Visits & medical services prices at Haxtun Hospital District

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

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

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ProcedurePosted cashPosted gross× Medicare
Advncd Care Plan 30 Min (99497) $226.20 $232 2.1×
Airway Inhalation Treatment (94640) $42.90 $44 0.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 3 matching MRF lines
$30.23–$91.65 $31–$94 varies
Application Modality 1/> Areas Diathermy (97024) $14.63 $15 2.0×
Application Modality 1/> Areas Infrared (97026) $46.80 $48 7.0×
Assessment of aphasia per hr (96105) $307.13 $315 3.2×
Behavral qualit analys voice (92524) $344.18 $353 3.1×
Canalith repositioning proc (95992) $115.05 $118 2.8×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$1,586.33–$2,948.40 $1,627–$3,024 varies
Color/duplex Doppler, complete (93975) $975.98 $1,001 3.9×
Community/Work Reintegration Trainj Ea 15 Min (97537) $100.43 $103 3.1×
Complex chronic care mgmt svc 1st 60 min cal mo (99487)
range across 3 matching MRF lines
$138.45–$458.25 $142–$470 varies
Critical care first hour (99291) $1,794 $1,840 2.1×
Debridement Open Wound 20 Sq Cm< (97597) $62.40 $64 0.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $965.25 $990 3.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $740.03 $759 6.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $180.38 $185 0.7×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$340.28–$795.60 $349–$816 varies
Duplex up extrem art bilat (93930) $1,078.35 $1,106 4.3×
Duplex up extrem art unilat/ltd (93931) $791.70 $812 7.2×
Echo Heart Xthoracic,Limited (93308) $1,291.88 $1,325 5.1×
Electrical Stimulation Ea 15 Min (97032)
range across 3 matching MRF lines
$35.10–$84.83 $36–$87 varies
Electrocardiogram Tracing (93005) $295.43 $303 4.7×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$285.68–$437.78 $293–$449 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines
$428.03–$1,194.38 $439–$1,225 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$636.68–$1,166.10 $653–$1,196 varies
Er level 1 (99281)
range across 2 matching MRF lines
$212.55–$256.43 $218–$263 varies
Er level v (99285)
range across 2 matching MRF lines
$946.73–$2,491.13 $971–$2,555 varies
Eval aud funcj cand/po surg implt dev 1st hr (92626) $223.28 $229 1.6×
Evaluate Speech Production (92522) $350.03 $359 3.1×
Evaluate Swallowing Function (92610) $240.83 $247 2.8×
Evaluation of speech fluency (92521) $321.75 $330 2.4×
Extracranial Bilat Study (93880) $1,058.85 $1,086 4.2×
Fluorescein angiography (92235)
range across 2 matching MRF lines
$409.50–$885.30 $420–$908 varies
Holter monitor recording (93225) $374.40 $384 2.7×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$61.43–$81.90 $63–$84 varies
Irrig Drug Delivery Device (96523) $92.63 $95 1.5×
IV infusion hydration each additional hour (96361) $181.35 $186 3.7×
IV infusion hydration initial 31 min-1 hour (96360) $403.65 $414 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $61.43 $63 0.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $188.18 $193 3.8×
IV push initial (96374) $172.58 $177 0.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $95.55 $98 3.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $111.15 $114 3.0×
Motion Fluoroscopy/Swallow (92611) $264.23 $271 2.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,144.65 $1,174 2.7×
Neuromuscular Reeducation (97112)
range across 3 matching MRF lines
$71.18–$110.18 $73–$113 varies
Nonphysician Telephone Assessment 11-20 Min (98967) $78.98 $81 3.2×
Nonphysician Telephone Assessment 21-30 Min (98968) $114.08 $117 3.3×
Nonphysician Telephone Assessment 5-10 Min (98966) $40.95 $42 3.0×
Oral Function Therapy (92526) $267.15 $274 3.2×
Oral Speech Device Eval (92597) $203.78 $209 2.9×
Orthc/Prostc Mgmt Sbsq Enc (97763) $168.68 $173 3.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$48.75–$152.10 $50–$156 varies
Ot Contrast Bath Ea 15 Min (97034) $57.53 $59 4.1×
Ot eval high complexity (97167) $315.90 $324 3.1×
Ot Eval Low Complex (97165) $315.90 $324 3.1×
Ot Eval Moderate Complexity (97166) $315.90 $324 3.1×
Ot manual therapy 15 min (97140)
range across 3 matching MRF lines
$57.53–$123.83 $59–$127 varies
Ot paraffin bath (97018) $78 $80 13.0×
Ot Prosthetic Training, Each 15 Min (97761) $47.78 $49 1.2×
Ot Re-Eval Est Plan Care (97168) $216.45 $222 3.2×
Phlebotomy therapeutic (99195) $213.53 $219 1.5×
Physical Performance Test (97750) $14.63 $15 0.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,676.10 $4,796 5.2×
Psych diag eval w/med srvcs (90792) $496.28 $509 2.7×
Psychiatric diagnostic evaluation (90791) $433.88 $445 2.3×
Pt Eval High Complex (97163)
range across 2 matching MRF lines
$222.30–$252.53 $228–$259 varies
Pt eval low complex 20 min (97161)
range across 2 matching MRF lines
$140.40–$168.68 $144–$173 varies
Pt Eval Mod Complex (97162)
range across 2 matching MRF lines
$188.18–$209.63 $193–$215 varies
Pt gait training 15 min (97116) $117.98 $121 4.1×
Pt Re-Eval Est Plan Care (97164) $132.60 $136 2.0×
Remote 30 Day Ecg Tech Supp (93229) $4,098.90 $4,204 10.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$171.60–$571.35 $176–$586 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $47.78 $49 1.8×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $389.03 $399 3.2×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $148.20 $152 3.1×
Self Care Mngment Training (97535) $128.70 $132 4.0×
Sensory Integration Ea 15 Min (97533)
range across 2 matching MRF lines
$98.48–$201.83 $101–$207 varies
Speech sound lang comprehen (92523) $713.70 $732 3.2×
Spirometry (94010) $357.83 $367 1.6×
Standardized Cognitive Performance Testing (96125) $333.45 $342 3.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $79.95 $82 3.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 3 matching MRF lines
$69.23–$93.60 $71–$96 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $310.05 $318 3.0×
Ther/Prop/Diag Inj/Inf Proc (96379) $249.60 $256 5.1×
Ther/Proph/Diag Inj Sc/Im (96372) $166.73 $171 2.2×
Ther/Proph/Diag Iv Inf Init (96365) $408.53 $419 1.8×
Therapeutic Activities (97530)
range across 3 matching MRF lines
$101.40–$120.90 $104–$124 varies
Tte w/doppler, complete (93306) $2,447.25 $2,510 4.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $239.85 $246 3.1×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $75.08 $77 3.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $134.55 $138 2.7×
Vasopneumatic device (97016) $61.43 $63 5.1×
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines
$47.78–$100.43 $49–$103 varies
Whirlpool Therapy (97022)
range across 2 matching MRF lines
$47.78–$54.60 $49–$56 varies

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.