Visits & medical services prices at Lakewood Health System
Staples, MN · every code in this section with a posted price and a Medicare benchmark.
191 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $52.70 | $85 | 1.8× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $24.80 | $40 | 0.6× |
| Advncd Care Plan 30 Min (99497) | $115.94 | $187 | 1.1× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$21.70–$129.58 | $35–$209 | varies |
| Anrct mano rct sensation&rct balo expulsion test (91125) | $555.52 | $896 | 1.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $53.94 | $87 | 3.8× |
| Application on-body injector (96377) | $43.40 | $70 | 0.9× |
| Behavral qualit analys voice (92524) | $186.62 | $301 | 1.7× |
| Brief Emotional/Behav Assmt (96127) | $27.90 | $45 | 0.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$54.56–$199.02 | $88–$321 | varies |
| Canalith repositioning proc (95992) | $55.18 | $89 | 1.4× |
| Car seat/bed test 60 min (94780) | $165.54 | $267 | 4.3× |
| Cardiac Stress Tst,Tracing Only (93017) | $519.56 | $838 | 2.3× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$347.82–$358.36 | $561–$578 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$140.12–$465 | $226–$750 | varies |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $32.86 | $53 | 0.8× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $13.64 | $22 | 0.4× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $37.20 | $60 | 1.4× |
| Cbt 1st hour (94644) | $105.40 | $170 | 0.8× |
| Chemo Anti-Neopl Sq/Im (96401) | $136.40 | $220 | 1.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $124 | $200 | 1.7× |
| Chemo intralesional up to 7 (96405) | $133.92 | $216 | 1.8× |
| Chemo IV infusion addl hr (96415) | $152.52 | $246 | 2.1× |
| Chemo IV push addl drug (96411) | $161.20 | $260 | 2.2× |
| Chemother Prolong Infuse W/Pump (96416) | $212.04 | $342 | 0.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $168.02 | $271 | 2.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $463.14 | $747 | 1.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $205.84 | $332 | 0.6× |
| Chest Wall Manipulation (94668) | $82.46 | $133 | 0.6× |
| Chron Care Mgmt Srvc 20 Min (99490) | $37.82 | $61 | 0.4× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$86.18–$445.16 | $139–$718 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$59.52–$193.44 | $96–$312 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $81.84 | $132 | 0.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $226.92 | $366 | 1.7× |
| Continuous Pulse Ox (94762) | $238.70 | $385 | 1.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$31–$283.96 | $50–$458 | varies |
| Cpt initial (94667) | $81.22 | $131 | 0.6× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$497.24–$1,780.02 | $802–$2,871 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$60.76–$127.10 | $98–$205 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$60.76–$239.94 | $98–$387 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $163.06 | $263 | 1.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$58.90–$368.90 | $95–$595 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$35.96–$251.72 | $58–$406 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$51.46–$657.82 | $83–$1,061 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$32.86–$380.06 | $53–$613 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$36.58–$451.36 | $59–$728 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$59.52–$362.08 | $96–$584 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$36.58–$251.10 | $59–$405 | varies |
| Echo Congenital Complete (93303) | $945.50 | $1,525 | 1.7× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$39.06–$401.14 | $63–$647 | varies |
| EEG awake and asleep (95819) | $88.66 | $143 | 0.4× |
| EEG cont rec w/video by tech min 8 channels (95700) | $489.18 | $789 | 2.2× |
| Electrical Stimulation Ea 15 Min (97032) | $50.22 | $81 | 3.4× |
| Electrocardiogram Tracing (93005) | $142.60 | $230 | 2.3× |
| Electroconvulsive Therapy (90870) | $181.66 | $293 | 0.2× |
| Emergency Dept Visit Level 2 (99282) | $101.06 | $163 | 0.6× |
| Emergency Dept Visit Level 3 (99283) | $150.04 | $242 | 0.5× |
| Emergency Dept Visit Level 4 (99284) | $246.76 | $398 | 0.6× |
| Er level 1 (99281) | $64.48 | $104 | 0.7× |
| Er level v (99285) | $343.48 | $554 | 0.6× |
| Evaluate pt use of inhaler (94664) | $129.58 | $209 | 0.6× |
| Evaluate Speech Production (92522) | $186.62 | $301 | 1.7× |
| Evaluate Swallowing Function (92610) | $166.16 | $268 | 2.0× |
