Visits & medical services prices at Burnett Medical Center
Grantsburg, WI · every code in this section with a posted price and a Medicare benchmark.
138 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $158.40 | $198 | 0.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$178.40–$199.20 | $223–$249 | varies |
| Assessment of aphasia per hr (96105) | $232 | $290 | 2.4× |
| Behavral qualit analys voice (92524) | $300 | $375 | 2.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $521.60 | $652 | 1.4× |
| Canalith repositioning proc (95992) | $116.80 | $146 | 2.9× |
| Cardiac Stress Tst,Tracing Only (93017) | $808.80 | $1,011 | 3.9× |
| Cardiopulmonary resuscitation (92950) | $927.20 | $1,159 | 4.4× |
| Cardioversion (92960) range across 2 matching MRF lines |
$241.60–$917.60 | $302–$1,147 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $270.40 | $338 | 3.9× |
| Chemo Hormon Antineopl Sq/Im (96402) | $118.40 | $148 | 1.7× |
| Chemo Ia Push (96420) | $383.20 | $479 | 1.2× |
| Chemo IV infusion addl hr (96415) | $110.40 | $138 | 1.6× |
| Chemo IV push addl drug (96411) | $127.20 | $159 | 1.8× |
| Chemother Prolong Infuse W/Pump (96416) | $510.40 | $638 | 1.6× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $616.80 | $771 | 1.9× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $285.60 | $357 | 6.3× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $662.40 | $828 | 2.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $127.20 | $159 | 1.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $514.40 | $643 | 1.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $400.80 | $501 | 1.2× |
| Color/duplex Doppler, complete (93975) | $2,946.40 | $3,683 | 12.7× |
| Color/duplex Doppler, limited (93976) | $620 | $775 | 6.1× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $237.60 | $297 | 7.4× |
| Continuous Pulse Ox (94762) | $456 | $570 | 3.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $151.20 | $189 | 0.7× |
| Critical care first hour (99291) | $2,393.60 | $2,992 | 3.0× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$167.20–$184.80 | $209–$231 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $840 | $1,050 | 3.6× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $660 | $825 | 6.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,759.20 | $2,199 | 7.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,143.20 | $1,429 | 11.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,664 | $2,080 | 7.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,394.40 | $1,743 | 13.7× |
| Duplex Scan Hemodialysis Access (93990) | $2,105.60 | $2,632 | 20.7× |
| Duplex up extrem art bilat (93930) | $1,415.20 | $1,769 | 6.1× |
| Duplex up extrem art unilat/ltd (93931) | $1,036 | $1,295 | 10.2× |
| Ear and throat examination (92502) | $585.60 | $732 | 1.1× |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$920–$1,208 | $1,150–$1,510 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,690.40 | $2,113 | 3.2× |
| Eeg 41-60 Minutes (95812) | $560 | $700 | 2.7× |
| EEG awake and asleep (95819) | $590.40 | $738 | 2.8× |
| EEG awake drowsy (95816) | $514.40 | $643 | 2.5× |
| EEG extended monitoring 61-119 minutes (95813) | $710.40 | $888 | 3.4× |
| Eeg Sleep Only (95822) | $428.80 | $536 | 2.0× |
| EKG signal averaged (93278) | $368 | $460 | 6.4× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$114.40–$127.20 | $143–$159 | varies |
| Electrocardiogram Tracing (93005) | $244 | $305 | 4.3× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$196–$669.60 | $245–$837 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$262.40–$1,128.80 | $328–$1,411 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$368.80–$1,499.20 | $461–$1,874 | varies |
| Emg 3 Extremities (95863) | $219.20 | $274 | 1.8× |
| Er level 1 (99281) range across 2 matching MRF lines |
$105.60–$352.80 | $132–$441 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$484.80–$1,853.60 | $606–$2,317 | varies |
| Evaluate Speech Production (92522) | $290.40 | $363 | 2.6× |
| Evaluate Swallowing Function (92610) | $413.60 | $517 | 4.9× |
| Evaluation of speech fluency (92521) | $357.60 | $447 | 2.7× |
| External ECG rec>48hr<7d recording (93242) | $268.80 | $336 | 7.4× |
| External ECG rec>7d<15d recording (93246) | $268.80 | $336 | 7.4× |
| External Ecg Scanning Analysis Report (93226) | $400.80 | $501 | 7.0× |
| Extracranial Bilat Study (93880) | $1,831.20 | $2,289 | 7.9× |
| Holter monitor recording (93225) | $268.80 | $336 | 2.1× |
| Icd Device Interrogate (93289) | $302.40 | $378 | 8.3× |
| Icd device progr eval dual (93283) | $302.40 | $378 | 8.3× |
| Icd Device Progr Eval Mult (93284) | $302.40 | $378 | 8.3× |
| Ilr Device Interrogate (93291) | $200.80 | $251 | 7.1× |
| Immunization administration (90471) | $26.40 | $33 | 0.4× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$120.80–$236 | $151–$295 | varies |
