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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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $8,805.57 $42,954 1.0×
Aep neurodiagnostic interpretation and report (92653) $200.49 $978 0.8×
Aep Thrshld Est Mlt Freq I&R (92652) $200.49 $978 0.8×
Airway inhalation treatment (94640) $79.13 $386 0.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $75.65 $369 5.3×
Assessment of aphasia per hr (96105) $191.27 $933 2.0×
Bedside Swallowing Eval (92610) $148.83 $726 1.8×
Behavioral and qualitative analysis of voice and resonance (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 Perc Clos,Cong Interatrial Commun W/Impl (93580) $12,204.68 $59,535 0.6×
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 Hormon Antineopl Sq/Im (96402) $108.65 $530 1.4×
Chemo IV push addl drug (96411) $158.47 $773 2.0×
Chemo prolong 8+ hrs infuse w/pump (96416) $151.50 $739 0.4×
Chemother, IV infusion, 1 hr (96413) $493.23 $2,406 1.4×
Chemother, IV infusion, ea add hr (96415) $102.09 $498 1.3×
Chemother,Ia Push Technique (96420) $335.79 $1,638 0.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $108.65 $530 1.4×
Chemotherapy into cns (96450) $203.98 $995 0.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $165.64 $808 2.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $158.47 $773 0.4×
Color/duplex Doppler, complete (93975) $734.31 $3,582 2.8×
Color/duplex Doppler, limited (93976) $425.99 $2,078 3.7×
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/bipap (94660) $184.50 $900 0.8×
Cpt initial (94667) $31.98 $156 0.2×
Critical care (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×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $746.82 $3,643 2.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $463.92 $2,263 4.1×
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 extracranial art compl bi study (93880) $803.40 $3,919 3.1×
Duplex Scan Hemodialysis Access (93990) $187.37 $914 1.6×
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×
Echo Transthoracic - Congenital Tte Complete (93303) $496.92 $2,424 0.8×
Echo Transthoracic - Congenital Tte Limited (93304) $297.66 $1,452 0.5×
EEG awake and asleep (95819) $710.94 $3,468 3.0×
EEG cerebral death evaluation (95824) $334.97 $1,634 0.8×
EEG coma or sleep only (95822) $181.02 $883 0.8×
EEG cont rec w/video by tech min 8 channels (95700) $159.49 $778 0.7×
EEG greater than 1 hour (95813) $310.58 $1,515 1.3×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $163.39 $797 0.7×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $306.68 $1,496 0.8×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $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 w/o video by tech 2-12hr continuous r-t mntr (95707) $159.49 $778 0.7×
EKG rhythm strip (93041) $63.76 $311 1.0×
Electrocardiogram Tracing (93005) $313.04 $1,527 4.9×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $258.71 $1,262 1.1×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
likely a partial charge, not the full procedure
$2,308.10 $11,259 0.3×
EMG four extremities (95864) $61.71 $301 0.4×
EMG one extremity (95860) $61.71 $301 0.4×
EMG three extremities (95863) $61.71 $301 0.4×
EMG two extremities (95861) $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 Analyze Pacer Sys (93724) $239.85 $1,170 0.7×
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×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $1,512.49 $7,378 1.1×
Er level 1 (99281) $176.71 $862 1.9×
Er level ii (99282) $315.50 $1,539 1.9×
Er level iii (99283) $555.35 $2,709 1.9×
Er level IV (99284) $858.13 $4,186 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×
Eval speech sound production (92522) $161.75 $789 1.4×
Eval to use/fit voice prosth (92597) $163.39 $797 2.3×
Evaluate Pt Use Of Inhaler (94664) $61.71 $301 0.3×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $155.39 $758 1.3×
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) $42.64 $208 2.4×
Hemodialysis (90935) $677.12 $3,303 0.9×
Holter Monitor (93225) $161.95 $790 1.1×
Imm admn sarscov2 vaccine single dose (90480) $48.79 $238 1.1×
Immunization Admin (90471) $70.52 $344 0.9×
Induction of arrhythmia by electrical pacing (93618) $1,099.62 $5,364 0.8×
Injection intra arterial (96373) $72.37 $353 0.3×
Ins swan ganz bedside (93503) $935.21 $4,562 0.5×
Interrog dev eval icpms phys/qhp in person (93290) $54.53 $266 1.3×
Interrog device eval heart (93289) $79.34 $387 1.9×
Intra Atrial Recording (93602) $5,157.39 $25,158 0.6×
Intra-atrial pacing (93610) $5,157.39 $25,158 0.6×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $171.59 $837 0.7×
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, therap/proph/diagnost,initial,1st hour (96365) $352.40 $1,719 1.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $98.61 $481 1.9×
IV push ea addl new drug (96375) $141.04 $688 2.8×
IV push initial (96374) $149.24 $728 0.6×
L hrt art/grft angio (93459) $9,347.80 $45,599 2.6×
Manual therapy 15 min (97140) $42.44 $207 1.5×
Massage 15 min (97124) $28.29 $138 1.0×
Maximum voluntary ventilation (94200) $71.96 $351 1.1×
Mechanical chest wall oscillation (94669) $40.39 $197 0.2×
Mechanical traction (97012) $47.97 $234 3.3×
