Visits & medical services prices at Dignity Health - St. Rose Dominican, San Martín Campus

Las Vegas, NV · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $8,805.57 $42,954 1.0×
Admn Sarscov2 Vacc 1 Dose (90480) $48.79 $238 1.1×
Aep neurodiagnostic i&r (92653) $200.49 $978 0.8×
Aep threshold estimation mlt frequencies i&r (92652) $200.49 $978 0.8×
Airway Inhalation Treatment (94640) $79.13 $386 0.3×
Airway resistance by oscillometry (94728) $142.89 $697 1.0×
Analyze Pacemaker System (93724) $239.85 $1,170 0.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $75.65 $369 5.3×
Arrhythmia Induction (93618) $1,099.62 $5,364 0.8×
Assessment of aphasia per hr (96105) $191.27 $933 2.0×
Behavral qualit analys voice (92524) $138.99 $678 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $425.79 $2,077 1.0×
Bundle of his recording (93600) $5,157.39 $25,158 0.6×
Car seat/bed test 60 min (94780) $32.39 $158 0.8×
Cardiac Stress Tst,Tracing Only (93017) $592.45 $2,890 2.5×
Cardiopulmonary resuscitation (92950) $751.33 $3,665 3.2×
Cardioversion (92960) $909.38 $4,436 1.3×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $10,027.78 $48,916 2.8×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $8,498.07 $41,454 2.4×
Cbt 1st hour (94644) $157.24 $767 1.1×
Chemo Anti-Neopl Sq/Im (96401) $108.65 $530 1.4×
Chemo Hormon Antineopl Sq/Im (96402) $108.65 $530 1.4×
Chemo Ia Push (96420) $335.79 $1,638 0.9×
Chemo IV infusion addl hr (96415) $102.09 $498 1.3×
Chemo IV push addl drug (96411) $158.47 $773 2.0×
Chemother Prolong Infuse W/Pump (96416) $151.50 $739 0.4×
Chemotherapy Into Cns (96450)
range across 2 matching MRF lines
$194.34–$213.61 $948–$1,042 varies
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $165.64 $808 2.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $493.23 $2,406 1.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $158.47 $773 0.4×
Chest Wall Manipulation (94668) $20.50 $100 0.1×
Color/duplex Doppler, complete (93975) $734.31 $3,582 2.8×
Color/duplex Doppler, limited (93976) $425.99 $2,078 3.7×
Community/Work Reintegration Trainj Ea 15 Min (97537) $46.13 $225 1.4×
Continuous Pulse Ox (94762) $1,039.97 $5,073 7.4×
Coronary Art/Grft Angio S&I (93455) $6,318.92 $30,824 1.8×
Coronary Artery Angio S&I (93454) $5,447.26 $26,572 1.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $184.50 $900 0.8×
Cpt initial (94667) $31.98 $156 0.2×
Critical care first hour (99291) $1,730.41 $8,441 1.9×
Debridement Open Wound 20 Sq Cm< (97597) $288.03 $1,405 1.3×
Developmental tst admin phys/qhp 1st hour (96112) $163.18 $796 1.2×
Dialysis One Evaluation (90945) $742.31 $3,621 1.6×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $58.43 $285 0.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $499.38 $2,436 1.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $697.62 $3,403 2.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $411.64 $2,008 3.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $820.21 $4,001 3.1×
Dup-scan xtr veins unilateral/limited study (93971) $500.20 $2,440 4.4×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $116.24 $567 0.4×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $56.17 $274 0.5×
Duplex Scan Hemodialysis Access (93990) $187.37 $914 1.6×
Duplex up extrem art bilat (93930) $746.82 $3,643 2.9×
Duplex up extrem art unilat/ltd (93931) $463.92 $2,263 4.1×
Echo Congenital Complete (93303) $496.92 $2,424 0.8×
Echo Heart Xthoracic,Limited (93308) $595.94 $2,907 2.3×
Echo r-t 2d w/probe placement only (93313) $223.86 $1,092 0.4×
Echo transesophag congen probe plcmt only (93316) $353.83 $1,726 0.6×
Echo transesophag montr cardiac pump functj (93318) $353.83 $1,726 0.6×
Echo transesophageal (93312) $1,722.41 $8,402 2.9×
Echo Transesophageal - Congenital Tee Complete (93315) $353.83 $1,726 0.6×
Eeg 41-60 Minutes (95812) $258.71 $1,262 1.1×
EEG awake and asleep (95819) $710.94 $3,468 3.0×
