Visits & medical services prices at Cumberland Memorial Hospital
Cumberland, WI · every code in this section with a posted price and a Medicare benchmark.
173 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) | $41.65 | $41.65 | 1.1× |
| Advncd Care Plan 30 Min (99497) | $205.55 | $205.55 | 2.1× |
| Airway Inhalation Treatment (94640) | $159.83 | $159.83 | 0.8× |
| Analyze neurostim complex (95972) | $650.75 | $650.75 | 7.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $153.15 | $153.15 | 10.7× |
| Application Modality 1/> Areas Diathermy (97024) | $93.85 | $93.85 | 12.8× |
| Application on-body injector (96377) | $99.40 | $99.40 | 2.2× |
| Assessment of aphasia per hr (96105) | $407.65 | $407.65 | 4.2× |
| Behavral qualit analys voice (92524) | $397.45 | $397.45 | 3.6× |
| Biofeedback training any modality (90901) range across 2 matching MRF lines |
$137.65–$164.55 | $137.65–$164.55 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $428.82 | $428.82 | 1.2× |
| Canalith repositioning proc (95992) | $206.65 | $206.65 | 5.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $902.78 | $902.78 | 4.3× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$651.17–$729.80 | $651.17–$729.80 | varies |
| Cardioversion (92960) range across 4 matching MRF lines |
$753.90–$971.90 | $753.90–$971.90 | varies |
| Chemo Admin Peritoneal Cavity (96446) | $711.25 | $711.25 | 2.2× |
| Chemo Anti-Neopl Sq/Im (96401) | $313.30 | $313.30 | 4.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $156.75 | $156.75 | 2.2× |
| Chemo Ia Push (96420) | $301.10 | $301.10 | 0.9× |
| Chemo Intralesional Over 7 (96406) | $477.20 | $477.20 | 2.3× |
| Chemo intralesional up to 7 (96405) | $400.45 | $400.45 | 5.7× |
| Chemo IV infusion addl hr (96415) | $183.65 | $183.65 | 2.6× |
| Chemo IV push addl drug (96411) | $323.30 | $323.30 | 4.6× |
| Chemother Prolong Infuse W/Pump (96416) | $746.85 | $746.85 | 2.3× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $541.90 | $541.90 | 1.7× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $219.05 | $219.05 | 4.8× |
| Chemotherapy Into Cns (96450) | $1,177.05 | $1,177.05 | 3.7× |
| Chemotherapy Intracavitary (96440) | $984.90 | $984.90 | 3.1× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $492.50 | $492.50 | 1.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $267 | $267 | 3.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $627.40 | $627.40 | 2.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $580.15 | $580.15 | 1.8× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $465.30 | $465.30 | 1.5× |
| Chest Wall Manipulation (94668) | $216.85 | $216.85 | 1.7× |
| Chron Care Mgmt Srvc 20 Min (99490) | $143.85 | $143.85 | 1.5× |
| Color/duplex Doppler, complete (93975) | $390.95 | $390.95 | 1.7× |
| Color/duplex Doppler, limited (93976) | $701.80 | $701.80 | 6.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 3 matching MRF lines |
$137.65–$164.55 | $137.65–$164.55 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $367.50 | $367.50 | 2.1× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $466.45 | $466.45 | 3.6× |
| Continuous Pulse Ox (94762) | $384.35 | $384.35 | 3.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $933.40 | $933.40 | 4.4× |
| Cpt initial (94667) | $249.95 | $249.95 | 1.9× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$2,413.25–$2,806.65 | $2,413.25–$2,806.65 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 8 matching MRF lines |
$81.40–$311.20 | $81.40–$311.20 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $523.05 | $523.05 | 4.2× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $1,588.60 | $1,588.60 | 15.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,406.15 | $1,406.15 | 6.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,157.65 | $1,157.65 | 11.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$790.50–$1,054.60 | $790.50–$1,054.60 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 7 matching MRF lines |
$812.10–$1,054.60 | $812.10–$1,054.60 | varies |
| Duplex up extrem art bilat (93930) | $1,304.20 | $1,304.20 | 5.6× |
| Duplex up extrem art unilat/ltd (93931) | $1,157.65 | $1,157.65 | 11.4× |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$225.80–$1,122 | $225.80–$1,122 | varies |
| Echo transesophageal (93312) | $1,757.50 | $1,757.50 | 3.3× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,233.05 | $2,233.05 | 4.2× |
| EEG awake and asleep (95819) | $945.35 | $945.35 | 4.5× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$137.65–$164.55 | $137.65–$164.55 | varies |
