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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ProcedureCash priceGross charge× Medicare
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $53.90 $77 1.8×
Acupuncture 1/> ndls w/elec stimj 1st 15 min (97813) $63.70 $91 2.1×
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) $70.35 $100.50 0.3×
Analyze Neurostim Complex (95972) $79.80 $114 0.8×
Analyze neurostim no prog (95970) $25.90 $37 0.2×
Application of heat wave therapy (97024) $43.40 $62 5.9×
Assessment of aphasia (96105) $345.45 $493.50 3.6×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $92.40 $132 2.4×
Behav assmt w/score & docd/stand instrument (96127) $7 $10 0.2×
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×
Behavioral and qualitative analysis of voice and resonance (92524) $241.50 $345 2.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $403.20 $298 1.0×
Canalith Repositioning (95992) $78.05 $111.50 1.9×
Cardiopulmonary resuscitation (92950) $1,207.85 $1,725.50 5.3×
Cardioversion (92960) $430.15 $614.50 0.6×
Caregiver training 1st 30 min (97550) $263.20 $376 5.0×
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 Push Sngl Drug (96409) $605.50 $865 1.7×
Chemother, IV infusion, 1 hr (96413) $280 $400 0.8×
Chemother, IV infusion, ea add hr (96415) $215.60 $308 2.8×
Color/duplex Doppler, complete (93975) $638.75 $912.50 2.5×
Color/duplex Doppler, limited (93976) $990.50 $1,415 9.0×
Cpap initiation and management (94660) $210.70 $301 0.9×
Cpt initial (94667) $150.50 $215 1.1×
Critical care (99291) $2,630.60 $3,758 3.0×
Debridement Open Wound 20 Sq Cm< (97597) $165.90 $237 0.8×
Demo &/or eval,pt use,aerosol device (94664) $151.90 $217 0.7×
Developmental tst admin phys/qhp 1st hour (96112) $2,373 $3,390 17.5×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $693.35 $990.50 2.8×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $698.95 $998.50 2.8×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $464.80 $664 4.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $284.20 $406 1.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $537.60 $768 4.9×
Dup-scan xtr veins unilateral/limited study (93971) $534.45 $763.50 4.8×
Duplex scan extracranial art compl bi study (93880) $856.80 $1,224 3.4×
Echo Heart Xthoracic,Limited (93308) $141.40 $202 0.6×
EEG awake asleep (95819) $655.20 $936 2.9×
EEG awake drowsy (95816) $763.35 $1,090.50 3.4×
EEG cerebral death evaluation (95824) $53.20 $76 0.1×
EEG coma or sleep only (95822) $77.70 $111 0.3×
Eeg Extended Monitoring 61-119 Minutes (95813) $117.60 $168 0.5×
EKG (93005) $255.50 $365 4.1×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $133.70 $191 1.3×
EMG one extremity (95860) $160.30 $229 1.1×
EMG two extremities (95861) $226.80 $324 1.6×
Er level 1 (99281) $385.70 $551 4.3×
Er level ii (99282) $541.80 $774 3.3×
Er level iii (99283) $1,040.90 $1,487 3.6×
Er level IV (99284) $1,632.40 $2,332 3.7×
Er level v (99285) $2,405.90 $3,437 3.8×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $163.80 $234 2.3×
Evaluation of speech fluency (92521) $241.50 $345 1.8×
Evaluation of speech sound production (92522) $200.90 $287 1.8×
Evaluation of swallowing function (92610) $287.70 $411 3.4×
Evaluation with prescription of speech-generating alternative (92607) $321.30 $459 2.6×
External ECG rec>48hr<7d recording (93242) $90.30 $129 2.3×
External ECG rec>7d<15d recording (93246) $90.30 $129 2.3×
Fam adapt bhv tx gdn phy/qhp (97156) $24.50 $35 0.6×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $287.70 $411 1.4×
Group Therapeutic Procedures (97150) $38.50 $55 2.1×
Grp adapt bhv prtcl modifcaj phys/qhp ea 15 min (97158) $7.70 $11 0.2×
Grp adapt bhv tx by tech (97154) $7 $10 0.2×
Immunization Admin (90471) $36.40 $52 0.5×
Intracutaneous tests w/allergenic xtrcs airborne (95027) $27.30 $39 0.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $210.70 $301 2.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $406 $580 1.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $146.30 $209 3.0×
IV push initial (96374) $198.80 $284 0.9×
