Visits & medical services prices at UCHealth Pikes Peak Regional Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $78.40 $98 1.8×
Advncd Care Plan 30 Min (99497) $336 $420 3.1×
Airway Inhalation Treatment (94640) $423.20 $529 1.8×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $295.20 $369 2.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $60.80 $76 4.2×
Application on-body injector (96377) $125.60 $157 2.5×
Behavral qualit analys voice (92524) $392.80 $491 3.6×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $226.40 $283 2.8×
Bfb training ea addl 15 min (90913) $161.60 $202 4.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $581.60 $727 1.5×
Canalith repositioning proc (95992) $176.80 $221 4.3×
Cardiac Stress Tst,Tracing Only (93017) $1,041.60 $1,302 4.6×
Cardiopulmonary resuscitation (92950) $2,133.60 $2,667 9.4×
Cardioversion (92960) $1,296.80 $1,621 1.9×
Cbt 1st hour (94644) $408.80 $511 2.9×
Chemo Anti-Neopl Sq/Im (96401) $389.60 $487 5.1×
Chemo Hormon Antineopl Sq/Im (96402) $252.80 $316 3.3×
Chemo IV infusion addl hr (96415) $475.20 $594 6.3×
Chemo IV push addl drug (96411) $368.80 $461 4.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $428 $535 5.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $945.60 $1,182 2.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $672.80 $841 1.9×
Chest Wall Manipulation (94668) $231.20 $289 1.6×
Color/duplex Doppler, complete (93975) $1,333.60 $1,667 5.3×
Color/duplex Doppler, limited (93976) $917.60 $1,147 8.3×
Continuous Pulse Ox (94762) $394.40 $493 2.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,061.60 $1,327 4.6×
Cpt initial (94667) $179.20 $224 1.3×
Critical care first hour (99291) $3,908.80 $4,886 4.5×
Debridement Open Wound 20 Sq Cm< (97597) $410.40 $513 1.9×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,004 $1,255 4.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $662.40 $828 6.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,415.20 $1,769 5.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $778.40 $973 7.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,512.80 $1,891 6.0×
Dup-scan xtr veins unilateral/limited study (93971) $971.20 $1,214 8.8×
Duplex Scan Hemodialysis Access (93990) $778.40 $973 7.1×
Duplex up extrem art bilat (93930) $1,131.20 $1,414 4.5×
Duplex up extrem art unilat/ltd (93931) $705.60 $882 6.4×
Echo Congenital Complete (93303) $1,208 $1,510 2.1×
Echo Heart Xthoracic,Limited (93308) $736 $920 2.9×
Echo transesophageal (93312) $1,845.60 $2,307 3.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,668 $2,085 2.9×
EKG signal averaged (93278) $329.60 $412 5.3×
Electrical Stimulation Ea 15 Min (97032) $78.40 $98 5.3×
Electrocardiogram Tracing (93005) $401.60 $502 6.5×
Emergency Dept Visit Level 2 (99282) $547.20 $684 3.4×
Emergency Dept Visit Level 3 (99283) $781.60 $977 2.7×
Emergency Dept Visit Level 4 (99284) $1,563.20 $1,954 3.6×
Er level 1 (99281) $168 $210 1.9×
Er level v (99285) $2,345.60 $2,932 3.7×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,784.80 $2,231 4.5×
Evaluate pt use of inhaler (94664) $148.80 $186 0.6×
Evaluate Speech Production (92522) $392.80 $491 3.5×
Evaluate Swallowing Function (92610) $480 $600 5.7×
Evaluation of speech fluency (92521) $392.80 $491 2.9×
External ECG rec>48hr<7d recording (93242) $372.80 $466 9.5×
External ECG rec>7d<15d recording (93246) $405.60 $507 10.3×
External Ecg Scanning Analysis Report (93226) $597.60 $747 9.6×
Extracranial Bilat Study (93880) $1,149.60 $1,437 4.6×
F-up/limited tthrc echo congenital car anomaly (93304) $828.80 $1,036 1.4×
Flexible endoscopic eval swallow c/v rec (92612) $439.20 $549 2.2×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,321.60 $1,652 3.4×
Health Behavior Assessment/Re-Assessment (96156) $897.60 $1,122 8.4×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $254.40 $318 6.4×
Health behavior ivntj group f2f 1st 30 min (96164) $77.60 $97 2.0×
Health behavior ivntj indiv f2f 1st 30 min (96158) $301.60 $377 1.6×
Holter monitor recording (93225) $568.80 $711 4.1×
Immunization administration (90471) $116 $145 1.5×
Iontophoresis 15 min (97033) $78.40 $98 4.1×
Irrig Drug Delivery Device (96523) $169.60 $212 2.7×
