Visits & medical services prices at Intermountain Health St. Mary's Regional Hospital

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) — $36,172.50 —
Actigraphy Testing Recording Analysis I&R (95803) — $178.20 —
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines
— $21.17–$96.90 —
Advncd Care Plan 30 Min (99497) — $264.35 —
Airway Inhalation Treatment (94640) — $347.65 —
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) — $82.75 —
Application Modality 1/> Areas Diathermy (97024) — $130.60 —
Application on-body injector (96377) — $269.10 —
Arrhythmia Induction (93618) — $6,867.35 —
Assessment of aphasia per hr (96105)
range across 2 matching MRF lines
— $683.05–$711.10 —
Behavral qualit analys voice (92524) — $534.20 —
Breath hydrogen/methane test (91065) — $765 —
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) — $1,460.55 —
Bundle of his recording (93600) — $37,477.60 —
Canalith repositioning proc (95992) — $241.25 —
Car seat/bed test 60 min (94780) — $171.95 —
Cardiac Stress Tst,Tracing Only (93017) — $1,460.55 —
Cardiopulmonary exercise testing (94621) — $1,752.65 —
Cardiopulmonary resuscitation (92950) — $1,460.55 —
Cardioversion (92960) — $3,680.60 —
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) — $79.50 —
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) — $15,428.60 —
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) — $18,514.30 —
Cbt 1st hour (94644) — $726.65 —
Chemo Admin Peritoneal Cavity (96446) — $2,081.55 —
Chemo Anti-Neopl Sq/Im (96401) — $385.40 —
Chemo Hormon Antineopl Sq/Im (96402) — $418.40 —
Chemo Ia Push (96420) — $1,977.50 —
Chemo Intralesional Over 7 (96406) — $1,292.75 —
Chemo intralesional up to 7 (96405) — $714 —
Chemo IV infusion addl hr (96415) — $640.50 —
Chemo IV push addl drug (96411) — $719.35 —
Chemother Prolong Infuse W/Pump (96416) — $1,994.85 —
Chemotherapy Into Cns (96450) — $2,081.55 —
Chemotherapy Unspecified (96549) — $265.15 —
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) — $647.20 —
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) — $1,809.95 —
Chemotx admn IV push tq 1/1st sbst/drug (96409) — $1,077.30 —
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) — $1,292.75 —
Chest Wall Manipulation (94668) — $726.65 —
Color/duplex Doppler, complete (93975) — $1,362.85 —
Color/duplex Doppler, limited (93976) — $739.25 —
Community/Work Reintegration Trainj Ea 15 Min (97537) — $138.75 —
Cont gluc mntr physician/qhp provided equiptment (95250) — $630.30 —
Continuous Pulse Ox (94762) — $758.40 —
Coronary Art/Grft Angio S&I (93455) — $15,428.60 —
Coronary Artery Angio S&I (93454) — $18,514.30 —
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 4 matching MRF lines
— $1,531.18–$1,588.45 —
Cpt initial (94667) — $726.65 —
Critical care first hour (99291) — $4,804.45 —
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) — $2,521.10 —
Debridement Open Wound 20 Sq Cm< (97597) — $1,073.55 —
Dialysis One Evaluation (90945)
range across 3 matching MRF lines
— $1,990.15–$1,994.25 —
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) — $616.05 —
Dup-scan lxtr art/artl bpgs compl bi study (93925) — $1,613.60 —
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) — $1,404.40 —
Dup-Scan Xtr Veins Complete Bilateral Study (93970) — $1,562.35 —
Dup-scan xtr veins unilateral/limited study (93971) — $616.05 —
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) — $1,301.95 —
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) — $1,815.10 —
Duplex Scan Hemodialysis Access (93990) — $668.85 —
Duplex up extrem art bilat (93930) — $2,787.40 —
Duplex up extrem art unilat/ltd (93931) — $2,066.70 —
Echo Congenital Complete (93303)
range across 2 matching MRF lines
— $2,629.85–$2,728.20 —
Echo Heart Xthoracic,Limited (93308) — $1,461.40 —
