Visits & medical services prices at Lifecare Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $39.60 $45 0.9×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$52.80–$249.92 $60–$284 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $103.84 $118 7.2×
Application on-body injector (96377) $189.20 $215 3.9×
Behavral qualit analys voice (92524) $352 $400 3.2×
Brief Emotional/Behav Assmt (96127) $10.56 $12 0.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $434.72 $494 1.1×
Canalith repositioning proc (95992) $185.68 $211 4.6×
Car seat/bed test 60 min (94780) $85.36 $97 2.2×
Cardiac Stress Tst,Tracing Only (93017) $855.36 $972 3.8×
Cardiopulmonary resuscitation (92950) $913.44 $1,038 4.1×
Cardioversion (92960)
range across 2 matching MRF lines
$1,115.84–$1,584 $1,268–$1,800 varies
Cbt 1st hour (94644) $271.04 $308 2.0×
Chemo Anti-Neopl Sq/Im (96401) $287.76 $327 3.9×
Chemo Hormon Antineopl Sq/Im (96402) $187.44 $213 2.5×
Chemo IV infusion addl hr (96415) $285.12 $324 3.8×
Chemo IV push addl drug (96411) $294.80 $335 4.0×
Chemother Prolong Infuse W/Pump (96416) $543.84 $618 1.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $382.80 $435 5.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $690.80 $785 2.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $458.48 $521 1.3×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $481.36 $547 1.2×
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$84.48–$561.44 $96–$638 varies
Comprehensive Hearing Test (92557) $82.72 $94 0.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $625.68 $711 2.8×
Critical care first hour (99291) $1,290.96 $1,467 1.5×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$123.20–$482.24 $140–$548 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$404.80–$814.88 $460–$926 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$82.72–$1,109.68 $94–$1,261 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$51.04–$670.56 $58–$762 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$73.04–$1,129.92 $83–$1,284 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$266.64–$627.44 $303–$713 varies
Duplex Scan Hemodialysis Access (93990) $663.52 $754 6.1×
Duplex up extrem art bilat (93930) $1,014.64 $1,153 4.1×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$51.92–$684.64 $59–$778 varies
Echo Congenital Complete (93303) $1,557.60 $1,770 2.8×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$220–$733.04 $250–$833 varies
EEG awake and asleep (95819) $924.88 $1,051 4.2×
Eeg Sleep Only (95822) $1,012.88 $1,151 4.5×
Electrical Stimulation Ea 15 Min (97032) $115.28 $131 7.8×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$183.04–$232.32 $208–$264 varies
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$101.20–$168.08 $115–$191 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$154–$293.92 $175–$334 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$211.20–$451.44 $240–$513 varies
Er level 1 (99281)
range across 2 matching MRF lines
$30.80–$104.72 $35–$119 varies
Er level v (99285)
range across 2 matching MRF lines
$264–$645.92 $300–$734 varies
Evaluate Speech Production (92522) $284.24 $323 2.5×
Evaluate Swallowing Function (92610) $396.88 $451 4.7×
Evaluation of speech fluency (92521) $168.08 $191 1.3×
Evoked Auditory Test,Limited (92587) $271.04 $308 1.2×
External ECG rec>48hr<7d recording (93242)
range across 2 matching MRF lines
$25.52–$35.20 $29–$40 varies
External ECG rec>7d<15d recording (93246)
range across 2 matching MRF lines
$25.52–$35.20 $29–$40 varies
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$84.48–$958.32 $96–$1,089 varies
Extracranial Uni/Ltd Study (93882)
range across 2 matching MRF lines
$51.92–$587.84 $59–$668 varies
Holter monitor recording (93225) $40.48 $46 0.3×
Im Adm Intransl/Oral 1 Vaccine (90473) $37.84 $43 0.5×
Immunization administration (90471)
range across 2 matching MRF lines
$46.64–$48.40 $53–$55 varies
Inital newborn e/m (99460) $208.56 $237 1.5×
Iontophoresis 15 min (97033) $120.56 $137 6.3×
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$54.56–$204.16 $62–$232 varies
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$27.28–$144.32 $31–$164 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$69.52–$354.64 $79–$403 varies
IV infusion ther proph addl sequential to 1 hr (96367) $220 $250 3.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $186.56 $212 3.9×
IV push initial (96374)
range across 2 matching MRF lines
$79.20–$263.12 $90–$299 varies
Low frequency non-thermal us (97610) $243.76 $277 1.2×
Lung Function Test (Mbc/Mvv) (94200) $254.32 $289 4.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $80.96 $92 2.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $86.24 $98 2.3×
Methacholine challenge (94070) $637.12 $724 1.7×
Motion Fluoroscopy/Swallow (92611) $440 $500 4.8×
Multiple Family Group Psychotherapy (90849) $145.20 $165 0.8×
Nasopharyngoscopy (92511) $235.84 $268 1.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $772.64 $878 1.8×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $860.64 $978 2.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $550 $625 2.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $545.60 $620 1.3×
