Visits & medical services prices at Alomere Health

Alexandria, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Actigraphy Testing Recording Analysis I&R (95803) $102.08 $176 1.7×
Admn Sarscov2 Vacc 1 Dose (90480) $58.58 $101 1.4×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$159.50–$194.30 $275–$335 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $42.34 $73 2.9×
Application on-body injector (96377) $91.64 $158 1.9×
Behavral qualit analys voice (92524) $231.42 $399 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$411.80 $30–$710 1.1×
C motor evoked uppr limbs (95928) $854.34 $1,473 1.0×
C motor evoked upr&lwr limbs (95939) $1,048.06 $1,807 1.2×
Canalith repositioning proc (95992) $71.92 $124 1.8×
Cardiac Stress Tst,Tracing Only (93017) $467.48 $806 2.1×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$298.12–$606.10 $514–$1,045 varies
Cardioversion (92960)
range across 2 matching MRF lines
$185.02–$894.94 $319–$1,543 varies
Cbt 1st hour (94644) $189.08 $326 1.4×
Chemo Anti-Neopl Sq/Im (96401) $379.32 $654 5.1×
Chemo Hormon Antineopl Sq/Im (96402) $379.32 $654 5.1×
Chemo IV infusion addl hr (96415) $216.92 $374 2.9×
Chemo IV push addl drug (96411) $215.18 $371 2.9×
Chemother Prolong Infuse W/Pump (96416) $247.66 $427 0.7×
Chemotherapy Into Cns (96450) $631.62 $1,089 1.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $223.88 $386 3.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $410.06 $707 1.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $402.52 $694 1.2×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $157.18 $271 0.5×
Chest Wall Manipulation (94668) $84.10 $145 0.6×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $466.90 $805 1.2×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$95.12–$703.54 $164–$1,213 varies
Color/duplex Doppler, limited (93976) $320.16 $552 3.0×
Community/Work Reintegration Trainj Ea 15 Min (97537) $56.26 $97 1.8×
Continuous Pulse Ox (94762) $233.74 $403 1.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $316.10 $545 1.4×
Cpt initial (94667) $114.84 $198 0.8×
Critical care first hour (99291)
range across 2 matching MRF lines
$357.28–$1,240.04 $616–$2,138 varies
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $514.46 $887 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $56.26 $97 0.3×
Developmental tst admin phys/qhp 1st hour (96112) $140.36 $242 1.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $487.20 $840 2.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $407.74 $703 3.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $470.38 $811 1.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 4 matching MRF lines
$92.80–$364.24 $160–$628 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $564.34 $973 2.3×
Dup-scan xtr veins unilateral/limited study (93971)
range across 6 matching MRF lines
$35.96–$364.24 $62–$628 varies
Duplex Scan Hemodialysis Access (93990) $325.38 $561 3.0×
Duplex up extrem art bilat (93930) $771.98 $1,331 3.1×
Duplex up extrem art unilat/ltd (93931) $364.24 $628 3.4×
Echo Congenital Complete (93303) $1,111.86 $1,917 2.0×
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines
$42.92–$555.64 $74–$958 varies
Echo transesophageal (93312) $1,592.10 $2,745 2.8×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $875.22 $1,509 1.6×
Eeg 41-60 Minutes (95812) $503.44 $868 2.3×
EEG awake and asleep (95819) $503.44 $868 2.3×
EEG awake drowsy (95816) $503.44 $868 2.3×
Electrical Stimulation Ea 15 Min (97032) $56.26 $97 3.8×
Electrocardiogram Tracing (93005) $172.84 $298 2.8×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$68.44–$262.74 $118–$453 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$117.74–$531.86 $203–$917 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$197.78–$854.34 $341–$1,473 varies
Emg 3 Extremities (95863) $245.34 $423 1.8×
Emg 4 Extremities (95864) $277.24 $478 2.1×
Er level 1 (99281) $155.44 $268 1.8×
Er level v (99285)
range across 2 matching MRF lines
$287.68–$1,178.56 $496–$2,032 varies
Evaluate Speech Production (92522) $218.66 $377 2.0×
Evaluate Swallowing Function (92610) $180.38 $311 2.1×
Evaluation of speech fluency (92521) $232.58 $401 1.7×
External ECG rec>48hr<7d recording (93242) $131.08 $226 3.4×
External ECG rec>7d<15d recording (93246) $148.48 $256 3.9×
Extracranial Bilat Study (93880) $459.36 $792 1.9×
Extracranial Uni/Ltd Study (93882) $459.36 $792 4.3×
F-up/limited tthrc echo congenital car anomaly (93304) $892.62 $1,539 1.6×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $614.80 $1,060 2.8×
Group Therapeutic Procedures (97150) $48.72 $84 2.7×
Holter monitor recording (93225) $304.50 $525 2.2×
Immunization administration (90471) $58.58 $101 0.8×
Iontophoresis 15 min (97033) $51.04 $88 2.7×
Irrig Drug Delivery Device (96523) $66.12 $114 1.1×
IV infusion hydration each additional hour (96361) $203 $350 4.2×
IV infusion hydration initial 31 min-1 hour (96360) $369.46 $637 1.7×
IV infusion ther proph addl sequential to 1 hr (96367) $209.38 $361 2.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $203 $350 4.2×
IV push initial (96374) $161.24 $278 0.7×
Lwr Xtr Vasc Stdy Bilat (93924) $555.06 $957 2.5×
