Visits & medical services prices at Mille Lacs Health System

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

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

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ProcedureCash priceGross charge× Medicare
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $32.90 $47 1.1×
Airway inhalation treatment (94640) $58.80 $84 0.3×
Analyze neurostim complex (95972) $122.50 $175 1.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $42.70 $61 3.0×
Application Modality 1/> Areas Infrared (97026) $18.20 $26 2.7×
Assessment of aphasia per hr (96105) $222.60 $318 2.3×
Bedside Swallowing Eval (92610) $224 $320 2.6×
Behavioral and qualitative analysis of voice and resonance (92524) $212.80 $304 1.9×
Canalith Repositioning Procedure (95992) $70 $100 1.7×
Cardiac Stress Tst,Tracing Only (93017) $651 $930 2.9×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) $42.70 $61 1.9×
Chiropractic manipulative treatment (CMT); spinal, 3-4 regions Facility (98941) $52.50 $75 2.3×
Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) $80.50 $115 3.6×
Color/duplex Doppler, complete (93975) $56 $80 0.2×
Color/duplex Doppler, limited (93976) $368.90 $527 3.4×
Continuous Glucose Monitoring (95250) $165.20 $236 1.2×
Cpap/bipap (94660) $548.10 $783 2.4×
Critical care (99291) $553.70 $791 0.6×
Debridement Open Wound 20 Sq Cm< (97597) $184.80 $264 0.9×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $489.30 $699 2.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $332.50 $475 3.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $156.80 $224 0.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $95.20 $136 0.9×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $781.55 $1,116.50 3.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $821.80 $1,174 7.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $571.20 $816 2.3×
Dup-scan xtr veins unilateral/limited study (93971) $87.50 $125 0.8×
Duplex scan extracranial art compl bi study (93880) $732.55 $1,046.50 2.9×
Echo Heart Xthoracic,Limited (93308) $446.60 $638 1.8×
Electrocardiogram Tracing (93005) $63.70 $91 1.0×
Er level ii (99282) $256.20 $366 1.6×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $66.50 $95 0.2×
Eval speech sound production (92522) $212.80 $304 1.9×
Evaluation of speech fluency (92521) $243.60 $348 1.8×
Exercise tst brncspsm (94617) $396.20 $566 2.8×
External ECG rec>48hr<7d recording (93242) $131.60 $188 3.4×
External ECG rec>48hr<7d scanning alys w/report (93243) $417.90 $597 3.0×
External ECG rec>7d<15d recording (93246) $196.70 $281 5.0×
External ECG rec>7d<15d scanning alys w/report (93247) $469.70 $671 3.4×
External Ecg Scanning Analysis Report (93226) $382.20 $546 6.2×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $112 $160 0.3×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $96.60 $138 0.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $170.80 $244 0.2×
Group Therapeutic Procedures (97150) $61.60 $88 3.4×
Holter Monitor (93225) $394.10 $563 2.8×
Imm admn sarscov2 vaccine single dose (90480) $15.40 $22 0.4×
Immune Admin Oral/Nasal (90473) $15.40 $22 0.2×
Inital newborn e/m (99460) $203.70 $291 1.5×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) $329.70 $471 2.4×
Injection intra arterial (96373) $85.40 $122 0.4×
Iontophoresis 15 min (97033) $86.45 $123.50 4.5×
IV infusion hydration each additional hour (96361) $87.50 $125 1.8×
IV infusion hydration initial 31 min-1 hour (96360) $276.50 $395 1.2×
IV infusion ther proph addl sequential to 1 hr (96367) $212.80 $304 2.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $390.95 $558.50 1.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $113.40 $162 2.3×
IV push ea addl new drug (96375) $116.90 $167 2.4×
IV push initial (96374) $117.60 $168 0.5×
Manual therapy 15 min (97140) $109.90 $157 4.0×
Massage 15 min (97124) $84 $120 2.8×
Mechanical traction (97012) $43.05 $61.50 3.0×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $47.60 $68 2.8×
