Visits & medical services prices at Mineral Community Hospital
Superior, MT · every code in this section with a posted price and a Medicare benchmark.
63 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | — | $23.50 | — |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$49.92 | $25.85–$62.40 | 0.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$23.20–$64.80 | $29–$81 | varies |
| Behavral qualit analys voice (92524) | $216 | $270 | 2.0× |
| Cardiopulmonary resuscitation (92950) | $665.26 | $831.58 | 3.0× |
| Cardioversion (92960) | $526.61 | $658.26 | 0.8× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | — | $51 | — |
| Critical care first hour (99291) | $1,656 | $2,070 | 2.0× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$23.20–$64.80 | $29–$81 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$188 | $222.45–$235 | 3.1× |
| Emergency Dept Visit Level 2 (99282) | $312 | $390 | 2.0× |
| Emergency Dept Visit Level 3 (99283) | $516 | $645 | 1.9× |
| Emergency Dept Visit Level 4 (99284) | $873.60 | $1,092 | 2.0× |
| Er level 1 (99281) | $179.20 | $224 | 2.1× |
| Er level v (99285) | $1,316 | $1,645 | 2.2× |
| Evaluate Speech Production (92522) | $208 | $260 | 1.9× |
| Evaluate Swallowing Function (92610) | $403.20 | $504 | 4.8× |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$208–$220 | $260–$275 | varies |
| Immunization administration (90471) range across 9 matching MRF lines |
$68.06–$159.65 | $24.40–$199.56 | varies |
| Iontophoresis 15 min (97033) | $108 | $135 | 5.7× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$94.92–$124.80 | $118.65–$156 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$256.47–$304 | $320.59–$380 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$124.17–$141.60 | $155.21–$177 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$95.91–$104 | $119.89–$130 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$132.80–$133.12 | $166–$166.40 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $203.13 | $253.91 | 1.0× |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$91.20–$96 | $114–$120 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) | — | $128 | — |
| Nonphysician Telephone Assessment 21-30 Min (98968) | — | $190 | — |
| Nonphysician Telephone Assessment 5-10 Min (98966) | — | $65 | — |
| Oral Function Therapy (92526) | $195.20 | $244 | 2.3× |
| Ot eval high complexity (97167) | $212 | $265 | 2.1× |
| Ot Eval Low Complex (97165) | $189.60 | $237 | 1.9× |
| Ot Eval Moderate Complexity (97166) | $200 | $250 | 2.0× |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$70.40–$91.20 | $88–$114 | varies |
| Ot Re-Eval Est Plan Care (97168) | $123.20 | $154 | 1.8× |
| Phlebotomy therapeutic (99195) | $134.03 | $167.54 | 1.0× |
| Physical Performance Test (97750) | $83.20 | $104 | 2.5× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | — | $19.05 | — |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | — | $22.05 | — |
| Pt Eval High Complex (97163) | $228.80 | $286 | 2.3× |
| Pt eval low complex 20 min (97161) | $187.20 | $234 | 1.9× |
| Pt Eval Mod Complex (97162) | $208 | $260 | 2.1× |
| Pt gait training 15 min (97116) | $80 | $100 | 2.8× |
| Pt Re-Eval Est Plan Care (97164) | $128.80 | $161 | 1.9× |
| Pure Tone Audiometry Air (92552) | — | $87.55 | — |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $224 | $280 | 4.7× |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$80–$96 | $100–$120 | varies |
| Sensory Integration Ea 15 Min (97533) | $96 | $120 | 1.6× |
| Speech sound lang comprehen (92523) | $395.20 | $494 | 1.7× |
| Standardized Cognitive Performance Testing (96125) | $240.80 | $301 | 2.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $124.80 | $156 | 5.6× |
| Ther Ivntj Ea Addl 15 Min (97130) | $91.20 | $114 | 4.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$83.20–$87.20 | $41.70–$109 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$396.64–$486.40 | $495.80–$608 | varies |
| Therapeutic Activities (97530) range across 5 matching MRF lines |
$91.20–$96 | $114–$120 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | — | $60 | — |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | — | $30 | — |
| Trans Care Mgmt 14 Day Disch (99495) | — | $30 | — |
| Tte w/doppler, complete (93306) | $1,833.40 | $2,291.75 | 3.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $187.20 | $234 | 2.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$118.58–$124.80 | $148.23–$156 | varies |
| Tympanometry (92567) | — | $29.90 | — |
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.