Visits & medical services prices at CHI LakeWood Health

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $70.62 $107 0.3×
Cardiac Stress Tst,Tracing Only (93017) $1,039.50 $1,575 4.7×
Cardiopulmonary resuscitation (92950) $609.84 $924 2.7×
Cardioversion (92960) $514.80 $780 0.8×
Chemo Hormon Antineopl Sq/Im (96402) $85.14 $129 1.1×
Chemo IV push addl drug (96411) $131.34 $199 1.8×
Chemother, IV infusion, 1 hr (96413) $654.06 $991 1.9×
Chemother, IV infusion, ea add hr (96415) $163.02 $247 2.2×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $85.14 $129 1.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $213.84 $324 2.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $325.38 $493 1.0×
Color/duplex Doppler, complete (93975) $851.40 $1,290 3.5×
Color/duplex Doppler, limited (93976) $482.46 $731 4.5×
Continuous Glucose Monitoring (95250) $340.56 $516 2.5×
Cpap/bipap (94660) $331.32 $502 1.5×
Critical care (99291) $530.64 $804 0.6×
Debridement Open Wound 20 Sq Cm< (97597) $193.38 $293 0.9×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $267.30 $405 1.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,041.48 $1,578 4.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $958.98 $1,453 3.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,007.16 $1,526 4.1×
Duplex scan extracranial art compl bi study (93880) $997.92 $1,512 4.1×
Echo Heart Xthoracic,Limited (93308) $814.77 $1,234.50 3.3×
Electrocardiogram Tracing (93005) $326.70 $495 5.4×
Er level 1 (99281) $139.59 $211.50 1.6×
Er level ii (99282) $207.24 $314 1.3×
Er level iii (99283) $329.67 $499.50 1.2×
Er level IV (99284) $531.63 $805.50 1.2×
Er level v (99285) $730.62 $1,107 1.2×
External ECG rec>48hr<7d recording (93242) $186.78 $283 4.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $436.92 $662 3.2×
External ECG rec>7d<15d recording (93246) $186.78 $283 4.8×
External ECG rec>7d<15d scanning alys w/report (93247) $436.92 $662 3.2×
External Ecg Scanning Analysis Report (93226) $257.73 $390.50 4.2×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $70.29 $106.50 1.8×
Holter Monitor (93225) $149.82 $227 1.1×
Imm admn sarscov2 vaccine single dose (90480) $29.70 $45 0.7×
Immunization Admin (90471) $29.70 $45 0.4×
Irrig drug delivery device (96523) $128.70 $195 2.1×
IV infusion hydration each additional hour (96361) $102.30 $155 2.1×
IV infusion hydration initial 31 min-1 hour (96360) $306.24 $464 1.4×
IV infusion ther proph addl sequential to 1 hr (96367) $118.14 $179 1.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $318.78 $483 1.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $95.70 $145 2.0×
IV push ea addl new drug (96375) $171.60 $260 3.6×
IV push initial (96374) $188.76 $286 0.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $67.32 $102 2.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $66 $100 1.8×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $63.36 $96 3.7×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $461.34 $699 1.0×
Multiple Sleep Latency Test (95805) $1,743.72 $2,642 2.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $153.12 $232 0.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $172.92 $262 0.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $354.42 $537 2.6×
Nonphysician Telephone Assessment 21-30 Min (98968) $72.60 $110 2.1×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $66.99 $101.50 3.0×
Ot eval high complex 60 min (97167) $196.02 $297 1.9×
Ot eval low complex 30 min (97165) $163.68 $248 1.6×
Ot re-evaluation (97168) $129.36 $196 1.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $224.40 $340 1.7×
Phlebotomy therapeutic (99195) $271.92 $412 2.0×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $66 $100 1.1×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $66 $100 1.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,569.38 $3,893 2.9×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $2,436.72 $3,692 2.7×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $52.14 $79 1.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $69.30 $105 1.4×
Psychiatric diagnostic evaluation (90791) $204.93 $310.50 1.1×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $198.66 $301 5.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $130.02 $197 0.6×
Therapeutic prophylactic/dx injection subq/im (96372) $63.36 $96 0.9×
Tte w/doppler, complete (93306) $1,356.30 $2,055 2.4×
Unlisted Cardiovascular Service/Procedure (93799) $108.90 $165 0.8×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $275.22 $417 2.8×