Visits & medical services prices at Grover C. Dils Medical Center

Caliente, NV · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480)
range across 6 matching MRF lines		 $30–$33 $40–$44 varies
Airway Inhalation Treatment (94640) $59.25 $79 0.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $129 $172 0.3×
Chemo Anti-Neopl Sq/Im (96401)
range across 2 matching MRF lines		 $99–$127.50 $132–$170 varies
Color/duplex Doppler, complete (93975) $953.25 $1,271 3.8×
Continuous Pulse Ox (94762) $129 $172 0.9×
Debridement Open Wound 20 Sq Cm< (97597) $268.50 $358 1.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $262.50 $350 2.4×
Dup-scan xtr veins unilateral/limited study (93971) $521.60 $695.46 4.7×
Electrocardiogram Tracing (93005) $164.25 $219 2.6×
Emergency Dept Visit Level 4 (99284) $929.78 $1,239.70 2.1×
Immunization administration (90471) $26.25 $35 0.3×
Irrig Drug Delivery Device (96523) $102.75 $137 1.7×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines		 $51.75–$67.50 $69–$90 varies
IV infusion hydration initial 31 min-1 hour (96360) $159 $212 0.7×
IV push initial (96374) $96.75 $129 0.4×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $48 $64 2.1×
Osteopathic manipulative tx 3-4 body regions (98926) $51 $68 2.2×
Osteopathic manipulative tx 5-6 body regions (98927) $61.50 $82 2.7×
Osteopathic manipulative tx 7-8 body regions (98928) $74.25 $99 3.3×
Osteopathic manipulative tx 9-10 body regions (98929) $86.25 $115 3.8×
Phlebotomy therapeutic (99195) $180 $240 1.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $23.25 $31 0.5×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 2 matching MRF lines		 $21–$45.75 $28–$61 varies
Pure Tone Audiometry Air (92552) $21 $28 0.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $417 $556 2.0×
Sensory Integration Ea 15 Min (97533) $75.75 $101 1.2×
Spirometry (94010) $70.50 $94 0.3×
Ther/Proph/Diag Inj Sc/Im (96372) $23.25 $31 0.3×
Ther/Proph/Diag Iv Inf Init (96365) $159 $212 0.7×
Tobacco Use Cessation Intensive >10 Minutes (99407) $57.75 $77 1.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $57.75 $77 1.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $96.75 $129 2.0×

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.