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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actigraphy Testing Recording Analysis I&R (95803) | $141.05 | $217 | 2.3× |
| Acupunct W/Stimul 15 Min (97813) | $58.50 | $90 | 2.0× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 2 matching MRF lines |
$42.25–$73.45 | $65–$113 | varies |
| Admn Sarscov2 Vacc 1 Dose (90480) | $26 | $40 | 0.6× |
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$68.90–$115.05 | $106–$177 | varies |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$56.55–$198.25 | $87–$305 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $56.55 | $87 | 0.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$22.75–$85.15 | $35–$131 | varies |
| Assessment of aphasia per hr (96105) | $301.60 | $464 | 3.1× |
| Assmt & care planning pt w/cognitive impairment (99483) | $272.35 | $419 | 2.6× |
| Behavral qualit analys voice (92524) | $260 | $400 | 2.4× |
| Biofeedback training any modality (90901) | $130 | $200 | 3.2× |
| Brief Emotional/Behav Assmt (96127) | $55.25 | $85 | 1.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$130–$274.30 | $200–$422 | varies |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$107.90–$109.20 | $166–$168 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $499.85 | $769 | 2.2× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$728.65–$1,092 | $1,121–$1,680 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$526.50–$618.15 | $810–$951 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $89.70 | $138 | 1.2× |
| Chemo IV infusion addl hr (96415) | $92.30 | $142 | 1.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $482.95 | $743 | 1.4× |
| Chest Wall Manipulation (94668) | $72.15 | $111 | 0.5× |
| Chiropract manj 3-4 regions (98941) | $42.25 | $65 | 1.9× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $35.75 | $55 | 1.6× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) | $55.25 | $85 | 2.5× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$216.45–$1,054.95 | $333–$1,623 | varies |
| Color/duplex Doppler, limited (93976) | $613.60 | $944 | 5.7× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $335.40 | $516 | 2.4× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $87.10 | $134 | 1.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $303.55 | $467 | 1.3× |
| Cpt initial (94667) | $144.95 | $223 | 1.1× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$648.05–$680.55 | $997–$1,047 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$63.05–$209.95 | $97–$323 | varies |
| 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 Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$90.35–$897 | $139–$1,380 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$68.90–$553.80 | $106–$852 | varies |
| Duplex up extrem art unilat/ltd (93931) | $649.35 | $999 | 6.0× |
| Echo Congenital Complete (93303) | $750.75 | $1,155 | 1.3× |
| Echo Heart Xthoracic,Limited (93308) | $742.95 | $1,143 | 3.0× |
| Electrical Stimulation Ea 15 Min (97032) | $87.10 | $134 | 5.9× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$29.90–$50.05 | $46–$77 | varies |
| Electroconvulsive Therapy (90870) | $243.10 | $374 | 0.3× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$111.15–$113.10 | $171–$174 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$188.50–$297.70 | $290–$458 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$297.70–$303.55 | $458–$467 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$80.60–$81.90 | $124–$126 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$447.85–$456.30 | $689–$702 | varies |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$127.40–$198.25 | $196–$305 | varies |
| Evaluate Speech Production (92522) | $256.75 | $395 | 2.3× |
| Evaluate Swallowing Function (92610) | $244.40 | $376 | 2.9× |
| Evaluation of speech fluency (92521) | $290.55 | $447 | 2.2× |
| Evoked Auditory Test,Limited (92587) | $126.75 | $195 | 0.6× |
| External ECG rec>48hr<7d recording (93242) | $37.70 | $58 | 1.0× |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$37.05–$37.70 | $57–$58 | varies |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$72.80–$818.35 | $112–$1,259 | varies |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $665.60 | $1,024 | 0.8× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$133.90–$136.50 | $206–$210 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 3 matching MRF lines |
$13.65–$41.60 | $21–$64 | varies |
| Immunization administration (90471) range across 6 matching MRF lines |
$13.65–$48.75 | $21–$75 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $242.45 | $373 | 0.6× |
| Inital newborn e/m (99460) | $128.70 | $198 | 0.9× |
| Iontophoresis 15 min (97033) | $96.20 | $148 | 5.1× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$128.05–$131.30 | $197–$202 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$89.05–$91.65 | $137–$141 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$241.15–$248.30 | $371–$382 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $255.45 | $393 | 3.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$49.40–$100.75 | $76–$155 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$149.50–$153.40 | $230–$236 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $661.05 | $1,017 | 3.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$52–$53.30 | $80–$82 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$59.80–$60.45 | $92–$93 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $33.80 | $52 | 2.0× |
