Visits & medical services prices at HCA HealthOne Sky Ridge Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Administration of chemotherapy into artery using push technique (96420) $9,248.80 $9,248.80 26.5×
Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord (96450) $8,855.82 $8,855.82 25.4×
Aerosol inhalation pentamidine (94642) $5,966.40 $5,966.40 25.8×
Airway inhalation treatment (94640) $516.18 $516.18 2.2×
Analyze pacemaker system (93724) $19,806.60 $19,806.60 61.1×
Appl on-body injector for timed subq injection (96377) $164.45 $164.45 3.3×
Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) $545.60 $545.60
Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) $545.60 $545.60
Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) $535.15 $535.15
Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) $484.28 $484.28
Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) $529.10 $529.10
Assessment of aphasia (96105) $1,972.30 $1,972.30
Behavioral & qualit analysis voice and resonance (92524) $2,258.85 $2,258.85
Bfb training ea addl 15 min (90913) $3,120 $3,120
Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when… (90912) $3,120 $3,120
Bipap initial day (94660) $4,132.70 $4,132.70 17.9×
Bis extracellular fluid alys lymphedema assmnt (93702) $1,819.40 $1,819.40 13.4×
Blink reflex test (95933) $463.65 $463.65 7.5×
Breathing capacity test (94010) $1,706.10 $1,706.10 7.5×
Bronchial allergy tests (95070) $8,336.35 $8,336.35 21.2×
Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) $3,510.65 $3,510.65 8.9×
Bundle of his recording (93600) $16,159.55 $16,159.55 2.0×
Cardiovascular procedure unlisted (93799) $654.76 $654.76 4.8×
Cardiovascular stress test (93017) $8,602 $8,602 37.8×
Cardioversion elective external (92960) $23,700.05 $23,700.05 34.0×
Chemo anti-neopl sq/im (96401) $3,830.75 $3,830.75 50.4×
Chemo IV infus each addl seq (96417) $3,830.75 $3,830.75 50.4×
Chemo IV infusion addl hr (96415) $1,787.50 $1,787.50 23.5×
Chemo IV push addl drug (96411) $3,830.75 $3,830.75 50.4×
Chemother prolong infuse w/pump (96416) $3,830.75 $3,830.75 11.0×
Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) $3,279.65 $3,279.65 9.4×
Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) $3,830.75 $3,830.75 11.0×
Chest physiotherapy initial (94667) $736.45 $736.45 5.2×
Color/duplex Doppler, complete (93975) $6,269.45 $6,269.45 24.9×
Color/duplex Doppler, limited (93976) $4,629.90 $4,629.90 42.0×
Compre electrophysiologic w/o arrhyt induction (93619) $47,521.65 $47,521.65 5.8×
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with… (93620) $53,763.60 $53,763.60 6.5×
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) $2,532.20 $2,532.20 18.0×
Critical care ill/injured patient init 30-74 min (99291) $28,757.85 $28,757.85 33.0×
Debridement open wound 20 sq cm< (97597) $965.52 $965.52 4.6×
Delivery/birthing room resuscitation (99465) $4,803.70 $4,803.70 6.9×
Developmental tst admin phys/qhp 1st hour (96112) $1,812.25 $1,812.25 13.4×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $3,645.40 $3,645.40 33.1×
Duplex hemodialysis access (93990) $2,928.20 $2,928.20 26.6×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $8,191.70 $8,191.70 32.5×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $5,902.60 $5,902.60 53.5×
Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) $3,370.95 $3,370.95 13.4×
Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) $7,077.95 $7,077.95 28.1×
Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) $4,381.58 $4,381.58 39.7×
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) $8,229.65 $8,229.65 32.7×