| Evaluation of speech fluency (92521) | $186.62 | $301 | 1.4× |
| External ECG rec>48hr<7d recording (93242) | $158.10 | $255 | 4.1× |
| External ECG rec>7d<15d recording (93246) | $158.10 | $255 | 4.1× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$59.52–$618.14 | $96–$997 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$36.58–$268.46 | $59–$433 | varies |
| Health Behavior Assessment/Re-Assessment (96156) | $163.06 | $263 | 1.6× |
| Holter monitor recording (93225) | $158.10 | $255 | 1.2× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $13.16 | $21.22 | 0.2× |
| Immunization administration (90471) range across 2 matching MRF lines |
$13.16–$13.64 | $21.22–$22 | varies |
| Inital newborn e/m (99460) | $80.60 | $130 | 0.6× |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) | $6.82 | $11 | 0.2× |
| Iontophoresis 15 min (97033) | $75.64 | $122 | 4.0× |
| Irrig Drug Delivery Device (96523) | $54.56 | $88 | 0.9× |
| IV infusion hydration each additional hour (96361) | $94.24 | $152 | 1.9× |
| IV infusion hydration initial 31 min-1 hour (96360) | $368.90 | $595 | 1.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $103.54 | $167 | 1.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $103.54 | $167 | 2.1× |
| IV push initial (96374) range across 2 matching MRF lines |
$63.86–$143.22 | $103–$231 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$37.20–$135.16 | $60–$218 | varies |
| Mechanical chest wall oscillation per session (94669) | $135.16 | $218 | 0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $35.34 | $57 | 1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $35.34 | $57 | 1.0× |
| Motion Fluoroscopy/Swallow (92611) | $170.50 | $275 | 1.9× |
| Multiple Sleep Latency Test (95805) | $339.14 | $547 | 0.4× |
| Muscle Test One Limb (95860) | $182.90 | $295 | 1.3× |
| Nasopharyngoscopy (92511) | $236.84 | $382 | 1.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$255.44–$557.38 | $412–$899 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $255.44 | $412 | 0.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$53.94–$175.46 | $87–$283 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$58.90–$266.60 | $95–$430 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) | $393.08 | $634 | 1.0× |
| Nerve conduction studies 5-6 studies (95909) | $212.66 | $343 | 1.0× |
| Nerve Conduction Studies 9-10 Studies (95911) | $336.04 | $542 | 0.9× |
| Neurobehavioral Status Exam (96116) | $143.84 | $232 | 0.6× |
| Neuromuscular Reeducation (97112) | $80.60 | $130 | 2.5× |
| Newborn resuscitation (99465) | $205.22 | $331 | 0.3× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $54.56 | $88 | 1.6× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $197.78 | $319 | 0.5× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $296.98 | $479 | 0.8× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $190.96 | $308 | 1.4× |
| Ophth medical xm&eval intermediate estab pt (92012) | $128.34 | $207 | 0.9× |
| Oral Function Therapy (92526) | $119.66 | $193 | 1.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $48.36 | $78 | 1.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $52.70 | $85 | 1.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $49.60 | $80 | 2.2× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $70.68 | $114 | 3.2× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $91.76 | $148 | 4.1× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $112.84 | $182 | 5.1× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $132.68 | $214 | 6.0× |
| Ot eval high complexity (97167) | $124 | $200 | 1.2× |
| Ot Eval Low Complex (97165) | $97.96 | $158 | 1.0× |
| Ot Eval Moderate Complexity (97166) | $111.60 | $180 | 1.1× |
| Ot manual therapy 15 min (97140) | $80.60 | $130 | 2.9× |
| Ot paraffin bath (97018) | $31.62 | $51 | 5.3× |
| Ot Re-Eval Est Plan Care (97168) | $76.88 | $124 | 1.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $181.04 | $292 | 1.4× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $137.02 | $221 | 0.6× |
| Phlebotomy therapeutic (99195) | $138.26 | $223 | 1.0× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $56.42 | $91 | 0.9× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $42.16 | $68 | 0.7× |
| Plethysmography (94726) range across 3 matching MRF lines |
$18.60–$199.02 | $30–$321 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,038.56 | $3,288 | 2.3× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $21.70 | $35 | 0.4× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $38.44 | $62 | 0.4× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $12.40 | $20 | 0.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $14.26 | $23 | 0.3× |
