Visits & medical services prices at Douglas County Memorial Hospital-cah

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $57.60 $64 1.4×
Airway Inhalation Treatment (94640)
range across 6 matching MRF lines
$140.40–$141.30 $156–$157 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $1,060.20 $1,178 73.8×
Assessment of aphasia per hr (96105) $213.30 $237 2.2×
Behavral qualit analys voice (92524) $199.80 $222 1.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $486 $540 1.3×
Canalith repositioning proc (95992) $137.70 $153 3.4×
Cardiac Stress Tst,Tracing Only (93017) $1,324.80 $1,472 6.0×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$905.40–$909.90 $1,006–$1,011 varies
Cardioversion (92960) $494.10 $549 0.7×
Chemo Anti-Neopl Sq/Im (96401) $310.50 $345 4.2×
Chemo Hormon Antineopl Sq/Im (96402) $188.10 $209 2.6×
Chemo IV infusion addl hr (96415) $167.40 $186 2.3×
Chemo IV push addl drug (96411) $171 $190 2.3×
Chemother Prolong Infuse W/Pump (96416) $386.10 $429 1.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $195.30 $217 2.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $882.90 $981 2.6×
Chest Wall Manipulation (94668) $1,214.10 $1,349 8.9×
Color/duplex Doppler, complete (93975)
range across 3 matching MRF lines
$1,547.10–$3,060.90 $1,719–$3,401 varies
Color/duplex Doppler, limited (93976) $993.60 $1,104 9.3×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$821.70–$825.30 $913–$917 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660) $434.70 $483 1.9×
Cpt initial (94667) $2,030.40 $2,256 14.9×
Critical care first hour (99291)
range across 2 matching MRF lines
$941.40–$1,914.30 $1,046–$2,127 varies
Debridement Open Wound 20 Sq Cm< (97597) $126 $140 0.6×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $808.20 $898 3.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$1,324.80–$1,378.80 $1,472–$1,532 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,645.20 $1,828 15.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$1,462.50–$2,145.60 $1,625–$2,384 varies
Dup-scan xtr veins unilateral/limited study (93971) $851.40 $946 8.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $486.90 $541 2.0×
Duplex Scan Hemodialysis Access (93990) $560.70 $623 5.2×
Duplex up extrem art bilat (93930) $886.50 $985 3.6×
Duplex up extrem art unilat/ltd (93931) $840.60 $934 7.9×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$807.30–$1,132.20 $897–$1,258 varies
EEG awake and asleep (95819)
range across 2 matching MRF lines
$954–$1,727.10 $1,060–$1,919 varies
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines
$128.52–$232.20 $142.80–$258 varies
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$252.90–$456.30 $281–$507 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$342.90–$567 $381–$630 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$474.30–$992.70 $527–$1,103 varies
Er level 1 (99281)
range across 2 matching MRF lines
$155.70–$365.40 $173–$406 varies
Er level v (99285)
range across 2 matching MRF lines
$555.30–$1,486.80 $617–$1,652 varies
Evaluate Speech Production (92522) $228.60 $254 2.0×
Evaluate Swallowing Function (92610) $1,226.70 $1,363 14.5×
Exercise test for bronchospasm (94617) $296.10 $329 2.2×
External ECG rec>48hr<7d recording (93242) $447.30 $497 11.7×
External ECG rec>7d<15d recording (93246) $447.30 $497 11.7×
External Ecg Scanning Analysis Report (93226) $946.80 $1,052 15.7×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$1,513.80–$2,115.90 $1,682–$2,351 varies
Holter monitor recording (93225) $449.10 $499 3.3×
Immunization administration (90471)
range across 5 matching MRF lines
$56.70–$57.60 $63–$64 varies
Inital newborn e/m (99460) $157.50 $175 1.2×
Iontophoresis 15 min (97033) $1,602 $1,780 84.1×
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$180–$180.90 $200–$201 varies
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$151.20–$152.10 $168–$169 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines
$509.40–$512.10 $566–$569 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$215.10–$216 $239–$240 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 3 matching MRF lines
$180–$180.90 $200–$201 varies
IV push initial (96374)
range across 3 matching MRF lines
$219.60–$220.50 $244–$245 varies
Mechanical chest wall oscillation per session (94669) $141.30 $157 0.6×
Nerve Conduction Studies 11-12 Studies (95912) $1,447.20 $1,608 3.8×
Nerve conduction studies 13 or more studies (95913) $855 $950 2.2×
Nerve conduction studies 7-8 studies (95910) $526.50 $585 1.4×
Neuromuscular Reeducation (97112) $1,525.50 $1,695 46.6×
Nonphysician Telephone Assessment 11-20 Min (98967) $89.10 $99 3.6×
Nonphysician Telephone Assessment 21-30 Min (98968) $132.30 $147 3.8×
Nonphysician Telephone Assessment 5-10 Min (98966) $57.60 $64 4.2×
Oral Function Therapy (92526) $1,153.80 $1,282 13.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $1,585.80 $1,762 34.4×
Ot Eval Low Complex (97165) $298.80 $332 3.0×
Ot Eval Moderate Complexity (97166) $216 $240 2.1×
Ot manual therapy 15 min (97140) $63 $70 2.3×
Ot Re-Eval Est Plan Care (97168) $99.90 $111 1.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $283.50 $315 2.2×
Phlebotomy therapeutic (99195)
range across 3 matching MRF lines
$348.30–$350.10 $387–$389 varies
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,107.50 $5,675 5.8×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $16.20 $18 0.3×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $20.70 $23 0.4×
Pt Eval High Complex (97163) $340.20 $378 3.5×
Pt eval low complex 20 min (97161) $277.20 $308 2.8×
Pt Eval Mod Complex (97162) $342 $380 3.5×
Pt gait training 15 min (97116) $1,128.60 $1,254 38.8×
Pt mechanical traction (97012) $2,145.60 $2,384 149.4×
Pt Re-Eval Est Plan Care (97164) $190.80 $212 2.8×
Pure Tone Audiometry Air (92552) $24.30 $27 0.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $120.60 $134 0.6×
Self Care Mngment Training (97535) $1,409.40 $1,566 43.5×
Speech sound lang comprehen (92523) $213.30 $237 0.9×
Spirometry (94010) $1,837.80 $2,042 8.3×
Standardized Cognitive Performance Testing (96125) $261.90 $291 2.5×
Stress Tte Only (93350)
range across 2 matching MRF lines
$1,987.20–$2,149.20 $2,208–$2,388 varies
Temp transcutaneous pacing (92953) $63 $70 0.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $115.20 $128 5.1×
Ther Ivntj Ea Addl 15 Min (97130) $119.70 $133 5.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $923.40 $1,026 31.1×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$142.20–$143.10 $158–$159 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines
$533.70–$536.40 $593–$596 varies
Therapeutic Activities (97530) $1,718.10 $1,909 49.0×
Tte w/doppler, complete (93306) $2,474.10 $2,749 4.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $1,295.10 $1,439 17.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $166.50 $185 3.5×
Tympanometry (92567) $40.50 $45 1.1×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$473.40–$701.10 $526–$779 varies
Wheelchair Mgmt Ea 15 Min (97542) $87.30 $97 2.8×

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.