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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ProcedureCash priceGross charge× Medicare
Aep hearing status deter broadband stimuli i&r (92651) $1,279.36 $1,909.50 5.7×
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) $380.73 $568.25 3.9×
Bedside Swallowing Eval (92610) $368.50 $550 4.3×
Behavioral and qualitative analysis of voice and resonance (92524) $368.50 $550 3.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $297.14 $443.50 0.8×
Canalith Repositioning Procedure (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 Hormon Antineopl Sq/Im (96402) $178.89 $267 2.4×
Chemo IV push addl drug (96411) $198.32 $296 2.7×
Chemo prolong 8+ hrs infuse w/pump (96416) $371.85 $555 1.1×
Chemother, IV infusion, 1 hr (96413) $487.76 $728 1.4×
Chemother, IV infusion, ea add hr (96415) $693.45 $1,035 9.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $222.44 $332 3.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $259.96 $388 3.5×
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×
Cpap/bipap (94660) $361.80 $540 1.6×
Cpt initial (94667) $127.30 $190 0.9×
Critical care (99291) $1,782.20 $2,660 2.1×
Debridement Open Wound 20 Sq Cm< (97597) $279.06 $416.50 1.3×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $645.88 $964 2.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $368.50 $550 3.4×
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 extracranial art compl bi study (93880) $637.68 $951.75 2.6×
Duplex Scan Hemodialysis Access (93990) $455.60 $680 4.2×
Echo Heart Xthoracic,Limited (93308) $536.34 $800.50 2.2×
Electrocardiogram Tracing (93005) $297.48 $444 4.9×
Er level 1 (99281) $187.94 $280.50 2.2×
Er level ii (99282) $284.21 $424.20 1.8×
Er level iii (99283) $482.40 $720 1.7×
Er level IV (99284) $782.56 $1,168 1.8×
Er level v (99285) $1,098.13 $1,639 1.8×
Esoph balloon distension tst (91040) $1,145.70 $1,710 3.0×
Eval speech sound production (92522) $283.41 $423 2.5×
Evaluate Pt Use Of Inhaler (94664) $109.88 $164 0.5×
External ECG rec>48hr<7d recording (93242) $190.28 $284 4.9×
External ECG rec>7d<15d recording (93246) $200.33 $299 5.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $890.58 $1,329.22 1.0×
Holter Monitor (93225) $255.94 $382 1.9×
Immunization Admin (90471) $40.54 $60.50 0.5×
Inhalation bronchial challenge testing (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) $342.54 $511.25 7.1×
IV infusion hydration initial 31 min-1 hour (96360) $279.39 $417 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $431.48 $644 5.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $363.81 $543 1.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $323.61 $483 6.7×
IV push ea addl new drug (96375) $235.84 $352 4.9×
IV push initial (96374) $180.23 $269 0.8×
Manual therapy 15 min (97140) $131.99 $197 4.8×
Mechanical chest wall oscillation (94669) $104.52 $156 0.5×
Mechanical traction (97012) $77.05 $115 5.4×
Methacholine challenge (94070) $621.76 $928 1.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $301.84 $450.50 3.3×
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×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $253.26 $378 1.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $131.99 $197 2.9×
Ot eval high complex 60 min (97167) $265.32 $396 2.6×
Ot eval low complex 30 min (97165) $208.70 $311.50 2.1×
Ot eval mod complex 45 min (97166) $230.48 $344 2.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $85.09 $127 1.7×
Ot re-evaluation (97168) $127.30 $190 1.9×
Ot therapeutic activity 15 min (97530) $187.60 $280 5.3×
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 Aquatic Therapy/Exercises (97113) $174.54 $260.50 4.7×
Pt Electrical Stimulation (97032) $85.09 $127 5.8×
Pt eval high complex 45 min (97163) $270.68 $404 2.8×
Pt eval low complex 20 min (97161) $200.33 $299 2.0×
Pt eval mod complex 30 min (97162) $235.84 $352 2.4×
Pt gait training 15 min (97116) $93.80 $140 3.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $174.54 $260.50 5.3×
Pt re-evaluation (97164) $125.46 $187.25 1.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $93.80 $140 2.9×
Pt Whirlpool Therapy (97022) $77.05 $115 4.9×
Pulmonary Service/Procedure (94799) $77.72 $116 0.6×
Pulmonary stress test simple (94618) $191.96 $286.50 1.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $238.52 $356 1.2×
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) $410.62 $612.88 1.8×
Spirometry (94010) $170.18 $254 0.8×
Standardized Cognitive Performance Testing (96125) $206.36 $308 2.0×
Stress echo (93350) $975.52 $1,456 1.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $87.77 $131 3.9×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $175.54 $262 8.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $95.81 $143 0.9×
Therapeutic prophylactic/dx injection subq/im (96372) $149.74 $223.50 2.0×
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) $292.79 $437 3.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $234.50 $350 2.8×
Vasc Duplex Scan Extracranial,Limited (93882) $407.70 $608.50 3.8×
Vasopneumatic device (97016) $77.05 $115 6.4×
Veeg by tech 2-12 hr continuous r-t monitoring (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×