
range across 4 matching MRF lines		 $1,902–$3,462 $1,902–$3,462 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $187 $187 7.2×
Cbt 1st hour (94644) $550 $550 3.2×
Chemo Admin Peritoneal Cavity (96446) $550 $550 1.3×
Chemo Anti-Neopl Sq/Im (96401) $569 $569 6.1×
Chemo Hormon Antineopl Sq/Im (96402) $425 $425 4.6×
Chemo Ia Push (96420) $1,425 $1,425 3.3×
Chemo IV infusion addl hr (96415) $545 $545 5.8×
Chemo IV push addl drug (96411) $647 $647 6.9×
Chemother Prolong Infuse W/Pump (96416) $1,448 $1,448 3.4×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $1,250 $1,250 2.9×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $703 $703 11.6×
Chemotherapy Into Cns (96450) $1,598 $1,598 3.7×
Chemotherapy Intracavitary (96440) $2,709 $2,709 6.3×
Chemotherapy Unspecified (96549) $418 $418 6.9×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $1,270 $1,270 3.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $671 $671 7.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,408 $1,408 3.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $919 $919 2.1×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $1,276 $1,276 3.0×
Chest Wall Manipulation (94668) $278 $278 1.6×
Color/duplex Doppler, complete (93975) $2,487 $2,487 8.0×
Color/duplex Doppler, limited (93976) $1,681 $1,681 12.4×
Cont gluc mntr physician/qhp provided equiptment (95250) $749 $749 4.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $2,176 $2,176 7.7×
Cpt initial (94667) $333 $333 1.9×
Critical care first hour (99291) $9,840 $9,840 9.2×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines		 $717–$760 $717–$760 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,922 $1,922 6.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,317 $1,317 9.7×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $1,646 $1,646 12.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $2,196 $2,196 7.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,469 $1,469 10.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,286 $2,286 7.4×
Dup-scan xtr veins unilateral/limited study (93971) $1,629 $1,629 12.0×
Duplex Scan Hemodialysis Access (93990) $1,282 $1,282 9.5×
Duplex up extrem art bilat (93930) $2,262 $2,262 7.3×
Duplex up extrem art unilat/ltd (93931) $1,546 $1,546 11.4×
Echo Congenital Complete (93303) $1,169 $1,169 1.7×
Echo Heart Xthoracic,Limited (93308) $1,531 $1,531 5.0×
Echo transesophag montr cardiac pump functj (93318) $4,464 $4,464 6.3×
Echo transesophageal (93312) $4,340 $4,340 6.1×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $4,006 $4,006 5.7×
Eeg 41-60 Minutes (95812) $1,964 $1,964 7.0×
EEG awake and asleep (95819) $1,852 $1,852 6.6×
EEG awake drowsy (95816) $1,719 $1,719 6.1×
EEG extended monitoring 61-119 minutes (95813) $1,975 $1,975 7.1×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $2,924 $2,924 10.5×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $3,234 $3,234 11.6×
Electrical Stimulation Ea 15 Min (97032) $148 $148 10.1×
Electrocardiogram Tracing (93005) $614 $614 8.0×
Emergency Dept Visit Level 2 (99282) $1,253 $1,253 6.3×
Emergency Dept Visit Level 3 (99283) $2,449 $2,449 6.9×
Emergency Dept Visit Level 4 (99284) $4,038 $4,038 7.5×
Er level 1 (99281) $494 $494 4.5×
Er level v (99285) $6,017 $6,017 7.8×
Evaluate pt use of inhaler (94664) $443 $443 1.6×
Evaluate Speech Production (92522) $469 $469 4.2×
Evaluate Swallowing Function (92610) $658 $658 7.8×
External Ecg Scanning Analysis Report (93226) $754 $754 9.9×
Extracranial Bilat Study (93880) $2,747 $2,747 8.9×
Extracranial Uni/Ltd Study (93882) $1,468 $1,468 10.8×
F-up/limited tthrc echo congenital car anomaly (93304) $780 $780 1.1×
Gi wireless capsule measure (91112) $2,625 $2,625 2.2×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $3,355 $3,355 3.8×
Holter monitor recording (93225) $596 $596 3.5×
Im Adm Intransl/Oral 1 Vaccine (90473) $80 $80 0.9×
Immunization administration (90471) $162 $162 1.7×
Intracranial Complete Study (93886) $2,035 $2,035 6.6×
Irrig Drug Delivery Device (96523) $303 $303 4.0×
IV infusion hydration each additional hour (96361) $390 $390 6.4×
IV infusion hydration initial 31 min-1 hour (96360) $923 $923 3.3×
