Visits & medical services prices at Cobre Valley Regional Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $289
Aep threshold estimation mlt frequencies i&r (92652) $616
Airway inhalation treatment (94640) $402
Analyze Neurostim Complex (95972) $739
Appl on-body injector for timed subq injection (96377) $172
Bfb training 1st 15 min (90912) $351
Bfb training ea addl 15 min (90913) $195
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $495.50
Canalith Repositioning (95992) $192
Car seat/bed test 60 min (94780) $171
Cardiopulmonary resuscitation (92950) $1,323.50
Cardioversion (92960) $2,890
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $15,217
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $9,485
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $77,402
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $15,217
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $15,217
Cbt 1st hour (94644) $395
Chemo Hormon Antineopl Sq/Im (96402) $335
Chemo IV push addl drug (96411) $576
Chemo Iv Push Sngl Drug (96409) $1,010
Chemo prolong 8+ hrs infuse w/pump (96416) $1,167
Chemother, IV infusion, 1 hr (96413) $1,332
Chemother, IV infusion, ea add hr (96415) $303
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $613
Color/duplex Doppler, complete (93975) $1,642.50
Coronary artery angio s&i (93454) $15,217
Cpap initiation and management (94660) $689
Cpt initial (94667) $88
Critical care (99291) $613
Debridement Open Wound 20 Sq Cm< (97597) $691
Demo &/or eval,pt use,aerosol device (94664) $336
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,634
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,029
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,399
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $919
Dup-scan xtr veins unilateral/limited study (93971) $908
Duplex scan extracranial art compl bi study (93880) $1,387.50
Echo Heart Xthoracic,Limited (93308) $733.50
Echo transesophageal (93312) $2,663
EEG awake asleep (95819) $1,371
EEG cerebral death evaluation (95824) $264
EKG (93005) $132
EKG rhythm strip (93041) $74.50
Er level 1 (99281) $180
Er level ii (99282) $713.50
Er level iii (99283) $610
Er level IV (99284) $1,010
Er level v (99285) $1,510
External ECG rec>48hr<7d recording (93242) $537
External ECG rec>7d<15d recording (93246) $537
External Ecg Scanning Analysis Report (93226) $492
Flow volume loop (94375) $457
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,776
Group Therapeutic Procedures (97150) $154
Hemodialysis (90935) $3,968
Holter Monitor Recording (93225) $590
Immunization Admin (90471) $23
Immunotherapy, 2+ Injections (95117) $49
Ins swan ganz bedside (93503) $5,802
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $229
IV infusion hydration each additional hour (96361) $140
IV infusion hydration initial 31 min-1 hour (96360) $539
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $293
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $555.50
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $193.50
IV push initial (96374) $539
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $10,903
Manual therapy 15 min (97140) $129
Massage 15 min (97124) $122
Maximum voluntary ventilation (94200) $74.50
Mechanical traction (97012) $128
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $214
Multiple sleep latency test (95805) $2,589
Neg press wnd tx </=50 sq cm (97607) $1,213
Neg press wound tx >50 cm (97608) $1,247
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $632
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,295.50
Newborn resuscitation (99465) $2,062
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $877.50
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $687
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $389
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $323
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $99
Ot Contrast Bath Ea 15 Min (97034) $130
Ot Prosthetic Training, Each 15 Min (97761) $110
Ot Range Motion Measure,Each Extrem (95851) $154
Paraffin bath (97018) $98
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $622
Plethysmography (94726) $970
Pm device progr eval dual (93280) $130
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,257
Polysom <6 yrs 4/> paramtrs (95782) $9,990.50
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $29
Prq card revasc chronic 1vsl (92943) $35,441
Prq Card Stent W/Angio 1 Vsl (92928) $24,809
Prq Card Stent/Ath/Angio (92933) $38,089
Prq revasc byp graft 1 vsl (92937) $35,441
Prq tcat plmt ntrac st 2+les (92930) $56,186.07
Prq trluml coronary angio/atherect one art/brnch (92924) $35,898
Prq trluml coronary angioplasty one art/branch (92920) $11,698
Pt Electric Current Therapy (97033) $156
Pt Electrical Stimulation (97032) $112
Pt eval high complex 45 min (97163) $526
Pt eval low complex 20 min (97161) $526
Pt Gait Training Therapy (97116) $128
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $128
Pt Physical Performance Test (97750) $91
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $526
Pt re-evaluation (97164) $151
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $122.50
Pt Ultrasound Therapy (97035) $128
Pt Whirlpool Therapy (97022) $137
Pure Tone Audiometry, Air (92552) $52
R & l hrt cath w/njx l ventriculog img s&i (93453) $9,485
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $15,217
R hrt art/grft angio (93457) $9,485
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $10,903
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $10,903
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $9,485
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $10,903
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $14,970
Refill/Maint Pump/Resvr Syst (96522) $977
Refill/maint, portable pump (96521) $1,149
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $375
Right heart cath (93451) $15,217
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $469.50
Rom meas&reprt hand w/wo comparison normal sid (95852) $52
Rt Chest Wall Manipulation,Subsequent (94668) $395
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $597
Sensory Integration Ea 15 Min (97533) $97
Sleep study unattended (95806) $1,126
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $1,014
Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) $1,014
Smoking cessation > 10 min (99407) $200
Spirometry (94010) $84
Stress echo (93350) $1,574
Stress Tte Complete (93351) $2,054
Surfactant Admin Thru Tube (94610) $672
Temp transcutaneous pacing (92953) $1,780
Ther/Proph/Diag Inj Sc/Im (96372) $186.55
Therapeutic Activities (97530) $172.50
Therapeutic phlebotomy (99195) $543
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $100
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,735
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $102
Tx/Pro/Dx Inj New Drug Addon (96375) $208.50
Unlisted pulmonary service/procedure (94799) $488
Vasc Duplex Extrem Venous,Bilat (93970) $1,405
Vasc Duplex Scan Extracranial,Limited (93882) $824
Ventilation assist & mgmt inpatient 1st day (94002) $1,853.50
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,588
Vital capacity total (94150) $46
Wheelchair Mgmt Ea 15 Min (97542) $110
Xtrnl mobile cv telemetry w/technical support (93229) $263