Visits & medical services prices at Middle Park Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $453.86 $567.32 10.6×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$75.64–$79.01 $94.55–$98.76 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $65.04 $81.29 4.5×
Application Modality 1/> Areas Infrared (97026)
range across 2 matching MRF lines
$79.45–$108.12 $99.31–$135.14 varies
Assessment of aphasia per hr (96105) $586.16 $732.69 6.0×
Behavral qualit analys voice (92524) $493.25 $616.56 4.5×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $119.94 $149.92 1.5×
Bfb training ea addl 15 min (90913) $66.72 $83.40 2.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $286.87 $358.58 0.7×
Canalith repositioning proc (95992) $130.92 $163.64 3.2×
Cardiac Stress Tst,Tracing Only (93017) $529.60 $662 2.3×
Cardiopulmonary resuscitation (92950) $1,147.48 $1,434.34 5.0×
Cardioversion (92960)
range across 2 matching MRF lines
$1,553.16–$1,597.37 $1,941.45–$1,996.71 varies
Cardioversion elective internal (92961) $3,302.20 $4,127.75 4.7×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $271.41 $339.26 10.4×
Cbt 1st hour (94644) $357.21 $446.51 2.5×
Chemo Anti-Neopl Sq/Im (96401) $298.76 $373.44 3.9×
Chemo Hormon Antineopl Sq/Im (96402) $415.03 $518.78 5.5×
Chemo Intralesional Over 7 (96406) $411.64 $514.54 1.8×
Chemo intralesional up to 7 (96405) $102.70 $128.37 1.4×
Chemo IV infusion addl hr (96415) $244.44 $305.54 3.2×
Chemo IV push addl drug (96411) $224.92 $281.14 3.0×
Chemother Prolong Infuse W/Pump (96416) $534.70 $668.37 1.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $391.26 $489.07 5.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,196.70 $1,495.87 3.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $411.64 $514.54 1.2×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) $257.01 $321.26 11.3×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$336.20–$681.64 $420.24–$852.04 varies
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$309.30–$551.36 $386.62–$689.19 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $121.63 $152.03 3.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $586.66 $733.32 2.5×
Critical care first hour (99291) $3,532.47 $4,415.58 4.1×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$406.38–$601.26 $507.97–$751.57 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$268.96–$433.69 $336.19–$542.11 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979)
range across 2 matching MRF lines
$407.64–$531.19 $509.54–$663.98 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925) $792.58 $990.72 3.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$454.70–$588.34 $568.37–$735.42 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $676.59 $845.73 2.7×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$398.39–$550.52 $497.98–$688.14 varies
Duplex up extrem art bilat (93930) $718.61 $898.26 2.9×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$536.23–$659.78 $670.28–$824.72 varies
Echo Heart Xthoracic,Limited (93308) $976.88 $1,221.10 3.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,315.32 $2,894.14 4.0×
Electrical Stimulation Ea 15 Min (97032) $84.47 $105.58 5.7×
Electrocardiogram Tracing (93005) $99.31 $124.13 1.6×
Emergency Dept Visit Level 2 (99282) $401.69 $502.11 2.5×
Emergency Dept Visit Level 3 (99283) $801.68 $1,002.09 2.8×
Emergency Dept Visit Level 4 (99284) $1,600.79 $2,000.98 3.6×
Er level 1 (99281) $202.98 $253.72 2.3×
Er level v (99285) $2,399.04 $2,998.80 3.8×
Evaluate Speech Production (92522) $524.50 $655.62 4.7×
Evaluate Swallowing Function (92610) $252.54 $315.67 3.0×
Evaluation of speech fluency (92521) $644.44 $805.54 4.8×
Exercise test for bronchospasm (94617) $544.04 $680.04 3.9×
Extracranial Bilat Study (93880) $756.44 $945.54 3.0×
Extracranial Uni/Ltd Study (93882)
range across 2 matching MRF lines
$917.81–$1,098.51 $1,147.26–$1,373.13 varies
Icm Device Eval (93290) $712.08 $890.10 18.1×
Immunization administration (90471) $45.39 $56.73 0.6×
Indocyanine-green angrph w/multiframe i&r uni/bi (92240) $3,342.28 $4,177.85 14.7×
Iontophoresis 15 min (97033) $119.09 $148.86 6.3×
Irrig Drug Delivery Device (96523) $79.01 $98.76 1.3×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$70.75–$82.73 $88.43–$103.41 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$222.21–$250.74 $277.76–$313.42 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$139.82–$159.48 $174.77–$199.35 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$89.88–$107.46 $112.35–$134.32 varies
IV push initial (96374)
range across 2 matching MRF lines
$232.20–$275.47 $290.24–$344.33 varies
