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.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $425.39 $708.98 1.8×
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) $1,091.94 $1,819.90 4.7×
Cardioversion (92960) $1,501.12 $2,501.87 2.1×
Cbt 1st hour (94644) $384.78 $641.30 2.7×
Color/duplex Doppler, complete (93975) $1,424.49 $2,374.15 5.6×
Continuous Glucose Monitoring (95250) $236.08 $393.46 1.7×
Cpap initiation and management (94660) $302.06 $503.44 1.3×
Cpt initial (94667) $135.96 $226.60 1.0×
Critical care (99291) $1,725.30 $2,875.50 2.0×
Debridement Open Wound 20 Sq Cm< (97597) $486 $810 2.3×
Demo &/or eval,pt use,aerosol device (94664) $58.09 $96.82 0.2×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $644.32 $1,073.87 2.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,969.20 $3,282 7.7×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $530.24 $883.74 4.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $686.60 $1,144.33 2.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $615.09 $1,025.15 5.5×
Dup-scan xtr veins unilateral/limited study (93971) $997.45 $1,662.42 8.9×
Duplex scan extracranial art compl bi study (93880) $1,651 $2,751.66 6.5×
Echo Heart Xthoracic,Limited (93308) $601.31 $1,002.19 2.4×
Echo transesophageal (93312) $2,486.91 $4,144.85 4.3×
EKG (93005) $466.80 $778 7.4×
Er level 1 (99281) $227.76 $379.61 2.5×
Er level ii (99282) $339.22 $565.36 2.1×
Er level iii (99283) $652.24 $1,087.06 2.2×
Er level IV (99284) $767.95 $1,279.92 1.7×
Er level v (99285) $1,725.30 $2,875.50 2.7×
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×
Fluorescein angiography (92235) $475.63 $792.72 2.1×
Holter Monitor Recording (93225) $549.49 $915.82 3.9×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $54,283.80 $90,473 706.5×
Immunization Admin (90471) $109.20 $182 1.4×
Ins swan ganz bedside (93503) $4,387.27 $7,312.12 2.6×
IV infusion hydration each additional hour (96361) $961.80 $1,603 19.2×
IV infusion hydration initial 31 min-1 hour (96360) $404.17 $673.62 1.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $318.50 $530.84 4.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $328.16 $546.93 1.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $392.40 $654 7.9×
IV push initial (96374) $190.40 $317.34 0.8×
Low frequency non-thermal us (97610) $247.20 $412 1.2×
Manual therapy 15 min (97140) $89.40 $149 3.2×
Mechanical traction (97012) $26.57 $44.29 1.9×
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) $583.42 $972.37 1.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $197.76 $329.60 1.4×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $258 $430 1.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $240.56 $400.93 1.8×
Osteopathic manipulative tx 1-2 body regions (98925) $72.92 $121.54 3.2×
Ot Contrast Bath Ea 15 Min (97034) $169.30 $282.17 12.1×
Ot eval high complex 60 min (97167) $336 $560 3.3×
Ot eval low complex 30 min (97165) $274.05 $456.75 2.7×
Ot eval mod complex 45 min (97166) $301.46 $502.42 3.0×
Ot re-eval est plan care (97168) $214.37 $357.28 3.1×
Paraffin bath (97018) $10.51 $17.51 1.7×
Pt Aquatic Therapy/Exercises (97113) $67.36 $112.27 1.8×
Pt Electric Current Therapy (97033) $36.46 $60.77 1.9×
Pt Electrical Stimulation (97032) $68.82 $114.70 4.7×
Pt eval high complex 45 min (97163) $179.22 $298.70 1.8×
Pt eval low complex 20 min (97161) $179.22 $298.70 1.8×
Pt Gait Training Therapy (97116) $95.59 $159.32 3.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $129.90 $216.50 4.0×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $235.41 $392.35 2.4×
Pt re-evaluation (97164) $123.60 $206 1.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $73.08 $121.80 2.3×
Pt Ultrasound Therapy (97035) $84 $140 5.8×
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×
Rt Chest Wall Manipulation,Subsequent (94668) $103.71 $172.85 0.7×
Stress echo (93350) $1,532.64 $2,554.40 2.6×
Stress Tte Complete (93351) $1,724.53 $2,874.22 3.0×
Ther/Proph/Diag Inj Sc/Im (96372) $233.17 $388.61 3.0×
Therapeutic Activities (97530) $95.62 $159.36 2.7×
Therapeutic phlebotomy (99195) $45.68 $76.12 0.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,246.08 $3,743.46 3.9×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,355.89 $2,259.82 5.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $210.88 $351.47 4.2×
Unlisted otorhinolaryngological service (92700) $204.62 $341.04 6.6×
Vasc Duplex Extrem Venous,Bilat (93970) $2,019.44 $3,365.74 7.9×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $312 $520 1.4×
Ventilation assist & mgmt inpatient 1st day (94002) $854.08 $1,423.46 1.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $835.14 $1,391.90 1.3×
Wheelchair Mgmt Ea 15 Min (97542) $102 $170 3.3×