Visits & medical services prices at Mobridge Regional Hospital - Cah

Mobridge, SD · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $53 $53 1.3×
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$81–$914 $81–$914 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $101 $101 7.0×
Assessment of aphasia per hr (96105) $370 $370 3.8×
Brief Emotional/Behav Assmt (96127) $36 $36 0.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$98–$344 $98–$344 varies
Cardiac Stress Tst,Tracing Only (93017) $944 $944 4.3×
Cardiopulmonary resuscitation (92950) $651 $651 3.0×
Cardioversion (92960) $1,241 $1,241 1.8×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $53 $53 2.0×
Cbt 1st hour (94644) $249 $249 1.8×
Chemo Hormon Antineopl Sq/Im (96402)
range across 2 matching MRF lines
$152–$205 $152–$205 varies
Chemo Ia Push (96420) $188 $188 0.6×
Chemo IV infusion addl hr (96415)
range across 2 matching MRF lines
$171–$182 $171–$182 varies
Chemo IV push addl drug (96411) $300 $300 4.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 2 matching MRF lines
$622–$780 $622–$780 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409)
range across 2 matching MRF lines
$506–$564 $506–$564 varies
Chest Wall Manipulation (94668)
range across 3 matching MRF lines
$143–$191 $143–$191 varies
Chron Care Mgmt Srvc 20 Min (99490) $121 $121 1.2×
Color/duplex Doppler, limited (93976) $603 $603 5.6×
Community/Work Reintegration Trainj Ea 15 Min (97537) $130 $130 4.1×
Cont gluc mntr physician/qhp provided equiptment (95250) $420 $420 3.1×
Cont Gluc Mntr Pt Prov Eqp (95249) $221 $221 3.7×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$78–$506 $78–$506 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$176–$2,190 $176–$2,190 varies
Cpt initial (94667)
range across 3 matching MRF lines
$143–$191 $143–$191 varies
Critical care first hour (99291)
range across 2 matching MRF lines
$935–$1,186 $935–$1,186 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$191–$705 $191–$705 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,100 $1,100 4.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $843 $843 7.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 3 matching MRF lines
$109–$1,292 $109–$1,292 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 3 matching MRF lines
$70–$1,034 $70–$1,034 varies
Duplex up extrem art bilat (93930) $1,100 $1,100 4.5×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$774–$834 $774–$834 varies
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$791–$907 $791–$907 varies
Electrical Stimulation Ea 15 Min (97032) $108 $108 7.3×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$160–$166 $160–$166 varies
Emergency Dept Visit Level 2 (99282) $196 $196 1.2×
Emergency Dept Visit Level 3 (99283) $282 $282 1.0×
Emergency Dept Visit Level 4 (99284) $435 $435 1.0×
Er level 1 (99281) $125 $125 1.5×
Er level v (99285) $600 $600 1.0×
Evaluate pt use of inhaler (94664)
range across 4 matching MRF lines
$78–$125 $78–$125 varies
Evaluate Swallowing Function (92610) $298 $298 3.5×
External ECG rec>7d<15d recording (93246) $347 $347 9.1×
External Ecg Scanning Analysis Report (93226) $359 $359 6.0×
Extracranial Bilat Study (93880) $1,331 $1,331 5.5×
Holter monitor recording (93225)
range across 2 matching MRF lines
$223–$346 $223–$346 varies
Im Adm Intransl/Oral 1 Vaccine (90473) $24 $24 0.3×
Immunization administration (90471)
range across 2 matching MRF lines
$20.73–$58 $20.73–$58 varies
Inital newborn e/m (99460) $336 $336 2.5×
Iontophoresis 15 min (97033) $128 $128 6.7×
IV infusion hydration each additional hour (96361) $124 $124 2.6×
IV infusion hydration initial 31 min-1 hour (96360) $450 $450 2.1×
IV infusion ther proph addl sequential to 1 hr (96367) $183 $183 2.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $197 $197 4.1×
IV push initial (96374) $305 $305 1.4×
Lung Function Test (Mbc/Mvv) (94200)
range across 2 matching MRF lines
$123–$131 $123–$131 varies
Mechanical chest wall oscillation per session (94669) $172 $172 0.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$32–$66 $32–$66 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$32–$73 $32–$73 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $58 $58 3.4×
Methacholine challenge (94070)
range across 3 matching MRF lines
$78–$382 $78–$382 varies
Multiple Family Group Psychotherapy (90849) $233 $233 1.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,288 $1,288 3.1×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,322 $1,322 3.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$162–$735 $162–$735 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$209–$1,255 $209–$1,255 varies
Neurobehavioral Status Exam (96116) $368 $368 1.7×
