List of All Oregon State Hospital Charges – 01/01/21 |
Service Description
| Billing Code | Standard Charge |
Room & board (Certified) | 0124 | $888.00 |
Room & board (SRTF/RTF) | 1001 | $611.00 |
Fine needle aspiration without image guidance | 10021 | $69.25 |
Incision-drainage simple/single abscess | 10060 | $97.32 |
Treatment of fluid-filled lesions | 10061 | $179.13 |
Incision and drainage of pilonidal cyst | 10080 | $102.21 |
Drainage of pilonidal cyst | 10081 | $169.44 |
Remove foreign body | 10120 | $103.91 |
Puncture drainage of lesion | 10160 | $95.06 |
Debride infected skin | 11000 | $28.73 |
Removal of infected/devitalized tissue | 11042 | $62.04 |
Excise single benign hypertrophic lesion | 11055 | $16.18 |
Trim skin lesions 2-4 | 11056 | $22.86 |
Trim skin lesions over 4 | 11057 | $30.13 |
Biopsy of skin, single lesion | 11100 | $49.06 |
Punch biopsy skin single lesion | 11104 | $48.67 |
Removal skin tags | 11200 | $73.43 |
Shave skin lesion, trunk & limbs <0.5cm | 11300 | $34.48 |
Shave skin lesion >2.0 cm | 11303 | $74.52 |
Shave skin lesion <0.5 cm | 11310 | $47.65 |
Shave skin lesion 0.6-1.0 cm | 11311 | $65.75 |
Excision, benign lesion, except skin tag (unless listed elsewhere),
trunk and limb; 0.6 to 1.0 cm | 11401 | $102.60 |
Skin lesion removal, trunk & limb 2.1-3cm | 11403 | $145.94 |
Excision, benign lesion, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; <.5 cm | 11420 | $81.21 |
Skin lesion removal, extremities 2.1-3cm | 11423 | $153.88 |
Skin lesion removal, benign | 11441 | $131.10 |
Excision, malignant lesion, trunk, arms, or legs; 1.1-2.0 cm | 11602 | $160.74 |
Skin lesion removal, malignant | 11642 | $183.77 |
Trimming of nondystrophic nails | 11719 | $7.74 |
Debridement nail 1 to 5 | 11720 | $14.76 |
Debride nail 6 or more | 11721 | $25.17 |
Removal of nail plate | 11730 | $56.07 |
Inject skin lesions | 11900 | $31.32 |
Injection, intralesional; 7+ lesions | 11901 | $48.70 |
Insert drug implant device | 11981 | $83.68 |
Remove drug implant device | 11982 | $100.15 |
Remove/insert drug implant | 11983 | $179.24 |
Simple repair superficial wound <2.5 cm | 12001 | $44.21 |
Repair superficial wounds 2.6-7.5 cm | 12002 | $58.84 |
Repair superficial wounds 7.6-12.5 cm | 12004 | $73.21 |
Repair simple/superficial face, ears, eyelids, nose, lips,
mucous membranes <2.5 cm | 12011 | $55.00 |
Destruction-vascular proliferative lesion | 17110 | $69.63 |
Chemical cauterization of granulation, tissue | 17250 | $37.38 |
Therapeutic injection carp tunnel | 20526 | $56.73 |
Injection tendon sheath/ligament | 20550 | $39.22 |
Injection, single/multiple trigger point | 20552 | $38.05 |
Inject trigger points 3 | 20553 | $43.58 |
Drain/inject joint/bursa | 20605 | $37.65 |
Joint injection or aspiration | 20610 | $46.19 |
Application of paste boot | 29580 | $27.28 |
Remove nasal foreign body | 30300 | $111.85 |
Incise external hemorrhoid | 46083 | $106.88 |
Destruction penis lesion(s) | 54065 | $173.83 |
Biopsy, prostate; needle or punch | 55700 | $132.31 |
Removal of intrauterine device (IUD) | 58301 | $66.94 |
Drain external ear lesion | 69000 | $118.05 |
Removal foreign body from external canal | 69200 | $47.00 |
Remove impacted ear wax uni | 69209 | $13.71 |
Remove impacted ear wax uni | 69210 | $33.13 |
Interactive complexity add-on | 90785 | $13.80 |
Diagnostic evaluation (no medical) | 90791 | $125.79 |
Diagnostic evaluation (with medical) | 90792 | $141.41 |
Psychotherapy 30 (16-37) minutes | 90832 | $62.58 |
Psychotherapy 45 (38-52) minutes | 90834 | $83.42 |
Psychotherapy 60 (53+) minutes | 90837 | $125.44 |
Psychotherapy for crisis, first 60 min | 90839 | $130.78 |
Psychotherapy add-on for crisis | 90840 | $62.58 |
Psychoanalysis | 90845 | $89.71 |
Family psychotherapy w/o client present | 90846 | $101.04 |
Family psychotherapy-client present | 90847 | $105.30 |
Multiple family group-client present | 90849 | $31.29 |
Group psychotherapy | 90853 | $24.75 |
Electroconvulsive therapy | 90870 | $110.46 |
Electrocardiogram report | 93010 | $8.50 |
Neurobehavioral status exam | 96116 | $85.25 |
Brief emotional/behavioral assessment
| 96127 | $6.20 |
Neuropsychological testing evaluation services by physician or
other qualified healthcare professional (1st 30 minutes) | 96132 | $108.39 |
Neuropsychological testing evaluation services by physician or
other qualified healthcare professional (each subsequent) | 96133 | $83.07 |
Psychological/neuropsychological test administration/scoring by physician
or other qualified healthcare professional (1st 30 minutes) | 96136 | $24.71 |
Removal devital tissue <20 cm | 97597 | $24.17 |
Removal devital tissue additional <20cm | 97598 | $11.37 |
Osteopathic manipulation 1-2 regions | 98925 | $23.87 |
CMT spinal 3-4 regions | 98941 | $34.60 |
Detailed/comprehensive history | 99221 | $100.31 |
Comprehensive history, comprehensive exam moderate | 99222 | $135.58 |
Comprehensive history, comprehensive exam high | 99223 | $201.23 |
Subsequent hospital care | 99231 | $38.90 |
Problem focused history/exam moderate | 99232 | $72.25 |
Detailed history or exam high | 99233 | $103.49 |
Discharge services (30 min or less) | 99238 | $72.57 |
Discharge services (more than 30 mins) | 99239 | $107.02 |
Prolonged evaluation/management first full hour beyond usual | 99356 | $91.61 |
Prolonged evaluation/management full half hour beyond first hour | 99357 | $91.96 |
Advanced care plan 30 min | 99497 | $78.84 |
Psychotherapy add-on 90833 90836 90838 | 9083X | $108.65 |