Visits & medical services prices at Essentia Health-St. Mary's Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $7,864.56 $11,916 1.0×
Actigraphy Testing Recording Analysis I&R (95803) $174.24 $264 2.9×
Aep neurodiagnostic i&r (92653) $222.42 $337 1.0×
Aep threshold estimation mlt frequencies i&r (92652) $240.90 $365 1.1×
Airway Inhalation Treatment (94640) $137.94 $209 0.6×
Airway resistance by oscillometry (94728) $212.52 $322 1.6×
Analyze neurostim no prog (95970) $92.40 $140 0.7×
Analyze Neurostim Simple (95971) $132 $200 1.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $59.40 $90 4.1×
Arrhythmia Induction (93618) $917.40 $1,390 0.7×
Assessment of aphasia per hr (96105) $217.80 $330 2.2×
Behavral qualit analys voice (92524) $254.10 $385 2.3×
Breath hydrogen/methane test (91065) $442.20 $670 2.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $308.22 $467 0.8×
C motor evoked uppr limbs (95928) $939.18 $1,423 1.1×
C motor evoked upr&lwr limbs (95939) $843.48 $1,278 0.9×
Canalith repositioning proc (95992) $75.24 $114 1.8×
Car seat/bed test 60 min (94780) $104.28 $158 2.7×
Cardiac Stress Tst,Tracing Only (93017) $818.40 $1,240 3.7×
Cardiopulmonary exercise testing (94621) $917.40 $1,390 2.4×
Cardiopulmonary resuscitation (92950) $639.54 $969 2.9×
Cardioversion (92960) $1,199.22 $1,817 1.8×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $33 $50 1.3×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $9,075 $13,750 2.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $8,246.70 $12,495 2.5×
Cbt 1st hour (94644) $164.34 $249 1.2×
Chemo Anti-Neopl Sq/Im (96401) $223.08 $338 3.0×
Chemo Ia Push (96420) $403.26 $611 1.2×
Chemo IV infusion addl hr (96415) $198 $300 2.7×
Chemo IV push addl drug (96411) $207.24 $314 2.8×
Chemother Prolong Infuse W/Pump (96416) $453.42 $687 1.3×
Chemotherapy Into Cns (96450) $637.56 $966 1.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $269.28 $408 3.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $512.16 $776 1.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $343.86 $521 1.0×
Chest Wall Manipulation (94668) $112.86 $171 0.8×
Color/duplex Doppler, complete (93975) $913.44 $1,384 3.7×
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$457.38–$458.70 $693–$695 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $67.98 $103 2.1×
Continuous Pulse Ox (94762) $229.02 $347 1.7×
Coronary Art/Grft Angio S&I (93455) $6,816.48 $10,328 2.0×
Coronary Artery Angio S&I (93454) $6,310.26 $9,561 1.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
$74.58–$665.94 $113–$1,009 varies
Cpt initial (94667) $133.98 $203 1.0×
Critical care first hour (99291) $1,650 $2,500 1.9×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $708.84 $1,074 1.8×
Debridement Open Wound 20 Sq Cm< (97597) $203.28 $308 1.0×
Dialysis One Evaluation (90945) $855.36 $1,296 2.0×
Duodenal motility study (91022) $785.40 $1,190 2.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $599.94 $909 2.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $427.68 $648 4.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $845.46 $1,281 3.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $537.90 $815 5.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $863.28 $1,308 3.5×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$539.88–$553.08 $818–$838 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $419.76 $636 1.7×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $244.20 $370 2.3×
Duplex Scan Hemodialysis Access (93990) $529.32 $802 4.9×
Duplex up extrem art bilat (93930) $689.70 $1,045 2.8×
Duplex up extrem art unilat/ltd (93931) $487.74 $739 4.5×
Echo Congenital Complete (93303) $1,173.48 $1,778 2.1×
Echo Heart Xthoracic,Limited (93308) $650.10 $985 2.6×
Echo r-t 2d w/probe placement only (93313) $561.66 $851 1.0×
Echo transesophag montr cardiac pump functj (93318) $440.88 $668 0.8×
Echo transesophageal (93312) $1,877.70 $2,845 3.3×
Echo Transesophageal - Congenital Tee Complete (93315) $1,147.74 $1,739 2.0×
Eeg 41-60 Minutes (95812) $757.68 $1,148 3.4×
EEG awake and asleep (95819) $708.18 $1,073 3.2×
EEG awake drowsy (95816) $671.22 $1,017 3.0×
