Visits & medical services prices at Dr Dan C Trigg Memorial Hospital

Tucumcari, NM · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Advncd Care Plan 30 Min (99497) $93.80 $134 0.9×
Airway Inhalation Treatment (94640) $82.60 $118 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $103.60 $148 7.2×
Assessment of aphasia per hr (96105) $338.10 $483 3.5×
Behavral qualit analys voice (92524) $644 $920 5.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $320.60 $458 0.9×
Canalith repositioning proc (95992) $30.80 $44 0.8×
Cardiopulmonary resuscitation (92950) $704.90 $1,007 3.3×
Cardioversion (92960) $308.70 $441 0.5×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $39.90 $57 1.5×
Cbt 1st hour (94644) $63 $90 0.5×
Chemo Anti-Neopl Sq/Im (96401) $102.20 $146 1.4×
Chemo IV infusion addl hr (96415) $247.80 $354 3.5×
Chemo IV push addl drug (96411) $499.80 $714 7.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $620.20 $886 1.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $382.20 $546 1.2×
Chest Wall Manipulation (94668) $60.20 $86 0.5×
Color/duplex Doppler, complete (93975) $973 $1,390 4.1×
Color/duplex Doppler, limited (93976) $149.10 $213 1.4×
Continuous Pulse Ox (94762) $119.70 $171 0.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $326.20 $466 1.5×
Cpt initial (94667) $67.90 $97 0.5×
Critical care first hour (99291) $2,603.30 $3,719 3.2×
Developmental tst admin phys/qhp 1st hour (96112) $781.20 $1,116 6.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $642.60 $918 6.2×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $371 $530 1.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $134.40 $192 1.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $429.80 $614 1.8×
Dup-scan xtr veins unilateral/limited study (93971) $300.30 $429 2.9×
Duplex up extrem art bilat (93930) $1,030.40 $1,472 4.4×
Duplex up extrem art unilat/ltd (93931) $280 $400 2.7×
ECG/monitoring and analysis (93271) $571.20 $816 6.1×
Echo Heart Xthoracic,Limited (93308) $530.60 $758 2.2×
Electrical Stimulation Ea 15 Min (97032) $64.40 $92 4.4×
Electrocardiogram Tracing (93005) $415.80 $594 7.1×
Emergency Dept Visit Level 2 (99282) $462 $660 3.0×
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines		 $254.10–$774.20 $363–$1,106 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines		 $427–$1,290.80 $610–$1,844 varies
Er level 1 (99281) $280 $400 3.4×
Er level v (99285) $1,645.70 $2,351 2.8×
Evaluate pt use of inhaler (94664) $68.60 $98 0.3×
Evaluate Speech Production (92522) $644 $920 5.8×
Evaluate Swallowing Function (92610) $466.20 $666 5.5×
Evaluation of speech fluency (92521) $644 $920 4.8×
External ECG rec>48hr<7d recording (93242) $184.80 $264 5.0×
External ECG rec>48hr<7d scanning alys w/report (93243) $303.80 $434 2.3×
External ECG rec>7d<15d recording (93246) $172.90 $247 4.7×
External ECG rec>7d<15d scanning alys w/report (93247) $35.70 $51 0.3×
External Ecg Scanning Analysis Report (93226) $392 $560 6.7×
Extracranial Bilat Study (93880) $539.70 $771 2.3×
Holter monitor recording (93225) $222.60 $318 1.7×
Immunization administration (90471) $63.70 $91 0.9×
Irrig Drug Delivery Device (96523) $70 $100 1.2×
IV infusion hydration each additional hour (96361) $148.40 $212 3.2×
IV infusion hydration initial 31 min-1 hour (96360) $217.70 $311 1.0×
IV infusion ther proph addl sequential to 1 hr (96367) $163.80 $234 2.3×
IV infusion therapy prophylaxis/dx ea hour (96366) $111.30 $159 2.4×
IV push initial (96374) $219.10 $313 1.0×
Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) $33.60 $48 1.7×
Mlt fam group bhv mgmt/modificaj traing ea addl (96203) $9.10 $13 1.7×
Motion Fluoroscopy/Swallow (92611) $466.20 $666 5.1×
Neuromuscular Reeducation (97112) $93.10 $133 2.8×
Oral Function Therapy (92526) $426.30 $609 5.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $94.50 $135 2.1×
Ot eval high complexity (97167) $420.70 $601 4.2×
Ot Eval Low Complex (97165) $318.50 $455 3.2×
Ot Eval Moderate Complexity (97166) $366.10 $523 3.6×
Ot manual therapy 15 min (97140) $70 $100 2.5×
Ot paraffin bath (97018) $69.30 $99 11.5×
Ot Re-Eval Est Plan Care (97168) $296.80 $424 4.3×
Phlebotomy therapeutic (99195) $217.70 $311 1.7×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $314.30 $449 5.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $157.50 $225 2.7×
Pt Eval High Complex (97163) $362.60 $518 3.7×
Pt eval low complex 20 min (97161) $273 $390 2.8×
Pt Eval Mod Complex (97162) $315 $450 3.2×
Pt gait training 15 min (97116) $51.80 $74 1.8×
Pt group caregiver training (97552) $34.30 $49 1.6×
Pt Re-Eval Est Plan Care (97164) $56 $80 0.8×
Pulmonary Stress Testing (94618) $168 $240 1.3×
Remote 30 Day Ecg Rev/Report (93270) $100.10 $143 2.7×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $270.20 $386 4.6×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $438.90 $627 3.6×
Self Care Mngment Training (97535) $62.30 $89 1.9×
Slp caregiver training 1st 30 min (97550) $85.40 $122 1.6×
Speech sound lang comprehen (92523) $644 $920 2.8×
Spirometry (94010) $246.40 $352 1.2×
Standardized Cognitive Performance Testing (96125) $336 $480 3.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $156.80 $224 7.0×
Ther Ivntj Ea Addl 15 Min (97130) $150.50 $215 7.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $152.60 $218 5.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $229.60 $328 2.2×
Ther/Proph/Diag Inj Sc/Im (96372) $66.50 $95 0.9×
Ther/Proph/Diag Iv Inf Init (96365) $433.30 $619 2.1×
Therapeutic Activities (97530) $63.70 $91 1.8×
Tte w/doppler, complete (93306) $1,229.90 $1,757 2.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $321.30 $459 4.2×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $152.60 $218 6.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $102.90 $147 2.2×
Upr/L Xtremity Art 2 Levels (93922) $194.60 $278 1.5×
Vent Mgmt Inpat Init Day (94002) $814.80 $1,164 1.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,858.50 $2,655 3.0×
Wheelchair Mgmt Ea 15 Min (97542) $180.60 $258 5.8×

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.