Visits & medical services prices at Spanish Peaks Regional Health Center

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

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

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ProcedureCash priceGross charge× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $225 $250 2.1×
Advance care planning first 30 mins (99497) $124.20 $138 1.2×
Airway inhalation treatment (94640) $216.45 $240.50 0.9×
Anogenital exam, child (99170) $243.90 $271 1.1×
Anorectal manometry (91125) $422.10 $469 1.1×
Assessment of aphasia (96105) $269.10 $299 2.8×
Assmt & care planning pt w/cognitive impairment (99483) $412.20 $458 3.8×
Behav assmt w/score & docd/stand instrument (96127) $26.10 $29 0.7×
Behavioral and qualitative analysis of voice and resonance (92524) $345.15 $383.50 3.2×
Bfb training 1st 15 min (90912) $121.50 $135 1.5×
Bfb training ea addl 15 min (90913) $47.70 $53 1.5×
Biofeedback training any modality (90901) $61.20 $68 1.5×
Breath Hydrogen/Methane Test (91065) $141.30 $157 0.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $569.70 $633 1.4×
Capsule endoscopy (91110) $1,215 $1,350 1.3×
Cardiac Stress Tst,Tracing Only (93017) $806.40 $896 3.5×
Cardiopulmonary resuscitation (92950) $422.10 $469 1.9×
Cardioversion (92960) $891.90 $991 1.3×
Care mgmt svc bhvl hlth cond (99484) $65.70 $73 1.7×
Cbt 1st hour (94644) $245.70 $273 1.8×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $195.30 $217 2.6×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $109.80 $122 1.0×
Colon Motility 6 Hr Study (91117) $198.90 $221 0.9×
Color/duplex Doppler, complete (93975) $669.60 $744 2.7×
Color/duplex Doppler, limited (93976) $322.20 $358 2.9×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $109.80 $122 0.6×
Cpap initiation and management (94660) $414 $460 1.8×
Cpt initial (94667) $245.70 $273 1.8×
Critical care (99291) $761.40 $846 0.9×
Debridement Open Wound 20 Sq Cm< (97597) $249.30 $277 1.2×
Demo &/or eval,pt use,aerosol device (94664) $414 $460 1.8×
Duodenal Motility Study (91022) $264.60 $294 0.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $669.60 $744 2.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $252.90 $281 2.3×
Dup-scan xtr veins unilateral/limited study (93971) $322.20 $358 2.9×
Duplex scan extracranial art compl bi study (93880) $669.60 $744 2.7×
EEG awake drowsy (95816) $814.50 $905 3.6×
EKG (93005) $186.30 $207 3.0×
EKG rhythm strip (93041) $139.50 $155 2.2×
Electroconvulsive Therapy (90870) $258.30 $287 0.3×
Electrogastrography, diagnostic, transcutaneous; UNSCHEDULED (91132) $728.10 $809 3.2×
Er level 1 (99281) $96.30 $107 1.1×
Er level ii (99282) $185.40 $206 1.1×
Er level iii (99283) $306 $340 1.1×
Er level IV (99284) $515.70 $573 1.2×
Er level v (99285) $748.80 $832 1.2×
Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) $656.10 $729 1.7×
Esophageal Capsule Endoscopy (91111) $1,454.40 $1,616 1.5×
Esophagus acid perfusion test esophagitis (91030) $224.10 $249 0.6×
Esophgl balo distension dx std w/provocation (91040) $848.70 $943 2.2×
Evaluation of speech fluency (92521) $269.10 $299 2.0×
Evaluation of speech sound production (92522) $252.90 $281 2.3×
Evaluation of swallowing function (92610) $321.30 $357 3.8×
External Ecg Scanning Analysis Report (93226) $307.80 $342 4.9×
Gastric motility studies (91020) $434.70 $483 1.1×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $299.70 $333 0.8×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $264.60 $294 1.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $740.70 $823 0.8×
Gi wireless capsule measure (91112) $2,685.60 $2,984 2.8×
Group Therapeutic Procedures (97150) $43.20 $48 2.4×
Holter Monitor Recording (93225) $531.90 $591 3.8×
Hypnotherapy (90880) $154.80 $172 1.4×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $46.20 $51.34 1.1×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $19.51 $21.68 0.3×
Immunization Admin (90471) $72.90 $81 1.0×
Immunotherapy, 2+ Injections (95117) $69.30 $77 1.4×
Inital newborn e/m (99460) $132.30 $147 0.9×
Injection of hypnotic drug for psychiatric diagnosis or therapy (90865) $244.80 $272 1.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $162.90 $181 2.6×
IV infusion hydration each additional hour (96361) $124.20 $138 2.5×
IV infusion hydration initial 31 min-1 hour (96360) $414 $460 1.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $188.10 $209 2.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $444.60 $494 2.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $124.20 $138 2.5×
