Visits & medical services prices at Door County Medical Center
Sturgeon Bay, WI · every code in this section with a posted price and a Medicare benchmark.
112 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) | $65.25 | $87 | 1.7× |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$127.85–$276.75 | $170.46–$369 | varies |
| Analyze neurostim complex (95972) | $243 | $324 | 2.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $89.25 | $119 | 6.2× |
| Assmt & care planning pt w/cognitive impairment (99483) | $455.25 | $607 | 4.6× |
| Behavral qualit analys voice (92524) | $450 | $600 | 4.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $612.75 | $817 | 1.7× |
| Canalith repositioning proc (95992) | $142.50 | $190 | 3.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,096.50 | $1,462 | 5.2× |
| Cardiopulmonary resuscitation (92950) | $670.50 | $894 | 3.2× |
| Cardioversion (92960) | $1,584.75 | $2,113 | 2.5× |
| Cbt 1st hour (94644) | $325.50 | $434 | 2.5× |
| Chemo Anti-Neopl Sq/Im (96401) | $170.25 | $227 | 2.4× |
| Chemo Hormon Antineopl Sq/Im (96402) | $209.25 | $279 | 3.0× |
| Chemo IV infusion addl hr (96415) | $213.75 | $285 | 3.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $711 | $948 | 2.2× |
| Chest Wall Manipulation (94668) | $197.25 | $263 | 1.5× |
| Chron Care Mgmt Srvc 20 Min (99490) | $113.25 | $151 | 1.1× |
| Color/duplex Doppler, complete (93975) | $1,587 | $2,116 | 6.8× |
| Continuous Pulse Ox (94762) | $410.25 | $547 | 3.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$92.25–$1,287 | $123–$1,716 | varies |
| Cpt initial (94667) | $264 | $352 | 2.0× |
| Critical care first hour (99291) | $1,767 | $2,356 | 2.2× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$107.25–$386.25 | $143–$515 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,309.50 | $1,746 | 5.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $877.50 | $1,170 | 8.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,118.25 | $1,491 | 4.8× |
| Dup-scan xtr veins unilateral/limited study (93971) | $812.25 | $1,083 | 8.0× |
| Duplex up extrem art unilat/ltd (93931) | $857.25 | $1,143 | 8.4× |
| Echo Heart Xthoracic,Limited (93308) | $839.25 | $1,119 | 3.6× |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$110.25–$111.75 | $147–$149 | varies |
| Electrocardiogram Tracing (93005) range across 7 matching MRF lines |
$122.49–$243 | $163.32–$324 | varies |
| Emergency Dept Visit Level 2 (99282) | $387.75 | $517 | 2.6× |
| Emergency Dept Visit Level 3 (99283) | $672 | $896 | 2.5× |
| Emergency Dept Visit Level 4 (99284) | $1,073.25 | $1,431 | 2.6× |
| Er level 1 (99281) | $213.75 | $285 | 2.6× |
| Er level v (99285) | $1,458 | $1,944 | 2.5× |
| Evaluate Swallowing Function (92610) | $547.50 | $730 | 6.5× |
| External ECG rec>48hr<7d recording (93242) | $93.75 | $125 | 2.6× |
| External ECG rec>7d<15d recording (93246) | $148.50 | $198 | 4.1× |
| Extracranial Bilat Study (93880) | $1,016.25 | $1,355 | 4.4× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,123.50 | $1,498 | 1.3× |
| Holter monitor recording (93225) | $307.50 | $410 | 2.4× |
| Immunization administration (90471) | $65.25 | $87 | 0.9× |
| Irrig Drug Delivery Device (96523) | $102 | $136 | 1.8× |
| IV infusion hydration each additional hour (96361) | $132 | $176 | 2.9× |
| IV infusion hydration initial 31 min-1 hour (96360) range across 7 matching MRF lines |
$270–$309 | $360–$412 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $159.75 | $213 | 2.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $130.50 | $174 | 2.9× |
| IV push initial (96374) | $309 | $412 | 1.5× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $831 | $1,108 | 4.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $51.75 | $69 | 1.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $57.75 | $77 | 1.6× |
| Motion Fluoroscopy/Swallow (92611) | $946.50 | $1,262 | 10.3× |