EEG cont rec w/video by tech min 8 channels (95700) $415.14 $629 1.9×
EEG extended monitoring 61-119 minutes (95813) $755.04 $1,144 3.4×
Eeg Sleep Only (95822) $601.26 $911 2.7×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $890.34 $1,349 4.0×
EEG w/o vid 2-12hr cont mntr (95707) $1,197.24 $1,814 5.4×
EEG w/o vid ea 12-26hr intmt (95709) $1,992.54 $3,019 5.2×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $2,391.18 $3,623 6.2×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $997.92 $1,512 4.5×
EEG wo vid ea 12-26hr unmntr (95708) $1,660.56 $2,516 4.3×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $96.36 $146 1.0×
Electrical Stimulation Ea 15 Min (97032) $64.68 $98 4.4×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$174.90–$181.50 $265–$275 varies
Electrophysiology Evaluation (93642) $2,034.12 $3,082 1.6×
Emergency Dept Visit Level 2 (99282) $300.30 $455 1.9×
Emergency Dept Visit Level 3 (99283) $496.98 $753 1.8×
Emergency Dept Visit Level 4 (99284) $812.46 $1,231 1.9×
Emg 3 Extremities (95863) $302.28 $458 2.3×
Emg 4 Extremities (95864) $314.82 $477 2.4×
Endomyocardial Biopsy (93505) $2,525.16 $3,826 0.8×
Ep & ablate supravent arrhyt (93653) $24,667.50 $37,375 0.9×
Ep & ablate ventric tachy (93654) $28,063.20 $42,520 1.0×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $11,973.72 $18,142 1.5×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $5,207.40 $7,890 0.6×
Er level 1 (99281) $186.12 $282 2.1×
Er level v (99285) $1,166.88 $1,768 1.9×
Esophageal Capsule Endoscopy (91111) $1,386 $2,100 1.5×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $717.42 $1,087 1.9×
Evaluate pt use of inhaler (94664) $121.44 $184 0.5×
Evaluate Speech Production (92522) $254.10 $385 2.3×
Evaluate Swallowing Function (92610) $273.90 $415 3.2×
Evaluation of speech fluency (92521) $262.02 $397 2.0×
Evoked Auditory Test,Limited (92587) $205.26 $311 0.9×
External ECG rec>48hr<7d recording (93242) $50.16 $76 1.3×
External ECG rec>7d<15d recording (93246) $64.68 $98 1.7×
External Ecg Scanning Analysis Report (93226) $426.36 $646 7.0×
Extracranial Bilat Study (93880) $769.56 $1,166 3.1×
Extracranial Uni/Ltd Study (93882) $452.76 $686 4.2×
Eye exam w anesth; limited (92019) $1,722.60 $2,610 0.7×
F-up/limited tthrc echo congenital car anomaly (93304) $669.90 $1,015 1.2×
Flexible endoscopic eval swallow c/v rec (92612) $341.22 $517 1.7×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $761.64 $1,154 0.9×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $902.22 $1,367 2.3×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $430.98 $653 1.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,678.38 $2,543 1.9×
Gi tract capsule endoscopy (91110) $1,720.62 $2,607 1.8×
Gi wireless capsule measure (91112) $750.42 $1,137 0.8×
Group Therapeutic Procedures (97150) $46.86 $71 2.6×
Health Behavior Assessment/Re-Assessment (96156) $213.84 $324 2.0×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $126.72 $192 3.3×
Health behavior ivntj group f2f 1st 30 min (96164) $112.86 $171 2.9×
Health behavior ivntj indiv f2f 1st 30 min (96158) $159.06 $241 0.9×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $10,793.64 $16,354 3.2×
Holter monitor recording (93225) $311.52 $472 2.3×
Icd Device Interrogate (93289) $130.02 $197 3.4×
Icd device progr eval dual (93283) $174.24 $264 4.5×
Icd Device Progr Eval Mult (93284) $180.84 $274 4.7×
Icm Device Eval (93290) $26.40 $40 0.7×
Ilr Device Eval Progr (93285) $97.68 $148 2.5×
Ilr Device Interrogate (93291) $599.28 $908 20.0×
Im Adm Intransl/Oral 1 Vaccine (90473) $31.68 $48 0.4×
Immunization administration (90471)
range across 3 matching MRF lines
$46.20–$51.48 $70–$78 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $638.88 $968 1.7×
Insert/Place Heart Catheter (93503) $2,401.74 $3,639 1.5×
Intra-atrial pacing (93610) $6,139.32 $9,302 0.8×
Intracranial Complete Study (93886) $590.04 $894 2.4×
Intracutaneous tests w/allergenic extracts (95024) $42.90 $65 0.7×
Irrig Drug Delivery Device (96523) $133.32 $202 2.2×
IV infusion hydration each additional hour (96361) $116.16 $176 2.4×
