Visits & medical services prices at Syringa Hospital & Clinics

Grangeville, ID · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $85.50 $95 3.0×
Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the… (97813) $22.50 $25 0.8×
Advance care planning first 30 mins (99497) $224.10 $249 2.2×
Airway inhalation treatment (94640) $113.40 $126 0.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $33.30 $37 2.3×
Assessment of aphasia per hr (96105) $189 $210 1.9×
Bedside Swallowing Eval (92610) $166.50 $185 2.0×
Behavioral and qualitative analysis of voice and resonance (92524) $215.10 $239 2.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $280.80 $312 0.8×
Canalith Repositioning Procedure (95992) $100.80 $112 2.5×
Cardiac Stress Tst,Tracing Only (93017) $324.90 $361 1.5×
Cardiopulmonary resuscitation (92950) $774.45 $860.50 3.6×
Cardioversion (92960) $327.60 $364 0.5×
Chemo Hormon Antineopl Sq/Im (96402) $126.90 $141 1.8×
Chronic care management services 1st 20 min (99490) $71.10 $79 0.7×
Color/duplex Doppler, limited (93976) $667.35 $741.50 6.5×
Cont Gluc Monitoring Patient Provided Equipment (95249) $118.80 $132 2.0×
Continuous Glucose Monitoring (95250) $284.40 $316 2.2×
Critical care (99291) $736.20 $818 0.9×
Debridement Open Wound 20 Sq Cm< (97597) $279 $310 1.4×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $968.40 $1,076 4.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $621.90 $691 6.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $968.40 $1,076 4.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $621.90 $691 6.0×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $968.40 $1,076 4.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $621.90 $691 6.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $968.40 $1,076 4.1×
Dup-scan xtr veins unilateral/limited study (93971) $621.90 $691 6.0×
Duplex scan extracranial art compl bi study (93880) $968.40 $1,076 4.1×
Echo Heart Xthoracic,Limited (93308) $1,168.20 $1,298 5.0×
Electrocardiogram Tracing (93005) $170.10 $189 2.9×
Er level 1 (99281) $48.60 $54 0.6×
Er level ii (99282) $93.60 $104 0.6×
Er level iii (99283) $138.60 $154 0.5×
Er level IV (99284) $264.60 $294 0.6×
Er level v (99285) $387 $430 0.7×
Eval speech sound production (92522) $232.20 $258 2.1×
Evaluation of speech fluency (92521) $275.85 $306.50 2.1×
External ECG rec>48hr<7d recording (93242) $274.50 $305 7.4×
External ECG rec>48hr<7d scanning alys w/report (93243) $810 $900 6.2×
External Ecg Scanning Analysis Report (93226) $540 $600 9.3×
Group Therapeutic Procedures (97150) $38.70 $43 2.1×
Holter Monitor (93225) $274.50 $305 2.1×
Imm admn sarscov2 vaccine single dose (90480) $37.35 $41.50 0.9×
Immune Admin Oral/Nasal (90473) $18 $20 0.3×
Immunization Admin (90471) $45.90 $51 0.6×
Inital newborn e/m (99460) $216.90 $241 1.6×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) $248.40 $276 1.9×
Iontophoresis 15 min (97033) $74.70 $83 3.9×
Irrig drug delivery device (96523) $109.80 $122 1.9×
IV infusion hydration each additional hour (96361) $117.90 $131 2.5×
IV infusion hydration initial 31 min-1 hour (96360) $411.30 $457 2.0×
IV infusion ther proph addl sequential to 1 hr (96367) $102.60 $114 1.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $482.40 $536 2.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $117.90 $131 2.5×
IV push ea addl new drug (96375) $75.60 $84 1.6×
IV push initial (96374) $200.70 $223 1.0×
Manual therapy 15 min (97140) $64.35 $71.50 2.3×
Massage 15 min (97124) $59.40 $66 2.0×
Mechanical traction (97012) $37.80 $42 2.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $42.30 $47 1.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $42.30 $47 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $179.10 $199 0.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $360 $400 0.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $414 $460 3.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $85.95 $95.50 1.9×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $81 $90 3.8×
Osteopathic manipulative tx 3-4 body regions (98926) $120.60 $134 5.7×
Osteopathic manipulative tx 5-6 body regions (98927) $157.50 $175 7.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $62.10 $69 1.9×
Ot eval high complex 60 min (97167) $257.40 $286 2.6×
Ot eval low complex 30 min (97165) $202.50 $225 2.0×
Ot eval mod complex 45 min (97166) $234 $260 2.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $102.60 $114 2.0×
Ot Prosthetic Training, Each 15 Min (97761) $79.20 $88 2.0×
Ot re-evaluation (97168) $159.30 $177 2.3×
Ot therapeutic activity 15 min (97530) $76.95 $85.50 2.2×
Paraffin bath pt (97018) $28.80 $32 4.8×
Phlebotomy therapeutic (99195) $240.30 $267 1.8×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $27.90 $31 0.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $33.30 $37 0.7×
Psych diag eval w/med srvcs (90792) $346.50 $385 2.0×
Psychiatric diagnostic evaluation (90791) $310.50 $345 1.8×
Psytx crisis initial 60 min (90839) $250.20 $278 1.4×
Pt Aquatic Therapy/Exercises (97113) $98.10 $109 2.6×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $81.90 $91 2.2×
Pt Electrical Stimulation (97032) $45 $50 3.1×
Pt eval high complex 45 min (97163) $306 $340 3.1×
Pt eval low complex 20 min (97161) $188.10 $209 1.9×
Pt eval mod complex 30 min (97162) $299.70 $333 3.1×
Pt gait training 15 min (97116) $66.60 $74 2.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $72 $80 2.2×
Pt Physical Performance Test (97750) $58.50 $65 1.7×
Pt re-evaluation (97164) $202.50 $225 3.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $74.70 $83 2.3×
Pt Whirlpool Therapy (97022) $47.70 $53 3.0×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $114.30 $127 3.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $186.30 $207 0.9×
Self-measured blood pressure using a device validated for clinical accuracy; patient education/training and device… (99473) $25.20 $28 0.9×
Sensory Integration Ea 15 Min (97533) $64.35 $71.50 1.1×
Smoking cessation > 10 min (99407) $25.20 $28 0.7×
Speech sound lang comprehen (92523) $449.10 $499 2.0×
Spirometry (94010) $63.90 $71 0.3×
Standardized Cognitive Performance Testing (96125) $199.80 $222 1.9×
Temp transcutaneous pacing (92953) $613.80 $682 0.9×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $51.30 $57 2.3×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $42.30 $47 2.0×
Therapeutic prophylactic/dx injection subq/im (96372) $66.60 $74 0.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $14.40 $16 0.4×
Trans Care Mgmt 14 Day Disch (99495) $243 $270 1.8×
Trans Care Mgmt 7 Day Disch (99496) $261.90 $291 2.0×
Tte w/doppler, complete (93306) $1,937.70 $2,153 3.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $151.20 $168 2.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $166.50 $185 2.0×
Vasc Duplex Scan Extracranial,Limited (93882) $958.95 $1,065.50 9.3×
Vasopneumatic device (97016) $45 $50 3.7×
Wheelchair Mgmt Ea 15 Min (97542) $72.90 $81 2.3×
Xtrnl mobile cv telemetry w/technical support (93229) $4,095 $4,550 11.1×