Visits & medical services prices at San Juan Regional Medical Center Inc

Farmington, NM · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $8,457.50 $16,915 1.1×
Acoustic Reflex Testing (92568) $77.50 $155 2.1×
Aep neurodiagnostic i&r (92653) $353 $706 1.6×
Aep threshold estimation mlt frequencies i&r (92652) $250 $500 1.2×
Airway Inhalation Treatment (94640) $260 $520 1.2×
Ans parasymp & symp w/tilt (95924) $186.50 $373 0.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $82 $164 5.7×
Application Modality 1/> Areas Diathermy (97024) $113 $226 15.4×
Application on-body injector (96377) $103 $206 2.2×
Arrhythmia Induction (93618) $811.50 $1,623 0.7×
Assessment of aphasia per hr (96105) $223 $446 2.3×
Assessment of tinnitus (92625) $183 $366 1.4×
Audiometry Air & Bone (92553) $127.50 $255 1.0×
Auditory Function, 60 Min (92620) $151.50 $303 1.2×
Basic vestibular evaluation (92540) $565.50 $1,131 2.6×
Behavral qualit analys voice (92524) $228.50 $457 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $385.50 $771 1.0×
Bundle of his recording (93600) $5,342.50 $10,685 0.7×
Caloric vestibular test w/rec bi monothermal (92538) $150.50 $301 0.7×
Caloric Vstblr Test W/Rec (92537) $336 $672 2.6×
Canalith repositioning proc (95992) $93 $186 2.3×
Car seat/bed test 60 min (94780) $62 $124 1.7×
Cardiac Stress Tst,Tracing Only (93017) $808.50 $1,617 3.8×
Cardiopulmonary resuscitation (92950) $696 $1,392 3.2×
Cardioversion (92960) $1,481.50 $2,963 2.2×
Cardioversion elective internal (92961) $649 $1,298 1.0×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $15,006 $30,012 4.6×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $13,120 $26,240 4.1×
Cbt 1st hour (94644) $230.50 $461 1.7×
Cervical & Ocular Vemp Testing W/I&R (92519) $340 $680 1.6×
Cervical Vemp Testing W/I&R (92517) $175 $350 1.4×
Chemo Anti-Neopl Sq/Im (96401) $228.50 $457 3.2×
Chemo Hormon Antineopl Sq/Im (96402) $208.50 $417 2.9×
Chemo Ia Push (96420) $467.50 $935 1.4×
Chemo IV infusion addl hr (96415) $214 $428 3.0×
Chemo IV push addl drug (96411) $218 $436 3.0×
Chemother Prolong Infuse W/Pump (96416) $597 $1,194 1.8×
Chemotherapy Into Cns (96450) $397.50 $795 1.2×
Chemotherapy Unspecified (96549) $72.50 $145 1.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $215.50 $431 3.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $634 $1,268 1.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $406.50 $813 1.2×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $242.50 $485 0.7×
Chest Wall Manipulation (94668) $116.50 $233 0.9×
Color/duplex Doppler, complete (93975) $557.50 $1,115 2.3×
Color/duplex Doppler, limited (93976) $175 $350 1.7×
Community/Work Reintegration Trainj Ea 15 Min (97537) $57 $114 1.8×
Comprehensive Hearing Test (92557)
range across 2 matching MRF lines
$19–$189.50 $38–$379 varies
Conditioning Play Audiometry (92582) $162 $324 1.3×
Continuous Pulse Ox (94762) $203.50 $407 1.6×
Coronary Art/Grft Angio S&I (93455) $8,020.50 $16,041 2.5×
Coronary Artery Angio S&I (93454) $7,826 $15,652 2.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $694 $1,388 3.2×
Cpt initial (94667) $136.50 $273 1.0×
Critical care first hour (99291) $2,031.50 $4,063 2.5×
Debridement Open Wound 20 Sq Cm< (97597) $311 $622 1.6×
Developmental tst admin phys/qhp 1st hour (96112) $195 $390 1.5×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $259 $518 0.7×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $444.50 $889 1.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $827 $1,654 3.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $642.50 $1,285 6.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $812.50 $1,625 3.4×
