Visits & medical services prices at Hans P Peterson Memorial Hospital - Cah

Philip, SD · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $221 $221 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $86 $86 6.0×
Application Modality 1/> Areas Diathermy (97024) $43 $43 5.9×
Assessment of aphasia per hr (96105) $501 $501 5.2×
Behavral qualit analys voice (92524) $328 $328 3.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $537 $537 1.4×
Canalith repositioning proc (95992) $174 $174 4.3×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$540–$839 $540–$839 varies
Chemo Anti-Neopl Sq/Im (96401) $225 $225 3.1×
Chemo Hormon Antineopl Sq/Im (96402) $193 $193 2.6×
Chemo IV infusion addl hr (96415) $280 $280 3.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $873 $873 2.6×
Color/duplex Doppler, complete (93975) $1,492 $1,492 6.1×
Color/duplex Doppler, limited (93976) $864 $864 8.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $108 $108 0.5×
Critical care first hour (99291) $2,323 $2,323 2.8×
Debridement Open Wound 20 Sq Cm< (97597) $452 $452 2.2×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,237 $1,237 5.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,571 $1,571 6.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,175 $1,175 11.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,681 $1,681 6.9×
Dup-scan xtr veins unilateral/limited study (93971) $1,148 $1,148 10.7×
Duplex up extrem art bilat (93930) $1,387 $1,387 5.7×
Echo Heart Xthoracic,Limited (93308) $1,645 $1,645 6.7×
Electrical Stimulation Ea 15 Min (97032) $89 $89 6.1×
Electrocardiogram Tracing (93005) $331 $331 5.5×
Emergency Dept Visit Level 2 (99282) $452 $452 2.9×
Emergency Dept Visit Level 3 (99283) $656 $656 2.4×
Emergency Dept Visit Level 4 (99284) $967 $967 2.3×
Er level 1 (99281) $322 $322 3.7×
Er level v (99285) $1,381 $1,381 2.3×
Evaluate Speech Production (92522) $256 $256 2.3×
Evaluate Swallowing Function (92610) $337 $337 4.0×
External Ecg Scanning Analysis Report (93226) $1,232 $1,232 20.4×
Extracranial Bilat Study (93880) $1,462 $1,462 6.0×
Extracranial Uni/Ltd Study (93882) $986 $986 9.2×
Group Therapeutic Procedures (97150) $78 $78 4.3×
Holter monitor recording (93225) $515 $515 3.8×
Immunization administration (90471) $77 $77 1.0×
Iontophoresis 15 min (97033) $124 $124 6.5×
Irrig Drug Delivery Device (96523) $168 $168 2.8×
IV infusion hydration each additional hour (96361) $124 $124 2.6×
IV infusion hydration initial 31 min-1 hour (96360) $383 $383 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $181 $181 2.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $183 $183 3.8×
IV push initial (96374) $368 $368 1.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $275 $275 1.3×
Neuromuscular Reeducation (97112) $104 $104 3.2×
Oral Function Therapy (92526) $270 $270 3.2×
Orthc/Prostc Mgmt Sbsq Enc (97763) $102 $102 2.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $108 $108 2.3×
Ot Contrast Bath Ea 15 Min (97034) $74 $74 5.3×
Ot eval high complexity (97167) $297 $297 3.0×
Ot Eval Low Complex (97165) $261 $261 2.6×
Ot Eval Moderate Complexity (97166) $284 $284 2.8×
Ot manual therapy 15 min (97140) $110 $110 4.0×
Ot paraffin bath (97018) $70 $70 11.6×
Ot Prosthetic Training, Each 15 Min (97761) $101 $101 2.5×
Ot Re-Eval Est Plan Care (97168) $164 $164 2.4×
Phlebotomy therapeutic (99195) $213 $213 1.6×
Physical Performance Test (97750) $85 $85 2.5×
Pt Eval High Complex (97163) $297 $297 3.0×
Pt eval low complex 20 min (97161) $263 $263 2.7×
Pt Eval Mod Complex (97162) $282 $282 2.9×
Pt gait training 15 min (97116) $99 $99 3.4×
Pt mechanical traction (97012) $91 $91 6.3×
Pt Re-Eval Est Plan Care (97164) $176 $176 2.6×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $288 $288 0.9×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $350 $350 2.9×
Self Care Mngment Training (97535) $96 $96 3.0×
Sensory Integration Ea 15 Min (97533) $89 $89 1.5×
Speech sound lang comprehen (92523) $376 $376 1.7×
Standardized Cognitive Performance Testing (96125) $329 $329 3.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $135 $135 6.0×
Ther Ivntj Ea Addl 15 Min (97130) $122 $122 5.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $81 $81 2.7×
Ther/Proph/Diag Inj Sc/Im (96372) $117 $117 1.6×
Ther/Proph/Diag Iv Inf Init (96365) $419 $419 1.9×
Therapeutic Activities (97530) $104 $104 3.0×
Tte w/doppler, complete (93306) $2,791 $2,791 5.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $177 $177 2.3×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $109 $109 4.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $179 $179 3.7×
Upr/L Xtremity Art 2 Levels (93922) $724 $724 5.3×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,067 $1,067 4.8×
Wheelchair Mgmt Ea 15 Min (97542) $83 $83 2.7×

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.