Visits & medical services prices at Grand River Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $110 $220 0.5×
Ambulatory Bp Recording (93786) $161.50 $323 1.2×
Appl on-body injector for timed subq injection (96377) $70.75 $141.50 1.4×
Application of heat wave therapy (97024) $11.50 $23 1.6×
Assessment of aphasia (96105) $376.25 $752.50 3.9×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $98.50 $197 2.6×
Behavioral and qualitative analysis of voice and resonance (92524) $315.25 $630.50 2.9×
Biofeedback training any modality (90901) $114.50 $229 2.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $296.75 $593.50 0.8×
Car seat/bed test 60 min (94780) $48 $96 1.2×
Cardiopulmonary resuscitation (92950) $292 $584 1.3×
Cardioversion (92960) $778.50 $1,557 1.1×
Caregiver training 1st 30 min (97550) $64 $128 1.2×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $34.50 $69 1.3×
Cbt 1st hour (94644) $165.50 $331 1.2×
Chemo Hormon Antineopl Sq/Im (96402) $118.25 $236.50 1.6×
Chemo IV push addl drug (96411) $199.25 $398.50 2.6×
Chemo Iv Push Sngl Drug (96409) $357 $714 1.0×
Chemo prolong 8+ hrs infuse w/pump (96416) $563.75 $1,127.50 1.6×
Chemother, IV infusion, 1 hr (96413) $563.75 $1,127.50 1.6×
Chemother, IV infusion, ea add hr (96415) $148.75 $297.50 2.0×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $188 $376 2.5×
Chemotherapy, unspecified procedure (96549) $85.50 $171 1.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $100 $200 1.3×
Color/duplex Doppler, complete (93975) $801 $1,602 3.2×
Cont Gluc Monitoring Patient Provided Equipment (95249) $94.25 $188.50 1.5×
Cpap initiation and management (94660) $454 $908 2.0×
Cpt initial (94667) $83.50 $167 0.6×
Critical care (99291) $1,906.50 $3,813 2.2×
Debridement Open Wound 20 Sq Cm< (97597) $272.50 $545 1.3×
Demo &/or eval,pt use,aerosol device (94664) $83 $166 0.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $889.75 $1,779.50 3.5×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $741.50 $1,483 6.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $759.50 $1,519 6.9×
Dup-scan xtr veins unilateral/limited study (93971) $534 $1,068 4.8×
Duplex scan extracranial art compl bi study (93880) $771.25 $1,542.50 3.1×
Echo Heart Xthoracic,Limited (93308) $474.50 $949 1.9×
Echo transesophageal (93312) $1,519.50 $3,039 2.6×
EKG (93005) $139.50 $279 2.2×
EKG rhythm strip (93041) $100 $200 1.6×
Er level 1 (99281) $195.75 $391.50 2.2×
Er level ii (99282) $279.25 $558.50 1.7×
Er level iii (99283) $523.50 $1,047 1.8×
Er level IV (99284) $814.25 $1,628.50 1.8×
Er level v (99285) $1,222.25 $2,444.50 1.9×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $239 $478 3.4×
Evaluation of speech fluency (92521) $331.50 $663 2.5×
Evaluation of speech sound production (92522) $330.50 $661 3.0×
Evaluation of swallowing function (92610) $317.25 $634.50 3.7×
Evaluation with prescription of speech-generating alternative (92607) $233.25 $466.50 1.9×
External ECG rec>7d<15d recording (93246) $151.50 $303 3.8×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $237.25 $474.50 1.2×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $273.50 $547 1.2×
Fundus photography w/interpretation & report (92250) $133.25 $266.50 0.9×
Group Therapeutic Procedures (97150) $56 $112 3.1×
Holter Monitor Recording (93225) $323 $646 2.3×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $24.67 $49.34 0.6×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $18.92 $37.84 0.2×
Immunization Admin (90471) $36 $72 0.5×
Immunotherapy, 2+ Injections (95117) $60 $120 1.2×
Ingestion challenge test initial 120 minutes (95076) $74.50 $149 0.2×
Intralesional Chemo Admin,<8 Lesn (96405) $109.75 $219.50 1.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $69.75 $139.50 1.1×
IV infusion hydration each additional hour (96361) $185 $370 3.7×
IV infusion hydration initial 31 min-1 hour (96360) $216.25 $432.50 1.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $142 $284 1.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $213.50 $427 1.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $115.50 $231 2.3×
IV push initial (96374) $118.75 $237.50 0.5×
Low frequency non-thermal us (97610) $115.50 $231 0.5×
Manual therapy 15 min (97140) $181 $362 6.5×
Massage 15 min (97124) $162.75 $325.50 5.5×
Mechanical traction (97012) $41.50 $83 2.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $53.50 $107 1.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $87 $174 2.4×
