Visits & medical services prices at Southwest Memorial Hospital
Cortez, CO · every code in this section with a posted price and a Medicare benchmark.
136 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) | $89 | $177 | 2.1× |
| Airway Inhalation Treatment (94640) | $302 | $603 | 1.3× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $228 | $456 | 1.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $22 | $43 | 1.5× |
| Assessment of aphasia per hr (96105) | $131 | $261 | 1.3× |
| Behavral qualit analys voice (92524) | $143 | $286 | 1.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$362–$373 | $724–$746 | varies |
| Canalith repositioning proc (95992) | $73 | $145 | 1.8× |
| Car seat/bed test 60 min (94780) | $45 | $90 | 1.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $561 | $1,122 | 2.5× |
| Cardiopulmonary resuscitation (92950) range across 6 matching MRF lines |
$400–$689 | $800–$1,377 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$451–$1,174 | $902–$2,347 | varies |
| Cbt 1st hour (94644) | $205 | $409 | 1.5× |
| Chemo Anti-Neopl Sq/Im (96401) | $216 | $432 | 2.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $216 | $432 | 2.8× |
| Chemo IV infusion addl hr (96415) | $148 | $295 | 1.9× |
| Chemo IV push addl drug (96411) | $224 | $447 | 2.9× |
| Chemother Prolong Infuse W/Pump (96416) | $594 | $1,187 | 1.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $268 | $535 | 3.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $594 | $1,187 | 1.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $390 | $779 | 1.1× |
| Chest Wall Manipulation (94668) | $163 | $326 | 1.2× |
| Color/duplex Doppler, limited (93976) | $569 | $1,137 | 5.2× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $36 | $72 | 1.1× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $112 | $224 | 0.8× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $97 | $193 | 1.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$326–$336 | $651–$671 | varies |
| Cpt initial (94667) | $118 | $235 | 0.8× |
| Critical care first hour (99291) range across 6 matching MRF lines |
$368–$1,741 | $735–$3,481 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$115–$237 | $229–$473 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $444 | $888 | 4.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $851 | $1,702 | 3.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $534 | $1,068 | 4.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $840 | $1,680 | 3.3× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$560–$577 | $1,119–$1,153 | varies |
| Duplex Scan Hemodialysis Access (93990) | $550 | $1,099 | 5.0× |
| Duplex up extrem art bilat (93930) | $713 | $1,426 | 2.8× |
| Duplex up extrem art unilat/ltd (93931) | $540 | $1,080 | 4.9× |
| ECG/monitoring and analysis (93271) | $140 | $279 | 1.4× |
| Echo Heart Xthoracic,Limited (93308) | $477 | $953 | 1.9× |
| Electrical Stimulation Ea 15 Min (97032) | $23 | $45 | 1.6× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$41–$273 | $81–$546 | varies |
| Emergency Dept Visit Level 2 (99282) range across 5 matching MRF lines |
$123–$237 | $245–$473 | varies |
| Emergency Dept Visit Level 3 (99283) range across 4 matching MRF lines |
$131–$507 | $262–$1,013 | varies |
| Emergency Dept Visit Level 4 (99284) range across 4 matching MRF lines |
$297–$778 | $593–$1,556 | varies |
| Er level 1 (99281) range across 7 matching MRF lines |
$98–$178 | $196–$355 | varies |
| Er level v (99285) range across 4 matching MRF lines |
$440–$1,287 | $880–$2,574 | varies |
| Evaluate pt use of inhaler (94664) | $209 | $418 | 0.9× |
| Evaluate Speech Production (92522) | $112 | $224 | 1.0× |
| Evaluate Swallowing Function (92610) | $116 | $231 | 1.4× |
| Evaluation of speech fluency (92521) | $135 | $269 | 1.0× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$15–$370 | $29–$740 | varies |
| External ECG rec>7d<15d recording (93246) | $407 | $814 | 10.3× |
| Extracranial Bilat Study (93880) | $692 | $1,383 | 2.7× |
| Extracranial Uni/Ltd Study (93882) | $453 | $906 | 4.1× |
| Flexible endoscopic eval swallow c/v rec (92612) | $87 | $174 | 0.4× |
| Group Therapeutic Procedures (97150) | $28 | $56 | 1.6× |
| Holter monitor recording (93225) | $337 | $673 | 2.4× |
| Immunization administration (90471) range across 5 matching MRF lines |
$11–$44 | $21–$88 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $499 | $997 | 1.3× |
| Irrig Drug Delivery Device (96523) | $92 | $184 | 1.5× |
| IV infusion hydration each additional hour (96361) range across 5 matching MRF lines |
$71–$74 | $141–$147 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 5 matching MRF lines |
