Visits & medical services prices at St. Vincent General Hospital District

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $464.32 $663.32 2.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $27.40 $39.14 1.9×
Assmt & care planning pt w/cognitive impairment (99483) $518.40 $740.57 4.8×
Behavral qualit analys voice (92524) $280 $400 2.6×
Canalith repositioning proc (95992) $108.50 $155 2.7×
Cardiac Stress Tst,Tracing Only (93017)
range across 3 matching MRF lines
$89.40–$638.81 $127.72–$912.58 varies
Cardiopulmonary resuscitation (92950) $638.81 $912.58 2.8×
Cardioversion (92960)
range across 2 matching MRF lines
$286.24–$1,478.05 $408.91–$2,111.50 varies
Cbt 1st hour (94644)
range across 2 matching MRF lines
$142.04–$275.42 $202.91–$393.46 varies
Chemo Anti-Neopl Sq/Im (96401) $152.85 $218.36 2.0×
Chemo IV infusion addl hr (96415) $152.85 $218.36 2.0×
Chemo IV push addl drug (96411) $152.85 $218.36 2.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $781.56 $1,116.52 2.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $463.60 $662.29 1.3×
Chest Wall Manipulation (94668) $50.47 $72.10 0.4×
Color/duplex Doppler, complete (93975) $425.39 $607.70 1.7×
Community/Work Reintegration Trainj Ea 15 Min (97537) $67.05 $95.79 2.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $464.32 $663.32 2.0×
Cpt initial (94667) $50.47 $72.10 0.4×
Critical care first hour (99291)
range across 4 matching MRF lines
$696.50–$1,867.39 $995–$2,667.70 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines
$266.77–$453.51 $381.10–$647.87 varies
Developmental tst admin phys/qhp 1st hour (96112) $318.50 $455 2.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $664.04 $948.63 2.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $201.88 $288.40 1.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $425.39 $607.70 1.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$201.88–$1,146.39 $288.40–$1,637.70 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $425.39 $607.70 1.7×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$196–$201.88 $280–$288.40 varies
Duplex up extrem art bilat (93930) $425.39 $607.70 1.7×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$209.09–$273 $298.70–$390 varies
Echo Congenital Complete (93303) $901.25 $1,287.50 1.6×
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines
$549.50–$574 $785–$820 varies
Electrical Stimulation Ea 15 Min (97032) $31.72 $45.32 2.2×
Electrocardiogram Tracing (93005) $139.15 $198.79 2.2×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$105–$329 $150–$470 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$178.50–$581 $255–$830 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$301–$937.30 $430–$1,339 varies
Er level 1 (99281)
range across 2 matching MRF lines
$53.90–$182 $77–$260 varies
Er level v (99285)
range across 3 matching MRF lines
$447.02–$1,379 $638.60–$1,970 varies
Evaluate pt use of inhaler (94664) $464.32 $663.32 2.0×
Evaluate Speech Production (92522) $224.95 $321.36 2.0×
Evaluate Swallowing Function (92610) $190.34 $271.92 2.2×
External ECG rec>48hr<7d recording (93242) $86.52 $123.60 2.2×
External Ecg Scanning Analysis Report (93226) $275.42 $393.46 4.4×
Extracranial Bilat Study (93880) $425.39 $607.70 1.7×
F-up/limited tthrc echo congenital car anomaly (93304) $901.25 $1,287.50 1.6×
Group Therapeutic Procedures (97150) $36.77 $52.53 2.0×
Holter monitor recording (93225) $284.80 $406.85 2.0×
Immunization administration (90471) $152.85 $218.36 2.0×
Iontophoresis 15 min (97033) $41.82 $59.74 2.2×
Irrig Drug Delivery Device (96523) $140 $200 2.2×
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$35–$105 $50–$150 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$84–$504 $120–$720 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$77–$154 $110–$220 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$52.50–$105 $75–$150 varies
IV push initial (96374)
range across 3 matching MRF lines
$98–$515.52 $140–$736.45 varies
