Visits & medical services prices at Amery Hospital & Clinic
Amery, WI · every code in this section with a posted price and a Medicare benchmark.
206 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $23.98 | $46 | 0.6× |
| Advncd Care Plan 30 Min (99497) | $175.19 | $336 | 1.8× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$131.91–$163.20 | $253–$313 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $175.19 | $336 | 1.4× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $198.65 | $381 | 1.5× |
| Analyze neurostim no prog (95970) | $318.58 | $611 | 2.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $34.41 | $66 | 2.4× |
| Application on-body injector (96377) | $42.23 | $81 | 0.9× |
| Assessment of aphasia per hr (96105) | $220.55 | $423 | 2.3× |
| Behavral qualit analys voice (92524) | $169.98 | $326 | 1.6× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $55.79 | $107 | 0.7× |
| Bfb training ea addl 15 min (90913) | $55.79 | $107 | 1.7× |
| Brief Emotional/Behav Assmt (96127) | $7.30 | $14 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$23.98–$207 | $46–$397 | varies |
| Canalith repositioning proc (95992) | $36.50 | $70 | 0.9× |
| Cardiac Stress Tst,Tracing Only (93017) | $529.22 | $1,015 | 2.5× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$248.19–$412.43 | $476–$791 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$183.01–$250.27 | $351–$480 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $9.39 | $18 | 0.3× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $57.35 | $110 | 2.2× |
| Cbt 1st hour (94644) | $74.56 | $143 | 0.6× |
| Chemo Anti-Neopl Sq/Im (96401) | $107.93 | $207 | 1.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $64.65 | $124 | 0.9× |
| Chemo IV infusion addl hr (96415) | $119.92 | $230 | 1.7× |
| Chemo IV push addl drug (96411) | $215.34 | $413 | 3.1× |
| Chemother Prolong Infuse W/Pump (96416) | $567.80 | $1,089 | 1.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $259.14 | $497 | 3.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $527.14 | $1,011 | 1.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $373.84 | $717 | 1.2× |
| Chest Wall Manipulation (94668) | $80.30 | $154 | 0.6× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$55.27–$68.30 | $106–$131 | varies |
| Color/duplex Doppler, complete (93975) | $516.19 | $990 | 2.2× |
| Color/duplex Doppler, limited (93976) | $651.75 | $1,250 | 6.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $74.56 | $143 | 2.3× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 2 matching MRF lines |
$138.69–$186.66 | $266–$358 | varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 2 matching MRF lines |
$33.37–$48.49 | $64–$93 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 2 matching MRF lines |
$35.46–$49.53 | $68–$95 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $351.94 | $675 | 2.7× |
| Cont Gluc Mntr Pt Prov Eqp (95249) range across 2 matching MRF lines |
$104.28–$135.04 | $200–$259 | varies |
| Continuous Pulse Ox (94762) | $188.23 | $361 | 1.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$128.79–$471.87 | $247–$905 | varies |
| Cpt initial (94667) | $107.93 | $207 | 0.8× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$603.78–$1,552.21 | $1,158–$2,977 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$67.78–$104.80 | $130–$201 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $336.82 | $646 | 1.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $211.69 | $406 | 2.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,137.69 | $2,182 | 4.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $739.87 | $1,419 | 7.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $928.61 | $1,781 | 4.0× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$43.28–$527.14 | $83–$1,011 | varies |
| Duplex Scan Hemodialysis Access (93990) | $311.80 | $598 | 3.1× |
| Duplex up extrem art bilat (93930) | $898.89 | $1,724 | 3.9× |
| Duplex up extrem art unilat/ltd (93931) | $422.86 | $811 | 4.2× |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$59.44–$342.04 | $114–$656 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $313.36 | $601 | 0.6× |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$86.03–$624.64 | $165–$1,198 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$83.95–$321.18 | $161–$616 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$74.56–$288.33 | $143–$553 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$147.03–$654.36 | $282–$1,255 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $58.92 | $113 | 4.0× |
| Electrocardiogram Tracing (93005) | $25.55 | $49 | 0.4× |
| Electroconvulsive Therapy (90870) range across 2 matching MRF lines |
$275.82–$417.12 | $529–$800 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$88.12–$186.14 | $169–$357 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$134.52–$285.73 | $258–$548 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$253.92–$589.70 | $487–$1,131 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$45.36–$90.72 | $87–$174 | varies |
