Visits & medical services prices at Faulkton Area Medical Center
Faulkton, SD · every code in this section with a posted price and a Medicare benchmark.
107 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) | $45 | $50 | 1.2× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$16.69–$19.47 | $18.54–$21.63 | varies |
| Advncd Care Plan 30 Min (99497) | $88.07 | $97.85 | 0.8× |
| Airway Inhalation Treatment (94640) | $36.90 | $41 | 0.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $89.10 | $99 | 6.2× |
| Application Modality 1/> Areas Diathermy (97024) range across 4 matching MRF lines |
$61.18–$64.80 | $67.98–$72 | varies |
| Assmt & care planning pt w/cognitive impairment (99483) | $61.18 | $67.98 | 0.6× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $99 | $110 | 1.2× |
| Bfb training ea addl 15 min (90913) | $99 | $110 | 3.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $305.91 | $339.90 | 0.8× |
| Cardiac Stress Tst,Tracing Only (93017) | $676.71 | $751.90 | 3.1× |
| Cardiopulmonary resuscitation (92950) | $881.10 | $979 | 4.0× |
| Chemo Anti-Neopl Sq/Im (96401) | $158.40 | $176 | 2.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $148.50 | $165 | 2.0× |
| Chemo IV infusion addl hr (96415) | $286.20 | $318 | 3.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $317.96 | $353.29 | 4.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $450.90 | $501 | 1.3× |
| Color/duplex Doppler, complete (93975) | $760.50 | $845 | 3.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $687.60 | $764 | 3.1× |
| Critical care first hour (99291) | $1,705.95 | $2,007 | 2.0× |
| Debridement Open Wound 20 Sq Cm< (97597) | $190.80 | $212 | 0.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $828 | $920 | 3.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $558.90 | $621 | 5.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $897.30 | $997 | 3.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $558.90 | $621 | 5.2× |
| Duplex up extrem art bilat (93930) | $910.80 | $1,012 | 3.7× |
| Duplex up extrem art unilat/ltd (93931) | $558.90 | $621 | 5.2× |
| ECG/monitoring and analysis (93271) | $891 | $990 | 9.2× |
| Echo Congenital Complete (93303) | $1,473.05 | $1,733 | 2.6× |
| Echo Heart Xthoracic,Limited (93308) | $597.60 | $664 | 2.5× |
| Electrical Stimulation Ea 15 Min (97032) | $85.50 | $95 | 5.8× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$183.60–$189 | $204–$210 | varies |
| Emergency Dept Visit Level 2 (99282) | $409.50 | $455 | 2.6× |
| Emergency Dept Visit Level 3 (99283) | $530.10 | $589 | 1.9× |
| Emergency Dept Visit Level 4 (99284) | $896.40 | $996 | 2.1× |
| Er level 1 (99281) | $244.80 | $272 | 2.8× |
| Er level v (99285) | $1,437.30 | $1,597 | 2.4× |
| Evaluate Speech Production (92522) | $241.20 | $268 | 2.2× |
| Evaluate Swallowing Function (92610) | $269.10 | $299 | 3.2× |
| External ECG rec>48hr<7d recording (93242) | $141.30 | $157 | 3.7× |
| External ECG rec>7d<15d recording (93246) | $141.30 | $157 | 3.7× |
| External Ecg Scanning Analysis Report (93226) | $615.60 | $684 | 10.2× |
| Extracranial Bilat Study (93880) | $864 | $960 | 3.5× |
| Group Therapeutic Procedures (97150) | $80.10 | $89 | 4.4× |
| Holter monitor recording (93225) | $404.10 | $449 | 3.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$16.69–$19.47 | $18.54–$21.63 | varies |
| Immunization administration (90471) range across 3 matching MRF lines |
$19.47–$19.80 | $21.63–$22 | varies |
| Iontophoresis 15 min (97033) | $89.10 | $99 | 4.7× |
| IV infusion hydration each additional hour (96361) | $90.90 | $101 | 1.9× |
| IV infusion hydration initial 31 min-1 hour (96360) | $526.50 | $585 | 2.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$373.50–$373.58 | $415–$415.09 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $405 | $450 | 8.5× |
