Visits & medical services prices at Avera Queen of Peace
Mitchell, SD · every code in this section with a posted price and a Medicare benchmark.
150 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) | $64.02 | $66 | 1.7× |
| Airway Inhalation Treatment (94640) range across 6 matching MRF lines |
$217.28–$283.24 | $224–$292 | varies |
| Appl modality 1+ areas lllt po pain reduction (97037) | $42.68 | $44 | 1.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $139.68 | $144 | 9.7× |
| Assessment of aphasia per hr (96105) | $138.71 | $143 | 1.4× |
| Behavral qualit analys voice (92524) | $635.35 | $655 | 5.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $891.43 | $919 | 2.3× |
| Canalith repositioning proc (95992) | $217.28 | $224 | 5.3× |
| Car seat/bed test 60 min (94780) | $153.26 | $158 | 4.0× |
| Cardiac Stress Tst,Tracing Only (93017) | $2,028.27 | $2,091 | 9.2× |
| Cardiopulmonary resuscitation (92950) | $1,010.74 | $1,042 | 4.6× |
| Cardioversion (92960) | $1,054.39 | $1,087 | 1.6× |
| Chemo Anti-Neopl Sq/Im (96401) | $383.15 | $395 | 5.2× |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$71.78–$472.39 | $74–$487 | varies |
| Chemo IV infusion addl hr (96415) | $300.70 | $310 | 4.1× |
| Chemo IV push addl drug (96411) | $423.89 | $437 | 5.8× |
| Chemother Prolong Infuse W/Pump (96416) | $688.70 | $710 | 2.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $493.73 | $509 | 6.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,095.13 | $1,129 | 3.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $473.36 | $488 | 1.4× |
| Chest Wall Manipulation (94668) | $137.74 | $142 | 1.0× |
| Color/duplex Doppler, complete (93975) | $2,212.57 | $2,281 | 9.1× |
| Color/duplex Doppler, limited (93976) | $1,676.16 | $1,728 | 15.7× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $203.70 | $210 | 6.4× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $85.36 | $88 | 1.4× |
| Computerized Ophthalmic Imaging Retina (92134) | $85.36 | $88 | 1.4× |
| Continuous Pulse Ox (94762) | $851.66 | $878 | 6.5× |
| Corneal Topography (92025) | $60.14 | $62 | 1.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$1,816.81–$1,944.85 | $1,873–$2,005 | varies |
| Cpt initial (94667) | $273.54 | $282 | 2.0× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) | $333.68 | $344 | 1.5× |
| Critical care first hour (99291) | $3,992.52 | $4,116 | 4.7× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$325.92–$851.66 | $336–$878 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,524.84 | $1,572 | 6.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $2,397.84 | $2,472 | 9.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,408.44 | $1,452 | 13.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $2,116.54 | $2,182 | 8.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,488.95 | $1,535 | 13.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $822.56 | $848 | 3.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $822.56 | $848 | 7.7× |
| Duplex Scan Hemodialysis Access (93990) | $1,255.18 | $1,294 | 11.8× |
| Duplex up extrem art bilat (93930) | $1,633.48 | $1,684 | 6.7× |
| Duplex up extrem art unilat/ltd (93931) | $1,360.91 | $1,403 | 12.7× |
| Echo Congenital Complete (93303) | $3,526.92 | $3,636 | 6.3× |
| Echo Heart Xthoracic,Limited (93308) | $1,957.46 | $2,018 | 8.0× |
| Echo transesophageal (93312) | $3,939.17 | $4,061 | 7.1× |
| EEG awake and asleep (95819) | $1,470.52 | $1,516 | 6.7× |
| EEG awake drowsy (95816) | $1,359.94 | $1,402 | 6.2× |
| EEG extended monitoring 61-119 minutes (95813) | $1,503.50 | $1,550 | 6.8× |
| Electrical Stimulation Ea 15 Min (97032) | $139.68 | $144 | 9.5× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$410.31–$411.28 | $423–$424 | varies |
| Emergency Dept Visit Level 2 (99282) | $656.69 | $677 | 4.2× |
| Emergency Dept Visit Level 3 (99283) | $1,007.83 | $1,039 | 3.6× |
| Emergency Dept Visit Level 4 (99284) | $1,820.69 | $1,877 | 4.3× |
| Er level 1 (99281) | $431.65 | $445 | 5.0× |
| Er level v (99285) | $2,598.63 | $2,679 | 4.3× |
| Evaluate pt use of inhaler (94664) | $230.86 | $238 | 1.0× |
| Evaluate Speech Production (92522) | $635.35 | $655 | 5.7× |
| Evaluate Swallowing Function (92610) | $656.69 | $677 | 7.7× |
| Evaluation of speech fluency (92521) | $531.56 | $548 | 4.0× |
| External ECG rec>48hr<7d recording (93242) | $1,310.47 | $1,351 | 34.3× |
| External ECG rec>7d<15d recording (93246) | $1,310.47 | $1,351 | 34.3× |
| External Ecg Scanning Analysis Report (93226) | $2,056.40 | $2,120 | 34.1× |
| Extracranial Bilat Study (93880) | $2,051.55 | $2,115 | 8.4× |
| Extracranial Uni/Ltd Study (93882) | $1,693.62 | $1,746 | 15.9× |
| Flexible endoscopic eval swallow c/v rec (92612) | $690.64 | $712 | 3.5× |
| Fundus photography (92250) | $175.57 | $181 | 1.3× |
| Gi tract capsule endoscopy (91110) | $2,671.38 | $2,754 | 2.9× |
| Gonioscopy (92020) | $131.92 | $136 | 1.0× |
| Holter monitor recording (93225) | $766.30 | $790 | 5.6× |
| Immunization administration (90471) | $123.19 | $127 | 1.7× |
| Iontophoresis 15 min (97033) | $188.18 | $194 | 9.9× |
