Visits & medical services prices at Intermountain Health St. Joseph Hospital

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

269 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) $1,941.45
Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord (96450) $2,043.60
Aerosol inhalation pentamidine (94642) $689.75
Airway inhalation treatment (94640) $718.10
Appl on-body injector for timed subq injection (96377) $127
Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) $65.70
Application of a modality to 1 or more areas; diathermy (eg, microwave) Other Outpatient (97024) $56.25
Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) $92.45
Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes Other Outpatient (97036) $278.30
Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) $127.05
Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) $64.50
Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) $78.20
Assessment of aphasia (96105) $916.65
Behavioral & qualit analysis voice and resonance (92524) $853.90
Bfb training ea addl 15 min (90913) $57.60
Biofeedback training by any modality Other Outpatient (90901) $233.20
Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when… (90912) $157.10
Biopsy of heart lining (93505) $8,823.40
Bipap initial day (94660) $876.03
Bis extracellular fluid alys lymphedema assmnt (93702) $429.70
Breath hydrogen/methane test (91065) $765
Breathing capacity test (94010) $702.70
Bronchial allergy tests (95070) $2,022.15
Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) $1,260.75
Bundle of his recording (93600) $36,612
Canalith repositioning (95992) $229.95
Car seat/bed test inft thru 12 mo 60 min (94780) $174.05
Cardiopulmonary exercise testing (94621) $2,813.05
Cardiovascular procedure unlisted (93799) $4,834.75
Cardiovascular stress test (93017) $2,274.95
Cardioversion elective external (92960) $6,974.25
Caregiver training 1st 30 min (97550) $160.15
Caregiver training ea addl 15 (97551) $80.50
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93460) $33,421.80
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93459) $32,614.55
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93458) $28,009.70
Chemo anti-neopl sq/im (96401) $852.65
Chemo hormon antineopl sq/im (96402) $488.45
Chemo IV infus each addl seq (96417) $488.45
Chemo IV infusion addl hr (96415) $797.10
Chemo IV push addl drug (96411) $678.60
Chemother prolong infuse w/pump (96416) $2,609.20
Chemotherapy administration into pleural cavity, requiring and including thoracentesis (96440) $1,581.30
Chemotherapy administration into the peritoneal cavity via implanted port or catheter (96446) $1,581.30
Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) $1,993.60
Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) $1,285.35
Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents (96542) $1,314.70
Chest physiotherapy initial (94667) $912.20
Color/duplex Doppler, complete (93975) $1,022.15
Color/duplex Doppler, limited (93976) $918.80
Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) $281.15
Compre electrophysiologic w/o arrhyt induction (93619) $19,416.55
Compre ep eval abltj atr fib pulm vein isolation (93656) $101,492.45
Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with… (93620) $23,280.60
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93653) $84,819.90
Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction… (93654) $86,625
Concurrent chemotherapy (96549) $285.90
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) $1,316.25
Coronary art/grft angio s&i (93455) $25,305.55
Coronary artery angio s&i (93454) $17,824.60
Cpr (92950) $2,895.85
Critical care ill/injured patient init 30-74 min (99291) $17,763.85
Debridement open wound 20 sq cm< (97597) $256.55
Delivery/birthing room resuscitation (99465) $4,963.30
Developmental tst admin phys/qhp 1st hour (96112) $1,068.75
Dialysis one evaluation (90945) $1,319.55
Dup-scan artl infl&ven o/f pen vsl compl (93980) $1,610.75
Duplex hemodialysis access (93990) $929
Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) $1,869.80
Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) $852.55
Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) $1,597.80
Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) $1,492.65
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) $3,438.70
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) $2,137.25
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) $2,357.70
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) $1,094.50
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) $3,180.55
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) $1,361.75
ECG monit/reprt up to 48 hrs (93226) $2,313.80
Echo transesophageal (93312) $6,950.25
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 & asleep (95819) $2,909.85
EEG awake/drowsy (95816) $2,909.85
EEG coma or sleep only (95822) $2,909.85
EEG cont rec w/video by tech min 8 channels (95700) $1,462
