Visits & medical services prices at Gillette Children's

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

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

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ProcedureCash priceGross charge× Medicare
Actigraphy testing recording analysis i&r (95803) $288.60 $481 4.7×
Aep hearing status deter broadband stimuli i&r (92651) $762.60 $1,271 3.4×
Airway inhalation treatment (94640) $606 $1,010 2.6×
Analyze neurostim no prog (95970) $627.60 $1,046 4.5×
Behavioral and qualitative analysis of voice and resonance (92524) $553.80 $923 5.1×
Biofeedback training any modality (90901) $391.80 $653 9.5×
Chemotherapy into cns (96450) $822 $1,370 2.4×
Cpap/bipap (94660) $1,475.40 $2,459 6.4×
Debridement Open Wound 20 Sq Cm< (97597) $192 $320 0.9×
Developmental tst admin phys/qhp 1st hour (96112) $429 $715 3.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,282.20 $2,137 5.1×
Dup-scan xtr veins unilateral/limited study (93971) $995.40 $1,659 9.1×
Duplex scan extracranial art compl bi study (93880) $1,047.60 $1,746 4.2×
Echo Heart Xthoracic,Limited (93308) $2,902.80 $4,838 11.6×
EEG cont rec w/video by tech min 8 channels (95700) $549 $915 2.4×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $524.40 $874 5.3×
Elec alys implt cplx cn npgt prgrmg (95977) $336.30 $560.50 3.4×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $479.40 $799 12.3×
Electrocardiogram Tracing (93005) $424.20 $707 6.9×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $458.40 $764 2.0×
Health Behavior Assessment/Re-Assessment (96156) $193.20 $322 1.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $288.60 $481 1.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $346.80 $578 7.1×
Mechanical chest wall oscillation (94669) $117.60 $196 0.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $393.90 $656.50 12.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $59.40 $99 1.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $446.10 $743.50 2.1×
Nrpsyc tst eval phys/qhp 1st (96132) $196.20 $327 0.5×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $60 $100 0.2×
Ot eval low complex 30 min (97165) $721.80 $1,203 7.2×
Ot eval mod complex 45 min (97166) $540.60 $901 5.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $490.20 $817 9.8×
Ot therapeutic activity 15 min (97530) $123.60 $206 3.5×
Psycl/nrpsyc tst phy/qhp 1st (96136) $115.20 $192 0.8×
Psycl/nrpsycl tst elec platform auto result (96146) $225 $375 7.4×
Pt eval low complex 20 min (97161) $340.80 $568 3.5×
Pt eval mod complex 30 min (97162) $824.10 $1,373.50 8.4×
Pt gait training 15 min (97116) $120.60 $201 4.2×
Rt Chest Wall Manipulation,Subsequent (94668) $477 $795 3.4×
Speech sound lang comprehen (92523) $30 $50 0.1×
Spirometry (94010) $1,913.40 $3,189 8.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $109.80 $183 4.9×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $44.40 $74 2.1×
Therapeutic prophylactic/dx injection subq/im (96372) $65.10 $108.50 0.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $210.90 $351.50 2.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $298.80 $498 3.5×
Upr/lxtr art stdy 3+ lvls (93923) $426 $710 1.9×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $2,430.60 $4,051 6.2×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $1,714.50 $2,857.50 1.9×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $3,303 $5,505 8.5×
Vent mgmt inpat init day (94002) $1,669.20 $2,782 2.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $3,303 $5,505 5.1×