Visits & medical services prices at Glencoe Regional Health

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $74.50 $74.50 0.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $50.77 $50.77 3.5×
Assessment of aphasia per hr (96105) $564.88 $564.88 5.8×
Bedside Swallowing Eval (92610) $343.76 $343.76 4.1×
Behavioral and qualitative analysis of voice and resonance (92524) $353.95 $353.95 3.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $311.68 $311.68 0.8×
Canalith Repositioning Procedure (95992) $171.44 $171.44 4.2×
Car seat/bed test 60 min (94780) $421.72 $421.72 10.9×
Cardiac Stress Tst,Tracing Only (93017) $454.52 $454.52 2.0×
Cardiopulmonary resuscitation (92950) $1,151.32 $1,151.32 5.2×
Cardioversion (92960) $717.56 $717.56 1.1×
Cbt 1st hour (94644) $180.40 $180.40 1.3×
Chemo Hormon Antineopl Sq/Im (96402) $131.10 $131.10 1.8×
Chemo IV push addl drug (96411) $251.01 $251.01 3.4×
Chemo prolong 8+ hrs infuse w/pump (96416) $562.91 $562.91 1.7×
Chemother, IV infusion, 1 hr (96413) $555.97 $555.97 1.6×
Chemother, IV infusion, ea add hr (96415) $113.72 $113.72 1.5×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $299.36 $299.36 4.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $262.60 $262.60 3.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $446.82 $446.82 1.3×
Color/duplex Doppler, complete (93975) $1,409.84 $1,409.84 5.7×
Color/duplex Doppler, limited (93976) $777.42 $777.42 7.2×
Cont Gluc Monitoring Patient Provided Equipment (95249) $409.07 $409.07 6.7×
Continuous Glucose Monitoring (95250) $713.34 $713.34 5.2×
Cpap/bipap (94660) $253.61 $253.61 1.1×
Cpt initial (94667) $215.34 $215.34 1.6×
Critical care (99291) $2,351.69 $2,351.69 2.8×
Debridement Open Wound 20 Sq Cm< (97597) $522.01 $522.01 2.5×
Developmental tst admin phys/qhp 1st hour (96112) $538.15 $538.15 4.1×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $64.22 $64.22 0.3×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $950.04 $950.04 3.9×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,383.05 $1,383.05 5.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $802.78 $802.78 7.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,057.16 $1,057.16 4.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $654.70 $654.70 6.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,021.46 $1,021.46 4.1×
Dup-scan xtr veins unilateral/limited study (93971) $616.75 $616.75 5.7×
Duplex scan extracranial art compl bi study (93880) $1,021.46 $1,021.46 4.1×
Echo Heart Xthoracic,Limited (93308) $590.77 $590.77 2.4×
Echo Transthoracic - Congenital Tte Complete (93303) $1,086.17 $1,086.17 1.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,195.05 $1,195.05 2.1×
Electrocardiogram Tracing (93005) $270.11 $270.11 4.4×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $963.32 $963.32 4.3×
Er level 1 (99281) $242.12 $242.12 2.8×
Er level ii (99282) $357.01 $357.01 2.3×
Er level iii (99283) $574.67 $574.67 2.0×
Er level IV (99284) $829.44 $829.44 1.9×
Er level v (99285) $1,188.28 $1,188.28 1.9×
Eval speech sound production (92522) $367.04 $367.04 3.3×
Evaluate Pt Use Of Inhaler (94664) $70.12 $70.12 0.3×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $511.78 $511.78 4.2×
Evaluation of speech fluency (92521) $443.81 $443.81 3.3×
External ECG rec>48hr<7d recording (93242) $292.21 $292.21 7.6×
External ECG rec>7d<15d recording (93246) $292.21 $292.21 7.6×
External Ecg Scanning Analysis Report (93226) $602.33 $602.33 9.9×
Holter Monitor (93225) $568.65 $568.65 4.1×
Imm admn sarscov2 vaccine single dose (90480) $78.44 $78.44 1.9×
Immunization Admin (90471) $21.22 $21.22 0.3×
Iontophoresis 15 min (97033) $88.40 $88.40 4.6×
Irrig drug delivery device (96523) $100.50 $100.50 1.7×
IV infusion hydration each additional hour (96361) $54.33 $54.33 1.1×
IV infusion hydration initial 31 min-1 hour (96360) $205.92 $205.92 0.9×
IV infusion ther proph addl sequential to 1 hr (96367) $109.92 $109.92 1.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $246.36 $246.36 1.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $66.96 $66.96 1.4×
IV push ea addl new drug (96375) $79.60 $79.60 1.6×
IV push initial (96374) $204.66 $204.66 0.9×
Manual therapy 15 min (97140) $121.34 $121.34 4.4×
Mechanical chest wall oscillation (94669) $133.01 $133.01 0.6×