| Electrocardiogram Tracing (93005) | $255.45 | $255.45 | 4.5× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$372.35–$406.14 | $372.35–$406.14 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$641.55–$988.40 | $641.55–$988.40 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$1,074.81–$1,085.74 | $1,074.81–$1,085.74 | varies |
| Emg 3 Extremities (95863) | $246.80 | $246.80 | 2.0× |
| Emg 4 Extremities (95864) | $362 | $362 | 2.9× |
| Er level 1 (99281) range across 2 matching MRF lines |
$222.60–$253.41 | $222.60–$253.41 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$1,532.24–$1,570.69 | $1,532.24–$1,570.69 | varies |
| Evaluate pt use of inhaler (94664) | $116.27 | $116.27 | 0.5× |
| Evaluate Speech Production (92522) | $439.60 | $439.60 | 3.9× |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$211.35–$528.60 | $211.35–$528.60 | varies |
| Evaluation of speech fluency (92521) | $465.30 | $465.30 | 3.5× |
| External ECG rec>48hr<7d recording (93242) | $281.80 | $281.80 | 7.8× |
| External ECG rec>7d<15d recording (93246) | $387.95 | $387.95 | 10.7× |
| Extracranial Bilat Study (93880) | $1,682.35 | $1,682.35 | 7.3× |
| Group Therapeutic Procedures (97150) range across 3 matching MRF lines |
$27.70–$90.75 | $27.70–$90.75 | varies |
| Holter monitor recording (93225) | $281.80 | $281.80 | 2.2× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $55.30 | $55.30 | 0.8× |
| Immunization administration (90471) range across 3 matching MRF lines |
$41.65–$44.25 | $41.65–$44.25 | varies |
| Iontophoresis 15 min (97033) range across 3 matching MRF lines |
$102.75–$146.75 | $102.75–$146.75 | varies |
| Irrig Drug Delivery Device (96523) | $159.97 | $159.97 | 2.8× |
| IV infusion hydration each additional hour (96361) | $110.25 | $110.25 | 2.4× |
| IV infusion hydration initial 31 min-1 hour (96360) | $312.96 | $312.96 | 1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $146.95 | $146.95 | 2.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $142.80 | $142.80 | 3.1× |
| IV push initial (96374) | $293.10 | $293.10 | 1.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$50–$58.70 | $50–$58.70 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $58.70 | $58.70 | 1.6× |
| Motion Fluoroscopy/Swallow (92611) | $408.75 | $408.75 | 4.5× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) range across 2 matching MRF lines |
$92.95–$240.50 | $92.95–$240.50 | varies |
| Muscle Test 2 Limbs (95861) | $219.45 | $219.45 | 1.7× |
| Muscle Test One Limb (95860) | $172.45 | $172.45 | 1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 5 matching MRF lines |
$57.90–$167.05 | $57.90–$167.05 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 5 matching MRF lines |
$62.73–$330.25 | $62.73–$330.25 | varies |
| Nerve conduction studies 5-6 studies (95909) | $446.05 | $446.05 | 2.1× |
| Neurobehavioral Status Exam (96116) | $447.60 | $447.60 | 2.1× |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$137.65–$164.55 | $137.65–$164.55 | varies |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 2 matching MRF lines |
$104.60–$408.95 | $104.60–$408.95 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) | $199.05 | $199.05 | 1.5× |
| Oral Function Therapy (92526) | $361.25 | $361.25 | 4.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 3 matching MRF lines |
$64.75–$118.45 | $64.75–$118.45 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$128.05–$152.45 | $128.05–$152.45 | varies |
| Ot Contrast Bath Ea 15 Min (97034) range across 3 matching MRF lines |
$128.25–$153.15 | $128.25–$153.15 | varies |
| Ot eval high complexity (97167) | $307.80 | $307.80 | 3.1× |
| Ot Eval Low Complex (97165) | $232.50 | $232.50 | 2.3× |
| Ot Eval Moderate Complexity (97166) | $272.30 | $272.30 | 2.7× |
| Ot manual therapy 15 min (97140) | $164.55 | $164.55 | 5.9× |
| Ot paraffin bath (97018) range across 3 matching MRF lines |
$128.25–$153.15 | $128.25–$153.15 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$164.55–$172.35 | $164.55–$172.35 | varies |
| Ot Re-Eval Est Plan Care (97168) | $189.60 | $189.60 | 2.8× |
| Ot rom hand (95852) range across 3 matching MRF lines |
$30.50–$36.35 | $30.50–$36.35 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $354.50 | $354.50 | 2.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $220 | $220 | 1.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $490.30 | $490.30 | 2.3× |
| Peripheral arterial disease rehab per session (93668) | $193.15 | $193.15 | 3.4× |
