Visits & medical services prices at Haxtun Hospital District

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

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $226.20 $232 2.1×
Airway inhalation treatment (94640) $42.90 $44 0.2×
Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) $57.53 $59
Application of a modality to 1 or more areas; diathermy (eg, microwave) Other Outpatient (97024) $14.63 $15
Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) $39.98 $41
Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) $71.66 $73.50
Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) $53.63 $55
Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) $61.43 $63
Assessment of aphasia (96105) $307.13 $315
Behavioral & qualit analysis voice and resonance (92524) $344.18 $353
Breathing capacity test (94010) $357.83 $367 1.6×
Canalith repositioning (95992) $115.05 $118
Color/duplex Doppler, complete (93975) $975.98 $1,001 3.9×
Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) $100.43 $103
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time… (99487) $321.75 $330 1.7×
Cpr (92950) $2,267.36 $2,325.50 10.0×
Critical care ill/injured patient init 30-74 min (99291) $1,794 $1,840 2.1×
Debridement open wound 20 sq cm< (97597) $62.40 $64 0.3×
Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) $1,058.85 $1,086 4.2×
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) $180.38 $185 0.7×
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) $567.94 $582.50 5.1×
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) $965.25 $990 3.8×
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) $740.03 $759 6.7×
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) $1,078.35 $1,106 4.3×
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) $791.70 $812 7.2×
EKG 12 lead tracing only (93005) $295.43 $303 4.7×
Emergency department visit high mdm (99285) $1,718.93 $1,763 2.7×
Emergency department visit low mdm (99283) $738.08 $757 2.6×
Emergency department visit may not req phys/qhp (99281) $234.49 $240.50 2.6×
Emergency department visit moderate mdm (99284) $901.39 $924.50 2.0×
Emergency department visit straightforward mdm (99282) $361.73 $371 2.2×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $223.28 $229 1.6×
Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) $240.83 $247
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) $148.20 $152
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $389.03 $399
Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92605) $267.15 $274
Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92618) $91.65 $94
Evaluation of speech fluency (92521) $321.75 $330
Evaluation of speech sound production articulate (92522) $350.03 $359
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) $374.40 $384 2.7×
External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data… (93229) $4,098.90 $4,204 10.4×
Fluidotherapy (97022) $51.19 $52.50
Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral (92235) $647.40 $664 2.8×
Infrared therapy (97026) $46.80 $48
Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) $134.55 $138 2.7×
Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) $172.58 $177 0.8×
Irrigaj implntd venous access drug delivery syst (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 1st to 1 hr (96365) $408.53 $419 1.8×
IV tx, each additional hour (96366) $188.18 $193 3.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $111.15 $114
Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) $95.55 $98
Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) $264.23 $271
Neg pressure wound therapy non dme </= 50 sq cm (97607) $1,144.65 $1,174 2.7×
Occupational therapy eval high complex 60 mins (97167) $315.90 $324
Occupational therapy eval low complex 30 mins (97165) $315.90 $324
Occupational therapy eval mod complex 45 mins (97166) $315.90 $324
Oral function therapy (92526) $267.15 $274
Oral speech device eval (92597) $203.78 $209
Orthc/prostc mgmt sbsq enc (97763) $168.68 $173
Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) $100.42 $103
Ot manual therapy ea 15 min (97140) $85.80 $88
Ot neuromuscular re-education (97112) $107.25 $110
Ot paraffin bath (97018) $78 $80
Ot re-evaluation (97168) $216.45 $222
OT Therapeutic Activities Charges (97530) $120.90 $124
Ot wheelchair management (97542) $74.10 $76
Other physical medicine or rehabilitation service or procedure (97799) $37.54 $38.50
Phlebotomy therapeutic (99195) $213.53 $219 1.5×
Physical therapy evaluation high complex 45 mins (97163) $237.42 $243.50
Physical therapy evaluation low complex 20 mins (97161) $154.54 $158.50
Physical therapy evaluation mod complex 30 mins (97162) $198.90 $204
Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) $4,676.10 $4,796 5.2×
Pr unlisted therapeutic procedure specify (97139) $74.10 $76
Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) $47.78 $49
Psych diag eval w/med srvcs (90792) $496.28 $509 2.7×
Psychiatric diagnostic evaluation (90791) $433.88 $445 2.3×
Pt gait training 15 min (97116) $117.98 $121
Pt physical performance test (97750) $14.63 $15
Pt re-evaluation (97164) $132.60 $136
Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) $193.05 $198
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section… (95851) $47.78 $49
Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) $128.70 $132
Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) $150.16 $154
Speech sound lang comprehen (92523) $713.70 $732
Standardized cognitive performance testing (96125) $333.45 $342
Telephone assmt&mgmt svc nqhp est pt 11-20 min (98967) $78.98 $81
Telephone assmt&mgmt svc nqhp est pt 21-30 min (98968) $114.08 $117
Telephone assmt&mgmt svc nqhp est pt 5-10 min (98966) $40.95 $42
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $79.95 $82
Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) $78.98 $81
Therapeutic prophylactic/dx injection subq/im (96372) $166.73 $171 2.2×
Therapeutic service(s) for the use of non-speech-generating device, including programming and modification (92606) $238.88 $245
Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) $310.05 $318
Tte f-up or lmtd (93308) $1,291.88 $1,325 5.1×
Tte w/doppler complete (93306) $2,447.25 $2,510 4.2×
Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) $239.85 $246
Tx speech language voice commj auditry 2/>indiv (92508) $75.08 $77
Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion (96379) $249.60 $256 5.1×
Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) $99.45 $102
Wound(s) care non-selective (97602) $399.75 $410 1.9×