Visits & medical services prices at Ortonville Hospital

Ortonville, MN · 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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ProcedureCash priceGross charge× Medicare
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $51 $60 1.7×
Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the… (97813) $51.85 $61 1.7×
Aep neurodiagnostic interpretation and report (92653) $246.50 $290 1.1×
Aep Thrshld Est Mlt Freq I&R (92652) $199.75 $235 0.9×
Airway inhalation treatment (94640) $50.15 $59 0.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $99.45 $117 6.9×
Application on-body injector (96377) $48.45 $57 1.0×
Assessment of aphasia per hr (96105) $205.70 $242 2.1×
Bedside Swallowing Eval (92610) $280.50 $330 3.3×
Behavioral and qualitative analysis of voice and resonance (92524) $283.05 $333 2.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $136 $160 0.4×
Canalith Repositioning Procedure (95992) $129.20 $152 3.2×
Cardiac Stress Tst,Tracing Only (93017) $725.05 $853 3.3×
Cardiopulmonary resuscitation (92950) $575.45 $677 2.6×
Cardioversion (92960) $472.18 $555.50 0.7×
Caregiver hlth risk assmt score doc stnd instrm (96161) $5.10 $6 0.1×
Chemo Hormon Antineopl Sq/Im (96402) $93.92 $110.50 1.3×
Chemo IV push addl drug (96411) $196.35 $231 2.6×
Chemo prolong 8+ hrs infuse w/pump (96416) $797.30 $938 2.3×
Chemother, IV infusion, 1 hr (96413) $525.30 $618 1.5×
Chemother, IV infusion, ea add hr (96415) $107.10 $126 1.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $164.90 $194 2.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $220.15 $259 3.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $337.45 $397 1.0×
Chronic care management services 1st 20 min (99490) $85 $100 0.8×
Color/duplex Doppler, complete (93975) $1,027.65 $1,209 4.2×
Color/duplex Doppler, limited (93976) $803.25 $945 7.4×
Continuous Glucose Monitoring (95250) $291.55 $343 2.1×
Cpap/bipap (94660) $763.72 $898.50 3.4×
Critical care (99291) $1,572.50 $1,850 1.8×
Debridement Open Wound 20 Sq Cm< (97597) $168.30 $198 0.8×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $838.95 $987 3.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $674.90 $794 6.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,030.20 $1,212 4.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $858.50 $1,010 8.0×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,060.80 $1,248 4.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $858.50 $1,010 8.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,060.80 $1,248 4.3×
Dup-scan xtr veins unilateral/limited study (93971) $914.60 $1,076 8.5×
Duplex scan extracranial art compl bi study (93880) $1,021.70 $1,202 4.1×
Duplex Scan Hemodialysis Access (93990) $898.45 $1,057 8.3×
Echo Heart Xthoracic,Limited (93308) $643.45 $757 2.6×
Echo Transthoracic - Congenital Tte Complete (93303) $886.55 $1,043 1.6×
Echo Transthoracic - Congenital Tte Limited (93304) $536.35 $631 1.0×
Electrocardiogram Tracing (93005) $56.10 $66 0.9×
Er level 1 (99281) $221.85 $261 2.5×
Er level ii (99282) $327.25 $385 2.1×
Er level iii (99283) $525.30 $618 1.9×
Er level IV (99284) $822.80 $968 1.9×
Er level v (99285) $1,208.70 $1,422 2.0×
Eval speech sound production (92522) $205.70 $242 1.8×
Eval to use/fit voice prosth (92597) $205.70 $242 2.9×
Evaluate Pt Use Of Inhaler (94664) $35.70 $42 0.2×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $397.80 $468 3.3×
External ECG rec>7d<15d recording (93246) $34 $40 0.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,507.05 $1,773 1.7×
Group Therapeutic Procedures (97150) $85.85 $101 4.8×
Holter Monitor (93225) $323.85 $381 2.4×
Imm admn sarscov2 vaccine single dose (90480) $40.80 $48 1.0×
Immune Admin Oral/Nasal (90473) $39.95 $47 0.5×
Immunization Admin (90471) $40.80 $48 0.5×
Injection intra arterial (96373) $153 $180 0.7×
Iontophoresis 15 min (97033) $102.85 $121 5.4×
Irrig drug delivery device (96523) $85.85 $101 1.4×
IV infusion hydration each additional hour (96361) $44.20 $52 0.9×
IV infusion hydration initial 31 min-1 hour (96360) $148.75 $175 0.7×
