Visits & medical services prices at Glacial Ridge Hospital
Glenwood, MN · every code in this section with a posted price and a Medicare benchmark.
177 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acupunct W/Stimul 15 Min (97813) range across 2 matching MRF lines |
$97.79–$98.35 | $130.38–$131.13 | varies |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 2 matching MRF lines |
$81.95–$105.15 | $109.27–$140.20 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$37.09–$37.50 | $49.45–$50 | varies |
| Advncd Care Plan 30 Min (99497) | $203.54 | $271.38 | 1.9× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$48.96–$130.25 | $65.28–$173.66 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$31.17–$32.13 | $41.56–$42.84 | varies |
| Application on-body injector (96377) | $231.83 | $309.10 | 4.8× |
| Assessment of aphasia per hr (96105) | $146.01 | $194.68 | 1.5× |
| Behavral qualit analys voice (92524) | $604.43 | $805.90 | 5.5× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $111.05 | $148.07 | 1.4× |
| Bfb training ea addl 15 min (90913) | $55.52 | $74.03 | 1.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$36.06–$325.32 | $48.08–$433.76 | varies |
| Canalith repositioning proc (95992) | $122.55 | $163.40 | 3.0× |
| Cardiac Stress Tst,Tracing Only (93017) | $646.79 | $862.39 | 2.9× |
| Cardiopulmonary resuscitation (92950) | $898.70 | $1,198.26 | 4.0× |
| Cardioversion (92960) | $779.72 | $1,039.62 | 1.1× |
| Cbt 1st hour (94644) | $51.87 | $69.16 | 0.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $146.59 | $195.45 | 2.0× |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$141.84–$146.59 | $189.12–$195.45 | varies |
| Chemo IV infusion addl hr (96415) | $95.45 | $127.26 | 1.3× |
| Chemo IV push addl drug (96411) | $114.77 | $153.03 | 1.5× |
| Chemother Prolong Infuse W/Pump (96416) | $644.88 | $859.84 | 1.9× |
| Chemotherapy Unspecified (96549) | $344.50 | $459.33 | 7.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $80.71 | $107.61 | 1.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $610.51 | $814.01 | 1.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $196.96 | $262.61 | 0.6× |
| Chest Wall Manipulation (94668) | $59.70 | $79.60 | 0.4× |
| Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$144–$795.58 | $192–$1,060.77 | varies |
| Color/duplex Doppler, limited (93976) range across 7 matching MRF lines |
$113.25–$795.58 | $151–$1,060.77 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $74.76 | $99.68 | 2.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $298.43 | $397.90 | 2.2× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $131.64 | $175.52 | 2.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $642.18 | $856.24 | 2.8× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$669.47–$999.88 | $892.63–$1,333.17 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$151.69–$167.66 | $202.25–$223.55 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$102.75–$719.81 | $137–$959.75 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$70.50–$519.89 | $94–$693.18 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$90–$911.81 | $120–$1,215.74 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$63–$719.81 | $84–$959.75 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 6 matching MRF lines |
$88.50–$911.81 | $118–$1,215.74 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 7 matching MRF lines |
$66.75–$748.61 | $89–$998.14 | varies |
| Duplex up extrem art bilat (93930) range across 4 matching MRF lines |
$98.72–$777.47 | $131.63–$1,036.62 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 5 matching MRF lines |
$69.75–$396.92 | $93–$529.23 | varies |
| ECG/monitoring and analysis (93271) | $1,403.82 | $1,871.76 | 14.3× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$228–$755.57 | $304–$1,007.43 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$116.71–$387.86 | $155.61–$517.14 | varies |
| Echo transesophageal (93312) | $293.39 | $391.19 | 0.5× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$279.89–$814.87 | $373.18–$1,086.49 | varies |
| Eeg 41-60 Minutes (95812) | $690.86 | $921.14 | 3.1× |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$572.13–$600.89 | $762.84–$801.19 | varies |
| EEG awake drowsy (95816) | $589.93 | $786.57 | 2.6× |
| EEG extended monitoring 61-119 minutes (95813) | $777.35 | $1,036.47 | 3.5× |
| Electrical Stimulation Ea 15 Min (97032) | $77.37 | $103.16 | 5.3× |
| Electrocardiogram Tracing (93005) | $133.04 | $177.39 | 2.2× |
| Emergency Dept Visit Level 2 (99282) | $219.11 | $292.15 | 1.4× |
| Emergency Dept Visit Level 3 (99283) | $284.35 | $379.13 | 1.0× |
| Emergency Dept Visit Level 4 (99284) | $420.36 | $560.48 | 1.0× |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$249.52–$519.12 | $332.69–$692.16 | varies |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$258.02–$573.20 | $344.02–$764.26 | varies |
