Visits & medical services prices at Intermountain Health Lutheran Hospital

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) — $36,612 —
Actigraphy Testing Recording Analysis I&R (95803) — $178.20 —
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines
— $21.17–$98.10 —
Airway Inhalation Treatment (94640) — $718.10 —
Airway resistance by oscillometry (94728) — $1,141.35 —
Ans parasymp & symp w/tilt (95924) — $811.50 —
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) — $147.85 —
Application Modality 1/> Areas Diathermy (97024) — $56.25 —
Application Modality 1/> Areas Infrared (97026) — $58.65 —
Application on-body injector (96377) — $132.40 —
Assessment of aphasia per hr (96105) — $916.65 —
Behavral qualit analys voice (92524) — $853.90 —
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) — $157.10 —
Bfb training ea addl 15 min (90913) — $63.10 —
Biofeedback training any modality (90901) — $219.70 —
Breath hydrogen/methane test (91065) — $765 —
Breathing response to hypoxia (94450) — $807 —
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) — $1,260.75 —
Bundle of his recording (93600) — $36,612 —
C motor evoked upr&lwr limbs (95939) — $3,365.55 —
Canalith repositioning proc (95992) — $229.95 —
Car seat/bed test 60 min (94780) — $174.05 —
Cardiac Stress Tst,Tracing Only (93017) — $2,274.95 —
Cardiopulmonary exercise testing (94621) — $2,813.05 —
Cardiopulmonary resuscitation (92950) — $2,895.85 —
Cardioversion (92960) — $6,974.25 —
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) — $80.50 —
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) — $33,421.80 —
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) — $28,009.70 —
Cbt 1st hour (94644) — $1,431.80 —
Chemo Admin Peritoneal Cavity (96446) — $1,581.30 —
Chemo Anti-Neopl Sq/Im (96401) — $852.65 —
Chemo Hormon Antineopl Sq/Im (96402) — $387.05 —
Chemo Ia Push (96420) — $1,941.45 —
Chemo IV infusion addl hr (96415) — $797.10 —
Chemo IV push addl drug (96411) — $438.25 —
Chemother Prolong Infuse W/Pump (96416) — $2,720.45 —
Chemotherapy Into Cns (96450) — $2,043.60 —
Chemotherapy Intracavitary (96440) — $1,581.30 —
Chemotherapy Unspecified (96549) — $226.85 —
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) — $387.05 —
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) — $1,974.75 —
Chemotx admn IV push tq 1/1st sbst/drug (96409) — $1,167.85 —
Chest Wall Manipulation (94668) — $401.50 —
Color/duplex Doppler, complete (93975) — $969.55 —
Color/duplex Doppler, limited (93976) — $918.80 —
Community/Work Reintegration Trainj Ea 15 Min (97537) — $281.15 —
Continuous Pulse Ox (94762) — $1,354.50 —
Coronary Art/Grft Angio S&I (93455) — $25,305.55 —
Coronary Artery Angio S&I (93454) — $17,824.60 —
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 4 matching MRF lines
— $656.92–$689.75 —
Cpt initial (94667) — $489.45 —
Critical care first hour (99291) — $17,763.85 —
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) — $1,400.75 —
Debridement Open Wound 20 Sq Cm< (97597) — $624.40 —
Developmental tst admin phys/qhp 1st hour (96112) — $1,068.75 —
Dialysis One Evaluation (90945)
range across 3 matching MRF lines
— $1,319.55–$3,908.15 —
Dup-scan lxtr art/artl bpgs compl bi study (93925) — $2,357.70 —
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) — $1,094.50 —
Dup-Scan Xtr Veins Complete Bilateral Study (93970) — $3,438.70 —
Dup-scan xtr veins unilateral/limited study (93971) — $2,137.25 —
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) — $1,237.95 —
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) — $533.40 —
Duplex Scan Hemodialysis Access (93990) — $929 —
Duplex up extrem art bilat (93930) — $3,180.55 —
Duplex up extrem art unilat/ltd (93931) — $1,361.75 —
Echo Congenital Complete (93303)
range across 2 matching MRF lines
— $2,984.74–$3,134 —
Echo Heart Xthoracic,Limited (93308) — $2,462.60 —
Echo transesophageal (93312) — $6,950.25 —
Echo Transesophageal - Congenital Tee Complete (93315) — $5,740.40 —
