Visits & medical services prices at Avera Weskota Memorial Medical Center - Cah

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines
$217.28–$283.24 $224–$292 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$132.89–$139.68 $137–$144 varies
Canalith repositioning proc (95992) $218.25 $225 5.4×
Chemo IV infusion addl hr (96415) $182.36 $188 2.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $642.14 $662 1.9×
Color/duplex Doppler, complete (93975) $2,212.57 $2,281 9.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$1,180.49–$1,263.91 $1,217–$1,303 varies
Critical care first hour (99291) $3,992.52 $4,116 4.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,095.20 $2,160 8.6×
Dup-scan xtr veins unilateral/limited study (93971) $1,490.89 $1,537 14.0×
Echo Heart Xthoracic,Limited (93308) $508.28 $524 2.1×
Electrical Stimulation Ea 15 Min (97032) $139.68 $144 9.5×
Electrocardiogram Tracing (93005) $227.95 $235 3.8×
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 v (99285) $2,598.63 $2,679 4.3×
Evaluate Swallowing Function (92610) $445.23 $459 5.2×
External ECG rec>48hr<7d recording (93242) $1,126.17 $1,161 29.5×
External ECG rec>7d<15d recording (93246) $1,247.42 $1,286 32.7×
External Ecg Scanning Analysis Report (93226) $1,803.23 $1,859 29.9×
Extracranial Bilat Study (93880) $1,503.50 $1,550 6.2×
Holter monitor recording (93225) $657.66 $678 4.8×
Immunization administration (90471) $241.53 $249 3.3×
Iontophoresis 15 min (97033) $132.89 $137 7.0×
Irrig Drug Delivery Device (96523) $224.07 $231 3.7×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$198.85–$236.68 $205–$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 2 matching MRF lines
$84.39–$114.46 $87–$118 varies
IV push initial (96374)
range across 2 matching MRF lines
$232.80–$324.95 $240–$335 varies
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$150.35–$170.72 $155–$176 varies
Oral Function Therapy (92526) $376.36 $388 4.5×
Ot eval high complexity (97167) $230.86 $238 2.3×
Ot Eval Low Complex (97165) $260.93 $269 2.6×
Ot Eval Moderate Complexity (97166) $373.45 $385 3.7×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$161.99–$171.69 $167–$177 varies
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $429.71 $443 3.3×
Phlebotomy therapeutic (99195) $365.69 $377 2.7×
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) $165.87 $171 11.6×
Self Care Mngment Training (97535) $168.78 $174 5.2×
Speech sound lang comprehen (92523) $539.32 $556 2.4×
Standardized Cognitive Performance Testing (96125) $556.78 $574 5.4×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $147.44 $152 6.6×
Ther Ivntj Ea Addl 15 Min (97130) $128.04 $132 6.1×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$83.42–$228.92 $86–$236 varies
Ther/Proph/Diag Iv Inf Init (96365) $702.28 $724 3.2×
Therapeutic Activities (97530) $155.20 $160 4.4×
Tte w/doppler, complete (93306) $3,526.92 $3,636 6.3×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$232.80–$324.95 $240–$335 varies

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.