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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $142.50 $142.50 0.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $130.50 $130.50 9.1×
Bedside Swallowing Eval (92610) $497 $497 5.9×
Brief Emotional/Behavioral Assessment (96127) $9.74 $9 0.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $376 $376 1.0×
Canalith Repositioning Procedure (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 Hormon Antineopl Sq/Im (96402) $198.91 $198.50 2.7×
Chemother, IV infusion, 1 hr (96413) $882 $882 2.6×
Chemother, IV infusion, ea add hr (96415) $497 $497 6.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $364 $364 4.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $574 $574 7.7×
Color/duplex Doppler, complete (93975) $706 $706 2.9×
Color/duplex Doppler, limited (93976) $328 $328 3.0×
Cpap/bipap (94660) $168 $168 0.7×
Critical care (99291) $4,562 $4,562 5.4×
Debridement Open Wound 20 Sq Cm< (97597) $70.33 $70 0.3×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,327 $1,327 5.4×
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 scan extracranial art compl bi study (93880) $957 $957 3.9×
Echo Heart Xthoracic,Limited (93308) $682 $682 2.8×
Echo Transthoracic - Congenital Tte Complete (93303) $500 $500 0.9×
Electrocardiogram Tracing (93005) $239 $239 3.9×
Er level 1 (99281) $1,103 $1,103 12.7×
Er level ii (99282) $416 $416 2.6×
Er level iii (99283) $632 $632 2.2×
Er level IV (99284) $1,404 $1,404 3.3×
Er level v (99285) $1,989 $1,989 3.2×
Eval speech sound production (92522) $389 $389 3.5×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $449 $449 3.7×
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×
Holter Monitor (93225) $682 $682 5.0×
Imm admn sarscov2 vaccine single dose (90480) $48.61 $48.50 1.2×
Immune Admin Oral/Nasal (90473) $35.61 $35.50 0.5×
Immunization Admin (90471) $49 $49 0.7×
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) $257.50 $257.50 5.3×
IV infusion hydration initial 31 min-1 hour (96360) $590 $590 2.7×
IV infusion ther proph addl sequential to 1 hr (96367) $472.50 $472.50 6.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $501.50 $501.50 2.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $135 $135 2.8×
IV push ea addl new drug (96375) $176.50 $176.50 3.7×
IV push initial (96374) $337.50 $337.50 1.5×
Manual therapy 15 min (97140) $153.50 $153.50 5.5×
Mechanical traction (97012) $155 $155 10.8×
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×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $344 $344 2.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $64 $64 0.5×
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 30 min (97165) $293 $293 2.9×
Ot eval mod complex 45 min (97166) $324 $324 3.2×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $138 $138 2.8×
Ot therapeutic activity 15 min (97530) $144 $144 4.1×
Paraffin bath pt (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 Aquatic Therapy/Exercises (97113) $168 $168 4.5×
Pt Electrical Stimulation (97032) $131 $131 8.9×
Pt eval high complex 45 min (97163) $418 $418 4.3×
Pt eval low complex 20 min (97161) $293 $293 3.0×
Pt eval mod complex 30 min (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 Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $155 $155 4.7×
Pt re-evaluation (97164) $293 $293 4.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $140 $140 4.3×
Pure Tone Audiometry Air Only (92552) $33 $33 0.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $170 $170 0.8×
Smoking cessation > 10 min (99407) $40.16 $40 1.0×
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×
Therapeutic prophylactic/dx injection subq/im (96372) $118 $118 1.6×
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 Swallowing Dysfunction&/Oral Funcj Feeding (92526) $389 $389 4.6×
Upr/lxtr art stdy 3+ lvls (93923) $779 $779 3.5×
Wheelchair Mgmt Ea 15 Min (97542) $109 $109 3.5×