Visits & medical services prices at Nor-lea Hospital District

Lovington, NM · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $33 $33 0.8×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines		 $181–$385 $181–$385 varies
Behavral qualit analys voice (92524) $483 $483 4.4×
Brief Emotional/Behav Assmt (96127) $17 $17 0.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines		 $490–$841 $490–$841 varies
Cardiac Stress Tst,Tracing Only (93017) $1,541 $1,541 7.2×
Cardiopulmonary resuscitation (92950) $1,365 $1,365 6.4×
Cbt 1st hour (94644) $415 $415 3.2×
Chemo Anti-Neopl Sq/Im (96401) $390 $390 5.5×
Chemo Hormon Antineopl Sq/Im (96402) $325 $325 4.6×
Chemo IV infusion addl hr (96415) $380 $380 5.3×
Chemo IV push addl drug (96411) $448 $448 6.3×
Chemother Prolong Infuse W/Pump (96416) $1,083 $1,083 3.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $487 $487 6.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,037 $1,037 3.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $661 $661 2.0×
Chest Wall Manipulation (94668) $192 $192 1.5×
Chron Care Mgmt Srvc 20 Min (99490) $77 $77 0.8×
Color/duplex Doppler, complete (93975) $1,602 $1,602 6.8×
Color/duplex Doppler, limited (93976) $1,122 $1,122 10.8×
Cont gluc mntr physician/qhp provided equiptment (95250) $502 $502 3.8×
Cont Gluc Mntr Pt Prov Eqp (95249) $235 $235 4.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $959 $959 4.4×
Cpt initial (94667) $261 $261 2.0×
Critical care first hour (99291) $4,075 $4,075 5.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,629 $1,629 6.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,120 $1,120 10.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,774 $1,774 7.5×
Dup-scan xtr veins unilateral/limited study (93971) $1,223 $1,223 11.8×
Duplex up extrem art bilat (93930) $1,467 $1,467 6.2×
Duplex up extrem art unilat/ltd (93931) $1,018 $1,018 9.8×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,732 $2,732 5.1×
Eeg 41-60 Minutes (95812) $1,546 $1,546 7.2×
EEG awake and asleep (95819) $1,532 $1,532 7.2×
EEG awake drowsy (95816) $1,387 $1,387 6.5×
Electrical Stimulation Ea 15 Min (97032) $144 $144 9.8×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines		 $190–$384 $190–$384 varies
Emergency Dept Visit Level 2 (99282) $738 $738 4.9×
Emergency Dept Visit Level 3 (99283) $1,273 $1,273 4.7×
Emergency Dept Visit Level 4 (99284) $2,008 $2,008 4.9×
Er level 1 (99281) $427 $427 5.1×
Er level v (99285) $2,927 $2,927 5.0×
Evaluate Speech Production (92522) $447 $447 4.0×
Evaluate Swallowing Function (92610) $512 $512 6.0×
External Ecg Scanning Analysis Report (93226) $916 $916 15.7×
Extracranial Bilat Study (93880) $1,651 $1,651 7.0×
Gi tract capsule endoscopy (91110) $3,458 $3,458 3.9×
Group Therapeutic Procedures (97150) $154 $154 8.5×
Holter monitor recording (93225) $730 $730 5.5×
Immunization administration (90471)
range across 8 matching MRF lines		 $25.75–$138 $25.75–$138 varies
IV infusion hydration each additional hour (96361) $245 $245 5.3×
IV infusion hydration initial 31 min-1 hour (96360) $627 $627 3.0×
IV infusion ther proph addl sequential to 1 hr (96367) $325 $325 4.6×
IV infusion therapy prophylaxis/dx ea hour (96366) $261 $261 5.6×
IV push initial (96374) $414 $414 2.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $83 $83 2.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $90 $90 2.4×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $71 $71 4.2×
Motion Fluoroscopy/Swallow (92611) $654 $654 7.1×
Multiple Sleep Latency Test (95805) $4,018 $4,018 4.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $475 $475 2.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $721 $721 1.8×
Neuromuscular Reeducation (97112) $206 $206 6.3×
Oral Function Therapy (92526) $367 $367 4.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $158 $158 3.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $171 $171 3.7×
Ot eval high complexity (97167) $559 $559 5.6×
Ot Eval Low Complex (97165) $370 $370 3.7×
Ot Eval Moderate Complexity (97166) $434 $434 4.3×
Ot manual therapy 15 min (97140) $197 $197 7.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $344 $344 2.7×
Phlebotomy therapeutic (99195) $362 $362 2.7×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $297 $297 5.1×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $297 $297 5.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,875 $5,875 6.9×
Polysom <6 yrs 4/> paramtrs (95782) $5,596 $5,596 6.6×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $40 $40 0.9×
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines		 $223–$451 $223–$451 varies
Psytx Crisis Initial 60 Min (90839)
range across 2 matching MRF lines		 $222–$448 $222–$448 varies
Pt Eval High Complex (97163) $530 $530 5.4×
Pt eval low complex 20 min (97161) $357 $357 3.6×
Pt Eval Mod Complex (97162) $415 $415 4.2×
Pt gait training 15 min (97116) $156 $156 5.4×
Pulmonary Stress Testing (94618) $449 $449 3.4×
Pure Tone Audiometry Air (92552)
range across 2 matching MRF lines		 $103–$179 $103–$179 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $414 $414 2.1×
Self Care Mngment Training (97535) $165 $165 5.1×
Sensory Integration Ea 15 Min (97533) $140 $140 2.3×
Sleep study attended (95807) $1,956 $1,956 5.3×
Sleep study unattended (95806) $985 $985 4.6×
Speech sound lang comprehen (92523) $624 $624 2.8×
Spirometry (94010)
range across 3 matching MRF lines		 $264–$453 $264–$453 varies
Standardized Cognitive Performance Testing (96125) $440 $440 4.3×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $165 $165 4.5×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines		 $119–$216 $119–$216 varies
Ther/Proph/Diag Iv Inf Init (96365) $695 $695 3.3×
Therapeutic Activities (97530) $178 $178 5.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $34 $34 0.9×
Trans Care Mgmt 14 Day Disch (99495) $131 $131 1.0×
Trans Care Mgmt 7 Day Disch (99496) $145 $145 1.1×
Tte w/doppler, complete (93306) $3,049 $3,049 5.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $406 $406 5.3×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $402 $402 16.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $278 $278 6.0×
Upr/L Xtremity Art 2 Levels (93922) $738 $738 5.6×
Vasopneumatic device (97016) $138 $138 11.5×
Vent Mgmt Inpat Init Day (94002) $2,127 $2,127 3.5×
Vital capacity, total (94150)
range across 2 matching MRF lines		 $154–$277 $154–$277 varies
Wheelchair Mgmt Ea 15 Min (97542) $142 $142 4.6×

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.