Visits & medical services prices at Pembina County Memorial Hospital

Cavalier, ND · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $51 $51 1.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $59 $59 4.1×
Behavral qualit analys voice (92524) $396 $396 3.6×
Chemo Hormon Antineopl Sq/Im (96402) $147 $147 2.0×
Chemo IV infusion addl hr (96415) $147 $147 2.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $147 $147 2.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $708 $708 2.1×
Color/duplex Doppler, limited (93976) $540 $540 5.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $699 $699 2.9×
Dup-scan xtr veins unilateral/limited study (93971) $428 $428 4.0×
Electrocardiogram Tracing (93005) $66 $66 1.1×
Emergency Dept Visit Level 2 (99282) $312 $312 2.0×
Emergency Dept Visit Level 3 (99283) $516 $516 1.9×
Emergency Dept Visit Level 4 (99284) $869 $869 2.0×
Er level 1 (99281) $229 $229 2.7×
Er level v (99285) $1,434 $1,434 2.4×
Evaluate Speech Production (92522) $410 $410 3.7×
External ECG rec>48hr<7d recording (93242) $70 $70 1.8×
External ECG rec>7d<15d recording (93246) $101 $101 2.6×
Extracranial Bilat Study (93880) $701 $701 2.9×
Immunization administration (90471)
range across 4 matching MRF lines
$20.99–$51 $20.99–$51 varies
Iontophoresis 15 min (97033) $89 $89 4.7×
IV infusion hydration each additional hour (96361) $93 $93 1.9×
IV infusion hydration initial 31 min-1 hour (96360) $460 $460 2.1×
IV infusion ther proph addl sequential to 1 hr (96367) $147 $147 2.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $98 $98 2.0×
Ot Eval Low Complex (97165) $370 $370 3.7×
Ot manual therapy 15 min (97140) $120 $120 4.3×
Ot Re-Eval Est Plan Care (97168) $267 $267 3.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $154 $154 1.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $104 $104 0.8×
Phlebotomy therapeutic (99195) $440 $440 3.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $42 $42 0.9×
Pt Eval High Complex (97163) $345 $345 3.5×
Pt eval low complex 20 min (97161) $324 $324 3.3×
Pt Eval Mod Complex (97162) $335 $335 3.4×
Pt gait training 15 min (97116) $130 $130 4.5×
Pt mechanical traction (97012) $64 $64 4.5×
Pt Re-Eval Est Plan Care (97164) $234 $234 3.5×
Self Care Mngment Training (97535) $147 $147 4.5×
Speech sound lang comprehen (92523) $873 $873 3.9×
Standardized Cognitive Performance Testing (96125) $511 $511 5.0×
Ther/Proph/Diag Inj Sc/Im (96372) $147 $147 2.0×
Ther/Proph/Diag Iv Inf Init (96365) $520 $520 2.4×
Therapeutic Activities (97530) $170 $170 4.8×
Trans Care Mgmt 14 Day Disch (99495) $336 $336 2.5×
Trans Care Mgmt 7 Day Disch (99496) $451 $451 3.3×
Tte w/doppler, complete (93306) $693 $693 1.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $326 $326 4.3×
Whirlpool Therapy (97022) $89 $89 5.7×

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.