Visits & medical services prices at Arkansas Valley Regional Medical Center

La Junta, CO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $266 $444 1.2×
Behavioral and qualitative analysis of voice and resonance (92524) $208 $347 1.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $449 $748 1.1×
Canalith Repositioning (95992) $74 $123 1.8×
Cardiac Stress Tst,Tracing Only (93017) $692 $1,153 3.0×
Cardiopulmonary exercise testing (94621) $572 $953 1.5×
Cardiopulmonary resuscitation (92950) $897 $1,494.50 3.9×
Cardioversion (92960) $863 $1,439 1.2×
Cbt 1st hour (94644) $170 $283 1.2×
Color/duplex Doppler, complete (93975) $697 $1,161 2.8×
Color/duplex Doppler, limited (93976) $518 $863 4.7×
Comprehensive Hearing Test (92557) $182 $303 1.3×
Cont Gluc Monitoring Patient Provided Equipment (95249) $95 $158 1.5×
Continuous Glucose Monitoring (95250) $238 $396 1.7×
Cpap initiation and management (94660) $431 $719 1.9×
Cpt initial (94667) $167.50 $279.50 1.2×
Critical care (99291) $1,432 $2,387 1.6×
Debridement Open Wound 20 Sq Cm< (97597) $229 $381 1.1×
Demo &/or eval,pt use,aerosol device (94664) $210 $350 0.9×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $273 $455 1.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $164 $274 1.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $782 $1,304 3.1×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $377 $629 3.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $704 $1,174 2.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $352 $587 3.2×
Dup-scan xtr veins unilateral/limited study (93971) $417 $695 3.8×
Duplex hemodialysis access (93990) $273 $455 2.5×
Duplex scan extracranial art compl bi study (93880) $667 $1,112 2.6×
Echo Heart Xthoracic,Limited (93308) $466 $776 1.9×
Echo transesophageal (93312) $1,148 $1,913 2.0×
EEG awake asleep (95819) $1,361 $2,269 6.0×
EEG awake drowsy (95816) $1,361 $2,269 6.0×
EKG (93005) $129 $215 2.1×
Electrocochleography (92584) $839 $1,399 6.2×
Er level 1 (99281) $211 $351 2.4×
Er level ii (99282) $365 $608 2.3×
Er level iii (99283) $518 $863 1.8×
Er level IV (99284) $672 $1,120 1.5×
Er level v (99285) $825 $1,375 1.3×
Evaluation of speech fluency (92521) $231 $385 1.7×
Evaluation of speech sound production (92522) $231 $385 2.1×
Evoked auditory test,limited (92587) $144 $240 0.6×
Exercise tst brncspsm (94617) $204 $340 1.5×
External ECG rec>48hr<7d recording (93242) $210 $350 5.3×
External ECG rec>48hr<7d scanning alys w/report (93243) $210 $350 1.5×
External Ecg Scanning Analysis Report (93226) $210 $350 3.4×
Flow volume loop (94375) $449 $748 2.0×
Holter Monitor Recording (93225) $182 $304 1.3×
Immunization Admin (90471) $79 $132 1.0×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $140 $233.50 2.2×
IV infusion hydration each additional hour (96361) $123.50 $206 2.5×
IV infusion hydration initial 31 min-1 hour (96360) $178 $297 0.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $156 $260.50 2.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $269.50 $449.50 1.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $119 $198 2.4×
IV push initial (96374) $149 $248.50 0.7×
Maximum voluntary ventilation (94200) $88 $147 1.4×
Mechanical chest wall oscillation (94669) $335 $559 1.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $51 $85 1.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $58 $97 1.6×
Mnt Group Ea 30 Min (97804) $46 $76 2.7×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $190 $316 2.1×
Multiple sleep latency test (95805) $1,478 $2,463 1.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $165 $275 0.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $251 $419 0.6×
Neurobehavioral Status Exam (96116) $357 $595 1.6×
Newborn resuscitation (99465) $982 $1,636 1.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $197 $328 1.4×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $322 $537 1.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $169 $282 1.2×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $68 $113 1.4×
Paraffin bath (97018) $32 $54 5.3×
Phy/qhp op pulm rhb w/mntr (94626) $91 $151 1.5×
Phy/qhp op pulm rhb w/o mntr (94625) $91 $151 1.5×
Plethysmography (94726) $449 $748 1.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,965.50 $4,942.50 3.3×
Polysom <6 yrs 4/> paramtrs (95782) $1,770 $2,950 2.0×
Prq revasc byp graft 1 vsl (92937)
likely a partial charge, not the full procedure
$378.50 $631 0.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $51 $85 1.6×
Pt Whirlpool Therapy (97022) $37 $62 2.4×
Pulm Funct Test Oscillometry (94728) $197 $329 1.5×
Pulm function test by gas (94727) $277 $461.50 1.2×
Pulmonary stress testing (94618) $173 $288.50 1.2×
Pure Tone Audiometry Air & Bone (92553) $182 $303 1.3×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $210 $350 5.3×
Rt Chest Wall Manipulation,Subsequent (94668) $151 $251.50 1.1×
Sensory Integration Ea 15 Min (97533) $58 $97 1.0×
Sleep study attended (95807) $1,501 $2,501 3.8×
Sleep study unattended (95806) $879 $1,465 3.9×
Speech sound lang comprehen (92523) $208 $347 0.9×
Spirometry (94010) $223 $372 1.0×
Stress echo (93350) $908 $1,514 1.6×
Temp transcutaneous pacing (92953) $421 $701.50 0.6×
Ther/Proph/Diag Inj Sc/Im (96372) $103 $171 1.4×
Therapeutic phlebotomy (99195) $125 $208 0.9×
Tilt Table Eval (93660) $631 $1,051 1.6×
Tone Decay Test (92563) $74 $124 1.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,716 $2,860 3.0×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $908 $1,514 3.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $112 $187 1.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $127 $212 1.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $115 $191.50 2.3×
Unlisted otorhinolaryngological service (92700) $74 $124 2.4×
Unlisted pulmonary service/procedure (94799) $130 $217 1.0×
Vasc Duplex Extrem Venous,Bilat (93970) $601 $1,002 2.4×
Vasc Duplex Scan Extracranial,Limited (93882) $407 $679 3.7×
Ventilation assist & mgmt inpatient 1st day (94002) $1,057 $1,762 1.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $563 $938 0.9×
Vital capacity total (94150) $210 $350.50 1.5×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $91 $151 1.5×