Visits & medical services prices at Wray Community District Hospital
Wray, CO · every code in this section with a posted price and a Medicare benchmark.
126 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$41.06–$97.28 | $54.75–$129.71 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 9 matching MRF lines |
$13–$86.62 | $17.33–$115.50 | varies |
| Application Modality 1/> Areas Diathermy (97024) | $84.98 | $113.30 | 11.6× |
| Application Modality 1/> Areas Infrared (97026) | $71.85 | $95.80 | 10.8× |
| Assessment of aphasia per hr (96105) | $254.48 | $339.30 | 2.6× |
| Biofeedback training any modality (90901) range across 3 matching MRF lines |
$12.76–$84.42 | $17.01–$112.56 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$489.16–$538 | $652.21–$717.34 | varies |
| Canalith repositioning proc (95992) range across 5 matching MRF lines |
$13.07–$86.58 | $17.42–$115.44 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $791.02 | $1,054.69 | 3.5× |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$381.22–$1,286.22 | $508.30–$1,714.96 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$60.70–$1,442.49 | $80.94–$1,923.32 | varies |
| Cbt 1st hour (94644) | $200.85 | $267.80 | 1.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $89.18 | $118.90 | 1.2× |
| 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× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $250.73 | $334.30 | 3.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $568.95 | $758.60 | 1.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 4 matching MRF lines |
$25.20–$318.30 | $33.60–$424.40 | varies |
| Chest Wall Manipulation (94668) | $56.14 | $74.86 | 0.4× |
| 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 Trainj Ea 15 Min (97537) | $63.38 | $84.50 | 2.0× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $71.40 | $95.20 | 0.5× |
| Continuous Pulse Ox (94762) | $205.82 | $274.43 | 1.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$398.92–$399.06 | $531.90–$532.08 | varies |
| Critical care first hour (99291) range across 3 matching MRF lines |
$363.83–$1,475.96 | $485.10–$1,967.94 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $124.54 | $166.05 | 0.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $686.05 | $914.73 | 2.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $475.36 | $633.81 | 4.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $877.09 | $1,169.45 | 3.5× |
| Dup-scan xtr veins unilateral/limited study (93971) | $621.71 | $828.94 | 5.6× |
| Echo Heart Xthoracic,Limited (93308) | $567.72 | $756.96 | 2.3× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$38.10–$38.83 | $50.80–$51.77 | varies |
| Electrocardiogram Tracing (93005) | $167.90 | $223.86 | 2.7× |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$260.42–$379.89 | $347.22–$506.52 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$464.60–$645.84 | $619.47–$861.12 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$697.41–$1,130.40 | $929.88–$1,507.20 | varies |
| Er level 1 (99281) | $146.20 | $194.94 | 1.6× |
| Er level v (99285) range across 3 matching MRF lines |
$930.56–$1,405.55 | $1,240.74–$1,874.07 | varies |
| Evaluate pt use of inhaler (94664) | $99.63 | $132.84 | 0.4× |
| Evaluate Speech Production (92522) | $177.11 | $236.15 | 1.6× |
| Evaluate Swallowing Function (92610) range across 4 matching MRF lines |
$119.23–$165.65 | $158.97–$220.87 | varies |
| Exercise test for bronchospasm (94617) range across 2 matching MRF lines |
$47.97–$259.16 | $63.96–$345.54 | varies |
| 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 Ecg Scanning Analysis Report (93226) | $185.35 | $247.13 | 3.0× |
| Extracranial Bilat Study (93880) | $793.55 | $1,058.07 | 3.2× |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$66.75–$68.04 | $89–$90.72 | varies |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$127.82–$185.35 | $170.42–$247.13 | varies |
| Immunization administration (90471) | $58.80 | $78.40 | 0.8× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $90.97 | $121.29 | 0.2× |
| Iontophoresis 15 min (97033) range across 6 matching MRF lines |
$12.68–$83.87 | $16.91–$111.83 | varies |
| Irrig Drug Delivery Device (96523) | $108.82 | $145.10 | 1.7× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$75.68–$95.55 | $100.90–$127.40 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$48.65–$152.10 | $64.87–$202.80 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$76.44–$165.75 | $101.92–$221 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$50.11–$85.70 | $66.82–$114.27 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$129.38–$137.28 | $172.51–$183.04 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $465.76 | $621.01 | 7.5× |
| Mechanical chest wall oscillation per session (94669) | $119.84 | $159.79 | 0.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $16.16 | $21.54 | 0.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $55.72 | $74.30 | 1.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$57.97–$114.79 | $77.30–$153.05 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$53.37–$57.97 | $71.16–$77.30 | varies |
