Visits & medical services prices at Summit Healthcare Regional Medical Center
Show Low, AZ · every code in this section with a posted price and a Medicare benchmark.
219 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | — | $230.46 | — |
| Airway Inhalation Treatment (94640) range across 7 matching MRF lines |
— | $182.45–$809.37 | — |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 6 matching MRF lines |
— | $140.72–$260.80 | — |
| Application on-body injector (96377) | — | $250.85 | — |
| Assessment of aphasia per hr (96105) range across 3 matching MRF lines |
— | $345.88–$538.16 | — |
| Behavral qualit analys voice (92524) range across 3 matching MRF lines |
— | $419.08–$667.82 | — |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) range across 5 matching MRF lines |
— | $125.88–$176.23 | — |
| Bfb training ea addl 15 min (90913) range across 4 matching MRF lines |
— | $69.92–$97.87 | — |
| Biofeedback training any modality (90901) range across 6 matching MRF lines |
— | $108.05–$190.62 | — |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
— | $22–$1,148.56 | — |
| Canalith repositioning proc (95992) range across 4 matching MRF lines |
— | $124.03–$210.58 | — |
| Car seat/bed test 60 min (94780) | — | $126.18 | — |
| Cardiac Stress Tst,Tracing Only (93017) | — | $2,281.78 | — |
| Cardiopulmonary resuscitation (92950) | — | $1,837.47 | — |
| Cardioversion (92960) | — | $2,458.21 | — |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | — | $21,810.96 | — |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | — | $20,564.50 | — |
| Cbt 1st hour (94644) | — | $427.28 | — |
| Chemo Admin Peritoneal Cavity (96446) | — | $725.50 | — |
| Chemo Anti-Neopl Sq/Im (96401) | — | $593.40 | — |
| Chemo Hormon Antineopl Sq/Im (96402) | — | $438.48 | — |
| Chemo IV infusion addl hr (96415) | — | $265.56 | — |
| Chemo IV push addl drug (96411) | — | $433.68 | — |
| Chemother Prolong Infuse W/Pump (96416) | — | $988.48 | — |
| Chemotherapy Unspecified (96549) | — | $106.27 | — |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | — | $573 | — |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | — | $1,195.01 | — |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | — | $479.32 | — |
| Chest Wall Manipulation (94668) | — | $183.38 | — |
| Color/duplex Doppler, complete (93975) | — | $2,305.32 | — |
| Color/duplex Doppler, limited (93976) | — | $1,957.04 | — |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 9 matching MRF lines |
— | $64.52–$148.39 | — |
| Cont Gluc Mntr Pt Prov Eqp (95249) | — | $206.58 | — |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
— | $547.22–$604.06 | — |
| Coronary Art/Grft Angio S&I (93455) | — | $12,165.87 | — |
| Coronary Artery Angio S&I (93454) | — | $13,844.63 | — |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | — | $1,095.58 | — |
| Cpt initial (94667) | — | $257.57 | — |
| Critical care first hour (99291) | — | $4,543.94 | — |
| Debridement Open Wound 20 Sq Cm< (97597) range across 10 matching MRF lines |
— | $77.12–$786.41 | — |
| Dialysis One Evaluation (90945) | — | $2,125.68 | — |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | — | $740.12 | — |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
— | $3,282.35–$3,556.26 | — |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | — | $882.78 | — |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | — | $3,316.44 | — |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
— | $1,881.78–$2,342.90 | — |
| Duplex Scan Hemodialysis Access (93990) | — | $521.36 | — |
| Duplex up extrem art bilat (93930) | — | $1,804.23 | — |
| Duplex up extrem art unilat/ltd (93931) range across 4 matching MRF lines |
— | $1,133.12–$1,272.70 | — |
| Echo Congenital Complete (93303) | — | $1,828.99 | — |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
— | $488.15–$971.24 | — |
| Echo transesophageal (93312) range across 2 matching MRF lines |
— | $1,505.04–$4,024.13 | — |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | — | $1,796.27 | — |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
— | $189.15–$1,786.10 | — |
| Electrical Stimulation Ea 15 Min (97032) range across 5 matching MRF lines |
— | $61.52–$156.06 | — |
| Electrocardiogram Tracing (93005) | — | $449.16 | — |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
— | $107.83–$972.13 | — |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