EEG extended monitoring 61-119 minutes (95813) $2,909.85
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $4,958.15
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $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 w/o video by tech 2-12 hr unmonitored (95705) $2,909.85
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $2,909.85
EKG 12 lead tracing only (93005) $505.72
EKG rhythm strip (93041) $177.25
Elec alys implt cplx cn npgt prgrmg (95977) $586.45
Elec alys implt npgt smpl sp/pn npgt prgrmg (95971) $870.55
Elec alys implt smpl cn npgt prgrmg (95976) $204.15
Electrode stimulation brain (95961) $9,506.90
Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes… (93642) $6,339.35
Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or… (93624) $36,612
Emergency department visit high mdm (99285) $10,353.05
Emergency department visit low mdm (99283) $4,774.75
Emergency department visit may not req phys/qhp (99281) $807.15
Emergency department visit moderate mdm (99284) $5,609.85
Emergency department visit straightforward mdm (99282) $1,815.10
EMG thoracic paraspinal (95869) $464.50
End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) $511.34
Endoscopy swallow (fees) vid (92612) $599.30
Esophageal recording (93615) $6,180.90
Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing without Cardiac Cath (93616) $6,339.35
Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) $706.10
Evaluate pt use of inhaler (94664) $583.15
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $1,105.40
Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92605) $792
Evaluation of speech fluency (92521) $965.10
Evaluation of speech sound production articulate (92522) $892.15
External ECG rec>48hr<7d recording (93242) $329
External ECG rec>7d<15d recording (93246) $160.50
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) $1,393.25
External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data… (93229) $2,100
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $1,758.15
Fluidotherapy (97022) $82.65
Gas dilut/washout lung vol w/wo distrib vent&vol (94727) $1,778.35
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,442.50
Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report Age Under 21 (91113) $2,394.65
Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and… (91110) $2,973.40
Hemodialysis procedure w/ phys/qhp evaluation (90935) $6,137.15
Hot/cold pack (97010) $27.60
Hypoxia response curve (94450) $807
Im adm intransl/oral 1 vaccine (90473) $21.17
Imm admn sarscov2 vaccine single dose (90480) $59.64
Immunization administration (90471) $130.50
Induction of arrhythmia by electrical pacing without Cardiac Cath (93618) $6,339.35
Infrared therapy (97026) $38.85
Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) $256.75
Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) $595.85
Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes with Cardiac Cath (93503) $4,287.25
Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93261) $3,378.95
Interrogation vad in prson w/phys/qhp analysis (93750) $301.75
Intra-atrial pacing (93610) $36,612
Intra-atrial recording (93602) $36,612
Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete… (93650) $36,612
Intraventricular pacing (93612) $36,612
Irrigaj implntd venous access drug delivery syst (96523) $425.25
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) $266.75
IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) $639.05
IV tx, each additional hour (96366) $310.85
Lwr xtr vasc stdy bilat (93924) $2,360.05
Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) $401.50
Maximum voluntary ventilation (94200) $384.50
Measurement of brain wave activity (EEG) to evaluate brain death (95824) $4,958.15
Mechanical chest wall oscillation lung function (94669) $840.25
Mechanical traction therapy (97012) $71.25
Methacholine challenge (94070) $1,409.95
Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) $851.70
Nasopharyngoscopy (92511) $656.95
Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber… (95872) $443.65
Neg pressure wound therapy non dme </= 50 sq cm (97607) $548.55
Neg pressure wound therapy non dme >50 sq cm (97608) $1,290
Negative pressure wound therapy dme </= 50 sq cm (97605) $261.30
Negative pressure wound therapy dme >50 sq cm (97606) $754.15
Nerve conduction studies 7-8 studies (95910) $1,345.05
Neuromuscular junction test (95937) $421.40
Nitric oxide expired gas determination (95012) $228.40
Non-invasive physiologic study extremity 3 levels (93923) $1,196.15
Noninvasive ear/pulse oximetry overnight monitor (94762) $1,902.80
Occupational therapy eval high complex 60 mins (97167) $522.80
Occupational therapy eval low complex 30 mins (97165) $418.50
Occupational therapy eval mod complex 45 mins (97166) $443.05
Oral function therapy (92526) $834.10
Oral speech device eval (92597) $605.30
Orthc/prostc mgmt sbsq enc (97763) $168.15
Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) $239.40
Osteopath manj 1-2 regions (98925) $77.85
