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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actigraphy Testing Recording Analysis I&R (95803) | $81.90 | $105 | 1.3× |
| Aep threshold estimation mlt frequencies i&r (92652) | $322.14 | $413 | 1.4× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$119.34–$145.08 | $153–$186 | varies |
| Application on-body injector (96377) | $148.98 | $191 | 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) range across 2 matching MRF lines |
$627.12–$660.66 | $804–$847 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,293.24–$1,365 | $1,658–$1,750 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $258.96 | $332 | 3.4× |
| Chemo Hormon Antineopl Sq/Im (96402) | $208.26 | $267 | 2.8× |
| Chemo IV infusion addl hr (96415) | $269.10 | $345 | 3.6× |
| Chemo IV push addl drug (96411) | $230.88 | $296 | 3.1× |
| Chemother Prolong Infuse W/Pump (96416) | $432.90 | $555 | 1.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $302.64 | $388 | 4.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $567.84 | $728 | 1.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $399.75 | $512.50 | 1.2× |
| Chest Wall Manipulation (94668) | $111.15 | $142.50 | 0.8× |
| Color/duplex Doppler, complete (93975) | $872.82 | $1,119 | 3.5× |
| Color/duplex Doppler, limited (93976) | $502.32 | $644 | 4.6× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $458.45 | $587.75 | 3.3× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $169.26 | $217 | 2.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $414.96 | $532 | 1.8× |
| Critical care first hour (99291) | $2,074.80 | $2,660 | 2.4× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$311.22–$998.40 | $399–$1,280 | varies |
| 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 Xtr Veins Complete Bilateral Study (93970) | $812.76 | $1,042 | 3.3× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$499.98–$1,029.60 | $641–$1,320 | varies |
| Duplex up extrem art unilat/ltd (93931) | $429 | $550 | 3.9× |
| Echo Congenital Complete (93303) | $1,272.57 | $1,631.50 | 2.2× |
| Echo Heart Xthoracic,Limited (93308) | $624.39 | $800.50 | 2.5× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$173.16–$346.32 | $222–$444 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$331.50–$346.32 | $425–$444 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$561.60–$577.20 | $720–$740 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$898.56–$923.52 | $1,152–$1,184 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$206.70–$230.88 | $265–$296 | varies |
| Er level v (99285) | $1,258.14 | $1,613 | 2.0× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$123.24–$132.60 | $158–$170 | varies |
| Evaluate Speech Production (92522) | $329.94 | $423 | 2.9× |
| Evaluate Swallowing Function (92610) | $253.50 | $325 | 3.0× |
| Evoked Auditory Test,Limited (92587) | $280.02 | $359 | 1.2× |
| 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× |
| Extracranial Bilat Study (93880) | $731.25 | $937.50 | 2.9× |
| Holter monitor recording (93225) | $297.96 | $382 | 2.1× |
| Immunization administration (90471) | $47.19 | $60.50 | 0.6× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$181.74–$187.20 | $233–$240 | varies |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$165.75–$957.29 | $212.50–$1,227.30 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$319.02–$331.50 | $409–$425 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$251.16–$502.32 | $322–$644 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$188.37–$376.74 | $241.50–$483 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$119.73–$209.82 | $153.50–$269 | varies |
| Lung Function Test (Mbc/Mvv) (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 Fluoroscopy/Swallow (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) range across 2 matching MRF lines |
$267.54–$276.12 | $343–$354 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$390–$3,003 | $500–$3,850 | varies |
| Neuromuscular Reeducation (97112) | $99.06 | $127 | 3.0× |
| 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× |
| Oral Function Therapy (92526) | $202.80 | $260 | 2.4× |
| Ot eval high complexity (97167) | $308.88 | $396 | 3.1× |
| Ot Eval Low Complex (97165) | $233.22 | $299 | 2.3× |
| Ot Eval Moderate Complexity (97166) | $268.32 | $344 | 2.7× |
| 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 (97163) | $315.12 | $404 | 3.2× |
| Pt eval low complex 20 min (97161) | $233.22 | $299 | 2.4× |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$268.32–$280.80 | $344–$360 | varies |
| Pt gait training 15 min (97116) | $198.12 | $254 | 6.8× |
| 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× |
| Self Care Mngment Training (97535) | $99.06 | $127 | 3.1× |
| Speech sound lang comprehen (92523) | $626.15 | $802.75 | 2.8× |
| Spirometry (94010) | $198.12 | $254 | 0.9× |
| Stress Tte Only (93350) | $1,135.68 | $1,456 | 2.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $99.06 | $127 | 4.4× |
| Ther Ivntj Ea Addl 15 Min (97130) | $99.06 | $127 | 4.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$116.22–$232.44 | $149–$298 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$418.08–$429 | $536–$550 | varies |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$99.06–$218.40 | $127–$280 | varies |
| 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/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$137.28–$411.84 | $176–$528 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $451.62 | $579 | 3.2× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,216.02 | $1,559 | 3.1× |
| Vent Mgmt Inpat Init Day (94002) | $885.30 | $1,135 | 1.4× |
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.