Visits & medical services prices at Wallowa Memorial Hospital

Enterprise, OR · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $377 $377 3.3×
Actinotherapy Ultraviolet Light (96900) $72 $72 1.7×
Acupunct W/Stimul 15 Min (97813) $127 $127 4.0×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $117 $117 3.6×
Admn Sarscov2 Vacc 1 Dose (90480) $68 $68 1.5×
Advncd Care Plan 30 Min (99497) $227 $227 2.0×
Airway Inhalation Treatment (94640) $128 $128 0.5×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $81 $81 2.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $97 $97 6.8×
Assessment of aphasia per hr (96105) $375 $375 3.9×
Assmt & care planning pt w/cognitive impairment (99483) $733 $733 6.5×
Behavral qualit analys voice (92524) $519 $519 4.7×
Brief Emotional/Behav Assmt (96127) $21 $21 0.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $500 $500 1.2×
Car seat/bed test 60 min (94780) $141 $141 3.4×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines		 $124–$921 $124–$921 varies
Cardiopulmonary resuscitation (92950) $1,140 $1,140 4.8×
Cardioversion (92960)
range across 2 matching MRF lines		 $676–$1,022 $676–$1,022 varies
Care mgmt services behavioral hlth cond 20 mins (99484) $119 $119 2.9×
Cbt 1st hour (94644) $179 $179 1.2×
Chemo Anti-Neopl Sq/Im (96401) $226 $226 2.8×
Chemo Hormon Antineopl Sq/Im (96402) $228 $228 2.8×
Chemo IV infusion addl hr (96415) $198 $198 2.5×
Chemo IV push addl drug (96411) $264 $264 3.3×
Chemother Prolong Infuse W/Pump (96416) $543 $543 1.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $237 $237 3.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $521 $521 1.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $308 $308 0.8×
Chest Wall Manipulation (94668) $104 $104 0.7×
Chron Care Mgmt Srvc 20 Min (99490) $116 $116 1.0×
Color/duplex Doppler, complete (93975) $965 $965 3.6×
Color/duplex Doppler, limited (93976) $519 $519 4.5×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $353 $353 1.8×
Cont gluc mntr physician/qhp provided equiptment (95250) $408 $408 2.8×
Continuous Pulse Ox (94762) $248 $248 1.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $482 $482 2.0×
Cpt initial (94667) $124 $124 0.8×
Critical care first hour (99291) $932 $932 1.0×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines		 $206–$279 $206–$279 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $242 $242 0.6×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $828 $828 3.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $782 $782 6.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,147 $1,147 4.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $726 $726 6.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,061 $1,061 4.0×
Dup-scan xtr veins unilateral/limited study (93971) $1,020 $1,020 8.8×
Duplex Scan Hemodialysis Access (93990) $503 $503 4.3×
Duplex up extrem art bilat (93930) $808 $808 3.0×
Duplex up extrem art unilat/ltd (93931) $603 $603 5.2×
Echo Congenital Complete (93303) $1,770 $1,770 2.9×
Echo Heart Xthoracic,Limited (93308) $1,055 $1,055 4.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $640 $640 1.1×
Electrical Stimulation Ea 15 Min (97032) $133 $133 9.0×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines		 $209–$290 $209–$290 varies
Emergency Dept Visit Level 2 (99282) $271 $271 1.6×
Emergency Dept Visit Level 3 (99283) $346 $346 1.1×
Emergency Dept Visit Level 4 (99284) $543 $543 1.2×
Er level 1 (99281) $177 $177 1.9×
Er level v (99285) $560 $560 0.8×
Evaluate pt use of inhaler (94664) $115 $115 0.5×
Evaluate Speech Production (92522) $437 $437 3.9×
Evaluate Swallowing Function (92610) $318 $318 3.7×
Evaluation of speech fluency (92521) $341 $341 2.6×
External ECG rec>48hr<7d recording (93242) $449 $449 10.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $615 $615 4.2×
External ECG rec>7d<15d recording (93246) $449 $449 10.8×
Extracranial Bilat Study (93880) $1,100 $1,100 4.1×
Flexible endoscopic eval swallow c/v rec (92612) $423 $423 2.1×
Group Therapeutic Procedures (97150) $104 $104 5.8×
Holter monitor recording (93225) $548 $548 3.7×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines		 $68–$71 $68–$71 varies
Immunization administration (90471)
range across 5 matching MRF lines		 $72–$85 $72–$85 varies
Ingestion challenge test initial 120 minutes (95076) $441 $441 1.1×
Inital newborn e/m (99460) $298 $298 2.0×