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) — $3,118.77 —
Eeg 41-60 Minutes (95812) — $2,909.85 —
EEG awake and asleep (95819) — $2,909.85 —
EEG awake drowsy (95816) — $2,909.85 —
EEG cerebral death evaluation (95824) — $4,958.15 —
EEG cont rec w/video by tech min 8 channels (95700) — $1,462 —
EEG extended monitoring 61-119 minutes (95813) — $2,909.85 —
Eeg Sleep Only (95822) — $2,909.85 —
Eeg W/O Vid 2-12 Hr Unmntr (95705) — $2,909.85 —
EEG w/o vid 2-12hr cont mntr (95707) — $2,909.85 —
EEG w/o vid ea 12-26hr intmt (95709) — $4,958.15 —
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) — $4,958.15 —
EEG w/o video by tech 2-12 hr intermittent mntr (95706) — $2,909.85 —
EEG wo vid ea 12-26hr unmntr (95708) — $4,958.15 —
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) — $598.05 —
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) — $243.80 —
Electrical Stimulation Ea 15 Min (97032) — $171.20 —
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
— $459.75–$551.70 —
Electroconvulsive Therapy (90870) — $1,458.74 —
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) — $36,612 —
Electrophysiology Evaluation (93642) — $6,339.35 —
Emergency Dept Visit Level 2 (99282) — $1,815.10 —
Emergency Dept Visit Level 3 (99283) — $4,774.75 —
Emergency Dept Visit Level 4 (99284) — $5,609.85 —
Emg 3 Extremities (95863) — $564.30 —
Emg 4 Extremities (95864) — $588.40 —
Endomyocardial Biopsy (93505) — $8,823.40 —
Ep & ablate supravent arrhyt (93653) — $84,819.90 —
Ep & ablate ventric tachy (93654) — $86,625 —
Ep Compre Electrophysiologic Arrhythmia Induction (93620) — $23,280.60 —
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) — $19,416.55 —
Ep Esophageal Recording Atria+Pacing (93616) — $6,339.35 —
Er level 1 (99281) — $807.15 —
Er level v (99285) — $10,353.05 —
Esoph Atrial Electrogram (93615) — $6,180.90 —
Evaluate pt use of inhaler (94664) — $583.15 —
Evaluate Speech Production (92522) — $892.15 —
Evaluate Swallowing Function (92610) — $706.10 —
Evaluation of speech fluency (92521) — $965.10 —
External ECG rec>48hr<7d recording (93242) — $329 —
External ECG rec>7d<15d recording (93246) — $160.50 —
External ECG rec>7d<15d scanning alys w/report (93247) — $1,393.20 —
External Ecg Scanning Analysis Report (93226) — $2,313.80 —
Extracranial Bilat Study (93880) — $1,597.80 —
Extracranial Uni/Ltd Study (93882) — $1,492.65 —
F-up/limited tthrc echo congenital car anomaly (93304)
range across 2 matching MRF lines
— $2,814.41–$2,955.15 —
Flexible endoscopic eval swallow c/v rec (92612) — $599.30 —
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) — $1,393 —
Gastroesophag reflx test w/telemtry ph eltrd (91035) — $1,442.50 —
Gi tract capsule endoscopy (91110) — $2,973.40 —
Gi tract imaging intraluminal colon i&r (91113) — $2,394.65 —
Group Therapeutic Procedures (97150) — $173.20 —
Health Behavior Assessment/Re-Assessment (96156) — $307.81 —
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) — $8,524.85 —
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) — $6,990.80 —
Holter monitor recording (93225) — $1,393.25 —
Hubbard tank 15 min (97036) — $278.30 —
Icd Device Interrogate (93289) — $114.25 —
Ilr Device Interrogate (93291) — $447.85 —
Im Adm Intransl/Oral 1 Vaccine (90473) — $21.17 —
Immunization administration (90471)
range across 5 matching MRF lines
— $21.17–$233.30 —
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) — $1,992.75 —
Insert/Place Heart Catheter (93503) — $4,287.25 —
Interrogation vad in person (93750) — $287.37 —
Intra-atrial pacing (93610) — $36,612 —
Intra-atrial recording (93602) — $36,612 —
Intracranial Complete Study (93886) — $1,499.15 —
Iontophoresis 15 min (97033) — $191.95 —
Irrig Drug Delivery Device (96523) — $389.95 —
IV infusion hydration each additional hour (96361) — $243.80 —
IV infusion hydration initial 31 min-1 hour (96360) — $664.60 —
IV infusion ther proph addl sequential to 1 hr (96367) — $198.50 —
IV infusion therapy prophylaxis/dx ea hour (96366) — $263.70 —
