Visits & medical services prices at Kit Carson County Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $312.55 $367.71 1.4×
Assessment of aphasia (96105) $162.72 $191.43 1.7×
Behavioral and qualitative analysis of voice and resonance (92524) $267.51 $314.72 2.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $267.84 $315.11 0.7×
Canalith Repositioning (95992) $83.88 $98.68 2.1×
Cardiac Stress Tst,Tracing Only (93017) $127.50 $150 0.6×
Cardiopulmonary resuscitation (92950) $1,654.70 $1,946.70 7.3×
Cardioversion (92960) $2,467.34 $2,902.75 3.5×
Cbt 1st hour (94644) $470.67 $553.73 3.4×
Chemo Hormon Antineopl Sq/Im (96402) $122.26 $143.84 1.6×
Chemo IV push addl drug (96411) $330.98 $389.39 4.4×
Chemo Iv Push Sngl Drug (96409) $649.24 $763.81 1.9×
Chemo prolong 8+ hrs infuse w/pump (96416) $342.43 $402.86 1.0×
Chemother, IV infusion, 1 hr (96413) $843.44 $992.28 2.4×
Chemother, IV infusion, ea add hr (96415) $316 $371.77 4.2×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $172.56 $203.02 2.3×
Chemotherapy, unspecified procedure (96549) $87.06 $102.42 1.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $358.52 $421.79 4.7×
Color/duplex Doppler, complete (93975) $969.83 $1,140.98 3.9×
Color/duplex Doppler, limited (93976) $561.88 $661.04 5.1×
Cpap initiation and management (94660) $603.04 $709.46 2.6×
Cpt initial (94667) $204 $240 1.5×
Cptrized oph dx img pst segment uni/bi retina (92134) $55.25 $65 0.9×
Critical care (99291) $1,529.25 $1,799.12 1.8×
Demo &/or eval,pt use,aerosol device (94664) $349.32 $410.97 1.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,028.67 $1,210.20 4.1×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $669.23 $787.33 6.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $856.77 $1,007.96 3.4×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $669.23 $787.33 6.1×
Dup-scan xtr veins unilateral/limited study (93971) $830.80 $977.41 7.5×
Duplex scan extracranial art compl bi study (93880) $1,136.18 $1,336.68 4.5×
Echo Transthoracic - Congenital Tte Limited (93304) $422.87 $497.49 0.7×
EKG (93005) $173.74 $204.40 2.8×
EKG rhythm strip (93041) $68.94 $81.11 1.1×
Er level 1 (99281) $140.08 $164.80 1.6×
Er level ii (99282) $247.05 $290.64 1.5×
Er level iii (99283) $445.08 $523.62 1.5×
Er level IV (99284) $680.49 $800.58 1.5×
Er level v (99285) $1,190.56 $1,400.65 1.9×
Evaluation of speech fluency (92521) $267.51 $314.72 2.0×
Evaluation of speech sound production (92522) $254.13 $298.98 2.3×
Evaluation of swallowing function (92610) $382.52 $450.02 4.5×
Exam of visual field with extended testing (92083) $131.75 $155 0.9×
Exercise tst brncspsm (94617) $315.52 $371.20 2.2×
External ECG rec>48hr<7d recording (93242) $74.42 $87.55 1.9×
External ECG rec>48hr<7d scanning alys w/report (93243) $121.69 $143.17 0.9×
External ECG rec>7d<15d recording (93246) $121.69 $143.17 3.1×
External ECG rec>7d<15d scanning alys w/report (93247) $245.14 $288.40 1.7×
External Ecg Scanning Analysis Report (93226) $238.65 $280.76 3.8×
Flow volume loop (94375) $344.25 $405 1.5×
Holter Monitor Recording (93225) $238.65 $280.76 1.7×
Immunization Admin (90471) $121.81 $143.30 1.6×
Injection intra arterial (96373) $195.48 $229.98 0.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $187.54 $220.63 3.0×
IV infusion hydration each additional hour (96361) $130.89 $153.98 2.6×
IV infusion hydration initial 31 min-1 hour (96360) $410 $482.35 1.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $243.61 $286.60 3.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $384.26 $452.07 1.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $171.90 $202.24 3.5×
IV push initial (96374) $201.73 $237.33 0.9×
Low frequency non-thermal us (97610) $349.32 $410.97 1.7×
Manual therapy 15 min (97140) $112.94 $132.87 4.1×
Maximum voluntary ventilation (94200) $206.84 $243.34 3.3×
Mechanical chest wall oscillation (94669) $440.33 $518.04 1.9×
