Visits & medical services prices at TriState Health
Clarkston, WA · every code in this section with a posted price and a Medicare benchmark.
164 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Advncd Care Plan 30 Min (99497) | $117.81 | $119 | 1.0× |
| Airway Inhalation Treatment (94640) range across 6 matching MRF lines |
$31.78–$486.55 | $32.10–$491.46 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $37.62 | $38 | 0.9× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $243.54 | $246 | 1.6× |
| Analyze neurostim no prog (95970) range across 3 matching MRF lines |
$105.93–$175.23 | $107–$177 | varies |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$84.15–$288.09 | $85–$291 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $54.45 | $55 | 3.8× |
| Bioimpedance Cv Analysis (93701) | $66.33 | $67 | 0.4× |
| Brief Emotional/Behav Assmt (96127) | $9.90 | $10 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 4 matching MRF lines |
$24.75–$362.80 | $25–$366.46 | varies |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$71.28–$81.18 | $72–$82 | varies |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$324.72–$5,001.15 | $328–$5,051.67 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$191.07–$5,301.57 | $193–$5,355.12 | varies |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $87.12 | $88 | 2.1× |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$94.05–$270.12 | $95–$272.85 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 3 matching MRF lines |
$57.42–$185.63 | $58–$187.50 | varies |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$118.68–$122.89 | $119.88–$124.13 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $184.14 | $186 | 2.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$560.79–$594 | $566.45–$600 | varies |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$110.07–$115.46 | $111.18–$116.63 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $77.44 | $78.22 | 0.7× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$108.90–$1,227.77 | $110–$1,240.17 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$76.23–$733.27 | $77–$740.68 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $114.40 | $115.56 | 0.6× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $269.26 | $271.98 | 1.8× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $97.02 | $98 | 1.5× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$205.61–$245.29 | $207.69–$247.77 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$115.83–$765.87 | $117–$773.61 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$142.56–$152.54 | $144–$154.08 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$381.15–$3,540.24 | $385–$3,576 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 11 matching MRF lines |
$40.59–$581.56 | $41–$587.43 | varies |
| Dialysis One Evaluation (90945) | $166.32 | $168 | 0.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$67.32–$710.92 | $68–$718.10 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$74.25–$1,034.55 | $75–$1,045 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$46.53–$598.98 | $47–$605.03 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$65.34–$1,123.65 | $66–$1,135 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 6 matching MRF lines |
$42.57–$762.30 | $43–$770 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 3 matching MRF lines |
$66.33–$849.51 | $67–$858.09 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 2 matching MRF lines |
$23.76–$692.78 | $24–$699.78 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$46.53–$651.70 | $47–$658.28 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$75.24–$723.11 | $76–$730.41 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$46.53–$598.98 | $47–$605.03 | varies |
| Echo Heart Xthoracic,Limited (93308) | $799.41 | $807.48 | 3.0× |
| Echo transesophageal (93312) | $2,663.10 | $2,690 | 4.4× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) range across 2 matching MRF lines |
$94.05–$401.94 | $95–$406 | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) range across 2 matching MRF lines |
$71.28–$401.94 | $72–$406 | varies |
| Electrocardiogram Tracing (93005) range across 6 matching MRF lines |
$105.16–$333.63 | $106.22–$337 | varies |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$75.24–$541.53 | $76–$547 | varies |
| Emergency Dept Visit Level 3 (99283) range across 4 matching MRF lines |
$115.83–$891.99 | $117–$901 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$214.83–$1,572.12 | $217–$1,588 | varies |