— | $161.34–$1,213.41 | — |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
— | $306.07–$1,899.31 | — |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
— | $521.15–$751.61 | — |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
— | $560.15–$947.43 | — |
| Er level 1 (99281) range across 4 matching MRF lines |
— | $55.31–$732.20 | — |
| Er level v (99285) range across 3 matching MRF lines |
— | $450.74–$2,815.62 | — |
| Evaluate pt use of inhaler (94664) | — | $268.60 | — |
| Evaluate Speech Production (92522) range across 3 matching MRF lines |
— | $339.54–$655.28 | — |
| Evaluate Swallowing Function (92610) range across 3 matching MRF lines |
— | $324.93–$626.65 | — |
| Evaluation of speech fluency (92521) range across 3 matching MRF lines |
— | $414.21–$800.25 | — |
| External Ecg Scanning Analysis Report (93226) | — | $1,397.61 | — |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
— | $2,711.02–$2,726.35 | — |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | — | $732.01 | — |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | — | $3,609.34 | — |
| Group Therapeutic Procedures (97150) range across 7 matching MRF lines |
— | $64.07–$235.25 | — |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | — | $12,165.87 | — |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | — | $1,621.31 | — |
| Holter monitor recording (93225) | — | $915.82 | — |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
— | $207.32–$596.02 | — |
| Icd device progr eval dual (93283) | — | $329.70 | — |
| Icd Device Progr Eval Mult (93284) | — | $363.33 | — |
| Icm Device Eval (93290) | — | $207.32 | — |
| Ilr Device Eval Progr (93285) | — | $212.70 | — |
| Ilr Device Interrogate (93291) | — | $160.25 | — |
| Immunization administration (90471) range across 2 matching MRF lines |
— | $168.04–$168.40 | — |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | — | $1,008.92 | — |
| Interrogate Subq Defib (93261) | — | $148.20 | — |
| Iontophoresis 15 min (97033) range across 3 matching MRF lines |
— | $81.95–$193.11 | — |
| Irrig Drug Delivery Device (96523) | — | $270.36 | — |
| Ischemic limb exercise test (95875) range across 2 matching MRF lines |
— | $201.15–$495.08 | — |
| IV infusion hydration each additional hour (96361) range across 6 matching MRF lines |
— | $262.84–$273.35 | — |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
— | $614.99–$639.60 | — |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 7 matching MRF lines |
— | $312.93–$325.45 | — |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 5 matching MRF lines |
— | $212.75–$221.27 | — |
| IV push initial (96374) range across 10 matching MRF lines |
— | $347.83–$361.74 | — |
| L Hrt Art/Grft Angio (93459) | — | $12,165.87 | — |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
— | $715.51–$804.86 | — |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
— | $71.86–$91.44 | — |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 3 matching MRF lines |
— | $84.79–$150.22 | — |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
— | $39.62–$63.17 | — |
| Methacholine challenge (94070) range across 2 matching MRF lines |
— | $75.04–$1,107.19 | — |
| Motility study esophagus (91010) range across 2 matching MRF lines |
— | $1,268.23–$1,320.85 | — |
| Motion Fluoroscopy/Swallow (92611) range across 3 matching MRF lines |
— | $495.38–$955.94 | — |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
— | $490.15–$3,350.90 | — |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
— | $44.15–$622.59 | — |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
— | $130.15–$253.73 | — |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
— | $389.15–$478.38 | — |
| Nasopharyngoscopy (92511) | — | $458.57 | — |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) range across 2 matching MRF lines |
— | $329.15–$526.96 | — |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
— | $208.15–$490.52 | — |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) range across 2 matching MRF lines |
— | $106.15–$353.93 | — |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) range across 2 matching MRF lines |
— | $511.15–$598.31 | — |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | — | $1,072.77 | — |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | — | $1,072.77 | — |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 6 matching MRF lines |
