Visits & medical services prices at Benson Hospital

Benson, AZ · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $42.84 $89.25 0.2×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $22.56 $47 0.6×
Behavioral and qualitative analysis of voice and resonance (92524) $108 $225 1.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $176.64 $368 0.4×
Canalith Repositioning (95992) $37.44 $78 0.9×
Cardiac Stress Tst,Tracing Only (93017) $100.85 $210.10 0.4×
Cardiopulmonary exercise testing (94621) $190.61 $397.10 0.5×
Cardiopulmonary resuscitation (92950) $190.56 $397 0.8×
Cardioversion (92960) $421.92 $879 0.6×
Cbt 1st hour (94644) $158.40 $330 1.1×
Chemo Hormon Antineopl Sq/Im (96402) $77.76 $162 1.0×
Chemother, IV infusion, 1 hr (96413) $285.12 $594 0.8×
Chemother, IV infusion, ea add hr (96415) $54.24 $113 0.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $141.60 $295 1.8×
Color/duplex Doppler, complete (93975) $317.76 $662 1.2×
Color/duplex Doppler, limited (93976) $201.60 $420 1.8×
Cpap initiation and management (94660) $253.44 $528 1.1×
Cpt initial (94667) $90.96 $189.50 0.6×
Critical care (99291) $627.24 $1,306.74 0.7×
Debridement Open Wound 20 Sq Cm< (97597) $138.96 $289.50 0.6×
Demo &/or eval,pt use,aerosol device (94664) $120 $250 0.5×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $233.28 $486 0.9×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $253.92 $529 2.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $317.76 $662 1.2×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $253.92 $529 2.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $317.76 $662 1.2×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $253.92 $529 2.3×
Dup-scan xtr veins unilateral/limited study (93971) $253.92 $529 2.3×
Duplex scan extracranial art compl bi study (93880) $317.76 $662 1.2×
EKG (93005) $92.59 $192.89 1.5×
Er level 1 (99281) $121.48 $253.07 1.4×
Er level ii (99282) $214.13 $446.09 1.3×
Er level iii (99283) $382.58 $797.03 1.3×
Er level IV (99284) $555.44 $1,157.15 1.2×
Er level v (99285) $730.08 $1,520.98 1.1×
Evaluation of speech fluency (92521) $129.60 $270 1.0×
Evaluation of speech sound production (92522) $144 $300 1.3×
Evaluation of swallowing function (92610) $169.92 $354 2.0×
Eye service or procedure (92499) $44.16 $92 1.4×
Flow volume loop (94375) $98.40 $205 0.4×
Group Therapeutic Procedures (97150) $42.72 $89 2.4×
Immunization Admin (90471) $42.72 $89 0.6×
Immunotherapy, 2+ Injections (95117) $19.20 $40 0.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $54.24 $113 0.9×
IV infusion hydration each additional hour (96361) $40.80 $85 0.8×
IV infusion hydration initial 31 min-1 hour (96360) $89.04 $185.50 0.4×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $48.48 $101 0.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $147.84 $308 0.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $35.52 $74 0.7×
IV push initial (96374) $84.72 $176.50 0.4×
Manual therapy 15 min (97140) $40.32 $84 1.5×
Massage 15 min (97124) $37.92 $79 1.3×
Maximum voluntary ventilation (94200) $24.82 $51.70 0.4×
Mechanical traction (97012) $16.32 $34 1.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $12.96 $27 0.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $12.96 $27 0.4×
Neg press wnd tx </=50 sq cm (97607) $153.74 $320.28 0.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $144 $300 0.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $265.92 $554 0.6×
Newborn resuscitation (99465) $72 $150 0.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $229.20 $477.50 1.6×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $129.60 $270 0.9×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $30.24 $63 0.7×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $32.16 $67 1.0×
Ot Contrast Bath Ea 15 Min (97034) $24.48 $51 1.7×
Ot eval high complex 60 min (97167) $163.20 $340 1.6×
Ot eval low complex 30 min (97165) $136.80 $285 1.4×
Ot eval mod complex 45 min (97166) $139.20 $290 1.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $31.20 $65 0.6×
Ot Prosthetic Training, Each 15 Min (97761) $32.64 $68 0.8×
Ot re-eval est plan care (97168) $66.72 $139 1.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $100.22 $208.79 0.7×
Paraffin bath (97018) $24.48 $51 4.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $19.20 $40 0.4×
Pt Electric Current Therapy (97033) $28.08 $58.50 1.5×
Pt Electrical Stimulation (97032) $27.36 $57 1.9×
Pt eval high complex 45 min (97163) $163.20 $340 1.7×
Pt eval low complex 20 min (97161) $115.20 $240 1.2×
Pt Gait Training Therapy (97116) $32.64 $68 1.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $36.48 $76 1.1×
Pt Physical Performance Test (97750) $28.80 $60 0.9×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $139.20 $290 1.4×
Pt re-evaluation (97164) $48 $100 0.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $34.80 $72.50 1.1×
Pt Ultrasound Therapy (97035) $27.84 $58 1.9×
Pt Whirlpool Therapy (97022) $54.24 $113 3.5×
Pulmonary stress testing (94618) $39.31 $81.88 0.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $138.96 $289.50 0.6×
Rt Chest Wall Manipulation,Subsequent (94668) $90.96 $189.50 0.6×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $29.76 $62 0.5×
Sensory Integration Ea 15 Min (97533) $33.84 $70.50 0.6×
Smoking cessation > 10 min (99407) $22.71 $47.30 0.6×
Speech group therapy (92508) $46.80 $97.50 1.9×
Speech sound lang comprehen (92523) $169.20 $352.50 0.7×
Spirometry (94010) $62.64 $130.50 0.3×
Standardized Cognitive Performance Testing (96125) $144 $300 1.4×
Temp transcutaneous pacing (92953) $373.92 $779 0.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $24 $50 1.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $36 $75 1.7×
Ther/Proph/Diag Inj Sc/Im (96372) $42.72 $89 0.6×
Therapeutic Activities (97530) $48 $100 1.4×
Therapeutic phlebotomy (99195) $93.36 $194.50 0.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $14.40 $30 0.4×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $360 $750 0.6×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $360 $750 1.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $152.64 $318 2.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $100.80 $210 1.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $35.52 $74 0.7×
Vasc Duplex Extrem Venous,Bilat (93970) $317.76 $662 1.2×
Vasc Duplex Scan Extracranial,Limited (93882) $253.92 $529 2.3×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $389.43 $811.30 1.7×
Vital capacity total (94150) $24.82 $51.70 0.2×
Wheelchair Mgmt Ea 15 Min (97542) $40.32 $84 1.3×