Visits & medical services prices at Presbyterian Espanola Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $88.20 $126 0.4×
Airway resistance by oscillometry (94728) $561.40 $802 4.3×
Analyze Neurostim Simple (95971) $380.80 $544 4.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $149.10 $213 10.4×
Assessment of aphasia per hr (96105) $196 $280 2.0×
Behavral qualit analys voice (92524) $346.50 $495 3.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $361.20 $516 1.0×
Caloric Vstblr Test W/Rec (92537) $721.70 $1,031 5.6×
Canalith repositioning proc (95992) $86.80 $124 2.1×
Car seat/bed test 60 min (94780) $180.60 $258 4.8×
Cardiac Stress Tst,Tracing Only (93017) $326.20 $466 1.5×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$637.70–$1,014.30 $911–$1,449 varies
Cardioversion (92960) $354.90 $507 0.5×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $38.50 $55 1.5×
Cbt 1st hour (94644) $117.60 $168 0.9×
Chemo Anti-Neopl Sq/Im (96401) $107.80 $154 1.5×
Chemo Hormon Antineopl Sq/Im (96402) $124.60 $178 1.7×
Chemo IV infusion addl hr (96415) $133 $190 1.8×
Chemo IV push addl drug (96411) $275.80 $394 3.8×
Chemother Prolong Infuse W/Pump (96416) $800.10 $1,143 2.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $644 $920 8.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $525.70 $751 1.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $473.90 $677 1.4×
Chest Wall Manipulation (94668) $65.10 $93 0.5×
Color/duplex Doppler, complete (93975) $667.10 $953 2.8×
Color/duplex Doppler, limited (93976) $285.60 $408 2.7×
Community/Work Reintegration Trainj Ea 15 Min (97537) $97.30 $139 3.0×
Continuous Pulse Ox (94762) $132.30 $189 1.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $433.30 $619 2.0×
Cpt initial (94667) $72.80 $104 0.5×
Critical care first hour (99291)
range across 2 matching MRF lines
$1,035.30–$1,557.50 $1,479–$2,225 varies
Debridement Open Wound 20 Sq Cm< (97597) $186.90 $267 0.9×
Dialysis One Evaluation (90945) $467.60 $668 1.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $667.10 $953 2.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $418.60 $598 4.0×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $702.10 $1,003 6.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $953.40 $1,362 4.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $372.40 $532 3.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $420.70 $601 1.7×
Dup-scan xtr veins unilateral/limited study (93971) $285.60 $408 2.7×
Duplex Scan Hemodialysis Access (93990) $285.60 $408 2.7×
Duplex up extrem art bilat (93930) $604.80 $864 2.5×
Duplex up extrem art unilat/ltd (93931) $137.90 $197 1.3×
ECG/monitoring and analysis (93271)
range across 2 matching MRF lines
$298.20–$501.20 $426–$716 varies
Echo Congenital Complete (93303) $1,841.70 $2,631 3.3×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$182–$486.50 $260–$695 varies
Echo transesophag congen probe plcmt only (93316) $2,167.20 $3,096 3.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $532 $760 1.0×
Eeg 41-60 Minutes (95812) $552.30 $789 2.5×
EEG awake and asleep (95819) $594.30 $849 2.7×
EEG awake drowsy (95816) $594.30 $849 2.7×
EEG extended monitoring 61-119 minutes (95813) $569.80 $814 2.6×
Eeg Sleep Only (95822) $684.60 $978 3.1×
Electrical Stimulation Ea 15 Min (97032) $81.90 $117 5.6×
Electrocardiogram Tracing (93005) $182.70 $261 3.1×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$162.40–$166.60 $232–$238 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$254.10–$312.20 $363–$446 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$427–$687.40 $610–$982 varies
Er level 1 (99281)
range across 2 matching MRF lines
$109.90–$124.60 $157–$178 varies
Er level v (99285)
range across 2 matching MRF lines
$725.20–$1,148 $1,036–$1,640 varies
Evaluate pt use of inhaler (94664) $77 $110 0.3×
Evaluate Speech Production (92522) $158.20 $226 1.4×
Evaluate Swallowing Function (92610) $250.60 $358 3.0×
Evaluation of speech fluency (92521) $373.10 $533 2.8×
Exercise test for bronchospasm (94617) $343 $490 2.6×
External ECG rec>48hr<7d recording (93242) $107.10 $153 2.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $176.40 $252 1.3×
External ECG rec>7d<15d recording (93246) $265.30 $379 7.0×
External ECG rec>7d<15d scanning alys w/report (93247) $354.20 $506 2.6×
External Ecg Scanning Analysis Report (93226) $261.80 $374 4.4×
Extracranial Bilat Study (93880) $653.10 $933 2.7×
Group Therapeutic Procedures (97150) $123.20 $176 6.8×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,490.30 $2,129 2.2×
Holter monitor recording (93225) $422.10 $603 3.1×
Immunization administration (90471) $81.90 $117 1.1×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $1,066.10 $1,523 2.8×
Insert/Place Heart Catheter (93503) $4,603.20 $6,576 2.9×
Iontophoresis 15 min (97033) $81.90 $117 4.3×
Irrig Drug Delivery Device (96523) $147 $210 2.5×
IV infusion hydration each additional hour (96361) $194.60 $278 4.1×
