Visits & medical services prices at First Care Health Center

Park River, ND · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Advncd Care Plan 30 Min (99497) $131 $131 1.3×
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines
$94–$563 $94–$563 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $62 $62 4.3×
Application Modality 1/> Areas Infrared (97026) $27 $27 4.0×
Behavral qualit analys voice (92524) $468 $468 4.3×
Breath hydrogen/methane test (91065) $408 $408 1.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $270 $270 0.7×
Canalith repositioning proc (95992) $229 $229 5.6×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$522–$1,341 $522–$1,341 varies
Cardioversion (92960)
range across 3 matching MRF lines
$373–$1,317 $373–$1,317 varies
Cbt 1st hour (94644) $256 $256 1.9×
Chemo Anti-Neopl Sq/Im (96401) $212 $212 2.9×
Chemo IV infusion addl hr (96415) $175 $175 2.4×
Chemo IV push addl drug (96411) $343 $343 4.7×
Chemother Prolong Infuse W/Pump (96416) $702 $702 2.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $147 $147 2.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $771 $771 2.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $591 $591 1.8×
Chest Wall Manipulation (94668) $139 $139 1.0×
Chron Care Mgmt Srvc 20 Min (99490) $60 $60 0.6×
Color/duplex Doppler, complete (93975)
range across 3 matching MRF lines
$76–$974 $76–$974 varies
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$112–$934 $112–$934 varies
Cont gluc mntr physician/qhp provided equiptment (95250) $537 $537 3.9×
Continuous Pulse Ox (94762) $340 $340 2.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $368 $368 1.6×
Cpt initial (94667) $167 $167 1.2×
Critical care first hour (99291)
range across 2 matching MRF lines
$802–$2,057 $802–$2,057 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$237–$428 $237–$428 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 3 matching MRF lines
$63–$1,238 $63–$1,238 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 3 matching MRF lines
$46–$557 $46–$557 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$101–$1,137 $101–$1,137 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$61–$788 $61–$788 varies
Echo Heart Xthoracic,Limited (93308) $445 $445 1.8×
EEG awake and asleep (95819) $1,687 $1,687 7.6×
Electrical Stimulation Ea 15 Min (97032) $80 $80 5.4×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$31–$147 $31–$147 varies
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$117–$336 $117–$336 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines
$175–$517 $175–$517 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$337–$881 $337–$881 varies
Er level 1 (99281)
range across 2 matching MRF lines
$60–$249 $60–$249 varies
Er level v (99285)
range across 2 matching MRF lines
$499–$1,532 $499–$1,532 varies
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$100–$131 $100–$131 varies
Evaluate Speech Production (92522) $478 $478 4.3×
Evaluate Swallowing Function (92610) $362 $362 4.3×
External ECG rec>7d<15d recording (93246)
range across 2 matching MRF lines
$112–$136 $112–$136 varies
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$112–$1,063 $112–$1,063 varies
Extracranial Uni/Ltd Study (93882) $644 $644 6.0×
Gi tract capsule endoscopy (91110)
range across 2 matching MRF lines
$303–$3,618 $303–$3,618 varies
Holter monitor recording (93225)
range across 2 matching MRF lines
$121–$178 $121–$178 varies
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 3 matching MRF lines
$28–$74 $28–$74 varies
Immunization administration (90471)
range across 3 matching MRF lines
$37–$74 $37–$74 varies
Inital newborn e/m (99460) $157 $157 1.2×
Iontophoresis 15 min (97033) $93 $93 4.9×
Irrig Drug Delivery Device (96523) $280 $280 4.6×
IV infusion hydration each additional hour (96361) $92 $92 1.9×
IV infusion hydration initial 31 min-1 hour (96360) $411 $411 1.9×
