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.

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ProcedureCash priceGross charge× Medicare
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $93.55 $124.74 3.1×
Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the… (97813) $98.07 $130.76 3.3×
Advance care planning first 30 mins (99497) $203.54 $271.38 1.9×
Airway inhalation treatment (94640) $89.60 $119.47 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $31.65 $42.20 2.2×
Application on-body injector (96377) $231.83 $309.10 4.8×
Assessment of aphasia per hr (96105) $146.01 $194.68 1.5×
Bedside Swallowing Eval (92610) $287.19 $382.92 3.4×
Behavioral and qualitative analysis of voice and resonance (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) $312.81 $417.08 0.8×
Canalith Repositioning Procedure (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 Hormon Antineopl Sq/Im (96402) $144.22 $192.28 1.9×
Chemo IV push addl drug (96411) $114.77 $153.03 1.5×
Chemo prolong 8+ hrs infuse w/pump (96416) $644.88 $859.84 1.9×
Chemother, IV infusion, 1 hr (96413) $610.51 $814.01 1.8×
Chemother, IV infusion, ea add hr (96415) $95.45 $127.26 1.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $146.59 $195.45 2.0×
Chemotherapy, unspecified procedure (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 push tq 1/1st sbst/drug (96409) $196.96 $262.61 0.6×
Color/duplex Doppler, complete (93975) $686.78 $915.70 2.8×
Color/duplex Doppler, limited (93976) $487.64 $650.18 4.5×
Cont Gluc Monitoring Patient Provided Equipment (95249) $131.64 $175.52 2.2×
Continuous Glucose Monitoring (95250) $298.43 $397.90 2.2×
Cpap/bipap (94660) $642.18 $856.24 2.8×
Critical care (99291) $834.68 $1,112.90 1.0×
Debridement Open Wound 20 Sq Cm< (97597) $159.68 $212.90 0.8×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $411.28 $548.38 1.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $295.20 $393.59 2.7×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $500.90 $667.87 2.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $698.85 $931.80 6.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $303.10 $404.12 1.2×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $380.95 $507.93 3.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $364.47 $485.96 1.5×
Dup-scan xtr veins unilateral/limited study (93971) $417.48 $556.64 3.9×
Duplex scan extracranial art compl bi study (93880) $408.66 $544.88 1.7×
Echo Heart Xthoracic,Limited (93308) $372.94 $497.25 1.5×
Echo transesophageal (93312) $293.39 $391.19 0.5×
Echo Transthoracic - Congenital Tte Complete (93303) $491.78 $655.72 0.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $547.38 $729.84 1.0×
EEG awake and asleep (95819) $586.51 $782.02 2.6×
EEG awake drowsy (95816) $589.93 $786.57 2.6×
EEG greater than 1 hour (95813) $777.35 $1,036.47 3.5×
EKG rhythm strip (93041) $79.76 $106.34 1.3×
Electrocardiogram Tracing (93005) $133.04 $177.39 2.2×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $690.86 $921.14 3.1×
EMG four extremities (95864) $415.61 $554.14 3.1×
EMG one extremity (95860) $222.87 $297.16 1.6×
EMG three extremities (95863) $384.32 $512.42 2.9×
EMG two extremities (95861) $307.84 $410.46 2.2×
Er level 1 (99281) $152.45 $203.27 1.8×
Er level ii (99282) $219.11 $292.15 1.4×
Er level iii (99283) $284.35 $379.13 1.0×
Er level IV (99284) $420.36 $560.48 1.0×
Er level v (99285) $513.53 $684.70 0.8×
Eval speech sound production (92522) $604.43 $805.90 5.4×
Evaluate Pt Use Of Inhaler (94664) $77.58 $103.43 0.3×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $298.32 $397.76 2.4×
Evaluation of speech fluency (92521) $604.43 $805.90 4.5×
External ECG rec>48hr<7d recording (93242) $137.49 $183.32 3.6×
External ECG rec>48hr<7d scanning alys w/report (93243) $385.97 $514.62 2.8×
External ECG rec>7d<15d recording (93246) $180.96 $241.28 4.7×
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×
Eye exam w anesth; complete (92018) $408.98 $545.30 0.2×
Fluorescein Angrph W/Multiframe I&R Uni/Bi (92235) $183.68 $244.91 0.8×
Fundus photography w/interpretation & report (92250) $186.36 $248.48 1.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $757.82 $1,010.43 0.9×
Holter Monitor (93225) $179.60 $239.46 1.3×
Imm admn sarscov2 vaccine single dose (90480) $37.30 $49.72 0.9×
Immune Admin Oral/Nasal (90473) $28.22 $37.62 0.4×
Immunization Admin (90471) $26.50 $35.34 0.4×
Inital newborn e/m (99460) $348.87 $465.16 2.5×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) $274.88 $366.50 2.0×
Interrog dev eval scrms phys/qhp in person (93291) $102.98 $137.31 3.4×
Iontophoresis 15 min (97033) $65.82 $87.76 3.5×
Irrig drug delivery device (96523) $45.02 $60.02 0.7×
IV infusion hydration each additional hour (96361) $97.36 $129.81 2.0×
