Visits & medical services prices at Wickenburg Community Hospital

Wickenburg, AZ · 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
Advncd Care Plan 30 Min (99497) $171.60 $264 1.6×
Airway Inhalation Treatment (94640) $167.05 $257 0.7×
Analyze neurostim complex (95972) $30,300.29 $46,615.83 298.7×
Analyze Neurostim Simple (95971) $79.95 $123 0.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $86.45 $133 6.0×
Behavral qualit analys voice (92524) $176.80 $272 1.6×
Brief Emotional/Behav Assmt (96127) $10.40 $16 0.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $609.05 $937 1.5×
Canalith repositioning proc (95992) $161.20 $248 4.0×
Cardiac Stress Tst,Tracing Only (93017) $1,548.30 $2,382 6.7×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$657.15–$1,313 $1,011–$2,020 varies
Cardioversion (92960) $3,458.16 $5,320.25 4.9×
Chemo Anti-Neopl Sq/Im (96401) $199.55 $307 2.6×
Chemo Hormon Antineopl Sq/Im (96402) $107.25 $165 1.4×
Chemo IV infusion addl hr (96415) $148.85 $229 1.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $496.60 $764 1.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $308.75 $475 0.9×
Chest Wall Manipulation (94668) $179.40 $276 1.3×
Color/duplex Doppler, complete (93975) $513.50 $790 2.0×
Continuous Pulse Ox (94762) $452.40 $696 3.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,190.15 $1,831 5.1×
Cpt initial (94667) $260 $400 1.8×
Critical care first hour (99291) $5,144.10 $7,914 5.8×
Debridement Open Wound 20 Sq Cm< (97597) $780 $1,200 3.6×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $704.60 $1,084 2.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,635.40 $2,516 6.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,072.50 $1,650 9.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,678.30 $2,582 6.6×
Dup-scan xtr veins unilateral/limited study (93971) $1,131.65 $1,741 10.1×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $479.05 $737 1.9×
Duplex up extrem art bilat (93930) $1,635.40 $2,516 6.4×
Duplex up extrem art unilat/ltd (93931) $1,072.50 $1,650 9.6×
Echo Heart Xthoracic,Limited (93308) $780.65 $1,201 3.1×
Echo transesophageal (93312)
range across 3 matching MRF lines
$396.50–$2,340 $610–$3,600 varies
Electrical Stimulation Ea 15 Min (97032) $67.60 $104 4.6×
Electrocardiogram Tracing (93005) $369.85 $569 5.9×
Emergency Dept Visit Level 2 (99282) $575.25 $885 3.5×
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines
$927.55–$973.70 $1,427–$1,498 varies
Emergency Dept Visit Level 4 (99284) $1,671.15 $2,571 3.8×
Er level 1 (99281) $386.75 $595 4.3×
Er level v (99285) $2,724.15 $4,191 4.3×
Evaluate pt use of inhaler (94664)
range across 3 matching MRF lines
$113.10–$141.05 $174–$217 varies
Evaluate Speech Production (92522) $180.70 $278 1.6×
Evaluate Swallowing Function (92610) $340.60 $524 4.0×
Evaluation of speech fluency (92521) $208.65 $321 1.6×
External ECG rec>48hr<7d recording (93242) $32.50 $50 0.8×
External ECG rec>7d<15d recording (93246) $32.50 $50 0.8×
External Ecg Scanning Analysis Report (93226) $871.65 $1,341 13.8×
Extracranial Bilat Study (93880) $1,350.70 $2,078 5.3×
Group Therapeutic Procedures (97150) $57.20 $88 3.2×
Holter monitor recording (93225) $658.45 $1,013 4.6×
Im Adm Intransl/Oral 1 Vaccine (90473) $37.05 $57 0.5×
Immunization administration (90471)
range across 3 matching MRF lines
$17.55–$116.35 $27–$179 varies
Iontophoresis 15 min (97033) $95.55 $147 5.0×
Irrig Drug Delivery Device (96523) $234.65 $361 3.7×
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$204.75–$214.50 $315–$330 varies
IV infusion hydration initial 31 min-1 hour (96360) $417.30 $642 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $224.25 $345 2.9×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 3 matching MRF lines
$169.65–$177.45 $261–$273 varies
IV push initial (96374)
