Visits & medical services prices at Avera St. Lukes

Aberdeen, SD · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $73.80 $82 1.8×
Advncd Care Plan 30 Min (99497) $85.50 $95 0.8×
Airway Inhalation Treatment (94640)
range across 6 matching MRF lines
$212.40–$262.80 $236–$292 varies
Appl modality 1+ areas lllt po pain reduction (97037) $39.60 $44 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$88.20–$103.50 $98–$115 varies
Application Modality 1/> Areas Infrared (97026) $36.90 $41 5.5×
Behavral qualit analys voice (92524) $179.10 $199 1.6×
Brief Emotional/Behav Assmt (96127) $39.60 $44 1.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$343.80–$481.50 $382–$535 varies
Canalith repositioning proc (95992) $123.30 $137 3.0×
Car seat/bed test 60 min (94780) $142.20 $158 3.7×
Cardiac Stress Tst,Tracing Only (93017) $1,348.20 $1,498 6.1×
Cardiopulmonary resuscitation (92950) $829.80 $922 3.8×
Cardioversion (92960)
range across 3 matching MRF lines
$688.50–$928.80 $765–$1,032 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $108.90 $121 4.2×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $11,725.20 $13,028 3.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $14,242.50 $15,825 4.3×
Chemo Hormon Antineopl Sq/Im (96402) $78.30 $87 1.1×
Chest Wall Manipulation (94668) $141.30 $157 1.0×
Color/duplex Doppler, complete (93975) $1,578.60 $1,754 6.5×
Color/duplex Doppler, limited (93976) $1,555.20 $1,728 14.6×
Community/Work Reintegration Trainj Ea 15 Min (97537) $72 $80 2.2×
Cont gluc mntr physician/qhp provided equiptment (95250) $146.70 $163 1.1×
Cont Gluc Mntr Pt Prov Eqp (95249) $67.50 $75 1.1×
Continuous Pulse Ox (94762) $399.60 $444 3.0×
Coronary Art/Grft Angio S&I (93455) $7,394.40 $8,216 2.2×
Coronary Artery Angio S&I (93454) $6,864.30 $7,627 2.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $567 $630 2.5×
Cpt initial (94667) $202.50 $225 1.5×
Critical care first hour (99291) $2,194.20 $2,438 2.6×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$216.90–$380.70 $241–$423 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $2,160 $2,400 8.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,251.90 $1,391 5.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $560.70 $623 5.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,319.40 $1,466 5.4×
Dup-scan xtr veins unilateral/limited study (93971)
range across 5 matching MRF lines
$790.20–$1,381.50 $878–$1,535 varies
Duplex up extrem art bilat (93930) $1,872 $2,080 7.7×
Duplex up extrem art unilat/ltd (93931) $1,038.60 $1,154 9.7×
Echo Heart Xthoracic,Limited (93308) $1,027.80 $1,142 4.2×
Echo transesophageal (93312) $1,665.90 $1,851 3.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $3,156.30 $3,507 5.7×
Eeg 41-60 Minutes (95812) $1,665.90 $1,851 7.6×
EEG awake and asleep (95819) $1,901.70 $2,113 8.6×
EEG awake drowsy (95816) $1,261.80 $1,402 5.7×
EEG extended monitoring 61-119 minutes (95813) $3,107.70 $3,453 14.1×
Electrical Stimulation Ea 15 Min (97032)
range across 3 matching MRF lines
$113.40–$173.70 $126–$193 varies
Electrocardiogram Tracing (93005) $325.80 $362 5.4×
Emergency Dept Visit Level 2 (99282) $583.20 $648 3.7×
Emergency Dept Visit Level 3 (99283) $768.60 $854 2.8×
Emergency Dept Visit Level 4 (99284) $909.90 $1,011 2.1×
Er level 1 (99281) $311.40 $346 3.6×
Er level v (99285) $1,029.60 $1,144 1.7×
Evaluate pt use of inhaler (94664) $212.40 $236 0.9×
Evaluate Speech Production (92522) $127.80 $142 1.1×
Evaluate Swallowing Function (92610) $185.40 $206 2.2×
Evaluation of speech fluency (92521) $212.40 $236 1.6×
External ECG rec>48hr<7d recording (93242) $136.80 $152 3.6×
External ECG rec>7d<15d recording (93246) $136.80 $152 3.6×
External Ecg Scanning Analysis Report (93226) $1,139.40 $1,266 18.9×
Extracranial Bilat Study (93880) $1,237.50 $1,375 5.1×
Gi tract capsule endoscopy (91110) $998.10 $1,109 1.1×
Group Therapeutic Procedures (97150) $260.10 $289 14.4×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $18,566.10 $20,629 5.6×
Holter monitor recording (93225) $711 $790 5.2×
Icd Device Interrogate (93289) $51.30 $57 1.3×
Icd device progr eval dual (93283) $51.30 $57 1.3×
Icd Device Progr Eval Mult (93284) $51.30 $57 1.3×
Ilr Device Eval Progr (93285) $51.30 $57 1.3×
Ilr Device Interrogate (93291) $27 $30 0.9×
Immunization administration (90471) $77.40 $86 1.1×
Iontophoresis 15 min (97033) $129.60 $144 6.8×
Irrig Drug Delivery Device (96523) $101.70 $113 1.7×
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$68.40–$188.10 $76–$209 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines
$332.10–$382.50 $369–$425 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$208.80–$382.50 $232–$425 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$108.90–$188.10 $121–$209 varies
IV push initial (96374)
range across 3 matching MRF lines
$296.10–$353.70 $329–$393 varies
L Hrt Art/Grft Angio (93459) $12,006.90 $13,341 3.6×
Mechanical chest wall oscillation per session (94669) $276.30 $307 1.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $39.60 $44 1.1×
Methacholine challenge (94070) $748.80 $832 2.0×
Motion Fluoroscopy/Swallow (92611) $225.90 $251 2.5×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $399.60 $444 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $787.50 $875 3.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $787.50 $875 1.9×
