Visits & medical services prices at Montrose Regional Health

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

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

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ProcedureCash priceGross charge× Medicare
Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of… (95803) $205.50 $274 3.3×
Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord (96450) $439.50 $586 1.3×
Advance care planning first 30 mins (99497) $233.25 $311 2.2×
Aerosol inhalation pentamidine (94642) $516.75 $689 2.2×
Airway inhalation treatment (94640) $238.12 $317.50 1.0×
Appl on-body injector for timed subq injection (96377) $157.50 $210 3.2×
Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) $84 $112
Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) $44.25 $59
Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) $57.75 $77
Application of ultraviolet light to skin (96900) $141 $188 3.6×
Assessment of aphasia (96105) $283.50 $378
Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks… (97755) $110.25 $147
Behav assmt w/score & docd/stand instrument (96127) $13.50 $18 0.3×
Behavioral & qualit analysis voice and resonance (92524) $318.75 $425
Bfb training ea addl 15 min (90913) $88.50 $118
Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when… (90912) $224.25 $299
Bipap initial day (94660) $379.50 $506 1.6×
Breathing capacity test (94010) $59.25 $79 0.3×
Bronchial allergy tests (95070) $110.25 $147 0.3×
Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) $292.88 $390.50 0.7×
Canalith repositioning (95992) $108.75 $145
Cardiopulmonary exercise testing (94621) $738 $984 1.9×
Cardiovascular procedure unlisted (93799) $222 $296 1.6×
Cardiovascular stress test (93017) $379.50 $506 1.7×
Cardioversion elective external (92960) $446.62 $595.50 0.6×
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93460) $7,024.12 $9,365.50 2.1×
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93459) $6,271.12 $8,361.50 1.8×
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary… (93458) $6,064.12 $8,085.50 1.8×
Chemo anti-neopl sq/im (96401) $277.50 $370 3.7×
Chemo hormon antineopl sq/im (96402) $215.25 $287 2.8×
Chemo IV infus each addl seq (96417) $345.75 $461 4.6×
Chemo IV infusion addl hr (96415) $335.25 $447 4.4×
Chemo IV push addl drug (96411) $260.25 $347 3.4×
Chemother prolong infuse w/pump (96416) $777 $1,036 2.2×
Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) $857.25 $1,143 2.5×
Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) $500.25 $667 1.4×
Chest physiotherapy initial (94667) $235.50 $314 1.7×
Color/duplex Doppler, complete (93975) $582.75 $777 2.3×
Color/duplex Doppler, limited (93976) $99 $132 0.9×
Coronary art/grft angio s&i (93455) $5,955 $7,940 1.7×
Coronary artery angio s&i (93454) $609 $812 0.2×
Cpr (92950) $695.62 $927.50 3.1×
Critical care ill/injured patient init 30-74 min (99291) $633.75 $845 0.7×
Debridement open wound 20 sq cm< (97597) $211.50 $282 1.0×
Delivery/birthing room resuscitation (99465) $1,537.50 $2,050 2.2×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $392.62 $523.50 1.6×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $358.50 $478 3.3×
Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) $528.75 $705 2.1×
Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) $311.25 $415 2.8×
Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study Age Under 21 (93981) $669.75 $893 6.1×
Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) $554.25 $739 2.2×
Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) $480 $640 4.4×
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) $627 $836 2.5×
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) $267 $356 2.4×
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) $705.75 $941 2.8×
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) $59.25 $79 0.5×
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) $318.38 $424.50 1.3×
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) $220.88 $294.50 2.0×