| Er level 1 (99281) range across 3 matching MRF lines |
$38.61–$239.58 | $39–$242 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$311.85–$2,444.31 | $315–$2,469 | varies |
| Esophagus acid perfusion test esophagitis (91030) | $1,017.72 | $1,028 | 2.4× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$23.30–$271.26 | $23.54–$274 | varies |
| Evaluate Speech Production (92522) | $222.75 | $225 | 2.0× |
| Evaluate Swallowing Function (92610) | $170.28 | $172 | 2.0× |
| Evaluation of speech fluency (92521) | $273.24 | $276 | 2.1× |
| External ECG rec>48hr<7d recording (93242) | $425.84 | $430.14 | 10.2× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $616.51 | $622.74 | 4.2× |
| External ECG rec>7d<15d recording (93246) | $469.27 | $474.01 | 11.3× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $677.95 | $684.80 | 4.6× |
| External Ecg Scanning Analysis Report (93226) | $603.51 | $609.61 | 9.2× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$75.24–$1,123.65 | $76–$1,135 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$47.52–$825.86 | $48–$834.20 | varies |
| Fundus photography (92250) | $309.74 | $312.87 | 2.1× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$128.70–$1,767.15 | $130–$1,785 | varies |
| Holter monitor recording (93225) | $386.64 | $390.55 | 2.6× |
| Ilr Device Eval Progr (93285) | $124.74 | $126 | 3.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $14.85 | $15 | 0.2× |
| Immunization administration (90471) range across 13 matching MRF lines |
$16.84–$79.20 | $17.01–$80 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $1,120.68 | $1,132 | 2.7× |
| Insert/Place Heart Catheter (93503) | $225.72 | $228 | 0.1× |
| Irrig Drug Delivery Device (96523) range across 4 matching MRF lines |
$43.56–$394.36 | $44–$398.34 | varies |
| IV infusion hydration each additional hour (96361) range across 5 matching MRF lines |
$27.72–$75.57 | $28–$76.33 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 5 matching MRF lines |
$92.07–$193.21 | $93–$195.16 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$95.04–$106.79 | $96–$107.87 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$31.68–$74.20 | $32–$74.95 | varies |
| IV push initial (96374) | $184.14 | $186 | 0.8× |
| Liver Elastography W/O Imag W/I&R (91200) range across 2 matching MRF lines |
$61.38–$502.33 | $62–$507.40 | varies |
| Low frequency non-thermal us (97610) range across 3 matching MRF lines |
$272.25–$681.08 | $275–$687.96 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $53.46 | $54 | 1.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $62.37 | $63 | 1.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $19.80 | $20 | 1.2× |
| Motility study esophagus (91010) | $1,326.60 | $1,340 | 3.2× |
| Motion Fluoroscopy/Swallow (92611) | $290.07 | $293 | 3.2× |
| Multiple Sleep Latency Test (95805) range across 4 matching MRF lines |
$111.87–$4,755.81 | $113–$4,803.85 | varies |
| Nasopharyngoscopy (92511) | $73.26 | $74 | 0.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$46.53–$288.09 | $47–$291 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $288.09 | $291 | 0.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 7 matching MRF lines |
$48.51–$1,706.56 | $49–$1,723.80 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 5 matching MRF lines |
$52.47–$3,128.36 | $53–$3,159.96 | varies |
| Neuromuscular Reeducation (97112) | $44.55 | $45 | 1.4× |
| Newborn resuscitation (99465) | $285.12 | $288 | 0.4× |
| Nonphysician Telephone Assessment 11-20 Min (98967) range across 2 matching MRF lines |
$29.70–$43.56 | $30–$44 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $66.33 | $67 | 1.9× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $23.76 | $24 | 1.7× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $185.13 | $187 | 1.2× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $90.09 | $91 | 0.6× |
| Oral Function Therapy (92526) | $164.34 | $166 | 2.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $44.55 | $45 | 1.0× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$49.50–$55.44 | $50–$56 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$49.50–$79.20 | $50–$80 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$49.50–$102.96 | $50–$104 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 2 matching MRF lines |
$49.50–$126.72 | $50–$128 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 2 matching MRF lines |
$49.50–$150.48 | $50–$152 | varies |
| Ot eval high complexity (97167) | $212.85 | $215 | 2.1× |
