Visits & medical services prices at Rio Grande Hospital

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

99 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) $110.92 $147.90 1.0×
Airway inhalation treatment (94640) $65.91 $87.88 0.3×
Assmt & care planning pt w/cognitive impairment (99483) $414.63 $552.84 3.9×
Behav assmt w/score & docd/stand instrument (96127) $30.60 $40.80 0.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $132.49 $176.65 0.3×
Canalith Repositioning (95992) $71.18 $94.91 1.7×
Cardiac Stress Tst,Tracing Only (93017) $355.05 $473.40 1.6×
Cardiopulmonary resuscitation (92950) $440.30 $587.06 1.9×
Cardioversion (92960) $351.53 $468.71 0.5×
Caregiver hlth risk assmt score doc stnd instrm (96161) $30.60 $40.80 0.8×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $41.40 $55.20 0.4×
Color/duplex Doppler, limited (93976) $535.21 $713.61 4.9×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $122.40 $163.20 0.7×
Cpap initiation and management (94660) $483.37 $644.49 2.1×
Critical care (99291) $1,021.20 $1,361.60 1.2×
Debridement Open Wound 20 Sq Cm< (97597) $244.28 $325.71 1.2×
Demo &/or eval,pt use,aerosol device (94664) $36.03 $48.04 0.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $644.16 $858.88 2.6×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $465.77 $621.03 4.2×
Dup-scan xtr veins unilateral/limited study (93971) $630.11 $840.15 5.7×
Duplex scan extracranial art compl bi study (93880) $773.36 $1,031.15 3.1×
Echo Heart Xthoracic,Limited (93308) $380.54 $507.38 1.5×
Echo Transthoracic - Congenital Tte Complete (93303) $1,040.54 $1,387.38 1.8×
EKG (93005) $103.70 $138.27 1.7×
Er level 1 (99281) $69.86 $93.15 0.8×
Er level ii (99282) $132.70 $176.94 0.8×
Er level iii (99283) $191.14 $254.86 0.7×
Er level IV (99284) $359 $478.66 0.8×
Er level v (99285) $675.81 $901.08 1.1×
Evaluation of swallowing function (92610) $296.16 $394.88 3.5×
External Ecg Scanning Analysis Report (93226) $290 $386.67 4.7×
Group Therapeutic Procedures (97150) $36.54 $48.72 2.0×
Holter Monitor Recording (93225) $160.82 $214.42 1.1×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $26.78 $35.70 0.6×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $19.35 $25.80 0.3×
Immunization Admin (90471) $26.78 $35.70 0.4×
Immunotherapy, 2+ Injections (95117) $27.24 $36.32 0.6×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $96.67 $128.89 1.6×
IV infusion hydration each additional hour (96361) $64.16 $85.54 1.3×
IV infusion hydration initial 31 min-1 hour (96360) $190.70 $254.27 0.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $53.60 $71.48 0.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $189.82 $253.10 0.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $64.16 $85.54 1.3×
IV push initial (96374) $119.51 $159.34 0.5×
Manual therapy 15 min (97140) $52.58 $70.11 1.9×
Massage 15 min (97124) $48.71 $64.94 1.6×
Mechanical traction (97012) $36.54 $48.72 2.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $28.13 $37.50 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $112 $149.33 0.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $253.38 $337.84 1.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $43.06 $57.41 0.9×
Osteopathic manipulative tx 1-2 body regions (98925) $61.54 $82.05 2.7×
Osteopathic manipulative tx 3-4 body regions (98926) $79.10 $105.47 3.5×
Osteopathic manipulative tx 5-6 body regions (98927) $93.17 $124.22 4.1×
Osteopathic manipulative tx 7-8 body regions (98928) $122.15 $162.87 5.4×
Ot Contrast Bath Ea 15 Min (97034) $28.13 $37.50 2.0×
Ot eval high complex 60 min (97167) $139.36 $185.81 1.4×
Ot eval mod complex 45 min (97166) $135.14 $180.18 1.3×
Ot Prosthetic Training, Each 15 Min (97761) $70.63 $94.17 1.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $62.10 $82.80 0.5×
Patch/Application Test Specify Number Tests (95044) $7.96 $10.61 0.0×
Phy/qhp op pulm rhb w/mntr (94626) $69 $92 1.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,288.48 $3,051.31 2.5×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $118.25 $157.66 2.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $20.22 $26.96 0.4×
Pt Electric Current Therapy (97033) $36.54 $48.72 1.9×
Pt Electrical Stimulation (97032) $48.71 $64.94 3.3×
Pt eval high complex 45 min (97163) $149.90 $199.87 1.5×
Pt eval low complex 20 min (97161) $149.90 $199.87 1.5×
Pt Gait Training Therapy (97116) $48.71 $64.94 1.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $72.07 $96.09 2.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $149.90 $199.87 1.5×
Pt re-evaluation (97164) $81.18 $108.24 1.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $40.59 $54.12 1.3×
Pt Ultrasound Therapy (97035) $48.71 $64.94 3.4×
Pt-focused hlth risk assmt (96160) $30.60 $40.80 0.8×
Pulm function test by gas (94727) $93.16 $124.21 0.4×
Pulmonary stress testing (94618) $142.07 $189.42 1.0×
Pure Tone Audiometry, Air (92552) $43.06 $57.41 0.3×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $70.31 $93.74 1.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $132.49 $176.65 0.6×
Rt Chest Wall Manipulation,Subsequent (94668) $78.23 $104.31 0.6×
Smoking cessation > 10 min (99407) $44.82 $59.76 1.1×
Speech sound lang comprehen (92523) $318.36 $424.48 1.4×
Spirometry (94010) $82.80 $110.40 0.4×
Stress echo (93350) $445.57 $594.09 0.8×
Temp transcutaneous pacing (92953) $231.13 $308.18 0.3×
Ther/Proph/Diag Inj Sc/Im (96372) $33.40 $44.53 0.4×
Therapeutic Activities (97530) $72.07 $96.09 2.1×
Therapeutic phlebotomy (99195) $103.70 $138.27 0.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $21.96 $29.28 0.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,080.96 $1,441.28 1.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $149.41 $199.21 2.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $193.34 $257.79 2.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $78.23 $104.31 1.6×
Vasc Duplex Extrem Venous,Bilat (93970) $743.50 $991.33 3.0×
Ventilation assist & mgmt inpatient 1st day (94002) $680.21 $906.95 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $680.21 $906.95 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $64.94 $86.59 2.1×