Visits & medical services prices at Community Memorial Hospital
Cloquet, MN · every code in this section with a posted price and a Medicare benchmark.
104 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $42.88 | $67 | 1.0× |
| Advncd Care Plan 30 Min (99497) | $112 | $175 | 1.1× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$35.20–$144.64 | $55–$226 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $221.44 | $346 | 0.6× |
| Canalith repositioning proc (95992) | $86.40 | $135 | 2.1× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$81.28–$956.16 | $127–$1,494 | varies |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$420.16–$1,057.28 | $656.50–$1,652 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$412.16–$412.80 | $644–$645 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $12.80 | $20 | 0.3× |
| Chemo Anti-Neopl Sq/Im (96401) | $133.76 | $209 | 1.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $133.76 | $209 | 1.8× |
| Chemo IV infusion addl hr (96415) | $356.48 | $557 | 4.8× |
| Chemo IV push addl drug (96411) | $106.88 | $167 | 1.4× |
| Chemother Prolong Infuse W/Pump (96416) | $654.72 | $1,023 | 1.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $356.48 | $557 | 4.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $641.92 | $1,003 | 1.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $344.32 | $538 | 1.0× |
| Chest Wall Manipulation (94668) | $88.32 | $138 | 0.6× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$67.20–$78.72 | $105–$123 | varies |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$785.92–$1,073.92 | $1,228–$1,678 | varies |
| Color/duplex Doppler, limited (93976) | $650.88 | $1,017 | 6.0× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 2 matching MRF lines |
$102.40–$161.28 | $160–$252 | varies |
| Comprehensive Hearing Test (92557) range across 3 matching MRF lines |
$7.68–$30.72 | $12–$48 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $632.96 | $989 | 4.6× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $117.76 | $184 | 1.9× |
| Continuous Pulse Ox (94762) | $225.28 | $352 | 1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$76.80–$202.88 | $120–$317 | varies |
| Cpt initial (94667) | $111.36 | $174 | 0.8× |
| Critical care first hour (99291) range across 4 matching MRF lines |
$485.12–$1,440.64 | $758–$2,251 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 8 matching MRF lines |
$22.40–$295.04 | $35–$461 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $254.72 | $398 | 0.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$35.20–$730.88 | $55–$1,142 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,073.92 | $1,678 | 4.4× |
| Dup-scan xtr veins unilateral/limited study (93971) | $795.52 | $1,243 | 7.4× |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$35.20–$648.32 | $55–$1,013 | varies |
| ECG/monitoring and analysis (93271) | $238.08 | $372 | 2.4× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$232.96–$432.64 | $364–$676 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$127.04–$254.08 | $198.50–$397 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$158.72–$400.64 | $248–$626 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$236.16–$643.20 | $369–$1,005 | varies |
| Er level 1 (99281) range across 4 matching MRF lines |
$76.80–$173.44 | $120–$271 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$381.76–$938.88 | $596.50–$1,467 | varies |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$88.32–$144.64 | $138–$226 | varies |
| External ECG rec>48hr<7d recording (93242) | $1,377.92 | $2,153 | 35.7× |
| External ECG rec>7d<15d recording (93246) | $1,377.92 | $2,153 | 35.7× |
| External Ecg Scanning Analysis Report (93226) | $187.52 | $293 | 3.1× |
| Extracranial Bilat Study (93880) | $1,073.92 | $1,678 | 4.4× |
| Eye Exam With Photos (92230) | $64 | $100 | 0.2× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$160–$1,242.24 | $250–$1,941 | varies |
| Immunization administration (90471) range across 6 matching MRF lines |
$32–$119.04 | $50–$186 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $817.92 | $1,278 | 2.1× |
| Inital newborn e/m (99460) | $160 | $250 | 1.2× |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$719.68–$764.16 | $1,124.50–$1,194 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$74.24–$75.52 | $116–$118 | varies |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$60.80–$67.20 | $95–$105 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$117.12–$206.08 | $183–$322 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$83.84–$85.12 | $131–$133 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$60.80–$133.76 | $95–$209 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$58.88–$103.04 | $92–$161 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $68.48 | $107 | 1.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $68.48 | $107 | 2.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $83.84 | $131 | 2.3× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $78.72 | $123 | 4.6× |
| Methacholine challenge (94070) | $681.60 | $1,065 | 1.8× |
| Muscle Test 2 Limbs (95861) | $48 | $75 | 0.3× |
| Muscle Test One Limb (95860) | $28.80 | $45 | 0.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 4 matching MRF lines |
$73.60–$536.32 | $115–$838 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 4 matching MRF lines |
$115.20–$557.44 | $180–$871 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$76.80–$351.36 | $120–$549 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 5 matching MRF lines |
$85.12–$557.44 | $133–$871 | varies |
| Newborn resuscitation (99465) range across 3 matching MRF lines |
$315.20–$328.32 | $492.50–$513 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$38.40–$41.60 | $60–$65 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $239.36 | $374 | 1.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 2 matching MRF lines |
$239.36–$476.16 | $374–$744 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $229.76 | $359 | 1.0× |
| Peripheral arterial disease rehab per session (93668) | $234.24 | $366 | 3.8× |
| Phlebotomy therapeutic (99195) | $197.12 | $308 | 1.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) range across 2 matching MRF lines |
$166.40–$207.36 | $260–$324 | varies |
| Positional nystagmus test (92542) | $28.80 | $45 | 0.2× |
| Pulm function test by gas (94727) | $136.32 | $213 | 0.6× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$102.40–$261.12 | $160–$408 | varies |
| Pulmonary Stress Testing (94618) | $136.32 | $213 | 1.0× |
| Pure Tone Audiometry Air (92552) | $53.76 | $84 | 0.4× |
| Remote 30 Day Ecg Rev/Report (93270) range across 3 matching MRF lines |
$684.80–$1,452.16 | $1,070–$2,269 | varies |
| Respiratory flow volume loop (94375) | $165.76 | $259 | 0.7× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $93.44 | $146 | 1.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$34.56–$256.64 | $54–$401 | varies |
| Spirometry (94010) | $41.60 | $65 | 0.2× |
| Stress Tte Only (93350) | $1,228.80 | $1,920 | 2.2× |
| Ther/Proph/Diag Inj Ia (96373) | $100.48 | $157 | 0.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 14 matching MRF lines |
$10–$329.60 | $15.62–$515 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$115.20–$260.48 | $180–$407 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $25.60 | $40 | 0.7× |
| Trans Care Mgmt 14 Day Disch (99495) range across 3 matching MRF lines |
$58.40–$233.60 | $91.25–$365 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 3 matching MRF lines |
$80–$320 | $125–$500 | varies |
| Tte w/doppler, complete (93306) | $3,907.20 | $6,105 | 6.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$62.72–$67.20 | $98–$105 | varies |
| Tympanometry (92567) range across 3 matching MRF lines |
$4.64–$18.56 | $7.25–$29 | varies |
| Tympanometry and reflex threshold measurements (92550) | $35.20 | $55 | 0.2× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$151.04–$161.28 | $236–$252 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$243.84–$371.84 | $381–$581 | varies |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$230.40–$664.32 | $360–$1,038 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $444.80 | $695 | 0.7× |
| Visual reinforcement audiometry (vra) (92579) | $57.60 | $90 | 0.3× |
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.