Visits & medical services prices at Sutter Lakeside Hospital

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $80 $80 1.5×
Airway Inhalation Treatment (94640)
range across 10 matching MRF lines		 $665–$685 $665–$685 varies
Airway resistance by oscillometry (94728) $355 $355 2.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $162 $162 11.3×
Behavral qualit analys voice (92524) $489 $489 4.5×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $649 $649 7.9×
Bfb training ea addl 15 min (90913) $366 $366 11.2×
Breath hydrogen/methane test (91065) $571 $571 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,449 $1,449 3.0×
Caloric vestibular test w/rec bi monothermal (92538) $148 $148 0.5×
Caloric Vstblr Test W/Rec (92537) $283 $283 1.7×
Canalith repositioning proc (95992) $187 $187 4.6×
Car seat/bed test 60 min (94780) $594 $594 12.4×
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 3 matching MRF lines		 $1,902–$3,462 $1,902–$3,462 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $37,730 $37,730 9.0×
Cbt 1st hour (94644) $550 $550 3.2×
Chemo Anti-Neopl Sq/Im (96401) $569 $569 6.1×
Chemo Hormon Antineopl Sq/Im (96402) $425 $425 4.6×
Chemo IV infusion addl hr (96415) $545 $545 5.9×
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 2.2×
Chest Wall Manipulation (94668) $278 $278 1.6×
Color/duplex Doppler, complete (93975) $2,487 $2,487 8.1×
Color/duplex Doppler, limited (93976) $1,681 $1,681 12.5×
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 9.3×
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 6.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,317 $1,317 9.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $2,196 $2,196 7.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,469 $1,469 10.9×
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 12.1×
Duplex Scan Hemodialysis Access (93990) $1,282 $1,282 9.5×
Duplex up extrem art bilat (93930) $2,262 $2,262 7.4×
Duplex up extrem art unilat/ltd (93931) $1,546 $1,546 11.5×
Echo Congenital Complete (93303) $1,169 $1,169 1.7×
Echo Heart Xthoracic,Limited (93308) $1,531 $1,531 5.0×
Echo transesophageal (93312) $4,340 $4,340 6.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $4,006 $4,006 5.7×
EEG awake and asleep (95819) $1,852 $1,852 6.7×
EEG awake drowsy (95816) $1,719 $1,719 6.2×
EEG cerebral death evaluation (95824) $2,044 $2,044 4.3×
EEG cont rec w/video by tech min 8 channels (95700) $941 $941 3.4×
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×
EKG signal averaged (93278) $1,926 $1,926 25.4×
Electrical Stimulation Ea 15 Min (97032) $148 $148 10.1×
Electrocardiogram Tracing (93005) $614 $614 8.1×
Emergency Dept Visit Level 2 (99282) $1,253 $1,253 6.3×
Emergency Dept Visit Level 3 (99283) $2,449 $2,449 7.0×
Emergency Dept Visit Level 4 (99284) $4,038 $4,038 7.5×
Emg 3 Extremities (95863) $1,459 $1,459 8.8×
Emg 4 Extremities (95864) $374 $374 2.3×
Er level 1 (99281) $494 $494 4.6×
Er level v (99285) $6,017 $6,017 7.9×
Esophagus acid perfusion test esophagitis (91030) $579 $579 1.2×
Esophgl Balo Distension Dx Std W/Provocation (91040) $984 $984 2.1×
Evaluate pt use of inhaler (94664)
range across 6 matching MRF lines		 $430–$443 $430–$443 varies
Evaluate Speech Production (92522) $483 $483 4.3×
Evaluate Swallowing Function (92610) $658 $658 7.8×
Evaluation of speech fluency (92521) $457 $457 3.4×
Evoked Auditory Test,Limited (92587) $664 $664 2.4×
Exercise test for bronchospasm (94617) $504 $504 2.9×
External ECG rec>48hr<7d recording (93242) $214 $214 4.5×
External ECG rec>7d<15d recording (93246) $320 $320 6.7×
External Ecg Scanning Analysis Report (93226) $754 $754 9.9×
Extracranial Bilat Study (93880) $2,747 $2,747 9.0×
Extracranial Uni/Ltd Study (93882) $1,468 $1,468 10.9×
F-up/limited tthrc echo congenital car anomaly (93304) $2,154 $2,154 3.1×
Gastric motility studies (91020) $3,170 $3,170 6.6×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $3,057 $3,057 6.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $3,861 $3,861 3.5×
Group Therapeutic Procedures (97150) $168 $168 9.3×
Holter monitor recording (93225) $596 $596 3.5×
Icd device progr eval dual (93283) $208 $208 4.3×
