Visits & medical services prices at Olivia Hospital & Clinic

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $27.45 $45 0.7×
Advncd Care Plan 30 Min (99497) $209.23 $343 2.0×
Airway Inhalation Treatment (94640) $195.20 $320 0.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $96.38 $158 6.7×
Application on-body injector (96377) $202.52 $332 4.2×
Assessment of aphasia per hr (96105) $96.38 $158 1.0×
Behavral qualit analys voice (92524) $96.38 $158 0.9×
Brief Emotional/Behav Assmt (96127) $16.47 $27 0.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$92.11–$234.85 $151–$385 varies
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$81.13–$96.38 $133–$158 varies
Cardiac Stress Tst,Tracing Only (93017) $863.15 $1,415 3.9×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$287.31–$436.15 $471–$715 varies
Cardioversion (92960)
range across 2 matching MRF lines
$150.06–$595.97 $246–$977 varies
Caregiver hlth risk assmt score doc stnd instrm (96161) $24.40 $40 0.6×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $68.32 $112 2.6×
Cbt 1st hour (94644) $139.08 $228 1.0×
Chemo Anti-Neopl Sq/Im (96401) $202.52 $332 2.7×
Chemo Hormon Antineopl Sq/Im (96402) $202.52 $332 2.7×
Chemo IV infusion addl hr (96415) $225.70 $370 3.0×
Chemo IV push addl drug (96411) $225.70 $370 3.0×
Chemother Prolong Infuse W/Pump (96416) $358.68 $588 1.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $421.51 $691 5.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $405.04 $664 1.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $284.26 $466 0.8×
Chest Wall Manipulation (94668) $117.12 $192 0.9×
Chron Care Mgmt Srvc 20 Min (99490) $57.95 $95 0.6×
Color/duplex Doppler, limited (93976) $303.78 $498 2.8×
Cont gluc mntr physician/qhp provided equiptment (95250) $309.27 $507 2.3×
Cont Gluc Mntr Pt Prov Eqp (95249) $55.51 $91 0.9×
Continuous Pulse Ox (94762) $195.81 $321 1.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $655.14 $1,074 2.9×
Cpt initial (94667) $85.40 $140 0.6×
Critical care first hour (99291)
range across 2 matching MRF lines
$445.30–$1,259.04 $730–$2,064 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$45.75–$183 $75–$300 varies
Developmental tst admin phys/qhp 1st hour (96112) $314.76 $516 2.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $610 $1,000 2.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $904.63 $1,483 3.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $697.23 $1,143 6.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $904.63 $1,483 3.7×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$189.71–$678.93 $311–$1,113 varies
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines
$157.38–$769.21 $258–$1,261 varies
Electrical Stimulation Ea 15 Min (97032) $96.38 $158 6.6×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$157.99–$159.21 $259–$261 varies
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$137.86–$261.69 $226–$429 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$172.02–$395.28 $282–$648 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$254.98–$547.17 $418–$897 varies
Er level 1 (99281)
range across 2 matching MRF lines
$117.12–$155.55 $192–$255 varies
Er level v (99285)
range across 4 matching MRF lines
$335.50–$1,795.23 $550–$2,943 varies
Evaluate pt use of inhaler (94664) $195.20 $320 0.9×
Evaluate Speech Production (92522) $96.38 $158 0.9×
Evaluate Swallowing Function (92610) $96.38 $158 1.1×
Evaluation of speech fluency (92521) $96.38 $158 0.7×
Evoked Auditory Test,Limited (92587) $287.31 $471 1.3×
External ECG rec>48hr<7d recording (93242) $46.97 $77 1.2×
External ECG rec>7d<15d recording (93246) $47.58 $78 1.2×
Extracranial Bilat Study (93880) $949.77 $1,557 3.9×
Extracranial Uni/Ltd Study (93882) $583.77 $957 5.4×
Holter monitor recording (93225)
range across 2 matching MRF lines
$1,102.88–$1,122.40 $1,808–$1,840 varies
Icd Device Interrogate (93289) $117.73 $193 3.1×
Icd device progr eval dual (93283) $134.81 $221 3.5×
Icd Device Progr Eval Mult (93284) $151.28 $248 3.9×
Im Adm Intransl/Oral 1 Vaccine (90473) $48.80 $80 0.7×
Immunization administration (90471) $48.80 $80 0.7×
Inital newborn e/m (99460) $132.98 $218 1.0×
Iontophoresis 15 min (97033) $127.49 $209 6.7×
Irrig Drug Delivery Device (96523) $46.36 $76 0.8×
IV infusion hydration each additional hour (96361) $101.26 $166 2.1×
IV infusion hydration initial 31 min-1 hour (96360) $230.58 $378 1.1×
IV infusion ther proph addl sequential to 1 hr (96367) $222.04 $364 3.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $112.85 $185 2.3×
IV push initial (96374) $154.94 $254 0.7×
Mechanical chest wall oscillation per session (94669) $195.20 $320 0.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $37.21 $61 1.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $42.70 $70 1.2×
Methacholine challenge (94070) $470.92 $772 1.2×
