Visits & medical services prices at CentraCare - Rice Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Aep Hearing Status Deter Broadband Stimuli I&R (92651)
range across 2 matching MRF lines
$750.40–$1,808.33 $1,120–$2,699 varies
Airway Inhalation Treatment (94640) $128.64 $192 0.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $77.05 $115 5.4×
Application Modality 1/> Areas Infrared (97026) $77.05 $115 11.5×
Application on-body injector (96377) $127.97 $191 2.6×
Assessment of aphasia per hr (96105)
range across 2 matching MRF lines
$237.52–$523.94 $354.50–$782 varies
Behavral qualit analys voice (92524) $368.50 $550 3.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$292.79–$301.50 $437–$450 varies
Canalith repositioning proc (95992) $83.08 $124 2.0×
Cardiac Stress Tst,Tracing Only (93017) $629.80 $940 2.8×
Cardiopulmonary resuscitation (92950) $509.20 $760 2.3×
Cardioversion (92960) $1,110.86 $1,658 1.6×
Cbt 1st hour (94644) $150.08 $224 1.1×
Chemo Anti-Neopl Sq/Im (96401) $222.44 $332 3.0×
Chemo Hormon Antineopl Sq/Im (96402) $178.89 $267 2.4×
Chemo IV infusion addl hr (96415) $693.45 $1,035 9.3×
Chemo IV push addl drug (96411) $198.32 $296 2.7×
Chemother Prolong Infuse W/Pump (96416) $371.85 $555 1.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $259.96 $388 3.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $487.76 $728 1.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $343.38 $512.50 1.0×
Color/duplex Doppler, limited (93976) $431.48 $644 4.0×
Continuous Pulse Ox (94762) $253.26 $378 1.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$356.44–$367.16 $532–$548 varies
Cpt initial (94667) $127.30 $190 0.9×
Critical care first hour (99291) $1,782.20 $2,660 2.1×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$267.33–$857.60 $399–$1,280 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925) $680.72 $1,016 2.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $387.26 $578 3.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $698.14 $1,042 2.8×
Dup-scan xtr veins unilateral/limited study (93971) $429.47 $641 4.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $598.98 $894 2.4×
Duplex Scan Hemodialysis Access (93990) $455.60 $680 4.2×
Duplex up extrem art bilat (93930) $645.88 $964 2.6×
Duplex up extrem art unilat/ltd (93931) $368.50 $550 3.4×
Echo Heart Xthoracic,Limited (93308) $536.34 $800.50 2.2×
Electrical Stimulation Ea 15 Min (97032) $85.09 $127 5.8×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$148.74–$446.22 $222–$666 varies
Emergency Dept Visit Level 2 (99282) $284.21 $424.20 1.8×
Emergency Dept Visit Level 3 (99283) $482.40 $720 1.7×
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$771.84–$793.28 $1,152–$1,184 varies
Er level 1 (99281)
range across 2 matching MRF lines
$177.55–$198.32 $265–$296 varies
Er level v (99285)
range across 2 matching MRF lines
$1,080.71–$1,115.55 $1,613–$1,665 varies
Esophgl Balo Distension Dx Std W/Provocation (91040) $1,145.70 $1,710 3.0×
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$105.86–$113.90 $158–$170 varies
Evaluate Speech Production (92522) $283.41 $423 2.5×
Evaluate Swallowing Function (92610) $368.50 $550 4.3×
External ECG rec>48hr<7d recording (93242) $190.28 $284 4.9×
External ECG rec>7d<15d recording (93246) $200.33 $299 5.2×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$628.13–$647.22 $937.50–$966 varies
Extracranial Uni/Ltd Study (93882) $407.70 $608.50 3.8×
Gastroesophag reflx test w/telemtry ph eltrd (91035)
range across 4 matching MRF lines
$698.55–$1,139 $1,042.61–$1,700 varies
Holter monitor recording (93225) $255.94 $382 1.9×
Immunization administration (90471) $40.54 $60.50 0.5×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $702.83 $1,049 1.8×
Iontophoresis 15 min (97033) $87.77 $131 4.6×
Irrig Drug Delivery Device (96523) $156.11 $233 2.6×
IV infusion hydration each additional hour (96361)
range across 6 matching MRF lines
$137.02–$2,329.26 $204.50–$3,476.50 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$274.03–$284.75 $409–$425 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 3 matching MRF lines
