Visits & medical services prices at Ely - Bloomenson Community Hospital
Ely, MN · every code in this section with a posted price and a Medicare benchmark.
103 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) range across 2 matching MRF lines |
$40.50–$58.32 | $50–$72 | varies |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$196.02–$205.74 | $242–$254 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $115.02 | $142 | 8.0× |
| Application on-body injector (96377) | $11,141.55 | $13,755 | 230.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $149.85 | $185 | 0.4× |
| Canalith repositioning proc (95992) | $108.54 | $134 | 2.7× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,666.17 | $2,057 | 7.5× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$869.94–$1,161.54 | $1,074–$1,434 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$341.82–$585.63 | $422–$723 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $144.18 | $178 | 1.9× |
| Chemo Hormon Antineopl Sq/Im (96402) | $110.16 | $136 | 1.5× |
| Chemo IV infusion addl hr (96415) | $162 | $200 | 2.2× |
| Chemo IV push addl drug (96411) | $73.71 | $91 | 1.0× |
| Chemother Prolong Infuse W/Pump (96416) | $729 | $900 | 2.1× |
| Chemotherapy Unspecified (96549) | $46.98 | $58 | 1.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $279.45 | $345 | 3.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $521.64 | $644 | 1.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $426.87 | $527 | 1.3× |
| Chest Wall Manipulation (94668) | $162.81 | $201 | 1.2× |
| Color/duplex Doppler, complete (93975) | $670.68 | $828 | 2.7× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$667.44–$687.69 | $824–$849 | varies |
| Continuous Pulse Ox (94762) | $205.74 | $254 | 1.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$397.71–$423.63 | $491–$523 | varies |
| Cpt initial (94667) | $102.06 | $126 | 0.7× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$902.34–$1,074.87 | $1,114–$1,327 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$225.99–$232.47 | $279–$287 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,010.88 | $1,248 | 4.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $629.37 | $777 | 5.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,011.69 | $1,249 | 4.1× |
| Dup-scan xtr veins unilateral/limited study (93971) | $687.69 | $849 | 6.4× |
| Duplex up extrem art bilat (93930) | $710.37 | $877 | 2.9× |
| Duplex up extrem art unilat/ltd (93931) | $609.93 | $753 | 5.7× |
| Echo Heart Xthoracic,Limited (93308) | $754.11 | $931 | 3.1× |
| Electrical Stimulation Ea 15 Min (97032) | $115.02 | $142 | 7.8× |
| Electrocardiogram Tracing (93005) | $253.53 | $313 | 4.2× |
| Emergency Dept Visit Level 2 (99282) | $286.74 | $354 | 1.8× |
| Emergency Dept Visit Level 3 (99283) | $482.76 | $596 | 1.7× |
| Emergency Dept Visit Level 4 (99284) | $776.79 | $959 | 1.8× |
| Er level 1 (99281) | $189.54 | $234 | 2.2× |
| Er level v (99285) | $1,221.48 | $1,508 | 2.0× |
| Evaluate pt use of inhaler (94664) | $43.74 | $54 | 0.2× |
| External ECG rec>48hr<7d recording (93242) | $48.60 | $60 | 1.3× |
| External ECG rec>7d<15d recording (93246) | $48.60 | $60 | 1.3× |
| Extracranial Bilat Study (93880) | $925.83 | $1,143 | 3.8× |
| Fluorescein angiography (92235) | $279.45 | $345 | 1.3× |
| Group Therapeutic Procedures (97150) | $56.70 | $70 | 3.1× |
| Immunization administration (90471) range across 2 matching MRF lines |
$40.50–$110.16 | $50–$136 | varies |
| Iontophoresis 15 min (97033) | $12.15 | $15 | 0.6× |
| Irrig Drug Delivery Device (96523) | $100.44 | $124 | 1.6× |
| IV infusion hydration each additional hour (96361) | $103.68 | $128 | 2.1× |
| IV infusion hydration initial 31 min-1 hour (96360) | $220.32 | $272 | 1.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $161.19 | $199 | 2.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $136.08 | $168 | 2.8× |
| IV push initial (96374) | $219.51 | $271 | 1.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $688.50 | $850 | 3.1× |
| Multiple Sleep Latency Test (95805) | $3,669.30 | $4,530 | 4.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$257.58–$386.37 | $318–$477 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $336.96 | $416 | 1.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $343.44 | $424 | 0.8× |
| Neuromuscular Reeducation (97112) | $115.02 | $142 | 3.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$94.85–$102.06 | $117.10–$126 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $120.69 | $149 | 2.6× |
| Ot Contrast Bath Ea 15 Min (97034) | $81.81 | $101 | 5.8× |
| Ot eval high complexity (97167) | $245.43 | $303 | 2.4× |
| Ot Eval Low Complex (97165) | $200.07 | $247 | 2.0× |
| Ot Eval Moderate Complexity (97166) | $224.37 | $277 | 2.2× |
| Ot manual therapy 15 min (97140) | $115.02 | $142 | 4.1× |
| Ot Prosthetic Training, Each 15 Min (97761) | $102.06 | $126 | 2.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$287.55–$309.42 | $355–$382 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 3 matching MRF lines |
$24.30–$106.11 | $30–$131 | varies |
| Phlebotomy therapeutic (99195) | $202.50 | $250 | 1.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $259.20 | $320 | 4.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$1,573.83–$3,893.67 | $1,943–$4,807 | varies |
| Pt Eval High Complex (97163) | $250.29 | $309 | 2.6× |
| Pt eval low complex 20 min (97161) | $200.07 | $247 | 2.0× |
| Pt Eval Mod Complex (97162) | $224.37 | $277 | 2.3× |
| Pt gait training 15 min (97116) | $115.02 | $142 | 4.0× |
| Pt mechanical traction (97012) | $115.02 | $142 | 8.0× |
| Pt Re-Eval Est Plan Care (97164) | $203.31 | $251 | 3.0× |
| Pulmonary Stress Testing (94618) | $129.60 | $160 | 0.9× |
| Refill/Maint Portable Pump (96521) | $276.21 | $341 | 1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $179.82 | $222 | 0.9× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $135.27 | $167 | 2.8× |
| Self Care Mngment Training (97535) | $115.02 | $142 | 3.6× |
| Spirometry (94010) range across 2 matching MRF lines |
$238.95–$244.62 | $295–$302 | varies |
| Stress Tte Only (93350) | $718.47 | $887 | 1.3× |
| Temp transcutaneous pacing (92953) | $576.72 | $712 | 0.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$72.09–$115.02 | $89–$142 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $69.66 | $86 | 3.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $100.44 | $124 | 1.4× |
| Ther/Proph/Diag Iv Inf Init (96365) | $278.64 | $344 | 1.3× |
| Therapeutic Activities (97530) | $115.02 | $142 | 3.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$36.45–$54.27 | $45–$67 | varies |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$503.01–$827.01 | $621–$1,021 | varies |
| Tte W/O Doppler Complete (93307) | $575.91 | $711 | 2.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $110.16 | $136 | 2.3× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$21.06–$506.25 | $26–$625 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$297.27–$510.30 | $367–$630 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $667.44 | $824 | 3.0× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$1,339.74–$1,785.24 | $1,654–$2,204 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,434.51 | $1,771 | 2.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $123.12 | $152 | 4.0× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $52.65 | $65 | 1.4× |
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.