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.

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $117.81 $119 1.0×
Airway inhalation treatment (94640) $244.37 $246.84 1.0×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $37.62 $38 0.9×
Ambulatory Bp Recording (93786) $243.54 $246 1.6×
Analyze neurostim no prog (95970) $110.88 $112 0.7×
Analyze neurostim simple (95971) $186.12 $188 1.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $54.45 $55 3.8×
Bedside Swallowing Eval (92610) $170.28 $172 2.0×
Bioimpedance-derived physiologic cardiovascular analysis Facility (93701) $66.33 $67 0.4×
Brief Emotional/Behavioral Assessment (96127) $9.90 $10 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $154.44 $156 0.4×
Canalith Repositioning Procedure (95992) $76.23 $77 1.9×
Cardiopulmonary resuscitation (92950) $4,468.37 $4,513.50 18.6×
Cardioversion (92960) $2,746.32 $2,774.06 3.7×
Care mgmt svc bhvl hlth cond (99484) $87.12 $88 2.1×
Cbt 1st hour (94644) $182.08 $183.92 1.2×
Chemo Hormon Antineopl Sq/Im (96402) $182.83 $184.68 2.3×
Chemother, IV infusion, 1 hr (96413) $577.40 $583.22 1.6×
Chemother, IV infusion, ea add hr (96415) $120.78 $122 1.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $184.14 $186 2.3×
Chronic care management services 1st 20 min (99490) $77.44 $78.22 0.7×
Color/duplex Doppler, complete (93975) $668.34 $675.08 2.5×
Color/duplex Doppler, limited (93976) $404.75 $408.84 3.5×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $114.40 $115.56 0.6×
Cont Gluc Monitoring Patient Provided Equipment (95249) $97.02 $98 1.5×
Continuous Glucose Monitoring (95250) $269.26 $271.98 1.8×
Cpap/bipap (94660) $440.85 $445.30 1.8×
Cpt initial (94667) $147.55 $149.04 1.0×
Critical care (99291) $1,960.70 $1,980.50 2.1×
Debridement Open Wound 20 Sq Cm< (97597) $103.95 $105 0.5×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $389.12 $393.05 1.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $554.40 $560 2.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $322.76 $326.02 2.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $399.18 $403.20 1.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $322.76 $326.02 2.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $594.50 $600.50 2.2×
Dup-scan xtr veins unilateral/limited study (93971) $402.44 $406.50 3.5×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $198 $200 0.7×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $358.27 $361.89 3.1×
Duplex scan extracranial art compl bi study (93880) $599.44 $605.50 2.3×
Duplex Scan Hemodialysis Access (93990) $349.12 $352.64 3.0×
Echo Heart Xthoracic,Limited (93308) $799.41 $807.48 3.0×
Echo transesophageal (93312) $2,663.10 $2,690 4.4×
EKG rhythm strip (93041) $9.90 $10 0.2×
Elec alys implt cplx cn npgt prgrmg (95977) $248 $250.50 2.3×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $236.61 $239 5.7×
Electrocardiogram Tracing (93005) $258.40 $261 3.9×
Er level 1 (99281) $38.61 $39 0.4×
Er level ii (99282) $75.24 $76 0.4×
Er level iii (99283) $119.79 $121 0.4×
Er level IV (99284) $214.83 $217 0.5×
Er level v (99285) $311.85 $315 0.5×
Esophagus acid perfusion test esophagitis (91030) $1,017.72 $1,028 2.4×
Eval speech sound production (92522) $222.75 $225 2.0×
Evaluate Pt Use Of Inhaler (94664) $147.28 $148.77 0.6×
Evaluation of speech fluency (92521) $273.24 $276 2.1×
Exhaled Air Analysis (94690) $78.21 $79 1.2×
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×
Eye exam, new patient,comprehesv (92004) $185.13 $187 1.2×
Fundus photography w/interpretation & report (92250) $309.74 $312.87 2.1×
Hemodialysis (90935) $947.92 $957.50 1.2×
Holter Monitor (93225) $386.64 $390.55 2.6×
Ilr Device Eval Progr (93285) $124.74 $126 3.0×
Immune Admin Oral/Nasal (90473) $14.85 $15 0.2×
Immunization Admin (90471) $56.55 $57.12 0.7×
Ingestion challenge test initial 120 minutes (95076) $1,120.68 $1,132 2.7×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) $220.77 $223 1.5×
Ins swan ganz bedside (93503) $225.72 $228 0.1×
Irrig drug delivery device (96523) $314.24 $317.41 4.8×
IV infusion hydration each additional hour (96361) $63.08 $63.72 1.2×
IV infusion hydration initial 31 min-1 hour (96360) $161.45 $163.08 0.7×
