Visits & medical services prices at Intermountain Health Platte Valley Hospital

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) — $36,263.35 —
Actigraphy Testing Recording Analysis I&R (95803) — $178.50 —
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines
— $21.17–$97.15 —
Aep Hearing Status Deter Broadband Stimuli I&R (92651) — $971.55 —
Aep neurodiagnostic i&r (92653) — $971.55 —
Aep threshold estimation mlt frequencies i&r (92652) — $971.55 —
Airway Inhalation Treatment (94640) — $711.25 —
Analyze neurostim no prog (95970) — $379.75 —
Analyze Neurostim Simple (95971) — $287.75 —
Analyze Pacemaker System (93724) — $928.05 —
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) — $87.95 —
Application Modality 1/> Areas Infrared (97026) — $34.85 —
Application on-body injector (96377) — $117.10 —
Arrhythmia Induction (93618) — $3,649.60 —
Assessment of aphasia per hr (96105) — $545.50 —
Behavral qualit analys voice (92524) — $510.60 —
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) — $155.60 —
Bfb training ea addl 15 min (90913) — $48.90 —
Biofeedback training any modality (90901) — $134.85 —
Breath hydrogen/methane test (91065) — $765 —
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) — $1,217.45 —
Bundle of his recording (93600) — $36,263.35 —
C motor evoked upr&lwr limbs (95939) — $3,333.50 —
Canalith repositioning proc (95992) — $227.75 —
Car seat/bed test 60 min (94780) — $172.35 —
Cardiac Stress Tst,Tracing Only (93017) — $2,966.25 —
Cardiopulmonary resuscitation (92950) — $2,868.25 —
Cardioversion (92960) — $6,907.85 —
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) — $33,103.50 —
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) — $27,742.95 —
Cbt 1st hour (94644) — $1,143.10 —
Chemo Admin Peritoneal Cavity (96446) — $1,566.25 —
Chemo Anti-Neopl Sq/Im (96401) — $362.60 —
Chemo Hormon Antineopl Sq/Im (96402) — $240.70 —
Chemo Ia Push (96420) — $1,139.20 —
Chemo IV infusion addl hr (96415) — $317.05 —
Chemo IV push addl drug (96411) — $240.70 —
Chemother Prolong Infuse W/Pump (96416) — $1,346.90 —
Chemotherapy Into Cns (96450) — $1,385.15 —
Chemotherapy Intracavitary (96440) — $1,164.70 —
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) — $272 —
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) — $1,296.20 —
Chemotx admn IV push tq 1/1st sbst/drug (96409) — $707.50 —
Chest Wall Manipulation (94668) — $314.80 —
Color/duplex Doppler, complete (93975) — $960.35 —
Color/duplex Doppler, limited (93976) — $910.05 —
Continuous Pulse Ox (94762) — $853.95 —
Coronary Art/Grft Angio S&I (93455) — $25,064.55 —
Coronary Artery Angio S&I (93454) — $17,654.85 —
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 4 matching MRF lines
— $656.92–$683.20 —
Cpt initial (94667) — $397.65 —
Critical care first hour (99291) — $16,756.90 —
Debridement Open Wound 20 Sq Cm< (97597) — $1,087.40 —
Developmental tst admin phys/qhp 1st hour (96112) — $1,058.55 —
Dialysis One Evaluation (90945) — $1,306.95 —
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) — $1,389 —
Dup-scan lxtr art/artl bpgs compl bi study (93925) — $2,335.25 —
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) — $945.90 —
Dup-Scan Xtr Veins Complete Bilateral Study (93970) — $3,405.95 —
Dup-scan xtr veins unilateral/limited study (93971) — $1,587.70 —
Duplex Scan Hemodialysis Access (93990) — $920.15 —
Duplex up extrem art bilat (93930) — $3,150.25 —
Duplex up extrem art unilat/ltd (93931) — $1,348.75 —
ECG/monitoring and analysis (93271) — $2,956 —
Echo Congenital Complete (93303)
range across 2 matching MRF lines
— $2,984.74–$3,104.15 —
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
— $2,439.10–$3,017.20 —
Echo r-t 2d w/probe placement only (93313) — $1,723.15 —
Echo transesophageal (93312)
range across 2 matching MRF lines
— $6,619.27–$6,884.05 —
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 —
Electrical Stimulation Ea 15 Min (97032) — $101.90 —
Electrocardiogram Tracing (93005) — $546.45 —
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) — $36,263.35 —
Electrophysiology Evaluation (93642) — $3,188.15 —
Emergency Dept Visit Level 2 (99282) — $1,728.30 —
Emergency Dept Visit Level 3 (99283) — $3,683.25 —
Emergency Dept Visit Level 4 (99284) — $5,556.40 —
