Visits & medical services prices at Avera Marshall Regional Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $272.57 $281 1.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $150.35 $155 10.5×
Assessment of aphasia per hr (96105) $207.58 $214 2.1×
Bedside Swallowing Eval (92610) $537.38 $554 6.3×
Behavioral and qualitative analysis of voice and resonance (92524) $635.35 $655 5.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $874.94 $902 2.3×
Canalith Repositioning Procedure (95992) $231.83 $239 5.7×
Car seat/bed test 60 min (94780) $149.38 $154 3.9×
Cardiac Stress Tst,Tracing Only (93017) $666.39 $687 3.0×
Cardiopulmonary resuscitation (92950) $1,353.15 $1,395 6.1×
Cardioversion (92960) $656.69 $677 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $129.50 $133.50 1.7×
Chemo IV push addl drug (96411) $90.21 $93 1.2×
Chemo prolong 8+ hrs infuse w/pump (96416) $327.86 $338 1.0×
Chemother, IV infusion, 1 hr (96413) $916.65 $945 2.7×
Chemother, IV infusion, ea add hr (96415) $174.60 $180 2.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $174.60 $180 2.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $91.18 $94 1.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $327.86 $338 1.0×
Color/duplex Doppler, complete (93975) $1,395.83 $1,439 5.7×
Color/duplex Doppler, limited (93976) $663.48 $684 6.1×
Comprehensive Hearing Test (92557) $98.94 $102 0.7×
Conditioning Play Audiometry (92582) $189.15 $195 1.4×
Cont Gluc Monitoring Patient Provided Equipment (95249) $71.78 $74 1.2×
Continuous Glucose Monitoring (95250) $149.38 $154 1.1×
Corneal Topography (92025) $59.17 $61 1.0×
Cpap/bipap (94660) $1,533.08 $1,580.50 6.8×
Cptrized oph dx img pst segment uni/bi optic nrv (92133) $59.17 $61 1.0×
Cptrized oph dx img pst segment uni/bi retina (92134) $59.17 $61 1.0×
Critical care (99291) $2,457.01 $2,533 2.9×
Debridement Open Wound 20 Sq Cm< (97597) $478.70 $493.50 2.3×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $401.10 $413.50 1.8×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,187.28 $1,224 4.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $445.23 $459 4.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,455 $1,500 5.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $724.59 $747 6.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $963.21 $993 3.9×
Dup-scan xtr veins unilateral/limited study (93971) $774.06 $798 7.2×
Duplex scan extracranial art compl bi study (93880) $1,160.12 $1,196 4.7×
Echo Heart Xthoracic,Limited (93308) $683.85 $705 2.8×
Echo Transthoracic - Congenital Tte Complete (93303) $2,459.92 $2,536 4.4×
Echo Transthoracic - Congenital Tte Limited (93304) $778.91 $803 1.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,338.60 $1,380 2.4×
Electrocardiogram Tracing (93005) $273.54 $282 4.5×
Electroconvulsive Therapy (90870) $117.37 $121 0.1×
Er level 1 (99281) $311.37 $321 3.6×
Er level ii (99282) $488.88 $504 3.1×
Er level iii (99283) $834.20 $860 3.0×
Er level IV (99284) $1,261.97 $1,301 2.9×
Er level v (99285) $2,004.02 $2,066 3.3×
Eval speech sound production (92522) $635.35 $655 5.7×
Evaluate Pt Use Of Inhaler (94664) $234.74 $242 1.0×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $219.22 $226 1.8×
Evaluation of speech fluency (92521) $635.35 $655 4.8×
External ECG rec>48hr<7d recording (93242) $240.08 $247.50 6.2×
External ECG rec>7d<15d recording (93246) $147.44 $152 3.8×
External Ecg Scanning Analysis Report (93226) $614.01 $633 10.1×
Eye exam, new patient,comprehesv (92004) $137.74 $142 1.0×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $499.55 $515 2.5×
Fluorescein Angrph W/Multiframe I&R Uni/Bi (92235) $214.37 $221 1.0×
Fundus photography w/interpretation & report (92250) $131.92 $136 1.0×
Gonioscopy (92020) $131.92 $136 1.0×
Group Therapeutic Procedures (97150) $184.30 $190 10.2×
Holter Monitor (93225) $406.43 $419 3.0×
Immunization Admin (90471) $144.53 $149 1.9×
Iontophoresis 15 min (97033) $137.74 $142 7.2×
Irrig drug delivery device (96523) $223.10 $230 3.7×
IV infusion hydration each additional hour (96361) $137.26 $141.50 2.8×
IV infusion hydration initial 31 min-1 hour (96360) $246.86 $254.50 1.1×
IV infusion ther proph addl sequential to 1 hr (96367) $95.06 $98 1.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $291 $300 1.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $193.52 $199.50 4.0×
IV push ea addl new drug (96375) $82.94 $85.50 1.7×
IV push initial (96374) $260.44 $268.50 1.2×
Manual therapy 15 min (97140) $153.26 $158 5.5×
Maximum voluntary ventilation (94200) $197.88 $204 3.3×
