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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acupunct W/Stimul 15 Min (97813) | $22.50 | $25 | 0.8× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $85.50 | $95 | 3.0× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$36.90–$37.80 | $41–$42 | varies |
| Advncd Care Plan 30 Min (99497) | $224.10 | $249 | 2.2× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$42.30–$184.50 | $47–$205 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $33.30 | $37 | 2.3× |
| Assessment of aphasia per hr (96105) | $189 | $210 | 1.9× |
| Behavral qualit analys voice (92524) | $215.10 | $239 | 2.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $280.80 | $312 | 0.8× |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$89.10–$117.90 | $99–$131 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $324.90 | $361 | 1.5× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$658.80–$890.10 | $732–$989 | varies |
| Cardioversion (92960) | $327.60 | $364 | 0.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $126.90 | $141 | 1.8× |
| Chron Care Mgmt Srvc 20 Min (99490) | $71.10 | $79 | 0.7× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$366.30–$968.40 | $407–$1,076 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $62.10 | $69 | 1.9× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $284.40 | $316 | 2.2× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $118.80 | $132 | 2.0× |
| Critical care first hour (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 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 up extrem art bilat (93930) | $968.40 | $1,076 | 4.1× |
| Duplex up extrem art unilat/ltd (93931) | $621.90 | $691 | 6.0× |
| Echo Heart Xthoracic,Limited (93308) | $1,168.20 | $1,298 | 5.0× |
| Electrical Stimulation Ea 15 Min (97032) | $45 | $50 | 3.1× |
| Electrocardiogram Tracing (93005) | $170.10 | $189 | 2.9× |
| Emergency Dept Visit Level 2 (99282) | $93.60 | $104 | 0.6× |
| Emergency Dept Visit Level 3 (99283) | $138.60 | $154 | 0.5× |
| Emergency Dept Visit Level 4 (99284) | $264.60 | $294 | 0.6× |
| Er level 1 (99281) | $48.60 | $54 | 0.6× |
| Er level v (99285) | $387 | $430 | 0.7× |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$217.80–$246.60 | $242–$274 | varies |
| Evaluate Swallowing Function (92610) | $166.50 | $185 | 2.0× |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$262.80–$288.90 | $292–$321 | varies |
| 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× |
| Extracranial Bilat Study (93880) | $968.40 | $1,076 | 4.1× |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$949.50–$968.40 | $1,055–$1,076 | varies |
| Group Therapeutic Procedures (97150) | $38.70 | $43 | 2.1× |
| Holter monitor recording (93225) | $274.50 | $305 | 2.1× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $18 | $20 | 0.3× |
| Immunization administration (90471) range across 4 matching MRF lines |
$18–$66.60 | $20–$74 | varies |
| Inital newborn e/m (99460) | $216.90 | $241 | 1.6× |
| 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 therapy prophylaxis/dx ea hour (96366) | $117.90 | $131 | 2.5× |
| IV push initial (96374) | $200.70 | $223 | 1.0× |
| 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× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$67.50–$76.50 | $75–$85 | varies |
| Oral Function Therapy (92526) | $166.50 | $185 | 2.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $102.60 | $114 | 2.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$78.30–$93.60 | $87–$104 | varies |
| 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 eval high complexity (97167) | $257.40 | $286 | 2.6× |
| Ot Eval Low Complex (97165) | $202.50 | $225 | 2.0× |
| Ot Eval Moderate Complexity (97166) | $234 | $260 | 2.3× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$61.20–$67.50 | $68–$75 | varies |
| Ot paraffin bath (97018) | $28.80 | $32 | 4.8× |
| Ot Prosthetic Training, Each 15 Min (97761) | $79.20 | $88 | 2.0× |
| Ot Re-Eval Est Plan Care (97168) | $159.30 | $177 | 2.3× |
| Phlebotomy therapeutic (99195) | $240.30 | $267 | 1.8× |
| Physical Performance Test (97750) | $58.50 | $65 | 1.7× |
| 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 Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $81.90 | $91 | 2.2× |
| Pt Eval High Complex (97163) | $306 | $340 | 3.1× |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$81–$295.20 | $90–$328 | varies |
| Pt Eval Mod Complex (97162) | $299.70 | $333 | 3.1× |
| Pt gait training 15 min (97116) | $66.60 | $74 | 2.3× |
| Pt mechanical traction (97012) | $37.80 | $42 | 2.6× |
| Pt Re-Eval Est Plan Care (97164) | $202.50 | $225 | 3.0× |
| Remote 30 Day Ecg Rev/Report (93270) | $114.30 | $127 | 3.1× |
| Remote 30 Day Ecg Tech Supp (93229) | $4,095 | $4,550 | 11.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $186.30 | $207 | 0.9× |
| Same day nb discharge (99463) | $248.40 | $276 | 1.9× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$70.20–$79.20 | $78–$88 | varies |
| Self-meas bp pt educaj/traing & dev calibration (99473) | $25.20 | $28 | 0.9× |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$59.40–$69.30 | $66–$77 | varies |
| 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) range across 2 matching MRF lines |
$44.10–$58.50 | $49–$65 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $42.30 | $47 | 2.0× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $98.10 | $109 | 2.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $59.40 | $66 | 2.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $66.60 | $74 | 0.9× |
| Ther/Proph/Diag Iv Inf Init (96365) | $482.40 | $536 | 2.3× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$71.10–$82.80 | $79–$92 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $25.20 | $28 | 0.7× |
| 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/Pro/Dx Inj New Drug Addon (96375) | $75.60 | $84 | 1.6× |
| Upr/L Xtremity Art 2 Levels (93922) | $414 | $460 | 3.1× |
| Vasopneumatic device (97016) | $45 | $50 | 3.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $72.90 | $81 | 2.3× |
| Whirlpool Therapy (97022) | $47.70 | $53 | 3.0× |
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.