Visits & medical services prices at Mitchell County Regional Health

Osage, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines
$30.74–$32.18 $34.15–$35.75 varies
Advncd Care Plan 30 Min (99497) $213.53 $237.25 2.2×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$84.20–$131.04 $93.55–$145.60 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $120.25 $133.61 8.4×
Assessment of aphasia per hr (96105) $182.57 $202.85 1.9×
Behavral qualit analys voice (92524) $202.68 $225.20 1.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$40.77–$443.43 $45.30–$492.70 varies
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$141.48–$161.46 $157.20–$179.40 varies
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines
$721.13–$819.95 $801.25–$911.05 varies
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$980.69–$987.03 $1,089.65–$1,096.70 varies
Cardioversion (92960) $1,022.58 $1,136.20 1.6×
Care mgmt services behavioral hlth cond 20 mins (99484) $117.45 $130.50 3.3×
Cbt 1st hour (94644) $198.64 $220.71 1.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $278.73 $309.70 0.9×
Chest Wall Manipulation (94668) $180.36 $200.40 1.4×
Cmptr ophth dx img ant segmt (92132) $152.42 $169.35 2.7×
Color/duplex Doppler, complete (93975) $996.08 $1,106.75 4.3×
Computerized Ophthalmic Imaging Optic Nerve (92133) $152.42 $169.35 2.7×
Computerized Ophthalmic Imaging Retina (92134) $152.42 $169.35 2.7×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$98.55–$337.05 $109.50–$374.50 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$488.70–$587.21 $543–$652.45 varies
Cpt initial (94667) $243.28 $270.31 1.9×
Critical care first hour (99291)
range across 2 matching MRF lines
$1,107.72–$1,114.02 $1,230.80–$1,237.80 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$162.59–$474.53 $180.65–$527.25 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $995.67 $1,106.30 4.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,242.77 $1,380.85 5.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $740.48 $822.75 7.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,183.28 $1,314.75 5.2×
Dup-scan xtr veins unilateral/limited study (93971) $867.47 $963.85 8.6×
Duplex up extrem art unilat/ltd (93931) $740.48 $822.75 7.4×
Echo Congenital Complete (93303) $2,262.87 $2,514.30 4.3×
Echo Heart Xthoracic,Limited (93308) $731.84 $813.15 3.2×
Electrical Stimulation Ea 15 Min (97032) $136.26 $151.40 9.3×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$55.08–$192.83 $61.20–$214.25 varies
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$198.09–$198.64 $220.10–$220.71 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$300.06–$302.13 $333.40–$335.70 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$451.44–$454.32 $501.60–$504.80 varies
Er level 1 (99281) $123.62 $137.35 1.5×
Er level v (99285)
range across 2 matching MRF lines
$692.91–$696.38 $769.90–$773.75 varies
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$77.31–$108.18 $85.90–$120.20 varies
Evaluate Speech Production (92522) $194.09 $215.65 1.7×
Evaluate Swallowing Function (92610) $370.76 $411.95 4.4×
Evaluation of speech fluency (92521) $241.02 $267.80 1.8×
External ECG rec>48hr<7d recording (93242) $275.63 $306.25 7.7×
External ECG rec>7d<15d recording (93246) $453.20 $503.55 12.6×
External Ecg Scanning Analysis Report (93226) $797.04 $885.60 14.1×
Extracranial Bilat Study (93880) $1,187.33 $1,319.25 5.2×
Fundus photography (92250) $168.30 $187 1.3×
Gonioscopy (92020) $128.30 $142.55 1.0×
Holter monitor recording (93225) $453.20 $503.55 3.5×
Im Adm Intransl/Oral 1 Vaccine (90473) $69.35 $77.05 1.0×
Immunization administration (90471)
range across 3 matching MRF lines
$16.74–$69.35 $18.60–$77.05 varies
Inital newborn e/m (99460) $258.71 $287.45 2.0×
Io ga n-stim subsq w/reprog (95982) $199.40 $221.55 5.6×
Iontophoresis 15 min (97033) $113.90 $126.55 6.0×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$66.47–$118.53 $73.85–$131.70 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$210.11–$305.01 $233.45–$338.90 varies
IV infusion ther proph addl sequential to 1 hr (96367) $305.01 $338.90 4.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $119.03 $132.25 2.6×
IV push initial (96374)
range across 2 matching MRF lines
$182.57–$184.95 $202.85–$205.50 varies
Lwr Xtr Vasc Stdy Bilat (93924) $817.07 $907.85 3.9×
Mechanical chest wall oscillation per session (94669) $151.74 $168.60 0.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $44.15 $49.05 1.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $44.15 $49.05 1.2×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $70.79 $78.65 4.2×
Motion Fluoroscopy/Swallow (92611) $370.76 $411.95 4.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $531.99 $591.10 1.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 4 matching MRF lines