| Er level v (99285) range across 4 matching MRF lines |
$374.37–$1,271.17 | $718–$2,438 | varies |
| Evaluate pt use of inhaler (94664) | $57.35 | $110 | 0.3× |
| Evaluate Speech Production (92522) | $163.72 | $314 | 1.5× |
| Evaluate Swallowing Function (92610) | $196.57 | $377 | 2.3× |
| Evaluation of speech fluency (92521) | $234.63 | $450 | 1.8× |
| Evoked Auditory Test,Limited (92587) | $240.37 | $461 | 1.1× |
| External ECG rec>48hr<7d recording (93242) | $45.88 | $88 | 1.3× |
| External ECG rec>7d<15d recording (93246) | $45.88 | $88 | 1.3× |
| Extracranial Bilat Study (93880) | $901.50 | $1,729 | 3.9× |
| Extracranial Uni/Ltd Study (93882) | $238.80 | $458 | 2.4× |
| Gonioscopy (92020) range across 2 matching MRF lines |
$20.33–$28.68 | $39–$55 | varies |
| Group Therapeutic Procedures (97150) | $35.46 | $68 | 2.0× |
| Holter monitor recording (93225) | $161.11 | $309 | 1.2× |
| Icd Device Interrogate (93289) | $103.76 | $199 | 2.9× |
| Icd device progr eval dual (93283) | $129.31 | $248 | 3.6× |
| Icd Device Progr Eval Mult (93284) | $141.82 | $272 | 3.9× |
| Icm Device Eval (93290) | $47.45 | $91 | 1.3× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $42.75 | $82 | 0.6× |
| Immunization administration (90471) | $41.71 | $80 | 0.6× |
| Inital newborn e/m (99460) | $101.67 | $195 | 0.8× |
| Intracutaneous tests w/allergenic extracts (95024) | $1.56 | $3 | 0.0× |
| Iontophoresis 15 min (97033) | $47.97 | $92 | 2.5× |
| Irrig Drug Delivery Device (96523) | $96.46 | $185 | 1.7× |
| IV infusion hydration each additional hour (96361) | $6.26 | $12 | 0.1× |
| IV infusion hydration initial 31 min-1 hour (96360) | $26.59 | $51 | 0.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $139.74 | $268 | 2.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $83.95 | $161 | 1.8× |
| IV push initial (96374) range across 2 matching MRF lines |
$107.41–$187.70 | $206–$360 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $58.92 | $113 | 1.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $829.03 | $1,590 | 4.0× |
| Mechanical chest wall oscillation per session (94669) | $146.51 | $281 | 0.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $37.54 | $72 | 1.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $37.54 | $72 | 1.0× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $38.58 | $74 | 2.3× |
| Methacholine challenge (94070) | $588.66 | $1,129 | 1.6× |
| Motion Fluoroscopy/Swallow (92611) | $116.27 | $223 | 1.3× |
| Multiple Sleep Latency Test (95805) | $2,065.27 | $3,961 | 2.5× |
| Muscle Test One Limb (95860) | $33.37 | $64 | 0.3× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$126.70–$204.39 | $243–$392 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $318.58 | $611 | 0.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$57.35–$156.42 | $110–$300 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $65.17 | $125 | 0.2× |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$29.72–$93.85 | $57–$180 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$85.51–$259.66 | $164–$498 | varies |
| Nerve conduction studies 13 or more studies (95913) | $97.50 | $187 | 0.3× |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$38.58–$116.27 | $74–$223 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$53.70–$139.21 | $103–$267 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$60.48–$183.01 | $116–$351 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$72.47–$222.12 | $139–$426 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $125.66 | $241 | 1.0× |
| Neuromuscular Reeducation (97112) | $79.77 | $153 | 2.4× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$270.61–$406.69 | $519–$780 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $50.05 | $96 | 2.0× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $77.17 | $148 | 2.2× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $26.59 | $51 | 1.9× |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 2 matching MRF lines |
$69.87–$139.74 | $134–$268 | varies |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 2 matching MRF lines |
$68.30–$102.19 | $131–$196 | varies |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 2 matching MRF lines |
$106.37–$159.03 | $204–$305 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 2 matching MRF lines |
$87.60–$131.39 | $168–$252 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 2 matching MRF lines |
$61–$90.72 | $117–$174 | varies |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$117.31–$131.39 | $225–$252 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $62.05 | $119 | 1.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $79.77 | $153 | 1.7× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$9.91–$28.16 | $19–$54 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$37.02–$53.70 | $71–$103 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$46.93–$69.87 | $90–$134 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) | $82.38 | $158 | 3.9× |
| Ot eval high complexity (97167) | $141.82 | $272 | 1.4× |
| Ot Eval Low Complex (97165) | $106.89 | $205 | 1.1× |
