Visits & medical services prices at Moab Regional Hospital
Moab, UT · every code in this section with a posted price and a Medicare benchmark.
160 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | — | $325 | — |
| Admn Sarscov2 Vacc 1 Dose (90480) | — | $40 | — |
| Advncd Care Plan 30 Min (99497) | — | $120 | — |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
— | $37–$291 | — |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | — | $128 | — |
| Application on-body injector (96377) range across 2 matching MRF lines |
— | $138–$145 | — |
| Assessment of aphasia per hr (96105) | — | $165 | — |
| Assmt & care planning pt w/cognitive impairment (99483) | — | $470 | — |
| Brief Emotional/Behav Assmt (96127) | — | $30 | — |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 6 matching MRF lines |
— | $130–$616 | — |
| Canalith repositioning proc (95992) | — | $287 | — |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
— | $1,340–$1,407 | — |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
— | $584–$1,992 | — |
| Cardioversion (92960) range across 4 matching MRF lines |
— | $459–$2,945 | — |
| Care mgmt services behavioral hlth cond 20 mins (99484) | — | $220 | — |
| Cbt 1st hour (94644) | — | $105 | — |
| Chemo Anti-Neopl Sq/Im (96401) range across 4 matching MRF lines |
— | $342–$387 | — |
| Chemo Hormon Antineopl Sq/Im (96402) range across 4 matching MRF lines |
— | $191–$364 | — |
| Chemo IV infusion addl hr (96415) range across 4 matching MRF lines |
— | $209–$313 | — |
| Chemo IV push addl drug (96411) range across 4 matching MRF lines |
— | $551–$580 | — |
| Chemother Prolong Infuse W/Pump (96416) range across 2 matching MRF lines |
— | $831–$873 | — |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 4 matching MRF lines |
— | $302–$434 | — |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
— | $1,010–$1,061 | — |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 4 matching MRF lines |
— | $420–$475 | — |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
— | $132–$139 | — |
| Chron Care Mgmt Srvc 20 Min (99490) | — | $75 | — |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
— | $747–$785 | — |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | — | $136 | — |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | — | $130 | — |
| Cont gluc mntr physician/qhp provided equiptment (95250) | — | $450 | — |
| Cont Gluc Mntr Pt Prov Eqp (95249) | — | $250 | — |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
— | $225–$237 | — |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 5 matching MRF lines |
— | $172–$1,195 | — |
| Cpt initial (94667) range across 2 matching MRF lines |
— | $431–$453 | — |
| Critical care first hour (99291) range across 8 matching MRF lines |
— | $1,797–$13,463 | — |
| Debridement Open Wound 20 Sq Cm< (97597) range across 9 matching MRF lines |
— | $135–$384 | — |
| Developmental tst admin phys/qhp 1st hour (96112) | — | $315 | — |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
— | $747–$785 | — |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
— | $200–$1,230 | — |
| Dup-scan xtr veins unilateral/limited study (93971) range across 6 matching MRF lines |
— | $806–$934 | — |
| Duplex up extrem art unilat/ltd (93931) range across 4 matching MRF lines |
— | $691–$726 | — |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
— | $851–$894 | — |
| Electrical Stimulation Ea 15 Min (97032) | — | $142 | — |
| Electrocardiogram Tracing (93005) range across 4 matching MRF lines |
— | $41–$287 | — |
| Emergency Dept Visit Level 2 (99282) range across 14 matching MRF lines |
— | $213–$651 | — |
| Emergency Dept Visit Level 3 (99283) range across 11 matching MRF lines |
— | $27–$1,174 | — |
| Emergency Dept Visit Level 4 (99284) range across 12 matching MRF lines |
— | $44–$1,929 | — |
| Er level 1 (99281) range across 10 matching MRF lines |
— | $115–$435 | — |
| Er level v (99285) range across 6 matching MRF lines |
— | $810–$3,331 | — |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
— | $57–$183 | — |
| Evaluate Swallowing Function (92610) | — | $473 | — |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
— | $145–$153 | — |
| External ECG rec>48hr<7d scanning alys w/report (93243) range across 2 matching MRF lines |
— | $811–$852 | — |
| External ECG rec>7d<15d scanning alys w/report (93247) range across 2 matching MRF lines |
— | $875–$919 | — |
| External Ecg Scanning Analysis Report (93226) range across 6 matching MRF lines |
— | $733–$810 | — |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
— | $1,146–$1,204 | — |
| Group Therapeutic Procedures (97150) | — | $142 | — |
| Health Behavior Assessment/Re-Assessment (96156) | — | $157 | — |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | — | $135 | — |
| Health behavior ivntj group f2f 1st 30 min (96164) | — | $135 | — |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | — | $157 | — |
| Holter monitor recording (93225) range across 2 matching MRF lines |
— | $741–$779 | — |
| Im Adm Intransl/Oral 1 Vaccine (90473) | — | $26.32 | — |
| Immunization administration (90471) range across 7 matching MRF lines |
— | $33–$145 | — |
| Inital newborn e/m (99460) | — | $181 | — |
| Iontophoresis 15 min (97033) | — | $220 | — |
| Irrig Drug Delivery Device (96523) range across 7 matching MRF lines |
— | $78–$197 | — |
| IV infusion hydration each additional hour (96361) range across 9 matching MRF lines |
— | $54.10–$292 | — |
| IV infusion hydration initial 31 min-1 hour (96360) range across 9 matching MRF lines |
— | $230–$461 | — |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 7 matching MRF lines |
— | $210–$285 | — |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 9 matching MRF lines |
— | $179–$252 | — |
| IV push initial (96374) range across 11 matching MRF lines |
— | $172–$319 | — |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
— | $83–$88 | — |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
