Visits & medical services prices at Sutter Davis Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $95 $95 1.8×
Airway Inhalation Treatment (94640) $685 $685 2.4×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $193 $193 1.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $162 $162 11.3×
Application on-body injector (96377) $318 $318 5.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,449 $1,449 3.0×
Canalith repositioning proc (95992) $221 $221 5.4×
Car seat/bed test 60 min (94780) $702 $702 14.5×
Cardiac Stress Tst,Tracing Only (93017) $2,345 $2,345 8.4×
Cardiopulmonary exercise testing (94621) $1,992 $1,992 4.1×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines		 $1,332–$2,739 $1,332–$2,739 varies
Cardioversion (92960)
range across 4 matching MRF lines		 $2,300–$4,095 $2,300–$4,095 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $221 $221 8.5×
Cbt 1st hour (94644) $649 $649 3.8×
Chemo Admin Peritoneal Cavity (96446) $650 $650 1.5×
Chemo Anti-Neopl Sq/Im (96401) $673 $673 7.2×
Chemo Hormon Antineopl Sq/Im (96402) $502 $502 5.4×
Chemo Ia Push (96420) $1,685 $1,685 3.9×
Chemo IV infusion addl hr (96415) $645 $645 6.9×
Chemo IV push addl drug (96411) $765 $765 8.2×
Chemother Prolong Infuse W/Pump (96416) $1,715 $1,715 4.0×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $1,477 $1,477 3.4×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $831 $831 13.7×
Chemotherapy Into Cns (96450) $1,891 $1,891 4.4×
Chemotherapy Intracavitary (96440) $3,204 $3,204 7.5×
Chemotherapy Unspecified (96549) $418 $418 6.9×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $1,501 $1,501 3.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $793 $793 8.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,666 $1,666 3.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,087 $1,087 2.5×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $1,510 $1,510 3.5×
Chest Wall Manipulation (94668) $330 $330 1.9×
Color/duplex Doppler, complete (93975) $2,942 $2,942 9.5×
Color/duplex Doppler, limited (93976) $1,988 $1,988 14.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $2,575 $2,575 9.1×
Cpt initial (94667) $394 $394 2.3×
Critical care first hour (99291) $9,840 $9,840 9.2×
Debridement Open Wound 20 Sq Cm< (97597) $848 $848 3.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $2,273 $2,273 7.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,558 $1,558 11.5×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $1,948 $1,948 14.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $2,598 $2,598 8.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,738 $1,738 12.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,704 $2,704 8.7×
Dup-scan xtr veins unilateral/limited study (93971) $1,927 $1,927 14.2×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $1,325 $1,325 4.3×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $590 $590 4.3×
Duplex Scan Hemodialysis Access (93990) $1,516 $1,516 11.2×
Duplex up extrem art bilat (93930) $2,676 $2,676 8.6×
Duplex up extrem art unilat/ltd (93931) $1,829 $1,829 13.5×
Echo Congenital Complete (93303) $1,384 $1,384 2.0×
Echo Heart Xthoracic,Limited (93308) $1,811 $1,811 5.8×
Echo transesophag montr cardiac pump functj (93318) $5,280 $5,280 7.4×
Echo transesophageal (93312) $5,134 $5,134 7.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $4,006 $4,006 5.6×
Eeg 41-60 Minutes (95812) $2,279 $2,279 8.1×
EEG awake and asleep (95819) $2,191 $2,191 7.8×
EEG awake drowsy (95816) $2,034 $2,034 7.3×
EEG cont rec w/video by tech min 8 channels (95700) $1,182 $1,182 4.2×
EEG extended monitoring 61-119 minutes (95813) $2,337 $2,337 8.3×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $3,460 $3,460 12.3×
EKG signal averaged (93278) $2,278 $2,278 29.8×
Electrical Stimulation Ea 15 Min (97032) $176 $176 12.0×
Electrocardiogram Tracing (93005) $614 $614 8.0×
Emergency Dept Visit Level 2 (99282) $1,527 $1,527 7.7×
Emergency Dept Visit Level 3 (99283) $2,882 $2,882 8.1×
Emergency Dept Visit Level 4 (99284) $4,634 $4,634 8.6×
Er level 1 (99281) $603 $603 5.5×
Er level v (99285) $6,672 $6,672 8.6×
Evaluate pt use of inhaler (94664) $550 $550 1.9×
Evaluate Speech Production (92522) $572 $572 5.1×
Evaluate Swallowing Function (92610) $778 $778 9.2×
Evoked Auditory Test,Limited (92587) $785 $785 2.8×