| Psych diag eval w/med srvcs (90792) | $200.88 | $324 | 1.1× |
| Psychiatric diagnostic evaluation (90791) | $240.25 | $387.50 | 1.3× |
| Psychoanalysis (90845) | $109.12 | $176 | 0.6× |
| Psychological tst eval svc phys/qhp first hour (96130) | $176.08 | $284 | 0.8× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $70.68 | $114 | 0.5× |
| Psytx Crisis Initial 60 Min (90839) | $211.42 | $341 | 1.2× |
| Pt Eval High Complex (97163) | $142.60 | $230 | 1.5× |
| Pt eval low complex 20 min (97161) | $122.76 | $198 | 1.3× |
| Pt Eval Mod Complex (97162) | $130.82 | $211 | 1.3× |
| Pt gait training 15 min (97116) | $53.94 | $87 | 1.9× |
| Pt mechanical traction (97012) | $65.10 | $105 | 4.5× |
| Pt Re-Eval Est Plan Care (97164) | $69.44 | $112 | 1.0× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $6.82 | $11 | 0.2× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$18.60–$99.82 | $30–$161 | varies |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$60.14–$94.86 | $97–$153 | varies |
| Pulmonary Stress Testing (94618) | $110.98 | $179 | 0.8× |
| Pure Tone Audiometry Air (92552) | $34.10 | $55 | 0.2× |
| Refill/Maint Pump/Resvr Syst (96522) | $806 | $1,300 | 3.7× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $26.66 | $43 | 0.7× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $12.40 | $20 | 0.1× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $26.66 | $43 | 0.7× |
| Rem ther mntr dev sply resp (98976) | $26.66 | $43 | 0.7× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $12.40 | $20 | 0.1× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $24.18 | $39 | 0.6× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $31 | $50 | 0.6× |
| Respiratory flow volume loop (94375) | $278.38 | $449 | 1.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $133.92 | $216 | 0.6× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $171.74 | $277 | 1.4× |
| Same day nb discharge (99463) | $111.60 | $180 | 0.8× |
| Self Care Mngment Training (97535) | $47.12 | $76 | 1.5× |
| Sensory Integration Ea 15 Min (97533) | $97.34 | $157 | 1.6× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$197.16–$265.36 | $318–$428 | varies |
| Slp caregiver training 1st 30 min (97550) | $99.20 | $160 | 1.9× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $259.78 | $419 | 1.2× |
| Speech sound lang comprehen (92523) | $177.32 | $286 | 0.8× |
| Spirometry (94010) range across 3 matching MRF lines |
$35.34–$99.82 | $57–$161 | varies |
| Standardized Cognitive Performance Testing (96125) range across 3 matching MRF lines |
$102.92–$184.76 | $166–$298 | varies |
| Stress Tte Only (93350) | $746.48 | $1,204 | 1.3× |
| Surfactant Admin Thru Tube (94610) | $184.76 | $298 | 0.8× |
| Tensilon Test (95857) | $66.96 | $108 | 0.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $46.50 | $75 | 2.1× |
| Ther Ivntj Ea Addl 15 Min (97130) | $46.50 | $75 | 2.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $127.10 | $205 | 1.2× |
| Ther/Proph/Diag Inj Ia (96373) | $22.94 | $37 | 0.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$22.94–$63.24 | $37–$102 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $368.90 | $595 | 1.7× |
| Therapeutic Activities (97530) | $77.50 | $125 | 2.2× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $18.60 | $30 | 0.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$16.12–$19.22 | $26–$31 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $292.02 | $471 | 2.1× |
| Trans Care Mgmt 7 Day Disch (99496) | $394.94 | $637 | 2.9× |
| Tte w/doppler, complete (93306) | $1,240 | $2,000 | 2.2× |
| Tte W/O Doppler Complete (93307) | $489.18 | $789 | 2.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $214.52 | $346 | 2.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$26.66–$96.72 | $43–$156 | varies |
| Tympanometry (92567) | $34.10 | $55 | 0.9× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$18.60–$151.90 | $30–$245 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$33.48–$308.76 | $54–$498 | varies |
| Vent Mgmt Inpat Init Day (94002) | $538.16 | $868 | 0.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $422.22 | $681 | 0.7× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$50.84–$99.82 | $82–$161 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $36.58 | $59 | 1.2× |
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.