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.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $302 $603 1.3×
Anogenital exam, child (99170) $228 $456 1.1×
Assessment of aphasia (96105) $131 $261 1.3×
Behavioral and qualitative analysis of voice and resonance (92524) $143 $286 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $367.50 $735 0.9×
Canalith Repositioning (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) $531.50 $1,063 2.3×
Cardioversion (92960) $1,023 $2,045 1.5×
Cbt 1st hour (94644) $205 $409 1.5×
Chemo Hormon Antineopl Sq/Im (96402) $216 $432 2.8×
Chemo IV push addl drug (96411) $224 $447 2.9×
Chemo Iv Push Sngl Drug (96409) $390 $779 1.1×
Chemo prolong 8+ hrs infuse w/pump (96416) $594 $1,187 1.7×
Chemother, IV infusion, 1 hr (96413) $594 $1,187 1.7×
Chemother, IV infusion, ea add hr (96415) $148 $295 1.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $216 $432 2.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $268 $535 3.5×
Color/duplex Doppler, limited (93976) $569 $1,137 5.2×
Cont Gluc Monitoring Patient Provided Equipment (95249) $97 $193 1.6×
Continuous Glucose Monitoring (95250) $112 $224 0.8×
Cpap initiation and management (94660) $331 $661 1.4×
Cpt initial (94667) $118 $235 0.8×
Critical care (99291) $1,115 $2,230 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $115 $229 0.5×
Demo &/or eval,pt use,aerosol device (94664) $209 $418 0.9×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $713 $1,426 2.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $540 $1,080 4.9×
Dup-scan xtr veins unilateral/limited study (93971) $560 $1,119 5.1×
Duplex hemodialysis access (93990) $550 $1,099 5.0×
Duplex scan extracranial art compl bi study (93880) $692 $1,383 2.7×
Echo Heart Xthoracic,Limited (93308) $477 $953 1.9×
EKG (93005) $157 $313.50 2.5×
Er level 1 (99281) $174 $348 2.0×
Er level ii (99282) $131 $262 0.8×
Er level iii (99283) $338.50 $677 1.2×
Er level IV (99284) $515.50 $1,030.50 1.2×
Er level v (99285) $844.50 $1,688.50 1.3×
Evaluation of speech fluency (92521) $135 $269 1.0×
Evaluation of speech sound production (92522) $112 $224 1.0×
Evaluation of swallowing function (92610) $116 $231 1.4×
Evaluation with prescription of speech-generating alternative (92607) $154 $307 1.3×
External ECG rec>48hr<7d recording (93242) $192.50 $384.50 4.9×
External ECG rec>7d<15d recording (93246) $407 $814 10.3×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $87 $174 0.4×
Flow volume loop (94375) $279 $558 1.2×
Group Therapeutic Procedures (97150) $28 $56 1.6×
Holter Monitor Recording (93225) $337 $673 2.4×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $89 $177 2.1×
Immunization Admin (90471) $43 $86 0.6×
Immunotherapy, 2+ Injections (95117) $43 $86 0.9×
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $499 $997 1.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $92 $184 1.5×
IV infusion hydration each additional hour (96361) $71 $141 1.4×
IV infusion hydration initial 31 min-1 hour (96360) $357 $714 1.6×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $144 $287.50 1.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $430.50 $860 1.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $108 $216 2.2×
IV push initial (96374) $149 $297 0.7×
Manual therapy 15 min (97140) $37.50 $74 1.4×
Massage 15 min (97124) $32 $63 1.1×
Mechanical chest wall oscillation (94669) $209 $418 0.9×
Mechanical traction (97012) $20 $40 1.4×
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×
Methacholine challenge (94070) $1,141 $2,281 2.9×
Mnt Group Ea 30 Min (97804) $14 $27 0.8×
Motility study esophagus (91010) $653 $1,306 1.7×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $141 $281 1.5×
Multiple sleep latency test (95805) $903 $1,805 1.0×
Nasopharyngoscopy (92511) $70 $140 0.3×
Neg press wnd tx </=50 sq cm (97607) $422 $844 1.0×
Neg press wound tx >50 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×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $251 $502 1.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $76 $151 1.6×
Osteopathic manipulative tx 1-2 body regions (98925) $36 $71 1.6×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $36 $72 1.1×
Ot Contrast Bath Ea 15 Min (97034) $23 $45 1.6×
Ot eval high complex 60 min (97167) $104 $207 1.0×
Ot eval low complex 30 min (97165) $104 $207 1.0×
Ot eval mod complex 45 min (97166) $104 $207 1.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $83 $166 1.7×
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×
Paraffin bath (97018) $13 $25 2.2×
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×
Psychiatric diagnostic evaluation (90791) $138 $276 0.7×
Pt Electrical Stimulation (97032) $23 $45 1.6×
Pt eval high complex 45 min (97163) $91 $182 0.9×
Pt eval low complex 20 min (97161) $93 $186 1.0×
Pt Gait Training Therapy (97116) $35 $70 1.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $41.50 $82 1.3×
Pt Physical Performance Test (97750) $39 $78 1.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $93 $186 1.0×
Pt re-evaluation (97164) $51 $102 0.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $44 $88 1.4×
Pt Ultrasound Therapy (97035) $22 $43 1.5×
Pt Whirlpool Therapy (97022) $29 $57 1.8×
Pulm function test by gas (94727) $287.50 $574.50 1.3×
Pulmonary stress testing (94618) $138 $275 1.0×
Refill/maint, portable pump (96521) $264 $527 1.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $115 $229 0.5×
Rt Chest Wall Manipulation,Subsequent (94668) $163 $326 1.2×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $63 $126 1.3×
Sleep study unattended (95806) $409 $818 1.8×
Smoking cessation > 10 min (99407) $52 $104 1.3×
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 echo (93350) $1,423 $2,846 2.5×
Temp transcutaneous pacing (92953) $437.50 $875 0.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $33 $66 1.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $33 $66 1.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $134 $268 1.3×
Ther/Proph/Diag Inj Sc/Im (96372) $100 $199 1.3×
Therapeutic Activities (97530) $50.50 $100 1.4×
Therapeutic phlebotomy (99195) $99 $197 0.7×
Tilt Table Eval (93660) $470 $939 1.2×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $780 $1,559 1.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $98 $196 1.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $105 $210 1.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $109 $218 2.2×
Vasc Duplex Extrem Venous,Bilat (93970) $840 $1,680 3.3×
Vasc Duplex Scan Extracranial,Limited (93882) $453 $906 4.1×
Ventilation assist & mgmt inpatient 1st 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×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $140 $279 1.4×