Visits & medical services prices at WhidbeyHealth Medical Center

Coupeville, WA · every code in this section with a posted price and a Medicare benchmark.

185 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) $150 $150 4.7×
Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the… (97813) $170 $170 5.3×
Advance care planning first 30 mins (99497) $195 $195 1.7×
Airway inhalation treatment (94640) $283 $283 1.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $104 $104 7.2×
Application Modality 1/> Areas Infrared (97026) $32.50 $32.50 4.9×
Application on-body injector (96377) $190 $190 3.6×
Assessment of aphasia per hr (96105) $506.50 $506.50 5.2×
Bedside Swallowing Eval (92610) $420.50 $420.50 5.0×
Behavioral and qualitative analysis of voice and resonance (92524) $410 $410 3.7×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $234 $234 2.8×
Bfb training ea addl 15 min (90913) $87 $87 2.7×
Brief Emotional/Behavioral Assessment (96127) $150 $150 3.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $376 $376 0.9×
Canalith Repositioning Procedure (95992) $214 $214 5.3×
Cardiac Stress Tst,Tracing Only (93017) $1,487 $1,487 6.2×
Cardiopulmonary resuscitation (92950) $1,600 $1,600 6.6×
Cardioversion (92960) $1,772 $1,772 2.4×
Care mgmt svc bhvl hlth cond (99484) $61 $61 1.5×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $116 $116 4.5×
Cbt 1st hour (94644) $152 $152 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $189 $189 2.4×
Chemo IV push addl drug (96411) $393 $393 4.9×
Chemo prolong 8+ hrs infuse w/pump (96416) $919 $919 2.5×
Chemother, IV infusion, 1 hr (96413) $1,044 $1,044 2.8×
Chemother, IV infusion, ea add hr (96415) $664 $664 8.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $373 $373 4.6×
Chemotherapy into cns (96450) $599 $599 1.6×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $918 $918 2.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $617 $617 7.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $597 $597 1.6×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $495 $495 1.3×
Chronic care management services 1st 20 min (99490) $120 $120 1.1×
Color/duplex Doppler, complete (93975) $1,257 $1,257 4.7×
Color/duplex Doppler, limited (93976) $360 $360 3.1×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $149 $149 0.8×
Cont Gluc Monitoring Patient Provided Equipment (95249) $205 $205 3.1×
Continuous Glucose Monitoring (95250) $712 $712 4.8×
Cpap/bipap (94660) $900 $900 3.7×
Cpt initial (94667) $300 $300 2.0×
Critical care (99291) $1,027 $1,027 1.1×
Debridement Open Wound 20 Sq Cm< (97597) $380 $380 1.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,257 $1,257 4.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $620 $620 5.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,257 $1,257 4.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $693.50 $693.50 6.0×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,257 $1,257 4.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $653 $653 5.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,257 $1,257 4.7×
Dup-scan xtr veins unilateral/limited study (93971) $620 $620 5.3×
Duplex scan extracranial art compl bi study (93880) $1,257 $1,257 4.7×
Duplex Scan Hemodialysis Access (93990) $609 $609 5.2×
Echo Heart Xthoracic,Limited (93308) $1,257 $1,257 4.7×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,854.50 $1,854.50 3.0×
EKG rhythm strip (93041) $90.50 $90.50 1.4×
Electrocardiogram Tracing (93005) $175 $175 2.7×
Er level 1 (99281) $160 $160 1.7×
Er level ii (99282) $212 $212 1.2×
Er level iii (99283) $337 $337 1.1×
Er level IV (99284) $585 $585 1.3×
Er level v (99285) $810 $810 1.2×
Eval speech sound production (92522) $428.50 $428.50 3.8×
Evaluate Pt Use Of Inhaler (94664) $458 $458 1.9×
Evaluation of speech fluency (92521) $531 $531 4.0×
External ECG rec>48hr<7d recording (93242) $481 $481 11.6×
External ECG rec>7d<15d recording (93246) $656 $656 15.8×
Fundus photography w/interpretation & report (92250) $64 $64 0.4×
Group Therapeutic Procedures (97150) $92 $92 5.1×
Holter Monitor (93225) $281 $281 1.9×
Imm admn sarscov2 vaccine single dose (90480) $68 $68 1.5×
Immune Admin Oral/Nasal (90473) $41 $41 0.5×
Immunization Admin (90471) $138 $138 1.7×
Inital newborn e/m (99460) $291 $291 2.0×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) $268 $268 1.8×
Iontophoresis 15 min (97033) $103 $103 5.4×
Irrig drug delivery device (96523) $225 $225 3.4×
IV infusion hydration each additional hour (96361) $249 $249 4.8×
IV infusion hydration initial 31 min-1 hour (96360) $513 $513 2.2×
IV infusion ther proph addl sequential to 1 hr (96367) $267 $267 3.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $631 $631 2.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $407 $407 7.8×
IV push ea addl new drug (96375) $204 $204 3.9×
IV push initial (96374) $360.50 $360.50 1.5×
Manual therapy 15 min (97140) $139 $139 5.0×
Massage 15 min (97124) $152 $152 5.1×
Mechanical traction (97012) $92 $92 6.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $90.50 $90.50 2.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $97 $97 2.6×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $46 $46 2.7×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $441 $441 4.8×
Multiple Family Group Psychotherapy (90849) $168 $168 0.8×
Multiple Sleep Latency Test (95805) $2,057 $2,057 2.1×
Nasopharyngoscopy (92511) $350 $350 1.6×
