Visits & medical services prices at Grant Regional Health Center
Lancaster, WI · every code in this section with a posted price and a Medicare benchmark.
98 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$52–$131.30 | $80–$202 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $93.60 | $144 | 6.5× |
| Audiometry Air & Bone (92553) | $144.30 | $222 | 1.2× |
| Behavral qualit analys voice (92524) | $209.95 | $323 | 1.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $364 | $560 | 1.0× |
| Car seat/bed test 60 min (94780) | $56.55 | $87 | 1.6× |
| Cardiac Stress Tst,Tracing Only (93017) | $689 | $1,060 | 3.3× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$539.50–$674.70 | $830–$1,038 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$239.20–$588.90 | $368–$906 | varies |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$98.15–$118.95 | $151–$183 | varies |
| Comprehensive Hearing Test (92557) | $230.75 | $355 | 1.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$279.50–$429.65 | $430–$661 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$118.95–$208.65 | $183–$321 | varies |
| Critical care first hour (99291) | $573.30 | $882 | 0.7× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$115.70–$170.95 | $178–$263 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $926.25 | $1,425 | 4.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $505.70 | $778 | 5.0× |
| Ear and throat examination (92502) | $347.10 | $534 | 0.7× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$205.40–$292.50 | $316–$450 | varies |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$127.40–$966.55 | $196–$1,487 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$127.40–$898.95 | $196–$1,383 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$127.40–$824.85 | $196–$1,269 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 2 matching MRF lines |
$192.40–$1,092 | $296–$1,680 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $104.65 | $161 | 7.1× |
| Electrocardiogram Tracing (93005) | $297.70 | $458 | 5.2× |
| Emergency Dept Visit Level 2 (99282) | $198.25 | $305 | 1.3× |
| Emergency Dept Visit Level 3 (99283) | $364 | $560 | 1.4× |
| Emergency Dept Visit Level 4 (99284) | $538.20 | $828 | 1.3× |
| Er level 1 (99281) range across 2 matching MRF lines |
$12.35–$140.40 | $19–$216 | varies |
| Er level v (99285) | $890.50 | $1,370 | 1.5× |
| Evaluate Swallowing Function (92610) | $189.15 | $291 | 2.2× |
| Evaluation of speech fluency (92521) | $224.90 | $346 | 1.7× |
| Evoked Auditory Test,Limited (92587) | $115.05 | $177 | 0.5× |
| External ECG rec>7d<15d recording (93246) | $320.45 | $493 | 8.8× |
| External Ecg Scanning Analysis Report (93226) | $443.95 | $683 | 7.7× |
| Extracranial Bilat Study (93880) | $627.90 | $966 | 2.7× |
| Holter monitor recording (93225) | $157.95 | $243 | 1.2× |
| Immunization administration (90471) range across 7 matching MRF lines |
$13–$93.93 | $20–$144.50 | varies |
| Inital newborn e/m (99460) | $221 | $340 | 1.7× |
| Irrig Drug Delivery Device (96523) | $94.25 | $145 | 1.6× |
| IV infusion hydration each additional hour (96361) | $53.30 | $82 | 1.2× |
| IV infusion hydration initial 31 min-1 hour (96360) | $136.50 | $210 | 0.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $97.50 | $150 | 1.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $69.55 | $107 | 1.5× |
| IV push initial (96374) | $139.75 | $215 | 0.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $28.60 | $44 | 0.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $44.20 | $68 | 1.2× |
| Motion Fluoroscopy/Swallow (92611) | $356.85 | $549 | 3.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $176.80 | $272 | 0.9× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $367.25 | $565 | 0.9× |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$351–$1,333.15 | $540–$2,051 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$416–$1,299.35 | $640–$1,999 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$148.85–$484.90 | $229–$746 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$176.15–$605.15 | $271–$931 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$236.60–$780.65 | $364–$1,201 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$293.80–$1,063.40 | $452–$1,636 | varies |
| Neuromuscular Reeducation (97112) | $112.45 | $173 | 3.4× |
| Newborn resuscitation (99465) | $670.15 | $1,031 | 1.0× |
| Oral Function Therapy (92526) | $205.40 | $316 | 2.4× |
| Ot eval high complexity (97167) | $293.80 | $452 | 2.9× |
| Ot Eval Low Complex (97165) | $98.80 | $152 | 1.0× |
| Ot Eval Moderate Complexity (97166) | $195.65 | $301 | 1.9× |
| Ot manual therapy 15 min (97140) | $114.40 | $176 | 4.1× |
| Ot Re-Eval Est Plan Care (97168) | $89.70 | $138 | 1.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $215.80 | $332 | 1.7× |
| Phlebotomy therapeutic (99195) | $157.30 | $242 | 1.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $94.25 | $145 | 1.6× |
| Physical Performance Test (97750) | $57.20 | $88 | 1.7× |
| Pt Eval High Complex (97163) | $292.50 | $450 | 3.0× |
| Pt eval low complex 20 min (97161) | $118.30 | $182 | 1.2× |
| Pt Eval Mod Complex (97162) | $204.10 | $314 | 2.1× |
| Pt gait training 15 min (97116) | $112.45 | $173 | 3.9× |
| Pt mechanical traction (97012) | $103.35 | $159 | 7.2× |
| Pt Re-Eval Est Plan Care (97164) | $91 | $140 | 1.3× |
| Pulm function test by gas (94727) | $433.55 | $667 | 2.1× |
| Pure Tone Audiometry Air (92552) | $89.05 | $137 | 0.7× |
| Remote 30 Day Ecg Rev/Report (93270) | $189.80 | $292 | 5.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $193.70 | $298 | 3.4× |
| Same day nb discharge (99463) | $255.45 | $393 | 2.0× |
| Self Care Mngment Training (97535) | $80.60 | $124 | 2.5× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$101.40–$546 | $156–$840 | varies |
| Speech Audiometry Complete (92556) | $116.35 | $179 | 2.0× |
| Speech audiometry threshold (92555) | $70.85 | $109 | 1.2× |
| Speech sound lang comprehen (92523) | $228.80 | $352 | 1.0× |
| Spirometry (94010) | $153.40 | $236 | 0.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $65 | $100 | 0.9× |
| Ther/Proph/Diag Iv Inf Init (96365) | $175.50 | $270 | 0.8× |
| Therapeutic Activities (97530) | $102.70 | $158 | 2.9× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$471.25–$1,675.05 | $725–$2,577 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $189.15 | $291 | 2.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $74.10 | $114 | 1.6× |
| Tympanometry (92567) | $94.90 | $146 | 2.6× |
| Upr/L Xtremity Art 2 Levels (93922) | $181.35 | $279 | 1.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $250.25 | $385 | 1.2× |
| Vent Mgmt Inpat Init Day (94002) | $882.05 | $1,357 | 1.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $727.35 | $1,119 | 1.2× |
| Visual reinforcement audiometry (vra) (92579) | $116.35 | $179 | 0.6× |
| Vital capacity, total (94150) | $71.50 | $110 | 0.6× |
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.