Visits & medical services prices at Appleton Area Health
Appleton, MN · every code in this section with a posted price and a Medicare benchmark.
130 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) | $54.40 | $64 | 1.3× |
| Advncd Care Plan 30 Min (99497) | $186.15 | $219 | 1.8× |
| Airway Inhalation Treatment (94640) | $170.85 | $201 | 0.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$90.95–$115.60 | $107–$136 | varies |
| Assessment of aphasia per hr (96105) | $274.55 | $323 | 2.8× |
| Behavral qualit analys voice (92524) | $425.85 | $501 | 3.9× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $113.90 | $134 | 1.4× |
| Bfb training ea addl 15 min (90913) | $113.90 | $134 | 3.5× |
| Brief Emotional/Behav Assmt (96127) | $18.70 | $22 | 0.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $474.30 | $558 | 1.2× |
| Canalith repositioning proc (95992) range across 4 matching MRF lines |
$143.65–$571.20 | $169–$672 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$959.65–$1,107.55 | $1,129–$1,303 | varies |
| Cardiopulmonary resuscitation (92950) | $514.25 | $605 | 2.3× |
| Cardioversion (92960) | $980.05 | $1,153 | 1.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $194.65 | $229 | 2.6× |
| Chemo Hormon Antineopl Sq/Im (96402) | $204.85 | $241 | 2.8× |
| Chemo IV infusion addl hr (96415) | $315.35 | $371 | 4.2× |
| Chemo IV push addl drug (96411) | $474.30 | $558 | 6.4× |
| Chemother Prolong Infuse W/Pump (96416) | $365.50 | $430 | 1.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $495.55 | $583 | 6.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $821.95 | $967 | 2.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $648.55 | $763 | 1.9× |
| Chest Wall Manipulation (94668) | $132.60 | $156 | 1.0× |
| Chron Care Mgmt Srvc 20 Min (99490) | $105.40 | $124 | 1.0× |
| Color/duplex Doppler, complete (93975) | $920.55 | $1,083 | 3.7× |
| Color/duplex Doppler, limited (93976) | $613.70 | $722 | 5.7× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$87.55–$100.30 | $103–$118 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $132.60 | $156 | 0.7× |
| Cpt initial (94667) | $158.10 | $186 | 1.2× |
| Critical care first hour (99291) | $2,634.15 | $3,099 | 3.1× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$90.10–$175.10 | $106–$206 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $691.05 | $813 | 2.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,084.60 | $1,276 | 4.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $694.45 | $817 | 6.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,138.15 | $1,339 | 4.6× |
| Dup-scan xtr veins unilateral/limited study (93971) | $946.05 | $1,113 | 8.8× |
| Duplex up extrem art bilat (93930) | $1,702.55 | $2,003 | 6.9× |
| Duplex up extrem art unilat/ltd (93931) | $1,136.45 | $1,337 | 10.5× |
| Echo Congenital Complete (93303) | $768.40 | $904 | 1.4× |
| Echo Heart Xthoracic,Limited (93308) | $1,171.30 | $1,378 | 4.8× |
| Electrical Stimulation Ea 15 Min (97032) | $61.20 | $72 | 4.2× |
| Electrocardiogram Tracing (93005) | $220.15 | $259 | 3.6× |
| Emergency Dept Visit Level 2 (99282) | $443.70 | $522 | 2.8× |
| Emergency Dept Visit Level 3 (99283) | $631.55 | $743 | 2.2× |
| Emergency Dept Visit Level 4 (99284) | $1,122.85 | $1,321 | 2.6× |
| Er level 1 (99281) | $334.05 | $393 | 3.8× |
| Er level v (99285) | $1,663.45 | $1,957 | 2.7× |
| Evaluate Speech Production (92522) range across 6 matching MRF lines |
$306–$1,838.55 | $360–$2,163 | varies |
| Evaluate Swallowing Function (92610) range across 6 matching MRF lines |
$294.10–$1,759.50 | $346–$2,070 | varies |
| Evaluation of speech fluency (92521) | $425.85 | $501 | 3.2× |
| External ECG rec>48hr<7d recording (93242) | $363.80 | $428 | 9.4× |
| External ECG rec>7d<15d recording (93246) | $399.50 | $470 | 10.4× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $355.30 | $418 | 2.6× |
| External Ecg Scanning Analysis Report (93226) | $90.10 | $106 | 1.5× |
| Extracranial Bilat Study (93880) | $1,152.60 | $1,356 | 4.7× |
| Extracranial Uni/Ltd Study (93882) | $594.15 | $699 | 5.5× |
| Holter monitor recording (93225) | $469.20 | $552 | 3.4× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $16.15 | $19 | 0.2× |
| Immunization administration (90471) | $53.55 | $63 | 0.7× |
| Iontophoresis 15 min (97033) | $85.85 | $101 | 4.5× |
| Irrig Drug Delivery Device (96523) | $212.50 | $250 | 3.5× |
| IV infusion hydration each additional hour (96361) | $192.95 | $227 | 4.0× |
| IV infusion hydration initial 31 min-1 hour (96360) | $384.20 | $452 | 1.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $294.10 | $346 | 4.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $263.50 | $310 | 5.5× |
| IV push initial (96374) | $231.20 | $272 | 1.1× |