| Irrig Drug Delivery Device (96523) | $224.07 | $231 | 3.7× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$46.56–$236.68 | $48–$244 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) | $702.28 | $724 | 3.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$319.13–$355.02 | $329–$366 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$66.93–$114.46 | $69–$118 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$210.49–$324.95 | $217–$335 | varies |
| Mechanical chest wall oscillation per session (94669) | $251.23 | $259 | 1.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $56.26 | $58 | 1.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $42.68 | $44 | 1.2× |
| Motion Fluoroscopy/Swallow (92611) | $654.75 | $675 | 7.2× |
| Nasopharyngoscopy (92511) | $201.76 | $208 | 1.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $759.51 | $783 | 1.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$122.22–$213.40 | $126–$220 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $759.51 | $783 | 1.8× |
| Nerve Conduction Studies 11-12 Studies (95912) | $2,555.95 | $2,635 | 6.7× |
| Nerve conduction studies 13 or more studies (95913) | $3,404.70 | $3,510 | 8.9× |
| Nerve Conduction Studies 3-4 Studies (95908) | $529.62 | $546 | 2.4× |
| Nerve conduction studies 5-6 studies (95909) | $831.29 | $857 | 3.8× |
| Nerve conduction studies 7-8 studies (95910) | $1,107.74 | $1,142 | 2.9× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,383.22 | $1,426 | 3.6× |
| Neuromuscular Reeducation (97112) | $170.72 | $176 | 5.2× |
| Newborn resuscitation (99465) | $735.26 | $758 | 1.1× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $143.56 | $148 | 1.1× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $143.56 | $148 | 1.1× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $180.42 | $186 | 1.3× |
| Ophth medical xm&eval intermediate estab pt (92012) | $131.92 | $136 | 1.0× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $131.92 | $136 | 1.0× |
| Oral Function Therapy (92526) | $376.36 | $388 | 4.5× |
| Ot eval high complexity (97167) | $291 | $300 | 2.9× |
| Ot Eval Low Complex (97165) | $325.92 | $336 | 3.2× |
| Ot Eval Moderate Complexity (97166) | $372.48 | $384 | 3.7× |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$161.99–$170.72 | $167–$176 | varies |
| Ot Re-Eval Est Plan Care (97168) | $260.93 | $269 | 3.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $621.77 | $641 | 4.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $345.32 | $356 | 2.6× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $394.79 | $407 | 1.8× |
| Phlebotomy therapeutic (99195) | $385.09 | $397 | 2.8× |
| Plethysmography (94726) | $987.46 | $1,018 | 2.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $7,215.83 | $7,439 | 8.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $46.56 | $48 | 1.0× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $59.17 | $61 | 1.2× |
| Pt Eval High Complex (97163) | $391.88 | $404 | 4.0× |
| Pt eval low complex 20 min (97161) | $317.19 | $327 | 3.2× |
| Pt Eval Mod Complex (97162) | $347.26 | $358 | 3.5× |
| Pt gait training 15 min (97116) | $170.72 | $176 | 5.9× |
| Pt mechanical traction (97012) | $164.90 | $170 | 11.5× |
| Pt Re-Eval Est Plan Care (97164) | $281.30 | $290 | 4.2× |
| Pulmonary Stress Testing (94618) | $166.84 | $172 | 1.2× |
| Refill/Maint Portable Pump (96521) | $513.13 | $529 | 2.4× |
| Remote 30 Day Ecg Rev/Report (93270) | $359.87 | $371 | 9.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $184.30 | $190 | 3.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $122.22 | $126 | 0.6× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $419.04 | $432 | 3.4× |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$169.75–$196.91 | $175–$203 | varies |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $67.90 | $70 | 1.1× |
| Sensory Integration Ea 15 Min (97533) | $100.88 | $104 | 1.7× |
| Slp caregiver training 1st 30 min (97550) | $139.68 | $144 | 2.6× |
| Speech sound lang comprehen (92523) | $635.35 | $655 | 2.8× |
| Spirometry (94010) | $365.69 | $377 | 1.7× |
| Standardized Cognitive Performance Testing (96125) | $556.78 | $574 | 5.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$116.40–$147.44 | $120–$152 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$146.47–$147.44 | $151–$152 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$147.44–$170.72 | $152–$176 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$71.78–$233.77 | $74–$241 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$210.49–$702.28 | $217–$724 | varies |
| Therapeutic Activities (97530) | $170.72 | $176 | 4.9× |
| Tte w/doppler, complete (93306) | $5,289.41 | $5,453 | 9.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $456.87 | $471 | 6.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$46.56–$324.95 | $48–$335 | varies |
| Tympanometry (92567) | $8.24 | $8 | 0.2× |
| Upr/L Xtremity Art 2 Levels (93922) | $932.17 | $961 | 6.9× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,550.06 | $1,598 | 7.0× |
| Vent Mgmt Inpat Init Day (94002) | $2,522.97 | $2,601 | 4.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,894.41 | $1,953 | 3.0× |
| Visual Field Exam Extended (92083) | $131.92 | $136 | 1.0× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $96.03 | $99 | 1.6× |
| Wheelchair Mgmt Ea 15 Min (97542) | $170.72 | $176 | 5.5× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $42.68 | $44 | 1.1× |
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.