$49.32–$497.84 $54.80–$553.15 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$404.46–$564.03 $449.40–$626.70 varies
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$135.10–$149.95 $150.11–$166.61 varies
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $305.55 $339.50 2.4×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $190.76 $211.95 1.5×
Ophth medical xm&eval intermediate estab pt (92012) $127.13 $141.25 1.0×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $175.32 $194.80 1.4×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $147.65 $164.05 2.6×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $115.25 $128.05 2.0×
Oral Function Therapy (92526) $370.76 $411.95 4.4×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 3 matching MRF lines
$78.03–$156.29 $86.70–$173.65 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$64.31–$80.28 $71.45–$89.20 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $99.68 $110.75 4.8×
Osteopathic manipulative tx 3-4 body regions (98926) $131.67 $146.30 6.3×
Osteopathic manipulative tx 5-6 body regions (98927) $165.65 $184.05 8.0×
Osteopathic manipulative tx 7-8 body regions (98928) $203.04 $225.60 9.8×
Ot eval high complexity (97167) $250.65 $278.50 2.5×
Ot Eval Low Complex (97165) $250.65 $278.50 2.5×
Ot Eval Moderate Complexity (97166) $250.65 $278.50 2.5×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$135.10–$208.89 $150.11–$232.10 varies
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $282.24 $313.60 2.3×
Phlebotomy therapeutic (99195) $89.87 $99.85 0.7×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $545.85 $606.50 9.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $344.93 $383.25 6.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,642.70 $5,158.55 5.6×
Positional nystagmus test (92542) $171.18 $190.20 1.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $58.41 $64.90 1.3×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $55.08 $61.20 1.2×
Psychiatric diagnostic evaluation (90791) $488.07 $542.30 2.9×
Pt Eval High Complex (97163) $216.90 $241 2.2×
Pt eval low complex 20 min (97161) $216.90 $241 2.2×
Pt Eval Mod Complex (97162) $216.90 $241 2.2×
Pt gait training 15 min (97116) $121.95 $135.50 4.2×
Pt Re-Eval Est Plan Care (97164) $103.68 $115.20 1.5×
Pulm function test by gas (94727) $369.50 $410.55 1.8×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$274.68–$457.74 $305.20–$508.60 varies
Pulmonary Stress Testing (94618) $109.98 $122.20 0.9×
Pure Tone Audiometry Air (92552) $93.96 $104.40 0.7×
Respiratory flow volume loop (94375) $154.04 $171.15 0.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $371.97 $413.30 1.9×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $79.70 $88.55 3.1×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $234.18 $260.20 1.9×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $132.03 $146.70 2.8×
Self Care Mngment Training (97535) $135.10 $150.11 4.2×
Sensory Integration Ea 15 Min (97533) $73.98 $82.20 1.2×
Speech sound lang comprehen (92523) $404.10 $449 1.8×
Spirometry (94010)
range across 2 matching MRF lines
$24.75–$349.79 $27.50–$388.65 varies
Standardized Cognitive Performance Testing (96125) $315.68 $350.75 3.1×
Stress Tte Only (93350) $2,085.93 $2,317.70 4.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $69.93 $77.70 3.1×
Ther Ivntj Ea Addl 15 Min (97130) $69.93 $77.70 3.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $104.72 $116.35 3.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $206.46 $229.40 2.0×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$81.95–$182.57 $91.05–$202.85 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$244.44–$305.01 $271.60–$338.90 varies
Therapeutic Activities (97530) $132.21 $146.90 3.8×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$97.43–$135.10 $108.25–$150.11 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $39.69 $44.10 1.1×
Trans Care Mgmt 14 Day Disch (99495) $404.10 $449 3.2×
Trans Care Mgmt 7 Day Disch (99496) $596.16 $662.40 4.7×
Tte w/doppler, complete (93306) $1,897.20 $2,108 3.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $282.69 $314.10 3.7×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$72.86–$182.57 $80.95–$202.85 varies
Tympanometry (92567) $71.69 $79.65 2.0×
Tympanometry and reflex threshold measurements (92550) $68.76 $76.40 0.3×
Upr/L Xtremity Art 2 Levels (93922) $377.78 $419.75 3.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $797.04 $885.60 3.8×
Vent Mgmt Inpat Init Day (94002) $1,701.50 $1,890.55 2.9×
Visual Field Exam Extended (92083)
range across 3 matching MRF lines
$63.77–$185.45 $70.85–$206.05 varies
Visual field xm uni/bi w/interp intermed exam (92082)
range across 3 matching MRF lines
$55.67–$164.93 $61.85–$183.25 varies
Visual field xm uni/bi w/interpretj limited exam (92081)
range across 3 matching MRF lines
$45.36–$127.13 $50.40–$141.25 varies

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.