Endomyocardial Biopsy (93505) — $8,739.40 —
Ep & ablate supravent arrhyt (93653) — $84,012.05 —
Ep & ablate ventric tachy (93654) — $85,800 —
Ep Compre Electrophysiologic Arrhythmia Induction (93620) — $23,058.90 —
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) — $19,231.60 —
Ep Esophageal Recording Atria+Pacing (93616) — $3,440.80 —
Er level 1 (99281) — $761.35 —
Er level v (99285) — $9,741.75 —
Ergonovine provocation test (93024) — $1,077.60 —
Esoph Atrial Electrogram (93615) — $3,188.15 —
Evaluate pt use of inhaler (94664) — $577.60 —
Evaluate Speech Production (92522) — $530.90 —
Evaluate Swallowing Function (92610)
range across 2 matching MRF lines
— $457.05–$546.35 —
Evaluation of speech fluency (92521) — $572.45 —
External ECG rec>48hr<7d recording (93242) — $1,532.80 —
External ECG rec>7d<15d recording (93246) — $1,534.95 —
Extracranial Bilat Study (93880) — $1,654.25 —
Extracranial Uni/Ltd Study (93882) — $1,468.05 —
F-up/limited tthrc echo congenital car anomaly (93304)
range across 2 matching MRF lines
— $2,814.41–$2,927 —
Flexible endoscopic eval swallow c/v rec (92612) — $593.60 —
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) — $9,506.90 —
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) — $1,379.75 —
Gi tract capsule endoscopy (91110) — $3,072.55 —
Gi tract imaging intraluminal colon i&r (91113) — $2,371.85 —
Group Therapeutic Procedures (97150) — $120.40 —
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) — $9,445.35 —
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) — $2,249.45 —
Holter monitor recording (93225) — $1,618.05 —
Icd device progr eval dual (93283) — $787.60 —
Icd Device Progr Eval Mult (93284) — $834.60 —
Ilr Device Interrogate (93291) — $103.85 —
Im Adm Intransl/Oral 1 Vaccine (90473) — $21.17 —
Immunization administration (90471)
range across 5 matching MRF lines
— $21.17–$231.10 —
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) — $1,655.70 —
Insert/Place Heart Catheter (93503) — $4,246.40 —
Interrogate Subq Defib (93261) — $3,346.75 —
Interrogation vad in person (93750) — $284.85 —
Intra-atrial pacing (93610) — $36,263.35 —
Intra-atrial recording (93602) — $36,263.35 —
Intraventricular pacing (93612) — $36,263.35 —
Iontophoresis 15 min (97033) — $114.10 —
Irrig Drug Delivery Device (96523) — $267.30 —
IV infusion hydration each additional hour (96361) — $241.45 —
IV infusion hydration initial 31 min-1 hour (96360) — $658.25 —
IV infusion ther proph addl sequential to 1 hr (96367) — $236.95 —
IV infusion therapy prophylaxis/dx ea hour (96366) — $237.70 —
IV push initial (96374) — $590.20 —
L Hrt Art/Grft Angio (93459) — $32,303.95 —
Lwr Xtr Vasc Stdy Bilat (93924) — $2,337.60 —
Mechanical chest wall oscillation per session (94669) — $812.35 —
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) — $112.75 —
Medical nutrition assmt&ivntj indiv each 15 mi (97802) — $120.10 —
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) — $106.15 —
Motion Fluoroscopy/Swallow (92611) — $574.20 —
Multiple Sleep Latency Test (95805) — $4,958.15 —
Muscle Test 2 Limbs (95861) — $574.75 —
Muscle Test Nonparaspinal (95870) — $496.10 —
Muscle Test One Limb (95860) — $462.45 —
Nasopharyngoscopy (92511) — $650.70 —
Needle Electromyography Cranial Nrv Muscle Bi (95868) — $847.25 —
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) — $1,064.75 —
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) — $1,277.70 —
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) — $700.40 —
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) — $1,277.70 —
Neuromuscular Reeducation (97112) — $170.65 —
Oral Function Therapy (92526) — $496.40 —
Oral Speech Device Eval (92597) — $392.90 —
Orthc/Prostc Mgmt Sbsq Enc (97763) — $166.55 —
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) — $221.50 —
Osteopathic Manipulative Tx 1-2 Body Regions (98925) — $77.15 —
Ot Contrast Bath Ea 15 Min (97034) — $71.80 —
Ot eval high complexity (97167) — $465.90 —
Ot Eval Low Complex (97165) — $417.55 —
Ot Eval Moderate Complexity (97166) — $438.15 —
Ot manual therapy 15 min (97140) — $219.40 —
Ot paraffin bath (97018) — $45.20 —
Ot Prosthetic Training, Each 15 Min (97761) — $213.40 —
Ot Re-Eval Est Plan Care (97168) — $354.95 —
