Visits & medical services prices at Keefe Memorial Hospital

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

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

Compare against other hospitals interactively →

ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $186 $186 1.7×
Airway inhalation treatment (94640) $186 $186 0.8×
Behav assmt w/score & docd/stand instrument (96127) $12 $12 0.3×
Behavioral and qualitative analysis of voice and resonance (92524) $227 $227 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $557 $557 1.4×
Cardiac Stress Tst,Tracing Only (93017) $869.60 $1,087 3.8×
Cardiopulmonary resuscitation (92950) $867 $867 3.8×
Cardioversion (92960) $399 $399 0.6×
Chiropractic manipulative treatment (CMT); spinal, 3-4 regions (98941) $38 $38 1.7×
Color/duplex Doppler, complete (93975) $641 $641 2.5×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $337 $337 1.8×
Cpap initiation and management (94660) $869 $869 3.8×
Cpt initial (94667) $200 $200 1.4×
Critical care (99291) $699 $699 0.8×
Demo &/or eval,pt use,aerosol device (94664) $170 $170 0.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $983 $983 3.9×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,004 $1,255 4.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $803.20 $1,004 7.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $952 $1,190 3.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $856.80 $1,071 7.8×
Dup-scan xtr veins unilateral/limited study (93971) $939 $939 8.5×
Duplex hemodialysis access (93990) $352 $352 3.2×
Duplex scan extracranial art compl bi study (93880) $1,224 $1,530 4.9×
EKG (93005) $335 $335 5.4×
Er level 1 (99281) $205 $205 2.3×
Er level ii (99282) $281.50 $281.50 1.7×
Er level iii (99283) $503.50 $503.50 1.7×
Er level IV (99284) $608.80 $723.50 1.4×
Er level v (99285) $829.50 $982.50 1.3×
External ECG rec>48hr<7d recording (93242) $186 $186 4.7×
External ECG rec>7d<15d recording (93246) $224 $224 5.7×
External Ecg Scanning Analysis Report (93226) $492 $492 7.9×
Holter Monitor Recording (93225) $421 $421 3.0×
Immunization Admin (90471) $86 $86 1.1×
Immunotherapy, 2+ Injections (95117) $30 $30 0.6×
Injection intra arterial (96373) $216 $216 1.0×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $191 $191 3.1×
IV infusion hydration each additional hour (96361) $170 $170 3.4×
IV infusion hydration initial 31 min-1 hour (96360) $440 $440 2.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $193 $193 2.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $440 $440 2.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $134 $134 2.7×
IV push initial (96374) $260 $260 1.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $75 $75 2.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $428 $428 2.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $311 $311 0.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $803.20 $1,004 5.7×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $924.50 $1,050 4.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $474 $474 3.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $109 $109 2.4×
Osteopathic manipulative tx 1-2 body regions (98925) $80 $80 3.5×
Osteopathic manipulative tx 3-4 body regions (98926) $113 $113 5.0×
Ot Prosthetic Training, Each 15 Min (97761) $104 $104 2.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $268 $268 2.0×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $249 $249 1.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,722.30 $3,889 3.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $25 $25 0.5×
Psych diag eval w/med srvcs (90792) $448 $448 2.4×
Psychiatric diagnostic evaluation (90791) $426 $426 2.3×
Psytx crisis initial 60 min (90839) $345 $345 1.8×
Pt Aquatic Therapy/Exercises (97113) $175 $175 4.7×
Pt Physical Performance Test (97750) $127 $127 3.8×
Pulmonary stress testing (94618) $312 $312 2.2×
Pure Tone Audiometry, Air (92552) $243 $243 1.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $492 $492 12.5×
Rt Chest Wall Manipulation,Subsequent (94668) $139 $139 1.0×
Spirometry (94010) $274 $274 1.2×
Stress echo (93350) $2,303.70 $3,291 4.0×
Ther/Proph/Diag Inj Sc/Im (96372) $113 $113 1.5×
Therapeutic phlebotomy (99195) $304 $304 2.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $26 $26 0.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,896.80 $2,371 3.3×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,064.80 $1,331 4.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $155 $155 2.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $179 $179 3.6×
Tympanometry (92567) $99 $99 2.5×
Vasc Duplex Extrem Venous,Bilat (93970) $1,185.60 $1,482 4.7×
Vasc Duplex Scan Extracranial,Limited (93882) $904.80 $1,131 8.2×
Ventilation assist & mgmt inpatient 1st day (94002) $1,281.60 $1,602 2.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $932 $1,165 1.4×
Xtrnl mobile cv telemetry w/technical support (93229) $271 $271 0.7×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $492 $492 4.9×