Visits & medical services prices at Southeast Colorado Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $190.50 $238.50 0.8×
Assessment of aphasia (96105) $293 $366 3.0×
Behavioral and qualitative analysis of voice and resonance (92524) $178 $222 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $680 $850 1.7×
Canalith Repositioning (95992) $123 $153.50 3.0×
Cardiopulmonary resuscitation (92950) $697 $871 3.1×
Cardioversion (92960) $1,264 $1,580 1.8×
Cardioversion internal (92961) $1,264 $1,580 1.8×
Cbt 1st hour (94644) $200 $250 1.4×
Color/duplex Doppler, limited (93976) $334 $417 3.0×
Cpap initiation and management (94660) $508 $635 2.2×
Cpt initial (94667) $200 $250 1.4×
Critical care (99291) $1,775 $2,219 2.0×
Debridement Open Wound 20 Sq Cm< (97597) $478 $597 2.3×
Demo &/or eval,pt use,aerosol device (94664) $170 $212 0.7×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $693 $866 2.8×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $334 $417 3.0×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $693 $866 2.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $334 $417 3.0×
Dup-scan xtr veins unilateral/limited study (93971) $334 $417 3.0×
Duplex scan extracranial art compl bi study (93880) $693 $866 2.8×
EKG (93005) $166 $208 2.7×
Er level 1 (99281) $134 $167 1.5×
Er level ii (99282) $246 $308 1.5×
Er level iii (99283) $571 $714 2.0×
Er level IV (99284) $1,066 $1,333 2.4×
Er level v (99285) $1,411 $1,764 2.2×
Evaluation of speech fluency (92521) $382 $477 2.9×
Evaluation of speech sound production (92522) $318 $398 2.8×
Evaluation of swallowing function (92610) $357.50 $447 4.2×
External ECG rec>48hr<7d recording (93242) $86 $107 2.2×
External ECG rec>7d<15d recording (93246) $145 $181 3.7×
Holter Monitor Recording (93225) $293 $366 2.1×
Immunization Admin (90471) $111 $139 1.5×
IV infusion hydration each additional hour (96361) $79 $99 1.6×
IV infusion hydration initial 31 min-1 hour (96360) $189 $236 0.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $86 $107 1.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $196 $245 0.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $84 $105 1.7×
IV push initial (96374) $184 $230 0.8×
Manual therapy 15 min (97140) $92 $115 3.3×
Mechanical chest wall oscillation (94669) $170 $212 0.7×
Mechanical traction (97012) $45 $56 3.1×
Neg press wnd tx </=50 sq cm (97607) $940 $1,175 2.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $297 $371 2.1×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $411 $514 1.8×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $254 $318 1.9×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $149 $186 3.2×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $155 $194 4.8×
Ot eval high complex 60 min (97167) $320 $400 3.2×
Ot eval low complex 30 min (97165) $214 $267 2.1×
Ot eval mod complex 45 min (97166) $267 $334 2.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $160 $200 3.2×
Ot Prosthetic Training, Each 15 Min (97761) $122 $152 3.0×
Ot re-eval est plan care (97168) $189 $236 2.8×
Paraffin bath (97018) $18 $23 3.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,125 $2,656 2.3×
Pt Electric Current Therapy (97033) $62 $78 3.3×
Pt Electrical Stimulation (97032) $44 $55 3.0×
Pt eval high complex 45 min (97163) $302 $378 3.1×
Pt eval low complex 20 min (97161) $202 $252 2.1×
Pt Gait Training Therapy (97116) $90 $113 3.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $106 $132 3.2×
Pt Physical Performance Test (97750) $101 $126 3.0×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $252 $315 2.6×
Pt re-evaluation (97164) $198 $247 2.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $155 $194 4.8×
Pt Ultrasound Therapy (97035) $43 $54 3.0×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $34 $42 0.9×
Rt Chest Wall Manipulation,Subsequent (94668) $200 $250 1.4×
Sensory Integration Ea 15 Min (97533) $157 $196 2.6×
Speech sound lang comprehen (92523) $353 $441 1.6×
Spirometry (94010) $381 $476 1.7×
Standardized Cognitive Performance Testing (96125) $327 $409 3.2×
Stress Tte Complete (93351) $963.50 $1,204.50 1.7×
Temp transcutaneous pacing (92953) $1,264 $1,580 1.8×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $66 $83 2.9×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $65 $81 3.1×
Ther/Proph/Diag Inj Sc/Im (96372) $117 $146 1.5×
Therapeutic Activities (97530) $97 $121 2.8×
Therapeutic phlebotomy (99195) $170 $212 1.2×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $965 $1,206 1.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $115 $144 1.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $145 $181 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $137 $171 2.8×
Vasc Duplex Extrem Venous,Bilat (93970) $693 $866 2.8×
Vasc Duplex Scan Extracranial,Limited (93882) $334 $417 3.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $411 $514 1.8×
Ventilation assist & mgmt inpatient 1st day (94002) $1,169 $1,461 1.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,169 $1,461 1.8×
Wheelchair Mgmt Ea 15 Min (97542) $99 $124 3.2×