Visits & medical services prices at Brookings Health System
Brookings, SD · every code in this section with a posted price and a Medicare benchmark.
183 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $42.50 | $85 | 1.0× |
| Advncd Care Plan 30 Min (99497) | $97.50 | $195 | 0.9× |
| Airway Inhalation Treatment (94640) | $219 | $438 | 1.0× |
| Ant sgm imaging w/microscopy endothelial analy (92286) | $151 | $302 | 1.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $74.50 | $149 | 5.2× |
| Assessment of aphasia per hr (96105) | $175.50 | $351 | 1.8× |
| Audiometry Air & Bone (92553) | $51.50 | $103 | 0.4× |
| Behavral qualit analys voice (92524) | $133.50 | $267 | 1.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $266.50 | $533 | 0.7× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$41.50–$59.50 | $83–$119 | varies |
| Car seat/bed test 60 min (94780) range across 2 matching MRF lines |
$104.50–$149.50 | $209–$299 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $508 | $1,016 | 2.3× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$274–$405 | $548–$810 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$256–$900 | $512–$1,800 | varies |
| Cbt 1st hour (94644) | $106 | $212 | 0.8× |
| Chemo Anti-Neopl Sq/Im (96401) | $117.50 | $235 | 1.6× |
| Chemo Hormon Antineopl Sq/Im (96402) | $117.50 | $235 | 1.6× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$73.50–$208.50 | $147–$417 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$77.50–$126 | $155–$252 | varies |
| Chemother Prolong Infuse W/Pump (96416) | $256 | $512 | 0.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $87 | $174 | 1.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$219–$543 | $438–$1,086 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$165.50–$245 | $331–$490 | varies |
| Chest Wall Manipulation (94668) | $45 | $90 | 0.3× |
| Cmptr ophth dx img ant segmt (92132) | $51 | $102 | 0.8× |
| Color/duplex Doppler, complete (93975) | $655.50 | $1,311 | 2.7× |
| Color/duplex Doppler, limited (93976) | $423.50 | $847 | 4.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $171 | $342 | 5.3× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $33.50 | $67 | 0.6× |
| Computerized Ophthalmic Imaging Retina (92134) | $33.50 | $67 | 0.6× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $114 | $228 | 0.8× |
| Cont Gluc Mntr Pt Prov Eqp (95249) range across 2 matching MRF lines |
$48–$55 | $96–$110 | varies |
| Continuous Pulse Ox (94762) | $156 | $312 | 1.2× |
| Corneal Topography (92025) | $33 | $66 | 0.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$201–$268.50 | $402–$537 | varies |
| Cpt initial (94667) | $219 | $438 | 1.6× |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) range across 2 matching MRF lines |
$51–$276.50 | $102–$553 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$351.50–$849 | $703–$1,698 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$99.50–$412 | $199–$824 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $278.50 | $557 | 1.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $339.50 | $679 | 3.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $627.50 | $1,255 | 2.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $339.50 | $679 | 3.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $745 | $1,490 | 3.1× |
| Dup-scan xtr veins unilateral/limited study (93971) | $342.50 | $685 | 3.2× |
| Duplex up extrem art bilat (93930) | $408 | $816 | 1.7× |
| Duplex up extrem art unilat/ltd (93931) | $273.50 | $547 | 2.6× |
| ECG/monitoring and analysis (93271) | $180 | $360 | 1.9× |
| Echo Congenital Complete (93303) | $575 | $1,150 | 1.0× |
| Echo Heart Xthoracic,Limited (93308) | $698.50 | $1,397 | 2.9× |
| Eeg 41-60 Minutes (95812) | $657 | $1,314 | 3.0× |
| EEG awake and asleep (95819) | $348 | $696 | 1.6× |
| EEG awake drowsy (95816) | $348 | $696 | 1.6× |
| EEG extended monitoring 61-119 minutes (95813) | $657 | $1,314 | 3.0× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$61–$61.50 | $122–$123 | varies |
| Electrocardiogram Tracing (93005) | $95 | $190 | 1.6× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$86.50–$136 | $173–$272 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$122–$215.50 | $244–$431 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$185–$375.50 | $370–$751 | varies |
