Visits & medical services prices at Holy Cross Hospital

Nogales, AZ · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines
$390.75–$729.75 $521–$973 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $301.50 $402 21.0×
Assessment of aphasia per hr (96105) $1,163.25 $1,551 12.0×
Behavral qualit analys voice (92524)
range across 4 matching MRF lines
$254.25–$509.25 $339–$679 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,242.75 $1,657 3.1×
Canalith repositioning proc (95992) $728.25 $971 17.9×
Car seat/bed test 60 min (94780) $797.25 $1,063 20.0×
Cardiac Stress Tst,Tracing Only (93017) $3,563.25 $4,751 15.5×
Cardiopulmonary exercise testing (94621) $1,078.50 $1,438 2.7×
Cardiopulmonary resuscitation (92950) $4,039.50 $5,386 17.5×
Cardioversion (92960) $2,401.50 $3,202 3.4×
Cbt 1st hour (94644) $672 $896 4.7×
Chemo Hormon Antineopl Sq/Im (96402) $639 $852 8.3×
Chemo IV infusion addl hr (96415) $346.50 $462 4.5×
Chemo IV push addl drug (96411) $1,047.75 $1,397 13.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,530 $2,040 4.3×
Chest Wall Manipulation (94668) $330.75 $441 2.3×
Color/duplex Doppler, complete (93975) $3,268.50 $4,358 12.8×
Color/duplex Doppler, limited (93976) $1,086 $1,448 9.7×
Continuous Pulse Ox (94762) $1,215 $1,620 8.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,500 $2,000 6.4×
Cpt initial (94667) $483.75 $645 3.4×
Critical care first hour (99291) $6,187.50 $8,250 7.0×
Debridement Open Wound 20 Sq Cm< (97597) $787.50 $1,050 3.7×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,774.50 $2,366 7.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $909.75 $1,213 8.2×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $3,635.25 $4,847 14.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $3,161.25 $4,215 28.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $3,963.75 $5,285 15.6×
Dup-scan xtr veins unilateral/limited study (93971) $3,024.75 $4,033 27.1×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $1,446 $1,928 5.7×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $696 $928 6.2×
Duplex Scan Hemodialysis Access (93990) $5,004 $6,672 44.9×
Duplex up extrem art bilat (93930) $3,368.25 $4,491 13.2×
Duplex up extrem art unilat/ltd (93931) $1,592.25 $2,123 14.3×
Echo Heart Xthoracic,Limited (93308) $1,501.50 $2,002 5.9×
Echo transesophag montr cardiac pump functj (93318) $6,156.75 $8,209 10.6×
Echo transesophageal (93312) $5,569.50 $7,426 9.6×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,821.75 $2,429 3.1×
Electrical Stimulation Ea 15 Min (97032) $244.50 $326 16.6×
Electrocardiogram Tracing (93005) $919.50 $1,226 14.6×
Emergency Dept Visit Level 2 (99282) $1,464 $1,952 8.9×
Emergency Dept Visit Level 3 (99283) $2,277.75 $3,037 7.8×
Emergency Dept Visit Level 4 (99284) $3,705 $4,940 8.3×
Er level 1 (99281) $972.75 $1,297 10.8×
Er level v (99285) $4,280.25 $5,707 6.7×
Esophageal Capsule Endoscopy (91111) $5,165.25 $6,887 5.3×
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$303.75–$672 $405–$896 varies
Evaluate Speech Production (92522)
range across 4 matching MRF lines
$254.25–$636 $339–$848 varies
Evaluate Swallowing Function (92610)
range across 4 matching MRF lines
$403.50–$1,570.50 $538–$2,094 varies
External Ecg Scanning Analysis Report (93226) $1,645.50 $2,194 26.1×
Extracranial Bilat Study (93880) $3,684.75 $4,913 14.5×
Extracranial Uni/Ltd Study (93882) $2,887.50 $3,850 25.9×
Gastric motility studies (91020) $3,640.50 $4,854 9.1×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $2,630.25 $3,507 6.6×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $1,600.50 $2,134 6.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,964 $3,952 3.2×
Gi tract capsule endoscopy (91110) $4,245 $5,660 4.4×
Group Therapeutic Procedures (97150)
range across 16 matching MRF lines
$112.50–$444.75 $150–$593 varies
Holter monitor recording (93225) $1,408.50 $1,878 9.9×