IV infusion hydration initial 31 min-1 hour (96360) $288.42 $437 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $165.66 $251 2.2×
IV infusion therapy prophylaxis/dx ea hour (96366) $135.96 $206 2.8×
IV push initial (96374) $184.14 $279 0.8×
L Hrt Art/Grft Angio (93459) $9,344.28 $14,158 2.8×
Mechanical chest wall oscillation per session (94669) $214.50 $325 0.9×
Methacholine challenge (94070) $536.58 $813 1.4×
Motility study esophagus (91010) $785.40 $1,190 2.0×
Motion Fluoroscopy/Swallow (92611) $337.92 $512 3.7×
Multiple Sleep Latency Test (95805) $1,967.46 $2,981 2.2×
Muscle Test 2 Limbs (95861) $359.70 $545 2.6×
Muscle Test Nonparaspinal (95870) $188.10 $285 1.4×
Muscle Test One Limb (95860) $250.14 $379 1.8×
Nasopharyngoscopy (92511) $201.30 $305 1.0×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $302.28 $458 1.4×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $302.28 $458 1.4×
Needle electromyography larynx (95865) $188.10 $285 1.4×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $110.22 $167 0.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $316.14 $479 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $271.26 $411 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $274.56 $416 0.7×
Nerve Conduction Studies 1-2 Studies (95907) $228.36 $346 1.0×
Nerve Conduction Studies 11-12 Studies (95912) $834.90 $1,265 2.2×
Nerve conduction studies 13 or more studies (95913) $702.24 $1,064 1.8×
Nerve Conduction Studies 3-4 Studies (95908) $357.72 $542 1.6×
Nerve conduction studies 5-6 studies (95909) $487.74 $739 2.2×
Nerve conduction studies 7-8 studies (95910) $578.82 $877 1.5×
Nerve Conduction Studies 9-10 Studies (95911) $581.46 $881 1.5×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $137.28 $208 1.0×
Neuromuscular Reeducation (97112) $64.68 $98 2.0×
Newborn resuscitation (99465) $453.42 $687 0.7×
Nitric oxide expired gas determination (95012) $79.86 $121 2.1×
Nrpsyc tst eval phys/qhp 1st (96132) $339.90 $515 0.9×
Oral Function Therapy (92526) $201.96 $306 2.4×
Oral Speech Device Eval (92597) $250.14 $379 3.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $75.24 $114 1.6×
Ot eval high complexity (97167) $178.86 $271 1.8×
Ot Eval Low Complex (97165) $151.14 $229 1.5×
Ot Eval Moderate Complexity (97166) $165 $250 1.6×
Ot manual therapy 15 min (97140) $66 $100 2.4×
Ot Prosthetic Training, Each 15 Min (97761) $71.94 $109 1.8×
Ot Re-Eval Est Plan Care (97168) $121.44 $184 1.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 4 matching MRF lines
$163.68–$287.76 $248–$436 varies
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $285.12 $432 1.3×
Percutaneous tests w/allergenic extracts (95004) $21.78 $33 0.0×
Peripheral arterial disease rehab per session (93668) $52.14 $79 0.9×
Perq Transcath Cls Mitral (93590) $15,889.50 $24,075 0.8×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $11,509.08 $17,438 2.0×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $17,769.84 $26,924 1.5×
Phlebotomy therapeutic (99195) $182.82 $277 1.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $79.86 $121 1.3×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $69.30 $105 1.1×
Physical Performance Test (97750) $77.88 $118 2.3×
Plethysmography (94726) $274.56 $416 0.7×
Pm device eval in person (93288) $102.30 $155 2.6×
Pm device progr eval dual (93280) $160.38 $243 4.2×
Pm device progr eval multi (93281) $181.50 $275 4.7×
Pm Device Progr Eval Sngl (93279) $126.72 $192 3.3×
Pm/Icd Remote Tech Serv (93296) $149.16 $226 3.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,471.60 $5,260 3.9×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $69.30 $105 1.8×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $170.28 $258 4.4×
Prq Card Angio/Athrect 1 Art (92924) $14,434.86 $21,871 1.2×
Prq Card Stent W/Angio 1 Vsl (92928) $11,970.42 $18,137 1.0×
Prq Card Stent/Ath/Angio (92933) $16,201.68 $24,548 0.9×
Prq Revasc Byp Graft 1 Vsl (92937) $14,369.52 $21,772 1.2×
Psych diag eval w/med srvcs (90792) $196.02 $297 1.1×
Psychiatric diagnostic evaluation (90791) $229.02 $347 1.2×
