Visits & medical services prices at Family Health West Hospital

Fruita, CO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acupunct W/Stimul 15 Min (97813) $63.70 $91 2.1×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $53.90 $77 1.8×
Adapt bhv tx prtcl modificaj phys/qhp ea 15 min (97155) $29.40 $42 0.2×
Adaptive behavior tx by protocol tech ea 15 min (97153) $47.60 $68 0.4×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$11.20–$129.50 $16–$185 varies
Analyze neurostim complex (95972) $79.80 $114 0.8×
Analyze neurostim no prog (95970) $25.90 $37 0.2×
Analyze Neurostim Simple (95971) $133.70 $191 1.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $30.80 $44 2.1×
Application Modality 1/> Areas Diathermy (97024) $43.40 $62 5.9×
Assessment of aphasia per hr (96105)
range across 2 matching MRF lines
$134.40–$556.50 $192–$795 varies
Behavior id assessment by phys/qhp ea 15 min (97151) $430.50 $615 4.0×
Behavior id support assmt by 1 tech ea 15 min (97152) $59.50 $85 0.6×
Behavral qualit analys voice (92524) $241.50 $345 2.2×
Brief Emotional/Behav Assmt (96127) $7 $10 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$403.20 $20–$576 1.0×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$59.50–$96.60 $85–$138 varies
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$456.40–$1,959.30 $652–$2,799 varies
Cardioversion (92960)
range across 2 matching MRF lines
$215.60–$644.70 $308–$921 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $141.40 $202 5.4×
Cbt 1st hour (94644) $311.50 $445 2.2×
Chemo IV infusion addl hr (96415) $215.60 $308 2.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $280 $400 0.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $605.50 $865 1.7×
Chest Wall Manipulation (94668) $121.80 $174 0.9×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$379.40–$898.10 $542–$1,283 varies
Color/duplex Doppler, limited (93976) $990.50 $1,415 9.0×
Community/Work Reintegration Trainj Ea 15 Min (97537) $67.90 $97 2.1×
Continuous Pulse Ox (94762) $296.10 $423 2.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $210.70 $301 0.9×
Cpt initial (94667) $150.50 $215 1.1×
Critical care first hour (99291)
range across 3 matching MRF lines
$381.50–$2,630.60 $545–$3,758 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$144.20–$171.50 $206–$245 varies
Developmental tst admin phys/qhp 1st hour (96112)
range across 4 matching MRF lines
$172.90–$2,373 $247–$3,390 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$51.10–$1,335.60 $73–$1,908 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$51.10–$1,346.80 $73–$1,924 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$31.50–$898.10 $45–$1,283 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$44.80–$1,346.80 $64–$1,924 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$170.80–$898.10 $244–$1,283 varies
Duplex up extrem art bilat (93930) $284.20 $406 1.1×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$177.10–$898.10 $253–$1,283 varies
Echo Heart Xthoracic,Limited (93308) $141.40 $202 0.6×
EEG awake and asleep (95819) $655.20 $936 2.9×
EEG awake drowsy (95816)
range across 2 matching MRF lines
$569.10–$957.60 $813–$1,368 varies
EEG cerebral death evaluation (95824) $53.20 $76 0.1×
EEG extended monitoring 61-119 minutes (95813) $117.60 $168 0.5×
Eeg Sleep Only (95822) $77.70 $111 0.3×
Electrical Stimulation Ea 15 Min (97032) $109.20 $156 7.4×
Electrocardiogram Tracing (93005) $255.50 $365 4.1×
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines
$56.70–$541.80 $81–$774 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines
$96.60–$1,040.90 $138–$1,487 varies
Emergency Dept Visit Level 4 (99284)
range across 3 matching MRF lines
$164.50–$1,632.40 $235–$2,332 varies
Er level 1 (99281)
range across 3 matching MRF lines
$15.40–$385.70 $22–$551 varies
Er level v (99285)
range across 3 matching MRF lines
$238.70–$2,405.90 $341–$3,437 varies
Evaluate pt use of inhaler (94664) $151.90 $217 0.7×
Evaluate Speech Production (92522) $200.90 $287 1.8×
Evaluate Swallowing Function (92610) $287.70 $411 3.4×
Evaluation of speech fluency (92521) $241.50 $345 1.8×
External ECG rec>48hr<7d recording (93242) $90.30 $129 2.3×
External ECG rec>7d<15d recording (93246) $90.30 $129 2.3×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$51.80–$1,661.80 $74–$2,374 varies
Extracranial Uni/Ltd Study (93882) $32.20 $46 0.3×
Family adapt bhv tx gdn phys/qhp ea 15 min (97156) $24.50 $35 0.6×
Flexible endoscopic eval swallow c/v rec (92612) $287.70 $411 1.4×
Group adaptive bhv tx by protocol tech ea 15 min (97154) $7 $10 0.2×
Group Therapeutic Procedures (97150)
range across 3 matching MRF lines
$38.50–$39.90 $55–$57 varies
Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) $7.70 $11 0.2×
Immunization administration (90471)
range across 4 matching MRF lines
$35–$36.40 $50–$52 varies
Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) $27.30 $39 0.9×
Iontophoresis 15 min (97033) $60.90 $87 3.2×
Irrig Drug Delivery Device (96523) $152.60 $218 2.5×
IV infusion hydration each additional hour (96361) $126 $180 2.6×
IV infusion hydration initial 31 min-1 hour (96360) $237.30 $339 1.1×
IV infusion ther proph addl sequential to 1 hr (96367) $210.70 $301 2.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $146.30 $209 3.0×
