Visits & medical services prices at Mayo Clinic Health System - New Prague

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $351.75 $469 3.3×
Ablate Heart Dysrhythm Focus (93650) $9,114.75 $12,153 1.1×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $142.50 $190 1.1×
Acoustic Reflex Testing (92568) $101.25 $135 2.6×
Actinotherapy Ultraviolet Light (96900) $66 $88 1.7×
Acupunct W/Stimul 15 Min (97813) $92.25 $123 3.0×
Admn Sarscov2 Vacc 1 Dose (90480) $35.25 $47 0.8×
Advncd Care Plan 30 Min (99497) $204.75 $273 1.9×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $405.75 $541 1.8×
Aep neurodiagnostic i&r (92653) $408 $544 1.8×
Aep threshold estimation mlt frequencies i&r (92652) $401.25 $535 1.8×
Airway Inhalation Treatment (94640) $180 $240 0.8×
Airway resistance by oscillometry (94728) $147 $196 1.1×
Analyze neurostim complex (95972)
range across 2 matching MRF lines
$282.75–$690 $377–$920 varies
Analyze Neurostim Simple (95971) $258 $344 2.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $33.75 $45 2.4×
Application on-body injector (96377) $74.25 $99 1.5×
Assessment of aphasia per hr (96105) $297 $396 3.1×
Audiometry Air & Bone (92553) $126 $168 0.9×
Behavral qualit analys voice (92524) $284.25 $379 2.6×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $156 $208 1.9×
Bfb training ea addl 15 min (90913) $129.75 $173 4.0×
Brief Emotional/Behav Assmt (96127) $29.25 $39 0.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $369 $492 0.9×
C motor evoked upr&lwr limbs (95939) $1,540.50 $2,054 1.7×
Canalith repositioning proc (95992) $216 $288 5.3×
Car seat/bed test 60 min (94780) $153.75 $205 3.9×
Cardiac Stress Tst,Tracing Only (93017) $369 $492 1.6×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$434.25–$1,053 $579–$1,404 varies
Cardioversion (92960)
range across 2 matching MRF lines
$716.25–$984 $955–$1,312 varies
Cardioversion elective internal (92961) $2,352 $3,136 3.4×
Care mgmt services behavioral hlth cond 20 mins (99484) $153 $204 3.9×
Caregiver hlth risk assmt score doc stnd instrm (96161) $39 $52 1.0×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $10,028.25 $13,371 3.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $8,033.25 $10,711 2.4×
Cbt 1st hour (94644) $271.50 $362 1.9×
Chemo Anti-Neopl Sq/Im (96401) $218.25 $291 2.9×
Chemo Hormon Antineopl Sq/Im (96402) $120 $160 1.6×
Chemo IV infusion addl hr (96415) $202.50 $270 2.7×
Chemo IV push addl drug (96411) $225.75 $301 3.0×
Chemother Prolong Infuse W/Pump (96416) $603 $804 1.7×
Chemotherapy Into Cns (96450) $211.50 $282 0.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $279 $372 3.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $616.50 $822 1.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $325.50 $434 0.9×
Chest Wall Manipulation (94668) $125.25 $167 0.9×
Chron Care Mgmt Srvc 20 Min (99490) $98.25 $131 0.9×
Color/duplex Doppler, limited (93976) $662.25 $883 6.0×
Community/Work Reintegration Trainj Ea 15 Min (97537) $64.50 $86 2.0×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $261.75 $349 1.4×
Comprehensive Hearing Test (92557) $183 $244 1.4×
Computerized Ophthalmic Imaging Retina (92134) $197.25 $263 3.2×
Conditioning Play Audiometry (92582) $180.75 $241 1.3×
Cont gluc mntr physician/qhp provided equiptment (95250) $475.50 $634 3.4×
Cont Gluc Mntr Pt Prov Eqp (95249) $276.75 $369 4.5×
Continuous Pulse Ox (94762) $238.50 $318 1.8×
Coronary Art/Grft Angio S&I (93455) $8,927.25 $11,903 2.6×
Coronary Artery Angio S&I (93454) $6,680.25 $8,907 2.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $796.50 $1,062 3.5×
Cpt initial (94667) $159.75 $213 1.1×
Critical care first hour (99291)
range across 4 matching MRF lines
$754.50–$4,755 $1,006–$6,340 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$80.25–$196.50 $107–$262 varies