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) $5,903.15 $5,903.15 53.5×
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) $4,633.20 $4,633.20 18.4×
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) $5,903.15 $5,903.15 53.5×
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) $4,633.20 $4,633.20 18.4×
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) $3,530.45 $3,530.45 32.0×
ECG monit/reprt up to 48 hrs (93226) $5,218.95 $5,218.95 83.9×
ECG/monitoring and analysis (93271) $3,626.15 $3,626.15 36.2×
Echo transesophageal (93312) $11,999.08 $11,999.08 20.8×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $11,050.60 $11,050.60 19.2×
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) $8,670.75 $8,670.75 34.4×
EEG 41-60 minutes (95812) $4,504.50 $4,504.50 19.8×
EEG awake & asleep (95819) $10,920.25 $10,920.25 47.9×
EEG awake/drowsy (95816) $10,920.25 $10,920.25 47.9×
EEG coma or sleep only (95822) $8,995.80 $8,995.80 39.5×
EEG cont rec w/video by tech min 8 channels (95700) $13,759.35 $13,759.35 60.4×
EEG extended monitoring 61-119 minutes (95813) $7,071.90 $7,071.90 31.0×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $13,759.35 $13,759.35 35.0×
EEG w/o video by tech 2-12 hr unmonitored (95705) $13,759.35 $13,759.35 60.4×
EKG 12 lead tracing only (93005) $1,799.05 $1,799.05 28.9×
EKG rhythm strip (93041) $1,120.35 $1,120.35 18.0×
Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes… (93642) $33,946.55 $33,946.55 26.4×
Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or… (93624) $33,946.55 $33,946.55 4.1×
Emergency department visit high mdm (99285) $23,598.30 $23,598.30 37.6×
Emergency department visit low mdm (99283) $8,663.60 $8,663.60 30.1×
Emergency department visit may not req phys/qhp (99281) $869.55 $869.55 9.8×
Emergency department visit moderate mdm (99284) $14,520 $14,520 33.0×
Emergency department visit straightforward mdm (99282) $3,816.45 $3,816.45 23.6×
Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s)… (91038) $5,800.85 $5,800.85 14.7×
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and… (91010) $5,800.85 $5,800.85 14.7×
Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) $2,554.20 $2,554.20
Evaluate pt use of inhaler (94664) $972.40 $972.40 4.2×
Evaluation of speech sound production articulate (92522) $2,258.85 $2,258.85
Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic… (94617) $5,368.55 $5,368.55 38.3×
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) $2,873.75 $2,873.75 20.5×
Fluidotherapy (97022) $542.02 $542.02
Gastroesophag reflx test w/telemtry ph eltrd (91035) $3,929.75 $3,929.75 4.3×
Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and… (91110) $5,800.85 $5,800.85 6.1×
Immunization administration (90471) $577.22 $577.22 7.6×
Induction of arrhythmia by electrical pacing without Cardiac Cath (93618) $50,922.85 $50,922.85 39.6×
Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) $521.75 $521.75 10.6×
Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) $790.42 $790.42 3.5×
Interrog dev eval pm/ldls pm phys/qhp in person (93288) $425.15 $425.15 10.8×
Interrog device eval heart (93289) $722.70 $722.70 18.4×
Intra-atrial pacing (93610) $16,159.55 $16,159.55 2.0×
Intra-atrial recording (93602) $16,159.55 $16,159.55 2.0×
Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete… (93650) $141,544.70 $141,544.70 17.2×
Intraventricular pacing (93612) $21,329.55 $21,329.55 2.6×
Irrigaj implntd venous access drug delivery syst (96523) $977 $977 15.7×
IV infusion hydration each additional hour (96361) $1,555.40 $1,555.40 31.5×
IV infusion hydration initial 31 min-1 hour (96360) $2,090 $2,090 9.3×
