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Hospital Profile Critical Access Hospitals Government - Hospital District or Authority

Wallowa Memorial Hospital

601 MEDICAL PARKWAY, Enterprise, OR 97828

CMS Overall Rating ★★★☆☆
Factual Overview

Wallowa Memorial Hospital is a Critical Access Hospitals (Government - Hospital District or Authority) operating in Enterprise, OR. Mapped commercial insurance prices across 107 procedures average 8.28x the Medicare baseline. The facility holds a CMS quality rating of 3/5 stars with a patient recommendation score of 78%.

Facility Overview

Setting: rural Bed Count: 23 Beds Teaching Status: Non-Teaching Annual Discharges: 325

Patient Experience

Recommendation Rate: 78% High Patient Rating: 81% ER Wait Time (Med): 108 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 107 codes Avg Markup vs Medicare: 8.28x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
 $1,397 Calc
Total hip replacement
CPT Code: 27130
 $3,257 Calc
Total knee replacement
CPT Code: 27447
 $3,426 Calc
Knee arthroscopy with meniscus repair
CPT Code: 29881
 $720 Calc
Blood transfusion
CPT Code: 36430
 $342 Calc
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 $114,688 Calc
Upper endoscopy with biopsy
CPT Code: 43239
 $1,082 Calc
Colonoscopy (diagnostic)
CPT Code: 45378
 $1,083 Calc
Colonoscopy with biopsy
CPT Code: 45380
 $1,240 Calc
Gallbladder removal (laparoscopic)
CPT Code: 47562
 $1,764 Calc
Inguinal hernia repair
CPT Code: 49505
 $1,406 Calc
Vaginal delivery (full package)
CPT Code: 59400
 $6,484 Calc
C-section delivery (full package)
CPT Code: 59510
 $7,210 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $1,956 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $1,951 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $2,607 Calc
CT scan, sinuses
CPT Code: 70486
 $1,481 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $2,962 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $4,191 Calc
X-ray, chest (single view)
CPT Code: 71045
 $347 Calc
X-ray, chest (two views)
CPT Code: 71046
 $403 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $2,032 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $378 Calc
X-ray, lower back
CPT Code: 72110
 $617 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $2,040 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $1,900 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $3,241 Calc
X-ray, pelvis
CPT Code: 72170
 $342 Calc
CT scan, pelvis
CPT Code: 72192
 $1,967 Calc
X-ray, shoulder
CPT Code: 73030
 $420 Calc
X-ray, hand
CPT Code: 73130
 $376 Calc
X-ray, hip
CPT Code: 73502
 $447 Calc
X-ray, ankle
CPT Code: 73610
 $376 Calc
X-ray, foot
CPT Code: 73630
 $376 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $2,879 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $3,800 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $4,470 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $622 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $857 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $585 Calc
Ultrasound, pelvis
CPT Code: 76856
 $810 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $532 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $402 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $145 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $178 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $164 Calc
Blood test, liver function panel
CPT Code: 80076
 $206 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $76 Calc
Blood test, amylase
CPT Code: 82150
 $102 Calc
Blood test, vitamin D
CPT Code: 82306
 $197 Calc
Blood test, calcium
CPT Code: 82310
 $70 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $84 Calc
Blood test, vitamin B12
CPT Code: 82607
 $152 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $129 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $73 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $89 Calc
Blood test, lipase
CPT Code: 83690
 $147 Calc
Blood test, magnesium
CPT Code: 83735
 $125 Calc
Blood test, potassium
CPT Code: 84132
 $98 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $181 Calc
Blood test, sodium
CPT Code: 84295
 $94 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $132 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $113 Calc
Blood test, hemoglobin
CPT Code: 85018
 $49 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $119 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $94 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $132 Calc
Hepatitis C antibody test
CPT Code: 86803
 $97 Calc
Blood antibody screen
CPT Code: 86850
 $169 Calc
Culture, blood
CPT Code: 87040
 $281 Calc
Culture, bacterial
CPT Code: 87070
 $152 Calc
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 $133,218 Calc
Flu vaccine (high dose)
HCPCS Code: 90656
 $55 Calc
DTaP vaccine (diphtheria, tetanus, pertussis)
HCPCS Code: 90700
 $72 Calc
MMR vaccine (measles, mumps, rubella)
HCPCS Code: 90707
 $271 Calc
Tdap vaccine (tetanus, diphtheria, pertussis)
HCPCS Code: 90715
 $191 Calc
Varicella (chickenpox) vaccine
HCPCS Code: 90716
 $348 Calc
Pneumococcal vaccine
HCPCS Code: 90732
 $22 Calc
Hepatitis B vaccine
HCPCS Code: 90744
 $174 Calc
Psychiatric evaluation (first visit)
CPT Code: 90791
 $362 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
 $328 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
 $366 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $380 Calc
Electrocardiogram (ECG/EKG)
CPT Code: 93000
 $194 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $234 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $2,713 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $1,030 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $119 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $140 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $148 Calc
Physical therapy (gait training)
CPT Code: 97116
 $140 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $142 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $133 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $128 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $113 Calc
Orthotic fitting and training
CPT Code: 97760
 $130 Calc
Prosthetic fitting and training
CPT Code: 97761
 $122 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $301 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $193 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $286 Calc
Flu vaccine injection
HCPCS Code: G0008
 $65 Calc
Pneumonia vaccine injection
HCPCS Code: G0009
 $65 Calc
Colorectal cancer screening
HCPCS Code: G0010
 $65 Calc
Diagnostic procedure preparation
HCPCS Code: G0279
 $130 Calc
Electrical stimulation therapy
HCPCS Code: G0283
 $146 Calc
Hospital observation (per hour)
HCPCS Code: G0378
 $778 Calc
Extended office visit (prolonged)
HCPCS Code: G2212
 $84 Calc