Psychological tst eval svc phys/qhp first hour (96130) $288.42 $437 1.3×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $67.98 $103 0.5×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $75.90 $115 2.0×
Pt Eval High Complex (97163) $178.86 $271 1.8×
Pt eval low complex 20 min (97161) $150.48 $228 1.5×
Pt Eval Mod Complex (97162) $164.34 $249 1.7×
Pt gait training 15 min (97116) $67.32 $102 2.3×
Pt group caregiver training (97552) $29.70 $45 1.3×
Pt Re-Eval Est Plan Care (97164) $122.76 $186 1.8×
Pulm function test by gas (94727) $162.36 $246 0.7×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$145.20–$149.82 $220–$227 varies
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$222.42–$238.26 $337–$361 varies
R Hrt Art/Grft Angio (93457) $8,676.36 $13,146 2.6×
R hrt coronary artery angio (93456) $8,410.38 $12,743 2.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $7,333.26 $11,111 2.2×
Rapid Desensitization Procedure Each Hour (95180) $279.18 $423 0.6×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $448.14 $679 1.3×
Remote 30 Day Ecg Rev/Report (93270) $288.42 $437 7.5×
Right Heart Cath (93451) $5,426.52 $8,222 1.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$179.52–$184.80 $272–$280 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $277.86 $421 2.3×
Self Care Mngment Training (97535) $59.40 $90 1.8×
Short-latency somatosens ep std upr limbs (95925) $709.50 $1,075 3.2×
Sleep study unattended (95806) $549.12 $832 2.5×
Slp caregiver training 1st 30 min (97550) $66 $100 1.3×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $612.48 $928 2.7×
Somatosensory Testing (95938) $397.32 $602 0.4×
Speech sound lang comprehen (92523) $267.30 $405 1.2×
Spirometry (94010)
range across 2 matching MRF lines
$141.24–$166.32 $214–$252 varies
Ssep lower limbs (95926) $479.16 $726 2.1×
Standardized Cognitive Performance Testing (96125) $227.70 $345 2.2×
Stress Tte Only (93350) $1,049.40 $1,590 1.9×
Surfactant Admin Thru Tube (94610) $141.90 $215 0.6×
Temp transcutaneous pacing (92953) $502.26 $761 0.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $73.26 $111 3.3×
Ther Ivntj Ea Addl 15 Min (97130) $71.94 $109 3.4×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $78.54 $119 2.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $202.62 $307 2.0×
Ther/Proph/Diag Inj Ia (96373) $201.30 $305 0.9×
Ther/Proph/Diag Inj Sc/Im (96372) $77.22 $117 1.0×
Ther/Proph/Diag Iv Inf Init (96365) $326.70 $495 1.5×
Therapeutic Activities (97530) $66 $100 1.9×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,119.92 $3,212 5.5×
Tobacco Use Cessation Intensive >10 Minutes (99407) $49.50 $75 1.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $27.72 $42 0.7×
Transcath Closure of Asd (93580) $19,473.96 $29,506 1.0×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$1,448.70–$1,510.74 $2,195–$2,289 varies
Tte W/O Doppler Complete (93307) $936.54 $1,419 3.8×
Tx atrial fib pulm vein isol (93656) $28,464.48 $43,128 1.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $187.44 $284 2.5×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $79.86 $121 3.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $125.40 $190 2.6×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$1,595.22–$2,498.76 $2,417–$3,786 varies
Upr/L Xtremity Art 2 Levels (93922) $346.50 $525 2.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $604.56 $916 2.7×
Valvuloplasty aortic valve (92986) $6,558.42 $9,937 1.1×
Valvuloplasty mitral valve (92987) $10,592.34 $16,049 0.9×
Vasopneumatic device (97016) $62.04 $94 5.2×
Veeg 2-12 Hr Cont Mntr (95713) $1,508.76 $2,286 3.9×
Veeg 2-12 hr intmt mntr (95712) $1,360.26 $2,061 3.5×
Veeg 2-12 hr unmonitored (95711) $997.92 $1,512 4.5×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $2,586.54 $3,919 6.7×
Veeg Ea 12-26 Hr Unmntr (95714) $1,992.54 $3,019 5.2×
Veeg ea 12-26hr cont mntr (95716) $2,955.48 $4,478 3.3×
Vent Mgmt Inpat Init Day (94002) $914.76 $1,386 1.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $805.86 $1,221 1.3×
Visual Field Exam Extended (92083) $124.74 $189 0.9×
Vital capacity, total (94150) $121.44 $184 0.9×
Wheelchair Mgmt Ea 15 Min (97542) $61.38 $93 2.0×

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.