Visits & medical services prices at North Memorial Health - Maple Grove Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $6,403.05 $12,150 0.8×
Admn Sarscov2 Vacc 1 Dose (90480) $57.44 $109 1.3×
Airway Inhalation Treatment (94640) $182.34 $346 0.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $36.89 $70 2.6×
Application on-body injector (96377) $79.58 $151 1.6×
Behavral qualit analys voice (92524) $178.65 $339 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $362.58 $688 0.9×
Canalith repositioning proc (95992) $75.36 $143 1.8×
Cardiac Stress Tst,Tracing Only (93017) $461.65 $876 2.0×
Cardiopulmonary resuscitation (92950) $436.36 $828 1.9×
Cardioversion (92960) $926.47 $1,758 1.3×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $4,430.49 $8,407 1.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $4,147.49 $7,870 1.2×
Cbt 1st hour (94644) $142.82 $271 1.0×
Chemo Anti-Neopl Sq/Im (96401) $136.49 $259 1.8×
Chemo IV infusion addl hr (96415) $178.65 $339 2.4×
Chemo IV push addl drug (96411) $164.95 $313 2.2×
Chemother Prolong Infuse W/Pump (96416) $434.77 $825 1.3×
Chemotherapy Into Cns (96450) $340.97 $647 1.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $242.42 $460 3.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $433.72 $823 1.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $386.29 $733 1.1×
Chest Wall Manipulation (94668) $139.65 $265 1.0×
Color/duplex Doppler, complete (93975) $457.96 $869 1.8×
Color/duplex Doppler, limited (93976) $273.51 $519 2.5×
Continuous Pulse Ox (94762) $160.73 $305 1.2×
Coronary Art/Grft Angio S&I (93455) $3,692.69 $7,007 1.1×
Coronary Artery Angio S&I (93454) $3,819.17 $7,247 1.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $248.74 $472 1.1×
Cpt initial (94667)
range across 2 matching MRF lines
$186.03–$187.08 $353–$355 varies
Critical care first hour (99291) $1,432.91 $2,719 1.7×
Debridement Open Wound 20 Sq Cm< (97597) $254.54 $483 1.2×
Dialysis One Evaluation (90945) $645.05 $1,224 1.5×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $347.82 $660 1.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $218.70 $415 2.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $384.71 $730 1.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $242.95 $461 2.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $434.77 $825 1.7×
Dup-scan xtr veins unilateral/limited study (93971) $244.53 $464 2.2×
Duplex Scan Hemodialysis Access (93990) $308.82 $586 2.8×
Duplex up extrem art bilat (93930) $420.02 $797 1.7×
Duplex up extrem art unilat/ltd (93931) $283 $537 2.6×
Echo Congenital Complete (93303) $874.29 $1,659 1.5×
Echo Heart Xthoracic,Limited (93308) $381.55 $724 1.5×
Echo transesophageal (93312) $963.88 $1,829 1.7×
Echo Transesophageal - Congenital Tee Complete (93315) $699.33 $1,327 1.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $706.18 $1,340 1.2×
Eeg 41-60 Minutes (95812) $430.03 $816 1.9×
EEG awake and asleep (95819) $430.03 $816 1.9×
EEG awake drowsy (95816) $443.21 $841 2.0×
EEG cerebral death evaluation (95824) $752.56 $1,428 1.9×
EEG extended monitoring 61-119 minutes (95813) $430.03 $816 1.9×
Eeg Sleep Only (95822) $430.03 $816 1.9×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $430.03 $816 1.9×
EEG wo vid ea 12-26hr unmntr (95708) $752.56 $1,428 1.9×
Electrical Stimulation Ea 15 Min (97032) $47.43 $90 3.2×
Electrocardiogram Tracing (93005) $98.02 $186 1.6×
Electrophysiology Evaluation (93642) $1,370.73 $2,601 1.1×
Emergency Dept Visit Level 2 (99282) $205.53 $390 1.3×
Emergency Dept Visit Level 3 (99283) $338.33 $642 1.2×
Emergency Dept Visit Level 4 (99284) $558.09 $1,059 1.3×
Ep & ablate supravent arrhyt (93653) $24,815.90 $47,089 0.9×
Ep & ablate ventric tachy (93654) $23,507.89 $44,607 0.9×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $7,979.31 $15,141 1.0×
Ep Esophageal Recording Atria+Pacing (93616) $1,088.25 $2,065 0.9×
Er level 1 (99281) $127.53 $242 1.4×
Er level v (99285) $740.96 $1,406 1.2×
Evaluate pt use of inhaler (94664) $173.91 $330 0.8×
Evaluate Speech Production (92522) $190.77 $362 1.7×
Evaluate Swallowing Function (92610) $177.07 $336 2.1×
Evaluation of speech fluency (92521)
range across 2 matching MRF lines
$372.59–$414.22 $707–$786 varies
Extracranial Bilat Study (93880) $345.18 $655 1.4×
F-up/limited tthrc echo congenital car anomaly (93304) $699.33 $1,327 1.2×
Flexible endoscopic eval swallow c/v rec (92612) $294.07 $558 1.5×
Group Therapeutic Procedures (97150) $35.84 $68 2.0×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $4,294 $8,148 1.3×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,372.83 $2,605 1.9×
Icd Device Interrogate (93289) $78.52 $149 2.0×
Icd device progr eval dual (93283) $129.64 $246 3.3×
Icd Device Progr Eval Mult (93284) $129.64 $246 3.3×
Ilr Device Eval Progr (93285) $51.65 $98 1.3×
Ilr Device Interrogate (93291) $57.97 $110 1.9×
Immunization administration (90471) $54.81 $104 0.7×
Insert/Place Heart Catheter (93503) $1,533.57 $2,910 0.9×
Interrogate Subq Defib (93261) $46.38 $88 1.2×
Intracranial Complete Study (93886) $457.44 $868 1.8×