IV infusion ther proph addl sequential to 1 hr (96367) $102.64 $103.68 1.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $198.13 $200.14 0.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $65.24 $65.90 1.3×
IV push ea addl new drug (96375) $61.38 $62 1.2×
IV push initial (96374) $184.14 $186 0.8×
Liver Elastography W/O Imag W/I&R (91200) $281.86 $284.70 2.0×
Low frequency non-thermal us (97610) $543.51 $549 2.4×
Manual therapy 15 min (97140) $52.47 $53 1.9×
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 Fluor Eval Swlng Funcj C/V Rec (92611) $290.07 $293 3.2×
Multiple Sleep Latency Test (95805) $1,961.19 $1,981 2.0×
Nasopharyngoscopy (92511) $73.26 $74 0.3×
Neg press wound tx >50 cm (97608) $288.09 $291 0.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $167.31 $169 0.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $293.85 $296.82 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $510.84 $516 1.1×
Newborn resuscitation (99465) $285.12 $288 0.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $248.49 $251 1.7×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $225.45 $227.73 1.6×
Nonphysician Telephone Assessment 11-20 Min (98967) $36.63 $37 1.5×
Nonphysician Telephone Assessment 21-30 Min (98968) $66.33 $67 1.9×
Nonphysician Telephone Assessment 5-10 Min (98966) $23.76 $24 1.7×
Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92002) $90.09 $91 0.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $44.55 $45 1.0×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $52.47 $53 2.2×
Osteopathic manipulative tx 3-4 body regions (98926) $64.35 $65 2.7×
Osteopathic manipulative tx 5-6 body regions (98927) $76.23 $77 3.2×
Osteopathic manipulative tx 7-8 body regions (98928) $88.11 $89 3.7×
Osteopathic manipulative tx 9-10 body regions (98929) $99.99 $101 4.2×
Ot eval high complex 60 min (97167) $212.85 $215 2.1×
Ot eval low complex 30 min (97165) $165.98 $167.66 1.7×
Ot eval mod complex 45 min (97166) $189.09 $191 1.9×
Ot re-evaluation (97168) $145.53 $147 2.1×
Ot therapeutic activity 15 min (97530) $132.66 $134 3.8×
Peritoneal Dialysis (90945) $166.32 $168 0.4×
Phlebotomy therapeutic (99195) $612.30 $618.48 4.1×
Plethysmography (94726) $85.78 $86.64 0.2×
Pm device eval in person (93288) $68.31 $69 1.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,901 $2,930.30 3.0×
Polysom <6 yrs 4/> paramtrs (95782) $1,949.04 $1,968.73 2.0×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $885.06 $894 0.9×
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 45 min (97163) $230.67 $233 2.4×
Pt eval low complex 20 min (97161) $178.98 $180.79 1.8×
Pt eval mod complex 30 min (97162) $202.95 $205 2.1×
Pt gait training 15 min (97116) $103.99 $105.04 3.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $44.55 $45 1.4×
Pt re-evaluation (97164) $145.53 $147 2.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $53.46 $54 1.7×
Pt ultraviolet (97028) $24.75 $25 3.0×
Pt-focused hlth risk assmt (96160) $32.67 $33 0.8×
Pulmonary stress test simple (94618) $246.51 $249 1.7×
Pure Tone Audiometry Air Only (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) $109.99 $111.10 0.3×
Refill/Maint Portable Pump (96521) $325.28 $328.56 1.4×
Refill/Maint Pump/Resvr Syst (96522) $288.09 $291 1.2×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $198.99 $201 0.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $291.06 $294 1.3×
Rt Chest Wall Manipulation,Subsequent (94668) $112.76 $113.90 0.8×
Sleep study unattended (95806) $632.12 $638.50 2.6×
Smoking cessation > 10 min (99407) $50.98 $51.50 1.2×
Speech sound lang comprehen (92523) $455.40 $460 2.0×
Spirometry (94010) $148.50 $150 0.6×
Stress echo (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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $77.22 $78 3.7×
Therapeutic prophylactic/dx injection subq/im (96372) $58.81 $59.40 0.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $21.78 $22 0.5×
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) $284.62 $287.50 2.4×
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 Swallowing Dysfunction&/Oral Funcj Feeding (92526) $164.34 $166 2.0×
Tympanometry (92567) $25.74 $26 0.6×
Upr/lxtr art stdy 3+ lvls (93923) $543.51 $549 2.3×
Vasc Duplex Scan Extracranial,Limited (93882) $436.69 $441.10 3.7×
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×