| Er level 1 (99281) | $152.45 | $203.27 | 1.8× |
| Er level v (99285) | $513.53 | $684.70 | 0.8× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$51.87–$103.28 | $69.16–$137.70 | varies |
| Evaluate Speech Production (92522) | $604.43 | $805.90 | 5.4× |
| Evaluate Swallowing Function (92610) | $287.19 | $382.92 | 3.4× |
| Evaluation of speech fluency (92521) | $604.43 | $805.90 | 4.5× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$70.43–$204.55 | $93.91–$272.73 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $385.97 | $514.62 | 2.8× |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$70.43–$291.50 | $93.91–$388.66 | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) | $472.91 | $630.55 | 3.4× |
| External Ecg Scanning Analysis Report (93226) | $450.76 | $601.01 | 7.4× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$97.50–$719.81 | $130–$959.75 | varies |
| Eye exam w anesth; complete (92018) | $408.98 | $545.30 | 0.2× |
| Fluorescein angiography (92235) | $183.68 | $244.91 | 0.8× |
| Fundus photography (92250) range across 2 matching MRF lines |
$182.70–$190.02 | $243.60–$253.36 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) range across 2 matching MRF lines |
$230.98–$1,284.67 | $307.97–$1,712.89 | varies |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$109–$250.20 | $145.33–$333.60 | varies |
| Ilr Device Interrogate (93291) | $102.98 | $137.31 | 3.4× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$15.92–$40.52 | $21.22–$54.02 | varies |
| Immunization administration (90471) range across 2 matching MRF lines |
$15.92–$37.09 | $21.22–$49.45 | varies |
| Inital newborn e/m (99460) | $348.87 | $465.16 | 2.5× |
| Iontophoresis 15 min (97033) range across 3 matching MRF lines |
$65.76–$65.83 | $87.68–$87.77 | varies |
| Irrig Drug Delivery Device (96523) | $45.02 | $60.02 | 0.7× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$95.45–$99.27 | $127.26–$132.36 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$282.18–$284.90 | $376.24–$379.87 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$147.04–$282.18 | $196.05–$376.24 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$95.45–$127.21 | $127.26–$169.61 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$122.61–$173.87 | $163.48–$231.83 | varies |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$12.29–$59 | $16.39–$78.67 | varies |
| Mechanical chest wall oscillation per session (94669) | $91.60 | $122.13 | 0.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$65.18–$78.11 | $86.90–$104.15 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$68.45–$86.32 | $91.26–$115.09 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$63.70–$92.66 | $84.93–$123.55 | varies |
| Motion Fluoroscopy/Swallow (92611) | $292.62 | $390.16 | 3.2× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) range across 2 matching MRF lines |
$12.36–$157.59 | $16.48–$210.12 | varies |
| Multiple Sleep Latency Test (95805) | $1,503.48 | $2,004.64 | 1.7× |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$207.80–$407.88 | $277.07–$543.84 | varies |
| Muscle Test Nonparaspinal (95870) range across 2 matching MRF lines |
$57.17–$238.70 | $76.22–$318.27 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$138.28–$307.46 | $184.37–$409.94 | varies |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$329.45–$385.19 | $439.27–$513.58 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $121.37 | $161.82 | 0.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $168.05 | $224.06 | 0.4× |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$149.87–$253.38 | $199.82–$337.84 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$474.32–$741.60 | $632.42–$988.80 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$630.36–$954.81 | $840.48–$1,273.08 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$189.26–$321.36 | $252.35–$428.48 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$241.79–$409.43 | $322.39–$545.90 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$327.54–$545.39 | $436.72–$727.18 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$398.61–$643.49 | $531.48–$857.99 | varies |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$81.35–$102.94 | $108.46–$137.25 | varies |
| Newborn resuscitation (99465) | $596.20 | $794.93 | 0.9× |
| Oral Function Therapy (92526) | $238.89 | $318.52 | 2.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $107.84 | $143.79 | 2.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$87.62–$87.64 | $116.83–$116.85 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $39.23 | $52.30 | 2.8× |
| Ot eval high complexity (97167) | $215.29 | $287.05 | 2.1× |
