Visits & medical services prices at Sutter Tracy Community Hospital

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

160 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×
Appl modality 1+ areas lllt po pain reduction (97037) $176 $176 3.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $162 $162 11.3×
Application on-body injector (96377) $318 $318 5.1×
Assessment of aphasia per hr (96105) $630 $630 6.5×
Behavral qualit analys voice (92524) $578 $578 5.3×
Breath hydrogen/methane test (91065) $675 $675 2.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,449 $1,449 2.9×
Canalith repositioning proc (95992) $221 $221 5.4×
Car seat/bed test 60 min (94780) $702 $702 14.3×
Cardiac Stress Tst,Tracing Only (93017) $2,345 $2,345 8.2×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines		 $1,845–$2,739 $1,845–$2,739 varies
Cardioversion (92960)
range across 4 matching MRF lines		 $2,619–$4,095 $2,619–$4,095 varies
Cbt 1st hour (94644) $649 $649 3.7×
Chemo Admin Peritoneal Cavity (96446) $650 $650 1.5×
Chemo Anti-Neopl Sq/Im (96401) $673 $673 7.1×
Chemo Hormon Antineopl Sq/Im (96402) $502 $502 5.3×
Chemo Ia Push (96420) $1,685 $1,685 3.9×
Chemo IV infusion addl hr (96415) $645 $645 6.8×
Chemo IV push addl drug (96411) $765 $765 8.1×
Chemother Prolong Infuse W/Pump (96416) $1,715 $1,715 3.9×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $1,477 $1,477 3.4×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $831 $831 13.5×
Chemotherapy Into Cns (96450) $1,891 $1,891 4.3×
Chemotherapy Intracavitary (96440) $3,204 $3,204 7.4×
Chemotherapy Unspecified (96549) $418 $418 6.8×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $1,501 $1,501 3.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $799 $799 8.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,666 $1,666 3.8×
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 9.3×
Community/Work Reintegration Trainj Ea 15 Min (97537) $140 $140 4.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $2,575 $2,575 8.9×
Cpt initial (94667) $394 $394 2.2×
Critical care first hour (99291) $9,840 $9,840 9.0×
Debridement Open Wound 20 Sq Cm< (97597) $900 $900 3.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $2,273 $2,273 7.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,558 $1,558 11.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $2,598 $2,598 8.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,738 $1,738 12.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,704 $2,704 8.6×
Dup-scan xtr veins unilateral/limited study (93971) $1,927 $1,927 14.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $1,325 $1,325 4.2×
Duplex Scan Hemodialysis Access (93990) $1,516 $1,516 11.0×
Duplex up extrem art bilat (93930) $2,676 $2,676 8.5×
Duplex up extrem art unilat/ltd (93931) $1,829 $1,829 13.3×
Echo Congenital Complete (93303) $1,384 $1,384 1.9×
Echo Heart Xthoracic,Limited (93308) $1,811 $1,811 5.8×
Echo transesophageal (93312) $5,134 $5,134 7.1×
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) $2,323 $2,323 8.2×
EEG awake and asleep (95819) $2,191 $2,191 7.7×
EEG awake drowsy (95816) $2,034 $2,034 7.1×
EEG cont rec w/video by tech min 8 channels (95700) $1,114 $1,114 3.9×
EEG extended monitoring 61-119 minutes (95813) $2,337 $2,337 8.2×
EEG wo vid ea 12-26hr unmntr (95708) $3,210 $3,210 6.5×
Electrical Stimulation Ea 15 Min (97032) $176 $176 12.0×
Electrocardiogram Tracing (93005) $614 $614 7.9×
Emergency Dept Visit Level 2 (99282) $1,527 $1,527 7.5×
Emergency Dept Visit Level 3 (99283) $2,882 $2,882 8.0×
Emergency Dept Visit Level 4 (99284) $4,634 $4,634 8.4×
Er level 1 (99281) $603 $603 5.4×
Er level v (99285) $6,672 $6,672 8.5×
Evaluate pt use of inhaler (94664)
range across 3 matching MRF lines		 $522–$550 $522–$550 varies
Evaluate Speech Production (92522) $572 $572 5.1×
Evaluate Swallowing Function (92610) $778 $778 9.2×
Evaluation of speech fluency (92521) $540 $540 4.1×
Extracranial Bilat Study (93880) $2,747 $2,747 8.7×
Extracranial Uni/Ltd Study (93882) $1,468 $1,468 10.6×
F-up/limited tthrc echo congenital car anomaly (93304) $923 $923 1.3×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $3,616 $3,616 7.3×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $4,567 $4,567 4.0×