Mechanical chest wall oscillation per session (94669) $131.08 $226 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $78.30 $135 2.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $89.90 $155 2.4×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $35.38 $61 2.1×
Methacholine challenge (94070)
range across 2 matching MRF lines
$48.14–$612.48 $83–$1,056 varies
Motility study esophagus (91010) $1,072.42 $1,849 2.8×
Motion Fluoroscopy/Swallow (92611) $187.92 $324 2.1×
Multiple Sleep Latency Test (95805) $1,516.70 $2,615 1.7×
Muscle Test 2 Limbs (95861) $203.58 $351 1.5×
Muscle Test Nonparaspinal (95870) $177.48 $306 1.3×
Muscle Test One Limb (95860) $169.94 $293 1.2×
Nasopharyngoscopy (92511) $66.12 $114 0.3×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $275.50 $475 1.2×
Needle electromyography larynx (95865) $215.76 $372 1.6×
Nerve Conduction Studies 1-2 Studies (95907) $172.84 $298 0.8×
Neuromuscular Reeducation (97112) $56.26 $97 1.7×
Newborn resuscitation (99465)
range across 2 matching MRF lines
$240.12–$808.52 $414–$1,394 varies
Nonphysician Telephone Assessment 11-20 Min (98967)
range across 3 matching MRF lines
$42.34–$53.94 $73–$93 varies
Nonphysician Telephone Assessment 21-30 Min (98968)
range across 3 matching MRF lines
$63.22–$83.52 $109–$144 varies
Nonphysician Telephone Assessment 5-10 Min (98966)
range across 3 matching MRF lines
$22.04–$26.68 $38–$46 varies
Oral Function Therapy (92526) $193.14 $333 2.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $73.08 $126 1.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $56.26 $97 1.2×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $39.44 $68 1.8×
Ot eval high complexity (97167) $126.44 $218 1.3×
Ot Eval Low Complex (97165) $126.44 $218 1.3×
Ot Eval Moderate Complexity (97166) $126.44 $218 1.3×
Ot manual therapy 15 min (97140) $56.26 $97 2.0×
Ot Prosthetic Training, Each 15 Min (97761) $51.62 $89 1.3×
Ot Re-Eval Est Plan Care (97168) $64.96 $112 0.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $196.62 $339 1.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $232 $400 1.0×
Peripheral arterial disease rehab per session (93668) $107.88 $186 1.8×
Phlebotomy therapeutic (99195) $169.36 $292 1.2×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $107.88 $186 1.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $131.08 $226 2.2×
Physical Performance Test (97750)
range across 7 matching MRF lines
$39.44–$98.60 $68–$170 varies
Plethysmography (94726)
range across 2 matching MRF lines
$20.30–$414.70 $35–$715 varies
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,325.22 $4,009 2.6×
Polysom <6 yrs 4/> paramtrs (95782) $2,673.22 $4,609 3.0×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,812.42 $4,849 3.2×
Pt Eval High Complex (97163) $126.44 $218 1.3×
Pt eval low complex 20 min (97161) $126.44 $218 1.3×
Pt Eval Mod Complex (97162) $126.44 $218 1.3×
Pt gait training 15 min (97116) $56.26 $97 1.9×
Pt mechanical traction (97012) $56.26 $97 3.9×
Pt Re-Eval Est Plan Care (97164) $64.96 $112 1.0×
Pulmonary Stress Testing (94618) $121.22 $209 0.9×
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971)
range across 4 matching MRF lines
$42.34–$46.40 $73–$80 varies
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972)
range across 4 matching MRF lines
$63.22–$67.86 $109–$117 varies
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970)
range across 4 matching MRF lines
$22.04–$26.10 $38–$45 varies
Remote 30 Day Ecg Rev/Report (93270) $199.52 $344 5.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $42.34 $73 0.2×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $71.92 $124 2.8×
Self Care Mngment Training (97535) $56.26 $97 1.7×
Sensory Integration Ea 15 Min (97533) $56.26 $97 0.9×
Short-latency somatosens ep std upr limbs (95925) $514.46 $887 2.3×
Sleep study unattended (95806) $443.12 $764 2.0×
Somatosensory Testing (95938) $1,019.06 $1,757 1.1×
Speech sound lang comprehen (92523) $272.60 $470 1.2×
Spirometry (94010)
range across 2 matching MRF lines
$16.24–$201.84 $28–$348 varies
Ssep lower limbs (95926) $514.46 $887 2.3×
Standardized Cognitive Performance Testing (96125) $188.50 $325 1.8×
Stress Tte Only (93350) $738.34 $1,273 1.3×
Temp transcutaneous pacing (92953) $669.90 $1,155 1.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $56.26 $97 2.5×
Ther Ivntj Ea Addl 15 Min (97130) $46.98 $81 2.2×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $56.26 $97 1.5×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$42.34–$103.24 $73–$178 varies
Ther/Proph/Diag Iv Inf Init (96365) $365.98 $631 1.7×
Therapeutic Activities (97530) $56.26 $97 1.6×
Tte w/doppler, complete (93306) $1,230.18 $2,121 2.2×
Tte W/O Doppler Complete (93307) $676.86 $1,167 2.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $167.62 $289 2.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $86.42 $149 1.8×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$91.64–$112.52 $158–$194 varies
Upr/L Xtremity Art 2 Levels (93922) $301.60 $520 2.2×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $301.60 $520 1.4×
Vent Mgmt Inpat Init Day (94002) $662.94 $1,143 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $574.20 $990 0.9×
Wheelchair Mgmt Ea 15 Min (97542) $44.66 $77 1.4×

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.