| Ot Eval Low Complex (97165) | $165.98 | $167.66 | 1.7× |
| Ot Eval Moderate Complexity (97166) | $189.09 | $191 | 1.9× |
| Ot manual therapy 15 min (97140) | $52.47 | $53 | 1.9× |
| Ot Re-Eval Est Plan Care (97168) | $145.53 | $147 | 2.1× |
| Oxygen Uptake Rest Indirect (94690) | $78.21 | $79 | 1.2× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$543.51–$681.08 | $549–$687.96 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$34.65–$136.91 | $35–$138.29 | varies |
| Pm device eval in person (93288) | $68.31 | $69 | 1.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$239.58–$5,562.41 | $242–$5,618.60 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$239.58–$3,658.51 | $242–$3,695.46 | varies |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 2 matching MRF lines |
$244.53–$1,525.59 | $247–$1,541 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $16.95 | $17.12 | 0.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $20.13 | $20.33 | 0.4× |
| Psych diag eval w/med srvcs (90792) | $273.24 | $276 | 1.4× |
| Psychiatric diagnostic evaluation (90791) | $319.77 | $323 | 1.6× |
| Psytx Crisis Initial 60 Min (90839) | $252.45 | $255 | 1.3× |
| Pt Eval High Complex (97163) | $230.67 | $233 | 2.4× |
| Pt eval low complex 20 min (97161) | $178.98 | $180.79 | 1.8× |
| Pt Eval Mod Complex (97162) | $202.95 | $205 | 2.1× |
| Pt gait training 15 min (97116) | $103.99 | $105.04 | 3.6× |
| Pt Re-Eval Est Plan Care (97164) | $145.53 | $147 | 2.2× |
| Pt ultraviolet (97028) | $24.75 | $25 | 3.0× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $32.67 | $33 | 0.8× |
| Pulmonary Stress Testing (94618) range across 3 matching MRF lines |
$101.97–$307.20 | $103–$310.30 | varies |
| Pure Tone Audiometry Air (92552) | $34.65 | $35 | 0.2× |
| Rapid Desensitization Procedure Each Hour (95180) | $247.50 | $250 | 0.5× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) range across 2 matching MRF lines |
$73.46–$146.52 | $74.20–$148 | varies |
| Refill/Maint Portable Pump (96521) range across 2 matching MRF lines |
$288.09–$362.46 | $291–$366.12 | varies |
| Refill/Maint Pump/Resvr Syst (96522) range across 3 matching MRF lines |
$288.09–$335.61 | $291–$339 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 3 matching MRF lines |
$9.90–$186.12 | $10–$188 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 5 matching MRF lines |
$39.60–$554.38 | $40–$559.98 | varies |
| Same day nb discharge (99463) | $220.77 | $223 | 1.5× |
| Self Care Mngment Training (97535) | $53.46 | $54 | 1.7× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$152.46–$1,111.77 | $154–$1,123 | varies |
| Speech sound lang comprehen (92523) | $455.40 | $460 | 2.0× |
| Spin/Brain Pump Refil & Main (95991) range across 3 matching MRF lines |
$73.46–$596.97 | $74.20–$603 | varies |
| Spirometry (94010) range across 5 matching MRF lines |
$15.84–$189.38 | $16–$191.29 | varies |
| Stress Tte Only (93350) | $474.21 | $479 | 0.8× |
| Temp transcutaneous pacing (92953) | $21.78 | $22 | 0.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $80.19 | $81 | 3.6× |
| Ther Ivntj Ea Addl 15 Min (97130) | $77.22 | $78 | 3.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 7 matching MRF lines |
$46.53–$70.56 | $47–$71.27 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 8 matching MRF lines |
$113.85–$234.75 | $115–$237.12 | varies |
| Therapeutic Activities (97530) | $132.66 | $134 | 3.8× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$50.49–$51.48 | $51–$52 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$21.78–$26.73 | $22–$27 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $297.99 | $301 | 2.0× |
| Trans Care Mgmt 7 Day Disch (99496) | $420.75 | $425 | 2.8× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) range across 2 matching MRF lines |
$48.51–$520.74 | $49–$526 | varies |
| Tte w/doppler, complete (93306) | $2,825.46 | $2,854 | 4.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $164.34 | $166 | 2.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$40.59–$82.17 | $41–$83 | varies |
| Tympanometry (92567) | $25.74 | $26 | 0.6× |
| Upr/L Xtremity Art 2 Levels (93922) range across 7 matching MRF lines |
$24.75–$371.23 | $25–$374.98 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$42.57–$643.24 | $43–$649.74 | varies |
| Vent Mgmt Inpat Init Day (94002) | $773.54 | $781.35 | 1.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $726.46 | $733.80 | 1.1× |
| Vital capacity, total (94150) | $64.35 | $65 | 0.4× |
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.