Visits & medical services prices at Kossuth Regional Health Center

Algona, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acupunct W/Stimul 15 Min (97813) $32.40 $40.50 1.2×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $32.34 $40.43 1.2×
Advncd Care Plan 30 Min (99497) $138.40 $173 1.4×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$110.40–$111.55 $138–$139.44 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $88 $110 6.1×
Assessment of aphasia per hr (96105) $216 $270 2.2×
Biofeedback training any modality (90901) $139.20 $174 3.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $127.20 $159 0.4×
Canalith repositioning proc (95992) $93.60 $117 2.3×
Cardiac Stress Tst,Tracing Only (93017) $863.20 $1,079 4.2×
Cardiopulmonary resuscitation (92950) $736 $920 3.5×
Cardioversion (92960)
range across 2 matching MRF lines
$652–$1,372 $815–$1,715 varies
Chemo Hormon Antineopl Sq/Im (96402)
range across 2 matching MRF lines
$72.80–$84.80 $91–$106 varies
Chemo IV infusion addl hr (96415) $707.20 $884 10.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $432 $540 1.4×
Color/duplex Doppler, complete (93975) $875.20 $1,094 3.8×
Color/duplex Doppler, limited (93976) $540.80 $676 5.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $74.40 $93 2.3×
Continuous Pulse Ox (94762) $301.60 $377 2.4×
Critical care first hour (99291) $760.80 $951 1.0×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$122.40–$146.40 $153–$183 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $309.60 $387 1.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $656.80 $821 2.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $576 $720 5.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$566.40–$889.60 $708–$1,112 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$374.40–$619.20 $468–$774 varies
Duplex up extrem art bilat (93930) $588 $735 2.6×
Duplex up extrem art unilat/ltd (93931) $456 $570 4.5×
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines
$250.40–$848.80 $313–$1,061 varies
Electrical Stimulation Ea 15 Min (97032) $104.80 $131 7.1×
Electrocardiogram Tracing (93005) $113.60 $142 2.0×
Emergency Dept Visit Level 2 (99282) $160 $200 1.1×
Emergency Dept Visit Level 3 (99283) $225.60 $282 0.9×
Emergency Dept Visit Level 4 (99284) $320.80 $401 0.8×
Er level 1 (99281) $123.20 $154 1.5×
Er level v (99285) $480.80 $601 0.8×
Evaluate Speech Production (92522) $326.40 $408 2.9×
Evoked Auditory Test,Limited (92587) $48.80 $61 0.2×
External ECG rec>48hr<7d recording (93242) $472 $590 13.1×
External ECG rec>7d<15d recording (93246) $472 $590 13.1×
External Ecg Scanning Analysis Report (93226) $166.40 $208 2.9×
Extracranial Bilat Study (93880) $886.40 $1,108 3.9×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $435.20 $544 1.2×
Holter monitor recording (93225) $116.80 $146 0.9×
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028)
range across 2 matching MRF lines
$19.20–$23.20 $24–$29 varies
Im Adm Intransl/Oral 1 Vaccine (90473) $31.20 $39 0.5×
Immunization administration (90471)
range across 4 matching MRF lines
$4–$31.20 $5–$39 varies
Inital newborn e/m (99460) $169.60 $212 1.3×
Iontophoresis 15 min (97033) $98.40 $123 5.2×
Irrig Drug Delivery Device (96523) $64.80 $81 1.1×
IV infusion hydration each additional hour (96361) $156 $195 3.5×
IV infusion hydration initial 31 min-1 hour (96360) $432 $540 2.1×
IV infusion ther proph addl sequential to 1 hr (96367) $332 $415 4.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $317.60 $397 7.1×
IV push initial (96374) $196 $245 1.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$48–$55.20 $60–$69 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$56–$65.60 $70–$82 varies
Motility study esophagus (91010) $507.20 $634 1.4×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $259.20 $324 0.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $272.80 $341 0.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $276.80 $346 1.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $164.80 $206 0.4×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$85.60–$102.40 $107–$128 varies
Newborn resuscitation (99465) $392 $490 0.6×
Orthc/Prostc Mgmt Sbsq Enc (97763) $76 $95 1.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$94.40–$104.80 $118–$131 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $57.60 $72 2.8×
Ot Contrast Bath Ea 15 Min (97034) $76 $95 5.4×
Ot manual therapy 15 min (97140) $150.40 $188 5.4×
Ot paraffin bath (97018)
range across 2 matching MRF lines
$76–$88 $95–$110 varies
Ot Prosthetic Training, Each 15 Min (97761) $76 $95 1.9×
Ot rom hand (95852) $76 $95 3.6×
Phlebotomy therapeutic (99195) $435.20 $544 3.4×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $162.40 $203 2.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $162.40 $203 2.9×
Physical Performance Test (97750) $68.80 $86 2.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,094.40 $3,868 3.7×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $28.50 $35.63 0.6×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $38.81 $48.51 0.9×
Psych diag eval w/med srvcs (90792) $230.66 $288.33 1.4×
Psychiatric diagnostic evaluation (90791) $202.62 $253.27 1.2×
Psychological tst eval svc phys/qhp first hour (96130) $278.80 $348.50 1.3×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138)
range across 2 matching MRF lines
$77.60–$85.34 $97–$106.67 varies
Pt eval low complex 20 min (97161) $228.80 $286 2.3×
Pt gait training 15 min (97116) $85.60 $107 2.9×
Pt mechanical traction (97012) $88 $110 6.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $136 $170 0.7×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $81.60 $102 3.1×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $212.80 $266 1.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $106.40 $133 2.2×
Same day nb discharge (99463) $200.80 $251 1.6×
Self Care Mngment Training (97535) $88 $110 2.7×
Standardized Cognitive Performance Testing (96125) $230.40 $288 2.2×
Temp transcutaneous pacing (92953) $100.80 $126 0.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $180 $225 8.0×
Ther Ivntj Ea Addl 15 Min (97130) $84 $105 4.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $91.20 $114 3.1×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$43.55–$50.40 $54.44–$63 varies
Ther/Proph/Diag Iv Inf Init (96365) $432 $540 2.1×
Therapeutic Activities (97530) $89.60 $112 2.6×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $599.20 $749 1.7×
Tobacco Use Cessation Intensive >10 Minutes (99407) $88 $110 2.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$26.94–$27.20 $33.67–$34 varies
Trans Care Mgmt 14 Day Disch (99495)
range across 2 matching MRF lines
$332.91–$334.14 $416.14–$417.67 varies
Trans Care Mgmt 7 Day Disch (99496) $453.80 $567.25 3.5×
Tte w/doppler, complete (93306) $1,610.40 $2,013 3.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $225.60 $282 3.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $48 $60 1.1×
Unlisted cardiovascular service/procedure (93799) $801.60 $1,002 6.5×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$225.60–$647.20 $282–$809 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $647.20 $809 3.1×
Vasopneumatic device (97016) $88 $110 7.3×
Wheelchair Mgmt Ea 15 Min (97542) $76 $95 2.4×
Whirlpool Therapy (97022) $76 $95 4.8×

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.