IV push initial (96374) — $595.85 —
L Hrt Art/Grft Angio (93459) — $32,614.55 —
Lung Function Test (Mbc/Mvv) (94200) — $403 —
Lwr Xtr Vasc Stdy Bilat (93924) — $2,360.05 —
Mechanical chest wall oscillation per session (94669) — $840.25 —
Methacholine challenge (94070) — $1,636.45 —
Motility study esophagus (91010) — $2,310.25 —
Motion Fluoroscopy/Swallow (92611) — $851.70 —
Multiple Sleep Latency Test (95805) — $4,958.15 —
Muscle Test 2 Limbs (95861) — $464.20 —
Muscle Test Nonparaspinal (95870) — $400.70 —
Muscle Test One Limb (95860) — $373.50 —
Nasopharyngoscopy (92511) — $656.95 —
Needle Electromyography Cranial Nrv Muscle Bi (95868) — $910.25 —
Needle Electromyography Cranial Nrv Muscle Uni (95867) — $854.40 —
Needle electromyography larynx (95865) — $355.10 —
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) — $464.50 —
Needle EMG w/1 fiber electrode quan meas jitter (95872) — $443.65 —
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) — $1,075 —
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) — $1,290 —
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) — $624.40 —
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) — $1,290 —
Nerve Conduction Studies 1-2 Studies (95907) — $419.05 —
Nerve Conduction Studies 11-12 Studies (95912) — $1,741.25 —
Nerve conduction studies 13 or more studies (95913) — $2,220.25 —
Nerve Conduction Studies 3-4 Studies (95908) — $1,008.75 —
Nerve conduction studies 5-6 studies (95909) — $1,036.15 —
Nerve conduction studies 7-8 studies (95910) — $1,332.15 —
Nerve Conduction Studies 9-10 Studies (95911) — $1,628.35 —
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) — $421.40 —
Neuromuscular Reeducation (97112) — $206.35 —
Newborn resuscitation (99465) — $4,275.15 —
Nitric oxide expired gas determination (95012) — $246.70 —
Oral Function Therapy (92526) — $834.10 —
Oral Speech Device Eval (92597) — $605.30 —
Orthc/Prostc Mgmt Sbsq Enc (97763) — $218.15 —
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) — $223.65 —
Osteopathic Manipulative Tx 1-2 Body Regions (98925) — $77.85 —
Ot Contrast Bath Ea 15 Min (97034) — $120.40 —
Ot eval high complexity (97167) — $470.40 —
Ot Eval Low Complex (97165) — $421.60 —
Ot Eval Moderate Complexity (97166) — $442.35 —
Ot manual therapy 15 min (97140) — $223.65 —
Ot paraffin bath (97018) — $45.60 —
Ot Prosthetic Training, Each 15 Min (97761) — $344.45 —
Ot Re-Eval Est Plan Care (97168) — $358.35 —
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) — $741.20 —
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) — $512.25 —
Oxygen Uptake Rest Indirect (94690) — $985.75 —
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) — $689.75 —
Peripheral arterial disease rehab per session (93668) — $356.15 —
Perq transcath closure pda (93582) — $49,497.45 —
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) — $20,388 —
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) — $41,207.04 —
Phlebotomy therapeutic (99195) — $767.25 —
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) — $618.50 —
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) — $651.05 —
Physical Performance Test (97750) — $131.95 —
Plethysmography (94726) — $1,760.25 —
Pm device eval in person (93288) — $200.90 —
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) — $9,506.90 —
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) — $429.80 —
Prq Card Angio/Athrect 1 Art (92924) — $31,811.68 —
Prq Card Stent W/Angio 1 Vsl (92928) — $39,764.61 —
Prq Card Stent/Ath/Angio (92933) — $51,477.35 —
Prq Revasc Byp Graft 1 Vsl (92937) — $32,965.66 —
Psytx Crisis Initial 60 Min (90839) — $399.84 —
Pt Eval High Complex (97163) — $444.70 —
Pt eval low complex 20 min (97161) — $421.60 —
Pt Eval Mod Complex (97162) — $442.35 —
Pt gait training 15 min (97116) — $179.15 —
Pt mechanical traction (97012) — $127.05 —
Pt Re-Eval Est Plan Care (97164) — $358.35 —
Pulm function test by gas (94727) — $1,740.65 —