Dialysis One Evaluation (90945) $1,666.50 $2,222 3.8×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $42 $56 0.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $612.75 $817 2.5×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $415.50 $554 3.8×
Duplex up extrem art unilat/ltd (93931) $675 $900 6.2×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $334.50 $446 2.5×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $519 $692 3.9×
ECG/monitoring and analysis (93271) $882.75 $1,177 8.9×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$704.25–$930.75 $939–$1,241 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,587.75 $2,117 2.8×
EEG awake drowsy (95816) $747 $996 3.3×
EEG cont rec w/video by tech min 8 channels (95700) $468.75 $625 2.1×
EEG extended monitoring 61-119 minutes (95813) $1,416.75 $1,889 6.3×
Electrical Stimulation Ea 15 Min (97032) $35.25 $47 2.4×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$27–$85.50 $36–$114 varies
Electrophysiology Evaluation (93642) $1,235.25 $1,647 1.0×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$176.25–$289.50 $235–$386 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines
$328.50–$473.25 $438–$631 varies
Emergency Dept Visit Level 4 (99284)
range across 3 matching MRF lines
$510.75–$780 $681–$1,040 varies
Ep & ablate supravent arrhyt (93653) $25,320 $33,760 0.9×
Ep & ablate ventric tachy (93654) $29,563.50 $39,418 1.1×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $10,624.50 $14,166 1.3×
Er level 1 (99281)
range across 2 matching MRF lines
$123.75–$157.50 $165–$210 varies
Er level v (99285)
range across 5 matching MRF lines
$704.25–$4,134 $939–$5,512 varies
Eval aud funcj cand/po surg implt dev 1st hr (92626) $248.25 $331 1.8×
Evaluate pt use of inhaler (94664) $158.25 $211 0.7×
Evaluate Speech Production (92522) $276.75 $369 2.5×
Evaluate Swallowing Function (92610) $456.75 $609 5.4×
Evaluation of speech fluency (92521) $204.75 $273 1.5×
Evoked Auditory Test,Limited (92587) $35.25 $47 0.2×
External Ecg Scanning Analysis Report (93226) $312 $416 5.0×
Flexible endoscopic eval swallow c/v rec (92612) $309.75 $413 1.6×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $873.75 $1,165 3.9×
Group Therapeutic Procedures (97150) $45.75 $61 2.5×
Health Behavior Assessment/Re-Assessment (96156) $354.75 $473 3.3×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $181.50 $242 4.6×
Health behavior ivntj indiv f2f 1st 30 min (96158) $114.75 $153 0.6×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $13,726.50 $18,302 4.0×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $723 $964 1.0×
Holter monitor recording (93225) $211.50 $282 1.5×
Icd Device Interrogate (93289) $204 $272 5.2×
Im Adm Intransl/Oral 1 Vaccine (90473) $31.50 $42 0.4×
Immunization administration (90471) $35.25 $47 0.5×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $277.50 $370 0.7×
Iontophoresis 15 min (97033) $62.25 $83 3.3×
Irrig Drug Delivery Device (96523) $105.75 $141 1.7×
IV infusion hydration each additional hour (96361) $66.75 $89 1.4×
IV infusion hydration initial 31 min-1 hour (96360) $224.25 $299 1.0×
IV infusion ther proph addl sequential to 1 hr (96367) $97.50 $130 1.3×
IV infusion therapy prophylaxis/dx ea hour (96366) $79.50 $106 1.6×
IV push initial (96374) $186.75 $249 0.8×
L Hrt Art/Grft Angio (93459) $10,058.25 $13,411 3.0×
Low frequency non-thermal us (97610) $256.50 $342 1.2×
Lung Function Test (Mbc/Mvv) (94200) $42.75 $57 0.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $48.75 $65 1.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $51.75 $69 1.4×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $24.75 $33 1.5×
Methacholine challenge (94070) $412.50 $550 1.1×
Motion Fluoroscopy/Swallow (92611) $426.75 $569 4.7×
Muscle Test 2 Limbs (95861) $322.50 $430 2.3×
Muscle Test Nonparaspinal (95870) $222 $296 1.6×
