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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$184.77–$440.33 | $217.38–$518.04 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $85.67 | $100.79 | 6.0× |
| Assessment of aphasia per hr (96105) | $162.72 | $191.43 | 1.7× |
| Behavral qualit analys voice (92524) | $267.51 | $314.72 | 2.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$51–$484.69 | $60–$570.22 | varies |
| Canalith repositioning proc (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 Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$143.40–$201.73 | $168.71–$237.33 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $122.26 | $143.84 | 1.6× |
| Chemo IV infusion addl hr (96415) | $316 | $371.77 | 4.2× |
| Chemo IV push addl drug (96411) | $330.98 | $389.39 | 4.4× |
| Chemother Prolong Infuse W/Pump (96416) | $342.43 | $402.86 | 1.0× |
| Chemotherapy Unspecified (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× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $843.44 | $992.28 | 2.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $649.24 | $763.81 | 1.9× |
| Chest Wall Manipulation (94668) | $272 | $320 | 1.9× |
| Color/duplex Doppler, complete (93975) | $969.83 | $1,140.98 | 3.9× |
| Color/duplex Doppler, limited (93976) | $561.88 | $661.04 | 5.1× |
| Computerized Ophthalmic Imaging Retina (92134) | $55.25 | $65 | 0.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$91.01–$603.04 | $107.07–$709.46 | varies |
| Cpt initial (94667) | $204 | $240 | 1.5× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$709.75–$2,348.75 | $835–$2,763.23 | varies |
| 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 Xtr Veins Complete Bilateral Study (93970) | $1,200.80 | $1,412.71 | 4.8× |
| Dup-scan xtr veins unilateral/limited study (93971) | $830.80 | $977.41 | 7.5× |
| Duplex up extrem art bilat (93930) | $856.77 | $1,007.96 | 3.4× |
| Duplex up extrem art unilat/ltd (93931) | $669.23 | $787.33 | 6.1× |
| Electrical Stimulation Ea 15 Min (97032) | $110.31 | $129.78 | 7.5× |
| Electrocardiogram Tracing (93005) | $173.74 | $204.40 | 2.8× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$106.25–$387.85 | $125–$456.29 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$182.75–$707.40 | $215–$832.24 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$306–$1,054.98 | $360–$1,241.15 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$73.54–$206.62 | $86.52–$243.08 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$446.25–$1,934.86 | $525–$2,276.30 | varies |
| Evaluate pt use of inhaler (94664) | $349.32 | $410.97 | 1.5× |
| Evaluate Speech Production (92522) | $254.13 | $298.98 | 2.3× |
| Evaluate Swallowing Function (92610) | $382.52 | $450.02 | 4.5× |
| Evaluation of speech fluency (92521) | $267.51 | $314.72 | 2.0× |
| Exercise test for bronchospasm (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× |
| Extracranial Bilat Study (93880) | $1,136.18 | $1,336.68 | 4.5× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $422.87 | $497.49 | 0.7× |
| Holter monitor recording (93225) | $238.65 | $280.76 | 1.7× |
| Immunization administration (90471) | $121.81 | $143.30 | 1.6× |
| Iontophoresis 15 min (97033) | $136.58 | $160.68 | 7.2× |
| Irrig Drug Delivery Device (96523) | $187.54 | $220.63 | 3.0× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$128.70–$133.08 | $151.41–$156.56 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) | $410 | $482.35 | 1.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $243.61 | $286.60 | 3.2× |
| IV infusion therapy prophylaxis/dx ea 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× |
| Lung Function Test (Mbc/Mvv) (94200) | $206.84 | $243.34 | 3.3× |
| Mechanical chest wall oscillation per session (94669) | $440.33 | $518.04 | 1.9× |
| Methacholine challenge (94070) | $219.98 | $258.80 | 0.6× |
| Motion Fluoroscopy/Swallow (92611) | $297.85 | $350.41 | 3.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $671.08 | $789.50 | 1.6× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $740.02 | $870.61 | 1.7× |
