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.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $200.88 $248 0.9×
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 Procedure (95992) $108.54 $134 2.7×
Cardiac Stress Tst,Tracing Only (93017) $1,666.17 $2,057 7.5×
Cardiopulmonary resuscitation (92950) $1,015.74 $1,254 4.6×
Cardioversion (92960) $463.72 $572.50 0.7×
Chemo Hormon Antineopl Sq/Im (96402) $110.16 $136 1.5×
Chemo IV push addl drug (96411) $73.71 $91 1.0×
Chemo prolong 8+ hrs infuse w/pump (96416) $729 $900 2.1×
Chemother, IV infusion, 1 hr (96413) $521.64 $644 1.5×
Chemother, IV infusion, ea add hr (96415) $162 $200 2.2×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $144.18 $178 1.9×
Chemotherapy, unspecified procedure (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 push tq 1/1st sbst/drug (96409) $426.87 $527 1.3×
Color/duplex Doppler, complete (93975) $670.68 $828 2.7×
Color/duplex Doppler, limited (93976) $677.56 $836.50 6.3×
Cpap/bipap (94660) $413.50 $510.50 1.8×
Cpt initial (94667) $102.06 $126 0.7×
Critical care (99291) $988.60 $1,220.50 1.2×
Debridement Open Wound 20 Sq Cm< (97597) $229.23 $283 1.1×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $710.37 $877 2.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $609.93 $753 5.7×
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 scan extracranial art compl bi study (93880) $925.83 $1,143 3.8×
Echo Heart Xthoracic,Limited (93308) $754.11 $931 3.1×
Electrocardiogram Tracing (93005) $253.53 $313 4.2×
Er level 1 (99281) $189.54 $234 2.2×
Er level ii (99282) $286.74 $354 1.8×
Er level iii (99283) $482.76 $596 1.7×
Er level IV (99284) $776.79 $959 1.8×
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×
Fluorescein Angrph W/Multiframe I&R Uni/Bi (92235) $279.45 $345 1.3×
Group Therapeutic Procedures (97150) $56.70 $70 3.1×
Imm admn sarscov2 vaccine single dose (90480) $49.41 $61 1.2×
Immunization Admin (90471) $75.33 $93 1.0×
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, therap/proph/diagnost,initial,1st hour (96365) $278.64 $344 1.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $136.08 $168 2.8×
IV push ea addl new drug (96375) $110.16 $136 2.3×
IV push initial (96374) $219.51 $271 1.0×
Manual therapy 15 min (97140) $115.02 $142 4.1×
Mechanical traction (97012) $115.02 $142 8.0×
Multiple Sleep Latency Test (95805) $3,669.30 $4,530 4.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $321.98 $397.50 0.8×
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×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $403.78 $498.50 2.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $205.74 $254 1.5×
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 complex 60 min (97167) $245.43 $303 2.4×
Ot eval low complex 30 min (97165) $200.07 $247 2.0×
Ot eval mod complex 45 min (97166) $224.37 $277 2.2×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $98.46 $121.55 2.0×
Ot Prosthetic Training, Each 15 Min (97761) $102.06 $126 2.5×
Ot therapeutic activity 15 min (97530) $115.02 $142 3.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $298.48 $368.50 2.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $38.07 $47 0.3×
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) $2,733.75 $3,375 3.1×
Pt Electrical Stimulation (97032) $115.02 $142 7.8×
Pt eval high complex 45 min (97163) $250.29 $309 2.6×
Pt eval low complex 20 min (97161) $200.07 $247 2.0×
Pt eval mod complex 30 min (97162) $224.37 $277 2.3×
Pt gait training 15 min (97116) $115.02 $142 4.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $115.02 $142 3.5×
Pt re-evaluation (97164) $203.31 $251 3.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $115.02 $142 3.6×
Pulmonary stress test simple (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×
Rt Chest Wall Manipulation,Subsequent (94668) $162.81 $201 1.2×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $135.27 $167 2.8×
Spirometry (94010) $241.78 $298.50 1.1×
Stress echo (93350) $718.47 $887 1.3×
Temp transcutaneous pacing (92953) $576.72 $712 0.8×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $93.56 $115.50 4.2×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $69.66 $86 3.3×
Therapeutic prophylactic/dx injection subq/im (96372) $100.44 $124 1.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $45.36 $56 1.2×
Tte w/doppler, complete (93306) $758.16 $936 1.3×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $575.91 $711 2.3×
Unlisted Cardiovascular Service/Procedure (93799) $263.66 $325.50 2.0×
Upr/lxtr art stdy 3+ lvls (93923) $667.44 $824 3.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $688.50 $850 3.1×
Vent mgmt inpat init day (94002) $1,562.49 $1,929 2.5×
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×