IV push initial (96374) $414 $460 1.8×
Liver elastography w/o imag w/i&r (91200) $47.70 $53 0.4×
Manual therapy 15 min (97140) $92.70 $103 3.3×
Mechanical chest wall oscillation (94669) $414 $460 1.8×
Mechanical traction (97012) $46.80 $52 3.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $85.50 $95 2.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $99 $110 2.7×
Motility study esophagus (91010) $347.40 $386 0.9×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $368.10 $409 4.0×
Multiple Family Group Psychotherapy (90849) $53.10 $59 0.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $162 $180 0.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $429.75 $477.50 1.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $314.10 $349 2.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $330.30 $367 2.4×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $102.15 $113.50 2.2×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $74.70 $83 2.3×
Ot Contrast Bath Ea 15 Min (97034) $41.40 $46 3.0×
Ot eval high complex 60 min (97167) $207.90 $231 2.1×
Ot eval low complex 30 min (97165) $156.60 $174 1.6×
Ot eval mod complex 45 min (97166) $182.70 $203 1.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $102.15 $113.50 2.0×
Ot re-eval est plan care (97168) $179.55 $199.50 2.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $268.20 $298 2.0×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $316.80 $352 2.3×
Paraffin bath (97018) $36.90 $41 6.1×
Plethysmography (94726) $569.70 $633 1.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $46.80 $52 0.9×
Psych diag eval w/med srvcs (90792) $288.90 $321 1.5×
Psychiatric diagnostic evaluation (90791) $258.30 $287 1.4×
Psychoanalysis (90845) $140.40 $156 0.7×
Psytx crisis initial 60 min (90839) $207.90 $231 1.1×
Pt Electric Current Therapy (97033) $86.40 $96 4.5×
Pt Electrical Stimulation (97032) $60.30 $67 4.1×
Pt eval high complex 45 min (97163) $207.90 $231 2.1×
Pt eval low complex 20 min (97161) $156.60 $174 1.6×
Pt Gait Training Therapy (97116) $87.75 $97.50 3.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $104.85 $116.50 3.2×
Pt Physical Performance Test (97750) $94.50 $105 2.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $182.70 $203 1.9×
Pt re-evaluation (97164) $163.80 $182 2.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $101.70 $113 3.1×
Pt Ultrasound Therapy (97035) $39.15 $43.50 2.7×
Recording interpretation of stomach electrical (91133) $760.50 $845 5.4×
Rectal sensation tone&compliance study (91124) $821.70 $913 3.6×
Rem mntr physiol param 1st dev supply ea 30 days (99454) $83.70 $93 2.1×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $28.80 $32 0.2×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $117 $130 3.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $170.10 $189 0.8×
Rt Chest Wall Manipulation,Subsequent (94668) $245.70 $273 1.8×
Sbsq psychiatric collab care mgmt 1st 60 mins (99493) $216.90 $241 2.0×
Self-meas bp pt educaj/traing & dev calibration (99473) $18.90 $21 0.6×
Sensory Integration Ea 15 Min (97533) $72 $80 1.2×
Smoking cessation > 10 min (99407) $41.40 $46 1.0×
Speech sound lang comprehen (92523) $291.15 $323.50 1.3×
Spirometry (94010) $311.40 $346 1.4×
Standardized Cognitive Performance Testing (96125) $251.10 $279 2.4×
Stress Tte Complete (93351) $1,380.60 $1,534 2.4×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $86.40 $96 1.7×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $414 $460 1.8×
Temp transcutaneous pacing (92953) $1,207.80 $1,342 1.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $77.40 $86 3.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $97.20 $108 4.6×
Ther/Proph/Diag Inj Sc/Im (96372) $140.40 $156 1.8×
Therapeutic Activities (97530) $100.80 $112 2.9×
Therapeutic phlebotomy (99195) $248.40 $276 1.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $23.40 $26 0.6×
Trans Care Mgmt 14 Day Disch (99495) $305.10 $339 2.2×
Trans Care Mgmt 7 Day Disch (99496) $410.40 $456 2.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,546.20 $1,718 2.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $206.10 $229 2.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $195.75 $217.50 2.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $135.90 $151 2.8×
Unlisted Cardiovascular Service/Procedure (93799) $127.80 $142 0.9×
Vasc Duplex Extrem Venous,Bilat (93970) $669.60 $744 2.7×
Vasc Duplex Scan Extracranial,Limited (93882) $252.90 $281 2.3×
Vasopneumatic device (97016) $55.35 $61.50 4.6×
Wheelchair Mgmt Ea 15 Min (97542) $95.40 $106 3.1×