| Ot Eval Low Complex (97165) | $205.49 | $273.99 | 2.0× |
| Ot Eval Moderate Complexity (97166) | $210.86 | $281.15 | 2.1× |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$63.65–$80.63 | $84.86–$107.51 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$20.33–$20.34 | $27.11–$27.12 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$78.48–$138.44 | $104.64–$184.58 | varies |
| Ot Re-Eval Est Plan Care (97168) | $127.22 | $169.63 | 1.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$162.88–$169.16 | $217.17–$225.54 | varies |
| Peripheral arterial disease rehab per session (93668) | $169.16 | $225.54 | 2.8× |
| Phlebotomy therapeutic (99195) | $122.96 | $163.95 | 0.9× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $30.32 | $40.42 | 0.5× |
| Physical Performance Test (97750) | $69.85 | $93.13 | 2.1× |
| Plethysmography (94726) range across 3 matching MRF lines |
$30.32–$436.33 | $40.43–$581.77 | varies |
| Pm device eval in person (93288) range across 3 matching MRF lines |
$68.41–$301.05 | $91.21–$401.40 | varies |
| Pm device progr eval dual (93280) | $460.66 | $614.21 | 12.0× |
| Pm device progr eval multi (93281) | $213.33 | $284.44 | 5.5× |
| Pm Device Progr Eval Sngl (93279) | $198.51 | $264.68 | 5.2× |
| Pm/Icd Remote Tech Serv (93296) | $24.31 | $32.41 | 0.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$427.13–$2,944.96 | $569.51–$3,926.61 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $26.31 | $35.08 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $51.26 | $68.34 | 1.1× |
| Pt Eval High Complex (97163) | $185.94 | $247.92 | 1.9× |
| Pt eval low complex 20 min (97161) | $175.16 | $233.55 | 1.8× |
| Pt Eval Mod Complex (97162) | $180.83 | $241.10 | 1.8× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$80.64–$80.65 | $107.52–$107.53 | varies |
| Pt mechanical traction (97012) | $41.17 | $54.89 | 2.9× |
| Pt Re-Eval Est Plan Care (97164) | $120.11 | $160.14 | 1.8× |
| Pulmonary service/procedure (94799) range across 3 matching MRF lines |
$36.13–$66.08 | $48.17–$88.11 | varies |
| Pulmonary Stress Testing (94618) | $251.39 | $335.18 | 1.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $178.55 | $238.06 | 4.6× |
| Respiratory flow volume loop (94375) range across 2 matching MRF lines |
$33.61–$86.05 | $44.81–$114.73 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $79.76 | $106.34 | 1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$68.60–$110.87 | $91.47–$147.83 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $298.32 | $397.76 | 2.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $104.51 | $139.35 | 2.2× |
| Same day nb discharge (99463) | $274.88 | $366.50 | 2.0× |
| Self Care Mngment Training (97535) | $85.26 | $113.68 | 2.6× |
| Speech sound lang comprehen (92523) | $604.43 | $805.90 | 2.7× |
| Spirometry (94010) range across 5 matching MRF lines |
$25.41–$265.44 | $33.88–$353.92 | varies |
| Standardized Cognitive Performance Testing (96125) | $256.83 | $342.44 | 2.5× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$226.04–$1,054.55 | $301.39–$1,406.06 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $61.79 | $82.39 | 2.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $44.78 | $59.71 | 2.1× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $70.64 | $94.18 | 1.9× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $167.63 | $223.51 | 1.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$45.68–$231.83 | $60.91–$309.10 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $282.18 | $376.24 | 1.3× |
| Therapeutic Activities (97530) | $84.19 | $112.25 | 2.4× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $96.89 | $129.19 | 2.5× |
| Trans Care Mgmt 14 Day Disch (99495) | $349.13 | $465.50 | 2.5× |
| Trans Care Mgmt 7 Day Disch (99496) | $472.88 | $630.50 | 3.4× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$262.27–$1,477.42 | $349.69–$1,969.89 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$184.95–$831.11 | $246.60–$1,108.14 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$181.36–$408.02 | $241.81–$544.03 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $85.03 | $113.37 | 1.8× |
| Tympanometry (92567) | $60.38 | $80.50 | 1.6× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$55.50–$300.59 | $74–$400.78 | varies |
| Vasopneumatic device (97016) | $37.58 | $50.10 | 3.1× |
| Vent Mgmt Inpat Init Day (94002) | $642.18 | $856.24 | 1.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $642.18 | $856.24 | 1.0× |
| Vital capacity, total (94150) | $53.82 | $71.76 | 0.4× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$75.89–$75.90 | $101.19–$101.20 | varies |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$48–$54.75 | $64–$73 | varies |
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.