Visits & medical services prices at Community Memorial Hospital
Burke, SD · every code in this section with a posted price and a Medicare benchmark.
89 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$14.76–$42.72 | $20.73–$60 | varies |
| Airway Inhalation Treatment (94640) | $175.87 | $247 | 0.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $65.51 | $92 | 4.6× |
| Behavral qualit analys voice (92524) | $299.04 | $420 | 2.7× |
| Cardiac Stress Tst,Tracing Only (93017) | $938.42 | $1,318 | 4.3× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$839.45–$934.86 | $1,179–$1,313 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $249.20 | $350 | 3.4× |
| Chemo Hormon Antineopl Sq/Im (96402) | $197.94 | $278 | 2.7× |
| Chemo IV infusion addl hr (96415) | $238.52 | $335 | 3.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $293.35 | $412 | 4.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $894.99 | $1,257 | 2.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $656.47 | $922 | 1.9× |
| Color/duplex Doppler, complete (93975) | $1,063.73 | $1,494 | 4.4× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$832.33–$1,639.03 | $1,169–$2,302 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$150.24–$432.90 | $211–$608 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $917.06 | $1,288 | 3.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $561.06 | $788 | 5.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,100.04 | $1,545 | 4.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $733.36 | $1,030 | 6.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,100.04 | $1,545 | 4.5× |
| Dup-scan xtr veins unilateral/limited study (93971) | $733.36 | $1,030 | 6.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $755.44 | $1,061 | 3.1× |
| Duplex Scan Hemodialysis Access (93990) | $601.64 | $845 | 5.6× |
| Duplex up extrem art bilat (93930) | $1,026.71 | $1,442 | 4.2× |
| Duplex up extrem art unilat/ltd (93931) | $733.36 | $1,030 | 6.9× |
| Echo Heart Xthoracic,Limited (93308) | $917.06 | $1,288 | 3.8× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,090.44 | $2,936 | 3.7× |
| Electrical Stimulation Ea 15 Min (97032) | $60.52 | $85 | 4.1× |
| Electrocardiogram Tracing (93005) | $274.84 | $386 | 4.6× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$157.36–$436.46 | $221–$613 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$274.84–$593.81 | $386–$834 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$568.18–$917.06 | $798–$1,288 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$110.36–$274.84 | $155–$386 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$876.48–$1,221.08 | $1,231–$1,715 | varies |
| Evaluate Speech Production (92522) | $284.80 | $400 | 2.5× |
| Evaluate Swallowing Function (92610) | $309.72 | $435 | 3.7× |
| External ECG rec>48hr<7d recording (93242) | $274.84 | $386 | 7.2× |
| External ECG rec>7d<15d recording (93246) | $274.84 | $386 | 7.2× |
| Extracranial Bilat Study (93880) | $1,016.03 | $1,427 | 4.2× |
| Extracranial Uni/Ltd Study (93882) | $674.98 | $948 | 6.3× |
| Holter monitor recording (93225) | $407.27 | $572 | 3.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$14.76–$42.72 | $20.73–$60 | varies |
| Immunization administration (90471) range across 7 matching MRF lines |
$14.76–$42.72 | $20.73–$60 | varies |
| Iontophoresis 15 min (97033) | $25.64 | $36 | 1.3× |
| Irrig Drug Delivery Device (96523) | $146.68 | $206 | 2.4× |
| IV infusion hydration each additional hour (96361) | $136 | $191 | 2.8× |
| IV infusion hydration initial 31 min-1 hour (96360) | $417.95 | $587 | 1.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $227.13 | $319 | 3.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $153.80 | $216 | 3.2× |
| IV push initial (96374) range across 3 matching MRF lines |
$67.64–$187.26 | $95–$263 | varies |
| Multiple Sleep Latency Test (95805) | $2,702.76 | $3,796 | 3.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $634.40 | $891 | 1.5× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $634.40 | $891 | 1.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $494.84 | $695 | 1.2× |
| Neuromuscular Reeducation (97112) | $74.05 | $104 | 2.3× |
| Oral Function Therapy (92526) | $238.52 | $335 | 2.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $64.08 | $90 | 1.4× |
| Ot Contrast Bath Ea 15 Min (97034) | $40.59 | $57 | 2.9× |
| Ot eval high complexity (97167) | $256.32 | $360 | 2.5× |
| Ot Eval Low Complex (97165) | $178 | $250 | 1.8× |
| Ot Eval Moderate Complexity (97166) | $217.16 | $305 | 2.2× |
| Ot manual therapy 15 min (97140) | $75.48 | $106 | 2.7× |
| Ot paraffin bath (97018) | $24.21 | $34 | 4.0× |
| Ot Re-Eval Est Plan Care (97168) | $167.32 | $235 | 2.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $238.52 | $335 | 1.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $395.88 | $556 | 1.8× |
| Phlebotomy therapeutic (99195) | $223.57 | $314 | 1.6× |
| Physical Performance Test (97750) | $73.34 | $103 | 2.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,953.03 | $5,552 | 4.5× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $22.08 | $31 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $29.20 | $41 | 0.6× |
| Pt Eval High Complex (97163) | $185.12 | $260 | 1.9× |
| Pt eval low complex 20 min (97161) | $160.20 | $225 | 1.6× |
| Pt Eval Mod Complex (97162) | $170.17 | $239 | 1.7× |
| Pt gait training 15 min (97116) | $69.78 | $98 | 2.4× |
| Pt mechanical traction (97012) | $32.76 | $46 | 2.3× |
| Pt Re-Eval Est Plan Care (97164) | $73.34 | $103 | 1.1× |
| Remote 30 Day Ecg Rev/Report (93270) | $348.17 | $489 | 9.1× |
| Self Care Mngment Training (97535) | $42.72 | $60 | 1.3× |
| Stress Tte Only (93350) | $1,833.40 | $2,575 | 3.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$39.16–$110.36 | $55–$155 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $443.58 | $623 | 2.0× |
| Therapeutic Activities (97530) | $76.19 | $107 | 2.2× |
| Tte w/doppler, complete (93306) | $2,017.10 | $2,833 | 3.6× |
| Tte W/O Doppler Complete (93307) | $1,374.88 | $1,931 | 5.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $238.52 | $335 | 3.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $143.12 | $201 | 3.0× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$448.56–$469.21 | $630–$659 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $740.48 | $1,040 | 3.4× |
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.