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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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (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×
Bedside Swallowing Eval (92610) $96.38 $158 1.1×
Behavioral and qualitative analysis of voice and resonance (92524) $96.38 $158 0.9×
Brief Emotional/Behavioral Assessment (96127) $16.47 $27 0.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $163.48 $268 0.4×
Canalith Repositioning Procedure (95992) $88.76 $145.50 2.2×
Cardiac Stress Tst,Tracing Only (93017) $863.15 $1,415 3.9×
Cardiopulmonary resuscitation (92950) $361.73 $593 1.6×
Cardioversion (92960) $373.02 $611.50 0.5×
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 Hormon Antineopl Sq/Im (96402) $202.52 $332 2.7×
Chemo IV push addl drug (96411) $225.70 $370 3.0×
Chemo prolong 8+ hrs infuse w/pump (96416) $358.68 $588 1.1×
Chemother, IV infusion, 1 hr (96413) $405.04 $664 1.2×
Chemother, IV infusion, ea add hr (96415) $225.70 $370 3.0×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $202.52 $332 2.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $421.51 $691 5.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $284.26 $466 0.8×
Chronic care management services 1st 20 min (99490) $57.95 $95 0.6×
Color/duplex Doppler, limited (93976) $303.78 $498 2.8×
Cont Gluc Monitoring Patient Provided Equipment (95249) $55.51 $91 0.9×
Continuous Glucose Monitoring (95250) $309.27 $507 2.3×
Cpap/bipap (94660) $655.14 $1,074 2.9×
Cpt initial (94667) $85.40 $140 0.6×
Critical care (99291) $852.17 $1,397 1.0×
Debridement Open Wound 20 Sq Cm< (97597) $114.38 $187.50 0.6×
Developmental tst admin phys/qhp 1st hour (96112) $314.76 $516 2.4×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $287.31 $471 1.3×
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) $434.32 $712 4.0×
Duplex scan extracranial art compl bi study (93880) $949.77 $1,557 3.9×
Echo Heart Xthoracic,Limited (93308) $311.10 $510 1.3×
EKG rhythm strip (93041) $156.16 $256 2.6×
Electrocardiogram Tracing (93005) $158.60 $260 2.6×
Er level 1 (99281) $136.34 $223.50 1.6×
Er level ii (99282) $199.78 $327.50 1.3×
Er level iii (99283) $283.65 $465 1.0×
Er level IV (99284) $401.08 $657.50 0.9×
Er level v (99285) $709.74 $1,163.50 1.2×
Eval speech sound production (92522) $96.38 $158 0.9×
Evaluate Pt Use Of Inhaler (94664) $195.20 $320 0.9×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $264.13 $433 2.2×
Evaluation of speech fluency (92521) $96.38 $158 0.7×
External ECG rec>48hr<7d recording (93242) $46.97 $77 1.2×
External ECG rec>7d<15d recording (93246) $47.58 $78 1.2×
Holter Monitor (93225) $1,112.64 $1,824 8.1×
Imm admn sarscov2 vaccine single dose (90480) $27.45 $45 0.7×
Immune Admin Oral/Nasal (90473) $48.80 $80 0.7×
Immunization Admin (90471) $48.80 $80 0.7×
Inital newborn e/m (99460) $132.98 $218 1.0×
Interrog device eval heart (93289) $117.73 $193 3.1×
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, therap/proph/diagnost,initial,1st hour (96365) $307.44 $504 1.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $112.85 $185 2.3×
IV push ea addl new drug (96375) $154.94 $254 3.2×
IV push initial (96374) $154.94 $254 0.7×
Manual therapy 15 min (97140) $96.38 $158 3.5×
Mechanical chest wall oscillation (94669) $195.20 $320 0.9×
Mechanical traction (97012) $100.04 $164 7.0×
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 Fluor Eval Swlng Funcj C/V Rec (92611) $489.83 $803 5.4×
Nasopharyngoscopy (92511) $181.17 $297 0.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $393.14 $644.50 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $160.12 $262.50 0.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $169.58 $278 0.4×
Newborn resuscitation (99465) $236.07 $387 0.3×
Nitric oxide expired gas determination (95012) $53.68 $88 1.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $151.28 $248 1.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $195.81 $321 1.5×
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×
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 complex 60 min (97167) $153.11 $251 1.5×
Ot eval low complex 30 min (97165) $139.08 $228 1.4×
Ot eval mod complex 45 min (97166) $145.79 $239 1.5×
Ot re-evaluation (97168) $90.89 $149 1.3×
Ot therapeutic activity 15 min (97530) $90.28 $148 2.6×
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) $159.52 $261.50 1.2×
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×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $151.28 $248 3.9×
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×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $106.75 $175 2.8×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $134.81 $221 3.5×
Psych diag eval w/med srvcs (90792) $533.75 $875 2.9×
Psychiatric diagnostic evaluation (90791) $478.24 $784 2.6×
Psycl/nrpsyc tst phy/qhp 1st (96136) $123.83 $203 0.9×
Pt Electrical Stimulation (97032) $96.38 $158 6.6×
Pt eval high complex 45 min (97163) $162.87 $267 1.7×
Pt eval low complex 20 min (97161) $149.45 $245 1.5×
Pt eval mod complex 30 min (97162) $155.55 $255 1.6×
Pt gait training 15 min (97116) $90.28 $148 3.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $96.38 $158 2.9×
Pt Physical Performance Test (97750) $100.65 $165 3.0×
Pt re-evaluation (97164) $96.38 $158 1.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $90.89 $149 2.8×
Pt Whirlpool Therapy (97022) $49.41 $81 3.1×
Pulmonary stress test simple (94618) $199.16 $326.50 1.5×
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×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98971) $57.95 $95 2.5×
Refill/Maint Portable Pump (96521) $254.98 $418 1.2×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $1,122.40 $1,840 29.1×
Respiratory flow volume loop (94375) $287.31 $471 1.3×
Rt Chest Wall Manipulation,Subsequent (94668) $117.12 $192 0.9×
Sensory Integration Ea 15 Min (97533) $90.89 $149 1.5×
Slp caregiver training 1st 30 min (97550) $147.62 $242 2.8×
Smoking cessation > 10 min (99407) $40.87 $67 1.1×
Speech sound lang comprehen (92523) $96.38 $158 0.4×
Spirometry (94010) $130.54 $214 0.6×
Standardized Cognitive Performance Testing (96125) $96.38 $158 0.9×
Stress echo (93350) $679.54 $1,114 1.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $96.38 $158 4.3×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $90.89 $149 4.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $96.38 $158 0.9×
Therapeutic prophylactic/dx injection subq/im (96372) $61.61 $101 0.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $23.18 $38 0.6×
Trans Care Mgmt 14 Day Disch (99495) $238.51 $391 1.7×
Trans Care Mgmt 7 Day Disch (99496) $316.28 $518.50 2.3×
Tte w/doppler, complete (93306) $1,288.02 $2,111.50 2.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $264.13 $433 3.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $96.38 $158 1.1×
Vasc Duplex Scan Extracranial,Limited (93882) $583.77 $957 5.4×
Vent mgmt inpat init day (94002) $874.13 $1,433 1.4×
Wheelchair Mgmt Ea 15 Min (97542) $90.89 $149 2.9×