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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $410.67 $526.50 1.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $89.70 $115 6.2×
Application on-body injector (96377) $148.98 $191 3.1×
Bedside Swallowing Eval (92610) $371.28 $476 4.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $351 $450 0.9×
Canalith Repositioning Procedure (95992) $205.53 $263.50 5.0×
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 Hormon Antineopl Sq/Im (96402) $416.52 $534 5.6×
Chemo IV push addl drug (96411) $479.70 $615 6.5×
Chemo prolong 8+ hrs infuse w/pump (96416) $499.20 $640 1.5×
Chemother, IV infusion, 1 hr (96413) $643.11 $824.50 1.9×
Chemother, IV infusion, ea add hr (96415) $877.50 $1,125 11.8×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $262.08 $336 3.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $624 $800 8.4×
Color/duplex Doppler, limited (93976) $502.32 $644 4.7×
Continuous Glucose Monitoring (95250) $485.75 $622.75 3.5×
Critical care (99291) $2,109.90 $2,705 2.5×
Debridement Open Wound 20 Sq Cm< (97597) $1,029.60 $1,320 5.0×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $288.60 $370 1.3×
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×
Duplex scan extracranial art compl bi study (93880) $753.48 $966 3.1×
Echo Heart Xthoracic,Limited (93308) $643.50 $825 2.6×
Echo Transthoracic - Congenital Tte Complete (93303) $1,336.92 $1,714 2.4×
Electrocardiogram Tracing (93005) $259.74 $333 4.3×
Er level 1 (99281) $230.88 $296 2.7×
Er level ii (99282) $346.32 $444 2.2×
Er level iii (99283) $592.80 $760 2.1×
Er level IV (99284) $923.52 $1,184 2.1×
Er level v (99285) $1,298.70 $1,665 2.1×
Eval speech sound production (92522) $396.24 $508 3.5×
Evaluation of speech fluency (92521) $329.94 $423 2.5×
External ECG rec>48hr<7d recording (93242) $221.52 $284 5.7×
Holter Monitor (93225) $595.92 $764 4.3×
Immunization Admin (90471) $55.38 $71 0.7×
Iontophoresis 15 min (97033) $150.15 $192.50 7.9×
Irrig drug delivery device (96523) $187.20 $240 3.1×
IV infusion hydration each additional hour (96361) $1,326 $1,700 27.4×
IV infusion hydration initial 31 min-1 hour (96360) $485.60 $622.56 2.2×
IV infusion ther proph addl sequential to 1 hr (96367) $502.32 $644 6.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $674.96 $865.33 3.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $1,773.72 $2,274 36.7×
IV push ea addl new drug (96375) $702.78 $901 14.5×
IV push initial (96374) $310.08 $397.54 1.4×
Manual therapy 15 min (97140) $218.40 $280 7.9×
Mechanical traction (97012) $134.55 $172.50 9.4×
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 Fluor Eval Swlng Funcj C/V Rec (92611) $336.96 $432 3.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $460.20 $590 3.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $327.60 $420 7.1×
Ot eval high complex 60 min (97167) $308.88 $396 3.1×
Ot eval low complex 30 min (97165) $252.72 $324 2.5×
Ot eval mod complex 45 min (97166) $280.80 $360 2.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $109.20 $140 2.2×
Ot re-evaluation (97168) $291.33 $373.50 4.3×
Ot therapeutic activity 15 min (97530) $218.40 $280 6.2×
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 Electrical Stimulation (97032) $102.18 $131 7.0×
Pt eval low complex 20 min (97161) $252.72 $324 2.6×
Pt eval mod complex 30 min (97162) $280.80 $360 2.9×
Pt gait training 15 min (97116) $218.40 $280 7.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $273 $350 8.3×
Pt re-evaluation (97164) $163.02 $209 2.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $218.40 $280 6.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $301.08 $386 7.8×
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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $255.45 $327.50 12.1×
Therapeutic prophylactic/dx injection subq/im (96372) $522.99 $670.50 7.0×
Tte w/doppler, complete (93306) $1,419.60 $1,820 2.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $400.92 $514 5.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $202.80 $260 2.4×
Vasc Duplex Scan Extracranial,Limited (93882) $470.73 $603.50 4.4×
Wheelchair Mgmt Ea 15 Min (97542) $198.12 $254 6.4×