| IV push initial (96374) | $404.10 | $449 | 1.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $714.72 | $794.13 | 3.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $45 | $50 | 1.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$18.54–$45 | $20.60–$50 | varies |
| Motion Fluoroscopy/Swallow (92611) | $382.50 | $425 | 4.2× |
| Multiple Sleep Latency Test (95805) | $2,546.40 | $3,183 | 2.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$250.29–$293.86 | $278.10–$326.51 | varies |
| Neurobehavioral Status Exam (96116) | $134.10 | $149 | 0.6× |
| Neuromuscular Reeducation (97112) | $83.70 | $93 | 2.6× |
| Oral Function Therapy (92526) | $265.50 | $295 | 3.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $64.80 | $72 | 1.4× |
| Ot eval high complexity (97167) | $254.70 | $283 | 2.5× |
| Ot Eval Low Complex (97165) | $181.80 | $202 | 1.8× |
| Ot Eval Moderate Complexity (97166) | $206.10 | $229 | 2.0× |
| Ot manual therapy 15 min (97140) | $85.50 | $95 | 3.1× |
| Ot Re-Eval Est Plan Care (97168) | $229.50 | $255 | 3.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $159.30 | $177 | 1.2× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$131.40–$139.50 | $146–$155 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$4,590.40–$4,592 | $5,738–$5,740 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $30.59 | $33.99 | 0.6× |
| Psych diag eval w/med srvcs (90792) | $304.06 | $337.84 | 1.7× |
| Psychiatric diagnostic evaluation (90791) | $266.98 | $296.64 | 1.5× |
| Pt Eval High Complex (97163) | $254.70 | $283 | 2.6× |
| Pt eval low complex 20 min (97161) | $181.80 | $202 | 1.9× |
| Pt Eval Mod Complex (97162) | $206.10 | $229 | 2.1× |
| Pt gait training 15 min (97116) | $83.70 | $93 | 2.9× |
| Pt mechanical traction (97012) | $72 | $80 | 5.0× |
| Pt Re-Eval Est Plan Care (97164) | $152.10 | $169 | 2.3× |
| Remote 30 Day Ecg Rev/Report (93270) | $261 | $290 | 6.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $544.15 | $604.61 | 2.7× |
| Self Care Mngment Training (97535) | $83.70 | $93 | 2.6× |
| Speech sound lang comprehen (92523) | $369.90 | $411 | 1.6× |
| Spin/Brain Pump Refil & Main (95991) | $504 | $560 | 1.6× |
| Spirometry (94010) | $202.50 | $225 | 0.9× |
| Stress Tte Only (93350) | $955.40 | $1,124 | 1.7× |
| Subcutaneous Infusion Each Additional Hour (96370) | $129.60 | $144 | 2.7× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $275.40 | $306 | 1.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $88.20 | $98 | 3.9× |
| Ther Ivntj Ea Addl 15 Min (97130) | $80.10 | $89 | 3.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $81 | $90 | 2.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $72.90 | $81 | 1.0× |
| Ther/Proph/Diag Iv Inf Init (96365) | $501.30 | $557 | 2.3× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$78.30–$82.80 | $87–$92 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $41.72 | $46.35 | 1.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $41.72 | $46.35 | 1.1× |
| Trans Care Mgmt 14 Day Disch (99495) | $205.79 | $228.66 | 1.5× |
| Trans Care Mgmt 7 Day Disch (99496) | $330.94 | $367.71 | 2.4× |
| Tte w/doppler, complete (93306) | $1,473.05 | $1,733 | 2.6× |
| Tte W/O Doppler Complete (93307) | $911.20 | $1,072 | 3.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $224.33 | $249.26 | 2.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $96.30 | $107 | 2.0× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$394.20–$648.90 | $438–$721 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $650.75 | $723.06 | 2.9× |
| Wheelchair Mgmt Ea 15 Min (97542) | $80.10 | $89 | 2.6× |
| Whirlpool Therapy (97022) | $64.80 | $72 | 4.1× |
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.