Visits & medical services prices at Jamestown Regional Medical Center

Jamestown, ND · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 9 matching MRF lines		 $182–$198 $227–$247 varies
Analyze Neurostim Simple (95971) $112 $140 1.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines		 $93–$97 $116–$121 varies
Assessment of aphasia per hr (96105) $326 $407 3.4×
Behavral qualit analys voice (92524) $387 $484 3.5×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $178 $222 2.2×
Bfb training ea addl 15 min (90913) $94 $118 2.9×
Biofeedback training any modality (90901) $88 $110 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $425 $531 1.1×
Canalith repositioning proc (95992) $171 $214 4.2×
Cardiac Stress Tst,Tracing Only (93017) $623 $779 2.8×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines		 $981–$1,020 $1,226–$1,275 varies
Cardioversion (92960) $1,514 $1,892 2.2×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $35 $44 1.3×
Cbt 1st hour (94644) $154 $193 1.1×
Chemo Anti-Neopl Sq/Im (96401) $194 $243 2.6×
Chemo Hormon Antineopl Sq/Im (96402) $132 $165 1.8×
Chemo IV infusion addl hr (96415) $203 $254 2.8×
Chemo IV push addl drug (96411) $218 $272 3.0×
Chemother Prolong Infuse W/Pump (96416) $834 $1,042 2.5×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $581 $726 1.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $278 $348 3.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $704 $880 2.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $462 $577 1.4×
Chest Wall Manipulation (94668) $115 $144 0.8×
Color/duplex Doppler, complete (93975) $1,103 $1,379 4.5×
Color/duplex Doppler, limited (93976) $628 $785 5.9×
Community/Work Reintegration Trainj Ea 15 Min (97537) $85 $106 2.7×
Continuous Pulse Ox (94762) $347 $434 2.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $614 $768 2.7×
Cpt initial (94667) $134 $168 1.0×
Critical care first hour (99291) $2,921 $3,651 3.5×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines		 $274–$354 $342–$442 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925) $997 $1,246 4.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $571 $714 5.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,023 $1,279 4.2×
Dup-scan xtr veins unilateral/limited study (93971) $722 $903 6.8×
Duplex Scan Hemodialysis Access (93990) $474 $593 4.4×
Duplex up extrem art unilat/ltd (93931) $506 $633 4.7×
Echo Heart Xthoracic,Limited (93308) $796 $995 3.3×
Eeg 41-60 Minutes (95812) $1,147 $1,434 5.2×
EEG awake and asleep (95819) $1,193 $1,491 5.4×
EEG awake drowsy (95816) $1,010 $1,263 4.6×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines		 $100–$110 $125–$137 varies
Electrocardiogram Tracing (93005) $162 $202 2.7×
Electroconvulsive Therapy (90870) $1,016 $1,270 1.2×
Emergency Dept Visit Level 2 (99282) $410 $513 2.6×
Emergency Dept Visit Level 3 (99283) $679 $849 2.4×
Emergency Dept Visit Level 4 (99284) $1,038 $1,298 2.4×
Er level 1 (99281) $266 $332 3.1×
Er level v (99285) $1,679 $2,099 2.8×
Evaluate pt use of inhaler (94664) $192 $240 0.9×
Evaluate Speech Production (92522) $366 $458 3.3×
Evaluate Swallowing Function (92610) $312 $390 3.7×
Evaluation of speech fluency (92521) $354 $442 2.7×
Exercise test for bronchospasm (94617) $198 $247 1.5×
Extracranial Bilat Study (93880) $774 $968 3.2×
Group Therapeutic Procedures (97150) $108 $135 6.0×
Im Adm Intransl/Oral 1 Vaccine (90473) $42 $52 0.6×
Immunization administration (90471)
range across 12 matching MRF lines		 $53–$58 $66–$73 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $458 $572 1.2×
Iontophoresis 15 min (97033) $140 $175 7.4×
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines		 $132–$142 $165–$177 varies
IV infusion hydration each additional hour (96361) $138 $172 2.9×
IV infusion hydration initial 31 min-1 hour (96360) $498 $622 2.3×
IV infusion ther proph addl sequential to 1 hr (96367) $234 $292 3.2×
IV infusion therapy prophylaxis/dx ea hour (96366) $137 $171 2.9×
IV push initial (96374) $454 $568 2.1×
Lwr Xtr Vasc Stdy Bilat (93924) $598 $748 2.7×
Mechanical chest wall oscillation per session (94669) $98 $123 0.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $61 $76 1.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $76 $95 2.1×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $47 $59 2.8×