Immunization administration (90471)
range across 4 matching MRF lines
$16–$216 $21.33–$288 varies
Iontophoresis 15 min (97033) $355.50 $474 18.7×
Irrig Drug Delivery Device (96523) $415.50 $554 6.6×
IV infusion hydration each additional hour (96361) $648 $864 13.0×
IV infusion hydration initial 31 min-1 hour (96360) $1,015.50 $1,354 4.5×
IV infusion ther proph addl sequential to 1 hr (96367) $648 $864 8.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $648 $864 13.0×
IV push initial (96374) $477.75 $637 2.1×
Mechanical chest wall oscillation per session (94669) $375.75 $501 1.6×
Motility study esophagus (91010) $3,129.75 $4,173 7.9×
Motion Fluoroscopy/Swallow (92611) $2,025.75 $2,701 22.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $672 $896 3.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$935.25–$1,677.75 $1,247–$2,237 varies
Neuromuscular Reeducation (97112) $318.75 $425 9.7×
Oral Function Therapy (92526)
range across 4 matching MRF lines
$253.50–$996.75 $338–$1,329 varies
Oral Speech Device Eval (92597) $1,550.25 $2,067 21.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $318.75 $425 6.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $534.75 $713 11.6×
Ot eval high complexity (97167) $1,198.50 $1,598 11.9×
Ot Eval Low Complex (97165) $606.75 $809 6.0×
Ot Eval Moderate Complexity (97166) $907.50 $1,210 9.0×
Ot manual therapy 15 min (97140)
range across 6 matching MRF lines
$370.50–$372 $494–$496 varies
Ot Prosthetic Training, Each 15 Min (97761) $235.50 $314 5.8×
Ot Re-Eval Est Plan Care (97168) $880.50 $1,174 12.9×
Phlebotomy therapeutic (99195) $842.25 $1,123 5.9×
Physical Performance Test (97750) $344.25 $459 10.2×
Plethysmography (94726) $818.25 $1,091 2.1×
Pt Eval High Complex (97163) $1,198.50 $1,598 12.2×
Pt eval low complex 20 min (97161) $606.75 $809 6.2×
Pt Eval Mod Complex (97162) $907.50 $1,210 9.3×
Pt gait training 15 min (97116) $269.25 $359 9.3×
Pt mechanical traction (97012) $351 $468 24.4×
Pt Re-Eval Est Plan Care (97164) $880.50 $1,174 13.1×
Pulmonary service/procedure (94799) $1,500 $2,000 10.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $643.50 $858 3.0×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $1,254.75 $1,673 10.3×
Self Care Mngment Training (97535) $318.75 $425 9.8×
Speech sound lang comprehen (92523)
range across 4 matching MRF lines
$254.25–$762.75 $339–$1,017 varies
Spirometry (94010) $941.25 $1,255 4.1×
Standardized Cognitive Performance Testing (96125) $1,341.75 $1,789 13.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $287.25 $383 12.8×
Ther Ivntj Ea Addl 15 Min (97130) $287.25 $383 13.7×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $299.25 $399 8.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $278.25 $371 9.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609)
range across 4 matching MRF lines
$623.25–$1,236.75 $831–$1,649 varies
Ther/Proph/Diag Inj Sc/Im (96372) $363 $484 4.7×
Ther/Proph/Diag Iv Inf Init (96365) $948 $1,264 4.2×
Therapeutic Activities (97530) $318.75 $425 9.1×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $4,782.75 $6,377 12.0×
Tobacco Use Cessation Intensive >10 Minutes (99407) $111 $148 2.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $57 $76 1.4×
Tte w/doppler, complete (93306) $7,126.50 $9,502 12.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 4 matching MRF lines
$234.75–$926.25 $313–$1,235 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $529.50 $706 10.6×
Upr/L Xtremity Art 2 Levels (93922) $2,423.25 $3,231 17.1×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$1,529.25–$3,632.25 $2,039–$4,843 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $3,632.25 $4,843 5.5×
Vital capacity, total (94150) $261.75 $349 1.9×
Wheelchair Mgmt Ea 15 Min (97542) $235.50 $314 7.6×
Whirlpool Therapy (97022) $498 $664 31.7×

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.