Visits & medical services prices at Essentia Health St. Mary's-Detroit Lakes

Detroit Lakes, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $135.78 $211.50 0.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $57.78 $90 4.0×
Bedside Swallowing Eval (92610) $192.28 $299.50 2.3×
Behavioral and qualitative analysis of voice and resonance (92524) $247.17 $385 2.3×
Biofeedback training any modality (90901) $75.11 $117 1.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $178.80 $278.50 0.5×
Canalith Repositioning Procedure (95992) $150.87 $235 3.7×
Car seat/bed test 60 min (94780) $46.22 $72 1.2×
Cardiac Stress Tst,Tracing Only (93017) $447.47 $697 2.0×
Cardiopulmonary resuscitation (92950) $395.47 $616 1.8×
Cardioversion (92960) $1,166.51 $1,817 1.7×
Cbt 1st hour (94644) $172.70 $269 1.3×
Color/duplex Doppler, complete (93975) $722.25 $1,125 2.9×
Color/duplex Doppler, limited (93976) $446.19 $695 4.1×
Cpap/bipap (94660) $251.34 $391.50 1.1×
Cpt initial (94667) $130.33 $203 0.9×
Critical care (99291) $1,657.64 $2,582 1.9×
Debridement Open Wound 20 Sq Cm< (97597) $197.74 $308 1.0×
Developmental tst admin phys/qhp 1st hour (96112) $260.65 $406 2.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $413.12 $643.50 3.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $513.60 $800 2.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $474.44 $739 4.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $839.74 $1,308 3.4×
Dup-scan xtr veins unilateral/limited study (93971) $464.49 $723.50 4.3×
Duplex scan extracranial art compl bi study (93880) $595.13 $927 2.4×
Echo Heart Xthoracic,Limited (93308) $499.48 $778 2.0×
EEG awake and asleep (95819) $485.35 $756 2.2×
EEG greater than 1 hour (95813) $453.89 $707 2.0×
Electrocardiogram Tracing (93005) $170.13 $265 2.8×
Er level 1 (99281) $209.29 $326 2.4×
Er level ii (99282) $291.47 $454 1.8×
Er level iii (99283) $513.60 $800 1.8×
Er level IV (99284) $859 $1,338 2.0×
Er level v (99285) $1,196.05 $1,863 1.9×
Eval speech sound production (92522) $214.43 $334 1.9×
Evaluate Pt Use Of Inhaler (94664) $137.39 $214 0.6×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $285.69 $445 2.3×
Evaluation of speech fluency (92521) $201.59 $314 1.5×
External ECG rec>48hr<7d recording (93242) $48.79 $76 1.3×
External ECG rec>7d<15d recording (93246) $62.92 $98 1.6×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $331.91 $517 1.7×
Group Therapeutic Procedures (97150) $42.37 $66 2.3×
Holter Monitor (93225) $164.35 $256 1.2×
Immunization Admin (90471) $44.94 $70 0.6×
Iontophoresis 15 min (97033) $77.68 $121 4.1×
Irrig drug delivery device (96523) $129.68 $202 2.1×
IV infusion hydration each additional hour (96361) $107.86 $168 2.2×
IV infusion hydration initial 31 min-1 hour (96360) $300.46 $468 1.4×
IV infusion ther proph addl sequential to 1 hr (96367) $132.89 $207 1.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $326.78 $509 1.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $91.16 $142 1.9×
IV push ea addl new drug (96375) $121.98 $190 2.5×
IV push initial (96374) $179.12 $279 0.8×
Manual therapy 15 min (97140) $67.41 $105 2.4×
Mechanical chest wall oscillation (94669) $208.65 $325 0.9×
Mechanical traction (97012) $70.62 $110 4.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $52 $81 1.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $16.05 $25 0.4×
Methacholine challenge (94070) $521.95 $813 1.4×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $328.70 $512 3.6×
Multiple Sleep Latency Test (95805) $1,913.80 $2,981 2.2×
Neg press wound tx >50 cm (97608) $298.53 $465 0.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $322.93 $503 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $150.87 $235 0.7×
Newborn resuscitation (99465) $417.94 $651 0.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $392.90 $612 2.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $154.08 $240 1.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $73.19 $114 1.6×
Ot eval high complex 60 min (97167) $173.98 $271 1.7×
Ot eval low complex 30 min (97165) $147.02 $229 1.5×
Ot eval mod complex 45 min (97166) $160.50 $250 1.6×
Ot re-evaluation (97168) $118.13 $184 1.7×
Ot therapeutic activity 15 min (97530) $64.20 $100 1.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $146.38 $228 1.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $100.15 $156 0.8×
Paraffin bath pt (97018) $33.38 $52 5.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $167.24 $260.50 0.7×
Peripheral arterial disease rehab per session (93668) $52 $81 0.9×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $181.69 $283 3.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $181.69 $283 3.0×
Plethysmography (94726) $249.10 $388 0.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,754.18 $4,290 3.1×
Psytx crisis initial 60 min (90839) $128.40 $200 0.7×
Pt Aquatic Therapy/Exercises (97113) $76.40 $119 2.1×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $58.42 $91 1.5×
Pt Electrical Stimulation (97032) $62.92 $98 4.3×
Pt eval high complex 45 min (97163) $173.98 $271 1.8×
Pt eval low complex 20 min (97161) $146.38 $228 1.5×
Pt eval mod complex 30 min (97162) $159.86 $249 1.6×
Pt gait training 15 min (97116) $65.48 $102 2.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $62.92 $98 1.9×
Pt Physical Performance Test (97750) $75.76 $118 2.2×
Pt re-evaluation (97164) $119.41 $186 1.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $57.78 $90 1.8×
Pt Whirlpool Therapy (97022) $78.97 $123 5.0×
Pulm Funct Test Oscillometry (94728) $183.61 $286 1.4×
Pulmonary Service/Procedure (94799) $130 $202.50 1.0×
Pulmonary stress test simple (94618) $231.76 $361 1.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $115.56 $180 3.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $150.23 $234 0.7×
Rt Chest Wall Manipulation,Subsequent (94668) $109.78 $171 0.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $69.34 $108 1.5×
Sensory Integration Ea 15 Min (97533) $44.30 $69 0.7×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $271.57 $423 1.2×
Smoking cessation > 10 min (99407) $48.15 $75 1.2×
Speech sound lang comprehen (92523) $328.70 $512 1.5×
Spirometry (94010) $158.57 $247 0.7×
Standardized Cognitive Performance Testing (96125) $211.22 $329 2.1×
Temp transcutaneous pacing (92953) $507.18 $790 0.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $71.26 $111 3.2×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $69.98 $109 3.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $208.65 $325 2.0×
Therapeutic prophylactic/dx injection subq/im (96372) $75.11 $117 1.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $26.96 $42 0.7×
Tte w/doppler, complete (93306) $1,430.70 $2,228.50 2.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $182.33 $284 2.4×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $73.83 $115 3.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $163.07 $254 1.9×
Upr/lxtr art stdy 3+ lvls (93923) $588.07 $916 2.6×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $602.20 $938 2.7×
Vasopneumatic device (97016) $60.35 $94 5.0×
Vent mgmt inpat init day (94002) $539.28 $840 0.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $700.42 $1,091 1.1×
Wheelchair Mgmt Ea 15 Min (97542) $59.71 $93 1.9×