Visits & medical services prices at Delta County Memorial Hospital
Delta, CO · every code in this section with a posted price and a Medicare benchmark.
125 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $224.68 | $374.47 | 1.0× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $134.55 | $224.25 | 1.0× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $285.30 | $475.50 | 2.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$48.15–$68.34 | $80.25–$113.90 | varies |
| Application Modality 1/> Areas Infrared (97026) range across 2 matching MRF lines |
$18.15–$19.20 | $30.25–$32 | varies |
| Application on-body injector (96377) | $97.35 | $162.25 | 2.0× |
| Assessment of aphasia per hr (96105) | $174.75 | $291.25 | 1.8× |
| Behavral qualit analys voice (92524) | $136.09 | $226.82 | 1.2× |
| Biofeedback training any modality (90901) | $122.70 | $204.50 | 3.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $360 | $600 | 0.9× |
| Cardiac Stress Tst,Tracing Only (93017) | $696.75 | $1,161.25 | 3.1× |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$598.50–$888.90 | $997.50–$1,481.50 | varies |
| Cardioversion (92960) | $888.90 | $1,481.50 | 1.3× |
| Cbt 1st hour (94644) | $133.88 | $223.13 | 1.0× |
| Chemo Anti-Neopl Sq/Im (96401) | $162.60 | $271 | 2.1× |
| Chemo Hormon Antineopl Sq/Im (96402) | $163.20 | $272 | 2.1× |
| Chemo IV infusion addl hr (96415) | $89.25 | $148.75 | 1.2× |
| Chemo IV push addl drug (96411) | $295.05 | $491.75 | 3.9× |
| Chemother Prolong Infuse W/Pump (96416) | $498.45 | $830.75 | 1.4× |
| Chemotherapy Unspecified (96549) | $181.05 | $301.75 | 3.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $95.55 | $159.25 | 1.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 4 matching MRF lines |
$397.20–$475.95 | $662–$793.25 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 4 matching MRF lines |
$280.95–$361.20 | $468.25–$602 | varies |
| Chest Wall Manipulation (94668) | $133.88 | $223.13 | 1.0× |
| Color/duplex Doppler, complete (93975) | $275.21 | $458.68 | 1.1× |
| Color/duplex Doppler, limited (93976) | $350.40 | $584 | 3.2× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$45.30–$70.20 | $75.50–$117 | varies |
| Continuous Pulse Ox (94762) | $224.68 | $374.47 | 1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $395.40 | $659 | 1.7× |
| Cpt initial (94667) | $133.88 | $223.13 | 1.0× |
| Critical care first hour (99291) | $942.60 | $1,571 | 1.1× |
| Debridement Open Wound 20 Sq Cm< (97597) | $214.72 | $357.87 | 1.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $575.55 | $959.25 | 2.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $321.90 | $536.50 | 2.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $775.95 | $1,293.25 | 3.1× |
| Dup-scan xtr veins unilateral/limited study (93971) | $557.10 | $928.50 | 5.1× |
| Echo Heart Xthoracic,Limited (93308) | $288.90 | $481.50 | 1.1× |
| EEG awake drowsy (95816) | $637.80 | $1,063 | 2.8× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$54.30–$79.95 | $90.50–$133.25 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$13.20–$217.35 | $22–$362.25 | varies |
| Emergency Dept Visit Level 2 (99282) | $222.75 | $371.25 | 1.4× |
| Emergency Dept Visit Level 3 (99283) | $276.97 | $461.62 | 1.0× |
| Emergency Dept Visit Level 4 (99284) | $492.15 | $820.25 | 1.1× |
| Er level 1 (99281) | $168.75 | $281.25 | 1.9× |
| Er level v (99285) | $869.10 | $1,448.50 | 1.4× |
| Evaluate pt use of inhaler (94664) | $224.68 | $374.47 | 1.0× |
| Evaluate Speech Production (92522) | $109.20 | $182 | 1.0× |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$183.60–$261.90 | $306–$436.50 | varies |
| Evaluation of speech fluency (92521) | $166.48 | $277.46 | 1.2× |
| Extracranial Bilat Study (93880) | $809.85 | $1,349.75 | 3.2× |
| Flexible endoscopic eval swallow c/v rec (92612) | $318.60 | $531 | 1.6× |
| Holter monitor recording (93225) | $196.65 | $327.75 | 1.4× |
| Immunization administration (90471) range across 5 matching MRF lines |
$74.11–$86.40 | $123.52–$144 | varies |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$77.55–$81.45 | $129.25–$135.75 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$103.20–$169.35 | $172–$282.25 | varies |
| IV infusion hydration each additional hour (96361) range across 5 matching MRF lines |
$47.84–$70.80 | $79.73–$118 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 7 matching MRF lines |
$243.37–$354.30 | $405.61–$590.50 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 4 matching MRF lines |
$82.50–$93.60 | $137.50–$156 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $58.95 | $98.25 | 1.2× |
| IV push initial (96374) range across 7 matching MRF lines |
$131.25–$243.37 | $218.75–$405.61 | varies |
| Methacholine challenge (94070) | $524.55 | $874.25 | 1.3× |
