Visits & medical services prices at Johnson Memorial Hospital

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

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

Compare against other hospitals interactively →

ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $162.98 $191.74 1.6×
Airway inhalation treatment (94640) $181.10 $213.06 0.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $72.14 $84.87 5.0×
Assmt & care planning pt w/cognitive impairment (99483) $730.43 $859.33 7.0×
Bedside Swallowing Eval (92610) $431.04 $507.11 5.1×
Behavioral and qualitative analysis of voice and resonance (92524) $418.42 $492.26 3.8×
Brief Emotional/Behavioral Assessment (96127) $12.26 $14.42 0.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $294.61 $346.60 0.8×
Canalith Repositioning Procedure (95992) $191.30 $225.06 4.7×
Cardiac Stress Tst,Tracing Only (93017) $753.81 $886.83 3.4×
Cardiopulmonary resuscitation (92950) $847.92 $997.56 3.8×
Cardioversion (92960) $941.72 $1,107.91 1.4×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $60.42 $71.08 2.3×
Chemo Hormon Antineopl Sq/Im (96402) $146.59 $172.46 2.0×
Chemo IV push addl drug (96411) $189.98 $223.51 2.6×
Chemother, IV infusion, 1 hr (96413) $626.86 $737.48 1.8×
Chemother, IV infusion, ea add hr (96415) $292.42 $344.02 3.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $195.24 $229.69 2.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $306.85 $361 0.9×
Chronic care management services 1st 20 min (99490) $111.19 $130.81 1.1×
Color/duplex Doppler, complete (93975) $1,016.46 $1,195.83 4.1×
Color/duplex Doppler, limited (93976) $706.53 $831.21 6.5×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $280.16 $329.60 1.5×
Cont Gluc Monitoring Patient Provided Equipment (95249) $136.85 $161 2.2×
Continuous Glucose Monitoring (95250) $352.75 $415 2.6×
Cpap/bipap (94660) $464.89 $546.93 2.1×
Cpt initial (94667) $155.84 $183.34 1.1×
Critical care (99291) $1,404.95 $1,652.88 1.6×
Debridement Open Wound 20 Sq Cm< (97597) $252.67 $297.26 1.2×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $287.16 $337.84 1.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,115.39 $1,312.22 4.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,021.71 $1,202.01 9.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,208.19 $1,421.40 4.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,021.71 $1,202.01 9.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,208.19 $1,421.40 4.9×
Dup-scan xtr veins unilateral/limited study (93971) $928.91 $1,092.83 8.6×
Duplex scan extracranial art compl bi study (93880) $1,208.19 $1,421.40 4.9×
Echo Heart Xthoracic,Limited (93308) $473.64 $557.23 1.9×
Electrocardiogram Tracing (93005) $189.11 $222.48 3.1×
Er level 1 (99281) $335.45 $394.65 3.9×
Er level ii (99282) $264.67 $311.38 1.7×
Er level iii (99283) $378.46 $445.25 1.3×
Er level IV (99284) $674.98 $794.08 1.6×
Er level v (99285) $979.77 $1,152.67 1.6×
Eval speech sound production (92522) $431.04 $507.11 3.9×
Evaluate Pt Use Of Inhaler (94664) $256.52 $301.79 1.1×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $501.38 $589.86 4.1×
Exhaled Air Analysis (94690) $129.85 $152.77 2.1×
External ECG rec>48hr<7d recording (93242) $109.44 $128.75 2.8×
External ECG rec>7d<15d recording (93246) $109.44 $128.75 2.8×
Imm admn sarscov2 vaccine single dose (90480) $38.24 $44.99 0.9×
Immune Admin Oral/Nasal (90473) $68.85 $81 0.9×
Immunization Admin (90471) $56.10 $66 0.8×
Interrog device eval heart (93289) $228.51 $268.83 5.9×
Iontophoresis 15 min (97033) $96.49 $113.52 5.1×
Irrig drug delivery device (96523) $143.58 $168.92 2.4×
IV infusion hydration each additional hour (96361) $119.28 $140.33 2.5×
IV infusion hydration initial 31 min-1 hour (96360) $246.76 $290.30 1.1×
IV infusion ther proph addl sequential to 1 hr (96367) $198.49 $233.52 2.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $348.73 $410.27 1.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $192.12 $226.02 4.0×
IV push ea addl new drug (96375) $141.13 $166.04 2.9×
IV push initial (96374) $201.23 $236.74 0.9×