| Phlebotomy therapeutic (99195) | $138.25 | $138.25 | 1.1× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $402.85 | $402.85 | 7.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $339.50 | $339.50 | 5.9× |
| Physical Performance Test (97750) range across 3 matching MRF lines |
$113.85–$136.05 | $113.85–$136.05 | varies |
| Plethysmography (94726) | $331.46 | $331.46 | 0.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $4,722.38 | $4,722.38 | 5.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$44.25–$49.88 | $44.25–$49.88 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $49.35 | $49.35 | 1.1× |
| Psych diag eval w/med srvcs (90792) | $419.85 | $419.85 | 2.4× |
| Psychiatric diagnostic evaluation (90791) | $298.50 | $298.50 | 1.7× |
| Psychological tst eval svc phys/qhp first hour (96130) | $199.05 | $199.05 | 0.9× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $231.85 | $231.85 | 1.8× |
| Psytx Crisis Initial 60 Min (90839) | $298.50 | $298.50 | 1.7× |
| Pt Eval High Complex (97163) | $307.80 | $307.80 | 3.1× |
| Pt eval low complex 20 min (97161) | $232.50 | $232.50 | 2.4× |
| Pt Eval Mod Complex (97162) | $272.30 | $272.30 | 2.8× |
| Pt gait training 15 min (97116) | $152.45 | $152.45 | 5.2× |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$137.65–$164.55 | $137.65–$164.55 | varies |
| Pt Re-Eval Est Plan Care (97164) | $189.60 | $189.60 | 2.8× |
| Pulmonary Stress Testing (94618) | $374.90 | $374.90 | 2.9× |
| Pure Tone Audiometry Air (92552) | $127.50 | $127.50 | 1.0× |
| Refill/Maint Portable Pump (96521) | $410.25 | $410.25 | 2.0× |
| Refill/Maint Pump/Resvr Syst (96522) | $306.55 | $306.55 | 1.5× |
| Remote 30 Day Ecg Rev/Report (93270) | $544.70 | $544.70 | 15.0× |
| Respiratory flow volume loop (94375) | $287.20 | $287.20 | 1.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$53–$133.85 | $53–$133.85 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$172.75–$220.90 | $172.75–$220.90 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 3 matching MRF lines |
$45.70–$54.55 | $45.70–$54.55 | varies |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$137.65–$164.55 | $137.65–$164.55 | varies |
| Sensory Integration Ea 15 Min (97533) | $164.55 | $164.55 | 2.7× |
| Sleep study unattended (95806) | $750.80 | $750.80 | 3.6× |
| Speech Audiometry Complete (92556) | $99.60 | $99.60 | 1.7× |
| Speech sound lang comprehen (92523) | $552.10 | $552.10 | 2.4× |
| Spirometry (94010) range across 4 matching MRF lines |
$112.85–$285.65 | $112.85–$285.65 | varies |
| Standardized Cognitive Performance Testing (96125) | $397.45 | $397.45 | 3.9× |
| Temp transcutaneous pacing (92953) | $1,032.10 | $1,032.10 | 1.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$150.90–$152.45 | $150.90–$152.45 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $121.65 | $121.65 | 5.8× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$133.75–$158.15 | $133.75–$158.15 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 3 matching MRF lines |
$117.40–$164.55 | $117.40–$164.55 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $397.95 | $397.95 | 3.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$58.70–$994.80 | $58.70–$994.80 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $384.30 | $384.30 | 1.9× |
| Therapeutic Activities (97530) | $153.50 | $153.50 | 4.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $26.05 | $26.05 | 0.7× |
| Trans Care Mgmt 14 Day Disch (99495) | $414.45 | $414.45 | 3.2× |
| Trans Care Mgmt 7 Day Disch (99496) | $534.60 | $534.60 | 4.1× |
| Tte w/doppler, complete (93306) | $2,067.10 | $2,067.10 | 3.9× |
| Tte W/O Doppler Complete (93307) | $1,757.50 | $1,757.50 | 7.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $361.25 | $361.25 | 4.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $97.25 | $97.25 | 2.1× |
| Unlisted ophthalmological service/procedure (92499) | $23 | $23 | 0.8× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$350.95–$1,151.75 | $350.95–$1,151.75 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$515.70–$1,317.10 | $515.70–$1,317.10 | varies |
| Vasopneumatic device (97016) range across 3 matching MRF lines |
$137.65–$164.55 | $137.65–$164.55 | varies |
| Vent Mgmt Inpat Init Day (94002) | $1,334.40 | $1,334.40 | 2.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $827.95 | $827.95 | 1.4× |
| Vital capacity, total (94150) | $103.43 | $103.43 | 0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$136.35–$164.55 | $136.35–$164.55 | varies |
| Whirlpool Therapy (97022) range across 3 matching MRF lines |
$171.60–$204.90 | $171.60–$204.90 | varies |
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.