Visits & medical services prices at CCM Health
Montevideo, MN · every code in this section with a posted price and a Medicare benchmark.
176 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) | $29.90 | $46 | 0.7× |
| Advncd Care Plan 30 Min (99497) | $156.65 | $241 | 1.5× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$78–$160.55 | $120–$247 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $72.80 | $112 | 5.1× |
| Application on-body injector (96377) | $95.55 | $147 | 2.0× |
| Assessment of aphasia per hr (96105) | $391.95 | $603 | 4.0× |
| Assmt & care planning pt w/cognitive impairment (99483) | $662.35 | $1,019 | 6.3× |
| Behavral qualit analys voice (92524) | $394.55 | $607 | 3.6× |
| Brief Emotional/Behav Assmt (96127) | $120.90 | $186 | 3.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$38.35–$313.30 | $59–$482 | varies |
| Canalith repositioning proc (95992) range across 4 matching MRF lines |
$85.80–$340.60 | $132–$524 | varies |
| Car seat/bed test 60 min (94780) | $79.30 | $122 | 2.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $541.45 | $833 | 2.4× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$289.90–$689.65 | $446–$1,061 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$344.50–$869.05 | $530–$1,337 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $15.60 | $24 | 0.4× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $60.45 | $93 | 2.3× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$153.40–$239.85 | $236–$369 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $125.45 | $193 | 1.7× |
| Chemo IV infusion addl hr (96415) | $193.70 | $298 | 2.6× |
| Chemo IV push addl drug (96411) | $109.20 | $168 | 1.5× |
| Chemother Prolong Infuse W/Pump (96416) | $752.05 | $1,157 | 2.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $214.50 | $330 | 2.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $451.10 | $694 | 1.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $195 | $300 | 0.6× |
| Chest Wall Manipulation (94668) | $79.95 | $123 | 0.6× |
| Chron Care Mgmt Srvc 20 Min (99490) | $74.75 | $115 | 0.7× |
| Color/duplex Doppler, complete (93975) | $856.70 | $1,318 | 3.5× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$627.25–$986.05 | $965–$1,517 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $96.20 | $148 | 3.0× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $133.90 | $206 | 0.7× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $267.15 | $411 | 1.9× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $97.50 | $150 | 1.6× |
| Continuous Pulse Ox (94762) | $275.60 | $424 | 2.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$421.20–$547.95 | $648–$843 | varies |
| Cpt initial (94667) | $113.10 | $174 | 0.8× |
| Critical care first hour (99291) | $776.10 | $1,194 | 0.9× |
| Debridement Open Wound 20 Sq Cm< (97597) | $133.25 | $205 | 0.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $627.25 | $965 | 2.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $456.95 | $703 | 4.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $995.15 | $1,531 | 4.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $829.40 | $1,276 | 7.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $995.15 | $1,531 | 4.0× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$597.35–$863.85 | $919–$1,329 | varies |
| Duplex up extrem art bilat (93930) | $995.15 | $1,531 | 4.0× |
| Duplex up extrem art unilat/ltd (93931) | $829.40 | $1,276 | 7.7× |
| ECG/monitoring and analysis (93271) | $2,005.25 | $3,085 | 20.4× |
| Echo Heart Xthoracic,Limited (93308) | $716.95 | $1,103 | 2.9× |
| Electrical Stimulation Ea 15 Min (97032) | $72.80 | $112 | 5.0× |
| Electrocardiogram Tracing (93005) | $174.20 | $268 | 2.9× |
| Emergency Dept Visit Level 2 (99282) | $160.55 | $247 | 1.0× |
| Emergency Dept Visit Level 3 (99283) | $276.25 | $425 | 1.0× |
| Emergency Dept Visit Level 4 (99284) | $472.55 | $727 | 1.1× |
| Er level 1 (99281) | $304.85 | $469 | 3.5× |
| Er level v (99285) | $689.65 | $1,061 | 1.1× |
| Evaluate pt use of inhaler (94664) | $111.15 | $171 | 0.5× |
| Evaluate Speech Production (92522) | $394.55 | $607 | 3.5× |
| Evaluate Swallowing Function (92610) | $394.55 | $607 | 4.7× |
| Evaluation of speech fluency (92521) | $394.55 | $607 | 3.0× |