Nasopharyngoscopy (92511)
range across 2 matching MRF lines
$109.50–$270.75 $146–$361 varies
Needle Electromyography Cranial Nrv Muscle Bi (95868) $413.25 $551 1.8×
Needle electromyography larynx (95865) $164.25 $219 1.2×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $202.50 $270 0.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$442.50–$603.75 $590–$805 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$447.75–$597 $597–$796 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$151.50–$155.25 $202–$207 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$170.25–$354 $227–$472 varies
Neuromuscular Reeducation (97112) $71.25 $95 2.2×
Nitric oxide expired gas determination (95012) $99 $132 2.5×
Nonphysician Telephone Assessment 11-20 Min (98967) $86.25 $115 3.4×
Nonphysician Telephone Assessment 21-30 Min (98968) $125.25 $167 3.6×
Nonphysician Telephone Assessment 5-10 Min (98966) $55.50 $74 4.1×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $181.50 $242 1.3×
Ophth medical xm&eval intermediate estab pt (92012) $147.75 $197 1.1×
Oral Function Therapy (92526) $191.25 $255 2.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $122.25 $163 2.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $144.75 $193 3.1×
Ot eval high complexity (97167) $258 $344 2.6×
Ot Eval Low Complex (97165) $192 $256 1.9×
Ot Eval Moderate Complexity (97166) $194.25 $259 1.9×
Ot manual therapy 15 min (97140) $72 $96 2.6×
Ot paraffin bath (97018) $28.50 $38 4.7×
Ot Prosthetic Training, Each 15 Min (97761) $96.75 $129 2.4×
Ot Re-Eval Est Plan Care (97168) $128.25 $171 1.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $163.50 $218 1.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $190.50 $254 1.4×
Patch/Application Test Specify Number Tests (95044) $29.25 $39 0.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $337.50 $450 1.5×
Peripheral arterial disease rehab per session (93668) $217.50 $290 3.5×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $31,890.75 $42,521 1.7×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $10,026.75 $13,369 1.7×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $15,936 $21,248 1.3×
Phlebotomy therapeutic (99195) $182.25 $243 1.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $245.25 $327 4.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $247.50 $330 4.0×
Physical Performance Test (97750) $95.25 $127 2.8×
Plethysmography (94726) $363 $484 0.9×
Pm Device Progr Eval Sngl (93279) $126 $168 3.2×
Pm/Icd Remote Tech Serv (93296) $162.75 $217 4.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,894.25 $3,859 3.2×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $53.25 $71 1.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $39.75 $53 0.8×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $60.75 $81 1.2×
Prq Card Angio/Athrect 1 Art (92924) $17,601.75 $23,469 1.5×
Prq Card Stent W/Angio 1 Vsl (92928) $17,058.75 $22,745 1.4×
Prq Card Stent/Ath/Angio (92933) $20,223.75 $26,965 1.1×
Prq Revasc Byp Graft 1 Vsl (92937) $16,810.50 $22,414 1.4×
Prq trl rvs ch occ ant&rtrgr (92945) $20,083.50 $26,778 1.7×
Psych diag eval w/med srvcs (90792) $479.25 $639 2.6×
Psychiatric diagnostic evaluation (90791) $421.50 $562 2.3×
Psycl/Nrpsyc Tst Auto Result (96146) $14.25 $19 0.5×
Psytx Crisis Initial 60 Min (90839) $379.50 $506 2.0×
Pt Eval High Complex (97163) $216.75 $289 2.2×
Pt eval low complex 20 min (97161) $191.25 $255 2.0×
Pt Eval Mod Complex (97162) $202.50 $270 2.1×
Pt gait training 15 min (97116) $66.75 $89 2.3×
Pt mechanical traction (97012) $32.25 $43 2.2×
Pt Re-Eval Est Plan Care (97164) $129.75 $173 1.9×
Pulm function test by gas (94727) $213 $284 0.9×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$31.50–$423.75 $42–$565 varies
Pulmonary Stress Testing (94618) $186.75 $249 1.3×
Pure Tone Audiometry Air (92552) $81.75 $109 0.6×
