Visits & medical services prices at Coteau Des Prairies Health Care System

Sisseton, SD · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480)
range across 3 matching MRF lines
$23–$57 $23–$57 varies
Airway Inhalation Treatment (94640)
range across 5 matching MRF lines
$450–$520 $450–$520 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $117 $117 8.1×
Assessment of aphasia per hr (96105) $246 $246 2.5×
Behavral qualit analys voice (92524) $230 $230 2.1×
Brief Emotional/Behav Assmt (96127)
range across 2 matching MRF lines
$82–$86 $82–$86 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $409 $409 1.1×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$121–$151 $121–$151 varies
Cardiac Stress Tst,Tracing Only (93017) $1,140 $1,140 5.2×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$823–$941 $823–$941 varies
Cardioversion (92960)
range across 3 matching MRF lines
$886–$1,652 $886–$1,652 varies
Chemo Anti-Neopl Sq/Im (96401) $385 $385 5.2×
Chemo Hormon Antineopl Sq/Im (96402) $199 $199 2.7×
Chemo IV infusion addl hr (96415) $261 $261 3.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $968 $968 2.9×
Chest Wall Manipulation (94668) $80 $80 0.6×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) $71 $71 3.2×
Chron Care Mgmt Srvc 20 Min (99490) $125 $125 1.2×
Color/duplex Doppler, complete (93975) $1,403 $1,403 5.8×
Color/duplex Doppler, limited (93976) $1,006 $1,006 9.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $218 $218 6.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 4 matching MRF lines
$214–$771 $214–$771 varies
Cpt initial (94667) $100 $100 0.7×
Critical care first hour (99291)
range across 2 matching MRF lines
$656–$2,586 $656–$2,586 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$140–$585 $140–$585 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $914 $914 3.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $914 $914 8.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,347 $1,347 5.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,043 $1,043 9.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,364 $1,364 5.6×
Dup-scan xtr veins unilateral/limited study (93971) $1,120 $1,120 10.5×
Duplex up extrem art bilat (93930) $1,308 $1,308 5.4×
Duplex up extrem art unilat/ltd (93931) $1,006 $1,006 9.4×
Echo Congenital Complete (93303) $1,892 $1,892 3.4×
Echo Heart Xthoracic,Limited (93308) $867 $867 3.6×
Electrical Stimulation Ea 15 Min (97032) $146 $146 9.9×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$287–$299 $287–$299 varies
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$85–$450 $85–$450 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$133–$781 $133–$781 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$238–$1,262 $238–$1,262 varies
Er level 1 (99281)
range across 2 matching MRF lines
$46–$247 $46–$247 varies
Er level v (99285)
range across 2 matching MRF lines
$352–$1,837 $352–$1,837 varies
Evaluate pt use of inhaler (94664) $624 $624 2.8×
Evaluate Speech Production (92522) $230 $230 2.1×
Evaluate Swallowing Function (92610) $551 $551 6.5×
Evaluation of speech fluency (92521) $230 $230 1.7×
External ECG rec>48hr<7d recording (93242) $92 $92 2.4×
External ECG rec>7d<15d recording (93246) $92 $92 2.4×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$1,343–$1,384 $1,343–$1,384 varies
Extracranial Uni/Ltd Study (93882) $1,043 $1,043 9.8×
F-up/limited tthrc echo congenital car anomaly (93304) $1,707 $1,707 3.1×
Group Therapeutic Procedures (97150) $79 $79 4.4×
Holter monitor recording (93225)
range across 3 matching MRF lines
$93–$588 $93–$588 varies
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028)
range across 2 matching MRF lines
$23–$24 $23–$24 varies
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 4 matching MRF lines
$23–$53 $23–$53 varies
Immunization administration (90471)
range across 10 matching MRF lines
$23–$214 $23–$214 varies
Inital newborn e/m (99460) $121 $121 0.9×
Iontophoresis 15 min (97033) $143 $143 7.5×
Irrig Drug Delivery Device (96523)
range across 5 matching MRF lines
$123–$230 $123–$230 varies
IV infusion hydration each additional hour (96361) $305 $305 6.4×
IV infusion hydration initial 31 min-1 hour (96360) $681 $681 3.1×
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$220–$221 $220–$221 varies