Echo transesophageal (93312) $363.75 $485 0.6×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,390.88 $1,854.50 2.4×
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) $292.88 $390.50 1.2×
EEG awake & asleep (95819) $891 $1,188 3.9×
EEG awake/drowsy (95816) $724.50 $966 3.2×
EEG coma or sleep only (95822) $624 $832 2.7×
EKG 12 lead tracing only (93005) $102.75 $137 1.7×
Elec alys implt cplx cn npgt prgrmg (95977) $124.50 $166 1.2×
Elec alys implt npgt phys/qhp w/o programming (95970) $52.50 $70 0.4×
Elec alys implt smpl cn npgt prgrmg (95976) $92.62 $123.50 2.4×
Emergency department visit high mdm (99285) $490.50 $654 0.8×
Emergency department visit low mdm (99283) $194.25 $259 0.7×
Emergency department visit may not req phys/qhp (99281) $58.88 $78.50 0.7×
Emergency department visit moderate mdm (99284) $358.50 $478 0.8×
Emergency department visit straightforward mdm (99282) $126 $168 0.8×
Endoscopy swallow (fees) vid (92612) $357.75 $477
Esophagus, acid perfusion (Bernstein) test for esophagitis (91030) $52.50 $70 0.1×
Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) $369 $492
Evaluate pt use of inhaler (94664) $237 $316 1.0×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92608) $126 $168
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $441 $588
Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92605) $328.50 $438
Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face… (92618) $162.75 $217
Evaluation of speech sound production articulate (92522) $302.25 $403
Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic… (94617) $256.50 $342 1.8×
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) $276 $368 2.0×
Fluidotherapy (97022) $78.75 $105
Gas dilut/washout lung vol w/wo distrib vent&vol (94727) $105 $140 0.5×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,278.38 $1,704.50 1.4×
Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report Age Under 21 (91113) $356.25 $475 0.4×
Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and… (91110) $1,114.12 $1,485.50 1.2×
Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and report Age… (91111) $1,164.75 $1,553 1.2×
Health behavior assessment/re-assessment (96156) $288.75 $385 2.7×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $210 $280 5.3×
Health behavior ivntj group f2f 1st 30 min (96164) $31.50 $42 0.8×
Health behavior ivntj indiv f2f 1st 30 min (96158) $198 $264 1.1×
Immunization administration (90471) $129.75 $173 1.7×
Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) $162 $216 3.3×
Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) $310.50 $414 1.4×
Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes with Cardiac Cath (93503) $214.50 $286 0.1×
Interrog dev eval pm/ldls pm phys/qhp in person (93288) $54 $72 1.4×
Interrog device eval heart (93289) $194.25 $259 4.9×
Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93290) $54.75 $73 1.4×
Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93291) $46.50 $62 1.5×
Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93261) $94.50 $126 2.4×
Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health… (93292) $54.75 $73 1.4×
Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless… (93296) $88.50 $118 2.2×
Irrigaj implntd venous access drug delivery syst (96523) $168.75 $225 2.7×
IV infusion hydration each additional hour (96361) $200.25 $267 4.1×
IV infusion hydration initial 31 min-1 hour (96360) $477.75 $637 2.1×
IV infusion ther proph addl sequential to 1 hr (96367) $234.75 $313 3.1×
IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) $334.12 $445.50 1.5×
IV tx, each additional hour (96366) $200.25 $267 4.1×
Low frequency non-thermal us (97610) $363 $484 1.7×
Lwr xtr vasc stdy bilat (93924) $394.50 $526 1.7×
Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) $235.50 $314 1.7×
Mechanical traction therapy (97012) $54.75 $73
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $85.50 $114
Medical nutrition group (97804) $36 $48
Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) $60 $80
Methacholine challenge (94070) $116.25 $155 0.3×
Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) $342.38 $456.50
Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study,… (95905) $87.38 $116.50 0.2×
Multiple sleep latency (95805) $1,252.50 $1,670 1.4×
Nasopharyngoscopy (92511) $180 $240 0.9×
Ndl EMG 4 xtr w/wo related paraspinal areas (95864) $448.50 $598 3.3×
Needle electromyography 2 extremities with or without related paraspinal areas 95861 (95861) $247.50 $330 1.8×
Needle electromyography; 1 extremity with or without related paraspinal areas (95860) $243 $324 1.7×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $217.12 $289.50 1.5×
Neg pressure wound therapy non dme </= 50 sq cm (97607) $497.25 $663 1.2×
Neg pressure wound therapy non dme >50 sq cm (97608) $1,209.75 $1,613 2.8×
Negative pressure wound therapy dme </= 50 sq cm (97605) $114.75 $153 0.5×
Negative pressure wound therapy dme >50 sq cm (97606) $141 $188 0.3×
Nerve conduction studies 1-2 studies (95907) $182.62 $243.50 0.8×
Nerve conduction studies 11-12 studies (95912) $747.38 $996.50 1.9×
Nerve conduction studies 13/> studies (95913) $835.12 $1,113.50 2.1×
Nerve conduction studies 3-4 studies (95908) $268.50 $358 1.2×
Nerve conduction studies 5-6 studies (95909) $406.88 $542.50 1.8×
Nerve conduction studies 7-8 studies (95910) $519.38 $692.50 1.3×
Nerve conduction studies 9-10 studies (95911) $674.25 $899 1.7×
Non-invasive physiologic study extremity 3 levels (93923) $317.25 $423 1.4×
Noninvasive ear/pulse oximetry overnight monitor (94762) $330.75 $441 2.4×
Occupational therapy eval high complex 60 mins (97167) $244.88 $326.50
Occupational therapy eval low complex 30 mins (97165) $244.88 $326.50
Occupational therapy eval mod complex 45 mins (97166) $244.88 $326.50
Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92004) $308.25 $411 2.2×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $42.75 $57 0.7×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $67.50 $90 1.1×
Oral function therapy (92526) $263.25 $351
Oral speech device eval (92597) $318.75 $425
Orthc/prostc mgmt sbsq enc (97763) $116.25 $155
Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) $128.25 $171
Osteopathic manipulative tx 7-8 body regions (98928) $148.88 $198.50 6.5×
Ot manual therapy ea 15 min (97140) $87.75 $117
Ot neuromuscular re-education (97112) $111 $148
Ot re-evaluation (97168) $161.62 $215.50
OT Therapeutic Activities Charges (97530) $104.25 $139
Ot wheelchair management (97542) $102.75 $137
Outpatient cardiac rehab w/cont ECG monitoring (93798) $261.75 $349 1.9×
Peripheral vascular rehab (93668) $170.25 $227 2.7×
Phlebotomy therapeutic (99195) $255 $340 1.8×
Phy/qhp op pulm rhb w/mntr (94626) $201.75 $269 3.2×
Phy/qhp op pulm rhb w/o mntr (94625) $187.50 $250 3.0×
Physical therapy evaluation high complex 45 mins (97163) $241.12 $321.50
Physical therapy evaluation low complex 20 mins (97161) $241.12 $321.50
Physical therapy evaluation mod complex 30 mins (97162) $241.12 $321.50
Pm device progr eval multi (93281) $115.50 $154 2.9×
Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) $2,057.62 $2,743.50 2.3×
Polysom <6 yrs sleep w/cpap/bilvl vent 4/> param (95783) $352.67 $470.22 0.4×
Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist (95808) $702.75 $937 0.8×
Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a… (95782) $324.75 $433 0.4×
Prgrmg dev eval pm/ldls pm (93279) $183 $244 4.6×
Program eval implantable in persn dual ld pacer (93280) $116.25 $155 3.0×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $108 $144 2.7×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93285) $67.50 $90 1.7×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93284) $158.25 $211 4.0×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $151.50 $202 3.8×
Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) $187.50 $250
Prq trluml coronary angioplasty one art/branch (92920) $6,631.12 $8,841.50 1.1×
