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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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (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×
Behav assmt w/score & docd/stand instrument (96127) $10.40 $16 0.3×
Behavioral and qualitative analysis of voice and resonance (92524) $176.80 $272 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $609.05 $937 1.5×
Canalith Repositioning (95992) $161.20 $248 4.0×
Cardiac Stress Tst,Tracing Only (93017) $1,548.30 $2,382 6.7×
Cardiopulmonary resuscitation (92950) $1,313 $2,020 5.7×
Cardioversion (92960) $3,458.16 $5,320.25 4.9×
Chemo Hormon Antineopl Sq/Im (96402) $107.25 $165 1.4×
Chemo Iv Push Sngl Drug (96409) $308.75 $475 0.9×
Chemother, IV infusion, 1 hr (96413) $496.60 $764 1.4×
Chemother, IV infusion, ea add hr (96415) $148.85 $229 1.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $199.55 $307 2.6×
Color/duplex Doppler, complete (93975) $513.50 $790 2.0×
Cpap initiation and management (94660) $1,190.15 $1,831 5.1×
Cpt initial (94667) $260 $400 1.8×
Critical care (99291) $5,144.10 $7,914 5.8×
Debridement Open Wound 20 Sq Cm< (97597) $780 $1,200 3.6×
Demo &/or eval,pt use,aerosol device (94664) $141.05 $217 0.6×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,635.40 $2,516 6.4×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,072.50 $1,650 9.6×
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 scan extracranial art compl bi study (93880) $1,350.70 $2,078 5.3×
Echo Heart Xthoracic,Limited (93308) $780.65 $1,201 3.1×
Echo transesophageal (93312) $2,340 $3,600 4.0×
EKG (93005) $369.85 $569 5.9×
EKG rhythm strip (93041) $202.15 $311 3.2×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $79.95 $123 0.8×
Er level 1 (99281) $386.75 $595 4.3×
Er level ii (99282) $575.25 $885 3.5×
Er level iii (99283) $927.55 $1,427 3.2×
Er level IV (99284) $1,671.15 $2,571 3.8×
Er level v (99285) $2,724.15 $4,191 4.3×
Evaluation of speech fluency (92521) $208.65 $321 1.6×
Evaluation of speech sound production (92522) $180.70 $278 1.6×
Evaluation of swallowing function (92610) $340.60 $524 4.0×
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×
Group Therapeutic Procedures (97150) $57.20 $88 3.2×
Holter Monitor Recording (93225) $658.45 $1,013 4.6×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $37.05 $57 0.5×
Immunization Admin (90471) $116.35 $179 1.5×
Immunotherapy, 2+ Injections (95117) $21.45 $33 0.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $234.65 $361 3.7×
IV infusion hydration each additional hour (96361) $214.50 $330 4.3×
IV infusion hydration initial 31 min-1 hour (96360) $417.30 $642 1.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $224.25 $345 2.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $479.05 $737 2.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $177.45 $273 3.6×
IV push initial (96374) $265.85 $409 1.2×
Manual therapy 15 min (97140) $85.15 $131 3.1×
Massage 15 min (97124) $65.65 $101 2.2×
Mechanical chest wall oscillation (94669) $339.30 $522 1.5×
Mechanical traction (97012) $85.15 $131 5.9×
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×
Mnt Group Ea 30 Min (97804) $70.85 $109 4.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $275.60 $424 3.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $280.80 $432 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $332.15 $511 0.8×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $975.65 $1,501 4.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $452.40 $696 3.3×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $80.60 $124 1.7×
Ot eval high complex 60 min (97167) $182 $280 1.8×
Ot eval low complex 30 min (97165) $182 $280 1.8×
Ot eval mod complex 45 min (97166) $182 $280 1.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $80.60 $124 1.6×
Ot re-eval est plan care (97168) $120.90 $186 1.8×
Paraffin bath (97018) $75.40 $116 12.5×
Percutaneous tests w/allergenic extracts (95004) $14.30 $22 0.0×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $27.30 $42 0.5×
Prepj& antigen prv allergen immunotherapy 1 do (95144) $23.40 $36 0.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $18.85 $29 0.4×
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 Electric Current Therapy (97033) $95.55 $147 5.0×
Pt Electrical Stimulation (97032) $67.60 $104 4.6×
Pt eval high complex 45 min (97163) $187.20 $288 1.9×
Pt eval low complex 20 min (97161) $187.20 $288 1.9×
Pt Gait Training Therapy (97116) $68.25 $105 2.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $86.45 $133 2.6×
Pt Physical Performance Test (97750) $130 $200 3.9×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $187.20 $288 1.9×
Pt re-evaluation (97164) $126.10 $194 1.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $92.30 $142 2.8×
Pt Ultrasound Therapy (97035) $86.45 $133 6.0×
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 - Cardiac Event Monitor (93270) $32.50 $50 0.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $232.70 $358 1.1×
Rt Chest Wall Manipulation,Subsequent (94668) $179.40 $276 1.3×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $479.70 $738 2.1×
Smoking cessation > 10 min (99407) $135.20 $208 3.4×
Speech group therapy (92508) $90.35 $139 3.8×
Speech sound lang comprehen (92523) $352.30 $542 1.6×
Spirometry (94010) $383.50 $590 1.7×
Stress echo (93350) $1,791.40 $2,756 3.1×
Temp transcutaneous pacing (92953) $998.40 $1,536 1.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $119.60 $184 5.3×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $119.60 $184 5.7×
Ther/Proph/Diag Inj Sc/Im (96372) $219.70 $338 2.9×
Therapeutic Activities (97530) $92.30 $142 2.6×
Therapeutic phlebotomy (99195) $646.75 $995 4.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $31.20 $48 0.8×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,512.90 $3,866 4.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $273 $420 3.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $260 $400 3.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $250.25 $385 5.0×
Tympanometry (92567) $21.45 $33 0.5×
Unlisted allergy/clinical immunologic service or procedure Cardiac Catheterization (95199) $255.45 $393 8.3×
Vasc Duplex Extrem Venous,Bilat (93970) $1,678.30 $2,582 6.6×
Ventilation assist & mgmt inpatient 1st 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×