IV infusion ther proph addl sequential to 1 hr (96367) $437 $437 4.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $468 $468 7.7×
IV push initial (96374) $515 $515 1.9×
Low frequency non-thermal us (97610) $700 $700 2.7×
Lung Function Test (Mbc/Mvv) (94200) $248 $248 3.2×
Lwr Xtr Vasc Stdy Bilat (93924) $1,910 $1,910 6.8×
Mechanical chest wall oscillation per session (94669) $400 $400 1.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $115 $115 3.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $118 $118 3.2×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $30 $30 1.8×
Methacholine challenge (94070) $1,360 $1,360 2.8×
Multiple Sleep Latency Test (95805) $3,462 $3,462 3.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $583 $583 2.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $759 $759 1.4×
Neuromuscular Reeducation (97112) $187 $187 5.7×
Nitric oxide expired gas determination (95012) $271 $271 5.6×
Oral Function Therapy (92526) $428 $428 5.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $177 $177 3.8×
Ot Eval Low Complex (97165) $508 $508 5.1×
Ot manual therapy 15 min (97140) $246 $246 8.9×
Ot Prosthetic Training, Each 15 Min (97761) $152 $152 3.8×
Ot Re-Eval Est Plan Care (97168) $372 $372 5.4×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines		 $505–$515 $505–$515 varies
Plethysmography (94726) $790 $790 1.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines		 $5,181–$5,446 $5,181–$5,446 varies
Pt Eval High Complex (97163) $629 $629 6.4×
Pt eval low complex 20 min (97161) $495 $495 5.1×
Pt Eval Mod Complex (97162) $558 $558 5.7×
Pt gait training 15 min (97116) $190 $190 6.5×
Pt group caregiver training (97552) $167 $167 7.6×
Pt Re-Eval Est Plan Care (97164) $330 $330 4.9×
Pulm function test by gas (94727) $499 $499 1.8×
Pulmonary Stress Testing (94618) $526 $526 3.1×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $682 $682 1.6×
Refill/Maint Portable Pump (96521) $596 $596 2.2×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $182 $182 2.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $510 $510 2.0×
Self Care Mngment Training (97535) $191 $191 5.9×
Sleep study attended (95807) $1,858 $1,858 3.8×
Sleep study unattended (95806) $697 $697 2.5×
Slp caregiver training 1st 30 min (97550) $375 $375 7.1×
Speech sound lang comprehen (92523) $640 $640 2.8×
Spin/Brain Pump Refil & Main (95991) $1,288 $1,288 3.2×
Spirometry (94010) $653 $653 2.3×
Standardized Cognitive Performance Testing (96125) $480 $480 4.7×
Subcutaneous Infusion Each Additional Hour (96370) $122 $122 2.0×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $489 $489 1.8×
Subq Infusion Additional Pump Infusion Site (96371) $954 $954 10.2×
Temp transcutaneous pacing (92953) $1,825 $1,825 2.1×
Ther/Proph/Diag Inj Ia (96373) $510 $510 1.9×
Ther/Proph/Diag Inj Sc/Im (96372) $274 $274 2.9×
Ther/Proph/Diag Iv Inf Init (96365) $966 $966 3.5×
Therapeutic Activities (97530) $202 $202 5.8×
Tobacco Use Cessation Intensive >10 Minutes (99407) $126 $126 2.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $106 $106 2.2×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $2,292 $2,292 16.9×
Tte w/doppler, complete (93306) $4,223 $4,223 6.0×
Tte W/O Doppler Complete (93307) $2,209 $2,209 7.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $460 $460 6.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $386 $386 6.4×
Upr/L Xtremity Art 2 Levels (93922) $871 $871 5.1×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,335 $1,335 4.8×
Veeg 2-12 Hr Cont Mntr (95713) $2,539 $2,539 5.3×
Veeg 2-12 hr intmt mntr (95712) $1,961 $1,961 4.1×
Veeg 2-12 hr unmonitored (95711) $1,242 $1,242 4.4×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $3,759 $3,759 7.8×
Veeg Ea 12-26 Hr Unmntr (95714) $2,365 $2,365 4.9×
Veeg ea 12-26hr cont mntr (95716) $5,907 $5,907 5.3×
Vent Mgmt Inpat Init Day (94002) $4,604 $4,604 5.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $3,422 $3,422 4.3×
Vital capacity, total (94150) $193 $193 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $160 $160 5.2×

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.