| 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× |
| Neuromuscular Reeducation (97112) range across 9 matching MRF lines |
$14.80–$98.05 | $19.74–$130.73 | varies |
| Oral Function Therapy (92526) | $164.74 | $219.66 | 2.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $40.56 | $54.08 | 0.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 5 matching MRF lines |
$12.84–$85.05 | $17.12–$113.40 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) | $7.90 | $10.53 | 0.3× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $10.24 | $13.66 | 0.4× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$38.10–$38.83 | $50.80–$51.77 | varies |
| Ot eval high complexity (97167) range across 3 matching MRF lines |
$30.01–$215.14 | $40.01–$286.86 | varies |
| Ot Eval Low Complex (97165) | $137.66 | $183.54 | 1.4× |
| Ot Eval Moderate Complexity (97166) range across 5 matching MRF lines |
$30.01–$199.55 | $40.01–$266.07 | varies |
| Ot manual therapy 15 min (97140) range across 10 matching MRF lines |
$16.30–$120.49 | $21.74–$160.65 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$71.85–$73.24 | $95.80–$97.65 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $40.56 | $54.08 | 1.0× |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$66.31–$199.55 | $88.41–$266.07 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$183.88–$206.99 | $245.18–$275.99 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $103.64 | $138.19 | 0.8× |
| Patient-initiated spirometric phys/qhp r&i only (94016) range across 3 matching MRF lines |
$7.41–$49.92 | $9.88–$66.56 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $184.09 | $245.45 | 3.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $128.17 | $170.89 | 2.1× |
| Physical Performance Test (97750) | $84.98 | $113.30 | 2.5× |
| Plethysmography (94726) | $186.23 | $248.30 | 0.5× |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$16.18–$159.80 | $21.58–$213.07 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$2,407.76–$3,267.13 | $3,210.35–$4,356.17 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $17.16 | $22.88 | 0.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $2.92 | $3.90 | 0.1× |
| Pt Eval High Complex (97163) range across 5 matching MRF lines |
$26.62–$180.74 | $35.49–$240.98 | varies |
| Pt eval low complex 20 min (97161) | $177.34 | $236.46 | 1.8× |
| Pt Eval Mod Complex (97162) | $177.34 | $236.46 | 1.8× |
| Pt gait training 15 min (97116) range across 8 matching MRF lines |
$12.28–$81.51 | $16.38–$108.68 | varies |
| Pt mechanical traction (97012) range across 7 matching MRF lines |
$8.03–$53.24 | $10.71–$70.98 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 3 matching MRF lines |
$9.06–$59.62 | $12.08–$79.49 | varies |
| 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× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$125.32–$162.92 | $167.10–$217.23 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$67.25–$274.48 | $89.67–$365.97 | varies |
| Self Care Mngment Training (97535) range across 10 matching MRF lines |
$13.47–$89.70 | $17.96–$119.60 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$54.90–$56 | $73.20–$74.66 | varies |
| Speech sound lang comprehen (92523) | $224.52 | $299.36 | 1.0× |
| Spirometry (94010) range across 3 matching MRF lines |
$26.52–$238.78 | $35.36–$318.37 | varies |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$224.44–$224.52 | $299.25–$299.36 | varies |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$197.34–$203.38 | $263.12–$271.18 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 8 matching MRF lines |
$17.57–$116.23 | $23.42–$154.98 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 7 matching MRF lines |
$13.23–$88.20 | $17.64–$117.60 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $60.64 | $80.86 | 0.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$37.80–$80.05 | $50.40–$106.73 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$300.69–$329.36 | $400.92–$439.14 | varies |
| Therapeutic Activities (97530) range across 10 matching MRF lines |
$6.38–$73.79 | $8.51–$98.39 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $6.14 | $8.19 | 0.2× |
| Tte w/doppler, complete (93306) | $1,601.95 | $2,135.93 | 2.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $151.20 | $201.60 | 2.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$74.30–$98.38 | $99.06–$131.17 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $446.06 | $594.75 | 2.0× |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$109.80–$111.91 | $146.40–$149.21 | varies |
| Vent Mgmt Inpat Init Day (94002) | $573.21 | $764.28 | 0.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $399.06 | $532.08 | 0.6× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$7.60–$100.23 | $10.14–$133.64 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 4 matching MRF lines |
$6.62–$56 | $8.82–$74.66 | varies |
| Whirlpool Therapy (97022) range across 4 matching MRF lines |
$16.30–$108.68 | $21.74–$144.90 | varies |
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.