Manual therapy 15 min (97140) $112.72 $132.61 4.1×
Mechanical traction (97012) $99.20 $116.70 6.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $72.14 $84.87 2.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $86.57 $101.85 2.4×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $431.04 $507.11 4.7×
Multiple Sleep Latency Test (95805) $1,439.32 $1,693.32 1.6×
Nasopharyngoscopy (92511) $441.26 $519.12 2.1×
Neg press wound tx >50 cm (97608) $496.02 $583.55 1.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $486.82 $572.74 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $439.16 $516.66 2.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $844.95 $994.06 2.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $232.88 $273.98 1.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $117.23 $137.92 2.5×
Ot eval high complex 60 min (97167) $293.07 $344.79 2.9×
Ot eval low complex 30 min (97165) $144.28 $169.74 1.4×
Ot eval mod complex 45 min (97166) $228.15 $268.41 2.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $118.13 $138.98 2.4×
Ot re-evaluation (97168) $244.38 $287.50 3.6×
Ot therapeutic activity 15 min (97530) $117.68 $138.45 3.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $282.79 $332.69 2.1×
Paraffin bath pt (97018) $67.63 $79.57 11.3×
Phlebotomy therapeutic (99195) $208.37 $245.14 1.5×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $250.39 $294.58 4.1×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $250.39 $294.58 4.1×
Pm device eval in person (93288) $150.59 $177.16 3.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,254.93 $5,005.80 4.8×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $28.89 $33.99 0.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $36.77 $43.26 0.8×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $265.72 $312.60 6.9×
Psych diag eval w/med srvcs (90792) $449.08 $528.33 2.5×
Psychiatric diagnostic evaluation (90791) $333.25 $392.06 1.8×
Psytx crisis initial 60 min (90839) $265.87 $312.79 1.5×
Pt eval high complex 45 min (97163) $293.07 $344.79 3.0×
Pt eval low complex 20 min (97161) $192.07 $225.97 2.0×
Pt eval mod complex 30 min (97162) $239.87 $282.20 2.5×
Pt gait training 15 min (97116) $109.11 $128.37 3.8×
Pt group caregiver training (97552) $48.70 $57.29 2.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $98.29 $115.64 3.0×
Pt re-evaluation (97164) $287.66 $338.42 4.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $106.86 $125.72 3.3×
Pt-focused hlth risk assmt (96160) $147.08 $173.04 3.8×
Pure Tone Audiometry Air Only (92552) $58.28 $68.56 0.4×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $97.31 $114.48 0.7×
Rt Chest Wall Manipulation,Subsequent (94668) $155.84 $183.34 1.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $247.99 $291.75 5.2×
Sensory Integration Ea 15 Min (97533) $96.49 $113.52 1.6×
Slp caregiver training 1st 30 min (97550) $112.72 $132.61 2.1×
Smoking cessation > 10 min (99407) $48.25 $56.77 1.2×
Speech sound lang comprehen (92523) $431.04 $507.11 1.9×
Spirometry (94010) $195.24 $229.69 0.9×
Standardized Cognitive Performance Testing (96125) $418.49 $492.34 4.1×
Temp transcutaneous pacing (92953) $787.95 $927 1.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $79.36 $93.36 3.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $77.10 $90.70 3.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $383.25 $450.88 3.7×
Therapeutic prophylactic/dx injection subq/im (96372) $76.94 $90.52 1.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $22.76 $26.78 0.6×
Trans Care Mgmt 14 Day Disch (99495) $393.98 $463.50 2.9×
Trans Care Mgmt 7 Day Disch (99496) $542.81 $638.60 4.0×
Tte w/doppler, complete (93306) $2,043.42 $2,404.02 3.6×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,812.29 $2,132.10 7.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $335.45 $394.65 4.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $335.45 $394.65 4.0×
Upr/lxtr art stdy 3+ lvls (93923) $492.91 $579.89 2.2×
Vasc Duplex Scan Extracranial,Limited (93882) $131.76 $155.02 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $109.11 $128.37 3.5×