Visits & medical services prices at Baraga County Memorial Hospital

L' Anse, MI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $42 $42 1.0×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$67–$158 $67–$158 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$102–$116 $102–$116 varies
Application on-body injector (96377) $101 $101 2.2×
Assessment of aphasia per hr (96105) $399 $399 4.1×
Audiometry Air & Bone (92553) $193 $193 1.5×
Behavral qualit analys voice (92524) $225 $225 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$28–$461 $28–$461 varies
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines
$90–$751 $90–$751 varies
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$252–$766 $252–$766 varies
Cardioversion (92960) $641 $641 1.0×
Cbt 1st hour (94644) $177 $177 1.3×
Chemo Anti-Neopl Sq/Im (96401) $255 $255 3.6×
Chemo Hormon Antineopl Sq/Im (96402) $148 $148 2.1×
Chemo IV infusion addl hr (96415)
range across 2 matching MRF lines
$190–$191 $190–$191 varies
Chemo IV push addl drug (96411) $314 $314 4.4×
Chemother Prolong Infuse W/Pump (96416) $641 $641 1.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417)
range across 2 matching MRF lines
$349–$350 $349–$350 varies
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $611 $611 1.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $464 $464 1.4×
Chest Wall Manipulation (94668) $125 $125 0.9×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$318–$602 $318–$602 varies
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$157–$363 $157–$363 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $99 $99 3.1×
Cont gluc mntr physician/qhp provided equiptment (95250) $464 $464 3.5×
Cont Gluc Mntr Pt Prov Eqp (95249) $175 $175 3.0×
Continuous Pulse Ox (94762)
range across 3 matching MRF lines
$126–$220 $126–$220 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
$196–$225 $196–$225 varies
Cpt initial (94667) $177 $177 1.3×
Critical care first hour (99291)
range across 3 matching MRF lines
$561–$2,813 $561–$2,813 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 8 matching MRF lines
$119–$278 $119–$278 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$318–$420 $318–$420 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979)
range across 2 matching MRF lines
$157–$271 $157–$271 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$550–$795 $550–$795 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 6 matching MRF lines
$324–$547 $324–$547 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 4 matching MRF lines
$427–$795 $427–$795 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 4 matching MRF lines
$269–$547 $269–$547 varies
Duplex up extrem art bilat (93930)
range across 2 matching MRF lines
$461–$795 $461–$795 varies
Duplex up extrem art unilat/ltd (93931)
range across 4 matching MRF lines
$281–$547 $281–$547 varies
ECG/monitoring and analysis (93271) $1,002 $1,002 10.6×
Echo Heart Xthoracic,Limited (93308)
range across 5 matching MRF lines
$61–$712 $61–$712 varies
Echo transesophageal (93312)
range across 2 matching MRF lines
$172–$258 $172–$258 varies
EEG awake and asleep (95819) $647 $647 3.0×
EEG awake drowsy (95816) $926 $926 4.3×
EEG cerebral death evaluation (95824) $647 $647 1.7×
Eeg Sleep Only (95822) $647 $647 3.0×
Electrical Stimulation Ea 15 Min (97032) $108 $108 7.3×
Electrocardiogram Tracing (93005) $170 $170 2.9×
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines
$142–$356 $142–$356 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines
$216–$556 $216–$556 varies
Emergency Dept Visit Level 4 (99284)
range across 3 matching MRF lines
$314–$997 $314–$997 varies
Er level 1 (99281)
range across 3 matching MRF lines
$72–$349 $72–$349 varies
Er level v (99285)
range across 3 matching MRF lines
$443–$1,886 $443–$1,886 varies
Evaluate pt use of inhaler (94664) $105 $105 0.5×
Evaluate Speech Production (92522) $220 $220 2.0×
Evaluate Swallowing Function (92610) $417 $417 4.9×
Evaluation of speech fluency (92521) $272 $272 2.0×
External ECG rec>48hr<7d scanning alys w/report (93243) $1,002 $1,002 7.6×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$439–$1,225 $439–$1,225 varies
Flexible endoscopic eval swallow c/v rec (92612) $261 $261 1.3×
Group Therapeutic Procedures (97150) $67 $67 3.7×
Holter monitor recording (93225) $1,002 $1,002 7.6×
Immunization administration (90471) $50 $50 0.7×
Iontophoresis 15 min (97033) $112 $112 5.9×
Irrig Drug Delivery Device (96523) $113 $113 1.9×
IV infusion hydration each additional hour (96361) $74 $74 1.6×
IV infusion hydration initial 31 min-1 hour (96360) $106 $106 0.5×