Mechanical traction (97012) $161.02 $166 11.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $35.89 $37 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $43.65 $45 1.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $537.38 $554 5.9×
Nasopharyngoscopy (92511) $212.43 $219 1.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $687.73 $709 1.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $97.97 $101 0.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $722.65 $745 1.7×
Newborn resuscitation (99465) $655.72 $676 1.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $418.56 $431.50 3.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $410.31 $423 3.1×
Oph Bmtry Prtl Coher Intrfrmtry Io Lens Pwr Cal (92136) $143.56 $148 1.0×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $132.89 $137 1.0×
Ophth medical xm&eval intermediate estab pt (92012) $132.89 $137 1.0×
Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92002) $132.89 $137 1.0×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $76.63 $79 1.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $176.06 $181.50 3.8×
Ot eval high complex 60 min (97167) $295.85 $305 2.9×
Ot eval low complex 30 min (97165) $291.97 $301 2.9×
Ot eval mod complex 45 min (97166) $282.27 $291 2.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $152.78 $157.50 3.0×
Ot re-evaluation (97168) $260.93 $269 3.8×
Ot therapeutic activity 15 min (97530) $156.17 $161 4.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $443.29 $457 3.3×
Paraffin bath pt (97018) $129.01 $133 21.5×
Pdt dstr prmlg les phys/qhp (96573) $214.37 $221 1.0×
Pdt dstr prmlg les skn illum/activj per day (96567) $224.07 $231 1.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $262.87 $271 1.2×
Phlebotomy therapeutic (99195) $269.66 $278 2.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $283.24 $292 4.7×
Plethysmography (94726) $663.48 $684 1.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $6,574.66 $6,778 7.4×
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) $443.29 $457 1.0×
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92313) $138.71 $143 1.0×
Pt Aquatic Therapy/Exercises (97113) $149.86 $154.50 4.0×
Pt Electrical Stimulation (97032) $146.47 $151 10.0×
Pt eval high complex 45 min (97163) $295.85 $305 3.0×
Pt eval low complex 20 min (97161) $290.03 $299 3.0×
Pt eval mod complex 30 min (97162) $282.27 $291 2.9×
Pt gait training 15 min (97116) $141.62 $146 4.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $157.14 $162 4.8×
Pt Physical Performance Test (97750) $113.49 $117 3.4×
Pt re-evaluation (97164) $260.93 $269 3.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $137.74 $142 4.3×
Pulmonary Service/Procedure (94799) $128.04 $132 1.0×
Pulmonary stress test simple (94618) $161.02 $166 1.2×
Pure Tone Audiometry Air & Bone (92553) $189.15 $195 1.4×
Pure Tone Audiometry Air Only (92552) $149.38 $154 1.1×
Refill/Maint Portable Pump (96521) $211.46 $218 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $161.02 $166 0.8×
Sensory Integration Ea 15 Min (97533) $110.58 $114 1.8×
Speech audiometry threshold (92555) $66.93 $69 1.1×
Speech sound lang comprehen (92523) $635.35 $655 2.8×
Spirometry (94010) $255.11 $263 1.1×
Standardized Cognitive Performance Testing (96125) $460.75 $475 4.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $120.28 $124 5.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $106.70 $110 5.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $178.48 $184 1.7×
Therapeutic prophylactic/dx injection subq/im (96372) $175.57 $181 2.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $37.83 $39 1.0×
Tte w/doppler, complete (93306) $2,263.01 $2,333 4.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $343.38 $354 4.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $323.01 $333 3.8×
Tympanometry (92567) $20.37 $21 0.5×
Ultraviolet Light Therapy (96900) $43.65 $45 1.1×
Unlisted psychiatric service or procedure (90899) $2,875.08 $2,964 74.3×
Upr/lxtr art stdy 3+ lvls (93923) $302.64 $312 1.4×
Vasc Duplex Scan Extracranial,Limited (93882) $936.05 $965 8.7×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $214.37 $221 1.0×
Vent mgmt inpat init day (94002) $1,982.68 $2,044 3.1×
Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann… (92083) $131.92 $136 1.0×
Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at… (92082) $95.06 $98 1.6×
Wheelchair Mgmt Ea 15 Min (97542) $126.58 $130.50 4.1×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $40.74 $42 1.1×