IV infusion hydration initial 31 min-1 hour (96360) $331.80 $474 1.5×
IV infusion ther proph addl sequential to 1 hr (96367) $182 $260 2.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $112.70 $161 2.4×
IV push initial (96374) $252.70 $361 1.2×
Lung Function Test (Mbc/Mvv) (94200) $416.50 $595 7.0×
Mechanical chest wall oscillation per session (94669) $572.60 $818 2.6×
Methacholine challenge (94070) $551.60 $788 1.5×
Mlt fam group bhv mgmt/modificaj traing 1st 60 (96202) $32.90 $47 1.6×
Mlt fam group bhv mgmt/modificaj traing ea addl (96203) $9.10 $13 1.7×
Motion Fluoroscopy/Swallow (92611) $250.60 $358 2.7×
Multiple Sleep Latency Test (95805) $1,113.70 $1,591 1.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $101.50 $145 0.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $417.20 $596 1.0×
Neuromuscular Reeducation (97112) $110.60 $158 3.4×
Newborn resuscitation (99465) $445.90 $637 0.7×
Nitric oxide expired gas determination (95012) $174.30 $249 4.6×
Nonphysician Telephone Assessment 5-10 Min (98966) $21.70 $31 1.6×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $161 $230 0.4×
Oral Function Therapy (92526) $229.60 $328 2.7×
Oral Speech Device Eval (92597) $94.50 $135 1.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $80.50 $115 1.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $137.90 $197 3.0×
Ot eval high complexity (97167) $325.50 $465 3.2×
Ot Eval Low Complex (97165) $105.70 $151 1.1×
Ot Eval Moderate Complexity (97166) $246.40 $352 2.5×
Ot manual therapy 15 min (97140) $108.50 $155 3.9×
Ot paraffin bath (97018) $34.30 $49 5.7×
Ot Prosthetic Training, Each 15 Min (97761) $42 $60 1.0×
Ot Re-Eval Est Plan Care (97168) $193.20 $276 2.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $116.90 $167 0.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $125.30 $179 1.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $572.60 $818 2.6×
Phlebotomy therapeutic (99195) $302.40 $432 2.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $207.20 $296 3.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $179.90 $257 3.0×
Physical Performance Test (97750) $122.50 $175 3.6×
Plethysmography (94726) $167.30 $239 0.4×
Pm/Icd Remote Tech Serv (93296) $140 $200 3.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,643.20 $3,776 3.1×
Polysom <6 yrs 4/> paramtrs (95782) $1,021.30 $1,459 1.2×
Positional nystagmus test (92542) $187.60 $268 1.4×
Pt Eval High Complex (97163) $459.20 $656 4.7×
Pt eval low complex 20 min (97161) $345.80 $494 3.5×
Pt Eval Mod Complex (97162) $399 $570 4.1×
Pt gait training 15 min (97116) $66.50 $95 2.3×
Pt group caregiver training (97552) $33.60 $48 1.5×
Pt mechanical traction (97012) $92.40 $132 6.4×
Pt Re-Eval Est Plan Care (97164) $71.40 $102 1.1×
Pt ultraviolet (97028) $23.80 $34 2.9×
Pulm function test by gas (94727) $226.10 $323 1.0×
Pulmonary service/procedure (94799) $216.30 $309 1.7×
Pulmonary Stress Testing (94618) $193.20 $276 1.4×
Remote 30 Day Ecg Rev/Report (93270) $91 $130 2.4×
Respiratory flow volume loop (94375) $569.10 $813 2.6×
Self Care Mngment Training (97535) $42.70 $61 1.3×
Sleep study unattended (95806) $296.10 $423 1.4×
Slp caregiver training 1st 30 min (97550) $82.60 $118 1.6×
Speech sound lang comprehen (92523) $346.50 $495 1.5×
Spirometry (94010) $238.70 $341 1.1×
Standardized Cognitive Performance Testing (96125) $180.60 $258 1.8×
Stress Tte Only (93350) $1,363.60 $1,948 2.5×
Surfactant Admin Thru Tube (94610) $138.60 $198 0.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $100.10 $143 4.5×
Ther Ivntj Ea Addl 15 Min (97130) $49.70 $71 2.4×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $161 $230 4.3×
Ther/Proph/Diag Inj Sc/Im (96372) $74.90 $107 1.0×
Ther/Proph/Diag Iv Inf Init (96365) $483 $690 2.3×
Therapeutic Activities (97530) $87.50 $125 2.5×
Tobacco Use Cessation Intensive >10 Minutes (99407) $70.70 $101 1.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $25.90 $37 0.7×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$301–$1,402.80 $430–$2,004 varies
Tte W/O Doppler Complete (93307) $777.70 $1,111 3.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $172.20 $246 2.3×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $85.40 $122 3.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $119 $170 2.5×
Upr/L Xtremity Art 2 Levels (93922) $116.90 $167 0.9×
Vasopneumatic device (97016) $58.10 $83 4.8×
Veeg 2-12 Hr Cont Mntr (95713) $1,766.10 $2,523 4.7×
Veeg 2-12 hr intmt mntr (95712) $811.30 $1,159 2.2×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$2,168.60–$3,352.30 $3,098–$4,789 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 2 matching MRF lines
$1,339.80–$2,352 $1,914–$3,360 varies
Visual Evoked Potential Test (95930) $647.50 $925 3.0×
Vital capacity, total (94150) $76.30 $109 0.6×
Wheelchair Mgmt Ea 15 Min (97542) $59.50 $85 1.9×
Whirlpool Therapy (97022) $97.30 $139 6.2×

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.