— | $78.16–$536.97 | — |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 6 matching MRF lines |
— | $304.91–$533.82 | — |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
— | $136.15–$266.60 | — |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
— | $372.15–$1,775.52 | — |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
— | $439.15–$1,775.52 | — |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
— | $160.15–$306.69 | — |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
— | $186.15–$397.21 | — |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
— | $199.15–$408.85 | — |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
— | $306.15–$526.53 | — |
| Neurobehavioral Status Exam (96116) | — | $244.56 | — |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | — | $492.45 | — |
| Neuromuscular Reeducation (97112) range across 6 matching MRF lines |
— | $161.16–$306.80 | — |
| Newborn resuscitation (99465) | — | $991.41 | — |
| Nrpsyc tst eval phys/qhp 1st (96132) | — | $282.39 | — |
| Oral Function Therapy (92526) range across 3 matching MRF lines |
— | $320.06–$619.51 | — |
| Oral Speech Device Eval (92597) range across 3 matching MRF lines |
— | $363.89–$701.81 | — |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 6 matching MRF lines |
— | $104.96–$185.43 | — |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 6 matching MRF lines |
— | $97.29–$170.11 | — |
| Ot Contrast Bath Ea 15 Min (97034) range across 6 matching MRF lines |
— | $55.12–$140.72 | — |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
— | $439.47–$634.92 | — |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
— | $301.49–$495.68 | — |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
— | $370.48–$565.93 | — |
| Ot manual therapy 15 min (97140) range across 9 matching MRF lines |
— | $137.05–$248.03 | — |
| Ot paraffin bath (97018) range across 6 matching MRF lines |
— | $18.08–$119.01 | — |
| Ot Prosthetic Training, Each 15 Min (97761) range across 6 matching MRF lines |
— | $93.45–$154.77 | — |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
— | $256.78–$318.10 | — |
| Ot rom hand (95852) range across 6 matching MRF lines |
— | $70.78–$125.37 | — |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | — | $314.35 | — |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | — | $329.38 | — |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | — | $18,311.74 | — |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | — | $24,855.08 | — |
| Phlebotomy therapeutic (99195) | — | $560.66 | — |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | — | $304.67 | — |
| Physical Performance Test (97750) range across 6 matching MRF lines |
— | $106.23–$186.71 | — |
| Plethysmography (94726) range across 2 matching MRF lines |
— | $34.48–$329.96 | — |
| Pm device eval in person (93288) | — | $207.32 | — |
| Pm device progr eval dual (93280) | — | $210.32 | — |
| Pm device progr eval multi (93281) | — | $229.54 | — |
| Pm Device Progr Eval Sngl (93279) | — | $189.90 | — |
| Pm/Icd Remote Tech Serv (93296) | — | $173.71 | — |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
— | $493.15–$5,043.71 | — |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
— | $196.15–$5,528.67 | — |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) range across 2 matching MRF lines |
— | $493.15–$5,043.71 | — |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) range across 2 matching MRF lines |
— | $727.15–$3,938.03 | — |
| Positional nystagmus test (92542) range across 4 matching MRF lines |
— | $200.53–$350.76 | — |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | — | $163.03 | — |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | — | $271.59 | — |
| Prq Card Angio/Athrect 1 Art (92924) | — | $25,166.11 | — |
| Prq Card Stent W/Angio 1 Vsl (92928) | — | $18,111.19 | — |
| Prq Card Stent/Ath/Angio (92933) | — | $24,855.08 | — |
| Prq Revasc Byp Graft 1 Vsl (92937) | — | $24,855.08 | — |
| Psych diag eval w/med srvcs (90792) | — | $465.71 | — |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
— | $362.08–$417.33 | — |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | — | $64.79 | — |
| Psytx Crisis Initial 60 Min (90839) | — | $479.47 | — |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) range across 6 matching MRF lines |