| Motion Fluoroscopy/Swallow (92611) | $289.25 | $445 | 3.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$66.95–$111.15 | $103–$171 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $117.65 | $181 | 0.3× |
| Neuromuscular Reeducation (97112) | $104.65 | $161 | 3.2× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$362.05–$976.30 | $557–$1,502 | varies |
| 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× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $130 | $200 | 0.9× |
| Oral Function Therapy (92526) | $199.55 | $307 | 2.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $102.70 | $158 | 2.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $106.60 | $164 | 2.3× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$66.95–$94.25 | $103–$145 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$92.95–$135.20 | $143–$208 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) | $115.05 | $177 | 5.2× |
| Ot eval high complexity (97167) | $205.40 | $316 | 2.0× |
| Ot Eval Low Complex (97165) range across 3 matching MRF lines |
$47.45–$163.80 | $73–$252 | varies |
| Ot Eval Moderate Complexity (97166) | $184.60 | $284 | 1.8× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$39–$113.10 | $60–$174 | varies |
| Ot Re-Eval Est Plan Care (97168) | $102.70 | $158 | 1.5× |
| Ot rom hand (95852) | $92.30 | $142 | 4.3× |
| 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× |
| Physical Performance Test (97750) | $70.20 | $108 | 2.1× |
| Plethysmography (94726) | $287.95 | $443 | 0.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$1,474.20–$3,160.95 | $2,268–$4,863 | varies |
| 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) range across 3 matching MRF lines |
$131.30–$328.90 | $202–$506 | varies |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$132.60–$330.85 | $204–$509 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) range across 3 matching MRF lines |
$118.30–$295.75 | $182–$455 | varies |
| Psycl/Nrpsyc Tst Auto Result (96146) | $19.50 | $30 | 0.7× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) range across 2 matching MRF lines |
$64.35–$107.25 | $99–$165 | varies |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $91 | $140 | 0.7× |
| Psytx Crisis Initial 60 Min (90839) | $342.55 | $527 | 1.9× |
| Pt Eval High Complex (97163) | $205.40 | $316 | 2.1× |
| Pt eval low complex 20 min (97161) | $163.80 | $252 | 1.7× |
| Pt Eval Mod Complex (97162) | $184.60 | $284 | 1.9× |
| Pt gait training 15 min (97116) | $85.15 | $131 | 2.9× |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$22.75–$95.55 | $35–$147 | varies |
| Pt Re-Eval Est Plan Care (97164) | $112.45 | $173 | 1.7× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$141.70–$144.95 | $218–$223 | varies |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$104–$105.95 | $160–$163 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $63.70 | $98 | 0.3× |
| Same day nb discharge (99463) | $162.50 | $250 | 1.2× |
| Select picture audiometry (92583) range across 2 matching MRF lines |
$76.70–$78.65 | $118–$121 | varies |
| Self Care Mngment Training (97535) | $108.55 | $167 | 3.4× |
| 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× |
| Speech sound lang comprehen (92523) | $468 | $720 | 2.1× |
| Spirometry (94010) range across 3 matching MRF lines |
$38.35–$192.40 | $59–$296 | varies |
| Standardized Cognitive Performance Testing (96125) | $306.15 | $471 | 3.0× |
| Stress Tte Only (93350) | $1,273.35 | $1,959 | 2.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $111.80 | $172 | 5.0× |
| Ther Ivntj Ea Addl 15 Min (97130) | $111.80 | $172 | 5.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $113.10 | $174 | 3.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$11.70–$33.80 | $18–$52 | varies |
| Ther/Prop/Diag Inj/Inf Proc (96379) range across 2 matching MRF lines |
$26.65–$27.30 | $41–$42 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$49.40–$50.70 | $76–$78 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$248.30–$255.45 | $382–$393 | varies |
| Therapeutic Activities (97530) | $108.55 | $167 | 3.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 4 matching MRF lines |
$29.25–$72.15 | $45–$111 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$13.65–$33.80 | $21–$52 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 3 matching MRF lines |
$107.25–$267.80 | $165–$412 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 3 matching MRF lines |
$148.85–$373.10 | $229–$574 | varies |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$414.05–$1,370.20 | $637–$2,108 | varies |
| 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/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$103.35–$105.95 | $159–$163 | varies |
| Tympanometry (92567) | $46.80 | $72 | 1.2× |
| Upr/L Xtremity Art 2 Levels (93922) | $391.30 | $602 | 2.8× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $443.95 | $683 | 2.0× |
| 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× |
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.