$357–$375 | $714–$750 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$143–$145 | $285–$290 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$105–$108 | $210–$216 | varies |
| IV push initial (96374) range across 5 matching MRF lines |
$149–$158 | $297–$315 | varies |
| Mechanical chest wall oscillation per session (94669) | $209 | $418 | 0.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $24 | $48 | 0.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $27 | $54 | 0.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $14 | $27 | 0.8× |
| Methacholine challenge (94070) | $1,141 | $2,281 | 2.9× |
| Motility study esophagus (91010) | $653 | $1,306 | 1.7× |
| Motion Fluoroscopy/Swallow (92611) | $141 | $281 | 1.5× |
| Multiple Sleep Latency Test (95805) | $903 | $1,805 | 1.0× |
| Nasopharyngoscopy (92511) | $70 | $140 | 0.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $422 | $844 | 1.0× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $422 | $844 | 1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $250 | $499 | 1.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $349 | $698 | 0.8× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$41–$42 | $81–$83 | varies |
| Oral Function Therapy (92526) | $105 | $210 | 1.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $83 | $166 | 1.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $76 | $151 | 1.6× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $36 | $71 | 1.6× |
| Ot Contrast Bath Ea 15 Min (97034) | $23 | $45 | 1.6× |
| Ot eval high complexity (97167) | $104 | $207 | 1.0× |
| Ot Eval Low Complex (97165) | $104 | $207 | 1.0× |
| Ot Eval Moderate Complexity (97166) | $104 | $207 | 1.0× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$37–$38 | $73–$75 | varies |
| Ot paraffin bath (97018) | $13 | $25 | 2.2× |
| Ot Prosthetic Training, Each 15 Min (97761) | $51 | $101 | 1.3× |
| Ot Re-Eval Est Plan Care (97168) | $63 | $126 | 0.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $131 | $262 | 1.0× |
| Phlebotomy therapeutic (99195) | $99 | $197 | 0.7× |
| Physical Performance Test (97750) | $39 | $78 | 1.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,615 | $5,229 | 2.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $63 | $125 | 1.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $43 | $86 | 0.9× |
| Psychiatric diagnostic evaluation (90791) | $138 | $276 | 0.7× |
| Pt Eval High Complex (97163) | $91 | $182 | 0.9× |
| Pt eval low complex 20 min (97161) | $93 | $186 | 1.0× |
| Pt Eval Mod Complex (97162) | $93 | $186 | 1.0× |
| Pt gait training 15 min (97116) | $35 | $70 | 1.2× |
| Pt mechanical traction (97012) | $20 | $40 | 1.4× |
| Pt Re-Eval Est Plan Care (97164) | $51 | $102 | 0.8× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$285–$290 | $569–$580 | varies |
| Pulmonary Stress Testing (94618) | $138 | $275 | 1.0× |
| Refill/Maint Portable Pump (96521) | $264 | $527 | 1.2× |
| Respiratory flow volume loop (94375) | $279 | $558 | 1.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $115 | $229 | 0.5× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $154 | $307 | 1.3× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $63 | $126 | 1.3× |
| Self Care Mngment Training (97535) | $44 | $88 | 1.4× |
| Sleep study unattended (95806) | $409 | $818 | 1.8× |
| Speech sound lang comprehen (92523) | $235 | $470 | 1.0× |
| Spirometry (94010) | $171 | $341 | 0.8× |
| Standardized Cognitive Performance Testing (96125) | $147 | $293 | 1.4× |
| Stress Tte Only (93350) | $1,423 | $2,846 | 2.5× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$151–$724 | $302–$1,448 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $33 | $66 | 1.5× |
| Ther Ivntj Ea Addl 15 Min (97130) | $33 | $66 | 1.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $32 | $63 | 1.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $134 | $268 | 1.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$24–$103 | $47–$205 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$416–$441 | $831–$881 | varies |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$50–$51 | $99–$101 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $470 | $939 | 1.2× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $52 | $104 | 1.3× |
| Tte w/doppler, complete (93306) | $780 | $1,559 | 1.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $98 | $196 | 1.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$109–$115 | $218–$229 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $251 | $502 | 1.8× |
| Vent Mgmt Inpat Init Day (94002) | $1,358 | $2,716 | 2.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $652 | $1,303 | 1.0× |
| Wheelchair Mgmt Ea 15 Min (97542) | $37 | $74 | 1.2× |
| Whirlpool Therapy (97022) | $29 | $57 | 1.8× |
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.