EEG cerebral death evaluation (95824) $334.97 $1,634 0.8×
EEG cont rec w/video by tech min 8 channels (95700) $159.49 $778 0.7×
EEG extended monitoring 61-119 minutes (95813) $310.58 $1,515 1.3×
Eeg Sleep Only (95822) $181.02 $883 0.8×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $163.39 $797 0.7×
EEG w/o vid 2-12hr cont mntr (95707) $159.49 $778 0.7×
EEG w/o vid ea 12-26hr intmt (95709) $306.68 $1,496 0.8×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $306.68 $1,496 0.8×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $159.49 $778 0.7×
EEG wo vid ea 12-26hr unmntr (95708) $306.68 $1,496 0.8×
Electrical Stimulation Ea 15 Min (97032) $28.29 $138 1.9×
Electrocardiogram Tracing (93005) $313.04 $1,527 4.9×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
likely a partial charge, not the full procedure
$2,308.10 $11,259 0.3×
Electrophysiology Evaluation (93642) $1,512.49 $7,378 1.1×
Emergency Dept Visit Level 2 (99282) $315.50 $1,539 1.9×
Emergency Dept Visit Level 3 (99283) $555.35 $2,709 1.9×
Emergency Dept Visit Level 4 (99284) $858.13 $4,186 1.9×
Emg 3 Extremities (95863) $61.71 $301 0.4×
Emg 4 Extremities (95864) $61.71 $301 0.4×
Endomyocardial Biopsy (93505) $1,535.66 $7,491 0.4×
Ep & ablate supravent arrhyt (93653)
unusually low: confirm this is the full procedure
$12,402.09 $60,498 0.4×
Ep & ablate ventric tachy (93654) $16,494.71 $80,462 0.6×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $4,920.21 $24,001 0.6×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $5,157.39 $25,158 0.6×
Er level 1 (99281) $176.71 $862 1.9×
Er level v (99285) $1,261.98 $6,156 1.9×
Esophagus acid perfusion test esophagitis (91030) $297.87 $1,453 0.7×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $480.93 $2,346 1.2×
Evaluate pt use of inhaler (94664) $61.71 $301 0.3×
Evaluate Speech Production (92522) $161.75 $789 1.4×
Evaluate Swallowing Function (92610) $148.83 $726 1.8×
Extracranial Bilat Study (93880) $803.40 $3,919 3.1×
F-up/limited tthrc echo congenital car anomaly (93304) $297.66 $1,452 0.5×
Flexible endoscopic eval swallow c/v rec (92612) $239.44 $1,168 1.2×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $216.69 $1,057 0.2×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $352.81 $1,721 1.5×
Gi tract capsule endoscopy (91110) $726.73 $3,545 0.7×
Group Therapeutic Procedures (97150)
range across 11 matching MRF lines
$10.05–$62.53 $49–$305 varies
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $11,472.42 $55,963 3.2×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $677.12 $3,303 0.9×
Holter monitor recording (93225) $161.95 $790 1.1×
Icd Device Interrogate (93289) $79.34 $387 1.9×
Icd device progr eval dual (93283)
range across 2 matching MRF lines
$21.32–$54.53 $104–$266 varies
Icd Device Progr Eval Mult (93284)
range across 2 matching MRF lines
$27.06–$54.53 $132–$266 varies
Icm Device Eval (93290) $54.53 $266 1.3×
Immunization administration (90471) $70.52 $344 0.9×
Insert/Place Heart Catheter (93503) $935.21 $4,562 0.5×
Intra-atrial pacing (93610) $5,157.39 $25,158 0.6×
Intra-atrial recording (93602) $5,157.39 $25,158 0.6×
Intracranial Complete Study (93886) $220.58 $1,076 0.8×
Intraventricular pacing (93612) $5,157.39 $25,158 0.6×
Iontophoresis 15 min (97033) $47.36 $231 2.5×
Irrig Drug Delivery Device (96523) $64.17 $313 1.0×
IV infusion hydration each additional hour (96361) $80.98 $395 1.6×
IV infusion hydration initial 31 min-1 hour (96360) $292.54 $1,427 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $151.50 $739 1.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $98.61 $481 1.9×
IV push initial (96374)
range across 3 matching MRF lines
$135.71–$149.24 $662–$728 varies
L Hrt Art/Grft Angio (93459) $9,347.80 $45,599 2.6×
Lung Function Test (Mbc/Mvv) (94200) $71.96 $351 1.1×
Mechanical chest wall oscillation per session (94669) $40.39 $197 0.2×