| Ot Eval Moderate Complexity (97166) | $124.09 | $238 | 1.2× |
| Ot manual therapy 15 min (97140) | $77.69 | $149 | 2.8× |
| Ot paraffin bath (97018) | $19.81 | $38 | 3.3× |
| Ot Prosthetic Training, Each 15 Min (97761) | $81.86 | $157 | 2.0× |
| Ot Re-Eval Est Plan Care (97168) | $77.69 | $149 | 1.1× |
| Ot rom hand (95852) | $61 | $117 | 2.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $227.85 | $437 | 1.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $227.85 | $437 | 1.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $223.16 | $428 | 1.0× |
| Percutaneous tests w/allergenic extracts (95004) | $1.56 | $3 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $69.35 | $133 | 1.2× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$93.33–$316.49 | $179–$607 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $201.26 | $386 | 3.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $165.28 | $317 | 2.9× |
| Physical Performance Test (97750) | $44.32 | $85 | 1.3× |
| Plethysmography (94726) range across 2 matching MRF lines |
$20.33–$193.44 | $39–$371 | varies |
| Pm device eval in person (93288) | $46.93 | $90 | 1.3× |
| Pm device progr eval dual (93280) | $86.03 | $165 | 2.4× |
| Pm device progr eval multi (93281) | $101.15 | $194 | 2.8× |
| Pm Device Progr Eval Sngl (93279) | $70.91 | $136 | 2.0× |
| Pm/Icd Remote Tech Serv (93296) | $76.12 | $146 | 2.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,005.35 | $5,764 | 3.6× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $95.42 | $183 | 2.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$21.90–$29.20 | $42–$56 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$30.24–$41.19 | $58–$79 | varies |
| Psych diag eval w/med srvcs (90792) range across 3 matching MRF lines |
$26.59–$256.53 | $51–$492 | varies |
| Psychiatric diagnostic evaluation (90791) range across 5 matching MRF lines |
$26.07–$251.31 | $50–$482 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 3 matching MRF lines |
$186.14–$214.82 | $357–$412 | varies |
| Pt Eval High Complex (97163) | $124.09 | $238 | 1.3× |
| Pt eval low complex 20 min (97161) | $88.12 | $169 | 0.9× |
| Pt Eval Mod Complex (97162) | $106.89 | $205 | 1.1× |
| Pt gait training 15 min (97116) | $68.30 | $131 | 2.4× |
| Pt mechanical traction (97012) | $41.71 | $80 | 2.9× |
| Pt Re-Eval Est Plan Care (97164) | $88.12 | $169 | 1.3× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $9.39 | $18 | 0.3× |
| Pulm function test by gas (94727) | $119.40 | $229 | 0.6× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$186.14–$334.74 | $357–$642 | varies |
| Pulmonary Stress Testing (94618) | $163.20 | $313 | 1.3× |
| Refill/Maint Portable Pump (96521) | $375.93 | $721 | 1.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $61 | $117 | 1.7× |
| Respiratory flow volume loop (94375) | $193.44 | $371 | 0.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $29.72 | $57 | 0.2× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $74.56 | $143 | 2.9× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $265.91 | $510 | 2.2× |
| Same day nb discharge (99463) | $229.94 | $441 | 1.8× |
| Self Care Mngment Training (97535) | $99.07 | $190 | 3.1× |
| Slp caregiver training 1st 30 min (97550) | $123.05 | $236 | 2.3× |
| Speech sound lang comprehen (92523) | $338.39 | $649 | 1.5× |
| Spirometry (94010) range across 2 matching MRF lines |
$49.01–$100.63 | $94–$193 | varies |
| Standardized Cognitive Performance Testing (96125) | $218.99 | $420 | 2.1× |
| Stress Tte Only (93350) | $736.74 | $1,413 | 1.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $55.79 | $107 | 2.5× |
| Ther Ivntj Ea Addl 15 Min (97130) | $55.79 | $107 | 2.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $83.95 | $161 | 2.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $61 | $117 | 0.9× |
| Ther/Proph/Diag Iv Inf Init (96365) | $99.59 | $191 | 0.5× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$75.08–$77.69 | $144–$149 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$29.72 | $2–$57 | 0.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$1.56–$16.16 | $3–$31 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$151.73–$228.89 | $291–$439 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$206.47–$309.71 | $396–$594 | varies |
| Tte w/doppler, complete (93306) | $890.55 | $1,708 | 1.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $196.05 | $376 | 2.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $38.58 | $74 | 0.8× |
| Upr/L Xtremity Art 2 Levels (93922) | $178.84 | $343 | 1.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $258.09 | $495 | 1.2× |
| Vent Mgmt Inpat Init Day (94002) | $891.59 | $1,710 | 1.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $385.31 | $739 | 0.6× |
| Visual Field Exam Extended (92083) range across 2 matching MRF lines |
$47.97–$72.47 | $92–$139 | varies |
| Vital capacity, total (94150) | $100.63 | $193 | 0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) | $38.58 | $74 | 1.2× |
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.