| Needle electromyography larynx (95865) | $237.75 | $317 | 1.8× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $519 | $692 | 1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 6 matching MRF lines |
$198.75–$352.50 | $265–$470 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $438 | $584 | 1.1× |
| Neuromuscular Reeducation (97112) | $126 | $168 | 3.8× |
| Oral Function Therapy (92526) | $494.25 | $659 | 5.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $200.25 | $267 | 4.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $129.75 | $173 | 2.8× |
| Ot eval high complexity (97167) | $349.50 | $466 | 3.5× |
| Ot Eval Low Complex (97165) | $239.25 | $319 | 2.4× |
| Ot Eval Moderate Complexity (97166) | $294.75 | $393 | 2.9× |
| Ot manual therapy 15 min (97140) | $114.75 | $153 | 4.1× |
| Ot paraffin bath (97018) | $67.50 | $90 | 11.2× |
| Ot Re-Eval Est Plan Care (97168) | $120 | $160 | 1.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $318.75 | $425 | 2.5× |
| Phlebotomy therapeutic (99195) | $185.25 | $247 | 1.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $318.75 | $425 | 5.6× |
| Physical Performance Test (97750) | $125.25 | $167 | 3.7× |
| Plethysmography (94726) | $324 | $432 | 0.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $4,162.50 | $5,550 | 5.0× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $104.25 | $139 | 1.1× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $34.50 | $46 | 0.8× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $55.50 | $74 | 1.2× |
| Psych diag eval w/med srvcs (90792) | $370.50 | $494 | 2.1× |
| Psychiatric diagnostic evaluation (90791) | $331.50 | $442 | 1.9× |
| Pt Eval High Complex (97163) | $349.50 | $466 | 3.6× |
| Pt eval low complex 20 min (97161) | $239.25 | $319 | 2.4× |
| Pt Eval Mod Complex (97162) | $294.75 | $393 | 3.0× |
| Pt gait training 15 min (97116) | $124.50 | $166 | 4.3× |
| Pt mechanical traction (97012) range across 4 matching MRF lines |
$62.25–$111 | $83–$148 | varies |
| Pt Re-Eval Est Plan Care (97164) | $128.25 | $171 | 1.9× |
| Pulmonary Stress Testing (94618) | $261 | $348 | 2.0× |
| Remote 30 Day Ecg Rev/Report (93270) | $170.25 | $227 | 4.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$120.75–$218.25 | $161–$291 | varies |
| Self Care Mngment Training (97535) | $134.25 | $179 | 4.1× |
| Sensory Integration Ea 15 Min (97533) | $95.25 | $127 | 1.6× |
| Sleep study attended (95807) | $2,136 | $2,848 | 5.9× |
| Sleep study unattended (95806) | $533.25 | $711 | 2.5× |
| Speech sound lang comprehen (92523) | $499.50 | $666 | 2.2× |
| Spirometry (94010) | $234.75 | $313 | 1.1× |
| Standardized Cognitive Performance Testing (96125) range across 4 matching MRF lines |
$326.25–$676.50 | $435–$902 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $250.50 | $334 | 11.2× |
| Ther Ivntj Ea Addl 15 Min (97130) | $61.50 | $82 | 2.9× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $175.50 | $234 | 4.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $132.75 | $177 | 1.9× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 7 matching MRF lines |
$294.75–$401.25 | $393–$535 | varies |
| Therapeutic Activities (97530) range across 5 matching MRF lines |
$16.31–$137.25 | $21.75–$183 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $48 | $64 | 1.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $33.75 | $45 | 0.9× |
| Trans Care Mgmt 14 Day Disch (99495) | $108.75 | $145 | 0.8× |
| Trans Care Mgmt 7 Day Disch (99496) | $164.25 | $219 | 1.3× |
| Tte w/doppler, complete (93306) | $1,875 | $2,500 | 3.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $527.25 | $703 | 6.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $132 | $176 | 2.9× |
| Upr/L Xtremity Art 2 Levels (93922) | $540.75 | $721 | 4.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $839.25 | $1,119 | 4.0× |
| Wheelchair Mgmt Ea 15 Min (97542) | $103.50 | $138 | 3.3× |
| Whirlpool Therapy (97022) | $137.25 | $183 | 8.7× |
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.