| Er level 1 (99281) range across 3 matching MRF lines |
$74.50–$291.50 | $149–$583 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$294.50–$779.50 | $589–$1,559 | varies |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$23–$56 | $46–$112 | varies |
| Evaluate Speech Production (92522) | $129 | $258 | 1.2× |
| Evaluate Swallowing Function (92610) | $161 | $322 | 1.9× |
| Evaluation of speech fluency (92521) | $168.50 | $337 | 1.3× |
| Exercise test for bronchospasm (94617) | $191 | $382 | 1.4× |
| External ECG rec>48hr<7d recording (93242) | $35 | $70 | 0.9× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $57 | $114 | 0.4× |
| External ECG rec>7d<15d recording (93246) | $57 | $114 | 1.5× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $114.50 | $229 | 0.8× |
| External Ecg Scanning Analysis Report (93226) | $575.50 | $1,151 | 9.5× |
| Extracranial Bilat Study (93880) | $655.50 | $1,311 | 2.7× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $379 | $758 | 0.7× |
| Fluorescein angiography (92235) | $51 | $102 | 0.2× |
| Fundus photography (92250) | $28.50 | $57 | 0.2× |
| Gonioscopy (92020) | $75.50 | $151 | 0.6× |
| Group Therapeutic Procedures (97150) | $115.50 | $231 | 6.4× |
| Holter monitor recording (93225) | $249.50 | $499 | 1.8× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $68.50 | $137 | 0.9× |
| Immunization administration (90471) | $66.50 | $133 | 0.9× |
| Insert/Place Heart Catheter (93503) | $346 | $692 | 0.2× |
| Intracutaneous tests w/allergenic extracts (95024) | $4 | $8 | 0.1× |
| Iontophoresis 15 min (97033) | $98 | $196 | 5.1× |
| Irrig Drug Delivery Device (96523) | $97 | $194 | 1.6× |
| IV infusion hydration each additional hour (96361) | $84 | $168 | 1.8× |
| IV infusion hydration initial 31 min-1 hour (96360) | $280.50 | $561 | 1.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $84 | $168 | 1.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $84 | $168 | 1.8× |
| IV push initial (96374) | $133.50 | $267 | 0.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $655.50 | $1,311 | 3.0× |
| Mechanical chest wall oscillation per session (94669) | $324.50 | $649 | 1.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $29.50 | $59 | 0.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $32 | $64 | 0.9× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $16 | $32 | 0.9× |
| Motion Fluoroscopy/Swallow (92611) | $217 | $434 | 2.4× |
| Multiple Sleep Latency Test (95805) | $1,377.50 | $2,755 | 1.6× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$102–$122 | $204–$244 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$347–$412 | $694–$824 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$347.50–$412 | $695–$824 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$45.50–$412 | $91–$824 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$53.50–$412 | $107–$824 | varies |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$58–$72.50 | $116–$145 | varies |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$187–$1,143 | $374–$2,286 | varies |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $165 | $330 | 1.2× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $75.50 | $151 | 0.6× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $75.50 | $151 | 0.6× |
| Ophth medical xm&eval intermediate estab pt (92012) | $75.50 | $151 | 0.6× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $75.50 | $151 | 0.6× |
| Oral Function Therapy (92526) | $166.50 | $333 | 2.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $57 | $114 | 1.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$80.50–$85 | $161–$170 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $29 | $58 | 1.3× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $25.50 | $51 | 1.2× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $71 | $142 | 3.2× |
| Ot eval high complexity (97167) | $144.50 | $289 | 1.4× |
| Ot Eval Low Complex (97165) | $73 | $146 | 0.7× |
| Ot Eval Moderate Complexity (97166) | $108.50 | $217 | 1.1× |
| Ot manual therapy 15 min (97140) | $75.50 | $151 | 2.7× |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$60.50–$67.50 | $121–$135 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $59 | $118 | 1.5× |