— | $78.12–$185.43 | — |
| Pt Eval High Complex (97163) range across 4 matching MRF lines |
— | $463.74–$613.20 | — |
| Pt eval low complex 20 min (97161) range across 4 matching MRF lines |
— | $325.76–$475.23 | — |
| Pt Eval Mod Complex (97162) range across 4 matching MRF lines |
— | $394.75–$544.21 | — |
| Pt gait training 15 min (97116) range across 4 matching MRF lines |
— | $93.45–$193.11 | — |
| Pt mechanical traction (97012) range across 4 matching MRF lines |
— | $44.93–$147.12 | — |
| Pt Re-Eval Est Plan Care (97164) range across 4 matching MRF lines |
— | $176.30–$365.36 | — |
| Pt ultraviolet (97028) range across 4 matching MRF lines |
— | $21.92–$111.34 | — |
| Pulmonary service/procedure (94799) | — | $1,200.04 | — |
| Pulmonary Stress Testing (94618) | — | $301.46 | — |
| R Hrt Art/Grft Angio (93457) | — | $12,165.87 | — |
| R hrt coronary artery angio (93456) | — | $12,165.87 | — |
| R&L Hrt Cath W/Ventriclgrphy (93453) | — | $12,165.87 | — |
| Refill/Maint Portable Pump (96521) | — | $450.49 | — |
| Refill/Maint Pump/Resvr Syst (96522) | — | $504.54 | — |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | — | $144.97 | — |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | — | $135.65 | — |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | — | $433.61 | — |
| Remote 30 Day Ecg Rev/Report (93270) | — | $368.46 | — |
| Right Heart Cath (93451) range across 2 matching MRF lines |
— | $7,692–$7,761.83 | — |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 8 matching MRF lines |
— | $161.34–$440.69 | — |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 6 matching MRF lines |
— | $78.76–$144.01 | — |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 3 matching MRF lines |
— | $660.95–$1,276.27 | — |
| Self Care Mngment Training (97535) range across 6 matching MRF lines |
— | $111.34–$214.81 | — |
| Sensory Integration Ea 15 Min (97533) range across 6 matching MRF lines |
— | $92.18–$194.38 | — |
| Sleep study attended (95807) | — | $1,536.97 | — |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
— | $133.15–$848.53 | — |
| Speech sound lang comprehen (92523) range across 3 matching MRF lines |
— | $704.81–$1,360.42 | — |
| Spirometry (94010) range across 2 matching MRF lines |
— | $22–$385.56 | — |
| Spontaneous Nystagmus Test (92541) range across 4 matching MRF lines |
— | $357.93–$626.91 | — |
| Standardized Cognitive Performance Testing (96125) | — | $1,683.27 | — |
| Stress Tte Only (93350) | — | $2,726.09 | — |
| Temp transcutaneous pacing (92953) | — | $1,744.65 | — |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 7 matching MRF lines |
— | $64.08–$93.32 | — |
| Ther Ivntj Ea Addl 15 Min (97130) range across 5 matching MRF lines |
— | $62.14–$90.48 | — |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 4 matching MRF lines |
— | $139.44–$223.77 | — |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | — | $114.42 | — |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 3 matching MRF lines |
— | $430.46–$830.66 | — |
| Ther/Prop/Diag Inj/Inf Proc (96379) | — | $180.88 | — |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 9 matching MRF lines |
— | $177.81–$388.61 | — |
| Ther/Proph/Diag Iv Inf Init (96365) range across 13 matching MRF lines |
— | $491.35–$847.96 | — |
| Therapeutic Activities (97530) range across 6 matching MRF lines |
— | $153.50–$248.03 | — |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
— | $225.15–$3,688.14 | — |
| Tte W/O Doppler Complete (93307) | — | $2,467.90 | — |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
— | $258.38–$640.97 | — |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 3 matching MRF lines |
— | $117.15–$227.55 | — |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 7 matching MRF lines |
— | $328.11–$341.23 | — |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
— | $46.96–$587.94 | — |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
— | $86.48–$791.03 | — |
| Vasopneumatic device (97016) range across 6 matching MRF lines |
— | $30.86–$148.39 | — |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
— | $4,375.39–$4,873.09 | — |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
— | $1,735.48–$1,804.89 | — |
| Wheelchair Mgmt Ea 15 Min (97542) range across 6 matching MRF lines |
— | $120.14–$232.92 | — |
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.