R Hrt Art/Grft Angio (93457) $8,797.50 $11,730 2.6×
R hrt coronary artery angio (93456) $9,099 $12,132 2.7×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $8,673 $11,564 2.6×
R&L Hrt Cath W/Ventriclgrphy (93453) $10,417.50 $13,890 3.1×
Rapid Desensitization Procedure Each Hour (95180) $372.75 $497 0.8×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $453.75 $605 1.3×
Refill/Maint Portable Pump (96521) $310.50 $414 1.4×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $143.25 $191 3.7×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $46.50 $62 0.3×
Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) $143.25 $191 3.7×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $136.50 $182 3.5×
Remote 30 Day Ecg Rev/Report (93270) $213.75 $285 5.5×
Remote 30 Day Ecg Tech Supp (93229) $5,133.75 $6,845 13.1×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $52.50 $70 0.4×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $112.50 $150 2.7×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $119.25 $159 2.2×
Right Heart Cath (93451) $3,816 $5,088 1.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $119.25 $159 0.6×
Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) $68.25 $91 1.7×
Rtm tx mgmt 1 r-t ia comunicaj cal mo 1st 10 min (98979) $60 $80 2.3×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $411 $548 3.4×
Sbsq Psyc Collab Care Mgmt (99493) $259.50 $346 2.4×
Self Care Mngment Training (97535) $81 $108 2.5×
Sensory Integration Ea 15 Min (97533) $89.25 $119 1.5×
Sleep study unattended (95806) $954.75 $1,273 4.2×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800)
range across 2 matching MRF lines
$729–$987.75 $972–$1,317 varies
Somatosensory Testing (95938) $927.75 $1,237 1.0×
Speech Audiometry Complete (92556) $124.50 $166 2.0×
Speech audiometry threshold (92555) $71.25 $95 1.2×
Speech sound lang comprehen (92523) $543 $724 2.4×
Spirometry (94010) $181.50 $242 0.8×
Standardized Cognitive Performance Testing (96125) $353.25 $471 3.4×
Stenger Test, Pure Tone (92565) $52.50 $70 0.8×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$42.75–$848.25 $57–$1,131 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $96 $128 4.3×
Ther Ivntj Ea Addl 15 Min (97130) $81.75 $109 3.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $91.50 $122 2.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $47.25 $63 1.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $210.75 $281 2.1×
Ther/Prop/Diag Inj/Inf Proc (96379) $72 $96 1.5×
Ther/Proph/Diag Inj Sc/Im (96372) $60 $80 0.8×
Ther/Proph/Diag Iv Inf Init (96365) $240.75 $321 1.1×
Therapeutic Activities (97530) $85.50 $114 2.4×
Tobacco Use Cessation Intensive >10 Minutes (99407) $83.25 $111 2.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $20.25 $27 0.5×
Trans Care Mgmt 7 Day Disch (99496) $460.50 $614 3.3×
Tx atrial fib pulm vein isol (93656) $30,568.50 $40,758 1.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $155.25 $207 2.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $162 $216 6.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $102 $136 2.1×
Tympanometry (92567) $71.25 $95 1.8×
Tympanometry and reflex threshold measurements (92550) $120 $160 0.5×
Unlisted cardiovascular service/procedure (93799) $2,348.25 $3,131 17.4×
Unlisted Diagnostic Gastroenterology Procedure (91299) $1,311 $1,748 9.7×
Vasopneumatic device (97016) $41.25 $55 3.4×
Veeg 2-12 Hr Cont Mntr (95713) $4,139.25 $5,519 10.6×
Vent Mgmt Inpat Init Day (94002) $1,800 $2,400 2.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,471.50 $1,962 2.3×
Visual reinforcement audiometry (vra) (92579) $155.25 $207 0.7×
Vital capacity, total (94150) $152.25 $203 1.1×
Wheelchair Mgmt Ea 15 Min (97542) $45 $60 1.4×
Whirlpool Therapy (97022) $32.25 $43 2.1×

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.