Mnt Group Ea 30 Min (97804) $22.50 $45 1.3×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $377.50 $755 4.1×
Neg press wnd tx </=50 sq cm (97607) $260.25 $520.50 0.6×
Neg press wound tx >50 cm (97608) $398.75 $797.50 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $260.50 $521 1.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $231.75 $463.50 0.5×
New patient problem focused exam of visual system (92002) $208.50 $417 1.5×
Nitric oxide expired gas determination (95012) $18.50 $37 0.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $186 $372 1.4×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98972) $49.75 $99.50 1.4×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98970) $20 $40 1.6×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98971) $37.50 $75 1.6×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $157 $314 3.4×
Ot Contrast Bath Ea 15 Min (97034) $125 $250 8.9×
Ot eval high complex 60 min (97167) $194.25 $388.50 1.9×
Ot eval low complex 30 min (97165) $194.25 $388.50 1.9×
Ot eval mod complex 45 min (97166) $194.25 $388.50 1.9×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $208.75 $417.50 4.2×
Ot Prosthetic Training, Each 15 Min (97761) $244.50 $489 6.0×
Ot Range Motion Measure,Each Extrem (95851) $59 $118 2.3×
Ot re-eval est plan care (97168) $119 $238 1.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $156.75 $313.50 1.2×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $119 $238 0.9×
Paraffin bath (97018) $25 $50 4.2×
Percutaneous tests w/allergenic extracts (95004) $7 $14 0.0×
Peripheral arterial disease rehab per session (93668) $119 $238 1.9×
Phy/qhp op pulm rhb w/mntr (94626) $119 $238 1.9×
Phy/qhp op pulm rhb w/o mntr (94625) $106.50 $213 1.7×
Plethysmography (94726) $290 $580 0.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,777.75 $5,555.50 3.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $34.75 $69.50 0.7×
Pt Aquatic Therapy/Exercises (97113) $210.50 $421 5.7×
Pt Electric Current Therapy (97033) $164.50 $329 8.6×
Pt Electrical Stimulation (97032) $137.50 $275 9.4×
Pt eval high complex 45 min (97163) $181.50 $363 1.9×
Pt eval low complex 20 min (97161) $181.50 $363 1.9×
Pt Gait Training Therapy (97116) $132.25 $264.50 4.6×
Pt group caregiver training (97552) $34.50 $69 1.6×
Pt Infrared Therapy (97026) $38 $76 5.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $224 $448 6.8×
Pt Physical Performance Test (97750) $195.50 $391 5.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $181.50 $363 1.9×
Pt re-evaluation (97164) $103.50 $207 1.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $233 $466 7.2×
Pt Ultrasound Therapy (97035) $97.75 $195.50 6.8×
Pt Whirlpool Therapy (97022) $74.50 $149 4.7×
Pulmonary stress testing (94618) $175.25 $350.50 1.2×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $209.50 $419 5.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $113.50 $227 0.5×
Rom meas&reprt hand w/wo comparison normal sid (95852) $43.50 $87 2.0×
Rt Chest Wall Manipulation,Subsequent (94668) $69.75 $139.50 0.5×
Sensory Integration Ea 15 Min (97533) $227.50 $455 3.7×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $375.75 $751.50 1.6×
Smoking cessation > 10 min (99407) $45.50 $91 1.2×
Speech group therapy (92508) $74.75 $149.50 3.1×
Speech sound lang comprehen (92523) $315.25 $630.50 1.4×
Spirometry (94010) $147.50 $295 0.6×
Standardized Cognitive Performance Testing (96125) $601 $1,202 5.8×
Surfactant Admin Thru Tube (94610) $336 $672 1.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $75 $150 3.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $188.25 $376.50 8.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $166 $332 1.6×
Ther/Proph/Diag Inj Sc/Im (96372) $140.75 $281.50 1.9×
Therapeutic Activities (97530) $237 $474 6.8×
Therapeutic phlebotomy (99195) $139 $278 1.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $28.50 $57 0.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,246 $2,492 2.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $170.25 $340.50 2.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $165.50 $331 2.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $111.25 $222.50 2.3×
Unlisted pulmonary service/procedure (94799) $98 $196 0.7×
Vasc Duplex Extrem Venous,Bilat (93970) $926 $1,852 3.7×
Vasopneumatic device (97016) $41.50 $83 3.5×
Ventilation assist & mgmt inpatient 1st day (94002) $945.50 $1,891 1.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $756.50 $1,513 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $367 $734 11.8×