Motility study esophagus (91010) $117.60 $168 0.3×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $257.60 $368 2.8×
Multiple Sleep Latency Test (95805) $2,036.30 $2,909 2.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $333.20 $476 1.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $493.15 $704.50 1.2×
Neurobehavioral Status Exam (96116) $212.80 $304 0.9×
Newborn resuscitation (99465) $746.55 $1,066.50 1.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $32.20 $46 0.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $301 $430 2.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $119.35 $170.50 2.6×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $29.40 $42 1.3×
Osteopathic manipulative tx 3-4 body regions (98926) $35.70 $51 1.6×
Osteopathic manipulative tx 5-6 body regions (98927) $45.50 $65 2.0×
Osteopathic manipulative tx 7-8 body regions (98928) $49 $70 2.2×
Osteopathic manipulative tx 9-10 body regions (98929) $54.60 $78 2.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $104.30 $149 3.3×
Ot Contrast Bath Ea 15 Min (97034) $53.55 $76.50 3.8×
Ot eval high complex 60 min (97167) $233.80 $334 2.3×
Ot eval low complex 30 min (97165) $233.80 $334 2.3×
Ot eval mod complex 45 min (97166) $233.80 $334 2.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $93.80 $134 1.9×
Ot Prosthetic Training, Each 15 Min (97761) $99.40 $142 2.5×
Ot re-evaluation (97168) $194.60 $278 2.8×
Ot therapeutic activity 15 min (97530) $111.65 $159.50 3.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $220.50 $315 1.6×
Paraffin bath pt (97018) $70 $100 11.6×
Peripheral arterial disease rehab per session (93668) $161 $230 2.6×
Pm device eval in person (93288) $176.40 $252 4.5×
Pm device progr eval dual (93280) $176.40 $252 4.5×
Pm device progr eval sngl (93279) $176.40 $252 4.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,404.85 $3,435.50 2.7×
Psych diag eval w/med srvcs (90792) $320.60 $458 1.7×
Psychiatric diagnostic evaluation (90791) $277.90 $397 1.5×
Psycl tst eval phys/qhp 1st (96130) $155.40 $222 0.7×
Psycl/nrpsyc tst phy/qhp 1st (96136) $63.70 $91 0.5×
Pt Electrical Stimulation (97032) $71.75 $102.50 4.9×
Pt eval high complex 45 min (97163) $226.10 $323 2.3×
Pt eval low complex 20 min (97161) $226.10 $323 2.3×
Pt eval mod complex 30 min (97162) $226.10 $323 2.3×
Pt gait training 15 min (97116) $95.20 $136 3.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $110.25 $157.50 3.4×
Pt Physical Performance Test (97750) $105 $150 3.1×
Pt re-evaluation (97164) $193.20 $276 2.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $107.45 $153.50 3.3×
Pt Whirlpool Therapy (97022) $102.20 $146 6.5×
Pulmonary stress test simple (94618) $90.30 $129 0.6×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $241.50 $345 6.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $174.30 $249 0.8×
Sensory Integration Ea 15 Min (97533) $101.15 $144.50 1.7×
Sleep study unattended (95806) $739.20 $1,056 3.3×
Smoking cessation > 10 min (99407) $25.20 $36 0.6×
Speech sound lang comprehen (92523) $368.90 $527 1.6×
Spirometry (94010) $135.80 $194 0.6×
Standardized Cognitive Performance Testing (96125) $319.90 $457 3.1×
Stress echo (93350) $1,155.70 $1,651 2.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $88.20 $126 3.9×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $88.20 $126 4.2×
Therapeutic prophylactic/dx injection subq/im (96372) $39.90 $57 0.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $8.40 $12 0.2×
Trans Care Mgmt 14 Day Disch (99495) $163.10 $233 1.2×
Trans Care Mgmt 7 Day Disch (99496) $280.70 $401 2.0×
Tte w/doppler, complete (93306) $1,907.15 $2,724.50 3.3×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $973.70 $1,391 3.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $249.90 $357 3.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $230.65 $329.50 2.7×
Unlisted Cardiovascular Service/Procedure (93799) $337.75 $482.50 2.5×
Vasopneumatic device (97016) $53.20 $76 4.4×
Wheelchair Mgmt Ea 15 Min (97542) $100.80 $144 3.2×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $252 $360 4.1×