Ot manual therapy ea 15 min (97140) $172.50
Ot neuromuscular re-education (97112) $235.90
Ot paraffin bath (97018) $46.75
Ot re-evaluation (97168) $378.90
OT Therapeutic Activities Charges (97530) $279.85
Ot wheelchair management (97542) $236.40
Outpatient cardiac rehab w/cont ECG monitoring (93798) $741.20
Outpatient cardiac rehab w/o cont ECG monitor (93797) $512.25
Oxygen uptake, expired gas analysis; rest, indirect (separate procedure) (94690) $985.75
Peripheral vascular rehab (93668) $356.15
Perq transcath closure pda (93582) $49,497.45
Perq transcath cls paravalvr leak 1 aortic valve (93591) $49,497.45
Perq transcath cls paravalvr leak 1 mitral valve (93590) $49,497.45
Phlebotomy therapeutic (99195) $794.85
Phy/qhp op pulm rhb w/mntr (94626) $618.50
Phy/qhp op pulm rhb w/o mntr (94625) $651.05
Physical therapy evaluation high complex 45 mins (97163) $428.05
Physical therapy evaluation low complex 20 mins (97161) $419.70
Physical therapy evaluation mod complex 30 mins (97162) $422.15
Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) $9,506.90
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93260) $171.35
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $117.50
Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) $237.60
Prq trluml coronary angio/atherect one art/brnch (92924) $31,811.68
Prq trluml coronary angioplasty one art/branch (92920) $20,388
Prq trluml coronary byp grft revasc one vessel (92937) $32,965.66
Prq trluml coronary stent w/angio one art/brnch (92928) $39,764.61
Prq trluml coronry chronic occlus revasc one vsl (92943) $41,207.04
Prq trluml coronry stent/ath/angio one art/brnch (92933) $51,477.35
Pt gait training 15 min (97116) $213.55
Pt physical performance test (97750) $164.95
Pt re-evaluation (97164) $378.30
Pulm funct tst plethysmograp (94726) $1,778.35
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 art/ventricle angio (93461) $8,524.85
R&l hrt cath w/ventriclgrphy (93453) $10,656.05
Recording to evaluate height and duration of heart beats through damaged heart tissue (93278) $265.90
Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain… (95990) $1,817.30
Refilling and maintenance of portable pump (96521) $972.75
Rem interrog scrms <30 d phys/qhp (93298) $117.50
Remote 30 day ECG rev/report (93270) $2,984.45
Respiratory flow volume loop (94375) $1,008.75
Rfl&main implt pmp/rsvr dlvr spi/brn phy/qhp (95991) $1,689.30
Right heart cath o2 saturation & cardiac output (93451) $11,324.30
Right ventricular recording (93603) $6,339.35
Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) $302.90
Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) $289.80
Sleep study unattended (95806) $1,462
Speech sound lang comprehen (92523) $1,207
Standardized cognitive performance testing (96125) $552.30
Stress tte only (93350) $3,274.70
Surfactant administration (94610) $662.15
Temp transcutaneous pacing (92953) $2,357.25
Test to measure resistance of the airways and lungs to differing frequencies (94728) $1,136.70
Testing autonomic nervous system function (95923) $467.10
Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more… (95921) $467.10
Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function),… (95922) $467.10
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $158.25
Ther ivntj cog funcj cntct ea addl 15 minutes (97130) $147.80
Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) $111.55
Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) $81.90
Therapeutic prophylactic/dx injection subq/im (96372) $194.40
Therapeutic service(s) for the use of non-speech-generating device, including programming and modification (92606) $785.50
Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) $930.25
Tilt table evaluation (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
Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition,… (93315) $5,740.40
Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study Age Under 21 (93304) $2,884.78
Tte congenital complete (93303) $3,059.37
Tte f-up or lmtd (93308) $2,462.60
Tte w/doppler complete (93306) $7,300.05
Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) $837.85
Tx speech language voice commj auditry 2/>indiv (92508) $194.35
Unlisted noninvasive vascular diagnostic study (93998) $414.10
Upr/l xtremity art 2 levels (93922) $801.15
Valvuloplasty aortic valve (92986) $15,683.05
Valvuloplasty mitral valve (92987) $31,697.75
Veeg by tech 2-12 hours unmonitored (95711) $2,909.85
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $4,958.15
Veeg by tech 2-12 hr intermittent monitoring (95712) $2,909.85
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $9,506.90
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $4,958.15
Veeg by tech ea incr 12-26 hr unmonitored (95714) $4,958.15
Ventilation ip/obs initial day (94002) $5,096.70
Ventilator subsequent day (94003) $4,226.05
Vital capacity total (94150) $596.20
Wada activation test (95958) $9,506.90
Wound(s) care non-selective (97602) $312.50