Visits & medical services prices at Page Hospital

Page, AZ · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Appl modality 1+lllt po pain (97037) $64.75 $113 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $465.38 $801 1.2×
Canalith Repositioning (95992) $101.42 $177 2.5×
Cardiac Stress Tst,Tracing Only (93017) $1,161.28 $1,720 5.0×
Cardiopulmonary resuscitation (92950) $422.44 $683 1.8×
Cardioversion (92960) $986.46 $2,005 1.4×
Caregiver training 1st 30 min (97550) $146.69 $256 2.8×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $73.34 $128 2.8×
Chemo IV push addl drug (96411) $184.99 $274 2.4×
Chemo Iv Push Sngl Drug (96409) $313.27 $464 0.9×
Chemother, IV infusion, 1 hr (96413) $326.10 $483 0.9×
Chemother, IV infusion, ea add hr (96415) $67.52 $100 0.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $391.59 $580 5.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $154.61 $229 2.0×
Circadian respiratry pattern rec 12-24 hr infant (94772) $607.14 $1,045 1.5×
Color/duplex Doppler, complete (93975) $525.59 $892.50 2.1×
Color/duplex Doppler, limited (93976) $162.31 $283 1.5×
Cpap initiation and management (94660) $668.30 $1,008 2.9×
Cpt initial (94667) $73.59 $111 0.5×
Critical care (99291) $785.50 $1,318.50 0.9×
Debridement Open Wound 20 Sq Cm< (97597) $147.83 $258 0.7×
Demo &/or eval,pt use,aerosol device (94664) $150.50 $227 0.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $336.89 $573 1.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $169.82 $290.50 1.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $381.82 $647.50 1.5×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $345.08 $581.50 3.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $403.03 $683 1.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $361.86 $609.50 3.2×
Dup-scan xtr veins unilateral/limited study (93971) $367.54 $618 3.3×
Duplex scan extracranial art compl bi study (93880) $590.63 $994.50 2.3×
Echo Heart Xthoracic,Limited (93308) $196.92 $362 0.8×
Echo Transthoracic - Congenital Tte Complete (93303) $72.82 $164 0.1×
Echo Transthoracic - Congenital Tte Limited (93304) $41.74 $94 0.1×
EKG (93005) $277.67 $488 4.4×
EKG rhythm strip (93041) $85.92 $151 1.4×
Er level 1 (99281) $249 $131.50 2.8×
Er level ii (99282) $317.60 $245.50 1.9×
Er level iii (99283) $921.59 $413.50 3.2×
Er level IV (99284) $2,573.71 $695 5.8×
Er level v (99285) $3,139.06 $1,009 4.9×
Evoked auditory test,limited (92587) $113.43 $168 0.5×
Flow volume loop (94375) $191.15 $329 0.8×
Group Therapeutic Procedures (97150) $40.51 $60 2.2×
Holter Monitor Recording (93225) $264 $480 1.9×
Immunization Admin (90471) $67.20 $105 0.9×
Inital newborn e/m (99460) $122.24 $244 0.9×
Initial normal newborn care, same day discharge (99463) $141.28 $282 1.0×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $110.96 $304 1.8×
IV infusion hydration each additional hour (96361) $49.06 $78 1.0×
IV infusion hydration initial 31 min-1 hour (96360) $303.80 $483 1.3×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $128.94 $205 1.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $366.70 $583 1.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $59.76 $95 1.2×
IV push initial (96374) $217.38 $463 1.0×
Low frequency non-thermal us (97610) $152.42 $266 0.7×
Manual therapy 15 min (97140) $91.68 $160 3.3×
Mechanical chest wall oscillation (94669) $230.72 $348 1.0×
Mechanical traction (97012) $70.48 $123 4.9×
Methacholine challenge (94070) $406.12 $699 1.0×
Multiple sleep latency test (95805) $3,135.28 $3,924 3.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $91.11 $159 0.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $130.07 $227 0.3×
Newborn resuscitation (99465) $186.87 $373 0.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $128.63 $218 0.9×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $65.32 $114 1.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $57.87 $101 1.8×
Ot Contrast Bath Ea 15 Min (97034) $32.66 $57 2.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $85.95 $150 1.7×
Ot Prosthetic Training, Each 15 Min (97761) $57.30 $100 1.4×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $114.10 $169 0.8×
Paraffin bath (97018) $25.21 $44 4.2×
Plethysmography (94726) $269.58 $464 0.7×
Pm device progr eval dual (93280) $47.10 $100 1.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,005.63 $5,763.50 4.4×
Polysom <6 yrs 4/> paramtrs (95782) $4,319.42 $6,215 4.7×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $5,243.84 $6,563 5.7×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $1,906.38 $2,743 2.1×
Pt Aquatic Therapy/Exercises (97113) $64.75 $113 1.7×
Pt Electric Current Therapy (97033) $57.30 $100 3.0×
Pt Electrical Stimulation (97032) $65.89 $115 4.5×
Pt eval high complex 45 min (97163) $281.88 $486 2.9×
Pt eval low complex 20 min (97161) $172.84 $298 1.8×
Pt Gait Training Therapy (97116) $47.56 $83 1.6×
Pt group caregiver training (97552) $49.28 $86 2.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $89.39 $156 2.7×
Pt Physical Performance Test (97750) $48.70 $85 1.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $227.94 $393 2.3×
Pt re-evaluation (97164) $172.84 $298 2.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $55.01 $96 1.7×
Pt Ultrasound Therapy (97035) $64.18 $112 4.5×
Pt Whirlpool Therapy (97022) $41.26 $72 2.6×
Pulm Funct Test Oscillometry (94728) $163.84 $282 1.2×
Pulm function test by gas (94727) $273.07 $470 1.2×
Pulmonary stress testing (94618) $306.19 $527 2.2×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $206.25 $375 5.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $128.92 $225 0.6×
Rt Chest Wall Manipulation,Subsequent (94668) $94.81 $143 0.7×
Sleep study attended (95807) $1,696.14 $2,440.50 4.3×
Sleep study unattended (95806) $522.54 $654 2.3×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $499.38 $625 2.2×
Smoking cessation > 10 min (99407) $31.56 $67 0.8×
Spirometry (94010) $305.02 $525 1.3×
Stress echo (93350) $387.70 $718 0.7×
Surfactant Admin Thru Tube (94610) $80.18 $138 0.3×
Temp transcutaneous pacing (92953) $713.48 $1,243 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $60.56 $129 0.8×
Therapeutic Activities (97530) $65.32 $114 1.9×
Therapeutic phlebotomy (99195) $83.58 $229 0.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $15.07 $32 0.4×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $577.73 $1,061.50 1.0×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $320.48 $590 1.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $60.56 $129 1.2×
Vasc Duplex Extrem Venous,Bilat (93970) $396.01 $669.50 1.6×
Vasc Duplex Scan Extracranial,Limited (93882) $246.80 $418.50 2.2×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $166.22 $284.50 0.7×
Vasopneumatic device (97016) $36.10 $63 3.0×
Ventilation assist & mgmt inpatient 1st day (94002) $1,322.02 $1,994 2.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $944.78 $1,425 1.4×
Vital capacity total (94150) $57.52 $99 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $47.56 $83 1.5×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $344.85 $627 3.4×