IV push initial (96374) $198.80 $284 0.9×
Lwr Xtr Vasc Stdy Bilat (93924) $229.60 $328 1.0×
Mechanical chest wall oscillation per session (94669) $130.20 $186 0.6×
Motion Fluoroscopy/Swallow (92611) $287.70 $411 3.1×
Multiple fam group bhv tx gdn phys/qhp ea 15 min (97157) $14.70 $21 0.4×
Muscle Test 2 Limbs (95861) $226.80 $324 1.6×
Muscle Test One Limb (95860) $160.30 $229 1.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 3 matching MRF lines
$503.30–$651.70 $719–$931 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$60.90–$291.90 $87–$417 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$72.80–$188.30 $104–$269 varies
Nerve Conduction Studies 1-2 Studies (95907) $128.10 $183 0.6×
Nerve Conduction Studies 11-12 Studies (95912) $349.30 $499 0.9×
Nerve conduction studies 13 or more studies (95913) $403.20 $576 1.0×
Nerve Conduction Studies 3-4 Studies (95908) $158.20 $226 0.7×
Nerve conduction studies 5-6 studies (95909) $190.40 $272 0.8×
Nerve conduction studies 7-8 studies (95910) $248.50 $355 0.6×
Nerve Conduction Studies 9-10 Studies (95911) $299.60 $428 0.8×
Neuromuscular Reeducation (97112) $84 $120 2.6×
Nonphysician Telephone Assessment 11-20 Min (98967) $33.60 $48 1.3×
Nonphysician Telephone Assessment 21-30 Min (98968) $46.20 $66 1.3×
Nonphysician Telephone Assessment 5-10 Min (98966) $18.20 $26 1.3×
Oral Function Therapy (92526)
range across 2 matching MRF lines
$90.30–$184.10 $129–$263 varies
Oral Speech Device Eval (92597) $163.80 $234 2.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $134.40 $192 2.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $87.50 $125 1.9×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $44.10 $63 1.9×
Osteopathic manipulative tx 3-4 body regions (98926) $63 $90 2.8×
Osteopathic manipulative tx 5-6 body regions (98927) $82.60 $118 3.6×
Ot Contrast Bath Ea 15 Min (97034) $42.70 $61 3.0×
Ot eval high complexity (97167) $245 $350 2.4×
Ot Eval Low Complex (97165) $160.30 $229 1.6×
Ot Eval Moderate Complexity (97166) $192.50 $275 1.9×
Ot manual therapy 15 min (97140) $75.60 $108 2.7×
Ot Re-Eval Est Plan Care (97168) $126 $180 1.8×
Ot rom hand (95852) $37.10 $53 1.7×
Phlebotomy therapeutic (99195) $231 $330 1.6×
Physical Performance Test (97750) $300.30 $429 8.9×
Plethysmography (94726) $350 $500 0.9×
Psychiatric diagnostic evaluation (90791) $240.80 $344 1.3×
Psytx Crisis Initial 60 Min (90839) $576.10 $823 3.1×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $92.40 $132 2.4×
Pt Eval High Complex (97163) $245 $350 2.5×
Pt eval low complex 20 min (97161) $160.30 $229 1.6×
Pt Eval Mod Complex (97162) $192.50 $275 2.0×
Pt gait training 15 min (97116) $75.60 $108 2.6×
Pt group caregiver training (97552) $60.90 $87 2.8×
Pt mechanical traction (97012) $35.70 $51 2.5×
Pt Re-Eval Est Plan Care (97164) $126 $180 1.9×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $105 $150 2.7×
Pulm function test by gas (94727) $277.20 $396 1.2×
Pulmonary Stress Testing (94618) $198.10 $283 1.4×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $42.70 $61 1.2×
Remote 30 Day Ecg Tech Supp (93229) $178.50 $255 0.5×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851)
range across 3 matching MRF lines
$30.80–$43.40 $44–$62 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $321.30 $459 2.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $156.80 $224 3.3×
Self Care Mngment Training (97535) $86.80 $124 2.7×
Sensory Integration Ea 15 Min (97533) $67.90 $97 1.1×
Sleep study unattended (95806) $565.60 $808 2.5×
Slp caregiver training 1st 30 min (97550) $263.20 $376 5.0×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $406.70 $581 1.8×
Speech sound lang comprehen (92523) $493.50 $705 2.2×
Spirometry (94010) $222.60 $318 1.0×
Standardized Cognitive Performance Testing (96125) $200.90 $287 2.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 4 matching MRF lines
$31.50–$137.20 $45–$196 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 4 matching MRF lines
$30.10–$137.20 $43–$196 varies
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $112 $160 3.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $65.10 $93 2.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $316.40 $452 3.1×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$20.30–$237.30 $29–$339 varies
Ther/Proph/Diag Iv Inf Init (96365) $406 $580 1.8×
Therapeutic Activities (97530) $86.80 $124 2.5×
Tobacco Use Cessation Intensive >10 Minutes (99407) $144.90 $207 3.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $69.30 $99 1.8×
Tte w/doppler, complete (93306) $1,374.80 $1,964 2.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $306.60 $438 4.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $169.40 $242 7.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $112.70 $161 2.3×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$16.10–$630.70 $23–$901 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $186.90 $267 0.8×
Vent Mgmt Inpat Init Day (94002) $296.10 $423 0.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $175 $250 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $75.60 $108 2.4×

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.