Visits & medical services prices at CentraCare - Sauk Centre Hospital

Sauk Centre, 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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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$274.56–$561.60 $352–$720 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$89.70–$179.40 $115–$230 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $351 $450 0.9×
Canalith repositioning proc (95992) $109.20 $140 2.7×
Cardiac Stress Tst,Tracing Only (93017) $733.20 $940 3.3×
Cardiopulmonary resuscitation (92950) $627.12 $804 2.8×
Cardioversion (92960) $1,365 $1,750 2.0×
Chemo Anti-Neopl Sq/Im (96401) $524.16 $672 7.1×
Chemo Hormon Antineopl Sq/Im (96402) $416.52 $534 5.6×
Chemo IV infusion addl hr (96415) $1,170 $1,500 15.7×
Chemo IV push addl drug (96411) $239.85 $307.50 3.2×
Chemother Prolong Infuse W/Pump (96416) $499.20 $640 1.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $624 $800 8.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $660.27 $846.50 1.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $479.70 $615 1.4×
Color/duplex Doppler, complete (93975) $872.82 $1,119 3.5×
Color/duplex Doppler, limited (93976) $502.32 $644 4.7×
Cont gluc mntr physician/qhp provided equiptment (95250) $467.03 $598.75 3.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $427.44 $548 1.9×
Critical care first hour (99291) $2,145 $2,750 2.5×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$311.22–$324.87 $399–$416.50 varies
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×
Echo Congenital Complete (93303) $1,336.92 $1,714 2.4×
Echo Heart Xthoracic,Limited (93308) $643.50 $825 2.6×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$102.18–$204.36 $131–$262 varies
Electrocardiogram Tracing (93005)
range across 4 matching MRF lines
$27.11–$519.48 $34.75–$666 varies
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines
$330.72–$692.64 $424–$888 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$577.20–$1,123.20 $740–$1,440 varies
Emergency Dept Visit Level 4 (99284) $923.52 $1,184 2.1×
Er level 1 (99281)
range across 2 matching MRF lines
$206.70–$230.88 $265–$296 varies
Er level v (99285) $1,298.70 $1,665 2.1×
Evaluate pt use of inhaler (94664) $132.60 $170 0.6×
Evaluate Speech Production (92522) $527.28 $676 4.7×
Evaluate Swallowing Function (92610) $371.28 $476 4.4×
Evoked Auditory Test,Limited (92587) $288.60 $370 1.3×
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 3.3×
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 3.7×
External Ecg Scanning Analysis Report (93226) $389.22 $499 6.4×
Extracranial Bilat Study (93880) $753.48 $966 3.1×
Holter monitor recording (93225) $297.96 $382 2.2×
Immunization administration (90471) $55.38 $71 0.7×
Irrig Drug Delivery Device (96523) $187.20 $240 3.1×
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$551.85–$3,812.25 $707.50–$4,887.50 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 5 matching MRF lines
$331.50–$689.81 $425–$884.37 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$251.16–$1,004.64 $322–$1,288 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 3 matching MRF lines
$429–$3,579.03 $550–$4,588.50 varies
IV push initial (96374)
range across 3 matching MRF lines
$209.82–$530.49 $269–$680.12 varies
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $417.30 $535 13.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$440.70–$482.04 $565–$618 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $276.12 $354 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $390 $500 0.9×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$297.18–$546 $381–$700 varies
Nonphysician Telephone Assessment 11-20 Min (98967) $82.68 $106 3.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $218.40 $280 4.7×
Ot eval high complexity (97167) $308.88 $396 3.1×
Ot Eval Low Complex (97165) $252.72 $324 2.5×
Ot Eval Moderate Complexity (97166) $280.80 $360 2.8×
Ot manual therapy 15 min (97140)
range across 3 matching MRF lines
$218.40–$655.20 $280–$840 varies
Phlebotomy therapeutic (99195) $312.78 $401 2.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $176.28 $226 2.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,603.60 $4,620 4.1×
Pt Eval High Complex (97163) $308.88 $396 3.2×
Pt eval low complex 20 min (97161) $252.72 $324 2.6×
Pt Eval Mod Complex (97162)
range across 2 matching MRF lines
$280.80–$561.60 $360–$720 varies
Pt gait training 15 min (97116) $109.20 $140 3.8×
Pt mechanical traction (97012) $89.70 $115 6.2×
Pt Re-Eval Est Plan Care (97164) $194.22 $249 2.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $277.68 $356 1.3×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$218.40–$655.20 $280–$840 varies
Speech sound lang comprehen (92523) $436.80 $560 1.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $99.06 $127 2.7×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$116.22–$697.32 $149–$894 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 4 matching MRF lines
$429–$1,499.97 $550–$1,923.04 varies
Therapeutic Activities (97530)
range across 5 matching MRF lines
$109.20–$436.80 $140–$560 varies
Tte w/doppler, complete (93306) $1,419.60 $1,820 2.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $517.92 $664 6.8×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$425.88–$851.76 $546–$1,092 varies
Upr/L Xtremity Art 2 Levels (93922) $460.20 $590 3.4×
Wheelchair Mgmt Ea 15 Min (97542) $218.40 $280 7.0×

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.