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $81.20 $116 2.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $88.20 $126 2.4×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $43.40 $62 2.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $665 $950 1.6×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $665 $950 1.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$88.68–$444.50 $126.69–$635 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $931 $1,330 2.2×
Neurobehavioral Status Exam (96116) $638.81 $912.58 2.8×
Neuromuscular Reeducation (97112) $77.87 $111.24 2.4×
Oral Function Therapy (92526) $209.81 $299.73 2.5×
Orthc/Prostc Mgmt Sbsq Enc (97763) $97.34 $139.05 1.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $126 $180 2.7×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $59.12 $84.46 2.6×
Osteopathic manipulative tx 3-4 body regions (98926)
range across 2 matching MRF lines
$60.90–$112 $87–$160 varies
Ot eval high complexity (97167) $206.21 $294.58 2.1×
Ot Eval Low Complex (97165) $157.18 $224.54 1.6×
Ot Eval Moderate Complexity (97166) $181.69 $259.56 1.8×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$60.20–$62.01 $86–$88.58 varies
Ot paraffin bath (97018) $18.03 $25.75 3.0×
Ot Prosthetic Training, Each 15 Min (97761) $81.47 $116.39 2.0×
Ot Re-Eval Est Plan Care (97168) $124.01 $177.16 1.8×
Ot rom hand (95852) $59.84 $85.49 2.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $46.87 $66.95 0.3×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $30.28 $43.26 0.2×
Phlebotomy therapeutic (99195)
range across 4 matching MRF lines
$259–$266.77 $370–$381.10 varies
Physical Performance Test (97750)
range across 2 matching MRF lines
$50.47–$75.71 $72.10–$108.15 varies
Plethysmography (94726) $686 $980 1.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,523.50 $3,605 2.8×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $26.60 $38 0.5×
Psycl/Nrpsyc Tst Auto Result (96146) $57.68 $82.40 1.9×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $78.59 $112.27 2.1×
Pt Eval High Complex (97163) $201.88 $288.40 2.1×
Pt eval low complex 20 min (97161) $168.71 $241.02 1.7×
Pt Eval Mod Complex (97162)
range across 3 matching MRF lines
$101.12–$160.78 $144.46–$229.69 varies
Pt gait training 15 min (97116) $61.29 $87.55 2.1×
Pt mechanical traction (97012) $30.28 $43.26 2.1×
Pt Re-Eval Est Plan Care (97164) $113.92 $162.74 1.7×
Pulmonary Stress Testing (94618) $297.50 $425 2.1×
Remote 30 Day Ecg Rev/Report (93270) $84.36 $120.51 2.1×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $139.15 $198.79 2.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 4 matching MRF lines
$168.71–$453.51 $241.02–$647.87 varies
Self Care Mngment Training (97535) $69.94 $99.91 2.2×
Sensory Integration Ea 15 Min (97533) $161 $230 2.6×
Speech sound lang comprehen (92523) $478.74 $683.92 2.1×
Spirometry (94010)
range across 3 matching MRF lines
$32.45–$357 $46.35–$510 varies
Standardized Cognitive Performance Testing (96125) $204.04 $291.49 2.0×
Stress Tte Only (93350) $1,228.58 $1,755.12 2.1×
Subcutaneous Infusion Each Additional Hour (96370) $42 $60 0.9×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $514.50 $735 2.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $44.70 $63.86 2.0×
Ther Ivntj Ea Addl 15 Min (97130) $42.54 $60.77 2.0×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $78.59 $112.27 2.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $62.01 $88.58 2.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $194.67 $278.10 1.9×
Ther/Proph/Diag Inj Ia (96373) $464.32 $663.32 2.1×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$38.50–$158.62 $55–$226.60 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$238–$511 $340–$730 varies
Therapeutic Activities (97530)
range across 3 matching MRF lines
$59.50–$81.47 $85–$116.39 varies
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$67.77–$69.22 $96.82–$98.88 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$31.72–$69.22 $45.32–$98.88 varies
Tte w/doppler, complete (93306) $901.25 $1,287.50 1.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $192.51 $275.01 2.5×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$42–$105 $60–$150 varies
Vasopneumatic device (97016) $29.56 $42.23 2.5×
Vital capacity, total (94150) $343.20 $490.28 2.5×
Wheelchair Mgmt Ea 15 Min (97542) $67.77 $96.82 2.2×

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.