| Nerve conduction studies 5-6 studies (95909) | $471.75 | $555 | 2.1× |
| Neuromuscular Reeducation (97112) range across 6 matching MRF lines |
$98.83–$108.56 | $116.27–$127.72 | varies |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 2 matching MRF lines |
$63.75–$78.85 | $75–$92.76 | varies |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$49.64–$194.45 | $58.40–$228.77 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 4 matching MRF lines |
$92.85–$112.72 | $109.23–$132.61 | varies |
| Ot eval high complexity (97167) | $191.21 | $224.95 | 1.9× |
| Ot Eval Low Complex (97165) | $239.93 | $282.27 | 2.4× |
| Ot Eval Moderate Complexity (97166) | $191.21 | $224.95 | 1.9× |
| Ot manual therapy 15 min (97140) | $112.94 | $132.87 | 4.1× |
| Ot paraffin bath (97018) | $88.25 | $103.82 | 14.7× |
| Ot Prosthetic Training, Each 15 Min (97761) | $38.61 | $45.42 | 1.0× |
| Ot Re-Eval Est Plan Care (97168) | $89.17 | $104.91 | 1.3× |
| Ot rom hand (95852) | $47.80 | $56.24 | 2.2× |
| 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× |
| Phlebotomy therapeutic (99195) | $348.50 | $410 | 2.5× |
| Physical Performance Test (97750) range across 5 matching MRF lines |
$76.30–$82.74 | $89.76–$97.34 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$59.50–$306.12 | $70–$360.14 | varies |
| 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 Eval High Complex (97163) | $270.27 | $317.96 | 2.8× |
| Pt eval low complex 20 min (97161) | $199.49 | $234.69 | 2.0× |
| Pt Eval Mod Complex (97162) | $245.45 | $288.76 | 2.5× |
| Pt gait training 15 min (97116) range across 6 matching MRF lines |
$82.26–$83.17 | $96.78–$97.85 | varies |
| Pt mechanical traction (97012) | $70.79 | $83.28 | 4.9× |
| Pt Re-Eval Est Plan Care (97164) | $110.16 | $129.60 | 1.6× |
| 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 (93270) | $85.41 | $100.48 | 2.2× |
| Respiratory flow volume loop (94375) | $344.25 | $405 | 1.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $68.94 | $81.11 | 1.1× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $38.61 | $45.42 | 1.5× |
| Self Care Mngment Training (97535) | $97.67 | $114.91 | 3.0× |
| Sensory Integration Ea 15 Min (97533) | $67.11 | $78.95 | 1.1× |
| Speech sound lang comprehen (92523) | $334.39 | $393.40 | 1.5× |
| Spirometry (94010) range across 2 matching MRF lines |
$275.56–$283.83 | $324.19–$333.92 | varies |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$345.82–$1,143.34 | $406.85–$1,345.10 | varies |
| 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 Ea Addl 15 Min (97130) | $54.18 | $63.74 | 2.6× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $88.30 | $103.88 | 2.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $134.22 | $157.90 | 1.3× |
| Ther/Proph/Diag Inj Ia (96373) range across 2 matching MRF lines |
$178.60–$212.36 | $210.12–$249.83 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) | $122.74 | $144.40 | 1.6× |
| Ther/Proph/Diag Iv Inf Init (96365) | $384.26 | $452.07 | 1.7× |
| Therapeutic Activities (97530) | $82.74 | $97.34 | 2.4× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $76.71 | $90.25 | 1.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $76.71 | $90.25 | 1.9× |
| Tte w/doppler, complete (93306) | $1,676.76 | $1,972.66 | 2.9× |
| Tte W/O Doppler Complete (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/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$168.22–$170.72 | $197.91–$200.85 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $647.17 | $761.38 | 4.6× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $682.10 | $802.47 | 3.0× |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$218.79–$2,189.71 | $257.40–$2,576.13 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 3 matching MRF lines |
$158.12–$1,907.49 | $186.02–$2,244.11 | varies |
| Visual Field Exam Extended (92083) | $131.75 | $155 | 0.9× |
| 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× |
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.