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) — $649.05 —
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) — $411.25 —
Perq transcath closure pda (93582) — $49,026.05 —
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) — $20,193.84 —
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
range across 6 matching MRF lines
— $31,508.72–$40,814.59 —
Phlebotomy therapeutic (99195) — $462.55 —
Physical Performance Test (97750) — $78.65 —
Plethysmography (94726) — $1,565.85 —
Pm device eval in person (93288) — $199 —
Pm device progr eval dual (93280) — $801.60 —
Pm device progr eval multi (93281) — $894.90 —
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) — $9,506.90 —
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) — $9,506.90 —
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) — $146.60 —
Prq Card Angio/Athrect 1 Art (92924) — $31,508.72 —
Prq Card Stent W/Angio 1 Vsl (92928) — $39,385.89 —
Prq Card Stent/Ath/Angio (92933) — $50,987.09 —
Prq Revasc Byp Graft 1 Vsl (92937) — $31,508.72 —
Pt Eval High Complex (97163) — $440.45 —
Pt eval low complex 20 min (97161) — $417.55 —
Pt Eval Mod Complex (97162) — $438.15 —
Pt gait training 15 min (97116) — $116.70 —
Pt mechanical traction (97012) — $97 —
Pt Re-Eval Est Plan Care (97164) — $354.95 —
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
— $498.88–$518.85 —
Pulmonary Stress Testing (94618) — $878.50 —
R Hrt Art/Grft Angio (93457) — $9,445.35 —
R hrt coronary artery angio (93456) — $26,742.05 —
R&L Hrt Cath W/Ventriclgrphy (93453) — $9,445.35 —
Refill/Maint Portable Pump (96521) — $707.50 —
Refill/Maint Pump/Resvr Syst (96522) — $711.05 —
Rem Interrog Scrms <30 D Phys/Qhp (93298) — $116.40 —
Remote 30 Day Ecg Rev/Report (93270) — $2,956 —
Remote 30 Day Ecg Tech Supp (93229) — $2,080 —
Respiratory flow volume loop (94375) — $999.15 —
Right Heart Cath (93451) — $10,862.15 —
Right ventricular recording (93603) — $3,649.60 —
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) — $664.70 —
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) — $658.65 —
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) — $262.45 —
Self Care Mngment Training (97535) — $175.75 —
Sensory Integration Ea 15 Min (97533) — $216.10 —
Sleep study unattended (95806) — $1,462 —
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) — $1,724.65 —
Speech sound lang comprehen (92523) — $1,144.20 —
Spirometry (94010) — $498.10 —
Standardized Cognitive Performance Testing (96125) — $529.20 —
Stress Tte Only (93350) — $3,243.50 —
Surfactant Admin Thru Tube (94610) — $655.85 —
Temp transcutaneous pacing (92953) — $1,678.60 —
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) — $126.90 —
Ther Ivntj Ea Addl 15 Min (97130) — $114.55 —
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) — $247.30 —
Ther Px 1/> Areas Each 15 Minutes Massage (97124) — $81.10 —
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) — $549.85 —
Ther/Proph/Diag Inj Ia (96373) — $589.55 —
Ther/Proph/Diag Inj Sc/Im (96372) — $192.55 —
Ther/Proph/Diag Iv Inf Init (96365) — $633 —
Therapeutic Activities (97530) — $164.30 —
Tilt table test with heart rhythm and blood pressure monitoring (93660) — $7,268.60 —
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) — $117.10 —
Transcath Closure of Asd (93580) — $61,282.55 —
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) — $417.40 —
Tte w/doppler, complete (93306) — $7,230.55 —
Tx atrial fib pulm vein isol (93656) — $100,525.85 —
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) — $564.05 —
Tx/Pro/Dx Inj New Drug Addon (96375) — $188.50 —
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
— $4,768.75–$9,955 —
Upr/L Xtremity Art 2 Levels (93922) — $793.55 —
Upr/Lxtr Art Stdy 3+ Lvls (93923) — $1,184.80 —
Valvuloplasty aortic valve (92986) — $15,533.70 —
Valvuloplasty mitral valve (92987) — $31,395.85 —
Vasopneumatic device (97016) — $54.10 —
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) — $1,906.70 —
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) — $1,906.70 —
Vital capacity, total (94150) — $498.10 —
Wada Activation Test Hemispheric Function W/Eeg (95958) — $9,506.90 —
Wheelchair Mgmt Ea 15 Min (97542) — $187.70 —
Whirlpool Therapy (97022) — $85.30 —

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.