IV infusion ther proph addl sequential to 1 hr (96367) $1,532.30 $1,532.30 20.2×
IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) $2,090 $2,090 9.3×
IV tx, each additional hour (96366) $1,555.40 $1,555.40 31.5×
Low frequency non-thermal us (97610) $897.60 $897.60 4.2×
Lwr xtr vasc stdy bilat (93924) $8,283.28 $8,283.28 36.4×
Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) $736.45 $736.45 5.2×
Maximum voluntary ventilation (94200) $3,529.35 $3,529.35 56.7×
Measurement of brain wave activity (EEG) to evaluate brain death (95824) $6,431.15 $6,431.15 16.3×
Mechanical chest wall oscillation lung function (94669) $736.45 $736.45 3.2×
Mechanical traction therapy (97012) $717.75 $717.75
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $325.50 $325.50
Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) $285.50 $285.50
Methacholine challenge (94070) $1,035.92 $1,035.92 2.6×
Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) $1,365.65 $1,365.65
Multiple sleep latency (95805) $16,364.15 $16,364.15 18.1×
Muscle test 3 limbs (95863) $4,843.30 $4,843.30 35.7×
Nasopharyngoscopy (92511) $1,693 $1,693 8.0×
Ndl EMG 4 xtr w/wo related paraspinal areas (95864) $5,519.25 $5,519.25 40.7×
Needle electromyography 2 extremities with or without related paraspinal areas 95861 (95861) $2,877.05 $2,877.05 20.5×
Needle electromyography; 1 extremity with or without related paraspinal areas (95860) $2,007.50 $2,007.50 14.3×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $9,064.55 $9,064.55 64.6×
Needle measurement of electrical activity in muscles on both sides of body (95868) $1,024.65 $1,024.65 4.5×
Neg pressure wound therapy non dme </= 50 sq cm (97607) $1,740 $1,740 4.1×
Neg pressure wound therapy non dme >50 sq cm (97608) $1,740 $1,740 4.1×
Negative pressure wound therapy dme </= 50 sq cm (97605) $1,480.02 $1,480.02 7.0×
Negative pressure wound therapy dme >50 sq cm (97606) $1,485.28 $1,485.28 3.5×
Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, ºeg, acquired knowledge,… (96116) $1,617 $1,617 7.1×
Neuromuscular junction test (95937) $485.65 $485.65 3.6×
Non-invasive physiologic study extremity 3 levels (93923) $2,708.20 $2,708.20 11.9×
Noninvasive ear/pulse oximetry overnight monitor (94762) $862.95 $862.95 6.4×
Occupational therapy eval high complex 60 mins (97167) $1,157.20 $1,157.20
Occupational therapy eval low complex 30 mins (97165) $578.60 $578.60
Occupational therapy eval mod complex 45 mins (97166) $868.45 $868.45
Oral function therapy (92526) $498.85 $498.85
Oral speech device eval (92597) $736.45 $736.45
Orthc/prostc mgmt sbsq enc (97763) $601.15 $601.15
Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) $512.05 $512.05
Ot manual therapy ea 15 min (97140) $422.95 $422.95
Ot neuromuscular re-education (97112) $528.28 $528.28
Ot paraffin bath (97018) $573.10 $573.10
Ot re-evaluation (97168) $681.72 $681.72
OT Therapeutic Activities Charges (97530) $422.95 $422.95
Ot wheelchair management (97542) $201.30 $201.30
Outpatient cardiac rehab w/cont ECG monitoring (93798) $327.75 $327.75 2.4×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $80 $80 0.6×
Pharmacological or physical activation requiring physician or other qualified health care professional attendance… (95954) $6,631.90 $6,631.90 16.8×
Phlebotomy therapeutic (99195) $1,328.50 $1,328.50 9.5×
Physical therapy evaluation high complex 45 mins (97163) $868.45 $868.45
Physical therapy evaluation low complex 20 mins (97161) $386.10 $386.10
Physical therapy evaluation mod complex 30 mins (97162) $578.60 $578.60
Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) $21,198.10 $21,198.10 23.4×