Echo transesophag montr cardiac pump functj (93318) — $3,025.15 —
Echo transesophageal (93312)
range across 2 matching MRF lines
— $3,148.60–$3,338.65 —
Echo Transesophageal - Congenital Tee Complete (93315) — $2,623.85 —
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) — $2,623.85 —
Eeg 41-60 Minutes (95812) — $3,080.20 —
EEG awake and asleep (95819) — $3,080.20 —
EEG awake drowsy (95816) — $3,080.20 —
EEG cerebral death evaluation (95824) — $5,248.40 —
EEG cont rec w/video by tech min 8 channels (95700) — $1,547.60 —
EEG extended monitoring 61-119 minutes (95813) — $3,080.20 —
Eeg Sleep Only (95822) — $3,080.20 —
Eeg W/O Vid 2-12 Hr Unmntr (95705) — $3,080.20 —
EEG w/o vid 2-12hr cont mntr (95707) — $3,080.20 —
EEG w/o vid ea 12-26hr intmt (95709) — $5,248.40 —
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) — $5,248.40 —
EEG w/o video by tech 2-12 hr intermittent mntr (95706) — $3,080.20 —
EEG wo vid ea 12-26hr unmntr (95708) — $5,248.40 —
EKG signal averaged (93278) — $757.25 —
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) — $285.70 —
Electrical Stimulation Ea 15 Min (97032) — $85.25 —
Electrocardiogram Tracing (93005) — $413.65 —
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) — $42,134.10 —
Electrophysiology Evaluation (93642) — $6,990.65 —
Emergency Dept Visit Level 2 (99282) — $874.20 —
Emergency Dept Visit Level 3 (99283) — $1,656.95 —
Emergency Dept Visit Level 4 (99284) — $2,558.80 —
Endomyocardial Biopsy (93505) — $15,535.55 —
Ep & ablate supravent arrhyt (93653) — $93,858.10 —
Ep & ablate ventric tachy (93654) — $88,342.40 —
Ep Compre Electrophysiologic Arrhythmia Induction (93620) — $42,134.10 —
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) — $37,477.60 —
Ep Esophageal Recording Atria+Pacing (93616) — $7,596.80 —
Er level 1 (99281) — $469.90 —
Er level v (99285) — $3,430.10 —
Esoph Atrial Electrogram (93615) — $7,581.60 —
Esophgl Balo Distension Dx Std W/Provocation (91040) — $1,591.80 —
Evaluate pt use of inhaler (94664) — $788.10 —
Evaluate Speech Production (92522) — $597.05 —
Evaluate Swallowing Function (92610) — $616.30 —
Evaluation of speech fluency (92521) — $858.25 —
External ECG rec>48hr<7d recording (93242) — $325.05 —
External ECG rec>48hr<7d scanning alys w/report (93243) — $486.85 —
External ECG rec>7d<15d recording (93246) — $344.75 —
External ECG rec>7d<15d scanning alys w/report (93247) — $486.85 —
External Ecg Scanning Analysis Report (93226) — $1,265 —
Extracranial Bilat Study (93880) — $1,301.95 —
Extracranial Uni/Ltd Study (93882) — $616.05 —
F-up/limited tthrc echo congenital car anomaly (93304)
range across 2 matching MRF lines
— $2,529.26–$2,623.85 —
Flexible endoscopic eval swallow c/v rec (92612) — $958.20 —
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) — $3,322.70 —
Gastroesophag reflx test w/telemtry ph eltrd (91035) — $8,084.40 —
Gi tract capsule endoscopy (91110) — $5,166.10 —
Gi tract imaging intraluminal colon i&r (91113) — $5,200.70 —
Group Therapeutic Procedures (97150) — $262.30 —
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) — $15,428.60 —
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) — $3,945.85 —
Holter monitor recording (93225) — $605.50 —
Hubbard tank 15 min (97036) — $154.20 —
Icd device progr eval dual (93283) — $220.40 —
Icd Device Progr Eval Mult (93284) — $211.25 —
Im Adm Intransl/Oral 1 Vaccine (90473) — $21.17 —
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) — $177.10 —
Immunization administration (90471)
range across 5 matching MRF lines
— $21.17–$140.65 —
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) — $2,395.05 —
Insert/Place Heart Catheter (93503) — $9,699.05 —
Interrogation vad in person (93750) — $520.50 —
Intra-atrial pacing (93610) — $37,477.60 —
Intra-atrial recording (93602) — $37,477.60 —