Dup-scan xtr veins unilateral/limited study (93971) $555.50 $1,111 5.3×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $592 $1,184 2.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $382 $764 3.7×
Duplex Scan Hemodialysis Access (93990) $227 $454 2.2×
Duplex up extrem art bilat (93930) $805 $1,610 3.4×
Duplex up extrem art unilat/ltd (93931) $676.50 $1,353 6.5×
Echo Congenital Complete (93303) $740 $1,480 1.4×
Echo Heart Xthoracic,Limited (93308) $585.50 $1,171 2.5×
Echo transesophageal (93312) $1,535.50 $3,071 2.8×
Eeg 41-60 Minutes (95812) $632.50 $1,265 2.9×
EEG awake drowsy (95816) $899.50 $1,799 4.2×
EEG cont rec w/video by tech min 8 channels (95700) $525.50 $1,051 2.4×
EEG extended monitoring 61-119 minutes (95813) $552.50 $1,105 2.6×
Eeg Sleep Only (95822) $762.50 $1,525 3.5×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $341.50 $683 1.6×
EEG w/o vid 2-12hr cont mntr (95707) $487.50 $975 2.3×
EEG wo vid ea 12-26hr unmntr (95708) $1,123 $2,246 3.0×
Electrical Stimulation Ea 15 Min (97032) $65 $130 4.4×
Electrocardiogram Tracing (93005) $168 $336 2.9×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $4,511 $9,022 0.6×
Electrophysiology Evaluation (93642) $1,743.50 $3,487 1.4×
Emergency Dept Visit Level 2 (99282) $284.50 $569 1.9×
Emergency Dept Visit Level 3 (99283) $649.50 $1,299 2.4×
Emergency Dept Visit Level 4 (99284) $1,094 $2,188 2.6×
Emg 3 Extremities (95863) $208 $416 1.6×
Emg 4 Extremities (95864) $268.50 $537 2.1×
Endomyocardial Biopsy (93505) $3,084 $6,168 1.0×
Ep & ablate supravent arrhyt (93653) $21,763.50 $43,527 0.8×
Ep & ablate ventric tachy (93654) $18,860.50 $37,721 0.7×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $5,753.50 $11,507 0.7×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $5,400 $10,800 0.7×
Ep Esophageal Recording Atria+Pacing (93616) $811.50 $1,623 0.7×
Er level 1 (99281) $117 $234 1.4×
Er level v (99285) $1,646 $3,292 2.8×
Esoph Atrial Electrogram (93615) $811.50 $1,623 0.7×
Esophageal Capsule Endoscopy (91111) $1,137 $2,274 1.3×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,274 $2,548 3.4×
Evaluate pt use of inhaler (94664) $172 $344 0.8×
Evaluate Speech Production (92522) $279 $558 2.5×
Evaluate Swallowing Function (92610) $312 $624 3.7×
Evaluation of speech fluency (92521) $372.50 $745 2.8×
Evoked Auditory Test,Limited (92587) $292.50 $585 1.4×
External ECG rec>48hr<7d recording (93242) $83 $166 2.2×
External ECG rec>48hr<7d scanning alys w/report (93243) $150.50 $301 1.1×
External ECG rec>7d<15d recording (93246) $126 $252 3.4×
External ECG rec>7d<15d scanning alys w/report (93247) $205 $410 1.5×
External Ecg Scanning Analysis Report (93226) $549.50 $1,099 9.3×
Extracranial Bilat Study (93880) $712.50 $1,425 3.0×
F-up/limited tthrc echo congenital car anomaly (93304) $663 $1,326 1.2×
Flexible endoscopic eval swallow c/v rec (92612) $270 $540 1.4×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,191.50 $2,383 3.2×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $461 $922 2.1×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,140.50 $2,281 1.3×
Gi tract capsule endoscopy (91110) $1,261.50 $2,523 1.4×
Group Therapeutic Procedures (97150) $88.50 $177 4.9×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $17,306.50 $34,613 5.4×
Holter monitor recording (93225) $483 $966 3.6×
Immunization administration (90471) $45.50 $91 0.6×
Insert/Place Heart Catheter (93503) $1,982.50 $3,965 1.3×
Interrogate Subq Defib (93261) $4,304 $8,608 115.7×
