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.

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $186.15 $219 1.8×
Airway inhalation treatment (94640) $170.85 $201 0.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $103.28 $121.50 7.2×
Assessment of aphasia per hr (96105) $274.55 $323 2.8×
Bedside Swallowing Eval (92610) $1,026.80 $1,208 12.1×
Behavioral and qualitative analysis of voice and resonance (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/Behavioral Assessment (96127) $18.70 $22 0.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $474.30 $558 1.2×
Canalith Repositioning Procedure (95992) $357.42 $420.50 8.8×
Cardiac Stress Tst,Tracing Only (93017) $1,033.60 $1,216 4.6×
Cardiopulmonary resuscitation (92950) $514.25 $605 2.3×
Cardioversion (92960) $980.05 $1,153 1.4×
Chemo Hormon Antineopl Sq/Im (96402) $204.85 $241 2.8×
Chemo IV push addl drug (96411) $474.30 $558 6.4×
Chemo prolong 8+ hrs infuse w/pump (96416) $365.50 $430 1.1×
Chemother, IV infusion, 1 hr (96413) $821.95 $967 2.4×
Chemother, IV infusion, ea add hr (96415) $315.35 $371 4.2×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $194.65 $229 2.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $495.55 $583 6.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $648.55 $763 1.9×
Chronic care management services 1st 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×
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 (99291) $2,634.15 $3,099 3.1×
Debridement Open Wound 20 Sq Cm< (97597) $132.60 $156 0.6×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,702.55 $2,003 6.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,136.45 $1,337 10.5×
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 scan extracranial art compl bi study (93880) $1,152.60 $1,356 4.7×
Echo Heart Xthoracic,Limited (93308) $1,171.30 $1,378 4.8×
Echo Transthoracic - Congenital Tte Complete (93303) $768.40 $904 1.4×
Electrocardiogram Tracing (93005) $220.15 $259 3.6×
Er level 1 (99281) $334.05 $393 3.8×
Er level ii (99282) $443.70 $522 2.8×
Er level iii (99283) $631.55 $743 2.2×
Er level IV (99284) $1,122.85 $1,321 2.6×
Er level v (99285) $1,663.45 $1,957 2.7×
Eval speech sound production (92522) $1,073.12 $1,262.50 9.6×
Eval to use/fit voice prosth (92597) $321.30 $378 4.5×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $281.35 $331 2.3×
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×
Holter Monitor (93225) $469.20 $552 3.4×
Imm admn sarscov2 vaccine single dose (90480) $54.40 $64 1.3×
Immune Admin Oral/Nasal (90473) $16.15 $19 0.2×
Immunization Admin (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, therap/proph/diagnost,initial,1st hour (96365) $469.20 $552 2.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $263.50 $310 5.5×
IV push ea addl new drug (96375) $174.25 $205 3.6×
IV push initial (96374) $231.20 $272 1.1×
Low frequency non-thermal us (97610) $521.05 $613 2.5×
Manual therapy 15 min (97140) $136.85 $161 4.9×
Mechanical chest wall oscillation (94669) $79.05 $93 0.3×
Mechanical traction (97012) $119 $140 8.3×
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 Fluor Eval Swlng Funcj C/V Rec (92611) $697.85 $821 7.6×
Neg press wound tx >50 cm (97608) $33.15 $39 0.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $38.25 $45 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×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $817.70 $962 6.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $100.30 $118 2.2×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $93.92 $110.50 2.9×
Ot eval high complex 60 min (97167) $316.20 $372 3.1×
Ot eval low complex 30 min (97165) $123.25 $145 1.2×
Ot eval mod complex 45 min (97166) $238 $280 2.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $56.95 $67 1.1×
Ot Prosthetic Training, Each 15 Min (97761) $59.08 $69.50 1.5×
Ot re-evaluation (97168) $203.58 $239.50 3.0×
Ot therapeutic activity 15 min (97530) $132.18 $155.50 3.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $289.85 $341 2.2×
Paraffin bath pt (97018) $76.50 $90 12.7×
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×
Psycl tst eval phys/qhp 1st (96130) $273.70 $322 1.2×
Psycl/nrpsyc tech 1st (96138) $81.60 $96 0.2×
Psytx crisis initial 60 min (90839) $395.25 $465 2.2×
Pt Electrical Stimulation (97032) $61.20 $72 4.2×
Pt eval high complex 45 min (97163) $316.20 $372 3.2×
Pt eval low complex 20 min (97161) $210.80 $248 2.2×
Pt eval mod complex 30 min (97162) $238 $280 2.4×
Pt gait training 15 min (97116) $84.15 $99 2.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $135.58 $159.50 4.1×
Pt re-evaluation (97164) $300.48 $353.50 4.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $149.18 $175.50 4.6×
Pure Tone Audiometry Air Only (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×
Rt Chest Wall Manipulation,Subsequent (94668) $132.60 $156 1.0×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $211.65 $249 4.4×
Sensory Integration Ea 15 Min (97533) $100.30 $118 1.6×
Smoking cessation > 10 min (99407) $62.05 $73 1.6×
Speech sound lang comprehen (92523) $1,158.98 $1,363.50 5.1×
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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $66.30 $78 3.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $245.65 $289 2.4×
Therapeutic prophylactic/dx injection subq/im (96372) $96.48 $113.50 1.3×
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) $728.45 $857 9.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $1,102.88 $1,297.50 13.1×
Vasc Duplex Scan Extracranial,Limited (93882) $594.15 $699 5.5×
Wheelchair Mgmt Ea 15 Min (97542) $100.30 $118 3.2×