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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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $26.78 $35.70 0.6×
Advncd Care Plan 30 Min (99497)
range across 2 matching MRF lines
$107.10–$114.75 $142.80–$153 varies
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines
$36.03–$84.38 $48.04–$112.50 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $48.71 $64.94 3.4×
Assmt & care planning pt w/cognitive impairment (99483) $414.63 $552.84 3.9×
Brief Emotional/Behav Assmt (96127) $30.60 $40.80 0.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 3 matching MRF lines
$94.91–$133.58 $126.55–$178.11 varies
Canalith repositioning proc (95992) $71.18 $94.91 1.7×
Cardiac Stress Tst,Tracing Only (93017) $355.05 $473.40 1.6×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$234.65–$486 $312.87–$648 varies
Cardioversion (92960)
range across 2 matching MRF lines
$316.37–$386.69 $421.83–$515.59 varies
Caregiver hlth risk assmt score doc stnd instrm (96161) $30.60 $40.80 0.8×
Chest Wall Manipulation (94668) $78.23 $104.31 0.6×
Chron Care Mgmt Srvc 20 Min (99490) $41.40 $55.20 0.4×
Color/duplex Doppler, limited (93976) $535.21 $713.61 4.9×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $122.40 $163.20 0.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $483.37 $644.49 2.1×
Critical care first hour (99291)
range across 2 matching MRF lines
$917.51–$1,124.90 $1,223.34–$1,499.87 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$41.40–$265.31 $55.20–$353.74 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$557.14–$731.18 $742.85–$974.90 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $465.77 $621.03 4.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $743.50 $991.33 3.0×
Dup-scan xtr veins unilateral/limited study (93971) $630.11 $840.15 5.7×
Echo Congenital Complete (93303) $1,040.54 $1,387.38 1.8×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$100.19–$660.89 $133.59–$881.18 varies
Electrical Stimulation Ea 15 Min (97032) $48.71 $64.94 3.3×
Electrocardiogram Tracing (93005) $103.70 $138.27 1.7×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$72.07–$193.34 $96.09–$257.79 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$115.13–$267.16 $153.50–$356.21 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$248.71–$469.28 $331.61–$625.71 varies
Er level 1 (99281)
range across 2 matching MRF lines
$37.79–$101.94 $50.38–$135.92 varies
Er level v (99285)
range across 2 matching MRF lines
$316.37–$1,035.25 $421.83–$1,380.33 varies
Evaluate pt use of inhaler (94664) $36.03 $48.04 0.2×
Evaluate Swallowing Function (92610) $296.16 $394.88 3.5×
External Ecg Scanning Analysis Report (93226) $290 $386.67 4.7×
Extracranial Bilat Study (93880) $773.36 $1,031.15 3.1×
Group Therapeutic Procedures (97150) $36.54 $48.72 2.0×
Holter monitor recording (93225) $160.82 $214.42 1.1×
Im Adm Intransl/Oral 1 Vaccine (90473) $19.35 $25.80 0.3×
Immunization administration (90471)
range across 5 matching MRF lines
$16.91–$97.97 $22.55–$130.63 varies
Iontophoresis 15 min (97033) $36.54 $48.72 1.9×
Irrig Drug Delivery Device (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)
range across 2 matching MRF lines
$174.01–$207.40 $232.01–$276.53 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$27.24–$79.97 $36.32–$106.63 varies
IV infusion therapy prophylaxis/dx ea hour (96366) $64.16 $85.54 1.3×
IV push initial (96374) $119.51 $159.34 0.5×
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×
Neuromuscular Reeducation (97112) $72.07 $96.09 2.2×
Oral Function Therapy (92526) $193.34 $257.79 2.3×
Orthotics Mgmt & Trainj 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 complexity (97167) $139.36 $185.81 1.4×
Ot Eval Moderate Complexity (97166) $135.14 $180.18 1.3×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$48.33–$56.84 $64.44–$75.78 varies
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×
Phlebotomy therapeutic (99195) $103.70 $138.27 0.7×
Phys/qhp svcs op pulm rehab w/cont oximtry 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×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $27.24 $36.32 0.6×
Pt Eval High Complex (97163) $149.90 $199.87 1.5×
Pt eval low complex 20 min (97161) $149.90 $199.87 1.5×
Pt Eval Mod Complex (97162) $149.90 $199.87 1.5×
Pt gait training 15 min (97116) $48.71 $64.94 1.7×
Pt mechanical traction (97012) $36.54 $48.72 2.5×
Pt Re-Eval Est Plan Care (97164) $81.18 $108.24 1.2×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $30.60 $40.80 0.8×
Pulm function test by gas (94727)
range across 2 matching MRF lines
$81.73–$104.59 $108.97–$139.45 varies
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 (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×
Self Care Mngment Training (97535) $40.59 $54.12 1.3×
Speech sound lang comprehen (92523) $318.36 $424.48 1.4×
Spirometry (94010)
range across 3 matching MRF lines
$65.91–$88.76 $87.88–$118.35 varies
Stress Tte Only (93350) $445.57 $594.09 0.8×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$128.30–$333.96 $171.07–$445.28 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $48.71 $64.94 1.6×
Ther/Proph/Diag Inj Sc/Im (96372) $33.40 $44.53 0.4×
Ther/Proph/Diag Iv Inf Init (96365)
range across 4 matching MRF lines
$72.07–$209.16 $96.09–$278.88 varies
Therapeutic Activities (97530) $72.07 $96.09 2.1×
Tobacco Use Cessation Intensive >10 Minutes (99407) $44.82 $59.76 1.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $21.96 $29.28 0.6×
Tte w/doppler, complete (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/Pro/Dx Inj New Drug Addon (96375) $78.23 $104.31 1.6×
Upr/L Xtremity Art 2 Levels (93922)
range across 5 matching MRF lines
$126.69–$380.08 $168.92–$506.77 varies
Vent Mgmt Inpat Init 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×

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.