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 →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) range across 3 matching MRF lines |
$18.04–$76.17 | $21.22–$89.61 | varies |
| Advncd Care Plan 30 Min (99497) | $162.98 | $191.74 | 1.6× |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$95.43–$266.78 | $112.27–$313.86 | varies |
| 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× |
| Behavral qualit analys voice (92524) | $418.42 | $492.26 | 3.8× |
| Brief Emotional/Behav Assmt (96127) | $12.26 | $14.42 | 0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$158.47–$430.75 | $186.43–$506.76 | varies |
| Canalith repositioning proc (95992) range across 6 matching MRF lines |
$91.93–$498.16 | $108.15–$586.07 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $753.81 | $886.83 | 3.4× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$790.58–$905.27 | $930.09–$1,065.02 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$670.63–$1,212.81 | $788.98–$1,426.84 | varies |
| 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 infusion addl hr (96415) | $292.42 | $344.02 | 3.9× |
| Chemo IV push addl drug (96411) | $189.98 | $223.51 | 2.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $195.24 | $229.69 | 2.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$604.10–$649.62 | $710.70–$764.26 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $306.85 | $361 | 0.9× |
| Chest Wall Manipulation (94668) | $155.84 | $183.34 | 1.1× |
| Chron Care Mgmt Srvc 20 Min (99490) | $111.19 | $130.81 | 1.1× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$1,011.20–$1,021.71 | $1,189.65–$1,202.01 | varies |
| Color/duplex Doppler, limited (93976) range across 3 matching MRF lines |
$697.77–$706.53 | $820.91–$831.21 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $280.16 | $329.60 | 1.5× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $352.75 | $415 | 2.6× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $136.85 | $161 | 2.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $464.89 | $546.93 | 2.1× |
| Cpt initial (94667) | $155.84 | $183.34 | 1.1× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$705.18–$2,104.72 | $829.62–$2,476.14 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$201.23–$304.11 | $236.74–$357.78 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$260.90–$313.43 | $306.94–$368.74 | varies |
| 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 Xtr Veins Complete Bilateral Study (93970) range across 5 matching MRF lines |
$976.18–$1,208.19 | $1,148.45–$1,421.40 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 11 matching MRF lines |
$170.72–$928.91 | $200.85–$1,092.83 | varies |
| Duplex up extrem art bilat (93930) | $1,208.19 | $1,421.40 | 4.9× |
| Duplex up extrem art unilat/ltd (93931) | $1,021.71 | $1,202.01 | 9.5× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$63.91–$883.38 | $75.19–$1,039.27 | varies |
| Electrocardiogram Tracing (93005) | $189.11 | $222.48 | 3.1× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$105.51–$423.83 | $124.13–$498.62 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$158.71–$598.21 | $186.72–$703.78 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$297.59–$1,052.36 | $350.10–$1,238.07 | varies |
| Er level 1 (99281) | $335.45 | $394.65 | 3.9× |
| Er level v (99285) range across 2 matching MRF lines |
$428.34–$1,531.20 | $503.93–$1,801.41 | varies |
| Evaluate pt use of inhaler (94664) | $256.52 | $301.79 | 1.1× |
| Evaluate Speech Production (92522) | $431.04 | $507.11 | 3.9× |
| Evaluate Swallowing Function (92610) | $431.04 | $507.11 | 5.1× |
| 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× |
| Extracranial Bilat Study (93880) | $1,208.19 | $1,421.40 | 4.9× |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$119.94–$143.58 | $141.11–$168.92 | varies |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$201.37–$255.65 | $236.90–$300.76 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$259.15–$272.28 | $304.88–$320.33 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 3 matching MRF lines |
$18.04–$68.85 | $21.22–$81 | varies |
| Immunization administration (90471) range across 10 matching MRF lines |
$18.04–$76.17 | $21.22–$89.61 | varies |
| 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 therapy prophylaxis/dx ea hour (96366) | $192.12 | $226.02 | 4.0× |
| IV push initial (96374) | $201.23 | $236.74 | 0.9× |
| 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 Fluoroscopy/Swallow (92611) | $431.04 | $507.11 | 4.7× |
| Multiple Sleep Latency Test (95805) | $1,439.32 | $1,693.32 | 1.6× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$407.11–$475.40 | $478.95–$559.29 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$128.70–$844.95 | $151.41–$994.06 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$147.08–$844.95 | $173.04–$994.06 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$78.30–$440.06 | $92.12–$517.72 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$98.34–$844.95 | $115.69–$994.06 | varies |
| Neuromuscular Reeducation (97112) | $98.29 | $115.64 | 3.0× |
| Oral Function Therapy (92526) | $335.45 | $394.65 | 4.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$117.23–$119.03 | $137.92–$140.04 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $117.23 | $137.92 | 2.5× |
| Ot eval high complexity (97167) | $293.07 | $344.79 | 2.9× |
| Ot Eval Low Complex (97165) | $144.28 | $169.74 | 1.4× |
| Ot Eval Moderate Complexity (97166) | $228.15 | $268.41 | 2.3× |
| Ot manual therapy 15 min (97140) | $112.72 | $132.61 | 4.1× |
| Ot paraffin bath (97018) | $67.63 | $79.57 | 11.3× |
| Ot Re-Eval Est Plan Care (97168) range across 4 matching MRF lines |
$98.29–$390.46 | $115.64–$459.37 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $282.79 | $332.69 | 2.1× |
| Oxygen Uptake Rest Indirect (94690) | $129.85 | $152.77 | 2.1× |
| 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) range across 2 matching MRF lines |
$125.20–$175.98 | $147.29–$207.03 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$1,043.60–$4,254.93 | $1,227.76–$5,005.80 | varies |
| 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× |
| 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 (97163) | $293.07 | $344.79 | 3.0× |
| Pt eval low complex 20 min (97161) | $192.07 | $225.97 | 2.0× |
| Pt Eval Mod Complex (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 mechanical traction (97012) | $99.20 | $116.70 | 6.9× |
| Pt Re-Eval Est Plan Care (97164) range across 4 matching MRF lines |
$115.43–$459 | $135.80–$540 | varies |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $147.08 | $173.04 | 3.8× |
| Pure Tone Audiometry Air (92552) | $58.28 | $68.56 | 0.4× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) range across 2 matching MRF lines |
$65.33–$129.29 | $76.86–$152.11 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $501.38 | $589.86 | 4.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $247.99 | $291.75 | 5.2× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$98.29–$115.43 | $115.64–$135.80 | varies |
| 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× |
| Speech sound lang comprehen (92523) | $431.04 | $507.11 | 1.9× |
| Spirometry (94010) range across 3 matching MRF lines |
$89.30–$195.24 | $105.06–$229.69 | varies |
| 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) range across 2 matching MRF lines |
$38.78–$119.94 | $45.62–$141.10 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$34.26–$119.94 | $40.31–$141.10 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $383.25 | $450.88 | 3.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$63.73–$90.14 | $74.98–$106.05 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $348.73 | $410.27 | 1.6× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$115.43–$119.94 | $135.80–$141.10 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $48.25 | $56.77 | 1.2× |
| 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) range across 3 matching MRF lines |
$856.24–$2,043.42 | $1,007.34–$2,404.02 | varies |
| Tte W/O Doppler Complete (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/Pro/Dx Inj New Drug Addon (96375) | $141.13 | $166.04 | 2.9× |
| Upr/L Xtremity Art 2 Levels (93922) | $232.88 | $273.98 | 1.7× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $492.91 | $579.89 | 2.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $109.11 | $128.37 | 3.5× |
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.