Visits & medical services prices at Perham Health

Perham, 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
Actigraphy testing recording analysis i&r (95803) $141.05 $217 2.3×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $57.85 $89 1.9×
Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the… (97813) $58.50 $90 2.0×
Advance care planning first 30 mins (99497) $91.98 $141.50 0.9×
Airway inhalation treatment (94640) $76.05 $117 0.3×
Ambulatory Bp Recording (93786) $56.55 $87 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $53.95 $83 3.8×
Assessment of aphasia per hr (96105) $301.60 $464 3.1×
Assmt & care planning pt w/cognitive impairment (99483) $272.35 $419 2.6×
Bedside Swallowing Eval (92610) $244.40 $376 2.9×
Behavioral and qualitative analysis of voice and resonance (92524) $260 $400 2.4×
Biofeedback training any modality (90901) $130 $200 3.2×
Brief Emotional/Behavioral Assessment (96127) $55.25 $85 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $202.15 $311 0.5×
Canalith Repositioning Procedure (95992) $108.55 $167 2.7×
Cardiac Stress Tst,Tracing Only (93017) $499.85 $769 2.2×
Cardiopulmonary resuscitation (92950) $779.35 $1,199 3.5×
Cardioversion (92960) $572.32 $880.50 0.8×
Chemo Hormon Antineopl Sq/Im (96402) $89.70 $138 1.2×
Chemother, IV infusion, 1 hr (96413) $482.95 $743 1.4×
Chemother, IV infusion, ea add hr (96415) $92.30 $142 1.2×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) $35.75 $55 1.6×
Chiropractic manipulative treatment (CMT); spinal, 3-4 regions Facility (98941) $42.25 $65 1.9×
Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) $55.25 $85 2.5×
Color/duplex Doppler, complete (93975) $635.70 $978 2.6×
Color/duplex Doppler, limited (93976) $613.60 $944 5.7×
Cont Gluc Monitoring Patient Provided Equipment (95249) $87.10 $134 1.4×
Continuous Glucose Monitoring (95250) $335.40 $516 2.4×
Cpap/bipap (94660) $303.55 $467 1.3×
Cpt initial (94667) $144.95 $223 1.1×
Critical care (99291) $667.55 $1,027 0.8×
Debridement Open Wound 20 Sq Cm< (97597) $126.42 $194.50 0.6×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $126.75 $195 0.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,000.35 $1,539 4.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $681.85 $1,049 2.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $649.35 $999 6.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $649.35 $999 6.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $493.68 $759.50 2.0×
Dup-scan xtr veins unilateral/limited study (93971) $311.35 $479 2.9×
Duplex scan extracranial art compl bi study (93880) $445.58 $685.50 1.8×
Echo Heart Xthoracic,Limited (93308) $742.95 $1,143 3.0×
Echo Transthoracic - Congenital Tte Complete (93303) $750.75 $1,155 1.3×
Electrocardiogram Tracing (93005) $39.98 $61.50 0.7×
Electroconvulsive Therapy (90870) $243.10 $374 0.3×
Er level 1 (99281) $81.25 $125 0.9×
Er level ii (99282) $112.12 $172.50 0.7×
Er level iii (99283) $243.10 $374 0.9×
Er level IV (99284) $300.62 $462.50 0.7×
Er level v (99285) $452.08 $695.50 0.7×
Eval speech sound production (92522) $256.75 $395 2.3×
Evaluate Pt Use Of Inhaler (94664) $162.82 $250.50 0.7×
Evaluation of speech fluency (92521) $290.55 $447 2.2×
External ECG rec>48hr<7d recording (93242) $37.70 $58 1.0×
External ECG rec>7d<15d recording (93246) $37.38 $57.50 1.0×
Eye exam, new patient,comprehesv (92004) $130 $200 0.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $665.60 $1,024 0.8×
Holter Monitor (93225) $135.20 $208 1.0×
Imm admn sarscov2 vaccine single dose (90480) $26 $40 0.6×
Immune Admin Oral/Nasal (90473) $32.50 $50 0.4×
Immunization Admin (90471) $26.65 $41 0.4×
Ingestion challenge test initial 120 minutes (95076) $242.45 $373 0.6×
Inital newborn e/m (99460) $128.70 $198 0.9×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) $162.50 $250 1.2×
Iontophoresis 15 min (97033) $96.20 $148 5.1×
Irrig drug delivery device (96523) $129.68 $199.50 2.1×
IV infusion hydration each additional hour (96361) $90.35 $139 1.9×
IV infusion hydration initial 31 min-1 hour (96360) $244.72 $376.50 1.1×
IV infusion ther proph addl sequential to 1 hr (96367) $255.45 $393 3.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $251.88 $387.50 1.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $75.08 $115.50 1.6×
IV push ea addl new drug (96375) $104.65 $161 2.2×
IV push initial (96374) $151.45 $233 0.7×
Manual therapy 15 min (97140) $76.05 $117 2.7×
Massage 15 min (97124) $22.75 $35 0.8×
