Visits & medical services prices at CentraCare - Melrose Hospital
Melrose, MN · every code in this section with a posted price and a Medicare benchmark.
84 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$409.50–$411.84 | $525–$528 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $89.70 | $115 | 6.2× |
| Application on-body injector (96377) | $148.98 | $191 | 3.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $351 | $450 | 0.9× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$169.26–$241.80 | $217–$310 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $769.86 | $987 | 3.5× |
| Cardiopulmonary resuscitation (92950) | $664.76 | $852.25 | 3.0× |
| Cardioversion (92960) | $1,365 | $1,750 | 2.0× |
| Chemo Anti-Neopl Sq/Im (96401) | $262.08 | $336 | 3.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $416.52 | $534 | 5.6× |
| Chemo IV infusion addl hr (96415) | $877.50 | $1,125 | 11.8× |
| Chemo IV push addl drug (96411) | $479.70 | $615 | 6.5× |
| Chemother Prolong Infuse W/Pump (96416) | $499.20 | $640 | 1.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $624 | $800 | 8.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $643.11 | $824.50 | 1.9× |
| Color/duplex Doppler, limited (93976) | $502.32 | $644 | 4.7× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $485.75 | $622.75 | 3.5× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$2,074.80–$2,145 | $2,660–$2,750 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $1,029.60 | $1,320 | 5.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $815.88 | $1,046 | 3.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $450.84 | $578 | 4.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $837.72 | $1,074 | 3.4× |
| Dup-scan xtr veins unilateral/limited study (93971) | $514.80 | $660 | 4.8× |
| Echo Congenital Complete (93303) | $1,336.92 | $1,714 | 2.4× |
| Echo Heart Xthoracic,Limited (93308) | $643.50 | $825 | 2.6× |
| Electrical Stimulation Ea 15 Min (97032) | $102.18 | $131 | 7.0× |
| Electrocardiogram Tracing (93005) range across 4 matching MRF lines |
$27.11–$692.64 | $34.75–$888 | varies |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$330.72–$1,038.96 | $424–$1,332 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$577.20–$1,154.40 | $740–$1,480 | varies |
| Emergency Dept Visit Level 4 (99284) | $923.52 | $1,184 | 2.1× |
| Er level 1 (99281) | $230.88 | $296 | 2.7× |
| Er level v (99285) | $1,298.70 | $1,665 | 2.1× |
| Evaluate Speech Production (92522) | $396.24 | $508 | 3.5× |
| Evaluate Swallowing Function (92610) | $371.28 | $476 | 4.4× |
| Evaluation of speech fluency (92521) | $329.94 | $423 | 2.5× |
| Evoked Auditory Test,Limited (92587) | $288.60 | $370 | 1.3× |
| External ECG rec>48hr<7d recording (93242) | $221.52 | $284 | 5.7× |
| Extracranial Bilat Study (93880) | $753.48 | $966 | 3.1× |
| Extracranial Uni/Ltd Study (93882) | $470.73 | $603.50 | 4.4× |
| Holter monitor recording (93225) | $595.92 | $764 | 4.3× |
| Immunization administration (90471) | $55.38 | $71 | 0.7× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$102.18–$198.12 | $131–$254 | varies |
| Irrig Drug Delivery Device (96523) | $187.20 | $240 | 3.1× |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$165.75–$2,983.50 | $212.50–$3,825 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$331.50–$545.28 | $425–$699.08 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$251.16–$753.48 | $322–$966 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$376.74–$7,936.50 | $483–$10,175 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$209.82–$423.60 | $269–$543.08 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $417.30 | $535 | 13.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $550.88 | $706.25 | 15.0× |
| Motion Fluoroscopy/Swallow (92611) | $336.96 | $432 | 3.7× |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$198.12–$436.80 | $254–$560 | varies |
| Oral Function Therapy (92526) | $202.80 | $260 | 2.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $109.20 | $140 | 2.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $327.60 | $420 | 7.1× |
| Ot eval high complexity (97167) | $308.88 | $396 | 3.1× |
| Ot Eval Low Complex (97165) | $252.72 | $324 | 2.5× |
| Ot Eval Moderate Complexity (97166) | $280.80 | $360 | 2.8× |
| Ot manual therapy 15 min (97140) range across 5 matching MRF lines |
$109.20–$436.80 | $140–$560 | varies |
| Ot Re-Eval Est Plan Care (97168) | $291.33 | $373.50 | 4.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $503.10 | $645 | 3.8× |
| Phlebotomy therapeutic (99195) | $312.78 | $401 | 2.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $176.28 | $226 | 2.9× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $159.90 | $205 | 2.6× |
| Psychiatric diagnostic evaluation (90791) | $181.58 | $232.80 | 1.0× |
| Pt eval low complex 20 min (97161) | $252.72 | $324 | 2.6× |
| Pt Eval Mod Complex (97162) | $280.80 | $360 | 2.9× |
| Pt gait training 15 min (97116) | $218.40 | $280 | 7.5× |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$89.70–$179.40 | $115–$230 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$148.20–$177.84 | $190–$228 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $301.08 | $386 | 7.8× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$109.20–$327.60 | $140–$420 | varies |
| Speech sound lang comprehen (92523) | $436.80 | $560 | 1.9× |
| Standardized Cognitive Performance Testing (96125) | $552.24 | $708 | 5.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $102.18 | $131 | 4.6× |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$204.36–$306.54 | $262–$393 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$348.66–$697.32 | $447–$894 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$429–$1,141.92 | $550–$1,464 | varies |
| Therapeutic Activities (97530) range across 5 matching MRF lines |
$99.06–$546 | $127–$700 | varies |
| Tte w/doppler, complete (93306) | $1,419.60 | $1,820 | 2.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$283.92–$517.92 | $364–$664 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$283.92–$1,510.08 | $364–$1,936 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $460.20 | $590 | 3.4× |
| Wheelchair Mgmt Ea 15 Min (97542) | $198.12 | $254 | 6.4× |
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.