IV infusion therapy prophylaxis/dx ea hour (96366) $143 $143 3.0×
IV push initial (96374) $681 $681 3.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$80–$83 $80–$83 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$90–$93 $90–$93 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $23 $23 1.4×
Motion Fluoroscopy/Swallow (92611) $231 $231 2.5×
Multiple Sleep Latency Test (95805) $4,548 $4,548 5.2×
Nasopharyngoscopy (92511)
range across 2 matching MRF lines
$543–$571 $543–$571 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$177–$743 $177–$743 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$234–$1,013 $234–$1,013 varies
Neuromuscular Reeducation (97112) $156 $156 4.8×
Newborn resuscitation (99465) $488 $488 0.7×
Nonphysician Telephone Assessment 11-20 Min (98967) $129 $129 5.1×
Nonphysician Telephone Assessment 21-30 Min (98968) $194 $194 5.6×
Nonphysician Telephone Assessment 5-10 Min (98966) $82 $82 6.0×
Oral Function Therapy (92526) $313 $313 3.7×
Oral Speech Device Eval (92597) $204 $204 2.9×
Orthc/Prostc Mgmt Sbsq Enc (97763) $89 $89 1.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $136 $136 3.0×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $67 $67 3.0×
Ot eval high complexity (97167) $626 $626 6.2×
Ot Eval Low Complex (97165) $375 $375 3.7×
Ot Eval Moderate Complexity (97166) $543 $543 5.4×
Ot manual therapy 15 min (97140) $150 $150 5.4×
Ot Prosthetic Training, Each 15 Min (97761) $97 $97 2.4×
Ot Re-Eval Est Plan Care (97168) $244 $244 3.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $366 $366 2.8×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $366 $366 2.8×
Peripheral arterial disease rehab per session (93668) $202 $202 3.4×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$240–$252 $240–$252 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $187 $187 3.1×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $187 $187 3.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,548 $4,548 5.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 2 matching MRF lines
$47–$51 $47–$51 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 2 matching MRF lines
$61–$64 $61–$64 varies
Psych diag eval w/med srvcs (90792) $354 $354 2.0×
Psychiatric diagnostic evaluation (90791) $280 $280 1.5×
Psychoanalysis (90845) $209 $209 1.2×
Psytx Crisis Initial 60 Min (90839) $298 $298 1.6×
Pt Eval High Complex (97163) $626 $626 6.4×
Pt eval low complex 20 min (97161) $375 $375 3.8×
Pt Eval Mod Complex (97162) $543 $543 5.5×
Pt gait training 15 min (97116) $137 $137 4.7×
Pt mechanical traction (97012) $123 $123 8.6×
Pt Re-Eval Est Plan Care (97164) $257 $257 3.8×
Pulmonary Stress Testing (94618) $100 $100 0.7×
Remote 30 Day Ecg Rev/Report (93270) $654 $654 17.2×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $97 $97 1.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$265–$743 $265–$743 varies
Same day nb discharge (99463) $161 $161 1.2×
Self Care Mngment Training (97535) $146 $146 4.5×
Sensory Integration Ea 15 Min (97533) $167 $167 2.7×
Speech sound lang comprehen (92523) $705 $705 3.1×
Spirometry (94010) $214 $214 1.0×
Standardized Cognitive Performance Testing (96125) $264 $264 2.6×
Stress Tte Only (93350) $1,327 $1,327 2.4×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$65–$1,909 $65–$1,909 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $51 $51 2.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $91 $91 3.1×
Ther/Prop/Diag Inj/Inf Proc (96379) $406 $406 8.5×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$204–$220 $204–$220 varies
Ther/Proph/Diag Iv Inf Init (96365) $681 $681 3.1×
Therapeutic Activities (97530) $157 $157 4.5×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$113–$117 $113–$117 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$58–$60 $58–$60 varies
Tte w/doppler, complete (93306) $1,665 $1,665 3.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $284 $284 3.7×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$149–$155 $149–$155 varies
Tympanometry and reflex threshold measurements (92550)
range across 2 matching MRF lines
$466–$480 $466–$480 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$756–$779 $756–$779 varies
Vent Mgmt Inpat Init Day (94002) $312 $312 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $120 $120 3.9×

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.