IV infusion hydration initial 31 min-1 hour (96360) $283.54 $378.06 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $214.61 $286.14 2.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $282.18 $376.24 1.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $127.20 $169.60 2.6×
IV push ea addl new drug (96375) $85.03 $113.37 1.8×
IV push initial (96374) $148.24 $197.66 0.7×
Manual therapy 15 min (97140) $80.63 $107.50 2.9×
Maximum voluntary ventilation (94200) $35.64 $47.53 0.6×
Mechanical chest wall oscillation (94669) $91.60 $122.13 0.4×
Mechanical traction (97012) $41.17 $54.89 2.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $71.64 $95.52 2.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $77.38 $103.18 2.1×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $78.18 $104.24 4.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $292.62 $390.16 3.2×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $84.98 $113.30 0.2×
Multiple Sleep Latency Test (95805) $1,503.48 $2,004.64 1.7×
Nasopharyngoscopy (92511) $357.32 $476.42 1.7×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $147.94 $197.24 1.1×
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 11-12 Studies (95912) $607.96 $810.61 1.6×
Nerve conduction studies 13/> studies (95913) $792.58 $1,056.78 2.1×
Nerve Conduction Studies 3-4 Studies (95908) $255.31 $340.42 1.1×
Nerve Conduction Studies 5-6 Studies (95909) $325.61 $434.14 1.5×
Nerve Conduction Studies 7-8 Studies (95910) $436.46 $581.95 1.1×
Nerve Conduction Studies 9-10 Studies (95911) $521.05 $694.74 1.4×
Nerve conduction studies; 1-2 studies (95907) $201.62 $268.83 0.9×
Newborn resuscitation (99465) $596.20 $794.93 0.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $275.81 $367.74 2.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $87.63 $116.84 1.9×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $74.76 $99.68 2.3×
Ot Contrast Bath Ea 15 Min (97034) $39.23 $52.30 2.8×
Ot eval high complex 60 min (97167) $215.29 $287.05 2.1×
Ot eval low complex 30 min (97165) $205.49 $273.99 2.0×
Ot eval mod complex 45 min (97166) $210.86 $281.15 2.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $107.84 $143.79 2.2×
Ot Prosthetic Training, Each 15 Min (97761) $108.46 $144.61 2.7×
Ot re-evaluation (97168) $127.22 $169.63 1.9×
Ot therapeutic activity 15 min (97530) $84.19 $112.25 2.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $166.02 $221.36 1.2×
Paraffin bath pt (97018) $20.34 $27.12 3.4×
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×
Plethysmography (94726) $133.59 $178.12 0.3×
Pm device eval in person (93288) $118.76 $158.35 3.1×
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) $1,686.04 $2,248.06 1.9×
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 Aquatic Therapy/Exercises (97113) $70.64 $94.18 1.9×
Pt Electrical Stimulation (97032) $77.37 $103.16 5.3×
Pt eval high complex 45 min (97163) $185.94 $247.92 1.9×
Pt eval low complex 20 min (97161) $175.16 $233.55 1.8×
Pt eval mod complex 30 min (97162) $180.83 $241.10 1.8×
Pt gait training 15 min (97116) $80.64 $107.52 2.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $81.42 $108.56 2.5×
Pt Physical Performance Test (97750) $69.85 $93.13 2.1×
Pt re-evaluation (97164) $120.11 $160.14 1.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $85.26 $113.68 2.6×
Pt Whirlpool Therapy (97022) $51.38 $68.50 3.3×
Pulmonary Service/Procedure (94799) $42.60 $56.80 0.3×
Pulmonary stress test simple (94618) $251.39 $335.18 1.8×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $178.55 $238.06 4.6×
Respiratory flow volume loop (94375) $59.83 $79.77 0.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $89.74 $119.65 0.4×
Rt Chest Wall Manipulation,Subsequent (94668) $59.70 $79.60 0.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $104.51 $139.35 2.2×
Smoking cessation > 10 min (99407) $96.89 $129.19 2.5×
Speech sound lang comprehen (92523) $604.43 $805.90 2.7×
Spirometry (94010) $255.22 $340.29 1.1×
Standardized Cognitive Performance Testing (96125) $256.83 $342.44 2.5×
Stress echo (93350) $640.30 $853.72 1.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $61.79 $82.39 2.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $44.78 $59.71 2.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $167.63 $223.51 1.6×
Therapeutic prophylactic/dx injection subq/im (96372) $138.76 $185 1.9×
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) $869.84 $1,159.79 1.5×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $508.03 $677.37 2.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $272.02 $362.69 3.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $238.89 $318.52 2.8×
Tympanometry (92567) $60.38 $80.50 1.6×
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) $75.90 $101.20 2.4×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $1,403.82 $1,871.76 14.3×