Visits & medical services prices at Pipestone County Medical Center & Family Clinic Avera
Pipestone, MN · every code in this section with a posted price and a Medicare benchmark.
100 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$21.22–$76 | $21–$76 | varies |
| Airway Inhalation Treatment (94640) range across 6 matching MRF lines |
$55.91–$144 | $55–$144 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$129–$132 | $129–$132 | varies |
| Brief Emotional/Behav Assmt (96127) | $9.74 | $9 | 0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $376 | $376 | 1.0× |
| Canalith repositioning proc (95992) | $111 | $111 | 2.7× |
| Car seat/bed test 60 min (94780) | $57 | $57 | 1.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,043 | $1,043 | 4.7× |
| Cardiopulmonary resuscitation (92950) | $790 | $790 | 3.5× |
| Cardioversion (92960) | $290 | $290 | 0.4× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $6.11 | $6 | 0.2× |
| Chemo Anti-Neopl Sq/Im (96401) | $364 | $364 | 4.9× |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$33.82–$364 | $33–$364 | varies |
| Chemo IV infusion addl hr (96415) | $497 | $497 | 6.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $574 | $574 | 7.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $882 | $882 | 2.6× |
| Color/duplex Doppler, complete (93975) | $706 | $706 | 2.9× |
| Color/duplex Doppler, limited (93976) | $328 | $328 | 3.0× |
| Continuous Pulse Ox (94762) | $64 | $64 | 0.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $168 | $168 | 0.7× |
| Critical care first hour (99291) | $4,562 | $4,562 | 5.4× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$36.66–$104 | $36–$104 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $706 | $706 | 2.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,326 | $1,326 | 5.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $723 | $723 | 6.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,638 | $1,638 | 6.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $878 | $878 | 8.1× |
| Duplex up extrem art bilat (93930) | $1,327 | $1,327 | 5.4× |
| Echo Congenital Complete (93303) | $500 | $500 | 0.9× |
| Echo Heart Xthoracic,Limited (93308) | $682 | $682 | 2.8× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$111–$131 | $111–$131 | varies |
| Electrocardiogram Tracing (93005) | $239 | $239 | 3.9× |
| Emergency Dept Visit Level 2 (99282) | $416 | $416 | 2.6× |
| Emergency Dept Visit Level 3 (99283) | $632 | $632 | 2.2× |
| Emergency Dept Visit Level 4 (99284) | $1,404 | $1,404 | 3.3× |
| Er level 1 (99281) | $1,103 | $1,103 | 12.7× |
| Er level v (99285) | $1,989 | $1,989 | 3.2× |
| Evaluate Speech Production (92522) | $389 | $389 | 3.5× |
| Evaluate Swallowing Function (92610) | $497 | $497 | 5.9× |
| External ECG rec>48hr<7d recording (93242) | $668 | $668 | 17.3× |
| External ECG rec>7d<15d recording (93246) | $668 | $668 | 17.3× |
| External Ecg Scanning Analysis Report (93226) | $1,031 | $1,031 | 16.9× |
| Extracranial Bilat Study (93880) | $957 | $957 | 3.9× |
| Holter monitor recording (93225) | $682 | $682 | 5.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$21.22–$50 | $21–$50 | varies |
| Immunization administration (90471) range across 7 matching MRF lines |
$21.22–$143 | $21–$143 | varies |
| Inital newborn e/m (99460) | $225 | $225 | 1.6× |
| Iontophoresis 15 min (97033) | $132 | $132 | 6.9× |
| Irrig Drug Delivery Device (96523) | $191 | $191 | 3.1× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$83–$432 | $83–$432 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$548–$632 | $548–$632 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$371–$574 | $371–$574 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$83–$187 | $83–$187 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$324–$351 | $324–$351 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $35 | $35 | 1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $50 | $50 | 1.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $74 | $74 | 0.4× |
| Neuromuscular Reeducation (97112) | $155 | $155 | 4.7× |
| Oral Function Therapy (92526) | $389 | $389 | 4.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $138 | $138 | 2.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $119 | $119 | 2.6× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $48.91 | $48 | 2.2× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $41.42 | $41 | 1.9× |
| Ot Eval Low Complex (97165) | $293 | $293 | 2.9× |
| Ot Eval Moderate Complexity (97166) | $324 | $324 | 3.2× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$151–$156 | $151–$156 | varies |
| Ot paraffin bath (97018) | $115 | $115 | 19.1× |
| Phlebotomy therapeutic (99195) | $159 | $159 | 1.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $5,213 | $5,213 | 5.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $23.69 | $23 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $35.02 | $35 | 0.7× |
| Pt Eval High Complex (97163) | $418 | $418 | 4.3× |
| Pt eval low complex 20 min (97161) | $293 | $293 | 3.0× |
| Pt Eval Mod Complex (97162) | $324 | $324 | 3.3× |
| Pt gait training 15 min (97116) | $142 | $142 | 4.9× |
| Pt group caregiver training (97552) | $39 | $39 | 1.8× |
| Pt mechanical traction (97012) | $155 | $155 | 10.8× |
| Pt Re-Eval Est Plan Care (97164) | $293 | $293 | 4.3× |
| Pure Tone Audiometry Air (92552) | $33 | $33 | 0.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $170 | $170 | 0.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $449 | $449 | 3.7× |
| Self Care Mngment Training (97535) | $140 | $140 | 4.3× |
| Speech sound lang comprehen (92523) | $389 | $389 | 1.7× |
| Spirometry (94010) | $188 | $188 | 0.8× |
| Standardized Cognitive Performance Testing (96125) | $165 | $165 | 1.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $140 | $140 | 6.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $168 | $168 | 4.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$39.12–$173 | $39–$173 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$371–$632 | $371–$632 | varies |
| Therapeutic Activities (97530) | $144 | $144 | 4.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $40.16 | $40 | 1.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $13.59 | $13 | 0.4× |
| Trans Care Mgmt 14 Day Disch (99495) | $273.01 | $273 | 2.0× |
| Trans Care Mgmt 7 Day Disch (99496) | $369.20 | $369 | 2.7× |
| Tte w/doppler, complete (93306) | $2,343 | $2,343 | 4.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $358 | $358 | 4.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$122–$231 | $122–$231 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $344 | $344 | 2.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $779 | $779 | 3.5× |
| Wheelchair Mgmt Ea 15 Min (97542) | $109 | $109 | 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.