| Exercise test for bronchospasm (94617) range across 2 matching MRF lines |
$121.55–$314.60 | $187–$484 | varies |
| External ECG rec>48hr<7d recording (93242) | $297.70 | $458 | 7.7× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $960.70 | $1,478 | 7.0× |
| External ECG rec>7d<15d recording (93246) | $397.15 | $611 | 10.3× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $1,279.85 | $1,969 | 9.3× |
| External Ecg Scanning Analysis Report (93226) | $579.80 | $892 | 9.5× |
| Extracranial Bilat Study (93880) | $1,051.70 | $1,618 | 4.3× |
| Extracranial Uni/Ltd Study (93882) | $526.50 | $810 | 4.9× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) range across 2 matching MRF lines |
$168.35–$317.20 | $259–$488 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $274.95 | $423 | 0.3× |
| Holter monitor recording (93225) | $345.15 | $531 | 2.5× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $29.90 | $46 | 0.4× |
| Immunization administration (90471) | $29.90 | $46 | 0.4× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $98.15 | $151 | 0.3× |
| Inital newborn e/m (99460) | $331.50 | $510 | 2.4× |
| Iontophoresis 15 min (97033) | $100.10 | $154 | 5.3× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$104–$109.20 | $160–$168 | varies |
| IV infusion hydration each additional hour (96361) | $174.20 | $268 | 3.6× |
| IV infusion hydration initial 31 min-1 hour (96360) | $221 | $340 | 1.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $221 | $340 | 3.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $180.70 | $278 | 3.7× |
| IV push initial (96374) | $93.60 | $144 | 0.4× |
| Mechanical chest wall oscillation per session (94669) | $95.55 | $147 | 0.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$48.10–$77.35 | $74–$119 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$55.90–$77.35 | $86–$119 | varies |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$104–$708.50 | $160–$1,090 | varies |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$221.65–$399.75 | $341–$615 | varies |
| Motion Fluoroscopy/Swallow (92611) | $394.55 | $607 | 4.3× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$206.70–$1,810.25 | $318–$2,785 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$27.30–$70.85 | $42–$109 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $79.95 | $123 | 0.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $95.55 | $147 | 0.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $104 | $160 | 0.2× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,272.05 | $1,957 | 3.3× |
| Nerve conduction studies 13 or more studies (95913) | $1,591.85 | $2,449 | 4.1× |
| Nerve Conduction Studies 3-4 Studies (95908) | $599.95 | $923 | 2.7× |
| Nerve conduction studies 5-6 studies (95909) | $759.85 | $1,169 | 3.4× |
| Nerve conduction studies 7-8 studies (95910) | $917.15 | $1,411 | 2.4× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,081.60 | $1,664 | 2.8× |
| Neuromuscular Reeducation (97112) | $85.80 | $132 | 2.6× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$153.40–$505.05 | $236–$777 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $37.70 | $58 | 1.5× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $56.55 | $87 | 1.6× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $18.85 | $29 | 1.4× |
| Oral Function Therapy (92526) | $255.45 | $393 | 3.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $53.30 | $82 | 1.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $72.80 | $112 | 1.6× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $79.95 | $123 | 3.6× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $122.85 | $189 | 5.5× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $166.40 | $256 | 7.5× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $208.65 | $321 | 9.4× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $252.20 | $388 | 11.3× |
| Ot eval high complexity (97167) | $217.75 | $335 | 2.2× |
| Ot Eval Low Complex (97165) | $168.35 | $259 | 1.7× |
| Ot Eval Moderate Complexity (97166) | $193.70 | $298 | 1.9× |
| Ot manual therapy 15 min (97140) | $96.20 | $148 | 3.5× |
| Ot paraffin bath (97018) | $51.35 | $79 | 8.5× |