Low frequency non-thermal us (97610) $206.89 $258.61 1.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $33.11 $41.38 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $34.80 $43.50 0.9×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $60.26 $75.32 3.5×
Motion Fluoroscopy/Swallow (92611) $304.91 $381.13 3.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $127.76 $159.69 0.3×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $143.72 $179.65 0.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 4 matching MRF lines
$147.81–$308.73 $184.76–$385.91 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$159.64–$429.84 $199.54–$537.29 varies
Neuromuscular Reeducation (97112) $117.40 $146.75 3.6×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $270.75 $338.43 0.7×
Oral Function Therapy (92526) $304.91 $381.13 3.6×
Oral Speech Device Eval (92597) $821.07 $1,026.33 11.5×
Orthc/Prostc Mgmt Sbsq Enc (97763) $143.59 $179.48 2.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $282.95 $353.68 6.1×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $410.22 $512.77 18.0×
Osteopathic manipulative tx 3-4 body regions (98926)
range across 2 matching MRF lines
$149.38–$422.64 $186.72–$528.30 varies
Ot Contrast Bath Ea 15 Min (97034) $53.21 $66.51 3.8×
Ot eval high complexity (97167) $304.91 $381.13 3.0×
Ot Eval Low Complex (97165) $304.91 $381.13 3.0×
Ot Eval Moderate Complexity (97166) $304.91 $381.13 3.0×
Ot manual therapy 15 min (97140) $95.44 $119.30 3.4×
Ot paraffin bath (97018) $33.79 $42.23 5.6×
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines
$143.59–$152.04 $179.48–$190.04 varies
Ot Re-Eval Est Plan Care (97168) $358.96 $448.69 5.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $117.12 $146.40 0.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $234.25 $292.81 1.7×
Phlebotomy therapeutic (99195) $154.65 $193.31 1.1×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $95.91 $119.88 1.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $95.91 $119.88 1.5×
Physical Performance Test (97750) $282.95 $353.68 8.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,745.82 $2,182.27 1.9×
Pt Eval High Complex (97163) $282.95 $353.68 2.9×
Pt eval low complex 20 min (97161) $282.95 $353.68 2.9×
Pt Eval Mod Complex (97162) $282.95 $353.68 2.9×
Pt gait training 15 min (97116) $99.67 $124.58 3.4×
Pt group caregiver training (97552) $118.62 $148.27 5.4×
Pt mechanical traction (97012) $86.16 $107.69 6.0×
Pt Re-Eval Est Plan Care (97164) $195.95 $244.93 2.9×
Pulmonary Stress Testing (94618) $544.04 $680.04 3.9×
Rem Mntr Wrls P-Art Prs Snr (93264) $229.16 $286.44 5.8×
Remote 30 Day Ecg Rev/Report (93270) $225.76 $282.20 5.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$40.55–$243.92 $50.68–$304.89 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $79.40 $99.24 3.0×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $452.71 $565.88 3.7×
Self Care Mngment Training (97535) $121.63 $152.03 3.8×
Sleep study unattended (95806) $373.44 $466.80 1.6×
Slp caregiver training 1st 30 min (97550) $504.85 $631.06 9.6×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $1,404.61 $1,755.76 6.2×
Speech sound lang comprehen (92523) $1,103.90 $1,379.87 4.9×
Spirometry (94010) $154.47 $193.08 0.7×
Standardized Cognitive Performance Testing (96125) $360.65 $450.81 3.5×
Temp transcutaneous pacing (92953) $11.88 $14.85 0.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $130.92 $163.64 5.8×
Ther Ivntj Ea Addl 15 Min (97130) $87 $108.74 4.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $221.29 $276.61 6.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 3 matching MRF lines
$166.42–$167.24 $208.02–$209.04 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$58.84–$69.94 $73.54–$87.42 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$258.83–$304.47 $323.53–$380.58 varies
Therapeutic Activities (97530) $130.92 $163.64 3.7×
Tte w/doppler, complete (93306) $2,047.96 $2,559.95 3.6×
Tte W/O Doppler Complete (93307) $1,395.30 $1,744.12 5.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $451.02 $563.77 5.9×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$91.55–$110.88 $114.43–$138.59 varies
Unlisted cardiovascular service/procedure (93799) $198.60 $248.25 1.5×
Upr/L Xtremity Art 2 Levels (93922) $316.87 $396.08 2.3×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $379.90 $474.87 1.7×
Vasopneumatic device (97016) $70.11 $87.63 5.8×
Vent Mgmt Inpat Init Day (94002) $1,186.76 $1,483.45 1.8×
Wheelchair Mgmt Ea 15 Min (97542) $134.29 $167.86 4.3×

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.