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.

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ProcedureCash priceGross charge× Medicare
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $52.70 $85 1.8×
Advance care planning first 30 mins (99497) $115.94 $187 1.1×
Airway inhalation treatment (94640) $75.64 $122 0.3×
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×
Bedside Swallowing Eval (92610) $166.16 $268 2.0×
Behavioral and qualitative analysis of voice and resonance (92524) $186.62 $301 1.7×
Brief Emotional/Behavioral Assessment (96127) $27.90 $45 0.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $75.64 $122 0.2×
Canalith Repositioning Procedure (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) $353.09 $569.50 1.6×
Cardioversion (92960) $302.56 $488 0.4×
Care mgmt svc bhvl hlth cond (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 Hormon Antineopl Sq/Im (96402) $124 $200 1.7×
Chemo IV push addl drug (96411) $161.20 $260 2.2×
Chemo prolong 8+ hrs infuse w/pump (96416) $212.04 $342 0.6×
Chemother, IV infusion, 1 hr (96413) $463.14 $747 1.4×
Chemother, IV infusion, ea add hr (96415) $152.52 $246 2.1×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $136.40 $220 1.8×
Chemotherapy Administration Intralesional </7 (96405) $133.92 $216 1.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $168.02 $271 2.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $205.84 $332 0.6×
Chronic care management services 1st 20 min (99490) $37.82 $61 0.4×
Color/duplex Doppler, complete (93975) $265.67 $428.50 1.1×
Color/duplex Doppler, limited (93976) $126.48 $204 1.2×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $81.84 $132 0.4×
Continuous Glucose Monitoring (95250) $226.92 $366 1.7×
Cpap/bipap (94660) $157.48 $254 0.7×
Cpt initial (94667) $81.22 $131 0.6×
Critical care (99291) $1,138.63 $1,836.50 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $94.86 $153 0.5×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $150.35 $242.50 0.6×
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) $213.90 $345 0.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $143.84 $232 1.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $210.80 $340 0.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $143.84 $232 1.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $354.64 $572 1.4×
Dup-scan xtr veins unilateral/limited study (93971) $206.46 $333 1.9×
Duplex scan extracranial art compl bi study (93880) $338.83 $546.50 1.4×
Duplex Scan Hemodialysis Access (93990) $243.97 $393.50 2.3×
Echo Heart Xthoracic,Limited (93308) $220.10 $355 0.9×
Echo Transthoracic - Congenital Tte Complete (93303) $945.50 $1,525 1.7×
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×
Electrocardiogram Tracing (93005) $142.60 $230 2.3×
Electroconvulsive Therapy (90870) $181.66 $293 0.2×
EMG one extremity (95860) $182.90 $295 1.3×
Er level 1 (99281) $64.48 $104 0.7×
Er level ii (99282) $101.06 $163 0.6×
Er level iii (99283) $150.04 $242 0.5×
Er level IV (99284) $246.76 $398 0.6×
Er level v (99285) $343.48 $554 0.6×
Eval speech sound production (92522) $186.62 $301 1.7×
Evaluate Pt Use Of Inhaler (94664) $129.58 $209 0.6×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $171.74 $277 1.4×
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×
Health Behavior Assessment/Re-Assessment (96156) $163.06 $263 1.6×
Holter Monitor (93225) $158.10 $255 1.2×
Imm admn sarscov2 vaccine single dose (90480) $24.80 $40 0.6×
Immune Admin Oral/Nasal (90473) $13.16 $21.22 0.2×
Immunization Admin (90471) $13.40 $21.61 0.2×
Inital newborn e/m (99460) $80.60 $130 0.6×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) $111.60 $180 0.8×
Injection intra arterial (96373) $22.94 $37 0.1×
Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) $6.82 $11 0.2×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $184.76 $298 0.8×
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, therap/proph/diagnost,initial,1st hour (96365) $368.90 $595 1.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $103.54 $167 2.1×
IV push ea addl new drug (96375) $61.69 $99.50 1.3×
IV push initial (96374) $103.54 $167 0.5×
Manual therapy 15 min (97140) $80.60 $130 2.9×
Mechanical chest wall oscillation (94669) $135.16 $218 0.6×