Intra-atrial pacing (93610) $5,342.50 $10,685 0.7×
Intra-atrial recording (93602) $5,342.50 $10,685 0.7×
Intracranial Complete Study (93886) $299 $598 1.3×
Intraventricular pacing (93612) $5,342.50 $10,685 0.7×
Iontophoresis 15 min (97033) $64.50 $129 3.4×
Irrig Drug Delivery Device (96523) $104.50 $209 1.8×
IV infusion hydration each additional hour (96361) $155.50 $311 3.3×
IV infusion hydration initial 31 min-1 hour (96360) $339 $678 1.6×
IV infusion ther proph addl sequential to 1 hr (96367) $179 $358 2.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $148 $296 3.2×
IV push initial (96374) $284.50 $569 1.3×
L Hrt Art/Grft Angio (93459) $14,847 $29,694 4.6×
Liver Elastography W/O Imag W/I&R (91200) $282.50 $565 2.2×
Methacholine challenge (94070) $695.50 $1,391 1.9×
Motility study esophagus (91010) $1,044.50 $2,089 2.8×
Motion Fluoroscopy/Swallow (92611) $374 $748 4.1×
Muscle Test 2 Limbs (95861) $186.50 $373 1.4×
Muscle Test Nonparaspinal (95870) $120 $240 0.9×
Muscle Test One Limb (95860) $156.50 $313 1.2×
Nasopharyngoscopy (92511) $171.50 $343 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $332.50 $665 1.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $437.50 $875 1.1×
Nerve Conduction Studies 1-2 Studies (95907) $137.50 $275 0.6×
Nerve Conduction Studies 11-12 Studies (95912) $392.50 $785 1.1×
Nerve conduction studies 13 or more studies (95913) $392.50 $785 1.1×
Nerve Conduction Studies 3-4 Studies (95908) $177.50 $355 0.8×
Nerve conduction studies 7-8 studies (95910) $262.50 $525 0.7×
Nerve Conduction Studies 9-10 Studies (95911) $367.50 $735 1.0×
Neurobehavioral Status Exam (96116) $232 $464 1.1×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $156.50 $313 1.2×
Neuromuscular Reeducation (97112) $103 $206 3.1×
Newborn resuscitation (99465) $375 $750 0.6×
Ocular Vemp Testing W/I&R (92518) $132.50 $265 1.0×
Optokinetic Nystagmus Test (92544) $129 $258 1.0×
Oral Function Therapy (92526) $257.50 $515 3.1×
Oral Speech Device Eval (92597) $77 $154 1.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $58 $116 1.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $88.50 $177 1.9×
Oscillating Tracking Test (92545) $225 $450 1.0×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $32 $64 1.5×
Osteopathic manipulative tx 3-4 body regions (98926) $25.50 $51 1.2×
Ot eval high complexity (97167) $381.50 $763 3.8×
Ot Eval Low Complex (97165) $231.50 $463 2.3×
Ot Eval Moderate Complexity (97166) $290 $580 2.9×
Ot manual therapy 15 min (97140) $79 $158 2.8×
Ot Prosthetic Training, Each 15 Min (97761) $83 $166 2.1×
Ot Re-Eval Est Plan Care (97168) $220.50 $441 3.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $233.50 $467 1.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $259.50 $519 1.2×
Percutaneous tests w/allergenic extracts (95004) $550 $1,100 0.6×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $23,411 $46,822 1.3×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $7,328 $14,656 1.3×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $14,812 $29,624 1.3×
Phlebotomy therapeutic (99195) $113.50 $227 0.9×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $160 $320 2.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $160 $320 2.7×
Physical Performance Test (97750) $71 $142 2.1×
Plethysmography (94726) $342 $684 0.9×
Positional nystagmus test (92542) $155 $310 1.2×
Prq Card Angio/Athrect 1 Art (92924) $7,806.50 $15,613 0.7×
Prq Card Stent W/Angio 1 Vsl (92928) $13,698 $27,396 1.2×
Prq Card Stent/Ath/Angio (92933) $18,900 $37,800 1.0×
Prq Revasc Byp Graft 1 Vsl (92937) $11,362 $22,724 1.0×