Intracranial Complete Study (93886) — $1,461.40 —
Intraventricular pacing (93612) — $37,477.60 —
Iontophoresis 15 min (97033) — $154.50 —
Irrig Drug Delivery Device (96523) — $299.75 —
IV infusion hydration each additional hour (96361) — $313.25 —
IV infusion hydration initial 31 min-1 hour (96360) — $1,029.25 —
IV infusion ther proph addl sequential to 1 hr (96367) — $404.65 —
IV infusion therapy prophylaxis/dx ea hour (96366) — $313.25 —
IV push initial (96374) — $814.85 —
L Hrt Art/Grft Angio (93459) — $18,514.30 —
Low frequency non-thermal us (97610) — $941.75 —
Lung Function Test (Mbc/Mvv) (94200) — $359.70 —
Lwr Xtr Vasc Stdy Bilat (93924) — $1,537.40 —
Mechanical chest wall oscillation per session (94669) — $1,138.50 —
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) — $139.25 —
Medical nutrition assmt&ivntj indiv each 15 mi (97802) — $132.30 —
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) — $77.10 —
Methacholine challenge (94070) — $1,752.65 —
Motility study esophagus (91010) — $4,392.50 —
Motion Fluoroscopy/Swallow (92611) — $653.20 —
Multiple Sleep Latency Test (95805) — $5,248.40 —
Nasopharyngoscopy (92511) — $649.05 —
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) — $1,945.60 —
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) — $2,235.10 —
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) — $1,029.90 —
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) — $2,352.75 —
Neuromuscular Reeducation (97112) — $171.80 —
Newborn resuscitation (99465) — $3,722.50 —
Oral Function Therapy (92526) — $393.05 —
Oral Speech Device Eval (92597) — $212.70 —
Orthc/Prostc Mgmt Sbsq Enc (97763) — $172.75 —
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) — $157.70 —
Osteopathic Manipulative Tx 1-2 Body Regions (98925) — $76.95 —
Ot Contrast Bath Ea 15 Min (97034) — $212.80 —
Ot eval high complexity (97167) — $307.15 —
Ot Eval Low Complex (97165) — $301.80 —
Ot Eval Moderate Complexity (97166) — $304.50 —
Ot manual therapy 15 min (97140) — $136.95 —
Ot paraffin bath (97018) — $193.70 —
Ot Prosthetic Training, Each 15 Min (97761) — $268.95 —
Ot Re-Eval Est Plan Care (97168) — $245.75 —
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) — $695.70 —
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) — $594.85 —
Oxygen Uptake Rest Indirect (94690) — $403.60 —
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) — $1,198.45 —
Peripheral arterial disease rehab per session (93668) — $299.75 —
Perq transcath closure pda (93582) — $68,079.35 —
Perq Transcath Cls Aortic (93591) — $51,996.50 —
Perq Transcath Cls Mitral (93590) — $57,172.95 —
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) — $33,943.94 —
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) — $50,137.72 —
Phlebotomy therapeutic (99195) — $726.65 —
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) — $474.90 —
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) — $499.85 —
Physical Performance Test (97750) — $130.85 —
Plethysmography (94726) — $1,460.55 —
Pm device progr eval dual (93280) — $211.25 —
Pm device progr eval multi (93281) — $225.35 —
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) — $10,063.45 —
Polysom <6 yrs 4/> paramtrs (95782) — $10,063.45 —
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) — $10,063.45 —
Prq Card Angio/Athrect 1 Art (92924) — $38,226.60 —
Prq Card Stent W/Angio 1 Vsl (92928) — $41,987.92 —
Prq Card Stent/Ath/Angio (92933) — $67,933.58 —
Prq Revasc Byp Graft 1 Vsl (92937) — $50,137.72 —
Pt Eval High Complex (97163) — $307.15 —
Pt eval low complex 20 min (97161) — $301.80 —
Pt Eval Mod Complex (97162) — $304.50 —
Pt gait training 15 min (97116) — $111 —
Pt group caregiver training (97552) — $72.35 —
Pt mechanical traction (97012) — $81.30 —
Pt Re-Eval Est Plan Care (97164) — $222.35 —
