Visits & medical services prices at Wray Community District Hospital

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

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

Compare against other hospitals interactively →

ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $97.28 $129.71 0.4×
Allergy injection single (95115) $17.16 $22.88 0.3×
Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) $38.46 $51.28
Application of a modality to 1 or more areas; diathermy (eg, microwave) Other Outpatient (97024) $84.98 $113.30
Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) $38.46 $51.28
Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) $83.08 $110.76
Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) $86.55 $115.40
Application of a modality to 1 or more areas; vasopneumatic devices Other Outpatient (97016) $110.86 $147.80
Assessment of aphasia (96105) $254.48 $339.30
Biofeedback training by any modality Other Outpatient (90901) $82.80 $110.40
Bipap initial day (94660) $399.06 $532.08 1.7×
Breathing capacity test (94010) $200.85 $267.80 0.9×
Bronchial allergy tests (95070) $90.97 $121.29 0.2×
Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) $513.58 $684.78 1.3×
Canalith repositioning (95992) $68.62 $91.50
Cardiovascular stress test (93017) $791.02 $1,054.69 3.5×
Cardioversion elective external (92960) $751.60 $1,002.13 1.1×
Chemo anti-neopl sq/im (96401) $89.18 $118.90 1.2×
Chemo IV infus each addl seq (96417) $250.73 $334.30 3.3×
Chemo IV infusion addl hr (96415) $168.75 $225 2.2×
Chemo IV push addl drug (96411) $99.52 $132.70 1.3×
Chemother prolong infuse w/pump (96416) $270 $360 0.8×
Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug (96413) $568.95 $758.60 1.6×
Chemotherapy administration; intravenous, push technique, single or initial substance/drug (96409) $69.18 $92.25 0.2×
Chron care mgmt srvc 20 min (99490) $22.42 $29.90 0.2×
Color/duplex Doppler, complete (93975) $486.92 $649.22 1.9×
Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or… (97537) $63.38 $84.50
Cont gluc mntr physician/qhp provided equipment (95250) $71.40 $95.20 0.5×
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) $200.85 $267.80 1.4×
Cpr (92950) $1,152.66 $1,536.88 5.1×
Critical care ill/injured patient init 30-74 min (99291) $1,431.68 $1,908.90 1.6×
Debridement open wound 20 sq cm< (97597) $124.54 $166.05 0.6×
Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) $793.55 $1,058.07 3.2×
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) $877.09 $1,169.45 3.5×
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) $621.71 $828.94 5.6×
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) $686.05 $914.73 2.7×
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) $475.36 $633.81 4.3×
ECG monit/reprt up to 48 hrs (93226) $185.35 $247.13 3.0×
EKG 12 lead tracing only (93005) $167.90 $223.86 2.7×
EKG rhythm strip (93041) $144.12 $192.16 2.3×
Emergency department visit high mdm (99285) $930.56 $1,240.74 1.5×
Emergency department visit low mdm (99283) $555.22 $740.30 1.9×
Emergency department visit may not req phys/qhp (99281) $146.20 $194.94 1.6×
Emergency department visit moderate mdm (99284) $697.41 $929.88 1.6×
Emergency department visit straightforward mdm (99282) $260.42 $347.22 1.6×
Eval of Oral and Pharyngeal Swallowing - Eval of Oral and Pharyngeal Swallowing Fx Chg (92610) $142.68 $190.25
Evaluate pt use of inhaler (94664) $99.63 $132.84 0.4×
Evaluation of speech sound production articulate (92522) $177.11 $236.15
Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic… (94617) $153.56 $204.75 1.1×
External ECG rec>48hr<7d recording (93242) $97.87 $130.49 2.5×
External ECG rec>7d<15d recording (93246) $97.87 $130.49 2.5×
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes… (93225) $156.58 $208.78 1.1×
Fluidotherapy (97022) $107.62 $143.50
Immunization administration (90471) $58.80 $78.40 0.8×
Infrared therapy (97026) $71.85 $95.80
Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) $76.54 $102.05 1.5×
Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) $133.33 $177.78 0.6×
Irrigaj implntd venous access drug delivery syst (96523) $108.82 $145.10 1.7×
IV infusion hydration each additional hour (96361) $95.55 $127.40 1.9×
IV infusion hydration initial 31 min-1 hour (96360) $48.75 $65 0.2×
IV infusion ther proph addl sequential to 1 hr (96367) $101.20 $134.94 1.3×
IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) $301.27 $401.70 1.3×
IV tx, each additional hour (96366) $51.58 $68.77 1.0×
Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) $56.14 $74.86 0.4×
Maximum voluntary ventilation (94200) $465.76 $621.01 7.5×
Mechanical chest wall oscillation lung function (94669) $119.84 $159.79 0.5×
Mechanical traction therapy (97012) $53.16 $70.88
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $55.72 $74.30
Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes… (97803) $16.16 $21.54
Neg pressure wound therapy non dme </= 50 sq cm (97607) $86.38 $115.18 0.2×
Neg pressure wound therapy non dme >50 sq cm (97608) $55.67 $74.23 0.1×
Negative pressure wound therapy dme </= 50 sq cm (97605) $56.25 $75 0.3×
Negative pressure wound therapy dme >50 sq cm (97606) $88.96 $118.61 0.2×
Non-invasive physiologic study extremity 3 levels (93923) $446.06 $594.75 2.0×
Noninvasive ear/pulse oximetry overnight monitor (94762) $205.82 $274.43 1.5×
Occupational therapy eval high complex 60 mins (97167) $199.55 $266.07
Occupational therapy eval low complex 30 mins (97165) $137.66 $183.54
Occupational therapy eval mod complex 45 mins (97166) $172.15 $229.53
Oral function therapy (92526) $164.74 $219.66
Orthc/prostc mgmt sbsq enc (97763) $40.56 $54.08
Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) $79.22 $105.63
Osteopath manj 3-4 regions (98926) $7.90 $10.53 0.3×
Osteopathic manipulative tx 5-6 body regions (98927) $10.24 $13.66 0.4×
Ot manual therapy ea 15 min (97140) $107.10 $142.80
Ot neuromuscular re-education (97112) $97.96 $130.62
Ot paraffin bath (97018) $72.54 $96.72
Ot re-evaluation (97168) $132.93 $177.24
OT Therapeutic Activities Charges (97530) $72.93 $97.24
Ot wheelchair management (97542) $42.92 $57.22
Outpatient cardiac rehab w/cont ECG monitoring (93798) $195.44 $260.58 1.4×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $103.64 $138.19 0.8×
Phy/qhp op pulm rhb w/mntr (94626) $184.09 $245.45 3.0×
Phy/qhp op pulm rhb w/o mntr (94625) $128.17 $170.89 2.1×
Physical therapy evaluation high complex 45 mins (97163) $177.34 $236.46
Physical therapy evaluation low complex 20 mins (97161) $177.34 $236.46
Physical therapy evaluation mod complex 30 mins (97162) $177.34 $236.46
Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) $2,837.44 $3,783.26 3.1×
Professional services for allergen immunotherapy; 2 or more injections (95117) $2.92 $3.90 0.1×
Program eval implantable in persn dual ld pacer (93280) $87.99 $117.32 2.2×
Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) $40.56 $54.08
Pt gait training 15 min (97116) $80.73 $107.64
Pt physical performance test (97750) $84.98 $113.30
Pt re-evaluation (97164) $59.62 $79.49
Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) $129.07 $172.10
Pulm funct tst plethysmograp (94726) $186.23 $248.30 0.5×
Pulmonary stress testing (94618) $319.60 $426.14 2.3×
Remote 30 day ECG rev/report (93270) $71.18 $94.90 1.8×
Respiratory flow volume loop (94375) $53.43 $71.24 0.2×
Review patient spirometry (94016) $48.07 $64.09
Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) $89.38 $119.18
Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands,… (97533) $55.45 $73.93
Speech sound lang comprehen (92523) $224.52 $299.36
Standardized cognitive performance testing (96125) $224.48 $299.30
Temp transcutaneous pacing (92953) $200.36 $267.15 0.3×
Ther/proph/diag inj ia (96373) $60.64 $80.86 0.3×
Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) $67.40 $89.86
Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises Other Outpatient (97113) $115.04 $153.39
Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) $87.88 $117.18
Therapeutic prophylactic/dx injection subq/im (96372) $77.08 $102.76 1.0×
Tobacco use cessation intensive >10 minutes (99407) $6.14 $8.19 0.2×
Tte f-up or lmtd (93308) $567.72 $756.96 2.3×
Tte w/doppler complete (93306) $1,601.95 $2,135.93 2.8×
Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) $151.20 $201.60
Unlisted modality (specify type and time if constant attendance) (97039) $71.85 $95.80
Ventilation ip/obs initial day (94002) $573.21 $764.28 0.9×
Ventilator subsequent day (94003) $399.06 $532.08 0.6×
Vital capacity total (94150) $53.92 $71.89 0.4×
Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) $63.98 $85.30
Wound(s) care non-selective (97602) $170.86 $227.82 0.8×