Motion Fluoroscopy/Swallow (92611) $489.83 $803 5.4×
Nasopharyngoscopy (92511) $181.17 $297 0.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$358.68–$427.61 $588–$701 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$64.66–$255.59 $106–$419 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$67.10–$272.06 $110–$446 varies
Neuromuscular Reeducation (97112) $96.38 $158 2.9×
Newborn resuscitation (99465) $236.07 $387 0.3×
Nitric oxide expired gas determination (95012) $53.68 $88 1.4×
Nonphysician Telephone Assessment 11-20 Min (98967) $56.73 $93 2.3×
Nonphysician Telephone Assessment 21-30 Min (98968) $83.57 $137 2.4×
Nonphysician Telephone Assessment 5-10 Min (98966) $29.28 $48 2.1×
Nrpsyc tst eval phys/qhp 1st (96132) $352.58 $578 0.9×
Oral Function Therapy (92526) $96.38 $158 1.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $94.55 $155 2.1×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $46.36 $76 2.1×
Osteopathic manipulative tx 3-4 body regions (98926) $69.54 $114 3.1×
Osteopathic manipulative tx 5-6 body regions (98927) $94.55 $155 4.2×
Osteopathic manipulative tx 7-8 body regions (98928) $129.32 $212 5.8×
Ot eval high complexity (97167) $153.11 $251 1.5×
Ot Eval Low Complex (97165) $139.08 $228 1.4×
Ot Eval Moderate Complexity (97166) $145.79 $239 1.5×
Ot manual therapy 15 min (97140) $96.38 $158 3.5×
Ot Re-Eval Est Plan Care (97168) $90.89 $149 1.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $239.12 $392 1.8×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $239.12 $392 1.8×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$149.45–$169.58 $245–$278 varies
Physical Performance Test (97750) $100.65 $165 3.0×
Plethysmography (94726) $37.82 $62 0.1×
Pm device eval in person (93288) $100.65 $165 2.6×
Pm device progr eval dual (93280) $114.68 $188 3.0×
Pm device progr eval multi (93281) $117.73 $193 3.1×
Pm Device Progr Eval Sngl (93279) $87.23 $143 2.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,902.99 $4,759 3.3×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $106.75 $175 2.8×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $34.16 $56 0.7×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $35.38 $58 0.7×
Psych diag eval w/med srvcs (90792) $533.75 $875 2.9×
Psychiatric diagnostic evaluation (90791) $478.24 $784 2.6×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $123.83 $203 0.9×
Pt Eval High Complex (97163) $162.87 $267 1.7×
Pt eval low complex 20 min (97161) $149.45 $245 1.5×
Pt Eval Mod Complex (97162) $155.55 $255 1.6×
Pt gait training 15 min (97116) $90.28 $148 3.1×
Pt mechanical traction (97012) $100.04 $164 7.0×
Pt Re-Eval Est Plan Care (97164) $96.38 $158 1.4×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$42.09–$356.24 $69–$584 varies
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $57.95 $95 2.5×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $89.06 $146 2.6×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $32.33 $53 2.6×
Refill/Maint Portable Pump (96521) $254.98 $418 1.2×
Remote 30 Day Ecg Rev/Report (93270) $1,122.40 $1,840 29.1×
Respiratory flow volume loop (94375) $287.31 $471 1.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $156.16 $256 2.6×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $264.13 $433 2.2×
Self Care Mngment Training (97535) $90.89 $149 2.8×
Sensory Integration Ea 15 Min (97533) $90.89 $149 1.5×
Slp caregiver training 1st 30 min (97550) $147.62 $242 2.8×
Speech sound lang comprehen (92523) $96.38 $158 0.4×
Spirometry (94010)
range across 2 matching MRF lines
$55.51–$205.57 $91–$337 varies
Standardized Cognitive Performance Testing (96125) $96.38 $158 0.9×
Stress Tte Only (93350) $679.54 $1,114 1.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $96.38 $158 4.3×
Ther Ivntj Ea Addl 15 Min (97130) $90.89 $149 4.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $96.38 $158 0.9×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$25.62–$97.60 $42–$160 varies
Ther/Proph/Diag Iv Inf Init (96365) $307.44 $504 1.4×
Therapeutic Activities (97530) $90.28 $148 2.6×
Tobacco Use Cessation Intensive >10 Minutes (99407) $40.87 $67 1.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $23.18 $38 0.6×
Trans Care Mgmt 14 Day Disch (99495)
range across 2 matching MRF lines
$179.95–$297.07 $295–$487 varies
Trans Care Mgmt 7 Day Disch (99496)
range across 2 matching MRF lines
$243.39–$389.18 $399–$638 varies
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$1,270.63–$1,305.40 $2,083–$2,140 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $264.13 $433 3.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $154.94 $254 3.2×
Upr/L Xtremity Art 2 Levels (93922) $151.28 $248 1.1×
Vent Mgmt Inpat Init Day (94002) $874.13 $1,433 1.4×
Wheelchair Mgmt Ea 15 Min (97542) $90.89 $149 2.9×
Whirlpool Therapy (97022) $49.41 $81 3.1×

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.