IV infusion ther proph addl sequential to 1 hr (96367) $182.75 $215 2.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $178.50 $210 0.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $51 $60 1.1×
IV push ea addl new drug (96375) $79.05 $93 1.6×
IV push initial (96374) $126.65 $149 0.6×
Manual therapy 15 min (97140) $102.85 $121 3.7×
Massage 15 min (97124) $85.85 $101 2.9×
Mechanical traction (97012) $99.45 $117 6.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $25.50 $30 0.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $25.50 $30 0.7×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $34 $40 2.0×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $205.70 $242 2.2×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $73.10 $86 0.2×
Multiple Sleep Latency Test (95805) $2,385.10 $2,806 2.7×
Neg press wound tx >50 cm (97608) $195.50 $230 0.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $141.10 $166 0.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $280.50 $330 1.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $419.90 $494 1.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $432.65 $509 3.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $102 $120 2.2×
Ot Contrast Bath Ea 15 Min (97034) $85 $100 6.1×
Ot eval high complex 60 min (97167) $232.05 $273 2.3×
Ot eval low complex 30 min (97165) $192.10 $226 1.9×
Ot eval mod complex 45 min (97166) $211.65 $249 2.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $85.85 $101 1.7×
Ot Prosthetic Training, Each 15 Min (97761) $85.85 $101 2.1×
Ot re-evaluation (97168) $102 $120 1.5×
Ot therapeutic activity 15 min (97530) $102.85 $121 2.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $201.88 $237.50 1.5×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $175.95 $207 1.3×
Paraffin bath pt (97018) $81.60 $96 13.6×
Phlebotomy therapeutic (99195) $184.45 $217 1.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,045.12 $3,582.50 3.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $24.22 $28.50 0.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $31.02 $36.50 0.6×
Pt Aquatic Therapy/Exercises (97113) $85.85 $101 2.3×
Pt Electrical Stimulation (97032) $102 $120 6.9×
Pt eval high complex 45 min (97163) $232.05 $273 2.4×
Pt eval low complex 20 min (97161) $192.10 $226 2.0×
Pt eval mod complex 30 min (97162) $211.65 $249 2.2×
Pt gait training 15 min (97116) $102.85 $121 3.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $102.85 $121 3.1×
Pt Physical Performance Test (97750) $102.85 $121 3.0×
Pt re-evaluation (97164) $107.10 $126 1.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $102.85 $121 3.2×
Pt-focused hlth risk assmt (96160) $5.10 $6 0.1×
Pulmonary stress test simple (94618) $76.50 $90 0.6×
Pure Tone Audiometry Air Only (92552) $68 $80 0.5×
Refill/Maint Portable Pump (96521) $401.20 $472 1.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $115.60 $136 0.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $177.65 $209 3.7×
Sensory Integration Ea 15 Min (97533) $85.85 $101 1.4×
Speech sound lang comprehen (92523) $357 $420 1.6×
Spirometry (94010) $78.62 $92.50 0.4×
Standardized Cognitive Performance Testing (96125) $232.05 $273 2.3×
Stress echo (93350) $1,715.30 $2,018 3.0×
Temp transcutaneous pacing (92953) $680 $800 1.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $60.35 $71 2.7×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $47.60 $56 2.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $261.80 $308 2.6×
Ther/prop/diag inj/inf proc (96379) $73.10 $86 1.5×
Therapeutic prophylactic/dx injection subq/im (96372) $76.50 $90 1.0×
Tte w/doppler, complete (93306) $1,715.30 $2,018 3.0×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $870.40 $1,024 3.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $232.05 $273 3.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $232.05 $273 2.8×
Tympanometry (92567) $29.75 $35 0.8×
Upr/lxtr art stdy 3+ lvls (93923) $1,026.80 $1,208 4.6×
Vasc Duplex Scan Extracranial,Limited (93882) $542.30 $638 5.0×
Vent mgmt inpat init day (94002) $650.25 $765 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $262.65 $309 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $100.30 $118 3.2×