Visits & medical services prices at Cibola General Hospital
Grants, NM · every code in this section with a posted price and a Medicare benchmark.
160 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $16 | $20 | 0.4× |
| Advncd Care Plan 30 Min (99497) | $231.54 | $289.43 | 2.3× |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$44.50–$224.13 | $55.62–$280.16 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$116.18–$127.72 | $145.23–$159.65 | varies |
| Assessment of aphasia per hr (96105) | $153.26 | $191.58 | 1.6× |
| Assmt & care planning pt w/cognitive impairment (99483) | $693.81 | $867.26 | 6.9× |
| Behavral qualit analys voice (92524) | $290.05 | $362.56 | 2.6× |
| Bioimpedance Cv Analysis (93701) | $383.16 | $478.95 | 2.9× |
| Brief Emotional/Behav Assmt (96127) | $12.36 | $15.45 | 0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$36.26–$582.57 | $45.32–$728.21 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $1,051.42 | $1,314.28 | 4.9× |
| Cardiopulmonary resuscitation (92950) | $1,136.30 | $1,420.37 | 5.3× |
| Cardioversion (92960) | $1,066.26 | $1,332.82 | 1.6× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $6.59 | $8.24 | 0.2× |
| Cbt 1st hour (94644) range across 3 matching MRF lines |
$135.14–$272.74 | $168.92–$340.93 | varies |
| Chest Wall Manipulation (94668) | $133.49 | $166.86 | 1.0× |
| Chron Care Mgmt Srvc 20 Min (99490) | $111.24 | $139.05 | 1.1× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$839.66–$1,071.20 | $1,049.57–$1,339 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $238.96 | $298.70 | 1.4× |
| Continuous Pulse Ox (94762) | $334.54 | $418.18 | 2.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $588.34 | $735.42 | 2.7× |
| Cpt initial (94667) | $177.98 | $222.48 | 1.4× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$1,078.62–$2,346.75 | $1,348.27–$2,933.44 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $252.97 | $316.21 | 1.3× |
| Developmental tst admin phys/qhp 1st hour (96112) | $453.20 | $566.50 | 3.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$477.92–$960.78 | $597.40–$1,200.98 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$423.54–$1,233.53 | $529.42–$1,541.91 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 4 matching MRF lines |
$288.40–$841.30 | $360.50–$1,051.63 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$496.87–$1,329.11 | $621.09–$1,661.39 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 8 matching MRF lines |
$347.73–$909.70 | $434.66–$1,137.12 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$301.58–$1,101.69 | $376.98–$1,377.11 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 4 matching MRF lines |
$228.25–$752.31 | $285.31–$940.39 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$286.75–$852.02 | $358.44–$1,065.02 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$685.57–$2,163 | $856.96–$2,703.75 | varies |
| Eeg 41-60 Minutes (95812) | $1,156.07 | $1,445.09 | 5.4× |
| EEG awake and asleep (95819) | $1,065.43 | $1,331.79 | 5.0× |
| EEG awake drowsy (95816) | $1,065.43 | $1,331.79 | 5.0× |
| EEG extended monitoring 61-119 minutes (95813) | $1,246.71 | $1,558.39 | 5.8× |
| Eeg Sleep Only (95822) | $1,065.43 | $1,331.79 | 5.0× |
| EEG w/o vid 2-12hr cont mntr (95707) | $1,156.07 | $1,445.09 | 5.4× |
| Electrical Stimulation Ea 15 Min (97032) | $62.62 | $78.28 | 4.3× |
| Electrocardiogram Tracing (93005) | $253.79 | $317.24 | 4.3× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$114.54–$351.02 | $143.17–$438.78 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$196.11–$528.18 | $245.14–$660.23 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$328.78–$1,083.56 | $410.97–$1,354.45 | varies |
| Er level 1 (99281) | $219.18 | $273.98 | 2.6× |
| Er level v (99285) range across 2 matching MRF lines |
$478.74–$1,793.85 | $598.43–$2,242.31 | varies |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $280.98 | $351.23 | 2.2× |
| Evaluate pt use of inhaler (94664) range across 5 matching MRF lines |
$42.85–$184.58 | $53.56–$230.72 | varies |
| Evaluate Speech Production (92522) | $285.93 | $357.41 | 2.6× |