Intraventricular pacing (93612) $7,281.56 $13,817 0.9×
Irrig Drug Delivery Device (96523) $217.65 $413 3.5×
IV infusion hydration each additional hour (96361) $84.32 $160 1.7×
IV infusion hydration initial 31 min-1 hour (96360) $264.55 $502 1.2×
IV infusion ther proph addl sequential to 1 hr (96367) $130.17 $247 1.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $120.68 $229 2.5×
IV push initial (96374) $233.99 $444 1.1×
L Hrt Art/Grft Angio (93459) $4,576.99 $8,685 1.3×
Lwr Xtr Vasc Stdy Bilat (93924) $374.17 $710 1.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $48.48 $92 1.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $49.54 $94 1.3×
Methacholine challenge (94070) $545.97 $1,036 1.4×
Motion Fluoroscopy/Swallow (92611) $253.49 $481 2.8×
Nasopharyngoscopy (92511) $242.42 $460 1.2×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$67.98–$68.51 $129–$130 varies
Oral Function Therapy (92526)
range across 2 matching MRF lines
$164.42–$164.95 $312–$313 varies
Oral Speech Device Eval (92597) $212.91 $404 3.0×
Orthc/Prostc Mgmt Sbsq Enc (97763) $63.24 $120 1.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $123.32 $234 2.7×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $11.59 $22 0.5×
Ot eval high complexity (97167) $199.21 $378 2.0×
Ot Eval Low Complex (97165) $145.98 $277 1.5×
Ot Eval Moderate Complexity (97166) $155.46 $295 1.5×
Ot manual therapy 15 min (97140) $84.85 $161 3.1×
Ot Re-Eval Est Plan Care (97168) $105.40 $200 1.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $169.17 $321 1.3×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $167.06 $317 1.2×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $211.33 $401 0.9×
Perq Transcath Cls Aortic (93591) $20,198.33 $38,327 1.1×
Perq Transcath Cls Mitral (93590) $20,198.33 $38,327 1.1×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $7,541.90 $14,311 1.3×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $12,739.70 $24,174 1.1×
Phlebotomy therapeutic (99195) $226.08 $429 1.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $135.44 $257 2.2×
Plethysmography (94726) $296.70 $563 0.8×
Pm device eval in person (93288) $81.16 $154 2.1×
Pm device progr eval dual (93280) $129.64 $246 3.3×
Pm device progr eval multi (93281) $129.64 $246 3.3×
Pm Device Progr Eval Sngl (93279) $145.45 $276 3.7×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $43.21 $82 1.1×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $133.86 $254 3.4×
Prq Card Angio/Athrect 1 Art (92924) $10,793.49 $20,481 0.9×
Prq Card Stent W/Angio 1 Vsl (92928) $10,626.95 $20,165 0.9×
Prq Revasc Byp Graft 1 Vsl (92937) $10,626.95 $20,165 0.9×
Pt Eval High Complex (97163) $193.94 $368 2.0×
Pt eval low complex 20 min (97161) $145.98 $277 1.5×
Pt Eval Mod Complex (97162) $155.46 $295 1.6×
Pt gait training 15 min (97116) $61.66 $117 2.1×
Pt Re-Eval Est Plan Care (97164) $113.83 $216 1.7×
Pulmonary Stress Testing (94618) $198.15 $376 1.4×
R Hrt Art/Grft Angio (93457) $4,457.37 $8,458 1.3×
R hrt coronary artery angio (93456) $4,221.27 $8,010 1.2×
Refill/Maint Portable Pump (96521) $271.93 $516 1.2×
Right Heart Cath (93451) $3,630.50 $6,889 1.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $184.45 $350 0.9×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $220.29 $418 1.8×
Self Care Mngment Training (97535) $66.40 $126 2.0×
Short-latency somatosens ep std upr limbs (95925) $386.29 $733 1.7×
Speech sound lang comprehen (92523) $323.58 $614 1.4×
Spin/Brain Pump Refil & Main (95991) $386.29 $733 1.2×
Spirometry (94010) $168.64 $320 0.7×
Ssep lower limbs (95926) $350.45 $665 1.5×
Surfactant Admin Thru Tube (94610) $248.74 $472 1.1×
Temp transcutaneous pacing (92953) $545.44 $1,035 0.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $34.78 $66 1.6×
Ther Ivntj Ea Addl 15 Min (97130) $31.62 $60 1.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $162.84 $309 1.6×
Ther/Proph/Diag Inj Sc/Im (96372) $94.33 $179 1.3×
Ther/Proph/Diag Iv Inf Init (96365) $293.54 $557 1.3×
Therapeutic Activities (97530) $70.09 $133 2.0×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $832.13 $1,579 2.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $35.31 $67 0.9×
Transcath Closure of Asd (93580) $18,097.71 $34,341 0.9×
Tte w/doppler, complete (93306) $783.65 $1,487 1.4×
Tx atrial fib pulm vein isol (93656) $23,507.89 $44,607 0.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines
$172.86–$173.38 $328–$329 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $81.16 $154 1.7×
Unlisted cardiovascular service/procedure (93799) $202.37 $384 1.5×
Upr/L Xtremity Art 2 Levels (93922) $240.31 $456 1.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $310.93 $590 1.4×
Valvuloplasty aortic valve (92986) $6,583.81 $12,493 1.1×
Veeg 2-12 hr unmonitored (95711) $430.03 $816 1.9×
Veeg Ea 12-26 Hr Unmntr (95714) $753.08 $1,429 1.9×
Vent Mgmt Inpat Init Day (94002) $794.19 $1,507 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $747.29 $1,418 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $59.02 $112 1.9×

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.