Visits & medical services prices at Black Hills Surgical Hospital LLC

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $123.86 $206.44 0.6×
Analyze neurostim complex (95972) $193.98 $323.30 2.0×
Analyze Neurostim Simple (95971) $193.98 $323.30 2.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $185.35 $308.91 0.5×
C motor evoked uppr limbs (95928) $604.36 $1,007.26 0.7×
C motor evoked upr&lwr limbs (95939)
range across 4 matching MRF lines
$604.36–$637.27 $1,007.26–$1,062.12 varies
Cardiopulmonary resuscitation (92950) $820.97 $1,368.28 3.7×
Cardioversion (92960) $699.04 $1,165.06 1.0×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$172.49–$389.59 $287.49–$649.32 varies
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$172.49–$389.59 $287.49–$649.32 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660) $136.87 $228.12 0.6×
Critical care first hour (99291)
range across 4 matching MRF lines
$138.82–$698.84 $231.37–$1,164.73 varies
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $318.64 $531.06 0.8×
Debridement Open Wound 20 Sq Cm< (97597) $748.80 $1,248 3.7×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$172.49–$389.59 $287.49–$649.32 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 3 matching MRF lines
$172.49–$389.59 $287.49–$649.32 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 5 matching MRF lines
$111.85–$389.59 $186.41–$649.32 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 3 matching MRF lines
$172.49–$389.59 $287.49–$649.32 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 22 matching MRF lines
$111.85–$389.59 $186.41–$649.32 varies
Ear and throat examination (92502) $1,570.93 $2,618.21 2.9×
EEG extended monitoring 61-119 minutes (95813) $304.08 $506.80 1.4×
Electrocardiogram Tracing (93005)
range across 8 matching MRF lines
$37.15–$39.46 $61.91–$65.77 varies
Electrophysiology Evaluation (93642) $5,690.86 $9,484.76 4.6×
Emergency Dept Visit Level 3 (99283) $178.91 $298.19 0.6×
Emg 4 Extremities (95864) $247.55 $412.59 1.9×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$172.49–$389.59 $287.49–$649.32 varies
Eye exam w anesth; complete (92018) $2,301.60 $3,836 0.9×
Eye exam w anesth; limited (92019) $1,412.26 $2,353.77 0.6×
Gi tract capsule endoscopy (91110) $609.60 $1,016 0.7×
Group Therapeutic Procedures (97150) $97.21 $162.02 5.4×
Immunization administration (90471) $46.96 $78.26 0.6×
IV infusion hydration each additional hour (96361) $278.46 $464.10 5.8×
IV infusion hydration initial 31 min-1 hour (96360) $242.82 $404.70 1.1×
IV infusion ther proph addl sequential to 1 hr (96367) $242.82 $404.70 3.3×
IV infusion therapy prophylaxis/dx ea hour (96366) $278.46 $464.10 5.8×
IV push initial (96374) $158.45 $264.08 0.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$54.42–$63.63 $90.70–$106.05 varies
Motility study esophagus (91010) $523.80 $873 1.4×
Muscle Test 2 Limbs (95861) $247.55 $412.59 1.8×
Muscle Test Nonparaspinal (95870) $247.55 $412.59 1.8×
Muscle Test One Limb (95860) $439 $731.67 3.2×
Nasopharyngoscopy (92511) $147.95 $246.59 0.7×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $429.89 $716.49 1.9×
Needle electromyography larynx (95865) $389.81 $649.68 2.9×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $247.55 $412.59 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $720 $1,200 3.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $748.80 $1,248 1.8×
Nerve Conduction Studies 1-2 Studies (95907) $247.55 $412.59 1.1×
Nerve Conduction Studies 11-12 Studies (95912) $312.68 $521.14 0.8×
Nerve Conduction Studies 3-4 Studies (95908)
range across 4 matching MRF lines
$247.55–$335.71 $412.59–$559.52 varies
Nerve conduction studies 5-6 studies (95909)
range across 2 matching MRF lines
$247.55–$335.71 $412.59–$559.52 varies
Nerve conduction studies 7-8 studies (95910)
range across 2 matching MRF lines
$247.55–$508.43 $412.59–$847.38 varies
Nerve Conduction Studies 9-10 Studies (95911) $437.05 $728.42 1.1×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937)
range across 4 matching MRF lines
$247.55–$390.08 $412.59–$650.14 varies
Neuromuscular Reeducation (97112) $71.89 $119.81 2.2×
Ot manual therapy 15 min (97140) $77.62 $129.36 2.8×
Oxygen Uptake Rest Indirect (94690) $83.88 $139.80 1.4×
Phlebotomy therapeutic (99195) $174.26 $290.43 1.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,628 $4,380 3.0×
Polysom <6 yrs 4/> paramtrs (95782) $2,568 $4,280 2.9×
Pt Eval High Complex (97163) $147.86 $246.44 1.5×
Pt eval low complex 20 min (97161) $94.63 $157.72 1.0×
Pt Eval Mod Complex (97162) $118.29 $197.15 1.2×
Pt gait training 15 min (97116) $80.08 $133.46 2.8×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $48.20 $80.33 1.9×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $289.67 $482.78 1.3×
Short-latency somatosens ep std upr limbs (95925) $289.67 $482.78 1.3×
Somatosensory Testing (95938)
range across 4 matching MRF lines
$312.68–$579.34 $521.14–$965.56 varies
Spirometry (94010)
range across 3 matching MRF lines
$32.40–$106.49 $54–$177.48 varies
Ssep lower limbs (95926) $289.67 $482.78 1.3×
Subq Infusion Additional Pump Infusion Site (96371) $242.82 $404.70 3.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $80.08 $133.46 2.7×
Ther/Proph/Diag Inj Ia (96373) $191.98 $319.96 0.9×
Ther/Proph/Diag Inj Sc/Im (96372) $155.17 $258.62 2.1×
Ther/Proph/Diag Iv Inf Init (96365) $242.82 $404.70 1.1×
Therapeutic Activities (97530) $74.34 $123.90 2.1×
Tte w/doppler, complete (93306)
range across 3 matching MRF lines
$327.62–$690.37 $546.04–$1,150.62 varies
Unlisted Diagnostic Gastroenterology Procedure (91299) $523.80 $873 4.0×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$111.85–$389.59 $186.41–$649.32 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 3 matching MRF lines
$156.30–$389.59 $260.50–$649.32 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.