| Ot Re-Eval Est Plan Care (97168) | $85.80 | $132 | 1.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $204.10 | $314 | 1.5× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $9.10 | $14 | 0.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $214.50 | $330 | 0.9× |
| Phlebotomy therapeutic (99195) | $130 | $200 | 0.9× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $128.70 | $198 | 2.1× |
| Physical Performance Test (97750) | $72.80 | $112 | 2.2× |
| Plethysmography (94726) range across 2 matching MRF lines |
$45.50–$254.15 | $70–$391 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$448.50–$3,574.35 | $690–$5,499 | varies |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) range across 2 matching MRF lines |
$299.65–$3,042 | $461–$4,680 | varies |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $74.10 | $114 | 0.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $63.70 | $98 | 1.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $74.10 | $114 | 1.5× |
| Psych diag eval w/med srvcs (90792) | $433.55 | $667 | 2.4× |
| Psychiatric diagnostic evaluation (90791) | $399.75 | $615 | 2.2× |
| Psychological tst eval svc phys/qhp first hour (96130) | $267.15 | $411 | 1.2× |
| Psytx Crisis Initial 60 Min (90839) | $325.65 | $501 | 1.8× |
| Pt Eval High Complex (97163) | $217.75 | $335 | 2.2× |
| Pt eval low complex 20 min (97161) | $168.35 | $259 | 1.7× |
| Pt Eval Mod Complex (97162) | $193.70 | $298 | 2.0× |
| Pt gait training 15 min (97116) | $85.80 | $132 | 3.0× |
| Pt mechanical traction (97012) | $72.80 | $112 | 5.1× |
| Pt Re-Eval Est Plan Care (97164) | $85.80 | $132 | 1.3× |
| Pulmonary Stress Testing (94618) | $169 | $260 | 1.2× |
| Pure Tone Audiometry Air (92552) | $111.80 | $172 | 0.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $442 | $680 | 11.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$72.80–$74.10 | $112–$114 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $135.20 | $208 | 0.7× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $400.40 | $616 | 3.3× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $200.20 | $308 | 4.2× |
| Same day nb discharge (99463) | $367.25 | $565 | 2.7× |
| Self Care Mngment Training (97535) | $96.20 | $148 | 3.0× |
| Sensory Integration Ea 15 Min (97533) | $96.20 | $148 | 1.6× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$388.70–$408.85 | $598–$629 | varies |
| Slp caregiver training 1st 30 min (97550) | $120.25 | $185 | 2.3× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$142.35–$349.70 | $219–$538 | varies |
| Speech sound lang comprehen (92523) | $394.55 | $607 | 1.7× |
| Spirometry (94010) range across 4 matching MRF lines |
$30.55–$181.35 | $47–$279 | varies |
| Standardized Cognitive Performance Testing (96125) | $391.95 | $603 | 3.8× |
| Stress Tte Only (93350) | $1,333.80 | $2,052 | 2.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $131.30 | $202 | 5.9× |
| Ther Ivntj Ea Addl 15 Min (97130) | $131.30 | $202 | 6.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $96.20 | $148 | 2.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $248.30 | $382 | 2.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$30.55–$64.35 | $47–$99 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $221 | $340 | 1.0× |
| Therapeutic Activities (97530) | $96.20 | $148 | 2.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $51.35 | $79 | 1.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $25.35 | $39 | 0.7× |
| Trans Care Mgmt 14 Day Disch (99495) | $289.25 | $445 | 2.1× |
| Trans Care Mgmt 7 Day Disch (99496) | $394.55 | $607 | 2.9× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,799.20–$1,835.60 | $2,768–$2,824 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $255.45 | $393 | 3.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $78 | $120 | 1.6× |
| Tympanometry (92567) | $35.75 | $55 | 0.9× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$254.80–$304.20 | $392–$468 | varies |
| Vent Mgmt Inpat Init Day (94002) | $473.85 | $729 | 0.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $497.90 | $766 | 0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) | $96.20 | $148 | 3.1× |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) range across 2 matching MRF lines |
$84.50–$227.50 | $130–$350 | 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.