Visits & medical services prices at Little Colorado Medical Center
Winslow, AZ · every code in this section with a posted price and a Medicare benchmark.
86 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 |
$419.10–$431.68 | $698.50–$719.46 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 5 matching MRF lines |
$25.80–$140.90 | $43–$234.84 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $709.46 | $1,182.44 | 1.8× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,532.64 | $2,554.40 | 6.7× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$1,075.80–$1,108.07 | $1,793–$1,846.79 | varies |
| Cardioversion (92960) range across 5 matching MRF lines |
$1,474.80–$1,519.20 | $2,458–$2,532 | varies |
| Cbt 1st hour (94644) | $384.78 | $641.30 | 2.7× |
| Chest Wall Manipulation (94668) range across 3 matching MRF lines |
$100.69–$169.95 | $167.82–$283.25 | varies |
| Color/duplex Doppler, complete (93975) | $1,424.49 | $2,374.15 | 5.6× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $236.08 | $393.46 | 1.7× |
| Continuous Pulse Ox (94762) range across 3 matching MRF lines |
$233.55–$467.10 | $389.25–$778.50 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$297.60–$306.53 | $496–$510.88 | varies |
| Cpt initial (94667) | $135.96 | $226.60 | 1.0× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$1,699.80–$1,750.79 | $2,833–$2,917.99 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$471.85–$943.69 | $786.41–$1,572.82 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$634.80–$653.84 | $1,058–$1,089.74 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 3 matching MRF lines |
$420–$2,028.28 | $700–$3,380.46 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $530.24 | $883.74 | 4.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$1,989.60–$2,049.29 | $3,316–$3,415.48 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$796.80–$1,209.43 | $1,328–$2,015.71 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$432.60–$940.60 | $721–$1,567.66 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$606–$624.18 | $1,010–$1,040.30 | varies |
| Echo Heart Xthoracic,Limited (93308) | $601.31 | $1,002.19 | 2.4× |
| Echo transesophageal (93312) | $2,486.91 | $4,144.85 | 4.3× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,724.53 | $2,874.22 | 3.0× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$67.80–$69.83 | $113–$116.39 | varies |
| Electrocardiogram Tracing (93005) range across 5 matching MRF lines |
$36.46–$480.80 | $60.77–$801.34 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$334.20–$344.23 | $557–$573.71 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$642.60–$661.88 | $1,071–$1,103.13 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$756.60–$779.30 | $1,261–$1,298.83 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$224.40–$231.13 | $374–$385.22 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$1,699.80–$1,750.79 | $2,833–$2,917.99 | varies |
| Evaluate pt use of inhaler (94664) | $58.09 | $96.82 | 0.2× |
| External ECG rec>7d<15d recording (93246) | $289.22 | $482.04 | 7.3× |
| External Ecg Scanning Analysis Report (93226) | $870.14 | $1,450.24 | 13.8× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$1,626.60–$1,675.40 | $2,711–$2,792.33 | varies |
| Fluorescein angiography (92235) range across 2 matching MRF lines |
$468.60–$482.66 | $781–$804.43 | varies |
| Holter monitor recording (93225) range across 3 matching MRF lines |
$239.17–$565.97 | $398.61–$943.29 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $54,283.80 | $90,473 | 706.5× |
| Immunization administration (90471) range across 3 matching MRF lines |
$39–$112.48 | $65–$187.46 | varies |
| Insert/Place Heart Catheter (93503) | $4,387.27 | $7,312.12 | 2.6× |
| Iontophoresis 15 min (97033) | $36.46 | $60.77 | 1.9× |
| IV infusion hydration each additional hour (96361) range across 6 matching MRF lines |
$274.80–$3,572.40 | $458–$5,954 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$392.40–$784.80 | $654–$1,308 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$313.80–$323.21 | $523–$538.69 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 5 matching MRF lines |
$196.20–$2,158.20 | $327–$3,597 | varies |
| IV push initial (96374) range across 4 matching MRF lines |
$159–$223.55 | $265–$372.59 | varies |
| Low frequency non-thermal us (97610) | $247.20 | $412 | 1.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $312 | $520 | 1.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $56.24 | $93.73 | 1.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $58.09 | $96.82 | 1.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $339.28 | $565.47 | 1.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$574.80–$592.04 | $958–$986.74 | varies |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$62.42–$142.76 | $104.03–$237.93 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $72.92 | $121.54 | 3.2× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$166.80–$171.80 | $278–$286.34 | varies |
| Ot eval high complexity (97167) range across 3 matching MRF lines |
$278.10–$346.08 | $463.50–$576.80 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$270–$278.10 | $450–$463.50 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$297–$305.91 | $495–$509.85 | varies |
| Ot manual therapy 15 min (97140) range across 5 matching MRF lines |
$48.60–$268.20 | $81–$447 | varies |
| Ot paraffin bath (97018) | $10.51 | $17.51 | 1.7× |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$211.20–$217.54 | $352–$362.56 | varies |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$45–$46.35 | $75–$77.25 | varies |
| Pt Eval High Complex (97163) | $179.22 | $298.70 | 1.8× |
| Pt eval low complex 20 min (97161) range across 3 matching MRF lines |
$174–$285.14 | $290–$475.23 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$179.22–$291.60 | $298.70–$486 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$54.38–$136.80 | $90.64–$228 | varies |
| Pt mechanical traction (97012) | $26.57 | $44.29 | 1.9× |
| Pt Re-Eval Est Plan Care (97164) | $123.60 | $206 | 1.8× |
| Pulmonary Stress Testing (94618) | $197.76 | $329.60 | 1.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $313.24 | $522.06 | 1.5× |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$60.56–$136.80 | $100.94–$228 | varies |
| Stress Tte Only (93350) | $1,532.64 | $2,554.40 | 2.6× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $67.36 | $112.27 | 1.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 7 matching MRF lines |
$44.40–$699.50 | $74–$1,165.83 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$318.60–$637.20 | $531–$1,062 | varies |
| Therapeutic Activities (97530) range across 4 matching MRF lines |
$67.98–$198 | $113.30–$330 | varies |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$2,212.88–$2,279.27 | $3,688.14–$3,798.78 | varies |
| Tte W/O Doppler Complete (93307) | $1,355.89 | $2,259.82 | 5.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 7 matching MRF lines |
$80.96–$1,023.69 | $134.93–$1,706.15 | varies |
| Unlisted otorhinolaryngological service (92700) range across 2 matching MRF lines |
$201.60–$207.65 | $336–$346.08 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $197.76 | $329.60 | 1.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $258 | $430 | 1.1× |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$829.20–$3,107.30 | $1,382–$5,178.84 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$822.80–$847.48 | $1,371.33–$1,412.47 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 3 matching MRF lines |
$87.78–$105.06 | $146.30–$175.10 | varies |
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.