Mechanical traction (97012) $65.22 $65.22 4.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $89.49 $89.49 2.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $103.18 $103.18 2.8×
Methacholine challenge (94070) $241.38 $241.38 0.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $346.10 $346.10 3.8×
Multiple Sleep Latency Test (95805) $1,340.82 $1,340.82 1.5×
Neg press wound tx >50 cm (97608) $1,348.48 $1,348.48 3.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,382.17 $1,382.17 3.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $391.86 $391.86 1.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $431.48 $431.48 1.0×
Newborn resuscitation (99465) $699.65 $699.65 1.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $282.75 $282.75 2.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $317.50 $317.50 2.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $153.74 $153.74 3.3×
Ot eval high complex 60 min (97167) $308.24 $308.24 3.1×
Ot eval low complex 30 min (97165) $308.24 $308.24 3.1×
Ot eval mod complex 45 min (97166) $308.24 $308.24 3.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $195.63 $195.63 3.9×
Ot re-evaluation (97168) $204.30 $204.30 3.0×
Ot therapeutic activity 15 min (97530) $141.65 $141.65 4.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $288 $288 2.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $192.90 $192.90 1.4×
Paraffin bath pt (97018) $43.90 $43.90 7.3×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $244.83 $244.83 1.1×
Phlebotomy therapeutic (99195) $297.96 $297.96 2.2×
Plethysmography (94726) $271.58 $271.58 0.7×
Pm device progr eval dual (93280) $173.71 $173.71 4.5×
Pm device progr eval multi (93281) $204.25 $204.25 5.3×
Pm device progr eval sngl (93279) $149.49 $149.49 3.9×
Pm/Icd Remote Tech Serv (93296) $322.76 $322.76 8.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,466.63 $4,466.63 5.0×
Polysom <6 yrs 4/> paramtrs (95782) $2,427.60 $2,427.60 2.7×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $269.51 $269.51 7.0×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $188.45 $188.45 4.9×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $243.20 $243.20 6.3×
Pt Electrical Stimulation (97032) $76.80 $76.80 5.2×
Pt eval high complex 45 min (97163) $318.37 $318.37 3.3×
Pt eval low complex 20 min (97161) $318.37 $318.37 3.3×
Pt eval mod complex 30 min (97162) $318.37 $318.37 3.3×
Pt gait training 15 min (97116) $114.20 $114.20 3.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $136.31 $136.31 4.2×
Pt Physical Performance Test (97750) $131.96 $131.96 3.9×
Pt re-evaluation (97164) $216.41 $216.41 3.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $140.68 $140.68 4.3×
Pt Whirlpool Therapy (97022) $95.85 $95.85 6.1×
Pulm function test by gas (94727) $215.03 $215.03 1.0×
Pulmonary Service/Procedure (94799) $244.83 $244.83 1.8×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $272.22 $272.22 7.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $522.01 $522.01 2.5×
Rt Chest Wall Manipulation,Subsequent (94668) $119.45 $119.45 0.9×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $213.14 $213.14 4.5×
Sleep study unattended (95806) $565.94 $565.94 2.5×
Speech sound lang comprehen (92523) $786.74 $786.74 3.5×
Spirometry (94010) $162.18 $162.18 0.7×
Standardized Cognitive Performance Testing (96125) $465.23 $465.23 4.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $106.82 $106.82 4.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $106.82 $106.82 5.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $444.37 $444.37 4.3×
Therapeutic prophylactic/dx injection subq/im (96372) $90.98 $90.98 1.2×
Tte w/doppler, complete (93306) $2,094.07 $2,094.07 3.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $315.72 $315.72 4.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $344.65 $344.65 4.1×
Unlisted noninvasive vascular diagnostic study (93998) $244.83 $244.83 8.2×
Upr/lxtr art stdy 3+ lvls (93923) $410.60 $410.60 1.8×
Vasc Duplex Scan Extracranial,Limited (93882) $652.43 $652.43 6.0×
Vent mgmt inpat init day (94002) $361.60 $361.60 0.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $261.92 $261.92 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $123.26 $123.26 4.0×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $748.09 $748.09 7.6×