Visits & medical services prices at Rangely District Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $65.89 $101.37 0.6×
Airway inhalation treatment (94640) $86.14 $132.52 0.4×
Allergy injection single (95115) $22.60 $34.77 0.5×
Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) $22.78 $35.05
Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) $66.12 $101.73
Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) $73.22 $112.65
Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) $66.22 $101.88
Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) $46.63 $71.74
Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks… (97755) $115.59 $177.82
Behavioral & qualit analysis voice and resonance (92524) $107.10 $164.78
Biofeedback training by any modality Other Outpatient (90901) $37.68 $57.97
Bipap initial day (94660) $496.02 $763.10 2.1×
Breathing capacity test (94010) $173.15 $266.39 0.8×
Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) $303.47 $466.88 0.8×
Canalith repositioning (95992) $115.76 $178.09
Cardioversion elective external (92960) $233.26 $358.86 0.3×
Chemo anti-neopl sq/im (96401) $115.56 $177.79 1.5×
Chemo IV infusion addl hr (96415) $50.46 $77.63 0.7×
Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) $147.30 $226.61 0.4×
Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) $122.07 $187.80 0.4×
Chest physiotherapy initial (94667) $59.45 $91.46 0.4×
Chron care mgmt srvc 20 min (99490) $32.39 $49.83 0.3×
Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) $114.61 $176.32
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time… (99487) $70.82 $108.96 0.4×
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) $229.82 $353.57 1.6×
Cpr (92950) $433.76 $667.32 1.9×
Critical care ill/injured patient init 30-74 min (99291) $1,484.86 $2,284.40 1.7×
Debridement open wound 20 sq cm< (97597) $273.12 $420.20 1.3×
Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) $645.98 $993.81 2.6×
Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) $452.97 $696.87 4.1×
Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) $1,017.20 $1,564.93 4.0×
Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) $626.83 $964.36 5.7×
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) $1,187.63 $1,827.13 4.7×
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) $782.70 $1,204.15 7.1×
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) $565.07 $869.34 5.1×
Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) $674.68 $1,037.97 2.7×
Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93931) $656.64 $1,010.21 6.0×
ECG/monitoring and analysis (93271) $648.28 $997.36 6.5×
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) $432.52 $665.41 1.7×
EEG 41-60 minutes (95812) $545.64 $839.45 2.4×
EEG extended monitoring 61-119 minutes (95813) $562.38 $865.20 2.5×
EKG 12 lead tracing only (93005) $139.97 $215.34 2.2×
EKG rhythm strip (93041) $59.34 $91.29 1.0×
Emergency department visit high mdm (99285) $262.48 $403.82 0.4×
Emergency department visit low mdm (99283) $94.31 $145.09 0.3×
Emergency department visit may not req phys/qhp (99281) $103.88 $159.82 1.2×
Emergency department visit moderate mdm (99284) $178.09 $273.99 0.4×
Emergency department visit straightforward mdm (99282) $62.06 $95.47 0.4×
End tidal co2 mntrng (crbn dxde exp gas dtrmntn by infrared analyzer) (94799) $40.22 $61.87 0.3×
Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) $148.61 $228.63
Evaluate pt use of inhaler (94664) $62.39 $95.98 0.3×
Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic… (94617) $164.78 $253.51 1.2×
External ECG rec>48hr<7d recording (93242) $577.19 $887.99 14.6×
External ECG rec>7d<15d recording (93246) $1,039.11 $1,598.63 26.4×
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) $248.76 $382.71 1.8×
Flexible endo swallow w/o c/v eval - eval of swallowing function w/o video & w/ endoscope (92700) $39.07 $60.10 1.3×
Hot/cold pack (97010) $25.90 $39.84
Im adm intransl/oral 1 vaccine (90473) $11.84 $18.21 0.2×
Imm admn sarscov2 vaccine single dose (90480) $28.63 $44.04 0.7×
Immunization administration (90471) $26.52 $40.80 0.3×
Initial psychiatric collaborative care management, first 70 minutes in the first calendar month of behavioral health… (99492) $109.25 $168.08 1.0×
Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) $79.48 $122.26 1.6×
Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) $113.47 $174.57 0.5×