Prq trl rvs ch occ ant&rtrgr (92945) $14,743 $29,486 1.3×
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines
$254–$350.50 $508–$701 varies
Pt Eval High Complex (97163) $306 $612 3.1×
Pt eval low complex 20 min (97161) $205 $410 2.1×
Pt Eval Mod Complex (97162) $234.50 $469 2.4×
Pt gait training 15 min (97116) $97.50 $195 3.4×
Pt mechanical traction (97012) $107.50 $215 7.5×
Pt Re-Eval Est Plan Care (97164) $161.50 $323 2.4×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$168.50–$169.50 $337–$339 varies
Pure Tone Audiometry Air (92552) $90.50 $181 0.7×
R Hrt Art/Grft Angio (93457) $9,107.50 $18,215 2.8×
R hrt coronary artery angio (93456) $9,516.50 $19,033 2.9×
R&L Hrt Cath W/Ventriclgrphy (93453) $8,548 $17,096 2.6×
Remote 30 Day Ecg Rev/Report (93270) $260 $520 7.0×
Right Heart Cath (93451) $5,472.50 $10,945 1.7×
Right ventricular recording (93603) $811.50 $1,623 0.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $411 $822 2.1×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $183 $366 1.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $78 $156 1.6×
Select picture audiometry (92583) $70.50 $141 1.2×
Self Care Mngment Training (97535) $129.50 $259 4.0×
Sensory Integration Ea 15 Min (97533) $77.50 $155 1.3×
Speech Audiometry Complete (92556) $65 $130 1.1×
Speech audiometry threshold (92555) $59 $118 1.0×
Speech sound lang comprehen (92523) $354.50 $709 1.6×
Spirometry (94010) $279 $558 1.3×
Spontaneous Nystagmus Test (92541) $129 $258 1.0×
Staggered Spondaic Word Test (92572) $107 $214 0.8×
Standardized Cognitive Performance Testing (96125) $107.50 $215 1.0×
Stenger Test Speech (92577) $297.50 $595 0.8×
Stress Tte Only (93350) $1,153.50 $2,307 2.1×
Surfactant Admin Thru Tube (94610) $150 $300 0.7×
Synthetic Sentence Identification Test (92576) $70.50 $141 1.9×
Temp transcutaneous pacing (92953) $731 $1,462 1.1×
Tensilon Test (95857) $156.50 $313 0.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $93 $186 4.2×
Ther Ivntj Ea Addl 15 Min (97130) $62.50 $125 3.0×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $67 $134 1.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $157 $314 1.5×
Ther/Proph/Diag Inj Sc/Im (96372) $111.50 $223 1.6×
Ther/Proph/Diag Iv Inf Init (96365) $436 $872 2.1×
Therapeutic Activities (97530) $120.50 $241 3.4×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $802 $1,604 2.2×
Tte w/doppler, complete (93306) $1,328 $2,656 2.4×
Tx atrial fib pulm vein isol (93656) $21,304.50 $42,609 0.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $213 $426 2.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $151 $302 3.2×
Tympanometry (92567)
range across 2 matching MRF lines
$15–$58 $30–$116 varies
Tympanometry and reflex threshold measurements (92550) $134.50 $269 0.6×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$172.50–$366 $345–$732 varies
Unlisted otorhinolaryngological service (92700) $128.50 $257 4.5×
Upr/L Xtremity Art 2 Levels (93922) $586.50 $1,173 4.4×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $454 $908 2.1×
Veeg 2-12 Hr Cont Mntr (95713) $830 $1,660 2.2×
Veeg 2-12 hr unmonitored (95711) $341.50 $683 1.6×
Veeg Ea 12-26 Hr Unmntr (95714) $628 $1,256 1.7×
Vent Mgmt Inpat Init Day (94002) $1,603.50 $3,207 2.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,035 $2,070 1.7×
Visual reinforcement audiometry (vra) (92579) $91.50 $183 0.4×
Vital capacity, total (94150) $123.50 $247 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $84.50 $169 2.7×
Whirlpool Therapy (97022) $158.50 $317 10.1×

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.