Motility study esophagus (91010) $1,399.54 $6,827 3.4×
Motion Fluoroscopy/Swallow (92611) $406.52 $1,983 4.4×
Muscle Test 2 Limbs (95861) $61.71 $301 0.4×
Muscle Test One Limb (95860) $61.71 $301 0.4×
Nasopharyngoscopy (92511) $104.76 $511 0.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$92.25–$101.68 $450–$496 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$138.17–$147.19 $674–$718 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 6 matching MRF lines
$97.99–$979.90 $478–$4,780 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 7 matching MRF lines
$156.83–$1,019.06 $765–$4,971 varies
Nerve Conduction Studies 1-2 Studies (95907) $70.52 $344 0.3×
Nerve Conduction Studies 11-12 Studies (95912) $184.09 $898 0.5×
Nerve conduction studies 13 or more studies (95913) $214.02 $1,044 0.5×
Nerve Conduction Studies 3-4 Studies (95908) $102.71 $501 0.4×
Nerve conduction studies 5-6 studies (95909) $107.01 $522 0.5×
Nerve conduction studies 7-8 studies (95910) $141.25 $689 0.3×
Nerve Conduction Studies 9-10 Studies (95911) $184.09 $898 0.5×
Neurobehavioral Status Exam (96116) $183.48 $895 0.8×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $54.12 $264 0.4×
Neuromuscular Reeducation (97112) $78.11 $381 2.4×
Oral Function Therapy (92526) $74.01 $361 0.9×
Oral Speech Device Eval (92597) $163.39 $797 2.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $63.96 $312 1.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $38.75 $189 0.8×
Ot Contrast Bath Ea 15 Min (97034) $29.32 $143 2.1×
Ot eval high complexity (97167) $171.59 $837 1.7×
Ot Eval Low Complex (97165) $107.42 $524 1.1×
Ot Eval Moderate Complexity (97166) $133.25 $650 1.3×
Ot manual therapy 15 min (97140) $42.44 $207 1.5×
Ot paraffin bath (97018) $44.69 $218 7.4×
Ot Prosthetic Training, Each 15 Min (97761) $52.89 $258 1.3×
Ot Re-Eval Est Plan Care (97168) $99.84 $487 1.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $184.71 $901 1.3×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $116.24 $567 0.8×
Peripheral arterial disease rehab per session (93668) $73.60 $359 1.1×
Perq transcath closure pda (93582)
unusually low: confirm this is the full procedure
$7,181.77 $35,033 0.4×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $4,781.01 $23,322 0.8×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $6,878.16 $33,552 0.5×
Phlebotomy therapeutic (99195) $322.88 $1,575 2.2×
Physical Performance Test (97750) $29.11 $142 0.9×
Plethysmography (94726) $150.47 $734 0.4×
Pm device eval in person (93288)
range across 2 matching MRF lines
$23.99–$54.53 $117–$266 varies
Pm device progr eval dual (93280)
range across 2 matching MRF lines
$21.32–$54.53 $104–$266 varies
Pm Device Progr Eval Sngl (93279) $54.53 $266 1.3×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282)
range across 2 matching MRF lines
$21.32–$54.53 $104–$266 varies
Prq Card Angio/Athrect 1 Art (92924) $9,562.23 $46,645 0.8×
Prq Card Stent W/Angio 1 Vsl (92928) $7,708 $37,600 0.6×
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure
$6,878.16 $33,552 0.3×
Prq Revasc Byp Graft 1 Vsl (92937) $6,878.16 $33,552 0.5×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
unusually low: confirm this is the full procedure
$7,302.92 $35,624 0.4×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $29.32 $143 0.8×
Pt Eval High Complex (97163) $187.37 $914 1.9×
Pt eval low complex 20 min (97161) $122.39 $597 1.3×
Pt Eval Mod Complex (97162) $149.24 $728 1.5×
Pt gait training 15 min (97116) $31.57 $154 1.1×
Pt mechanical traction (97012) $47.97 $234 3.3×
Pt Re-Eval Est Plan Care (97164) $99.84 $487 1.5×
Pulm function test by gas (94727) $120.34 $587 0.5×
Pulmonary service/procedure (94799) $98.40 $480 0.7×
Pulmonary Stress Testing (94618) $152.32 $743 1.0×
R Hrt Art/Grft Angio (93457) $10,027.78 $48,916 2.8×
R hrt coronary artery angio (93456) $8,837.96 $43,112 2.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $6,052.63 $29,525 1.7×