| Irrig Drug Delivery Device (96523) | $174.40 | $218 | 3.0× |
| IV infusion hydration each additional hour (96361) | $31.20 | $39 | 0.7× |
| IV infusion hydration initial 31 min-1 hour (96360) | $87.20 | $109 | 0.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $213.60 | $267 | 3.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $52.80 | $66 | 1.2× |
| IV push initial (96374) range across 2 matching MRF lines |
$203.20–$213.60 | $254–$267 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $53.60 | $67 | 1.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $60 | $75 | 1.6× |
| Motion Fluoroscopy/Swallow (92611) | $456.80 | $571 | 5.0× |
| Multiple Sleep Latency Test (95805) | $1,704.80 | $2,131 | 2.0× |
| Muscle Test 2 Limbs (95861) | $163.20 | $204 | 1.3× |
| Muscle Test One Limb (95860) | $134.40 | $168 | 1.0× |
| Nasopharyngoscopy (92511) | $370.40 | $463 | 1.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $176.80 | $221 | 0.9× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $75.20 | $94 | 0.6× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$188–$237.60 | $235–$297 | varies |
| Oral Function Therapy (92526) | $232 | $290 | 2.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $177.60 | $222 | 3.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$83.20–$220 | $104–$275 | varies |
| Ot eval high complexity (97167) | $251.20 | $314 | 2.5× |
| Ot Eval Low Complex (97165) | $210.40 | $263 | 2.1× |
| Ot Eval Moderate Complexity (97166) | $230.40 | $288 | 2.3× |
| Ot manual therapy 15 min (97140) | $206.40 | $258 | 7.4× |
| Ot Re-Eval Est Plan Care (97168) | $140 | $175 | 2.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $472.80 | $591 | 3.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $232 | $290 | 1.9× |
| Peripheral arterial disease rehab per session (93668) | $180 | $225 | 3.1× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$316.80–$336 | $396–$420 | varies |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$175.20–$180 | $219–$225 | varies |
| Pm device eval in person (93288) | $285.60 | $357 | 7.9× |
| Pm device progr eval dual (93280) | $200.80 | $251 | 5.5× |
| Pm device progr eval multi (93281) | $200.80 | $251 | 5.5× |
| Pm Device Progr Eval Sngl (93279) | $200.80 | $251 | 5.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$288–$3,164 | $360–$3,955 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $302.40 | $378 | 8.3× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $28 | $35 | 0.6× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $37.60 | $47 | 0.8× |
| Pt Eval High Complex (97163) | $288 | $360 | 2.9× |
| Pt eval low complex 20 min (97161) | $241.60 | $302 | 2.5× |
| Pt Eval Mod Complex (97162) | $265.60 | $332 | 2.7× |
| Pt gait training 15 min (97116) | $80.80 | $101 | 2.8× |
| Pt mechanical traction (97012) | $211.20 | $264 | 14.7× |
| Pt Re-Eval Est Plan Care (97164) | $164 | $205 | 2.4× |
| Pulmonary Stress Testing (94618) | $174.40 | $218 | 1.3× |
| Remote 30 Day Ecg Rev/Report (93270) | $184.80 | $231 | 5.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $30.40 | $38 | 0.5× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$211.20–$237.60 | $264–$297 | varies |
| Sensory Integration Ea 15 Min (97533) | $237.60 | $297 | 3.9× |
| Short-latency somatosens ep std upr limbs (95925) | $203.20 | $254 | 1.0× |
| Speech sound lang comprehen (92523) | $601.60 | $752 | 2.7× |
| Spirometry (94010) | $60 | $75 | 0.3× |
| Ssep lower limbs (95926) | $203.20 | $254 | 1.0× |
| Stress Tte Only (93350) | $1,690.40 | $2,113 | 3.2× |
| Temp transcutaneous pacing (92953) | $33.60 | $42 | 0.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $97.60 | $122 | 4.4× |
| Ther Ivntj Ea Addl 15 Min (97130) | $84 | $105 | 4.0× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $208.80 | $261 | 5.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $182.40 | $228 | 6.1× |
| Ther/Proph/Diag Inj Ia (96373) | $173.60 | $217 | 0.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $133.60 | $167 | 1.9× |
| Ther/Proph/Diag Iv Inf Init (96365) | $173.60 | $217 | 0.8× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$211.20–$237.60 | $264–$297 | varies |
| Tte w/doppler, complete (93306) | $2,905.60 | $3,632 | 5.5× |
| Tte W/O Doppler Complete (93307) | $1,500.80 | $1,876 | 6.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $232 | $290 | 3.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $38.40 | $48 | 0.8× |
| Upr/L Xtremity Art 2 Levels (93922) | $408 | $510 | 3.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $233.60 | $292 | 1.1× |
| Vital capacity, total (94150) | $91.20 | $114 | 0.7× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$208–$214.40 | $260–$268 | 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.