Neuromuscular Reeducation (97112) $129.36 $147 4.0×
Newborn resuscitation (99465)
range across 2 matching MRF lines
$317.68–$913.44 $361–$1,038 varies
Oral Function Therapy (92526) $277.20 $315 3.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $125.84 $143 2.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $144.32 $164 3.1×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $70.40 $80 3.2×
Osteopathic manipulative tx 3-4 body regions (98926) $102.08 $116 4.6×
Osteopathic manipulative tx 5-6 body regions (98927) $132.88 $151 6.0×
Osteopathic manipulative tx 7-8 body regions (98928) $161.04 $183 7.2×
Osteopathic manipulative tx 9-10 body regions (98929) $190.08 $216 8.5×
Ot eval high complexity (97167) $336.16 $382 3.3×
Ot Eval Low Complex (97165) $272.80 $310 2.7×
Ot Eval Moderate Complexity (97166) $299.20 $340 3.0×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$48.40–$133.76 $55–$152 varies
Ot paraffin bath (97018) $81.84 $93 13.6×
Ot Prosthetic Training, Each 15 Min (97761) $109.12 $124 2.7×
Ot Re-Eval Est Plan Care (97168) $182.16 $207 2.7×
Ot rom hand (95852) $61.60 $70 2.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $338.80 $385 2.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $371.36 $422 1.6×
Phlebotomy therapeutic (99195) $291.28 $331 2.1×
Physical Performance Test (97750) $134.64 $153 4.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,249.52 $4,829 4.8×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 2 matching MRF lines
$24.64–$49.28 $28–$56 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 2 matching MRF lines
$28.16–$59.84 $32–$68 varies
Psych diag eval w/med srvcs (90792)
range across 2 matching MRF lines
$145.20–$417.12 $165–$474 varies
Psychiatric diagnostic evaluation (90791)
range across 7 matching MRF lines
$265.76–$528 $302–$600 varies
Psychological tst eval svc phys/qhp first hour (96130) $282.48 $321 1.3×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $124.96 $142 0.9×
Psytx Crisis Initial 60 Min (90839) $285.12 $324 1.6×
Pt Eval High Complex (97163) $318.56 $362 3.3×
Pt eval low complex 20 min (97161) $277.20 $315 2.8×
Pt Eval Mod Complex (97162) $290.40 $330 3.0×
Pt gait training 15 min (97116) $125.84 $143 4.3×
Pt mechanical traction (97012) $115.28 $131 8.0×
Pt Re-Eval Est Plan Care (97164) $184.80 $210 2.7×
Pt ultraviolet (97028) $66.88 $76 8.0×
Pulm function test by gas (94727) $391.60 $445 1.8×
Pulmonary service/procedure (94799) $230.56 $262 1.7×
Pulmonary Stress Testing (94618) $312.40 $355 2.3×
Pure Tone Audiometry Air (92552) $89.76 $102 0.7×
Refill/Maint Portable Pump (96521) $491.92 $559 2.2×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $239.36 $272 3.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $315.92 $359 1.5×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $105.60 $120 4.1×
Same day nb discharge (99463) $243.76 $277 1.8×
Self Care Mngment Training (97535) $129.36 $147 4.0×
Sensory Integration Ea 15 Min (97533) $106.48 $121 1.8×
Sleep study unattended (95806) $833.36 $947 3.7×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $764.72 $869 3.4×
Speech sound lang comprehen (92523) $468.16 $532 2.1×
Spirometry (94010) $242 $275 1.1×
Standardized Cognitive Performance Testing (96125) $364.32 $414 3.5×
Stress Tte Only (93350) $1,496 $1,700 2.7×
Subcutaneous Infusion Each Additional Hour (96370) $104.72 $119 2.2×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $504.24 $573 2.3×
Temp transcutaneous pacing (92953) $68.64 $78 0.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $108.24 $123 4.8×
Ther Ivntj Ea Addl 15 Min (97130) $108.24 $123 5.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $140.80 $160 3.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $322.08 $366 3.1×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$31.68–$117.92 $36–$134 varies
Ther/Proph/Diag Iv Inf Init (96365) $428.56 $487 2.0×
Therapeutic Activities (97530) $138.16 $157 3.9×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$62.48–$108.24 $71–$123 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$32.56–$46.64 $37–$53 varies
Trans Care Mgmt 14 Day Disch (99495) $471.68 $536 3.4×
Trans Care Mgmt 7 Day Disch (99496) $639.76 $727 4.7×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$1,477.52–$1,973.84 $1,679–$2,243 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $278.08 $316 3.7×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$33.44–$146.08 $38–$166 varies
Tympanometry (92567) $36.08 $41 0.9×
Upr/L Xtremity Art 2 Levels (93922) $582.56 $662 4.2×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $807.84 $918 3.6×
Vasopneumatic device (97016) $92.40 $105 7.7×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$204.16–$1,450.24 $232–$1,648 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,318.24 $1,498 2.1×
Wheelchair Mgmt Ea 15 Min (97542) $110 $125 3.5×
Whirlpool Therapy (97022) $104.72 $119 6.7×

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.