Immunization administration (90471) $162 $162 1.7×
Indocyanine-green angrph w/multiframe i&r uni/bi (92240) $784 $784 2.8×
Iontophoresis 15 min (97033) $126 $126 6.6×
Irrig Drug Delivery Device (96523) $303 $303 4.0×
IV infusion hydration each additional hour (96361) $390 $390 6.5×
IV infusion hydration initial 31 min-1 hour (96360) $923 $923 3.4×
IV infusion ther proph addl sequential to 1 hr (96367) $437 $437 4.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $468 $468 7.8×
IV push initial (96374) $515 $515 1.9×
Lung Function Test (Mbc/Mvv) (94200) $248 $248 3.3×
Lwr Xtr Vasc Stdy Bilat (93924) $1,910 $1,910 6.9×
Motility study esophagus (91010) $4,745 $4,745 9.9×
Motion Fluoroscopy/Swallow (92611) $906 $906 9.9×
Muscle Test 2 Limbs (95861) $425 $425 2.5×
Muscle Test Nonparaspinal (95870) $338 $338 2.0×
Muscle Test One Limb (95860) $268 $268 1.6×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $4,868 $4,868 17.5×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $3,189 $3,189 11.5×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $71 $71 0.3×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $418 $418 1.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $919 $919 1.8×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $942 $942 1.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines		 $493–$583 $493–$583 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $759 $759 1.5×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $421 $421 2.5×
Neuromuscular Reeducation (97112) $187 $187 5.7×
Oral Function Therapy (92526) $428 $428 5.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $193 $193 3.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $177 $177 3.8×
Ot Contrast Bath Ea 15 Min (97034) $100 $100 7.1×
Ot eval high complexity (97167) $646 $646 6.4×
Ot Eval Low Complex (97165) $508 $508 5.1×
Ot Eval Moderate Complexity (97166) $624 $624 6.2×
Ot manual therapy 15 min (97140) $246 $246 8.9×
Ot paraffin bath (97018) $111 $111 18.5×
Ot Prosthetic Training, Each 15 Min (97761) $152 $152 3.8×
Ot Re-Eval Est Plan Care (97168) $372 $372 5.4×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $325 $325 1.2×
Perq Transcath Cls Aortic (93591) $61,561 $61,561 2.6×
Perq Transcath Cls Mitral (93590) $54,043 $54,043 2.3×
Phlebotomy therapeutic (99195) $515 $515 3.0×
Physical Performance Test (97750) $152 $152 4.5×
Plethysmography (94726) $790 $790 1.6×
Pm device progr eval dual (93280) $212 $212 4.4×
Pm device progr eval multi (93281) $213 $213 4.4×
Pm Device Progr Eval Sngl (93279) $170 $170 3.5×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $201 $201 4.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $45 $45 0.7×
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 mechanical traction (97012) $148 $148 10.3×
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 Pump/Resvr Syst (96522) $727 $727 2.7×
Remote 30 Day Ecg Rev/Report (93270) $367 $367 7.6×
Respiratory flow volume loop (94375) $596 $596 2.1×
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×
Sensory Integration Ea 15 Min (97533) $107 $107 1.8×
Sleep study unattended (95806) $697 $697 2.5×
Speech sound lang comprehen (92523) $640 $640 2.8×
Spin/Brain Pump Refil & Main (95991) $1,288 $1,288 3.3×
Spirometry (94010) $653 $653 2.4×
Standardized Cognitive Performance Testing (96125) $480 $480 4.7×
Stress Tte Only (93350) $3,444 $3,444 4.9×
Subcutaneous Infusion Each Additional Hour (96370) $122 $122 2.0×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $416 $416 1.5×
Subq Infusion Additional Pump Infusion Site (96371) $954 $954 10.3×
Temp transcutaneous pacing (92953) $1,825 $1,825 2.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $193 $193 5.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $136 $136 4.6×
Ther/Proph/Diag Inj Ia (96373) $510 $510 1.9×
Ther/Proph/Diag Inj Sc/Im (96372) $274 $274 3.0×
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×
Tte w/doppler, complete (93306) $4,223 $4,223 6.0×
Tte W/O Doppler Complete (93307) $2,209 $2,209 7.2×
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×
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×

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.