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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $464.32 $663.32 2.0×
Assmt & care planning pt w/cognitive impairment (99483) $518.40 $740.57 4.8×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $78.59 $112.27 2.1×
Behavioral and qualitative analysis of voice and resonance (92524) $280 $400 2.6×
Canalith Repositioning (95992) $108.50 $155 2.7×
Cardiac Stress Tst,Tracing Only (93017) $638.81 $912.58 2.8×
Cardiopulmonary resuscitation (92950) $638.81 $912.58 2.8×
Cardioversion (92960) $882.14 $1,260.20 1.3×
Cbt 1st hour (94644) $208.73 $298.18 1.5×
Chemo IV push addl drug (96411) $152.85 $218.36 2.0×
Chemo Iv Push Sngl Drug (96409) $463.60 $662.29 1.3×
Chemother, IV infusion, 1 hr (96413) $781.56 $1,116.52 2.2×
Chemother, IV infusion, ea add hr (96415) $152.85 $218.36 2.0×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $152.85 $218.36 2.0×
Color/duplex Doppler, complete (93975) $425.39 $607.70 1.7×
Cpap initiation and management (94660) $464.32 $663.32 2.0×
Cpt initial (94667) $50.47 $72.10 0.4×
Critical care (99291) $1,197 $1,710 1.4×
Debridement Open Wound 20 Sq Cm< (97597) $266.77 $381.10 1.3×
Demo &/or eval,pt use,aerosol device (94664) $464.32 $663.32 2.0×
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) $674.14 $963.05 6.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $425.39 $607.70 1.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $241.04 $344.35 2.2×
Dup-scan xtr veins unilateral/limited study (93971) $198.94 $284.20 1.8×
Duplex scan extracranial art compl bi study (93880) $425.39 $607.70 1.7×
Echo Heart Xthoracic,Limited (93308) $549.50 $785 2.2×
Echo Transthoracic - Congenital Tte Complete (93303) $901.25 $1,287.50 1.6×
Echo Transthoracic - Congenital Tte Limited (93304) $901.25 $1,287.50 1.6×
EKG (93005) $139.15 $198.79 2.2×
EKG rhythm strip (93041) $139.15 $198.79 2.2×
Er level 1 (99281) $117.95 $168.50 1.3×
Er level ii (99282) $217 $310 1.3×
Er level iii (99283) $379.75 $542.50 1.3×
Er level IV (99284) $619.15 $884.50 1.4×
Er level v (99285) $1,309 $1,870 2.1×
Evaluation of speech sound production (92522) $224.95 $321.36 2.0×
Evaluation of 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×
Group Therapeutic Procedures (97150) $36.77 $52.53 2.0×
Holter Monitor Recording (93225) $284.80 $406.85 2.0×
Immunization Admin (90471) $152.85 $218.36 2.0×
Injection intra arterial (96373) $464.32 $663.32 2.1×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $140 $200 2.2×
IV infusion hydration each additional hour (96361) $105 $150 2.1×
IV infusion hydration initial 31 min-1 hour (96360) $294 $420 1.3×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $115.50 $165 1.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $374.50 $535 1.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $78.75 $112.50 1.6×
IV push initial (96374) $500.50 $715 2.2×
Manual therapy 15 min (97140) $61.10 $87.29 2.2×
Massage 15 min (97124) $62.01 $88.58 2.1×
Mechanical traction (97012) $30.28 $43.26 2.1×
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×
Mnt Group Ea 30 Min (97804) $43.40 $62 2.5×
Neg press wnd tx </=50 sq cm (97607) $665 $950 1.6×
Neg press wound tx >50 cm (97608) $665 $950 1.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $266.59 $380.84 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $931 $1,330 2.2×
Neurobehavioral Status Exam (96116) $638.81 $912.58 2.8×
Orthotics mgmt & traing 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) $86.45 $123.50 3.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $67.05 $95.79 2.1×
Ot eval high complex 60 min (97167) $206.21 $294.58 2.1×
Ot eval low complex 30 min (97165) $157.18 $224.54 1.6×
Ot eval mod complex 45 min (97166) $181.69 $259.56 1.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $97.34 $139.05 1.9×
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×
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×
Paraffin bath (97018) $18.03 $25.75 3.0×
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 Aquatic Therapy/Exercises (97113) $78.59 $112.27 2.1×
Pt Electric Current Therapy (97033) $41.82 $59.74 2.2×
Pt Electrical Stimulation (97032) $31.72 $45.32 2.2×
Pt eval high complex 45 min (97163) $201.88 $288.40 2.1×
Pt eval low complex 20 min (97161) $168.71 $241.02 1.7×
Pt Gait Training Therapy (97116) $61.29 $87.55 2.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $77.87 $111.24 2.4×
Pt Physical Performance Test (97750) $63.09 $90.12 1.9×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $105 $150 1.1×
Pt re-evaluation (97164) $113.92 $162.74 1.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $69.94 $99.91 2.2×
Pt Ultrasound Therapy (97035) $27.40 $39.14 1.9×
Pulmonary stress testing (94618) $297.50 $425 2.1×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $84.36 $120.51 2.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $266.77 $381.10 1.3×
Rom meas&reprt hand w/wo comparison normal sid (95852) $59.84 $85.49 2.8×
Rt Chest Wall Manipulation,Subsequent (94668) $50.47 $72.10 0.4×
Sensory Integration Ea 15 Min (97533) $161 $230 2.6×
Smoking cessation > 10 min (99407) $68.50 $97.85 1.7×
Speech sound lang comprehen (92523) $478.74 $683.92 2.1×
Spirometry (94010) $50.47 $72.10 0.2×
Standardized Cognitive Performance Testing (96125) $204.04 $291.49 2.0×
Stress echo (93350) $1,228.58 $1,755.12 2.1×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $42 $60 0.9×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $514.50 $735 2.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $44.70 $63.86 2.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $42.54 $60.77 2.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $194.67 $278.10 1.9×
Ther/Proph/Diag Inj Sc/Im (96372) $154 $220 2.0×
Therapeutic Activities (97530) $81.47 $116.39 2.3×
Therapeutic phlebotomy (99195) $262.88 $375.55 1.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $50.47 $72.10 1.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $901.25 $1,287.50 1.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $192.51 $275.01 2.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $209.81 $299.73 2.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $105 $150 2.1×
Vasc Duplex Extrem Venous,Bilat (93970) $425.39 $607.70 1.7×
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×