Manual therapy 15 min (97140) $75.60 $108 2.7×
Massage 15 min (97124) $65.10 $93 2.2×
Mechanical chest wall oscillation (94669) $130.20 $186 0.6×
Mechanical traction (97012) $35.70 $51 2.5×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $287.70 $411 3.1×
Mult fam adapt bhv tx gdn (97157) $14.70 $21 0.4×
Neg press wnd tx </=50 sq cm (97607) $630 $900 1.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $281.40 $402 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $181.30 $259 0.4×
Nerve conduction studies 13/> studies (95913) $403.20 $576 1.0×
Nerve Conduction Studies 3-4 Studies (95908) $158.20 $226 0.7×
Nerve Conduction Studies 9-10 Studies (95911) $299.60 $428 0.8×
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; 5-6 studies (95909) $190.40 $272 0.8×
Nerve conduction studies; 7-8 studies (95910) $248.50 $355 0.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $630.70 $901 4.5×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $186.90 $267 0.8×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $296.10 $423 2.2×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98972) $42.70 $61 1.2×
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×
Orthotics mgmt & traing 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 Community/Work Reintegration Trainj Ea 15 Min (97537) $67.90 $97 2.1×
Ot Contrast Bath Ea 15 Min (97034) $42.70 $61 3.0×
Ot eval high complex 60 min (97167) $245 $350 2.4×
Ot eval low complex 30 min (97165) $160.30 $229 1.6×
Ot eval mod complex 45 min (97166) $192.50 $275 1.9×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $134.40 $192 2.7×
Ot Range Motion Measure,Each Extrem (95851) $43.40 $62 1.7×
Ot re-eval est plan care (97168) $126 $180 1.8×
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 Aquatic Therapy/Exercises (97113) $112 $160 3.0×
Pt Electric Current Therapy (97033) $60.90 $87 3.2×
Pt Electrical Stimulation (97032) $109.20 $156 7.4×
Pt eval high complex 45 min (97163) $245 $350 2.5×
Pt eval low complex 20 min (97161) $160.30 $229 1.6×
Pt Gait Training Therapy (97116) $75.60 $108 2.6×
Pt group caregiver training (97552) $60.90 $87 2.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $84 $120 2.6×
Pt Physical Performance Test (97750) $300.30 $429 8.9×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $192.50 $275 2.0×
Pt re-evaluation (97164) $126 $180 1.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $86.80 $124 2.7×
Pt Ultrasound Therapy (97035) $30.80 $44 2.1×
Pt-focused hlth risk assmt (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×
Rom meas&reprt hand w/wo comparison normal sid (95852) $37.10 $53 1.7×
Rt Chest Wall Manipulation,Subsequent (94668) $121.80 $174 0.9×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $156.80 $224 3.3×
Sensory Integration Ea 15 Min (97533) $67.90 $97 1.1×
Sleep study unattended (95806) $565.60 $808 2.5×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $406.70 $581 1.8×
Smoking cessation > 10 min (99407) $144.90 $207 3.7×
Speech group therapy (92508) $169.40 $242 7.0×
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) $133.70 $191 6.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $133.70 $191 6.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $316.40 $452 3.1×
Ther/Proph/Diag Inj Sc/Im (96372) $128.80 $184 1.7×
Therapeutic Activities (97530) $86.80 $124 2.5×
Therapeutic phlebotomy (99195) $231 $330 1.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $69.30 $99 1.8×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,374.80 $1,964 2.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $306.60 $438 4.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $137.20 $196 1.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $112.70 $161 2.3×
Vasc Duplex Extrem Venous,Bilat (93970) $695.80 $994 2.8×
Vasc Duplex Scan Extracranial,Limited (93882) $32.20 $46 0.3×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $229.60 $328 1.0×
Ventilation assist & mgmt inpatient 1st 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×
Xtrnl mobile cv telemetry w/technical support (93229) $178.50 $255 0.5×