Visits & medical services prices at Sierra Vista Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $236.63 $315.50 1.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 3 matching MRF lines
$101.14–$315 $134.85–$420 varies
Assessment of aphasia per hr (96105) $203.42 $271.22 2.1×
Behavral qualit analys voice (92524) $344.28 $459.04 3.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $790.04 $1,053.38 2.1×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines
$243.75–$682.22 $325–$909.63 varies
Chest Wall Manipulation (94668) $161.25 $215 1.2×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$245.63–$245.74 $327.50–$327.65 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 4 matching MRF lines
$495.38–$671.63 $660.50–$895.50 varies
Cpt initial (94667) $177.75 $237 1.3×
Critical care first hour (99291) $2,187 $2,916 2.7×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$206.25–$924.10 $275–$1,232.13 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 4 matching MRF lines
$206.25–$506.25 $275–$675 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 4 matching MRF lines
$132–$206.25 $176–$275 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 6 matching MRF lines
$206.25–$1,027.13 $275–$1,369.50 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 8 matching MRF lines
$206.25–$546 $275–$728 varies
Duplex up extrem art bilat (93930)
range across 2 matching MRF lines
$206.25–$375 $275–$500 varies
Duplex up extrem art unilat/ltd (93931)
range across 4 matching MRF lines
$206.25–$351 $275–$468 varies
Echo Heart Xthoracic,Limited (93308)
range across 4 matching MRF lines
$206.25–$752.63 $275–$1,003.50 varies
Electrical Stimulation Ea 15 Min (97032) $79.34 $105.79 5.4×
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines
$14.66–$276.26 $19.55–$368.35 varies
Emergency Dept Visit Level 2 (99282)
range across 4 matching MRF lines
$222–$330.75 $296–$441 varies
Emergency Dept Visit Level 3 (99283)
range across 4 matching MRF lines
$255–$522.75 $340–$697 varies
Emergency Dept Visit Level 4 (99284)
range across 4 matching MRF lines
$315.75–$819.75 $421–$1,093 varies
Er level 1 (99281)
range across 4 matching MRF lines
$188.25–$213.75 $251–$285 varies
Er level v (99285)
range across 3 matching MRF lines
$375.75–$1,367.25 $501–$1,823 varies
Evaluate pt use of inhaler (94664) $274.13 $365.50 1.3×
Evaluate Speech Production (92522) $228.26 $304.34 2.0×
Evaluate Swallowing Function (92610) $303.53 $404.70 3.6×
Evaluation of speech fluency (92521) $210.13 $280.17 1.6×
External ECG rec>48hr<7d recording (93242) $231 $308 6.2×
External ECG rec>7d<15d recording (93246)
range across 2 matching MRF lines
$186–$200.63 $248–$267.50 varies
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$206.25–$892.13 $275–$1,189.50 varies
Flexible endoscopic eval swallow c/v rec (92612) $130.24 $173.65 0.7×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $193.34 $257.79 0.8×
Group Therapeutic Procedures (97150) $33 $44 1.8×
Icd Device Interrogate (93289) $114.05 $152.07 3.1×
Im Adm Intransl/Oral 1 Vaccine (90473) $44.63 $59.50 0.6×
Immunization administration (90471)
range across 2 matching MRF lines
$84.50–$91.13 $112.66–$121.50 varies
IV infusion hydration each additional hour (96361) $145.88 $194.50 3.1×
IV infusion hydration initial 31 min-1 hour (96360) $388.50 $518 1.8×
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$147.32–$159 $196.43–$212 varies
IV infusion therapy prophylaxis/dx ea hour (96366) $133.50 $178 2.9×
IV push initial (96374) $243.38 $324.50 1.2×
Laryngeal Function Studies (92520) $79.22 $105.62 0.6×
Motion Fluoroscopy/Swallow (92611) $408.38 $544.50 4.5×
Neuromuscular Reeducation (97112) $98.30 $131.06 3.0×
Oral Function Therapy (92526) $188.69 $251.59 2.2×
Orthc/Prostc Mgmt Sbsq Enc (97763) $93 $124 1.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $107.82 $143.76 2.3×
Ot eval high complexity (97167) $237.97 $317.29 2.4×
Ot Eval Low Complex (97165) $190.75 $254.33 1.9×
Ot Eval Moderate Complexity (97166) $201.63 $268.84 2.0×
Ot manual therapy 15 min (97140) $92 $122.67 3.3×
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines
$90.75–$198.78 $121–$265.04 varies
Ot Re-Eval Est Plan Care (97168) $114.93 $153.24 1.7×
Phlebotomy therapeutic (99195) $195.38 $260.50 1.5×
Plethysmography (94726) $129.75 $173 0.4×
Pm device eval in person (93288) $65.63 $87.50 1.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 3 matching MRF lines
$2,925–$3,156 $3,900–$4,208 varies
Psych diag eval w/med srvcs (90792) $255.38 $340.50 1.5×
Psychiatric diagnostic evaluation (90791) $246 $328 1.4×
Psytx Crisis Initial 60 Min (90839) $248.63 $331.50 1.4×
Pt Eval High Complex (97163) $223.33 $297.77 2.3×
Pt eval low complex 20 min (97161) $198.78 $265.04 2.0×
Pt Eval Mod Complex (97162) $235.88 $314.50 2.4×
Pt gait training 15 min (97116)
range across 2 matching MRF lines
$71.35–$76.88 $95.13–$102.50 varies
Pt mechanical traction (97012) $65.97 $87.96 4.6×
Pt Re-Eval Est Plan Care (97164) $111.27 $148.36 1.6×
Pulmonary service/procedure (94799) $107.57 $143.43 0.8×
Pulmonary Stress Testing (94618)
range across 3 matching MRF lines
$181.19–$195.38 $241.59–$260.50 varies
Remote 30 Day Ecg Rev/Report (93270) $237.75 $317 6.4×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $239.66 $319.55 2.0×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $100.03 $133.37 2.1×
Self Care Mngment Training (97535)
range across 3 matching MRF lines
$66.47–$95.74 $88.62–$127.65 varies
Sensory Integration Ea 15 Min (97533) $55.05 $73.40 0.9×
Sleep study unattended (95806) $595.88 $794.50 2.8×
Speech sound lang comprehen (92523) $367.22 $489.62 1.6×
Spirometry (94010)
range across 2 matching MRF lines
$167.25–$327 $223–$436 varies
Standardized Cognitive Performance Testing (96125) $222.21 $296.28 2.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $134.25 $179 6.0×
Ther Ivntj Ea Addl 15 Min (97130) $161.25 $215 7.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $50.72 $67.62 1.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $209.45 $279.27 2.0×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$44.63–$124.50 $59.50–$166 varies
Ther/Proph/Diag Iv Inf Init (96365) $462.75 $617 2.2×
Therapeutic Activities (97530)
range across 3 matching MRF lines
$90.53–$97.50 $120.71–$130 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $49.09 $65.45 1.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $39.75 $53 1.1×
Trans Care Mgmt 14 Day Disch (99495) $191.25 $255 1.5×
Trans Care Mgmt 7 Day Disch (99496) $206.25 $275 1.6×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$206.25–$1,316.25 $275–$1,755 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $185.96 $247.94 2.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $138.38 $184.50 3.0×
Upr/L Xtremity Art 2 Levels (93922) $349.27 $465.69 2.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $206.25 $275 1.0×
Vent Mgmt Inpat Init Day (94002) $1,904.25 $2,539 3.1×
Wheelchair Mgmt Ea 15 Min (97542) $87 $116 2.8×
Whirlpool Therapy (97022) $72.41 $96.54 4.6×

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.