Visits & medical services prices at CentraCare - Monticello Hospital

Monticello, MN · every code in this section with a posted price and a Medicare benchmark.

100 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Actigraphy testing recording analysis i&r (95803) $81.90 $105 1.3×
Aep Thrshld Est Mlt Freq I&R (92652) $322.14 $413 1.4×
Airway inhalation treatment (94640) $132.21 $169.50 0.6×
Application on-body injector (96377) $148.98 $191 3.0×
Bedside Swallowing Eval (92610) $253.50 $325 3.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $340.86 $437 0.9×
Cardiac Stress Tst,Tracing Only (93017) $733.20 $940 3.2×
Cardiopulmonary resuscitation (92950) $643.89 $825.50 2.8×
Cardioversion (92960) $1,329.12 $1,704 1.9×
Chemo Hormon Antineopl Sq/Im (96402) $208.26 $267 2.8×
Chemo IV push addl drug (96411) $230.88 $296 3.1×
Chemo prolong 8+ hrs infuse w/pump (96416) $432.90 $555 1.3×
Chemother, IV infusion, 1 hr (96413) $567.84 $728 1.6×
Chemother, IV infusion, ea add hr (96415) $269.10 $345 3.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $258.96 $332 3.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $302.64 $388 4.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $399.75 $512.50 1.2×
Color/duplex Doppler, complete (93975) $872.82 $1,119 3.5×
Color/duplex Doppler, limited (93976) $502.32 $644 4.6×
Cont Gluc Monitoring Patient Provided Equipment (95249) $169.26 $217 2.7×
Continuous Glucose Monitoring (95250) $458.45 $587.75 3.3×
Cpap/bipap (94660) $414.96 $532 1.8×
Critical care (99291) $2,074.80 $2,660 2.4×
Debridement Open Wound 20 Sq Cm< (97597) $324.87 $416.50 1.5×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $280.02 $359 1.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $792.48 $1,016 3.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $450.84 $578 4.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $429 $550 3.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $812.76 $1,042 3.3×
Dup-scan xtr veins unilateral/limited study (93971) $514.80 $660 4.7×
Duplex scan extracranial art compl bi study (93880) $731.25 $937.50 2.9×
Echo Heart Xthoracic,Limited (93308) $624.39 $800.50 2.5×
Echo Transthoracic - Congenital Tte Complete (93303) $1,272.57 $1,631.50 2.2×
Electrocardiogram Tracing (93005) $259.74 $333 4.2×
Er level 1 (99281) $218.79 $280.50 2.5×
Er level ii (99282) $338.91 $434.50 2.1×
Er level iii (99283) $569.40 $730 2.0×
Er level IV (99284) $911.04 $1,168 2.1×
Er level v (99285) $1,258.14 $1,613 2.0×
Eval speech sound production (92522) $329.94 $423 2.9×
Evaluate Pt Use Of Inhaler (94664) $127.92 $164 0.6×
External ECG rec>48hr<7d recording (93242) $221.52 $284 5.7×
External ECG rec>48hr<7d scanning alys w/report (93243) $448.89 $575.50 3.2×
External ECG rec>7d<15d recording (93246) $233.22 $299 6.0×
External ECG rec>7d<15d scanning alys w/report (93247) $503.10 $645 3.6×
External Ecg Scanning Analysis Report (93226) $409.50 $525 6.6×
Holter Monitor (93225) $297.96 $382 2.1×
Immunization Admin (90471) $47.19 $60.50 0.6×
Irrig drug delivery device (96523) $184.47 $236.50 3.0×
IV infusion hydration each additional hour (96361) $398.88 $511.38 8.1×
IV infusion hydration initial 31 min-1 hour (96360) $325.26 $417 1.5×
IV infusion ther proph addl sequential to 1 hr (96367) $376.74 $483 5.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $423.54 $543 1.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $289.77 $371.50 5.9×
IV push ea addl new drug (96375) $141.96 $182 2.9×
IV push initial (96374) $203.19 $260.50 0.9×
Maximum voluntary ventilation (94200) $155.22 $199 2.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $280.22 $359.25 8.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $220.35 $282.50 6.0×
Methacholine challenge (94070) $723.84 $928 1.9×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $252.72 $324 2.8×
Multiple Sleep Latency Test (95805) $2,013.96 $2,582 2.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $676.26 $867 1.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $271.83 $348.50 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,696.50 $2,175 4.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $451.62 $579 3.2×
Nonphysician Telephone Assessment 11-20 Min (98967) $81.12 $104 3.2×
Nonphysician Telephone Assessment 21-30 Min (98968) $119.34 $153 3.4×
Nonphysician Telephone Assessment 5-10 Min (98966) $42.90 $55 3.1×
Ot eval high complex 60 min (97167) $308.88 $396 3.1×
Ot eval low complex 30 min (97165) $233.22 $299 2.3×
Ot eval mod complex 45 min (97166) $268.32 $344 2.7×
Ot therapeutic activity 15 min (97530) $158.73 $203.50 4.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $422.76 $542 3.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $295.62 $379 2.2×
Phlebotomy therapeutic (99195) $267.54 $343 1.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $155.22 $199 2.5×
Plethysmography (94726) $268.32 $344 0.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,371.16 $4,322 3.7×
Psychiatric diagnostic evaluation (90791) $171.37 $219.70 0.9×
Pt eval high complex 45 min (97163) $315.12 $404 3.2×
Pt eval low complex 20 min (97161) $233.22 $299 2.4×
Pt eval mod complex 30 min (97162) $274.56 $352 2.8×
Pt gait training 15 min (97116) $198.12 $254 6.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $99.06 $127 3.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $99.06 $127 3.1×
Refill/Maint Portable Pump (96521) $249.60 $320 1.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $277.68 $356 1.3×
Rt Chest Wall Manipulation,Subsequent (94668) $111.15 $142.50 0.8×
Speech sound lang comprehen (92523) $626.15 $802.75 2.8×
Spirometry (94010) $198.12 $254 0.9×
Stress echo (93350) $1,135.68 $1,456 2.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $99.06 $127 4.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $99.06 $127 4.7×
Therapeutic prophylactic/dx injection subq/im (96372) $174.33 $223.50 2.3×
Tte w/doppler, complete (93306) $1,378.26 $1,767 2.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $283.92 $364 3.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $202.80 $260 2.4×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $1,216.02 $1,559 3.1×
Vent mgmt inpat init day (94002) $885.30 $1,135 1.4×