IV infusion hydration each additional hour (96361) $234.40 $293 4.7×
IV infusion hydration initial 31 min-1 hour (96360) $306.40 $383 1.4×
IV infusion ther proph addl sequential to 1 hr (96367) $344.80 $431 4.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $332 $415 6.7×
IV push initial (96374) $252 $315 1.1×
Lung Function Test (Mbc/Mvv) (94200) $148.80 $186 2.4×
Lwr Xtr Vasc Stdy Bilat (93924) $1,371.20 $1,714 6.0×
Mechanical chest wall oscillation per session (94669) $615.20 $769 2.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $86.40 $108 2.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $144 $180 3.9×
Microvolt T-Wave Assess (93025) $1,980.80 $2,476 14.6×
Motility study esophagus (91010) $396.80 $496 1.0×
Motion Fluoroscopy/Swallow (92611) $482.40 $603 5.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $109.60 $137 0.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $237.60 $297 0.6×
Neuromuscular Reeducation (97112) $121.60 $152 3.7×
Oral Function Therapy (92526) $235.20 $294 2.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $142.40 $178 2.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $145.60 $182 3.2×
Ot eval high complexity (97167) $485.60 $607 4.8×
Ot Eval Low Complex (97165) $218.40 $273 2.2×
Ot Eval Moderate Complexity (97166) $436 $545 4.3×
Ot manual therapy 15 min (97140) $131.20 $164 4.7×
Ot Re-Eval Est Plan Care (97168) $122.40 $153 1.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $284.80 $356 2.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $256.80 $321 1.9×
Oxygen Uptake Rest Indirect (94690) $174.40 $218 2.8×
Phlebotomy therapeutic (99195) $296 $370 2.1×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $708 $885 11.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $496 $620 8.0×
Physical Performance Test (97750) $139.20 $174 4.1×
Plethysmography (94726) $516.80 $646 1.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,168 $5,210 4.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $75.20 $94 1.5×
Pt Eval High Complex (97163) $418.40 $523 4.3×
Pt eval low complex 20 min (97161) $157.60 $197 1.6×
Pt Eval Mod Complex (97162) $288 $360 2.9×
Pt gait training 15 min (97116) $131.20 $164 4.5×
Pt mechanical traction (97012) $101.60 $127 7.1×
Pt Re-Eval Est Plan Care (97164) $227.20 $284 3.4×
Pulm function test by gas (94727) $292.80 $366 1.3×
Pulmonary Stress Testing (94618) $614.40 $768 4.4×
Refill/Maint Portable Pump (96521) $771.20 $964 3.4×
Remote 30 Day Ecg Rev/Report (93270) $245.60 $307 6.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $92 $115 0.4×
Self Care Mngment Training (97535) $113.60 $142 3.5×
Speech sound lang comprehen (92523) $410.40 $513 1.8×
Spirometry (94010) $293.60 $367 1.3×
Standardized Cognitive Performance Testing (96125) $450.40 $563 4.4×
Stress Tte Only (93350) $1,533.60 $1,917 2.7×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $303.20 $379 2.7×
Temp transcutaneous pacing (92953) $1,916 $2,395 2.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $128 $160 5.7×
Ther Ivntj Ea Addl 15 Min (97130) $124 $155 5.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $165.60 $207 4.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $104.80 $131 3.5×
Ther/Proph/Diag Inj Sc/Im (96372) $192 $240 2.5×
Ther/Proph/Diag Iv Inf Init (96365) $376.80 $471 1.7×
Therapeutic Activities (97530) $102.40 $128 2.9×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,653.60 $2,067 4.2×
Tobacco Use Cessation Intensive >10 Minutes (99407) $94.40 $118 2.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $63.20 $79 1.6×
Tte w/doppler, complete (93306) $2,283.20 $2,854 4.0×
Tte W/O Doppler Complete (93307) $1,860.80 $2,326 7.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $252.80 $316 3.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $150.40 $188 3.0×
Upr/L Xtremity Art 2 Levels (93922) $490.40 $613 3.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $771.20 $964 3.4×
Vasopneumatic device (97016) $98.40 $123 8.2×
Vent Mgmt Inpat Init Day (94002) $1,961.60 $2,452 3.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,770.40 $2,213 2.7×
Vital capacity, total (94150) $328.80 $411 2.4×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $181.60 $227 2.9×