Neg press wound tx >50 cm (97608) $85 $85 0.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $77 $77 0.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $206.50 $206.50 0.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $113 $113 0.2×
Newborn resuscitation (99465) $356 $356 0.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $300 $300 2.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $54 $54 0.4×
Nonphysician Telephone Assessment 5-10 Min (98966) $32 $32 2.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $232 $232 5.0×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $74 $74 3.1×
Osteopathic manipulative tx 3-4 body regions (98926) $102 $102 4.2×
Osteopathic manipulative tx 5-6 body regions (98927) $137 $137 5.7×
Osteopathic manipulative tx 7-8 body regions (98928) $166 $166 6.9×
Osteopathic manipulative tx 9-10 body regions (98929) $197 $197 8.2×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $166 $166 5.2×
Ot Contrast Bath Ea 15 Min (97034) $130 $130 9.3×
Ot eval high complex 60 min (97167) $428.50 $428.50 4.3×
Ot eval low complex 30 min (97165) $424.50 $424.50 4.2×
Ot eval mod complex 45 min (97166) $424.50 $424.50 4.2×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $238 $238 4.8×
Ot Prosthetic Training, Each 15 Min (97761) $201 $201 5.0×
Ot re-evaluation (97168) $290 $290 4.2×
Ot therapeutic activity 15 min (97530) $201 $201 5.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $341 $341 2.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $303 $303 2.1×
Paraffin bath pt (97018) $109 $109 18.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $274 $274 1.1×
Phlebotomy therapeutic (99195) $421 $421 2.8×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $385.50 $385.50 5.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $372.50 $372.50 5.7×
Pm device eval in person (93288) $282.50 $282.50 6.8×
Pm device progr eval dual (93280) $245 $245 5.9×
Pm device progr eval multi (93281) $300 $300 7.2×
Pm device progr eval sngl (93279) $225 $225 5.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,463 $5,463 5.7×
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) $120 $120 1.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $93 $93 1.8×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $135 $135 2.6×
Psych diag eval w/med srvcs (90792) $617 $617 3.1×
Psychiatric diagnostic evaluation (90791) $532 $532 2.7×
Psychoanalysis (90845) $286 $286 1.4×
Psycl/nrpsyc tst phy/qhp 1st (96136) $54 $54 0.4×
Psytx crisis initial 60 min (90839) $450 $450 2.3×
Pt Aquatic Therapy/Exercises (97113) $194 $194 5.2×
Pt Electrical Stimulation (97032) $97 $97 6.6×
Pt eval high complex 45 min (97163) $432 $432 4.4×
Pt eval low complex 20 min (97161) $413 $413 4.2×
Pt eval mod complex 30 min (97162) $421 $421 4.3×
Pt gait training 15 min (97116) $150 $150 5.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $173 $173 5.3×
Pt re-evaluation (97164) $279 $279 4.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $172 $172 5.3×
Pt Whirlpool Therapy (97022) $142 $142 9.0×
Pulm function test by gas (94727) $406.50 $406.50 1.7×
Rem mntr physiol param dev (99454) $56 $56 1.3×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $44 $44 0.3×
Remote therapeutic monitoring (eg, therapy adherence, therapy response); device(s) supply with scheduled (eg, daily)… (98976) $56 $56 1.3×
Remote therapeutic monitoring (eg, therapy adherence, therapy response); device(s) supply with scheduled (eg, daily)… (98977) $56 $56 1.3×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $44 $44 1.1×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $57 $57 1.1×
Respiratory flow volume loop (94375) $296.50 $296.50 1.2×
Right heart cath (93451) $489 $489 0.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $334 $334 1.5×
Rt Chest Wall Manipulation,Subsequent (94668) $200 $200 1.3×
Sleep study attended (95807) $2,208 $2,208 5.3×
Sleep study unattended (95806) $370 $370 1.5×
Slp caregiver training 1st 30 min (97550) $231 $231 4.4×
Smoking cessation > 10 min (99407) $184 $184 4.4×
Speech sound lang comprehen (92523) $921.50 $921.50 4.1×
Spirometry (94010) $287 $287 1.2×
Standardized Cognitive Performance Testing (96125) $473 $473 4.6×
Stress echo (93350) $2,632 $2,632 4.3×
Temp transcutaneous pacing (92953) $1,027 $1,027 1.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $143 $143 6.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $106 $106 5.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $514 $514 5.0×
Therapeutic prophylactic/dx injection subq/im (96372) $180 $180 2.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $85 $85 2.0×
Trans Care Mgmt 14 Day Disch (99495) $558.50 $558.50 3.8×
Trans Care Mgmt 7 Day Disch (99496) $816 $816 5.5×
Tte w/doppler, complete (93306) $2,400 $2,400 3.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $365.50 $365.50 4.8×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $108 $108 4.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $401.50 $401.50 4.8×
Upr/lxtr art stdy 3+ lvls (93923) $575.50 $575.50 2.4×
Vasc Duplex Scan Extracranial,Limited (93882) $620 $620 5.3×
Vasopneumatic device (97016) $156 $156 13.0×
Vent mgmt inpat init day (94002) $1,122 $1,122 1.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $700 $700 1.0×
Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent… (92081) $118 $118 1.8×
Vital capacity, total (94150) $171 $171 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $167 $167 5.4×