Pulmonary service/procedure (94799) — $523.80 —
Pulmonary Stress Testing (94618) — $886.95 —
R Hrt Art/Grft Angio (93457) — $8,524.85 —
R hrt coronary artery angio (93456) — $26,999.20 —
R&L Hrt Cath W/Ventriclgrphy (93453) — $10,656.05 —
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) — $1,150.15 —
Refill/Maint Portable Pump (96521) — $891.20 —
Rem Interrog Scrms <30 D Phys/Qhp (93298) — $117.50 —
Remote 30 Day Ecg Rev/Report (93270) — $2,984.45 —
Remote 30 Day Ecg Tech Supp (93229) — $2,100 —
Respiratory flow volume loop (94375) — $1,008.75 —
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) — $177.25 —
Right Heart Cath (93451) — $11,324.30 —
Right ventricular recording (93603) — $6,339.35 —
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) — $628.50 —
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) — $1,105.40 —
Self Care Mngment Training (97535) — $204.75 —
Sensory Integration Ea 15 Min (97533) — $289.80 —
Short-Latency Somatosens Ep Std Trnk/Head (95927) — $811.50 —
Short-latency somatosens ep std upr limbs (95925) — $811.50 —
Sleep study unattended (95806) — $1,462 —
Slp caregiver training 1st 30 min (97550) — $160.15 —
Slp Stdy Unatnd W/Anal (95801) — $555.05 —
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) — $1,462 —
Somatosensory Testing (95938) — $1,783.55 —
Speech sound lang comprehen (92523) — $1,207 —
Spin/Brain Pump Refil & Main (95991) — $1,689.30 —
Spirometry (94010) — $744.30 —
Ssep lower limbs (95926) — $811.50 —
Standardized Cognitive Performance Testing (96125) — $473.30 —
Stress Tte Only (93350) — $3,274.70 —
Surfactant Admin Thru Tube (94610) — $662.15 —
Temp transcutaneous pacing (92953) — $2,357.25 —
Testing Autonomic Nervous System Function (95923) — $469.55 —
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) — $177.65 —
Ther Ivntj Ea Addl 15 Min (97130) — $168.70 —
Ther Px 1/> Areas Each 15 Minutes Massage (97124) — $81.90 —
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) — $930.25 —
Ther/Proph/Diag Inj Ia (96373) — $595.25 —
Ther/Proph/Diag Inj Sc/Im (96372) — $194.40 —
Ther/Proph/Diag Iv Inf Init (96365) — $639.05 —
Therapeutic Activities (97530) — $240.45 —
Tilt table test with heart rhythm and blood pressure monitoring (93660) — $5,776.45 —
Tobacco Use Cessation Intensive >10 Minutes (99407) — $172.80 —
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) — $118.20 —
Transcath Closure of Asd (93580) — $61,871.85 —
Transcranial Doppler Intracran Art Emboli Detect (93892) — $646.65 —
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) — $1,102.60 —
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) — $469.55 —
Tstg ans funcj vasomotor adrenergic innervaj (95922) — $479.15 —
Tte w/doppler, complete (93306) — $7,300.05 —
Tx atrial fib pulm vein isol (93656) — $101,492.45 —
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) — $837.85 —
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) — $194.35 —
Tx/Pro/Dx Inj New Drug Addon (96375) — $256.75 —
Unlisted cardiovascular service/procedure (93799)
range across 4 matching MRF lines
— $4,191.40–$16,967.90 —
Upr/L Xtremity Art 2 Levels (93922) — $801.15 —
Upr/Lxtr Art Stdy 3+ Lvls (93923) — $1,196.15 —
Valvuloplasty aortic valve (92986) — $15,683.05 —
Vasopneumatic device (97016) — $78.20 —
Veeg 2-12 Hr Cont Mntr (95713) — $4,958.15 —
Veeg 2-12 hr intmt mntr (95712) — $2,909.85 —
Veeg 2-12 hr unmonitored (95711) — $2,909.85 —
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) — $4,958.15 —
Veeg Ea 12-26 Hr Unmntr (95714) — $4,958.15 —
Veeg ea 12-26hr cont mntr (95716) — $9,506.90 —
Vent Mgmt Inpat Init Day (94002) — $4,247.25 —
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) — $3,407.45 —
Visual Evoked Potential Test (95930) — $1,140.90 —
Vital capacity, total (94150) — $624.75 —
Wada Activation Test Hemispheric Function W/Eeg (95958) — $9,506.90 —
Wheelchair Mgmt Ea 15 Min (97542) — $189.50 —
Whirlpool Therapy (97022) — $151.45 —

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.