Pulmonary service/procedure (94799) — $758.40 —
Pulmonary Stress Testing (94618) — $605.50 —
Pure Tone Audiometry Air (92552) — $605.50 —
R Hrt Art/Grft Angio (93457) — $15,428.60 —
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) — $9,662.55 —
R hrt coronary artery angio (93456) — $15,428.60 —
R&L Hrt Cath W/Ventriclgrphy (93453) — $15,428.60 —
Refill/Maint Portable Pump (96521) — $1,176.95 —
Rem Interrog Scrms <30 D Phys/Qhp (93298) — $116.10 —
Remote 30 Day Ecg Rev/Report (93270) — $815.95 —
Remote 30 Day Ecg Tech Supp (93229) — $2,074.80 —
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) — $359.70 —
Right Heart Cath (93451) — $19,285.70 —
Right ventricular recording (93603) — $19,643.15 —
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) — $894.65 —
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) — $958.20 —
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) — $504.30 —
Rx/Physical Eeg Activaj Phys/Qhp Attendance (95954) — $5,248.40 —
Self Care Mngment Training (97535) — $137.95 —
Sensory Integration Ea 15 Min (97533) — $126.35 —
Short-latency somatosens ep std upr limbs (95925) — $1,460.55 —
Sleep study unattended (95806) — $1,547.60 —
Slp caregiver training 1st 30 min (97550) — $158.20 —
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) — $1,547.60 —
Somatosensory Testing (95938) — $2,521.10 —
Speech sound lang comprehen (92523) — $534.20 —
Spin/Brain Pump Refil & Main (95991) — $1,701.50 —
Spirometry (94010) — $758.40 —
Ssep lower limbs (95926) — $1,460.55 —
Standardized Cognitive Performance Testing (96125) — $858.25 —
Stress Tte Only (93350) — $2,623.85 —
Surfactant Admin Thru Tube (94610) — $1,198.45 —
Temp transcutaneous pacing (92953) — $3,067.20 —
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) — $130.60 —
Ther Ivntj Ea Addl 15 Min (97130) — $102.60 —
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) — $143.70 —
Ther Px 1/> Areas Each 15 Minutes Massage (97124) — $80.90 —
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) — $809 —
Ther/Proph/Diag Inj Sc/Im (96372) — $384.40 —
Ther/Proph/Diag Iv Inf Init (96365) — $1,058.30 —
Therapeutic Activities (97530) — $129.45 —
Tilt table test with heart rhythm and blood pressure monitoring (93660) — $3,025.35 —
Tobacco Use Cessation Intensive >10 Minutes (99407) — $157.70 —
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) — $147.05 —
Transcath Closure of Asd (93580) — $71,706.50 —
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) — $886.45 —
Tte w/doppler, complete (93306) — $3,148.60 —
Tx atrial fib pulm vein isol (93656) — $101,060.10 —
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) — $455.80 —
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) — $264.55 —
Tx/Pro/Dx Inj New Drug Addon (96375) — $384.40 —
Unlisted cardiovascular service/procedure (93799)
range across 3 matching MRF lines
— $486.95–$8,753.10 —
Upr/L Xtremity Art 2 Levels (93922) — $638 —
Upr/Lxtr Art Stdy 3+ Lvls (93923) — $798.35 —
Valvuloplasty aortic valve (92986) — $27,198.65 —
Valvuloplasty mitral valve (92987) — $39,458.55 —
Vasopneumatic device (97016) — $86.65 —
Veeg 2-12 Hr Cont Mntr (95713) — $5,248.40 —
Veeg 2-12 hr intmt mntr (95712) — $3,080.20 —
Veeg 2-12 hr unmonitored (95711) — $3,080.20 —
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) — $5,248.40 —
Veeg Ea 12-26 Hr Unmntr (95714) — $5,248.40 —
Veeg ea 12-26hr cont mntr (95716) — $10,063.45 —
Vent Mgmt Inpat Init Day (94002) — $3,986.45 —
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) — $3,791.85 —
Visual Evoked Potential Test (95930) — $1,659.55 —
Vital capacity, total (94150) — $910.10 —
Wada Activation Test Hemispheric Function W/Eeg (95958) — $10,063.45 —
Wheelchair Mgmt Ea 15 Min (97542) — $142 —
Whirlpool Therapy (97022) — $120.70 —

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.