Visits & medical services prices at Sedgwick County Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $92 $92 0.4×
Appl modality 1+lllt po pain (97037) $79 $79 2.0×
Assessment of aphasia (96105) $331 $331 3.4×
Behavioral and qualitative analysis of voice and resonance (92524) $331 $331 3.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $250 $250 0.6×
Canalith Repositioning (95992) $165 $165 4.0×
Cardiac Stress Tst,Tracing Only (93017) $170 $170 0.7×
Cardiopulmonary resuscitation (92950) $2,053 $2,053 9.0×
Cardioversion (92960) $1,282 $1,282 1.8×
Caregiver training 1st 30 min (97550) $228 $228 4.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $153 $153 5.9×
Critical care (99291) $942 $942 1.1×
Debridement Open Wound 20 Sq Cm< (97597) $153 $153 0.7×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $563.50 $563.50 2.2×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $813 $813 7.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $921 $921 3.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $732 $732 6.6×
Dup-scan xtr veins unilateral/limited study (93971) $813 $813 7.4×
Duplex scan extracranial art compl bi study (93880) $921 $921 3.7×
Echo Heart Xthoracic,Limited (93308) $269.50 $269.50 1.1×
Echo Transthoracic - Congenital Tte Limited (93304) $743 $743 1.3×
EKG (93005) $297 $297 4.8×
EKG rhythm strip (93041) $95 $95 1.5×
Er level 1 (99281) $80 $80 0.9×
Er level ii (99282) $161 $161 1.0×
Er level iii (99283) $310 $310 1.1×
Er level IV (99284) $430 $430 1.0×
Er level v (99285) $640 $640 1.0×
Evaluation of speech fluency (92521) $439 $439 3.3×
Evaluation of speech sound production (92522) $439 $439 3.9×
Evaluation of swallowing function (92610) $439 $439 5.2×
Evaluation with prescription of speech-generating alternative (92607) $439 $439 3.6×
External ECG rec>48hr<7d recording (93242) $101 $101 2.6×
External ECG rec>7d<15d recording (93246) $101 $101 2.6×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $306 $306 1.5×
Group Therapeutic Procedures (97150) $42 $42 2.3×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $33 $33 0.8×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $15 $15 0.2×
Immunization Admin (90471) $22 $22 0.3×
Immunotherapy, 2+ Injections (95117) $80 $80 1.6×
Injection intra arterial (96373) $228 $228 1.0×
IV infusion hydration each additional hour (96361) $77 $77 1.6×
IV infusion hydration initial 31 min-1 hour (96360) $328 $328 1.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $71 $71 0.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $328 $328 1.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $77 $77 1.6×
IV push initial (96374) $71 $71 0.3×
Manual therapy 15 min (97140) $154.50 $154.50 5.6×
Massage 15 min (97124) $133.50 $133.50 4.5×
Mechanical traction (97012) $109 $109 7.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $54 $54 1.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $69 $69 1.9×
Multiple Family Group Psychotherapy (90849) $48 $48 0.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $260 $260 1.9×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $161.50 $161.50 3.5×
Osteopathic manipulative tx 1-2 body regions (98925) $82 $82 3.6×
Osteopathic manipulative tx 3-4 body regions (98926) $118 $118 5.2×
Osteopathic manipulative tx 5-6 body regions (98927) $157 $157 6.9×
Osteopathic manipulative tx 7-8 body regions (98928) $197 $197 8.6×
Osteopathic manipulative tx 9-10 body regions (98929) $231 $231 10.1×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $154.50 $154.50 4.8×
Ot Contrast Bath Ea 15 Min (97034) $133.50 $133.50 9.5×
Ot eval high complex 60 min (97167) $399 $399 4.0×
Ot eval low complex 30 min (97165) $212 $212 2.1×
Ot eval mod complex 45 min (97166) $306 $306 3.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $158 $158 3.2×
Ot Prosthetic Training, Each 15 Min (97761) $71 $71 1.8×
Ot re-eval est plan care (97168) $157 $157 2.3×
Paraffin bath (97018) $133.50 $133.50 22.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,747 $3,747 4.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $55 $55 1.1×
Psych diag eval w/med srvcs (90792) $202 $202 1.1×
Psychiatric diagnostic evaluation (90791) $412 $412 2.2×
Psychoanalysis (90845) $125 $125 0.7×
Psytx crisis initial 60 min (90839) $180 $180 1.0×
Pt Electric Current Therapy (97033) $151 $151 7.9×
Pt Electrical Stimulation (97032) $141.50 $141.50 9.6×
Pt eval high complex 45 min (97163) $399 $399 4.1×
Pt eval low complex 20 min (97161) $212 $212 2.2×
Pt Gait Training Therapy (97116) $109 $109 3.8×
Pt group caregiver training (97552) $153 $153 6.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $140 $140 4.3×
Pt Physical Performance Test (97750) $151 $151 4.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $306 $306 3.1×
Pt re-evaluation (97164) $157 $157 2.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $158 $158 4.9×
Pt Ultrasound Therapy (97035) $133.50 $133.50 9.3×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $101 $101 2.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $138 $138 0.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $331 $331 6.9×
Speech sound lang comprehen (92523) $331 $331 1.5×
Spirometry (94010) $141 $141 0.6×
Standardized Cognitive Performance Testing (96125) $331 $331 3.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $158 $158 7.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $43 $43 2.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $331 $331 3.2×
Ther/Proph/Diag Inj Sc/Im (96372) $53.50 $53.50 0.7×
Therapeutic Activities (97530) $161.50 $161.50 4.6×
Therapeutic phlebotomy (99195) $161 $161 1.1×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,712.50 $1,712.50 3.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $331 $331 4.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $331 $331 3.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $71 $71 1.4×
Vasc Duplex Extrem Venous,Bilat (93970) $921 $921 3.7×
Vasopneumatic device (97016) $90 $90 7.5×
Wheelchair Mgmt Ea 15 Min (97542) $155.50 $155.50 5.0×