Mechanical traction (97012) $59.15 $91 4.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $52.65 $81 1.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $60.12 $92.50 1.6×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $33.80 $52 2.0×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $289.25 $445 3.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $89.05 $137 0.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $117.65 $181 0.3×
Newborn resuscitation (99465) $669.18 $1,029.50 1.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $391.30 $602 2.8×
Nonphysician Telephone Assessment 11-20 Min (98967) $29.25 $45 1.2×
Nonphysician Telephone Assessment 21-30 Min (98968) $52 $80 1.5×
Nonphysician Telephone Assessment 5-10 Min (98966) $18.20 $28 1.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $106.60 $164 2.3×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $80.60 $124 3.6×
Osteopathic manipulative tx 3-4 body regions (98926) $114.08 $175.50 5.1×
Osteopathic manipulative tx 5-6 body regions (98927) $115.05 $177 5.2×
Ot eval high complex 60 min (97167) $205.40 $316 2.0×
Ot eval low complex 30 min (97165) $97.50 $150 1.0×
Ot eval mod complex 45 min (97166) $184.60 $284 1.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $102.70 $158 2.0×
Ot re-evaluation (97168) $102.70 $158 1.5×
Ot therapeutic activity 15 min (97530) $108.55 $167 3.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $228.80 $352 1.7×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $172.25 $265 1.3×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $198.25 $305 0.9×
Peripheral arterial disease rehab per session (93668) $120.90 $186 2.0×
Phlebotomy therapeutic (99195) $152.75 $235 1.1×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $198.25 $305 3.3×
Plethysmography (94726) $287.95 $443 0.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,317.58 $3,565.50 2.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $32.50 $50 0.7×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $46.80 $72 1.0×
Psych diag eval w/med srvcs (90792) $196.95 $303 1.1×
Psychiatric diagnostic evaluation (90791) $198.25 $305 1.1×
Psycl tst eval phys/qhp 1st (96130) $177.45 $273 0.8×
Psycl/nrpsyc tech 1st (96138) $85.80 $132 0.2×
Psycl/nrpsyc tst phy/qhp 1st (96136) $91 $140 0.7×
Psycl/nrpsycl tst elec platform auto result (96146) $19.50 $30 0.7×
Psytx crisis initial 60 min (90839) $342.55 $527 1.9×
Pt Aquatic Therapy/Exercises (97113) $113.10 $174 3.1×
Pt Electrical Stimulation (97032) $87.10 $134 5.9×
Pt eval high complex 45 min (97163) $205.40 $316 2.1×
Pt eval low complex 20 min (97161) $163.80 $252 1.7×
Pt eval mod complex 30 min (97162) $184.60 $284 1.9×
Pt gait training 15 min (97116) $85.15 $131 2.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $104.65 $161 3.2×
Pt Physical Performance Test (97750) $70.20 $108 2.1×
Pt re-evaluation (97164) $112.45 $173 1.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $108.55 $167 3.4×
Pulmonary stress test simple (94618) $143.32 $220.50 1.0×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $104.98 $161.50 2.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $63.70 $98 0.3×
Rom meas&reprt hand w/wo comparison normal sid (95852) $92.30 $142 4.3×
Rt Chest Wall Manipulation,Subsequent (94668) $72.15 $111 0.5×
Select Picture Audiometry (92583) $77.68 $119.50 1.3×
Sensory Integration Ea 15 Min (97533) $108.55 $167 1.8×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $289.25 $445 1.3×
Smoking cessation > 10 min (99407) $45.82 $70.50 1.2×
Speech sound lang comprehen (92523) $468 $720 2.1×
Spirometry (94010) $92.30 $142 0.4×
Standardized Cognitive Performance Testing (96125) $306.15 $471 3.0×
Stress echo (93350) $1,273.35 $1,959 2.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $111.80 $172 5.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $111.80 $172 5.3×
Ther/prop/diag inj/inf proc (96379) $26.98 $41.50 0.6×
Therapeutic prophylactic/dx injection subq/im (96372) $50.05 $77 0.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $20.15 $31 0.5×
Trans Care Mgmt 14 Day Disch (99495) $160.55 $247 1.2×
Trans Care Mgmt 7 Day Disch (99496) $223.60 $344 1.6×
Tte w/doppler, complete (93306) $892.12 $1,372.50 1.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $233.35 $359 3.1×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $210.60 $324 8.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $199.55 $307 2.4×
Tympanometry (92567) $46.80 $72 1.2×
Upr/lxtr art stdy 3+ lvls (93923) $443.95 $683 2.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $661.05 $1,017 3.0×
Vasopneumatic device (97016) $89.70 $138 7.5×
Vital capacity, total (94150) $59.15 $91 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $108.55 $167 3.5×