$215.74–$647.22 $322–$966 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 3 matching MRF lines
$161.81–$647.22 $241.50–$966 varies
IV push initial (96374)
range across 3 matching MRF lines
$174.54–$360.46 $260.50–$538 varies
Mechanical chest wall oscillation per session (94669) $104.52 $156 0.5×
Methacholine challenge (94070) $621.76 $928 1.6×
Motion Fluoroscopy/Swallow (92611)
range across 2 matching MRF lines
$248.57–$355.10 $371–$530 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $229.81 $343 1.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $326.96 $488 0.8×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$93.80–$255.27 $140–$381 varies
Oral Function Therapy (92526) $234.50 $350 2.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $85.09 $127 1.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$93.80–$170.18 $140–$254 varies
Ot eval high complexity (97167) $265.32 $396 2.6×
Ot Eval Low Complex (97165)
range across 2 matching MRF lines
$200.33–$217.08 $299–$324 varies
Ot Eval Moderate Complexity (97166) $230.48 $344 2.3×
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines
$85.09–$255.27 $127–$381 varies
Ot Re-Eval Est Plan Care (97168) $127.30 $190 1.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $253.93 $379 1.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $253.93 $379 1.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $215.74 $322 1.0×
Phlebotomy therapeutic (99195) $229.81 $343 1.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $133.33 $199 2.2×
Plethysmography (94726) $230.48 $344 0.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,895.74 $4,322 3.3×
Psych diag eval w/med srvcs (90792) $167.43 $249.90 0.9×
Psychiatric diagnostic evaluation (90791) $165.83 $247.50 0.9×
Pt Eval High Complex (97163) $270.68 $404 2.8×
Pt eval low complex 20 min (97161) $200.33 $299 2.0×
Pt Eval Mod Complex (97162)
range across 2 matching MRF lines
$230.48–$241.20 $344–$360 varies
Pt gait training 15 min (97116)
range across 3 matching MRF lines
$85.09–$281.40 $127–$420 varies
Pt mechanical traction (97012) $77.05 $115 5.4×
Pt Re-Eval Est Plan Care (97164)
range across 2 matching MRF lines
$123.62–$127.30 $184.50–$190 varies
Pulmonary service/procedure (94799) $77.72 $116 0.6×
Pulmonary Stress Testing (94618) $191.96 $286.50 1.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $238.52 $356 1.2×
Self Care Mngment Training (97535)
range across 3 matching MRF lines
$85.09–$170.18 $127–$254 varies
Sensory Integration Ea 15 Min (97533) $85.09 $127 1.4×
Sleep study unattended (95806) $365.15 $545 1.6×
Speech sound lang comprehen (92523)
range across 2 matching MRF lines
$283.41–$537.84 $423–$802.75 varies
Spirometry (94010) $170.18 $254 0.8×
Standardized Cognitive Performance Testing (96125) $206.36 $308 2.0×
Stress Tte Only (93350) $975.52 $1,456 1.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $87.77 $131 3.9×
Ther Ivntj Ea Addl 15 Min (97130) $175.54 $262 8.3×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 2 matching MRF lines
$93.80–$255.27 $140–$381 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $95.81 $143 0.9×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$99.83–$199.66 $149–$298 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$359.12–$368.50 $536–$550 varies
Therapeutic Activities (97530)
range across 5 matching MRF lines
$85.09–$281.40 $127–$420 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $32.83 $49 0.8×
Tte w/doppler, complete (93306) $1,183.89 $1,767 2.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 3 matching MRF lines
$243.88–$304.85 $364–$455 varies
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 5 matching MRF lines
$117.92–$471.68 $176–$704 varies
Vasopneumatic device (97016) $77.05 $115 6.4×
Veeg 2-12 Hr Cont Mntr (95713) $1,044.53 $1,559 2.7×
Vent Mgmt Inpat Init Day (94002) $760.45 $1,135 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $255.27 $381 8.2×
Whirlpool Therapy (97022) $77.05 $115 4.9×

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.