Mechanical traction (97012) $70.79 $83.28 4.9×
Methacholine challenge (94070) $219.98 $258.80 0.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $297.85 $350.41 3.3×
Neg press wnd tx </=50 sq cm (97607) $671.08 $789.50 1.6×
Neg press wound tx >50 cm (97608) $740.02 $870.61 1.7×
Nerve conduction studies; 5-6 studies (95909) $471.75 $555 2.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $647.17 $761.38 4.6×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $682.10 $802.47 3.0×
Ophthalmic biometry (92136) $71.30 $83.88 0.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $92.85 $109.23 2.0×
Ot eval high complex 60 min (97167) $191.21 $224.95 1.9×
Ot eval low complex 30 min (97165) $239.93 $282.27 2.4×
Ot eval mod complex 45 min (97166) $191.21 $224.95 1.9×
Ot Prosthetic Training, Each 15 Min (97761) $38.61 $45.42 1.0×
Ot Range Motion Measure,Each Extrem (95851) $38.61 $45.42 1.5×
Ot re-eval est plan care (97168) $89.17 $104.91 1.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $226.95 $267 1.7×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $129.20 $152 1.0×
Paraffin bath (97018) $88.25 $103.82 14.7×
Plethysmography (94726) $182.81 $215.07 0.5×
Pm device eval in person (93288) $199.75 $235 5.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,361.61 $2,778.37 2.6×
Psychiatric diagnostic evaluation (90791) $287.51 $338.25 1.5×
Pt Aquatic Therapy/Exercises (97113) $88.30 $103.88 2.4×
Pt Electric Current Therapy (97033) $136.58 $160.68 7.2×
Pt Electrical Stimulation (97032) $110.31 $129.78 7.5×
Pt eval high complex 45 min (97163) $270.27 $317.96 2.8×
Pt eval low complex 20 min (97161) $199.49 $234.69 2.0×
Pt Gait Training Therapy (97116) $82.26 $96.78 2.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $98.83 $116.27 3.0×
Pt Physical Performance Test (97750) $82.74 $97.34 2.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $245.45 $288.76 2.5×
Pt re-evaluation (97164) $110.16 $129.60 1.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $97.67 $114.91 3.0×
Pt Ultrasound Therapy (97035) $85.67 $100.79 6.0×
Pulmonary stress testing (94618) $244.72 $287.90 1.7×
Refill/maint, portable pump (96521) $430.18 $506.09 1.9×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $85.41 $100.48 2.2×
Rom meas&reprt hand w/wo comparison normal sid (95852) $47.80 $56.24 2.2×
Rt Chest Wall Manipulation,Subsequent (94668) $272 $320 1.9×
Sensory Integration Ea 15 Min (97533) $67.11 $78.95 1.1×
Smoking cessation > 10 min (99407) $76.71 $90.25 1.9×
Speech sound lang comprehen (92523) $334.39 $393.40 1.5×
Spirometry (94010) $279.70 $329.06 1.2×
Stress echo (93350) $533.18 $627.27 0.9×
Temp transcutaneous pacing (92953) $1,080.15 $1,270.76 1.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $56.67 $66.67 2.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $54.18 $63.74 2.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $134.22 $157.90 1.3×
Ther/Proph/Diag Inj Sc/Im (96372) $122.74 $144.40 1.6×
Therapeutic Activities (97530) $82.74 $97.34 2.4×
Therapeutic phlebotomy (99195) $348.50 $410 2.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $76.71 $90.25 1.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,676.76 $1,972.66 2.9×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,518.14 $1,786.05 6.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $203.16 $239.01 2.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $122.04 $143.58 1.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $169.47 $199.38 3.4×
Vasc Duplex Extrem Venous,Bilat (93970) $1,200.80 $1,412.71 4.8×
Ventilation assist & mgmt inpatient 1st day (94002) $1,172.01 $1,378.84 1.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,172.01 $1,378.84 1.8×
Visual reinforcement audiometry (vra) (92579) $183.86 $216.30 0.8×
Vital capacity total (94150) $312.44 $367.58 2.3×
Wheelchair Mgmt Ea 15 Min (97542) $112.15 $131.94 3.6×