Neuromuscular Reeducation (97112) $131 $131 4.0×
Newborn resuscitation (99465)
range across 2 matching MRF lines
$753–$1,354 $753–$1,354 varies
Nonphysician Telephone Assessment 11-20 Min (98967) $55 $55 2.2×
Nonphysician Telephone Assessment 21-30 Min (98968) $67 $67 1.9×
Nonphysician Telephone Assessment 5-10 Min (98966) $40 $40 2.9×
Nose Allergy Test (95065) $123 $123 3.2×
Nrpsyc tst eval phys/qhp 1st (96132) $600 $600 1.6×
Oral Function Therapy (92526) $229 $229 2.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $128 $128 2.8×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $108 $108 4.9×
Osteopathic manipulative tx 3-4 body regions (98926) $139 $139 6.3×
Osteopathic manipulative tx 5-6 body regions (98927) $120 $120 5.4×
Ot eval high complexity (97167) $323 $323 3.2×
Ot Eval Low Complex (97165) $227 $227 2.3×
Ot Eval Moderate Complexity (97166) $284 $284 2.8×
Ot manual therapy 15 min (97140) $130 $130 4.7×
Ot Re-Eval Est Plan Care (97168) $198 $198 2.9×
Ot rom hand (95852) $50 $50 2.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $309 $309 2.3×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $223 $223 1.7×
Patch/Application Test Specify Number Tests (95044) $32 $32 0.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $430 $430 1.9×
Percutaneous tests w/allergenic extracts (95004) $20 $20 0.0×
Peripheral arterial disease rehab per session (93668) $94 $94 1.6×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$243–$403 $243–$403 varies
Photo Tests (95056) $256 $256 1.9×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $160 $160 2.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,894 $3,894 4.4×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $36 $36 0.8×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $39 $39 0.8×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $44 $44 0.9×
Psych diag eval w/med srvcs (90792) $431 $431 2.4×
Psychiatric diagnostic evaluation (90791) $261 $261 1.4×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136)
range across 2 matching MRF lines
$153–$255 $153–$255 varies
Psytx Crisis Initial 60 Min (90839) $309 $309 1.7×
Pt Eval High Complex (97163) $293 $293 3.0×
Pt eval low complex 20 min (97161) $198 $198 2.0×
Pt Eval Mod Complex (97162) $260 $260 2.7×
Pt gait training 15 min (97116) $125 $125 4.3×
Pt Re-Eval Est Plan Care (97164) $168 $168 2.5×
Pt ultraviolet (97028) $35 $35 4.2×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $4 $4 0.1×
Pulm function test by gas (94727) $269 $269 1.2×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$258–$416 $258–$416 varies
Pure Tone Audiometry Air (92552) $81 $81 0.6×
Rapid Desensitization Procedure Each Hour (95180) $453 $453 1.0×
Respiratory flow volume loop (94375) $209 $209 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$162–$705 $162–$705 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $470 $470 3.8×
Same day nb discharge (99463) $338 $338 2.5×
Self Care Mngment Training (97535) $130 $130 4.0×
Sensory Integration Ea 15 Min (97533) $130 $130 2.1×
Slp caregiver training 1st 30 min (97550) $137 $137 2.6×
Speech sound lang comprehen (92523) $629 $629 2.8×
Spirometry (94010) $276 $276 1.3×
Standardized Cognitive Performance Testing (96125) $381 $381 3.7×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $431 $431 2.0×
Tensilon Test (95857) $158 $158 0.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $122 $122 4.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $387 $387 3.8×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$48–$77 $48–$77 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$422–$587 $422–$587 varies
Therapeutic Activities (97530)
range across 4 matching MRF lines
$45–$128 $45–$128 varies
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$82–$117 $82–$117 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$41–$61 $41–$61 varies
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$1,066–$1,404 $1,066–$1,404 varies
Tte W/O Doppler Complete (93307) $753 $753 3.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $283 $283 3.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $154 $154 3.2×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$53–$93 $53–$93 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$301–$429 $301–$429 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 3 matching MRF lines
$456–$555 $456–$555 varies
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$828–$2,015 $828–$2,015 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,258 $2,258 3.6×
Vital capacity, total (94150) $132 $132 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $132 $132 4.2×

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.