Mechanical traction (97012) $65.10 $105 4.5×
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 Fluor Eval Swlng Funcj C/V Rec (92611) $170.50 $275 1.9×
Multiple Sleep Latency Test (95805) $339.14 $547 0.4×
Nasopharyngoscopy (92511) $236.84 $382 1.1×
Neg press wound tx >50 cm (97608) $255.44 $412 0.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $406.41 $655.50 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $111.29 $179.50 0.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $162.75 $262.50 0.4×
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×
Newborn resuscitation (99465) $205.22 $331 0.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $135.78 $219 1.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $238.70 $385 1.8×
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×
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 complex 60 min (97167) $124 $200 1.2×
Ot eval low complex 30 min (97165) $97.96 $158 1.0×
Ot eval mod complex 45 min (97166) $111.60 $180 1.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $48.36 $78 1.0×
Ot re-evaluation (97168) $76.88 $124 1.1×
Ot therapeutic activity 15 min (97530) $77.50 $125 2.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $181.04 $292 1.4×
Paraffin bath pt (97018) $31.62 $51 5.3×
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) $50.22 $81 0.1×
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×
Psycl tst eval phys/qhp 1st (96130) $176.08 $284 0.8×
Psycl/nrpsyc tst phy/qhp 1st (96136) $70.68 $114 0.5×
Psytx crisis initial 60 min (90839) $211.42 $341 1.2×
Pt Electrical Stimulation (97032) $50.22 $81 3.4×
Pt eval high complex 45 min (97163) $142.60 $230 1.5×
Pt eval low complex 20 min (97161) $122.76 $198 1.3×
Pt eval mod complex 30 min (97162) $130.82 $211 1.3×
Pt gait training 15 min (97116) $53.94 $87 1.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $80.60 $130 2.5×
Pt re-evaluation (97164) $69.44 $112 1.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $47.12 $76 1.5×
Pt-focused hlth risk assmt (96160) $6.82 $11 0.2×
Pulm function test by gas (94727) $59.21 $95.50 0.3×
Pulmonary Service/Procedure (94799) $77.50 $125 0.6×
Pulmonary stress test simple (94618) $110.98 $179 0.8×
Pure Tone Audiometry Air Only (92552) $34.10 $55 0.2×
Refill/Maint Pump/Resvr Syst (96522) $806 $1,300 3.7×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $12.40 $20 0.1×
Rem mntr physiol param dev (99454) $26.66 $43 0.7×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $12.40 $20 0.1×
Remote therapeutic monitoring (eg, therapy adherence, therapy response); device(s) supply with scheduled (eg, daily)… (98976) $26.66 $43 0.7×
Remote therapeutic monitoring (eg, therapy adherence, therapy response); device(s) supply with scheduled (eg, daily)… (98977) $26.66 $43 0.7×
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×
Rt Chest Wall Manipulation,Subsequent (94668) $82.46 $133 0.6×
Sensory Integration Ea 15 Min (97533) $97.34 $157 1.6×
Sleep study unattended (95806) $231.26 $373 1.0×
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×
Smoking cessation > 10 min (99407) $18.60 $30 0.5×
Speech sound lang comprehen (92523) $177.32 $286 0.8×
Spirometry (94010) $45.26 $73 0.2×
Standardized Cognitive Performance Testing (96125) $176.70 $285 1.7×
Stress echo (93350) $746.48 $1,204 1.3×
Tensilon test (95857) $66.96 $108 0.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $46.50 $75 2.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $46.50 $75 2.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $127.10 $205 1.2×
Therapeutic prophylactic/dx injection subq/im (96372) $43.09 $69.50 0.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $17.67 $28.50 0.5×
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 - Tte Complete No Doppler No Color (93307) $489.18 $789 2.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $214.52 $346 2.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $119.66 $193 1.4×
Tympanometry (92567) $34.10 $55 0.9×
Upr/lxtr art stdy 3+ lvls (93923) $171.12 $276 0.8×
Vasc Duplex Scan Extracranial,Limited (93882) $152.52 $246 1.4×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $86.18 $139 0.4×
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) $75.33 $121.50 0.6×
Wheelchair Mgmt Ea 15 Min (97542) $36.58 $59 1.2×