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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $29.70 | $45 | 0.7× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$68.64–$82.50 | $104–$125 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$1,028.94–$1,050.06 | $1,559–$1,591 | varies |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$592.68–$613.80 | $898–$930 | varies |
| Cardioversion (92960) range across 5 matching MRF lines |
$499.62–$807.18 | $757–$1,223 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $85.14 | $129 | 1.1× |
| Chemo Hormon Antineopl Sq/Im (96402) | $85.14 | $129 | 1.1× |
| Chemo IV infusion addl hr (96415) | $163.02 | $247 | 2.2× |
| Chemo IV push addl drug (96411) | $131.34 | $199 | 1.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $213.84 | $324 | 2.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $654.06 | $991 | 1.9× |
| 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) range across 2 matching MRF lines |
$431.64–$533.28 | $654–$808 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $340.56 | $516 | 2.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$317.46–$345.18 | $481–$523 | varies |
| Critical care first hour (99291) range across 3 matching MRF lines |
$529.98–$1,448.70 | $803–$2,195 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$151.80–$304.26 | $230–$461 | varies |
| 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 Xtr Veins Complete Bilateral Study (93970) | $1,007.16 | $1,526 | 4.1× |
| Duplex up extrem art bilat (93930) | $958.98 | $1,453 | 3.9× |
| ECG/monitoring and analysis (93271) | $275.22 | $417 | 2.8× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$809.16–$820.38 | $1,226–$1,243 | varies |
| Electrocardiogram Tracing (93005) | $326.70 | $495 | 5.4× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$119.46–$295.02 | $181–$447 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$180.84–$478.50 | $274–$725 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$269.28–$793.98 | $408–$1,203 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$89.76–$189.42 | $136–$287 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$399.96–$1,061.28 | $606–$1,608 | varies |
| 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) range across 2 matching MRF lines |
$253.44–$262.02 | $384–$397 | varies |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$988.02–$1,007.82 | $1,497–$1,527 | varies |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) range across 2 matching MRF lines |
$35.64–$104.94 | $54–$159 | varies |
| Holter monitor recording (93225) range across 3 matching MRF lines |
$144.54–$266.64 | $219–$404 | varies |
| Immunization administration (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 therapy prophylaxis/dx ea hour (96366) | $95.70 | $145 | 2.0× |
| 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) range across 3 matching MRF lines |
$149.82–$153.78 | $227–$233 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$172.92–$181.50 | $262–$275 | varies |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $72.60 | $110 | 2.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$36.96–$97.02 | $56–$147 | varies |
| Ot eval high complexity (97167) | $196.02 | $297 | 1.9× |
| Ot Eval Low Complex (97165) | $163.68 | $248 | 1.6× |
| Ot Re-Eval Est Plan Care (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) range across 3 matching MRF lines |
$2,569.38–$2,648.58 | $3,893–$4,013 | varies |
| 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) range across 2 matching MRF lines |
$133.32–$276.54 | $202–$419 | varies |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$144.54–$252.78 | $219–$383 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$112.20–$147.84 | $170–$224 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) | $63.36 | $96 | 0.9× |
| Ther/Proph/Diag Iv Inf Init (96365) | $318.78 | $483 | 1.5× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,342.44–$1,370.16 | $2,034–$2,076 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $171.60 | $260 | 3.6× |
| Unlisted cardiovascular service/procedure (93799) range across 3 matching MRF lines |
$14.52–$163.02 | $22–$247 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $354.42 | $537 | 2.6× |
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.