Iontophoresis 15 min (97033) $120 $120 6.3×
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines		 $74–$237 $74–$237 varies
IV infusion hydration each additional hour (96361) $124 $124 2.4×
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines		 $179–$354 $179–$354 varies
IV infusion ther proph addl sequential to 1 hr (96367) $141 $141 1.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $150 $150 2.9×
IV push initial (96374) $298 $298 1.3×
Mechanical chest wall oscillation per session (94669) $120 $120 0.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines		 $59–$82 $59–$82 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines		 $71–$94 $71–$94 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $48 $48 2.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $539 $539 2.4×
Neuromuscular Reeducation (97112) $155 $155 4.7×
Newborn resuscitation (99465)
range across 2 matching MRF lines		 $471–$493 $471–$493 varies
Nonphysician Telephone Assessment 21-30 Min (98968) $139 $139 4.0×
Oral Function Therapy (92526) $373 $373 4.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $140 $140 3.0×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $90 $90 3.8×
Osteopathic manipulative tx 3-4 body regions (98926) $120 $120 5.0×
Osteopathic manipulative tx 5-6 body regions (98927) $155 $155 6.5×
Osteopathic manipulative tx 7-8 body regions (98928) $189 $189 7.9×
Osteopathic manipulative tx 9-10 body regions (98929) $230 $230 9.6×
Ot eval high complexity (97167) $291 $291 2.9×
Ot Eval Low Complex (97165) $270 $270 2.7×
Ot Eval Moderate Complexity (97166) $291 $291 2.9×
Ot manual therapy 15 min (97140) $149 $149 5.4×
Ot paraffin bath (97018) $82 $82 13.6×
Ot Prosthetic Training, Each 15 Min (97761) $131 $131 3.2×
Ot Re-Eval Est Plan Care (97168) $269 $269 3.9×
Phlebotomy therapeutic (99195) $164 $164 1.1×
Physical Performance Test (97750) $121 $121 3.6×
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) $153 $153 1.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $34 $34 0.7×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 2 matching MRF lines		 $36–$37 $36–$37 varies
Psych diag eval w/med srvcs (90792) $497 $497 2.5×
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines		 $373–$408 $373–$408 varies
Pt Eval High Complex (97163) $289 $289 3.0×
Pt eval low complex 20 min (97161) $262 $262 2.7×
Pt Eval Mod Complex (97162) $289 $289 3.0×
Pt gait training 15 min (97116) $140 $140 4.8×
Pt mechanical traction (97012) $104 $104 7.2×
Pt Re-Eval Est Plan Care (97164) $256 $256 3.8×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $30 $30 0.7×
Pulmonary Stress Testing (94618) $104 $104 0.7×
Remote 30 Day Ecg Rev/Report (93270) $376 $376 9.1×
Same day nb discharge (99463) $358 $358 2.4×
Sbsq Psyc Collab Care Mgmt (99493) $357 $357 3.2×
Self Care Mngment Training (97535) $138 $138 4.3×
Sensory Integration Ea 15 Min (97533) $182 $182 3.0×
Speech sound lang comprehen (92523) $593 $593 2.6×
Spirometry (94010) $241 $241 1.0×
Standardized Cognitive Performance Testing (96125) $401 $401 3.9×
Stress Tte Only (93350) $1,389 $1,389 2.3×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $31 $31 0.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $78 $78 3.5×
Ther Ivntj Ea Addl 15 Min (97130) $161 $161 7.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609)
range across 2 matching MRF lines		 $201–$431 $201–$431 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines		 $81–$164 $81–$164 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines		 $180–$372 $180–$372 varies
Therapeutic Activities (97530) $140 $140 4.0×
Tobacco Use Cessation Intensive >10 Minutes (99407) $71 $71 1.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines		 $39–$57 $39–$57 varies
Trans Care Mgmt 14 Day Disch (99495)
range across 2 matching MRF lines		 $509–$530 $509–$530 varies
Trans Care Mgmt 7 Day Disch (99496) $716 $716 4.8×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $428 $428 3.7×
Tte w/doppler, complete (93306) $2,794 $2,794 4.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $380 $380 5.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $132 $132 2.5×
Upr/L Xtremity Art 2 Levels (93922) $543 $543 3.7×
Vent Mgmt Inpat Init Day (94002) $1,750 $1,750 2.5×
Wheelchair Mgmt Ea 15 Min (97542) $165 $165 5.3×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $114 $114 1.7×

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.