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.

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines
$266–$335 $444–$559 varies
Airway resistance by oscillometry (94728) $197 $329 1.5×
Audiometry Air & Bone (92553) $182 $303 1.3×
Behavral qualit analys voice (92524) $208 $347 1.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 3 matching MRF lines
$449–$572 $748–$953 varies
Canalith repositioning proc (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)
range across 2 matching MRF lines
$836–$958 $1,393–$1,596 varies
Cardioversion (92960) $863 $1,439 1.2×
Cbt 1st hour (94644) $170 $283 1.2×
Chest Wall Manipulation (94668)
range across 2 matching MRF lines
$62–$240 $103–$400 varies
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 equiptment (95250) $238 $396 1.7×
Cont Gluc Mntr Pt Prov Eqp (95249) $95 $158 1.5×
Continuous Pulse Ox (94762) $169 $282 1.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 4 matching MRF lines
$245–$1,057 $409–$1,762 varies
Cpt initial (94667)
range across 2 matching MRF lines
$95–$240 $159–$400 varies
Critical care first hour (99291) $1,432 $2,387 1.6×
Debridement Open Wound 20 Sq Cm< (97597) $229 $381 1.1×
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 Xtr Veins Complete Bilateral Study (93970) $601 $1,002 2.4×
Dup-scan xtr veins unilateral/limited study (93971) $417 $695 3.8×
Duplex Scan Hemodialysis Access (93990) $273 $455 2.5×
Duplex up extrem art bilat (93930) $704 $1,174 2.8×
Duplex up extrem art unilat/ltd (93931) $352 $587 3.2×
Echo Heart Xthoracic,Limited (93308) $466 $776 1.9×
EEG awake and asleep (95819) $1,361 $2,269 6.0×
EEG awake drowsy (95816) $1,361 $2,269 6.0×
Electrocardiogram Tracing (93005) $129 $215 2.1×
Electrocochleography (92584) $839 $1,399 6.2×
Emergency Dept Visit Level 2 (99282) $365 $608 2.3×
Emergency Dept Visit Level 3 (99283) $518 $863 1.8×
Emergency Dept Visit Level 4 (99284) $672 $1,120 1.5×
Er level 1 (99281)
range across 3 matching MRF lines
$119–$211 $198–$351 varies
Er level v (99285) $825 $1,375 1.3×
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$85–$335 $141–$559 varies
Evaluate Speech Production (92522) $231 $385 2.1×
Evaluation of speech fluency (92521) $231 $385 1.7×
Evoked Auditory Test,Limited (92587) $144 $240 0.6×
Exercise test for bronchospasm (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×
Extracranial Bilat Study (93880) $667 $1,112 2.6×
Extracranial Uni/Ltd Study (93882) $407 $679 3.7×
Holter monitor recording (93225) $182 $304 1.3×
Immunization administration (90471)
range across 5 matching MRF lines
$71–$79 $119–$132 varies
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$100–$180 $167–$300 varies
IV infusion hydration each additional hour (96361)
range across 4 matching MRF lines
$113–$125 $189–$209 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 5 matching MRF lines
$164–$180 $273–$300 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 4 matching MRF lines
$148–$168 $247–$280 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 5 matching MRF lines
$113–$125 $189–$208 varies
IV push initial (96374)
range across 4 matching MRF lines
$140–$154 $233–$256 varies
Lung Function Test (Mbc/Mvv) (94200)
range across 3 matching MRF lines
$88–$108 $147–$180 varies
Mechanical chest wall oscillation per session (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×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $47 $78 2.8×
Motion Fluoroscopy/Swallow (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×
Neuromuscular Reeducation (97112) $51 $85 1.6×
Newborn resuscitation (99465) $982 $1,636 1.4×
Oral Function Therapy (92526) $127 $212 1.5×
Orthc/Prostc Mgmt Sbsq Enc (97763) $68 $113 1.4×
Ot paraffin bath (97018) $32 $54 5.3×
Phlebotomy therapeutic (99195) $125 $208 0.9×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $91 $151 1.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $91 $151 1.5×
Plethysmography (94726) $449 $748 1.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,053 $5,089 3.4×
Polysom <6 yrs 4/> paramtrs (95782) $1,770 $2,950 2.0×
Prq Revasc Byp Graft 1 Vsl (92937)
range across 2 matching MRF lines
$357–$400 $595–$667 varies
Pulm function test by gas (94727)
range across 2 matching MRF lines
$223–$331 $371–$552 varies
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$130–$197 $217–$329 varies
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$142–$204 $237–$340 varies
Remote 30 Day Ecg Rev/Report (93270) $210 $350 5.3×
Respiratory flow volume loop (94375)
range across 3 matching MRF lines
$331–$449 $552–$748 varies
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)
range across 4 matching MRF lines
$146–$331 $243–$552 varies
Stress Tte Only (93350) $908 $1,514 1.6×
Temp transcutaneous pacing (92953) $496 $826 0.7×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 5 matching MRF lines
$103–$119 $171–$199 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 6 matching MRF lines
$244–$326 $407–$543 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $631 $1,051 1.6×
Tone Decay Test (92563) $74 $124 1.9×
Tte w/doppler, complete (93306) $1,716 $2,860 3.0×
Tte W/O Doppler Complete (93307) $908 $1,514 3.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $112 $187 1.5×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 4 matching MRF lines
$113–$127 $188–$211 varies
Unlisted otorhinolaryngological service (92700) $74 $124 2.4×
Upr/L Xtremity Art 2 Levels (93922) $197 $328 1.4×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $322 $537 1.4×
Vent Mgmt Inpat Init Day (94002) $1,057 $1,762 1.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $563 $938 0.9×
Vital capacity, total (94150)
range across 2 matching MRF lines
$197–$223 $329–$372 varies
Whirlpool Therapy (97022) $37 $62 2.4×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $91 $151 1.5×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.