Visits & medical services prices at Avera Merrill Pioneer Hospital

Rock Rapids, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $217.28 $224 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$106.70–$109.61 $110–$113 varies
Behavral qualit analys voice (92524) $164.90 $170 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $440.38 $454 1.2×
Canalith repositioning proc (95992) $155.20 $160 3.8×
Cardiac Stress Tst,Tracing Only (93017) $890.46 $918 4.3×
Cardiopulmonary resuscitation (92950) $826.44 $852 4.0×
Chemo Anti-Neopl Sq/Im (96401) $209.52 $216 3.0×
Chemo Hormon Antineopl Sq/Im (96402) $209.52 $216 3.0×
Chemo IV infusion addl hr (96415) $138.71 $143 2.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $677.06 $698 2.1×
Color/duplex Doppler, complete (93975) $883.67 $911 3.9×
Color/duplex Doppler, limited (93976) $260.93 $269 2.6×
Cont gluc mntr physician/qhp provided equiptment (95250) $666.39 $687 5.2×
Cont Gluc Mntr Pt Prov Eqp (95249) $84.39 $87 1.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$533.50–$560.66 $550–$578 varies
Critical care first hour (99291) $1,709.14 $1,762 2.2×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$288.09–$851.66 $297–$878 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,031.11 $1,063 4.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $772.12 $796 7.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $860.39 $887 3.8×
Dup-scan xtr veins unilateral/limited study (93971) $998.13 $1,029 9.9×
Echo Heart Xthoracic,Limited (93308) $506.34 $522 2.2×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$134.83–$174.60 $139–$180 varies
Electrocardiogram Tracing (93005) $149.38 $154 2.6×
Emergency Dept Visit Level 2 (99282) $307.49 $317 2.1×
Emergency Dept Visit Level 3 (99283) $532.53 $549 2.0×
Emergency Dept Visit Level 4 (99284) $896.28 $924 2.2×
Er level 1 (99281) $684.82 $706 8.4×
Er level v (99285) $1,197.95 $1,235 2.1×
Evaluate pt use of inhaler (94664) $233.77 $241 1.1×
Evaluate Speech Production (92522) $164.90 $170 1.5×
Evaluate Swallowing Function (92610) $440.38 $454 5.2×
External ECG rec>48hr<7d recording (93242) $436.50 $450 12.2×
External ECG rec>7d<15d recording (93246) $670.27 $691 18.7×
Extracranial Bilat Study (93880) $1,031.11 $1,063 4.5×
Group Therapeutic Procedures (97150) $139.68 $144 7.7×
Immunization administration (90471) $96.03 $99 1.4×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$129.01–$173.63 $133–$179 varies
Irrig Drug Delivery Device (96523) $222.13 $229 3.9×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$138.71–$179.45 $143–$185 varies
IV infusion hydration initial 31 min-1 hour (96360) $455.90 $470 2.2×
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$210.49–$284.21 $217–$293 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$180.42–$248.32 $186–$256 varies
IV push initial (96374)
range across 2 matching MRF lines
$211.46–$239.59 $218–$247 varies
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $49.47 $51 1.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $71.78 $74 2.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $228.92 $236 1.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $735.26 $758 1.9×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$103.79–$129.98 $107–$134 varies
Oral Function Therapy (92526) $312.34 $322 3.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $158.11 $163 3.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $189.15 $195 4.1×
Ot eval high complexity (97167) $340.47 $351 3.4×
Ot Eval Low Complex (97165) $324.95 $335 3.2×
Ot Eval Moderate Complexity (97166) $345.32 $356 3.4×
Ot manual therapy 15 min (97140) $132.89 $137 4.8×
Ot Re-Eval Est Plan Care (97168) $194 $200 2.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $224.07 $231 1.8×
Phlebotomy therapeutic (99195) $156.17 $161 1.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $577.15 $595 10.2×
Pt Eval High Complex (97163) $383.15 $395 3.9×
Pt eval low complex 20 min (97161) $291.97 $301 3.0×
Pt Eval Mod Complex (97162) $345.32 $356 3.5×
Pt gait training 15 min (97116) $118.34 $122 4.1×
Pt Re-Eval Est Plan Care (97164) $262.87 $271 3.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $228.92 $236 1.2×
Self Care Mngment Training (97535) $132.89 $137 4.1×
Speech sound lang comprehen (92523) $336.59 $347 1.5×
Standardized Cognitive Performance Testing (96125) $103.79 $107 1.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $106.70 $110 4.8×
Ther Ivntj Ea Addl 15 Min (97130) $100.88 $104 4.8×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $173.63 $179 4.7×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$165.87–$229.89 $171–$237 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$455.90–$532.53 $470–$549 varies
Therapeutic Activities (97530)
range across 2 matching MRF lines
$126.10–$145.50 $130–$150 varies
Tte w/doppler, complete (93306) $2,469.62 $2,546 4.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $352.11 $363 4.6×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$148.41–$199.82 $153–$206 varies
Upr/L Xtremity Art 2 Levels (93922) $635.35 $655 5.0×

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.