Nerve Conduction Studies 1-2 Studies (95907) $300.60 $334 1.4×
Nerve Conduction Studies 11-12 Studies (95912) $729 $810 1.9×
Nerve conduction studies 13 or more studies (95913) $1,096.20 $1,218 2.9×
Nerve Conduction Studies 3-4 Studies (95908) $487.80 $542 2.2×
Nerve conduction studies 5-6 studies (95909) $585.90 $651 2.7×
Nerve conduction studies 7-8 studies (95910) $555.30 $617 1.5×
Nerve Conduction Studies 9-10 Studies (95911)
range across 2 matching MRF lines
$566.10–$869.40 $629–$966 varies
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$121.50–$123.30 $135–$137 varies
Newborn resuscitation (99465) $715.50 $795 1.1×
Oral Function Therapy (92526) $187.20 $208 2.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$126–$136.80 $140–$152 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $36.90 $41 1.7×
Osteopathic manipulative tx 3-4 body regions (98926) $36.90 $41 1.7×
Osteopathic manipulative tx 5-6 body regions (98927) $36.90 $41 1.7×
Osteopathic manipulative tx 7-8 body regions (98928) $25.20 $28 1.1×
Ot eval high complexity (97167) $247.50 $275 2.5×
Ot Eval Low Complex (97165) $247.50 $275 2.5×
Ot Eval Moderate Complexity (97166) $247.50 $275 2.5×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$123.30–$125.10 $137–$139 varies
Ot paraffin bath (97018) $110.70 $123 18.4×
Ot Re-Eval Est Plan Care (97168) $126 $140 1.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $540 $600 4.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $323.10 $359 2.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $336.60 $374 1.5×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $12,872.70 $14,303 2.2×
Phlebotomy therapeutic (99195) $464.40 $516 3.4×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $150.30 $167 2.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $150.30 $167 2.5×
Physical Performance Test (97750) $178.20 $198 5.3×
Plethysmography (94726) $521.10 $579 1.4×
Pm device eval in person (93288) $51.30 $57 1.3×
Pm device progr eval dual (93280) $51.30 $57 1.3×
Pm device progr eval multi (93281) $51.30 $57 1.3×
Pm Device Progr Eval Sngl (93279) $51.30 $57 1.3×
Pm/Icd Remote Tech Serv (93296) $51.30 $57 1.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,215.50 $5,795 5.9×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $51.30 $57 1.3×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $50.40 $56 1.1×
Prq Revasc Byp Graft 1 Vsl (92937) $11,843.10 $13,159 1.0×
Pt Eval High Complex (97163) $306.90 $341 3.1×
Pt eval low complex 20 min (97161) $247.50 $275 2.5×
Pt Eval Mod Complex (97162) $256.50 $285 2.6×
Pt gait training 15 min (97116) $123.30 $137 4.2×
Pt mechanical traction (97012) $113.40 $126 7.9×
Pt Re-Eval Est Plan Care (97164) $169.20 $188 2.5×
Pt ultraviolet (97028) $125.10 $139 15.0×
Pulm function test by gas (94727) $224.10 $249 1.0×
Pulmonary service/procedure (94799) $158.40 $176 1.2×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$128.70–$150.30 $143–$167 varies
R Hrt Art/Grft Angio (93457) $11,085.30 $12,317 3.3×
R hrt coronary artery angio (93456) $8,510.40 $9,456 2.6×
R&L Hrt Cath W/Ventriclgrphy (93453) $14,334.30 $15,927 4.3×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $383.40 $426 1.1×
Right Heart Cath (93451) $7,927.20 $8,808 2.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$216.90–$787.50 $241–$875 varies
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$122.40–$144 $136–$160 varies
Sensory Integration Ea 15 Min (97533) $80.10 $89 1.3×
Slp caregiver training 1st 30 min (97550)
range across 2 matching MRF lines
$178.20–$216 $198–$240 varies
Speech sound lang comprehen (92523)
range across 2 matching MRF lines
$261–$589.50 $290–$655 varies
Spin/Brain Pump Refil & Main (95991) $360.90 $401 1.2×
Spirometry (94010)
range across 2 matching MRF lines
$198.90–$356.40 $221–$396 varies
Standardized Cognitive Performance Testing (96125) $211.50 $235 2.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $112.50 $125 5.0×
Ther Ivntj Ea Addl 15 Min (97130) $99 $110 4.7×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 2 matching MRF lines
$114.30–$116.10 $127–$129 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $90.90 $101 3.1×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$78.30–$154.80 $87–$172 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines
$332.10–$424.80 $369–$472 varies
Therapeutic Activities (97530)
range across 3 matching MRF lines
$114.30–$140.40 $127–$156 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,968.30 $2,187 5.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $40.50 $45 1.1×
Trans Care Mgmt 14 Day Disch (99495) $135 $150 1.0×
Trans Care Mgmt 7 Day Disch (99496) $135 $150 1.0×
Tte w/doppler, complete (93306) $4,269.60 $4,744 7.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $171.90 $191 2.3×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$68.40–$179.10 $76–$199 varies
Upr/L Xtremity Art 2 Levels (93922) $621.90 $691 4.6×
Vasopneumatic device (97016) $123.30 $137 10.3×
Vent Mgmt Inpat Init Day (94002) $698.40 $776 1.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $698.40 $776 1.1×
Wheelchair Mgmt Ea 15 Min (97542) $125.10 $139 4.0×

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.