— | $58–$61 | — |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
— | $63–$67 | — |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
— | $110–$116 | — |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
— | $348–$403 | — |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
— | $399–$419 | — |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
— | $499–$524 | — |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 6 matching MRF lines |
— | $69–$283 | — |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 5 matching MRF lines |
— | $113–$449 | — |
| Neurobehavioral Status Exam (96116) | — | $322 | — |
| Neuromuscular Reeducation (97112) | — | $273 | — |
| Newborn resuscitation (99465) range across 4 matching MRF lines |
— | $376–$521 | — |
| Nonphysician Telephone Assessment 11-20 Min (98967) | — | $45 | — |
| Nonphysician Telephone Assessment 21-30 Min (98968) | — | $60 | — |
| Nonphysician Telephone Assessment 5-10 Min (98966) | — | $33 | — |
| Nrpsyc tst eval phys/qhp 1st (96132) | — | $180 | — |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | — | $60 | — |
| Oral Function Therapy (92526) | — | $424 | — |
| Oral Speech Device Eval (92597) | — | $165 | — |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | — | $121 | — |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | — | $137 | — |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | — | $78 | — |
| Osteopathic manipulative tx 3-4 body regions (98926) | — | $90 | — |
| Osteopathic manipulative tx 5-6 body regions (98927) | — | $108 | — |
| Osteopathic manipulative tx 7-8 body regions (98928) | — | $117 | — |
| Osteopathic manipulative tx 9-10 body regions (98929) | — | $122 | — |
| Ot eval high complexity (97167) | — | $184 | — |
| Ot Eval Low Complex (97165) | — | $184 | — |
| Ot Eval Moderate Complexity (97166) | — | $184 | — |
| Ot manual therapy 15 min (97140) | — | $73 | — |
| Ot paraffin bath (97018) | — | $30 | — |
| Ot Prosthetic Training, Each 15 Min (97761) | — | $126 | — |
| Ot Re-Eval Est Plan Care (97168) | — | $126 | — |
| Patient-initiated spirometric phys/qhp r&i only (94016) range across 2 matching MRF lines |
— | $90–$95 | — |
| Phlebotomy therapeutic (99195) range across 4 matching MRF lines |
— | $132–$197 | — |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | — | $90 | — |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | — | $23 | — |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | — | $34 | — |
| Psych diag eval w/med srvcs (90792) | — | $225 | — |
| Psychiatric diagnostic evaluation (90791) | — | $200 | — |
| Psychological tst eval svc phys/qhp first hour (96130) | — | $176 | — |
| Psycl/Nrpsyc Tst Auto Result (96146) | — | $192 | — |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | — | $188 | — |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | — | $184 | — |
| Psytx Crisis Initial 60 Min (90839) | — | $209 | — |
| Pt Eval High Complex (97163) | — | $188 | — |
| Pt eval low complex 20 min (97161) | — | $188 | — |
| Pt Eval Mod Complex (97162) | — | $188 | — |
| Pt gait training 15 min (97116) | — | $83 | — |
| Pt mechanical traction (97012) | — | $92 | — |
| Pt Re-Eval Est Plan Care (97164) | — | $68 | — |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
— | $477–$501 | — |
| Refill/Maint Portable Pump (96521) range across 4 matching MRF lines |
— | $682–$734 | — |
| Refill/Maint Pump/Resvr Syst (96522) range across 2 matching MRF lines |
— | $572–$601 | — |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
— | $789–$829 | — |
| Remote 30 Day Ecg Tech Supp (93229) range across 4 matching MRF lines |
— | $1,260–$1,460 | — |
| Respiratory flow volume loop (94375) | — | $82 | — |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
— | $533–$560 | — |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 6 matching MRF lines |
— | $74–$305 | — |
| Same day nb discharge (99463) | — | $191 | — |
| Sbsq Psyc Collab Care Mgmt (99493) | — | $280 | — |
| Self Care Mngment Training (97535) | — | $117 | — |
| Sensory Integration Ea 15 Min (97533) | — | $67 | — |
| Speech sound lang comprehen (92523) | — | $269 | — |
| Spirometry (94010) range across 6 matching MRF lines |
— | $72–$331 | — |
| Standardized Cognitive Performance Testing (96125) | — | $240 | — |
| Temp transcutaneous pacing (92953) range across 3 matching MRF lines |
— | $138–$437 | — |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | — | $123 | — |
| Ther/Proph/Diag Inj Ia (96373) range across 2 matching MRF lines |
— | $93–$109 | — |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 12 matching MRF lines |
— | $10.51–$156 | — |
| Ther/Proph/Diag Iv Inf Init (96365) range across 7 matching MRF lines |
— | $377–$501 | — |
| Therapeutic Activities (97530) | — | $109 | — |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | — | $97 | — |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
— | $20–$49 | — |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
— | $378–$420 | — |
| Trans Care Mgmt 7 Day Disch (99496) range across 3 matching MRF lines |
— | $535.50–$595 | — |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
— | $3,098–$3,253 | — |
| Tte W/O Doppler Complete (93307) range across 5 matching MRF lines |
— | $250–$1,426 | — |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | — | $330 | — |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 9 matching MRF lines |
— | $150–$207 | — |
| Unlisted cardiovascular service/procedure (93799) | — | $1,956 | — |
| Unlisted Psychiatric Service/Procedure (90899) | — | $122 | — |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
— | $410–$431 | — |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
— | $3,724–$3,911 | — |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
— | $1,435–$1,507 | — |
| Vital capacity, total (94150) range across 3 matching MRF lines |
— | $56–$204 | — |
| Wheelchair Mgmt Ea 15 Min (97542) | — | $87 | — |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
— | $197–$198 | — |
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.