Exercise test for bronchospasm (94617) $596 $596 3.5×
External Ecg Scanning Analysis Report (93226) $890 $890 11.6×
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) $923 $923 1.3×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $4,567 $4,567 4.1×
Gi wireless capsule measure (91112) $3,106 $3,106 2.6×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $3,968 $3,968 4.5×
Holter monitor recording (93225) $705 $705 4.1×
Im Adm Intransl/Oral 1 Vaccine (90473) $94 $94 1.0×
Immunization administration (90471) $192 $192 2.1×
Intracranial Complete Study (93886) $2,407 $2,407 7.8×
Irrig Drug Delivery Device (96523) $358 $358 4.7×
IV infusion hydration each additional hour (96361) $461 $461 7.6×
IV infusion hydration initial 31 min-1 hour (96360) $1,091 $1,091 4.0×
IV infusion ther proph addl sequential to 1 hr (96367) $517 $517 5.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $555 $555 9.1×
IV push initial (96374) $609 $609 2.2×
Mechanical chest wall oscillation per session (94669) $473 $473 1.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $137 $137 4.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $140 $140 3.8×
Methacholine challenge (94070) $1,610 $1,610 3.3×
Motion Fluoroscopy/Swallow (92611) $1,071 $1,071 11.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $585 $585 2.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $768 $768 1.5×
Neuromuscular Reeducation (97112) $222 $222 6.8×
Nitric oxide expired gas determination (95012) $321 $321 6.6×
Oral Function Therapy (92526) $508 $508 6.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $210 $210 4.6×
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) $180 $180 4.5×
Ot Re-Eval Est Plan Care (97168) $372 $372 5.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $439 $439 2.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $371 $371 2.2×
Peripheral arterial disease rehab per session (93668) $282 $282 3.7×
Phlebotomy therapeutic (99195) $608 $608 3.5×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $446 $446 5.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $446 $446 5.8×
Plethysmography (94726) $935 $935 1.9×
Psychiatric diagnostic evaluation (90791) $458 $458 2.0×
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) $225 $225 7.7×
Pt group caregiver training (97552) $198 $198 9.0×
Pt Re-Eval Est Plan Care (97164) $330 $330 4.9×
Pulmonary service/procedure (94799) $308 $308 1.8×
Pulmonary Stress Testing (94618) $624 $624 3.6×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $807 $807 1.9×
Refill/Maint Portable Pump (96521) $705 $705 2.6×
Remote 30 Day Ecg Rev/Report (93270) $434 $434 9.0×
Respiratory flow volume loop (94375) $706 $706 2.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $472 $472 1.8×
Self Care Mngment Training (97535) $226 $226 7.0×
Slp caregiver training 1st 30 min (97550) $444 $444 8.4×
Speech sound lang comprehen (92523) $756 $756 3.3×
Spin/Brain Pump Refil & Main (95991) $1,524 $1,524 3.8×
Spirometry (94010) $653 $653 2.3×
Standardized Cognitive Performance Testing (96125) $568 $568 5.5×
Stress Tte Only (93350) $4,073 $4,073 5.7×
Subcutaneous Infusion Each Additional Hour (96370) $145 $145 2.4×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $492 $492 1.8×
Subq Infusion Additional Pump Infusion Site (96371) $1,128 $1,128 12.1×
Temp transcutaneous pacing (92953) $1,825 $1,825 2.1×
Ther/Proph/Diag Inj Ia (96373) $603 $603 2.2×
Ther/Proph/Diag Inj Sc/Im (96372) $325 $325 3.5×
Ther/Proph/Diag Iv Inf Init (96365) $1,143 $1,143 4.1×
Therapeutic Activities (97530) $238 $238 6.8×
Tobacco Use Cessation Intensive >10 Minutes (99407) $149 $149 3.1×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $2,636 $2,636 19.4×
Tte w/doppler, complete (93306) $4,223 $4,223 6.0×
Tte W/O Doppler Complete (93307) $2,614 $2,614 8.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $545 $545 7.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $456 $456 7.5×
Upr/L Xtremity Art 2 Levels (93922) $1,030 $1,030 6.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,579 $1,579 5.6×
Vent Mgmt Inpat Init Day (94002) $5,448 $5,448 6.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $4,047 $4,047 5.0×
Vital capacity, total (94150) $229 $229 1.4×
Wheelchair Mgmt Ea 15 Min (97542) $188 $188 6.1×

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.