Respiratory flow volume loop (94375) $282.08 $1,376 1.2×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $63.76 $311 1.0×
Right Heart Cath (93451) $4,203.32 $20,504 1.2×
Right ventricular recording (93603) $1,100.44 $5,368 0.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $64.78 $316 0.3×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $155.39 $758 1.3×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $107.42 $524 2.2×
Self Care Mngment Training (97535) $25.01 $122 0.8×
Sensory Integration Ea 15 Min (97533) $32.39 $158 0.5×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $121.36 $592 0.5×
Short-latency somatosens ep std upr limbs (95925) $121.77 $594 0.5×
Speech sound lang comprehen (92523) $206.44 $1,007 0.9×
Spirometry (94010) $252.36 $1,231 1.1×
Ssep lower limbs (95926) $152.32 $743 0.6×
Standardized Cognitive Performance Testing (96125) $35.06 $171 0.3×
Stress Tte Only (93350) $276.34 $1,348 0.5×
Surfactant Admin Thru Tube (94610) $171.59 $837 0.7×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $276.55 $1,349 2.4×
Temp transcutaneous pacing (92953) $444.85 $2,170 0.6×
Tensilon Test (95857) $58.43 $285 0.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $68.68 $335 3.1×
Ther Ivntj Ea Addl 15 Min (97130) $68.68 $335 3.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $28.29 $138 1.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609)
range across 2 matching MRF lines
$123.21–$131.61 $601–$642 varies
Ther/Proph/Diag Inj Ia (96373)
range across 2 matching MRF lines
$68.68–$76.06 $335–$371 varies
Ther/Proph/Diag Inj Sc/Im (96372) $73.19 $357 0.9×
Ther/Proph/Diag Iv Inf Init (96365) $352.40 $1,719 1.5×
Therapeutic Activities (97530) $42.64 $208 1.2×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $813.85 $3,970 2.0×
Tobacco Use Cessation Intensive >10 Minutes (99407) $18.66 $91 0.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $18.66 $91 0.5×
Transcath Closure of Asd (93580) $12,204.68 $59,535 0.6×
Transcranial Doppler Intracran Art Emboli Detect (93892) $268.14 $1,308 2.3×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $114.80 $560 1.0×
Tte w/doppler, complete (93306) $1,941.15 $9,469 3.3×
Tte W/O Doppler Complete (93307) $679.37 $3,314 2.6×
Tx atrial fib pulm vein isol (93656) $20,418.82 $99,604 0.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $77.70 $379 1.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $28.70 $140 1.2×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$132.84–$149.24 $648–$728 varies
Unlisted cardiovascular service/procedure (93799)
range across 4 matching MRF lines
$161.54–$8,310.70 $788–$40,540 varies
Unlisted noninvasive vascular diagnostic study (93998) $94.10 $459 3.0×
Upr/L Xtremity Art 2 Levels (93922) $303.40 $1,480 2.1×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $473.96 $2,312 2.0×
Valvuloplasty aortic valve (92986) $5,166.82 $25,204 0.8×
Valvuloplasty mitral valve (92987) $7,708 $37,600 0.6×
Valvuloplasty pulmonary valve (92990)
likely a partial charge, not the full procedure
$3,251.10 $15,859 0.3×
Vasopneumatic device (97016) $50.02 $244 4.2×
Veeg 2-12 Hr Cont Mntr (95713) $306.68 $1,496 0.8×
Veeg 2-12 hr intmt mntr (95712) $159.49 $778 0.4×
Veeg 2-12 hr unmonitored (95711) $159.49 $778 0.7×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $306.68 $1,496 0.8×
Veeg Ea 12-26 Hr Unmntr (95714) $306.68 $1,496 0.8×
Veeg ea 12-26hr cont mntr (95716) $573.39 $2,797 0.6×
Vent Mgmt Inpat Init Day (94002) $1,187.16 $5,791 1.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,079.33 $5,265 1.6×
Visual Evoked Potential Test (95930) $286.59 $1,398 1.2×
Vital capacity, total (94150) $141.86 $692 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $29.73 $145 1.0×
Whirlpool Therapy (97022) $71.14 $347 4.5×

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.