Visits & medical services prices at Mahnomen Health
Mahnomen, MN · every code in this section with a posted price and a Medicare benchmark.
75 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$143.10–$262.80 | $159–$292 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $126 | $140 | 8.8× |
| Behavral qualit analys voice (92524) | $369 | $410 | 3.4× |
| Cardiopulmonary resuscitation (92950) | $1,029.60 | $1,144 | 4.6× |
| Cardioversion (92960) | $315.90 | $351 | 0.5× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$422.10–$1,079.10 | $469–$1,199 | varies |
| Color/duplex Doppler, limited (93976) | $663.30 | $737 | 6.1× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $319.50 | $355 | 2.3× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $120.60 | $134 | 2.0× |
| Critical care first hour (99291) | $1,924.20 | $2,138 | 2.3× |
| Debridement Open Wound 20 Sq Cm< (97597) | $374.40 | $416 | 1.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,384.20 | $1,538 | 5.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $953.10 | $1,059 | 8.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $934.20 | $1,038 | 3.8× |
| Dup-scan xtr veins unilateral/limited study (93971) | $630.90 | $701 | 5.8× |
| Duplex up extrem art bilat (93930) | $1,384.20 | $1,538 | 5.6× |
| Echo Heart Xthoracic,Limited (93308) | $1,482.30 | $1,647 | 6.0× |
| Electrical Stimulation Ea 15 Min (97032) | $135.90 | $151 | 9.2× |
| Electrocardiogram Tracing (93005) | $216 | $240 | 3.5× |
| Emergency Dept Visit Level 2 (99282) | $317.70 | $353 | 2.0× |
| Emergency Dept Visit Level 3 (99283) | $477.90 | $531 | 1.7× |
| Emergency Dept Visit Level 4 (99284) | $853.20 | $948 | 2.0× |
| Er level 1 (99281) | $247.50 | $275 | 2.8× |
| Er level v (99285) | $1,340.10 | $1,489 | 2.2× |
| Evaluate Speech Production (92522) | $369 | $410 | 3.3× |
| Evaluate Swallowing Function (92610) | $409.50 | $455 | 4.8× |
| Evaluation of speech fluency (92521) | $369 | $410 | 2.8× |
| Extracranial Bilat Study (93880) | $1,125.90 | $1,251 | 4.6× |
| Immunization administration (90471) range across 3 matching MRF lines |
$78.30–$106.20 | $87–$118 | varies |
| Iontophoresis 15 min (97033) | $151.20 | $168 | 7.9× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$129.60–$165.60 | $144–$184 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$230.40–$291.60 | $256–$324 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$347.40–$441 | $386–$490 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$196.20–$415.80 | $218–$462 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$169.20–$196.20 | $188–$218 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$217.80–$244.80 | $242–$272 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $898.20 | $998 | 4.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $27 | $30 | 0.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $27 | $30 | 0.7× |
| Multiple Sleep Latency Test (95805) | $2,832.30 | $3,147 | 3.2× |
| Neuromuscular Reeducation (97112) | $144.90 | $161 | 4.4× |
| Oral Function Therapy (92526) | $360.90 | $401 | 4.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $135.90 | $151 | 2.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $223.20 | $248 | 4.8× |
| Ot eval high complexity (97167) | $480.60 | $534 | 4.8× |
| Ot Eval Low Complex (97165) | $396 | $440 | 3.9× |
| Ot Eval Moderate Complexity (97166) | $435.60 | $484 | 4.3× |
| Ot manual therapy 15 min (97140) | $264.60 | $294 | 9.5× |
| Ot paraffin bath (97018) | $105.30 | $117 | 17.5× |
| Ot Re-Eval Est Plan Care (97168) | $264.60 | $294 | 3.9× |
| Phlebotomy therapeutic (99195) | $289.80 | $322 | 2.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,832.30 | $3,147 | 3.2× |
| Pt Eval High Complex (97163) | $480.60 | $534 | 4.9× |
| Pt eval low complex 20 min (97161) | $396 | $440 | 4.0× |
| Pt Eval Mod Complex (97162) | $435.60 | $484 | 4.5× |
| Pt gait training 15 min (97116) | $139.50 | $155 | 4.8× |
| Pt mechanical traction (97012) | $138.60 | $154 | 9.7× |
| Pt Re-Eval Est Plan Care (97164) | $326.70 | $363 | 4.8× |
| Pulmonary Stress Testing (94618) | $271.80 | $302 | 2.0× |
| Self Care Mngment Training (97535) | $157.50 | $175 | 4.9× |
| Sensory Integration Ea 15 Min (97533) | $137.70 | $153 | 2.3× |
| Speech sound lang comprehen (92523) | $369 | $410 | 1.6× |
| Temp transcutaneous pacing (92953) | $186.30 | $207 | 0.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $291.60 | $324 | 13.0× |
| Ther Ivntj Ea Addl 15 Min (97130) | $133.20 | $148 | 6.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $118.80 | $132 | 1.6× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$380.70–$482.40 | $423–$536 | varies |
| Therapeutic Activities (97530) | $160.20 | $178 | 4.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $123.30 | $137 | 3.2× |
| Tte w/doppler, complete (93306) | $3,985.20 | $4,428 | 7.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $351.90 | $391 | 4.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$113.40–$234 | $126–$260 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $601.20 | $668 | 4.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $631.80 | $702 | 2.8× |
| Wheelchair Mgmt Ea 15 Min (97542) | $138.60 | $154 | 4.5× |
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.