Methacholine challenge (94070) $549 $686 1.4×
Motion Fluoroscopy/Swallow (92611) $423 $529 4.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $716 $895 1.7×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $768 $960 1.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines		 $157–$175 $196–$219 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $184 $230 0.4×
Neuromuscular Reeducation (97112) $138 $172 4.2×
Nitric oxide expired gas determination (95012) $78 $98 2.0×
Oral Function Therapy (92526) $279 $349 3.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $196 $245 3.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $154 $193 3.3×
Ot Contrast Bath Ea 15 Min (97034) $111 $139 7.9×
Ot eval high complexity (97167) $309 $386 3.1×
Ot Eval Low Complex (97165) $295 $369 2.9×
Ot Eval Moderate Complexity (97166) $315 $394 3.1×
Ot manual therapy 15 min (97140) $113 $141 4.1×
Ot paraffin bath (97018) $91 $114 15.1×
Ot Prosthetic Training, Each 15 Min (97761) $145 $181 3.6×
Ot Re-Eval Est Plan Care (97168) $276 $345 4.0×
Ot rom hand (95852) $66 $82 3.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $213 $266 1.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $261 $326 2.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $569 $711 2.5×
Peripheral arterial disease rehab per session (93668) $136 $170 2.3×
Phlebotomy therapeutic (99195) $315 $394 2.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $210 $263 3.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $190 $237 3.2×
Physical Performance Test (97750)
range across 2 matching MRF lines		 $146–$186 $182–$232 varies
Plethysmography (94726) $522 $652 1.4×
Pt Eval High Complex (97163) $351 $439 3.6×
Pt eval low complex 20 min (97161) $274 $343 2.8×
Pt Eval Mod Complex (97162) $307 $384 3.1×
Pt gait training 15 min (97116) $112 $140 3.9×
Pt group caregiver training (97552) $52 $65 2.4×
Pt mechanical traction (97012) $107 $134 7.5×
Pt Re-Eval Est Plan Care (97164) $188 $235 2.8×
Pulmonary service/procedure (94799) $182 $228 1.4×
Pulmonary Stress Testing (94618)
range across 3 matching MRF lines		 $247–$253 $309–$316 varies
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $88 $110 2.3×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $51 $64 0.4×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $102 $127 2.5×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $128 $160 2.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $288 $360 1.4×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $74 $93 2.8×
Rtm tx mgmt 1 r-t ia comunicaj cal mo 1st 10 min (98979) $80 $100 3.0×
Self Care Mngment Training (97535) $126 $158 3.9×
Sensory Integration Ea 15 Min (97533) $134 $167 2.2×
Slp caregiver training 1st 30 min (97550) $70 $88 1.3×
Speech sound lang comprehen (92523) $634 $792 2.8×
Spin/Brain Pump Refil & Main (95991) $404 $505 1.3×
Spirometry (94010) $291 $364 1.3×
Standardized Cognitive Performance Testing (96125) $358 $447 3.5×
Subcutaneous Infusion Each Additional Hour (96370) $73 $91 1.5×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $351 $439 1.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $159 $199 7.1×
Ther Ivntj Ea Addl 15 Min (97130) $146 $182 6.9×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines		 $106–$110 $132–$137 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines		 $483–$502 $604–$628 varies
Therapeutic Activities (97530) $130 $162 3.7×
Tobacco Use Cessation Intensive >10 Minutes (99407) $65 $81 1.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $30 $38 0.8×
Tte w/doppler, complete (93306) $1,531 $1,914 2.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $310 $388 4.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $128 $160 2.7×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines		 $334–$371 $417–$464 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 3 matching MRF lines		 $591–$739 $739–$924 varies
Vasopneumatic device (97016) $131 $164 10.9×
Vent Mgmt Inpat Init Day (94002) $1,536 $1,920 2.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $240 $300 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $132 $165 4.2×
Whirlpool Therapy (97022)
range across 2 matching MRF lines		 $93–$102 $116–$127 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.