| Evaluate Swallowing Function (92610) | $378.22 | $472.77 | 4.5× |
| Evaluation of speech fluency (92521) | $318.06 | $397.58 | 2.4× |
| Exercise test for bronchospasm (94617) range across 2 matching MRF lines |
$145.85–$594.93 | $182.31–$743.66 | varies |
| External ECG rec>48hr<7d recording (93242) | $491.93 | $614.91 | 13.3× |
| External ECG rec>7d<15d recording (93246) | $491.10 | $613.88 | 13.3× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$435.07–$1,211.28 | $543.84–$1,514.10 | varies |
| Facial nerve function studies (92516) | $217.54 | $271.92 | 1.0× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $480.39 | $600.49 | 3.2× |
| Flexible endoscopic eval swallow c/v rec (92612) | $634.48 | $793.10 | 3.2× |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) | $643.54 | $804.43 | 2.8× |
| Health Behavior Assessment/Re-Assessment (96156) | $266.15 | $332.69 | 2.6× |
| Holter monitor recording (93225) | $491.93 | $614.91 | 3.7× |
| Icd Device Interrogate (93289) | $196.11 | $245.14 | 5.3× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $16 | $20 | 0.2× |
| Immunization administration (90471) range across 3 matching MRF lines |
$16–$45.32 | $20–$56.65 | varies |
| Inital newborn e/m (99460) | $261.21 | $326.51 | 2.0× |
| Intracranial Complete Study (93886) range across 2 matching MRF lines |
$684.74–$1,068.73 | $855.93–$1,335.91 | varies |
| Iontophoresis 15 min (97033) | $51.91 | $64.89 | 2.7× |
| Irrig Drug Delivery Device (96523) range across 6 matching MRF lines |
$62.62–$154.91 | $78.28–$193.64 | varies |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$259.20–$293.34 | $324–$366.68 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$468–$530.66 | $585–$663.32 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $407.88 | $509.85 | 5.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $163.98 | $204.97 | 3.5× |
| IV push initial (96374) range across 3 matching MRF lines |
$241.60–$273.57 | $302–$341.96 | varies |
| Laryngeal Function Studies (92520) | $253.79 | $317.24 | 1.9× |
| Mechanical chest wall oscillation per session (94669) | $187.05 | $233.81 | 0.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $81.58 | $101.97 | 2.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$95.58–$98.06 | $119.48–$122.57 | varies |
| Methacholine challenge (94070) | $154.91 | $193.64 | 0.4× |
| Motion Fluoroscopy/Swallow (92611) | $467.21 | $584.01 | 5.1× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $168.92 | $211.15 | 0.4× |
| Multiple Family Group Psychotherapy (90849) | $99.70 | $124.63 | 0.6× |
| Nasal function studies (92512) | $199.41 | $249.26 | 0.9× |
| Nasopharyngoscopy (92511) | $412.82 | $516.03 | 2.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$267.80–$916.29 | $334.75–$1,145.36 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $922.06 | $1,152.57 | 2.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$187.87–$267.80 | $234.84–$334.75 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$267.80–$392.22 | $334.75–$490.28 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $234.02 | $292.52 | 1.1× |
| Nerve Conduction Studies 11-12 Studies (95912) | $646.84 | $808.55 | 1.8× |
| Nerve conduction studies 13 or more studies (95913) | $750.66 | $938.33 | 2.0× |
| Nerve Conduction Studies 3-4 Studies (95908) | $288.40 | $360.50 | 1.3× |
| Nerve conduction studies 5-6 studies (95909) | $345.26 | $431.57 | 1.6× |
| Nerve conduction studies 7-8 studies (95910) | $456.50 | $570.62 | 1.2× |
| Nerve Conduction Studies 9-10 Studies (95911) | $552.08 | $690.10 | 1.5× |
| Neuromuscular Reeducation (97112) | $117.01 | $146.26 | 3.6× |
| Newborn resuscitation (99465) | $681.45 | $851.81 | 1.0× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $331.25 | $414.06 | 2.5× |
| Oral Function Therapy (92526) | $178.81 | $223.51 | 2.1× |
| Oral Speech Device Eval (92597) | $299.11 | $373.89 | 4.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $122.78 | $153.47 | 2.7× |
| Ot eval high complexity (97167) | $374.10 | $467.62 | 3.7× |
| Ot Eval Low Complex (97165) | $190.34 | $237.93 | 1.9× |
| Ot Eval Moderate Complexity (97166) | $279.34 | $349.17 | 2.8× |