| Low frequency non-thermal us (97610) | $521.05 | $613 | 2.5× |
| Mechanical chest wall oscillation per session (94669) | $79.05 | $93 | 0.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $57.80 | $68 | 1.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $68.85 | $81 | 1.9× |
| Motion Fluoroscopy/Swallow (92611) range across 4 matching MRF lines |
$260.10–$1,040.40 | $306–$1,224 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $38.25 | $45 | 0.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $33.15 | $39 | 0.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $90.10 | $106 | 0.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $113.05 | $133 | 0.3× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$134.30–$136.85 | $158–$161 | varies |
| Oral Function Therapy (92526) range across 6 matching MRF lines |
$315.35–$1,890.40 | $371–$2,224 | varies |
| Oral Speech Device Eval (92597) | $321.30 | $378 | 4.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $56.95 | $67 | 1.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $100.30 | $118 | 2.2× |
| Ot eval high complexity (97167) | $316.20 | $372 | 3.1× |
| Ot Eval Low Complex (97165) | $123.25 | $145 | 1.2× |
| Ot Eval Moderate Complexity (97166) | $238 | $280 | 2.4× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$135.15–$138.55 | $159–$163 | varies |
| Ot paraffin bath (97018) | $76.50 | $90 | 12.7× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$56.95–$61.20 | $67–$72 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 4 matching MRF lines |
$80.75–$325.55 | $95–$383 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $289.85 | $341 | 2.2× |
| Phlebotomy therapeutic (99195) | $304.30 | $358 | 2.2× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $209.10 | $246 | 3.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $178.50 | $210 | 2.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $4,294.20 | $5,052 | 4.8× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $36.55 | $43 | 0.8× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $47.60 | $56 | 1.0× |
| Psych diag eval w/med srvcs (90792) | $432.65 | $509 | 2.4× |
| Psychiatric diagnostic evaluation (90791) | $413.95 | $487 | 2.3× |
| Psychological tst eval svc phys/qhp first hour (96130) | $273.70 | $322 | 1.2× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $81.60 | $96 | 0.2× |
| Psytx Crisis Initial 60 Min (90839) | $395.25 | $465 | 2.2× |
| Pt Eval High Complex (97163) | $316.20 | $372 | 3.2× |
| Pt eval low complex 20 min (97161) | $210.80 | $248 | 2.2× |
| Pt Eval Mod Complex (97162) | $238 | $280 | 2.4× |
| Pt gait training 15 min (97116) | $84.15 | $99 | 2.9× |
| Pt mechanical traction (97012) | $119 | $140 | 8.3× |
| Pt Re-Eval Est Plan Care (97164) range across 4 matching MRF lines |
$119.85–$480.25 | $141–$565 | varies |
| Pure Tone Audiometry Air (92552) | $36.55 | $43 | 0.3× |
| Refill/Maint Portable Pump (96521) | $358.70 | $422 | 1.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $164.90 | $194 | 0.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $281.35 | $331 | 2.3× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $211.65 | $249 | 4.4× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$147.05–$151.30 | $173–$178 | varies |
| Sensory Integration Ea 15 Min (97533) | $100.30 | $118 | 1.6× |
| Speech sound lang comprehen (92523) range across 6 matching MRF lines |
$331.50–$1,986.45 | $390–$2,337 | varies |
| Standardized Cognitive Performance Testing (96125) | $474.30 | $558 | 4.6× |
| Temp transcutaneous pacing (92953) | $434.35 | $511 | 0.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $72.25 | $85 | 3.2× |
| Ther Ivntj Ea Addl 15 Min (97130) | $66.30 | $78 | 3.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $245.65 | $289 | 2.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$53.55–$139.40 | $63–$164 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $469.20 | $552 | 2.1× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$131.75–$132.60 | $155–$156 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $62.05 | $73 | 1.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $38.25 | $45 | 1.0× |
| Trans Care Mgmt 14 Day Disch (99495) | $418.20 | $492 | 3.0× |
| Trans Care Mgmt 7 Day Disch (99496) | $577.15 | $679 | 4.2× |
| Tte w/doppler, complete (93306) | $1,912.50 | $2,250 | 3.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 6 matching MRF lines |
$208.25–$1,248.65 | $245–$1,469 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $174.25 | $205 | 3.6× |
| Upr/L Xtremity Art 2 Levels (93922) | $817.70 | $962 | 6.0× |
| Wheelchair Mgmt Ea 15 Min (97542) | $100.30 | $118 | 3.2× |
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.