range across 3 matching MRF lines
$252.85–$265.85 $389–$409 varies
Mechanical chest wall oscillation per session (94669) $339.30 $522 1.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $62.40 $96 2.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $62.40 $96 1.7×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $70.85 $109 4.2×
Motion Fluoroscopy/Swallow (92611) $275.60 $424 3.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$114.40–$280.80 $176–$432 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $332.15 $511 0.8×
Neuromuscular Reeducation (97112) $86.45 $133 2.6×
Oral Function Therapy (92526) $260 $400 3.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $80.60 $124 1.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $80.60 $124 1.7×
Ot eval high complexity (97167) $182 $280 1.8×
Ot Eval Low Complex (97165) $182 $280 1.8×
Ot Eval Moderate Complexity (97166) $182 $280 1.8×
Ot manual therapy 15 min (97140) $85.15 $131 3.1×
Ot paraffin bath (97018) $75.40 $116 12.5×
Ot Re-Eval Est Plan Care (97168) $120.90 $186 1.8×
Percutaneous tests w/allergenic extracts (95004) $14.30 $22 0.0×
Phlebotomy therapeutic (99195) $646.75 $995 4.6×
Physical Performance Test (97750) $130 $200 3.9×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $27.30 $42 0.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $18.85 $29 0.4×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $21.45 $33 0.4×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) $23.40 $36 0.5×
Psych diag eval w/med srvcs (90792) $414.70 $638 2.2×
Psychiatric diagnostic evaluation (90791) $370.50 $570 2.0×
Psytx Crisis Initial 60 Min (90839) $299.65 $461 1.6×
Pt Eval High Complex (97163) $187.20 $288 1.9×
Pt eval low complex 20 min (97161) $187.20 $288 1.9×
Pt Eval Mod Complex (97162) $187.20 $288 1.9×
Pt gait training 15 min (97116) $68.25 $105 2.3×
Pt mechanical traction (97012) $85.15 $131 5.9×
Pt Re-Eval Est Plan Care (97164) $126.10 $194 1.9×
Pulm function test by gas (94727) $676.65 $1,041 2.9×
Pulmonary Stress Testing (94618) $243.10 $374 1.7×
Remote 30 Day Ecg Rev/Report (93270) $32.50 $50 0.8×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $202.15 $311 3.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $232.70 $358 1.1×
Self Care Mngment Training (97535) $92.30 $142 2.8×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $479.70 $738 2.1×
Speech sound lang comprehen (92523) $352.30 $542 1.6×
Spirometry (94010) $383.50 $590 1.7×
Stress Tte Only (93350) $1,791.40 $2,756 3.1×
Temp transcutaneous pacing (92953)
range across 3 matching MRF lines
$498.55–$998.40 $767–$1,536 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $119.60 $184 5.3×
Ther Ivntj Ea Addl 15 Min (97130) $119.60 $184 5.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $65.65 $101 2.2×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$27.95–$224.90 $43–$346 varies
Ther/Proph/Diag Iv Inf Init (96365) $479.05 $737 2.1×
Therapeutic Activities (97530) $92.30 $142 2.6×
Tobacco Use Cessation Intensive >10 Minutes (99407) $135.20 $208 3.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $31.20 $48 0.8×
Tte w/doppler, complete (93306)
range across 3 matching MRF lines
$185.25–$2,512.90 $285–$3,866 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $273 $420 3.6×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $90.35 $139 3.8×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$237.90–$250.25 $366–$385 varies
Tympanometry (92567) $21.45 $33 0.5×
Unlisted allergy/clinical immunologic srvc/px (95199) $255.45 $393 8.3×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $975.65 $1,501 4.2×
Vent Mgmt Inpat Init Day (94002) $2,895.10 $4,454 4.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,895.10 $4,454 4.4×
Wheelchair Mgmt Ea 15 Min (97542) $65 $100 2.1×

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.