Visits & medical services prices at Avera Missouri River Health Center
Gettysburg, SD · every code in this section with a posted price and a Medicare benchmark.
51 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) | $79.54 | $82 | 1.9× |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$217.28–$354.05 | $224–$365 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$161.99–$178.48 | $167–$184 | varies |
| Canalith repositioning proc (95992) | $184.30 | $190 | 4.5× |
| Cardiopulmonary resuscitation (92950) | $1,123.26 | $1,158 | 5.1× |
| Chemo Hormon Antineopl Sq/Im (96402) | $310.40 | $320 | 4.2× |
| Chemo IV infusion addl hr (96415) | $356.96 | $368 | 4.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $886.58 | $914 | 2.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $1,013.65 | $1,045 | 4.5× |
| Critical care first hour (99291) | $3,019.61 | $3,113 | 3.6× |
| Debridement Open Wound 20 Sq Cm< (97597) | $194 | $200 | 0.9× |
| Electrical Stimulation Ea 15 Min (97032) | $178.48 | $184 | 12.1× |
| Electrocardiogram Tracing (93005) | $302.64 | $312 | 5.0× |
| Emergency Dept Visit Level 2 (99282) | $495.67 | $511 | 3.2× |
| Emergency Dept Visit Level 3 (99283) | $763.39 | $787 | 2.7× |
| Emergency Dept Visit Level 4 (99284) | $1,245.48 | $1,284 | 2.9× |
| Er level 1 (99281) | $192.06 | $198 | 2.2× |
| Er level v (99285) | $2,024.39 | $2,087 | 3.3× |
| Evaluate pt use of inhaler (94664) | $217.28 | $224 | 1.0× |
| External ECG rec>48hr<7d recording (93242) | $309.43 | $319 | 8.1× |
| External ECG rec>7d<15d recording (93246) | $476.27 | $491 | 12.5× |
| Immunization administration (90471) | $87.30 | $90 | 1.2× |
| Irrig Drug Delivery Device (96523) | $223.10 | $230 | 3.7× |
| IV infusion hydration each additional hour (96361) | $189.15 | $195 | 4.0× |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$346.29–$467.54 | $357–$482 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $189.15 | $195 | 2.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $188.18 | $194 | 3.9× |
| IV push initial (96374) range across 2 matching MRF lines |
$258.99–$350.17 | $267–$361 | varies |
| Neuromuscular Reeducation (97112) | $170.72 | $176 | 5.2× |
| Ot eval high complexity (97167) | $345.32 | $356 | 3.4× |
| Ot Eval Low Complex (97165) | $413.22 | $426 | 4.1× |
| Ot Eval Moderate Complexity (97166) | $413.22 | $426 | 4.1× |
| Ot manual therapy 15 min (97140) | $170.72 | $176 | 6.2× |
| Ot Re-Eval Est Plan Care (97168) | $182.36 | $188 | 2.7× |
| Phlebotomy therapeutic (99195) | $500.52 | $516 | 3.7× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $52.38 | $54 | 1.1× |
| Pt Eval High Complex (97163) | $285.18 | $294 | 2.9× |
| Pt eval low complex 20 min (97161) | $413.22 | $426 | 4.2× |
| Pt Eval Mod Complex (97162) | $413.22 | $426 | 4.2× |
| Pt gait training 15 min (97116) | $170.72 | $176 | 5.9× |
| Pt mechanical traction (97012) | $174.60 | $180 | 12.2× |
| Pt Re-Eval Est Plan Care (97164) | $230.86 | $238 | 3.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $229.89 | $237 | 1.1× |
| Self Care Mngment Training (97535) | $170.72 | $176 | 5.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$75.66–$166.84 | $78–$172 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$417.10–$485 | $430–$500 | varies |
| Therapeutic Activities (97530) | $170.72 | $176 | 4.9× |
| Trans Care Mgmt 7 Day Disch (99496) | $193.03 | $199 | 1.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$179.45–$226.98 | $185–$234 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $116.40 | $120 | 3.7× |
| Whirlpool Therapy (97022) | $170.72 | $176 | 10.9× |
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.