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 & qualit analysis voice and resonance (92524) $208 $347
Bipap initial day (94660) $431 $719 1.9×
Breathing capacity test (94010) $223 $372 1.0×
Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) $449 $748 1.1×
Canalith repositioning (95992) $74 $123
Cardiopulmonary exercise testing (94621) $572 $953 1.5×
Cardiovascular stress test (93017) $692 $1,153 3.0×
Cardioversion elective external (92960) $863 $1,439 1.2×
Chest physiotherapy initial (94667) $167.50 $279.50 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 mntr physician/qhp provided equipment (95250) $238 $396 1.7×
Cont gluc mntr pt prov eqp (95249) $95 $158 1.5×
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) $170 $283 1.2×
Cpr (92950) $897 $1,494.50 3.9×
Critical care ill/injured patient init 30-74 min (99291) $1,432 $2,387 1.6×
Debridement open wound 20 sq cm< (97597) $229 $381 1.1×
Delivery/birthing room resuscitation (99465) $982 $1,636 1.4×
Duplex hemodialysis access (93990) $273 $455 2.5×
Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) $273 $455 1.1×
Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) $164 $274 1.5×
Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) $667 $1,112 2.6×
Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) $407 $679 3.7×
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) $601 $1,002 2.4×
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) $417 $695 3.8×
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) $782 $1,304 3.1×
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) $377 $629 3.4×
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) $704 $1,174 2.8×
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) $352 $587 3.2×
ECG monit/reprt up to 48 hrs (93226) $210 $350 3.4×
Echo transesophageal (93312) $1,148 $1,913 2.0×
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) $908 $1,514 3.6×
EEG awake & asleep (95819) $1,361 $2,269 6.0×
EEG awake/drowsy (95816) $1,361 $2,269 6.0×
EKG 12 lead tracing only (93005) $129 $215 2.1×
Electrocochleography (92584) $839 $1,399 6.2×
Emergency department visit high mdm (99285) $825 $1,375 1.3×
Emergency department visit low mdm (99283) $518 $863 1.8×
Emergency department visit may not req phys/qhp (99281) $211 $351 2.4×
Emergency department visit moderate mdm (99284) $672 $1,120 1.5×
Emergency department visit straightforward mdm (99282) $365 $608 2.3×
End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) $130 $217 1.0×
Evaluate pt use of inhaler (94664) $210 $350 0.9×
Evaluation of speech fluency (92521) $231 $385
Evaluation of speech sound production articulate (92522) $231 $385
Evoked auditory test limited (92587) $144 $240 0.6×
Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic… (94617) $204 $340 1.5×
Exercise tst brncspsm wo ECG (94619) $91 $151 1.5×
Ext ECG>48hr<7d scan a/r (93243) $210 $350 1.5×
External ECG rec>48hr<7d recording (93242) $210 $350 5.3×
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) $182 $304 1.3×
Flexible endo swallow w/o c/v eval - eval of swallowing function w/o video & w/ endoscope (92700) $74 $124 2.4×
Fluidotherapy (97022) $37 $62
Gas dilut/washout lung vol w/wo distrib vent&vol (94727) $277 $461.50 1.2×
Immunization administration (90471) $79 $132 1.0×
Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) $115 $191.50 2.3×
Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) $149 $248.50 0.7×
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 ther proph addl sequential to 1 hr (96367) $156 $260.50 2.1×
IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) $269.50 $449.50 1.2×
IV tx, each additional hour (96366) $119 $198 2.4×
Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) $151 $251.50 1.1×
Maximum voluntary ventilation (94200) $88 $147 1.4×
Mechanical chest wall oscillation lung function (94669) $335 $559 1.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $58 $97
Medical nutrition group (97804) $46 $76
Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) $51 $85
Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) $190 $316
Multiple sleep latency (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 (clinical assessment of thinking, reasoning and judgment, ºeg, acquired knowledge,… (96116) $357 $595 1.6×
Non-invasive physiologic study extremity 3 levels (93923) $322 $537 1.4×
Noninvasive ear/pulse oximetry overnight monitor (94762) $169 $282 1.2×
Oral function therapy (92526) $127 $212
Orthc/prostc mgmt sbsq enc (97763) $68 $113
Ot neuromuscular re-education (97112) $51 $85
Ot paraffin bath (97018) $32 $54
Phlebotomy therapeutic (99195) $125 $208 0.9×
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×
Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) $2,965.50 $4,942.50 3.3×
Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a… (95782) $1,770 $2,950 2.0×
Prq trluml coronary byp grft revasc one vessel (92937)
likely a partial charge — not the full procedure
$378.50 $631 0.0×
Pulm funct tst plethysmograp (94726) $449 $748 1.1×
Pulmonary stress testing (94618) $173 $288.50 1.2×
Remote 30 day ECG rev/report (93270) $210 $350 5.3×
Respiratory flow volume loop (94375) $449 $748 2.0×
Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) $58 $97
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
Stress tte only (93350) $908 $1,514 1.6×
Temp transcutaneous pacing (92953) $421 $701.50 0.6×
Test for hearing various pitches using earphone and device placed against the bone (92553) $182 $303 1.3×
Test to assess defects in adaption to sounds (92563) $74 $124 1.9×
Test to measure resistance of the airways and lungs to differing frequencies (94728) $197 $329 1.5×
Therapeutic prophylactic/dx injection subq/im (96372) $103 $171 1.4×
Tilt table evaluation (93660) $631 $1,051 1.6×
Tte f-up or lmtd (93308) $466 $776 1.9×
Tte w/doppler complete (93306) $1,716 $2,860 3.0×
Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) $112 $187
Upr/l xtremity art 2 levels (93922) $197 $328 1.4×
Ventilation ip/obs initial day (94002) $1,057 $1,762 1.6×
Ventilator subsequent day (94003) $563 $938 0.9×
Vital capacity total (94150) $210 $350.50 1.5×