Irrigaj implntd venous access drug delivery syst (96523) $37.39 $57.52 0.6×
IV infusion hydration each additional hour (96361) $54.52 $83.88 1.1×
IV infusion ther proph addl sequential to 1 hr (96367) $97.28 $149.65 1.3×
IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) $218.08 $335.50 1.0×
IV tx, each additional hour (96366) $85.83 $132.05 1.7×
Lwr xtr vasc stdy bilat (93924) $806.91 $1,241.40 3.5×
Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) $66.57 $102.42 0.5×
Mechanical traction therapy (97012) $73.85 $113.61
Methacholine challenge (94070) $114.89 $176.75 0.3×
Multiple sleep latency (95805) $3,259.61 $5,014.78 3.6×
Negative pressure wound therapy dme </= 50 sq cm (97605) $381.94 $587.60 1.8×
Neuropsychological tst eval phys/qhp 1st hour (96132) $185.25 $285 0.5×
Non-invasive physiologic study extremity 3 levels (93923) $540.46 $831.48 2.4×
Noninvasive ear/pulse oximetry overnight monitor (94762) $311.95 $479.93 2.3×
Oral function therapy (92526) $149.23 $229.58
Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) $86.55 $133.15
Osteopath manj 1-2 regions (98925) $43.70 $67.23 1.9×
Osteopath manj 3-4 regions (98926) $60.37 $92.87 2.7×
Osteopath manj 9-10 regions (98929) $160.31 $246.63 7.0×
Osteopathic manipulative tx 5-6 body regions (98927) $112.57 $173.18 4.9×
Osteopathic manipulative tx 7-8 body regions (98928) $101.73 $156.50 4.5×
Ot manual therapy ea 15 min (97140) $84.88 $130.58
Ot neuromuscular re-education (97112) $83.92 $129.10
Ot paraffin bath (97018) $50.16 $77.17
OT Therapeutic Activities Charges (97530) $84.10 $129.38
Ot wheelchair management (97542) $79.87 $122.88
Other physical medicine or rehabilitation service or procedure (97799) $63.32 $97.42
Outpatient cardiac rehab w/cont ECG monitoring (93798) $189.64 $291.75 1.4×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $206.88 $318.27 1.5×
Phlebotomy therapeutic (99195) $132.78 $204.28 0.9×
Phy/qhp op pulm rhb w/mntr (94626) $158.61 $244.01 2.5×
Phy/qhp op pulm rhb w/o mntr (94625) $279.28 $429.66 4.5×
Physical therapy evaluation high complex 45 mins (97163) $244.90 $376.77
Physical therapy evaluation low complex 20 mins (97161) $244.90 $376.77
Physical therapy evaluation mod complex 30 mins (97162) $244.90 $376.77
Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) $3,361.12 $5,170.96 3.7×
Pr unlisted therapeutic procedure specify (97139) $60.71 $93.40
Professional services for allergen immunotherapy; 2 or more injections (95117) $27.87 $42.87 0.6×
Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) $99.76 $153.47
Psych diag eval w/med srvcs (90792) $201.71 $310.32 1.1×
Psychiatric diagnostic evaluation (90791) $182.73 $281.13 1.0×
Psytx crisis initial 60 min (90839) $130 $200 0.7×
Pt gait training 15 min (97116) $83.38 $128.28
Pt physical performance test (97750) $38.83 $59.74
Pt re-evaluation (97164) $160.47 $246.87
Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) $96.84 $148.99
Pulmonary stress testing (94618) $61.17 $94.11 0.4×
Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section… (95851) $81.41 $125.25
Remote 30 day ECG rev/report (93270) $248.60 $382.46 6.3×
Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) $97.84 $150.53
Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) $61.76 $95.01
Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis… (95801) $133.89 $205.98 2.2×
Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent month of behavioral health care… (99493) $109.25 $168.08 1.0×
Ther/proph/diag inj ia (96373) $107.40 $165.22 0.5×
Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) $99.27 $152.72
Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) $101.06 $155.48
Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) $57.40 $88.31
Therapeutic prophylactic/dx injection subq/im (96372) $49 $75.38 0.6×
Tobacco use cessation intensive >10 minutes (99407) $39.56 $60.86 1.0×
Tobacco use cessation intermediate 3-10 minutes (99406) $20.33 $31.28 0.5×
Trans care mgmt 14 day disch (99495) $169.53 $260.82 1.2×
Trans care mgmt 7 day disch (99496) $204.20 $314.15 1.5×
Unlisted modality (specify type and time if constant attendance) (97039) $70.96 $109.17
Upr/l xtremity art 2 levels (93922) $237.33 $365.12 1.7×
Ventilation ip/obs initial day (94002) $1,493.13 $2,297.13 2.3×
Ventilator subsequent day (94003) $982.80 $1,512 1.5×
Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) $43.52 $66.96
Wound(s) care non-selective (97602) $116.51 $179.25 0.6×