| Ot Re-Eval Est Plan Care (97168) | $108.50 | $217 | 1.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $116 | $232 | 0.9× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $116 | $232 | 0.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $95.50 | $191 | 0.4× |
| Percutaneous tests w/allergenic extracts (95004) | $10 | $20 | 0.0× |
| Peripheral arterial disease rehab per session (93668) | $113 | $226 | 1.9× |
| Phlebotomy therapeutic (99195) | $112 | $224 | 0.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $148 | $296 | 2.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $148 | $296 | 2.5× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$59–$60 | $118–$120 | varies |
| Plethysmography (94726) | $363.50 | $727 | 1.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,728.50 | $5,457 | 3.1× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $19 | $38 | 0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $24.50 | $49 | 0.5× |
| Pt Eval High Complex (97163) | $144.50 | $289 | 1.5× |
| Pt eval low complex 20 min (97161) | $73 | $146 | 0.7× |
| Pt Eval Mod Complex (97162) | $108.50 | $217 | 1.1× |
| Pt gait training 15 min (97116) | $56.50 | $113 | 1.9× |
| Pt mechanical traction (97012) | $72.50 | $145 | 5.0× |
| Pt Re-Eval Est Plan Care (97164) | $108.50 | $217 | 1.6× |
| Pulm function test by gas (94727) | $140.50 | $281 | 0.6× |
| Pulmonary service/procedure (94799) | $137 | $274 | 1.0× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$132.50–$182.50 | $265–$365 | varies |
| Pure Tone Audiometry Air (92552) | $34 | $68 | 0.3× |
| Remote 30 Day Ecg Rev/Report (93270) | $676 | $1,352 | 17.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$58.50–$412 | $117–$824 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $175.50 | $351 | 1.4× |
| Self Care Mngment Training (97535) | $58.50 | $117 | 1.8× |
| Sensory Integration Ea 15 Min (97533) | $50 | $100 | 0.8× |
| Speech sound lang comprehen (92523) | $222 | $444 | 1.0× |
| Spirometry (94010) range across 2 matching MRF lines |
$28–$134 | $56–$268 | varies |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$167.50–$175.50 | $335–$351 | varies |
| Stress Tte Only (93350) | $352 | $704 | 0.6× |
| Temp transcutaneous pacing (92953) | $380 | $760 | 0.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$55–$58 | $110–$116 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $55 | $110 | 2.6× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $90.50 | $181 | 2.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$48.50–$51 | $97–$102 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $159.50 | $319 | 1.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $84 | $168 | 1.1× |
| Ther/Proph/Diag Iv Inf Init (96365) | $280.50 | $561 | 1.3× |
| Therapeutic Activities (97530) | $74.50 | $149 | 2.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$37.50–$44 | $75–$88 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$5–$44 | $10–$88 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $96.50 | $193 | 0.7× |
| Trans Care Mgmt 7 Day Disch (99496) | $130 | $260 | 1.0× |
| Tte w/doppler, complete (93306) | $1,193 | $2,386 | 2.1× |
| Tte W/O Doppler Complete (93307) | $585 | $1,170 | 2.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $167.50 | $335 | 2.2× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $128 | $256 | 5.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $84 | $168 | 1.8× |
| Unlisted allergy/clinical immunologic srvc/px (95199) | $25 | $50 | 0.8× |
| Unlisted ophthalmological service/procedure (92499) | $8.50 | $17 | 0.3× |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$21–$293.50 | $42–$587 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 5 matching MRF lines |
$35–$293.50 | $70–$587 | varies |
| Vasopneumatic device (97016) | $48 | $96 | 4.0× |
| Vent Mgmt Inpat Init Day (94002) | $713 | $1,426 | 1.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $616 | $1,232 | 1.0× |
| Visual Field Exam Extended (92083) | $62 | $124 | 0.5× |
| Visual field xm uni/bi w/interp intermed exam (92082) | $115 | $230 | 1.9× |
| Wheelchair Mgmt Ea 15 Min (97542) | $55.50 | $111 | 1.8× |
| Whirlpool Therapy (97022) | $69.50 | $139 | 4.4× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $33.50 | $67 | 0.9× |
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.