Prq trluml coronary byp grft revasc one vessel (92937) $12,547.88 $16,730.50 1.0×
Prq trluml coronary stent w/angio one art/brnch (92928) $12,700.88 $16,934.50 1.0×
Prq trluml coronry chronic occlus revasc one vsl (92943)
likely a partial charge — not the full procedure
$1,632 $2,176 0.1×
Prq trluml coronry stent/ath/angio one art/brnch (92933)
likely a partial charge — not the full procedure
$1,425 $1,900 0.1×
Pt gait training 15 min (97116) $87.75 $117
Pt physical performance test (97750) $139.50 $186
Pt re-evaluation (97164) $161.25 $215
Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) $339.75 $453
Pulm funct tst plethysmograp (94726) $300.75 $401 0.8×
Pulmonary stress testing (94618) $75.38 $100.50 0.5×
R hrt art/grft angio (93457) $6,012.38 $8,016.50 1.8×
R hrt coronary artery angio (93456) $6,195.75 $8,261 1.8×
R&l hrt art/ventricle angio (93461) $7,165.12 $9,553.50 2.1×
R&l hrt cath w/ventriclgrphy (93453) $805.50 $1,074 0.2×
Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side Other… (95852) $59.25 $79
Refilling and maintenance of portable pump (96521) $486 $648 2.2×
Rem interrog icpms <30 d phys/qhp (93297) $65.25 $87 1.7×
Rem interrog scrms <30 d phys/qhp (93298) $65.25 $87 1.7×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $145.50 $194 3.7×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $60 $80 0.4×
Remote 30 day ECG rev/report (93270) $427.50 $570 10.9×
Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) $147.75 $197
Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) $112.50 $150
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $60 $80 0.4×
Respiratory flow volume loop (94375) $38.25 $51 0.2×
Review patient spirometry (94016) $66 $88
Right heart cath o2 saturation & cardiac output (93451) $5,027.25 $6,703 1.5×
Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) $107.25 $143
Sleep study attended (95807) $1,026.75 $1,369 2.6×
Sleep study unattended (95806) $318 $424 1.4×
Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis… (95801) $285 $380 4.6×
Speech sound lang comprehen (92523) $455.25 $607
Standardized cognitive performance testing (96125) $265.50 $354
Stress tte only (93350) $603.75 $805 1.0×
Telephone assmt&mgmt svc nqhp est pt 11-20 min (98967) $67.50 $90
Telephone assmt&mgmt svc nqhp est pt 21-30 min (98968) $93 $124
Telephone assmt&mgmt svc nqhp est pt 5-10 min (98966) $36.75 $49
Temp transcutaneous pacing (92953) $716.25 $955 1.0×
Test to measure resistance of the airways and lungs to differing frequencies (94728) $99.75 $133 0.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $88.12 $117.50
Ther ivntj cog funcj cntct ea addl 15 minutes (97130) $86.25 $115
Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) $72 $96
Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) $105 $140
Therapeutic prophylactic/dx injection subq/im (96372) $96 $128 1.3×
Therapeutic service(s) for the use of non-speech-generating device, including programming and modification (92606) $243 $324
Therapeutic services for the use of speech-generating device, including programming and modification Other Outpatient (92609) $288.75 $385
Tilt table evaluation (93660) $684 $912 1.7×
Tobacco use cessation intensive >10 minutes (99407) $68.25 $91 1.7×
Tobacco use cessation intermediate 3-10 minutes (99406) $34.88 $46.50 0.9×
Trans care mgmt 14 day disch (99495) $460.50 $614 3.3×
Trans care mgmt 7 day disch (99496) $625.88 $834.50 4.5×
Tte f-up or lmtd (93308) $207.75 $277 0.8×
Tte w/doppler complete (93306) $1,140 $1,520 2.0×
Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) $249 $332
Tx speech language voice commj auditry 2/>indiv (92508) $141 $188
Upr/l xtremity art 2 levels (93922) $213.38 $284.50 1.5×
Ventilation ip/obs initial day (94002) $715.12 $953.50 1.1×
Ventilator subsequent day (94003) $1,062.75 $1,417 1.6×
Vital capacity total (94150) $157.50 $210 1.2×
Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) $117 $156
Wound(s) care non-selective (97602) $353.25 $471 1.7×