IV infusion ther proph addl sequential to 1 hr (96367) $132 $132 1.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $92 $92 1.9×
IV push initial (96374) $411 $411 1.9×
Laryngeal Function Studies (92520) $344 $344 2.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $85 $85 2.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $94 $94 2.6×
Multiple Sleep Latency Test (95805) $2,046 $2,046 2.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$175–$180 $175–$180 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $216 $216 0.5×
Nerve Conduction Studies 1-2 Studies (95907)
range across 2 matching MRF lines
$150–$171 $150–$171 varies
Nerve Conduction Studies 3-4 Studies (95908)
range across 2 matching MRF lines
$188–$221 $188–$221 varies
Nerve conduction studies 7-8 studies (95910)
range across 2 matching MRF lines
$302–$345 $302–$345 varies
Neuromuscular Reeducation (97112) $147 $147 4.5×
Newborn resuscitation (99465) $388 $388 0.6×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $177 $177 1.3×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $161 $161 1.2×
Ophth medical xm&eval intermediate estab pt (92012) $126 $126 0.9×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $128 $128 0.9×
Oral Function Therapy (92526) $394 $394 4.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $210 $210 4.6×
Ot Contrast Bath Ea 15 Min (97034) $77 $77 5.5×
Ot eval high complexity (97167) $412 $412 4.1×
Ot Eval Low Complex (97165) $412 $412 4.1×
Ot Eval Moderate Complexity (97166) $412 $412 4.1×
Ot manual therapy 15 min (97140) $128 $128 4.6×
Ot paraffin bath (97018) $45 $45 7.5×
Ot Prosthetic Training, Each 15 Min (97761) $174 $174 4.3×
Ot Re-Eval Est Plan Care (97168) $278 $278 4.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $203 $203 1.5×
Phlebotomy therapeutic (99195) $338 $338 2.5×
Physical Performance Test (97750) $144 $144 4.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,225 $3,225 3.7×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 2 matching MRF lines
$30–$40 $30–$40 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 2 matching MRF lines
$36–$47 $36–$47 varies
Pt Eval High Complex (97163) $425 $425 4.3×
Pt eval low complex 20 min (97161) $425 $425 4.3×
Pt Eval Mod Complex (97162) $425 $425 4.3×
Pt gait training 15 min (97116) $121 $121 4.2×
Pt mechanical traction (97012) $78 $78 5.4×
Pt Re-Eval Est Plan Care (97164) $293 $293 4.3×
Refill/Maint Portable Pump (96521) $737 $737 3.4×
Remote 30 Day Ecg Rev/Report (93270)
range across 2 matching MRF lines
$60–$102 $60–$102 varies
Same day nb discharge (99463) $322 $322 2.4×
Self Care Mngment Training (97535) $148 $148 4.6×
Sleep study attended (95807) $2,147 $2,147 5.6×
Speech sound lang comprehen (92523) $981 $981 4.3×
Spirometry (94010) $153 $153 0.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $93 $93 4.2×
Ther Ivntj Ea Addl 15 Min (97130) $90 $90 4.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $112 $112 3.8×
Ther/Prop/Diag Inj/Inf Proc (96379) $92 $92 1.9×
Ther/Proph/Diag Inj Sc/Im (96372) $132 $132 1.8×
Ther/Proph/Diag Iv Inf Init (96365) $492 $492 2.3×
Therapeutic Activities (97530) $165 $165 4.7×
Tobacco Use Cessation Intensive >10 Minutes (99407) $44 $44 1.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $22 $22 0.6×
Trans Care Mgmt 14 Day Disch (99495) $434 $434 3.2×
Trans Care Mgmt 7 Day Disch (99496) $613 $613 4.5×
Tte w/doppler, complete (93306) $1,105 $1,105 2.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $325 $325 4.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $132 $132 2.8×
Tympanometry (92567) $43 $43 1.1×
Vasopneumatic device (97016) $77 $77 6.4×
Vent Mgmt Inpat Init Day (94002) $538 $538 0.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $299 $299 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $136 $136 4.4×
Whirlpool Therapy (97022) $92 $92 5.9×

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.