Polysom <6 yrs sleep w/cpap/bilvl vent 4/> param (95783) $28,263.95 $28,263.95 31.2×
Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a… (95782) $24,070.20 $24,070.20 26.6×
Prgrmg dev eval pm/ldls pm (93279) $425.15 $425.15 10.8×
Program eval implantable in persn dual ld pacer (93280) $425.15 $425.15 10.8×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $722.70 $722.70 18.4×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $722.70 $722.70 18.4×
Psychiatric diagnostic evaluation (90791) $4,687 $4,687 25.0×
Pt gait training 15 min (97116) $647.35 $647.35
Pt re-evaluation (97164) $681.72 $681.72
Pulm funct tst plethysmograp (94726) $4,389 $4,389 11.1×
Pulmonary stress testing (94618) $4,373.60 $4,373.60 31.2×
Recording to evaluate height and duration of heart beats through damaged heart tissue (93278) $2,470.60 $2,470.60 39.7×
Remote 30 day ECG rev/report (93270) $7,335.35 $7,335.35 186.3×
Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) $422.95 $422.95
Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) $422.95 $422.95
Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95926) $8,294 $8,294 36.4×
Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95925) $8,294 $8,294 36.4×
Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or… (95800) $1,690.70 $1,690.70 7.4×
Speech sound lang comprehen (92523) $2,258.85 $2,258.85
Standardized cognitive performance testing (96125) $1,683.55 $1,683.55
Stress tte only (93350) $10,542.12 $10,542.12 18.3×
Surfactant administration (94610) $891 $891 3.9×
Tcd emboli detect wo inj (93892) $3,592.60 $3,592.60 32.6×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $3,592.60 $3,592.60 32.6×
Temp transcutaneous pacing (92953) $5,667.75 $5,667.75 8.1×
Test to measure resistance of the airways and lungs to differing frequencies (94728) $4,609 $4,609 34.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $422.95 $422.95
Ther ivntj cog funcj cntct ea addl 15 minutes (97130) $422.95 $422.95
Ther/proph/diag inj ia (96373) $593.50 $593.50 2.6×
Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) $466.40 $466.40
Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) $422.95 $422.95
Therapeutic prophylactic/dx injection subq/im (96372) $334.50 $334.50 4.4×
Tilt table evaluation (93660) $5,291.55 $5,291.55 13.4×
Transcranial doppler stdy intracranial art compl (93886) $6,429.78 $6,429.78 25.5×
Transcranial Doppler study of the intracranial arteries; limited study Age Under 21 (93888) $4,817.45 $4,817.45 43.7×
Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition,… (93315) $14,192.20 $14,192.20 24.6×
Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) $5,605.05 $5,605.05 9.7×
Tte congenital complete (93303) $8,828.60 $8,828.60 15.3×
Tte f-up or lmtd (93308) $5,525.30 $5,525.30 22.0×
Tte w/doppler complete (93306) $9,715.75 $9,715.75 16.9×
Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) $607.20 $607.20
Tx speech language voice commj auditry 2/>indiv (92508) $864.60 $864.60
Upr/l xtremity art 2 levels (93922) $2,043.80 $2,043.80 14.6×
Veeg by tech 2-12 hours unmonitored (95711) $13,759.35 $13,759.35 60.4×
Veeg by tech 2-12 hr intermittent monitoring (95712) $13,759.35 $13,759.35 35.0×
Veeg by tech ea incr 12-26 hr unmonitored (95714) $13,759.35 $13,759.35 35.0×
Ventilation ip/obs initial day (94002) $21,849.85 $21,849.85 33.5×
Ventilator subsequent day (94003) $20,439.65 $20,439.65 31.4×
Visual ep testing cns except glaucoma w/i&r (95930) $4,634.30 $4,634.30 20.3×
Vital capacity total (94150) $217.80 $217.80 1.6×
Wound(s) care non-selective (97602) $1,412.52 $1,412.52 6.7×