| Motion Fluoroscopy/Swallow (92611) | $320.40 | $534 | 3.5× |
| Multiple Sleep Latency Test (95805) | $2,456.70 | $4,094.50 | 2.7× |
| Nasopharyngoscopy (92511) | $473.85 | $789.75 | 2.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $218.35 | $363.92 | 1.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $451.09 | $751.82 | 1.1× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$64.80–$85.20 | $108–$142 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $162 | $270 | 1.2× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$105.55–$183.60 | $175.92–$306 | varies |
| Oral Speech Device Eval (92597) | $100.35 | $167.25 | 1.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$74.25–$150.32 | $123.75–$250.54 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$70.65–$165 | $117.75–$275 | varies |
| Ot eval high complexity (97167) | $120.52 | $200.86 | 1.2× |
| Ot Eval Low Complex (97165) | $120.52 | $200.86 | 1.2× |
| Ot Eval Moderate Complexity (97166) | $120.52 | $200.86 | 1.2× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$61.65–$86.63 | $102.75–$144.38 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$43.50–$60.75 | $72.50–$101.25 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $74.25 | $123.75 | 1.8× |
| Ot Re-Eval Est Plan Care (97168) | $69 | $115 | 1.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $138.80 | $231.33 | 1.0× |
| Peripheral arterial disease rehab per session (93668) | $115.20 | $192 | 1.9× |
| Phlebotomy therapeutic (99195) | $159.60 | $266 | 1.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $115.20 | $192 | 1.9× |
| Physical Performance Test (97750) | $84.45 | $140.75 | 2.5× |
| Plethysmography (94726) | $401.10 | $668.50 | 1.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,579.40 | $4,299 | 2.8× |
| Polysom <6 yrs 4/> paramtrs (95782) | $2,339.70 | $3,899.50 | 2.6× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $2,579.40 | $4,299 | 2.8× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $72.90 | $121.50 | 1.9× |
| Pt Eval High Complex (97163) | $236.40 | $394 | 2.4× |
| Pt eval low complex 20 min (97161) | $181.80 | $303 | 1.9× |
| Pt Eval Mod Complex (97162) | $209.40 | $349 | 2.1× |
| Pt gait training 15 min (97116) | $78.87 | $131.45 | 2.7× |
| Pt mechanical traction (97012) | $54.75 | $91.25 | 3.8× |
| Pt Re-Eval Est Plan Care (97164) | $85.36 | $142.26 | 1.3× |
| Pulmonary Stress Testing (94618) | $133.88 | $223.13 | 1.0× |
| Refill/Maint Portable Pump (96521) | $362.85 | $604.75 | 1.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $247.20 | $412 | 6.3× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $66.56 | $110.94 | 1.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $214.72 | $357.87 | 1.0× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $156.19 | $260.32 | 1.3× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $70.50 | $117.50 | 1.5× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$45.30–$83.40 | $75.50–$139 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$76.65–$82.50 | $127.75–$137.50 | varies |
| Sleep study unattended (95806) | $166.89 | $278.15 | 0.7× |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$156.80–$286.32 | $261.33–$477.20 | varies |
| Spirometry (94010) | $194.40 | $324 | 0.9× |
| Standardized Cognitive Performance Testing (96125) | $210.15 | $350.25 | 2.0× |
| Stress Tte Only (93350) | $943.35 | $1,572.25 | 1.6× |
| Temp transcutaneous pacing (92953) | $809.10 | $1,348.50 | 1.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$121.05–$144 | $201.75–$240 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$25.20–$132.18 | $42–$220.30 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$52.95–$55.65 | $88.25–$92.75 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $72.45 | $120.75 | 2.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 7 matching MRF lines |
$74.11–$163.50 | $123.52–$272.50 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 7 matching MRF lines |
$285.45–$370.95 | $475.75–$618.25 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$64.95–$86.40 | $108.25–$144 | varies |
| Tte w/doppler, complete (93306) | $1,557.30 | $2,595.50 | 2.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 5 matching MRF lines |
$47.84–$131.25 | $79.73–$218.75 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $140.39 | $233.98 | 1.0× |
| Vent Mgmt Inpat Init Day (94002) | $1,545.30 | $2,575.50 | 2.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,252.65 | $2,087.75 | 1.9× |
| Vital capacity, total (94150) | $166.89 | $278.15 | 1.2× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$71.40–$75 | $119–$125 | varies |
| Whirlpool Therapy (97022) | $133.65 | $222.75 | 8.5× |
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.