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.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $173.70 $193 0.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $126 $140 8.8×
Bedside Swallowing Eval (92610) $409.50 $455 4.8×
Behavioral and qualitative analysis of voice and resonance (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) $750.60 $834 3.0×
Color/duplex Doppler, limited (93976) $663.30 $737 6.1×
Cont Gluc Monitoring Patient Provided Equipment (95249) $120.60 $134 2.0×
Continuous Glucose Monitoring (95250) $319.50 $355 2.3×
Critical care (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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,384.20 $1,538 5.6×
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 scan extracranial art compl bi study (93880) $1,125.90 $1,251 4.6×
Echo Heart Xthoracic,Limited (93308) $1,482.30 $1,647 6.0×
Electrocardiogram Tracing (93005) $216 $240 3.5×
Er level 1 (99281) $247.50 $275 2.8×
Er level ii (99282) $317.70 $353 2.0×
Er level iii (99283) $477.90 $531 1.7×
Er level IV (99284) $853.20 $948 2.0×
Er level v (99285) $1,340.10 $1,489 2.2×
Eval speech sound production (92522) $369 $410 3.3×
Evaluation of speech fluency (92521) $369 $410 2.8×
Immunization Admin (90471) $78.30 $87 1.1×
Iontophoresis 15 min (97033) $151.20 $168 7.9×
Irrig drug delivery device (96523) $147.60 $164 2.4×
IV infusion hydration each additional hour (96361) $261 $290 5.4×
IV infusion hydration initial 31 min-1 hour (96360) $394.20 $438 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $306 $340 4.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $431.55 $479.50 2.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $182.70 $203 3.8×
IV push ea addl new drug (96375) $173.70 $193 3.6×
IV push initial (96374) $231.30 $257 1.1×
Manual therapy 15 min (97140) $264.60 $294 9.5×
Mechanical traction (97012) $138.60 $154 9.7×
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×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $601.20 $668 4.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $223.20 $248 4.8×
Ot eval high complex 60 min (97167) $480.60 $534 4.8×
Ot eval low complex 30 min (97165) $396 $440 3.9×
Ot eval mod complex 45 min (97166) $435.60 $484 4.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $135.90 $151 2.7×
Ot re-evaluation (97168) $264.60 $294 3.9×
Ot therapeutic activity 15 min (97530) $160.20 $178 4.6×
Paraffin bath pt (97018) $105.30 $117 17.5×
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 Electrical Stimulation (97032) $135.90 $151 9.2×
Pt eval high complex 45 min (97163) $480.60 $534 4.9×
Pt eval low complex 20 min (97161) $396 $440 4.0×
Pt eval mod complex 30 min (97162) $435.60 $484 4.5×
Pt gait training 15 min (97116) $139.50 $155 4.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $144.90 $161 4.4×
Pt re-evaluation (97164) $326.70 $363 4.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $157.50 $175 4.9×
Pulmonary stress test simple (94618) $271.80 $302 2.0×
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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $133.20 $148 6.3×
Therapeutic prophylactic/dx injection subq/im (96372) $118.80 $132 1.6×
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 Swallowing Dysfunction&/Oral Funcj Feeding (92526) $360.90 $401 4.3×
Upr/lxtr art stdy 3+ lvls (93923) $631.80 $702 2.8×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $898.20 $998 4.0×
Wheelchair Mgmt Ea 15 Min (97542) $138.60 $154 4.5×