Group Therapeutic Procedures (97150) $198 $198 11.0×
Immunization administration (90471) $192 $192 2.0×
Iontophoresis 15 min (97033) $150 $150 7.9×
Irrig Drug Delivery Device (96523) $358 $358 4.6×
IV infusion hydration each additional hour (96361) $461 $461 7.5×
IV infusion hydration initial 31 min-1 hour (96360) $1,091 $1,091 3.9×
IV infusion ther proph addl sequential to 1 hr (96367) $517 $517 5.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $555 $555 9.0×
IV push initial (96374) $609 $609 2.2×
Low frequency non-thermal us (97610) $828 $828 3.1×
Lung Function Test (Mbc/Mvv) (94200) $294 $294 3.8×
Lwr Xtr Vasc Stdy Bilat (93924) $2,260 $2,260 7.9×
Mechanical chest wall oscillation per session (94669) $473 $473 1.6×
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×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,087 $1,087 2.0×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,115 $1,115 2.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $691 $691 2.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $898 $898 1.7×
Neuromuscular Reeducation (97112) $234 $234 7.1×
Oral Function Therapy (92526) $508 $508 6.0×
Orthc/Prostc Mgmt Sbsq Enc (97763) $229 $229 4.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $210 $210 4.6×
Ot Contrast Bath Ea 15 Min (97034) $116 $116 8.3×
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) $133 $133 22.1×
Ot Prosthetic Training, Each 15 Min (97761) $180 $180 4.5×
Ot Re-Eval Est Plan Care (97168) $372 $372 5.4×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines		 $597–$608 $597–$608 varies
Physical Performance Test (97750) $181 $181 5.4×
Plethysmography (94726) $935 $935 1.9×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $204 $204 5.4×
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 mechanical traction (97012) $176 $176 12.3×
Pt Re-Eval Est Plan Care (97164) $330 $330 4.9×
Pulm function test by gas (94727) $590 $590 2.1×
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 2.5×
Refill/Maint Pump/Resvr Syst (96522) $860 $860 3.1×
Respiratory flow volume loop (94375) $706 $706 2.5×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $215 $215 2.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $602 $602 2.3×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $507 $507 4.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $126 $126 2.6×
Self Care Mngment Training (97535) $226 $226 7.0×
Sensory Integration Ea 15 Min (97533) $126 $126 2.1×
Short-latency somatosens ep std upr limbs (95925) $6,455 $6,455 22.7×
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×
Stress Tte Only (93350) $4,073 $4,073 5.7×
Subcutaneous Infusion Each Additional Hour (96370) $145 $145 2.3×
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 11.9×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines		 $1,825–$2,432 $1,825–$2,432 varies
Tensilon Test (95857) $997 $997 3.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines		 $205–$224 $205–$224 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 2 matching MRF lines		 $157–$163 $157–$163 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 2 matching MRF lines		 $160–$166 $160–$166 varies
Ther/Proph/Diag Inj Sc/Im (96372) $325 $325 3.4×
Ther/Proph/Diag Iv Inf Init (96365) $1,143 $1,143 4.1×
Therapeutic Activities (97530) $238 $238 6.8×
Tte w/doppler, complete (93306) $4,223 $4,223 5.9×
Tte W/O Doppler Complete (93307) $2,614 $2,614 8.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $545 $545 7.2×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $158 $158 6.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $456 $456 7.4×
Upr/L Xtremity Art 2 Levels (93922) $1,030 $1,030 5.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,579 $1,579 5.5×
Vent Mgmt Inpat Init Day (94002) $5,633 $5,633 6.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $4,047 $4,047 5.0×
Visual Evoked Potential Test (95930) $1,101 $1,101 3.9×
Vital capacity, total (94150) $229 $229 1.3×
Wheelchair Mgmt Ea 15 Min (97542) $188 $188 6.1×
Whirlpool Therapy (97022) $134 $134 8.5×

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.