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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $33 | $33 | 0.8× |
| Airway Inhalation Treatment (94640) | $92 | $92 | 0.4× |
| Appl modality 1+ areas lllt po pain reduction (97037) | $79 | $79 | 2.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$109–$158 | $109–$158 | varies |
| Assessment of aphasia per hr (96105) | $331 | $331 | 3.4× |
| Behavral qualit analys voice (92524) | $331 | $331 | 3.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $250 | $250 | 0.6× |
| Canalith repositioning proc (95992) | $165 | $165 | 4.0× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$79–$261 | $79–$261 | varies |
| Cardiopulmonary resuscitation (92950) | $2,053 | $2,053 | 9.0× |
| Cardioversion (92960) | $1,282 | $1,282 | 1.8× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $153 | $153 | 5.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$151–$158 | $151–$158 | varies |
| Critical care first hour (99291) range across 3 matching MRF lines |
$942–$3,717 | $942–$3,717 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $153 | $153 | 0.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$206–$921 | $206–$921 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $813 | $813 | 7.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$921–$1,014 | $921–$1,014 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) | $813 | $813 | 7.4× |
| Duplex up extrem art bilat (93930) | $921 | $921 | 3.7× |
| Duplex up extrem art unilat/ltd (93931) | $732 | $732 | 6.6× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$56–$483 | $56–$483 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$125–$158 | $125–$158 | varies |
| Electrocardiogram Tracing (93005) | $297 | $297 | 4.8× |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$161–$461 | $161–$461 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$310–$714 | $310–$714 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$430–$1,757 | $430–$1,757 | varies |
| Er level 1 (99281) range across 3 matching MRF lines |
$80–$308 | $80–$308 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$640–$3,101 | $640–$3,101 | varies |
| Evaluate Speech Production (92522) | $439 | $439 | 3.9× |
| Evaluate Swallowing Function (92610) | $439 | $439 | 5.2× |
| Evaluation of speech fluency (92521) | $439 | $439 | 3.3× |
| External ECG rec>48hr<7d recording (93242) | $101 | $101 | 2.6× |
| External ECG rec>7d<15d recording (93246) | $101 | $101 | 2.6× |
| Extracranial Bilat Study (93880) | $921 | $921 | 3.7× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $743 | $743 | 1.3× |
| Flexible endoscopic eval swallow c/v rec (92612) | $306 | $306 | 1.5× |
| Group Therapeutic Procedures (97150) | $42 | $42 | 2.3× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $15 | $15 | 0.2× |
| Immunization administration (90471) | $22 | $22 | 0.3× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$144–$158 | $144–$158 | varies |
| 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 ther proph addl sequential to 1 hr (96367) | $71 | $71 | 0.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $77 | $77 | 1.6× |
| IV push initial (96374) | $71 | $71 | 0.3× |
| 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× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$122–$158 | $122–$158 | varies |
| Oral Function Therapy (92526) | $331 | $331 | 3.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $158 | $158 | 3.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$158–$165 | $158–$165 | varies |
| 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 Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$109–$158 | $109–$158 | varies |
| Ot eval high complexity (97167) | $399 | $399 | 4.0× |
| Ot Eval Low Complex (97165) | $212 | $212 | 2.1× |
| Ot Eval Moderate Complexity (97166) | $306 | $306 | 3.0× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$151–$158 | $151–$158 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$109–$158 | $109–$158 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $71 | $71 | 1.8× |
| Ot Re-Eval Est Plan Care (97168) | $157 | $157 | 2.3× |
| Phlebotomy therapeutic (99195) | $161 | $161 | 1.1× |
| Physical Performance Test (97750) | $151 | $151 | 4.5× |
| 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× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $80 | $80 | 1.6× |
| 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 Eval High Complex (97163) | $399 | $399 | 4.1× |
| Pt eval low complex 20 min (97161) | $212 | $212 | 2.2× |
| Pt Eval Mod Complex (97162) | $306 | $306 | 3.1× |
| Pt gait training 15 min (97116) | $109 | $109 | 3.8× |
| Pt group caregiver training (97552) | $153 | $153 | 6.9× |
| Pt mechanical traction (97012) | $109 | $109 | 7.6× |
| Pt Re-Eval Est Plan Care (97164) | $157 | $157 | 2.3× |
| Remote 30 Day Ecg Rev/Report (93270) | $101 | $101 | 2.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $95 | $95 | 1.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $138 | $138 | 0.7× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $439 | $439 | 3.6× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $331 | $331 | 6.9× |
| Self Care Mngment Training (97535) | $158 | $158 | 4.9× |
| Slp caregiver training 1st 30 min (97550) | $228 | $228 | 4.3× |
| 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 Ea Addl 15 Min (97130) | $43 | $43 | 2.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$109–$158 | $109–$158 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $331 | $331 | 3.2× |
| Ther/Proph/Diag Inj Ia (96373) | $228 | $228 | 1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$36–$71 | $36–$71 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $328 | $328 | 1.5× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$158–$165 | $158–$165 | varies |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,486–$1,939 | $1,486–$1,939 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $331 | $331 | 4.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $71 | $71 | 1.4× |
| Upr/L Xtremity Art 2 Levels (93922) | $260 | $260 | 1.9× |
| Vasopneumatic device (97016) | $90 | $90 | 7.5× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$153–$158 | $153–$158 | varies |
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.