| Ot manual therapy 15 min (97140) | $131.84 | $164.80 | 4.8× |
| Ot paraffin bath (97018) | $80.75 | $100.94 | 13.4× |
| Ot Re-Eval Est Plan Care (97168) | — | $1.03 | — |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $81.58 | $101.97 | 3.3× |
| Phlebotomy therapeutic (99195) | $238.96 | $298.70 | 1.8× |
| Physical Performance Test (97750) range across 5 matching MRF lines |
$56.03–$82.40 | $70.04–$103 | varies |
| Pm device eval in person (93288) | $141.73 | $177.16 | 3.8× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $27.19 | $33.99 | 0.6× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $29.66 | $37.08 | 0.6× |
| Psych diag eval w/med srvcs (90792) | $280.16 | $350.20 | 1.6× |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$226.60–$476.27 | $283.25–$595.34 | varies |
| Psytx Crisis Initial 60 Min (90839) | $226.60 | $283.25 | 1.3× |
| Pt Eval High Complex (97163) | $374.10 | $467.62 | 3.8× |
| Pt eval low complex 20 min (97161) | $190.34 | $237.93 | 1.9× |
| Pt Eval Mod Complex (97162) | $279.34 | $349.17 | 2.9× |
| Pt gait training 15 min (97116) | $124.42 | $155.53 | 4.3× |
| Pt mechanical traction (97012) | $101.35 | $126.69 | 7.1× |
| Pt Re-Eval Est Plan Care (97164) | — | $1.03 | — |
| Pt ultraviolet (97028) range across 3 matching MRF lines |
$21.42–$69.22 | $26.78–$86.52 | varies |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $8.24 | $10.30 | 0.2× |
| Pulm function test by gas (94727) | $337.02 | $421.27 | 1.6× |
| Pulmonary Stress Testing (94618) | $304.06 | $380.07 | 2.3× |
| Pure Tone Audiometry Air (92552) | $249.67 | $312.09 | 1.9× |
| Respiratory flow volume loop (94375) range across 2 matching MRF lines |
$81.58–$341.14 | $101.97–$426.42 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $267.80 | $334.75 | 1.3× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $240.61 | $300.76 | 2.0× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $52.74 | $65.92 | 1.1× |
| Same day nb discharge (99463) | $205.18 | $256.47 | 1.6× |
| Self Care Mngment Training (97535) | $121.13 | $151.41 | 3.7× |
| Sensory Integration Ea 15 Min (97533) | $122.78 | $153.47 | 2.0× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $913.82 | $1,142.27 | 4.3× |
| Speech sound lang comprehen (92523) | $380.69 | $475.86 | 1.7× |
| Spirometry (94010) range across 2 matching MRF lines |
$65.10–$316.42 | $81.37–$395.52 | varies |
| Standardized Cognitive Performance Testing (96125) | $435.07 | $543.84 | 4.2× |
| Temp transcutaneous pacing (92953) | $1,066.26 | $1,332.82 | 1.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $70.86 | $88.58 | 3.2× |
| Ther Ivntj Ea Addl 15 Min (97130) | $70.86 | $88.58 | 3.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $107.12 | $133.90 | 2.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $124.42 | $155.53 | 4.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $137.61 | $172.01 | 1.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$80–$90.64 | $100–$113.30 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$458.40–$519.12 | $573–$648.90 | varies |
| Therapeutic Activities (97530) | $128.54 | $160.68 | 3.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $70.04 | $87.55 | 1.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $36.26 | $45.32 | 1.0× |
| Trans Care Mgmt 14 Day Disch (99495) | $538.07 | $672.59 | 4.1× |
| Trans Care Mgmt 7 Day Disch (99496) | $728.42 | $910.52 | 5.5× |
| Tte w/doppler, complete (93306) range across 5 matching MRF lines |
$149.97–$2,356.64 | $187.46–$2,945.80 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $261.21 | $326.51 | 3.4× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $86.52 | $108.15 | 3.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $193.64 | $242.05 | 4.2× |
| Tympanometry and reflex threshold measurements (92550) | $60.15 | $75.19 | 0.3× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$285.93–$536.42 | $357.41–$670.53 | varies |
| Vent Mgmt Inpat Init Day (94002) | $1,597.74 | $1,997.17 | 2.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,165.96 | $1,457.45 | 1.9× |
| Wheelchair Mgmt Ea 15 Min (97542) | $113.71 | $142.14 | 3.7× |
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.