IV infusion ther proph addl sequential to 1 hr (96367) $157 $157 2.2×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 4 matching MRF lines
$77–$80 $77–$80 varies
IV push initial (96374) $174 $174 0.8×
Lung Function Test (Mbc/Mvv) (94200) $86 $86 1.5×
Mechanical chest wall oscillation per session (94669) $290 $290 1.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $74 $74 2.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 3 matching MRF lines
$43–$83 $43–$83 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804)
range across 2 matching MRF lines
$48–$50 $48–$50 varies
Nasopharyngoscopy (92511) $301 $301 1.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 3 matching MRF lines
$55–$564 $55–$564 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 3 matching MRF lines
$55–$564 $55–$564 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 4 matching MRF lines
$119–$199 $119–$199 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 4 matching MRF lines
$214–$356 $214–$356 varies
Neuromuscular Reeducation (97112) $108 $108 3.3×
Nitric oxide expired gas determination (95012) $57 $57 1.5×
Oral Function Therapy (92526) $201 $201 2.4×
Oral Speech Device Eval (92597) $326 $326 4.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $85 $85 1.8×
Ot Contrast Bath Ea 15 Min (97034) $69 $69 4.9×
Ot eval high complexity (97167)
range across 2 matching MRF lines
$636–$637 $636–$637 varies
Ot Eval Low Complex (97165) $214 $214 2.1×
Ot Eval Moderate Complexity (97166)
range across 2 matching MRF lines
$422–$423 $422–$423 varies
Ot manual therapy 15 min (97140) $130 $130 4.7×
Ot paraffin bath (97018) $79 $79 13.1×
Ot Prosthetic Training, Each 15 Min (97761) $102 $102 2.5×
Ot Re-Eval Est Plan Care (97168) $133 $133 1.9×
Ot rom hand (95852) $67 $67 3.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $207 $207 1.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $18 $18 0.1×
Peripheral arterial disease rehab per session (93668) $147 $147 2.5×
Phlebotomy therapeutic (99195) $130 $130 1.0×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $88 $88 1.5×
Physical Performance Test (97750) $78 $78 2.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $34 $34 0.7×
Pt Eval High Complex (97163) $588 $588 6.0×
Pt eval low complex 20 min (97161) $195 $195 2.0×
Pt Eval Mod Complex (97162) $393 $393 4.0×
Pt gait training 15 min (97116) $108 $108 3.7×
Pt mechanical traction (97012) $113 $113 7.9×
Pt Re-Eval Est Plan Care (97164) $133 $133 2.0×
Pulm function test by gas (94727)
range across 2 matching MRF lines
$31–$220 $31–$220 varies
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$39–$255 $39–$255 varies
Pulmonary Stress Testing (94618) $171 $171 1.3×
Refill/Maint Portable Pump (96521) $620 $620 2.9×
Refill/Maint Pump/Resvr Syst (96522) $378 $378 1.8×
Remote 30 Day Ecg Rev/Report (93270)
range across 2 matching MRF lines
$222–$927 $222–$927 varies
Remote 30 Day Ecg Tech Supp (93229) $1,002 $1,002 2.7×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $52 $52 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 6 matching MRF lines
$112–$199 $112–$199 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $67 $67 2.6×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$83–$90 $83–$90 varies
Sensory Integration Ea 15 Min (97533) $109 $109 1.8×
Speech sound lang comprehen (92523) $456 $456 2.0×
Spirometry (94010) $297 $297 1.4×
Standardized Cognitive Performance Testing (96125) $128 $128 1.2×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$133–$417 $133–$417 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $31 $31 1.4×
Ther Ivntj Ea Addl 15 Min (97130) $30 $30 1.4×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $102 $102 3.4×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 5 matching MRF lines
$43–$100 $43–$100 varies
Ther/Proph/Diag Iv Inf Init (96365) $254 $254 1.2×
Therapeutic Activities (97530) $109 $109 3.1×
Tte w/doppler, complete (93306)
range across 4 matching MRF lines
$165–$2,602 $165–$2,602 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $180 $180 2.4×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $90 $90 3.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $114 $114 2.4×
Upr/L Xtremity Art 2 Levels (93922)
range across 4 matching MRF lines
$192–$404 $192–$404 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$310–$795 $310–$795 varies
Vent Mgmt Inpat Init Day (94002) $842 $842 1.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,516 $1,516 2.5×
Vital capacity, total (94150)
range across 3 matching MRF lines
$26–$134 $26–$134 varies
Wheelchair Mgmt Ea 15 Min (97542) $72 $72 2.3×
Whirlpool Therapy (97022)
range across 4 matching MRF lines
$75–$77 $75–$77 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.