Motility study esophagus (91010) $1,399.54 $6,827 3.4×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $406.52 $1,983 4.4×
Nasopharyngoscopy (92511) $104.76 $511 0.5×
Neg press wound tx >50 cm (97608) $142.68 $696 0.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $96.96 $473 0.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $876.89 $4,277.50 4.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $891.55 $4,349 2.0×
Nerve Conduction Studies 11-12 Studies (95912) $184.09 $898 0.5×
Nerve conduction studies 13/> 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×
Nerve conduction studies; 1-2 studies (95907) $70.52 $344 0.3×
Neurobehavioral Status Exam (96116) $183.48 $895 0.8×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $54.12 $264 0.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $303.40 $1,480 2.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $1,039.97 $5,073 7.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $38.75 $189 0.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $46.13 $225 1.4×
Ot Contrast Bath Ea 15 Min (97034) $29.32 $143 2.1×
Ot eval high complex 60 min (97167) $171.59 $837 1.7×
Ot eval low complex 30 min (97165) $107.42 $524 1.1×
Ot eval mod complex 45 min (97166) $133.25 $650 1.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $63.96 $312 1.3×
Ot Prosthetic Training, Each 15 Min (97761) $52.89 $258 1.3×
Ot re-evaluation (97168) $99.84 $487 1.5×
Ot therapeutic activity 15 min (97530) $42.64 $208 1.2×
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×
Paraffin bath pt (97018) $44.69 $218 7.4×
Peripheral arterial disease rehab per session (93668) $73.60 $359 1.1×
Peritoneal Dialysis (90945) $742.31 $3,621 1.6×
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×
Plethysmography (94726) $150.47 $734 0.4×
Pm device eval in person (93288) $39.26 $191.50 1.0×
Pm device progr eval dual (93280) $37.92 $185 0.9×
Pm device progr eval sngl (93279) $54.53 $266 1.3×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $40.80 $199 1.0×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $37.92 $185 0.9×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $37.92 $185 0.9×
Prq balloon valvuloplasty aortic valve (92986) $5,166.82 $25,204 0.8×
Prq Balloon Valvuloplasty Mitral Valve (92987) $7,708 $37,600 0.6×
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×
Prq trluml coronary angio/atherect one art/brnch (92924) $9,562.23 $46,645 0.8×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $29.32 $143 0.8×
Pt Electrical Stimulation (97032) $28.29 $138 1.9×
Pt eval high complex 45 min (97163) $187.37 $914 1.9×
Pt eval low complex 20 min (97161) $122.39 $597 1.3×
Pt eval mod complex 30 min (97162) $149.24 $728 1.5×
Pt gait training 15 min (97116) $31.57 $154 1.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $78.11 $381 2.4×
Pt Physical Performance Test (97750) $29.11 $142 0.9×
Pt re-evaluation (97164) $99.84 $487 1.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $25.01 $122 0.8×
Pt Whirlpool Therapy (97022) $71.14 $347 4.5×
Pulm Funct Test Oscillometry (94728) $142.89 $697 1.0×
Pulm function test by gas (94727) $120.34 $587 0.5×
Pulmonary Service/Procedure (94799) $98.40 $480 0.7×
Pulmonary stress test simple (94618) $152.32 $743 1.0×
R & l hrt cath w/njx l ventriculog img s&i (93453) $6,052.63 $29,525 1.7×
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/Injec Hrt Art/Grft& L Vent I (93461) $11,472.42 $55,963 3.2×
R&l hrt art/ventricle angio (93460) $10,027.78 $48,916 2.8×
Respiratory flow volume loop (94375) $282.08 $1,376 1.2×
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×
Rt Chest Wall Manipulation,Subsequent (94668) $20.50 $100 0.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $107.42 $524 2.2×
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×
Smoking cessation > 10 min (99407) $18.66 $91 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 echo (93350) $276.34 $1,348 0.5×
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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $68.68 $335 3.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $127.41 $621.50 1.2×
Therapeutic prophylactic/dx injection subq/im (96372) $73.19 $357 0.9×
Tilt table evaluation (93660) $813.85 $3,970 2.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $18.66 $91 0.5×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $220.58 $1,076 0.8×
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 - Tte Complete No Doppler No Color (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 Swallowing Dysfunction&/Oral Funcj Feeding (92526) $74.01 $361 0.9×
Unlisted Cardiovascular Service/Procedure (93799) $3,231.93 $15,765.50 23.0×
Unlisted noninvasive vascular diagnostic study (93998) $94.10 $459 3.0×
Upr/lxtr art stdy 3+ lvls (93923) $473.96 $2,312 2.0×
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 unmonitored (95711) $159.49 $778 0.7×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $306.68 $1,496 0.8×
Veeg by tech 2-12 hr intermittent monitoring (95712) $159.49 $778 0.4×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $573.39 $2,797 0.6×
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×
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×