Visits & medical services prices at Presentation Medical Center
Rolla, ND · every code in this section with a posted price and a Medicare benchmark.
100 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Advncd Care Plan 30 Min (99497) | $127 | $141 | 1.2× |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$82–$331 | $91–$368 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$67–$68 | $74–$75 | varies |
| Assessment of aphasia per hr (96105) | $253 | $281 | 2.6× |
| Behavral qualit analys voice (92524) | $404 | $449 | 3.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $277 | $308 | 0.7× |
| Canalith repositioning proc (95992) | $238 | $264 | 5.8× |
| Cardiac Stress Tst,Tracing Only (93017) | $396 | $440 | 1.8× |
| Cardiopulmonary resuscitation (92950) | $550 | $611 | 2.5× |
| Cardioversion (92960) | $1,196 | $1,329 | 1.8× |
| Cbt 1st hour (94644) | $105 | $117 | 0.8× |
| Chemo IV infusion addl hr (96415) | $149 | $165 | 2.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $838 | $931 | 2.5× |
| Chest Wall Manipulation (94668) | $111 | $123 | 0.8× |
| Chron Care Mgmt Srvc 20 Min (99490) | $142 | $158 | 1.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$107–$149 | $119–$165 | varies |
| Continuous Pulse Ox (94762) | $128 | $142 | 1.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $338 | $375 | 1.5× |
| Cpt initial (94667) | $131 | $146 | 1.0× |
| Critical care first hour (99291) | $1,761 | $1,957 | 2.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$807–$1,013 | $897–$1,125 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$536–$1,013 | $596–$1,125 | varies |
| Echo Heart Xthoracic,Limited (93308) | $427 | $474 | 1.8× |
| Electrical Stimulation Ea 15 Min (97032) | $71 | $79 | 4.8× |
| Electrocardiogram Tracing (93005) | $170 | $189 | 2.8× |
| Emergency Dept Visit Level 2 (99282) | $284 | $316 | 1.8× |
| Emergency Dept Visit Level 3 (99283) | $423 | $470 | 1.5× |
| Emergency Dept Visit Level 4 (99284) | $752 | $836 | 1.8× |
| Er level v (99285) | $1,310 | $1,456 | 2.2× |
| Evaluate Speech Production (92522) | $291 | $323 | 2.6× |
| Evaluate Swallowing Function (92610) | $271 | $301 | 3.2× |
| Evaluation of speech fluency (92521) | $266 | $295 | 2.0× |
| Exercise test for bronchospasm (94617) | $171 | $190 | 1.3× |
| External ECG rec>7d<15d recording (93246) | $131 | $145 | 3.4× |
| External Ecg Scanning Analysis Report (93226) | $467 | $519 | 7.7× |
| Extracranial Bilat Study (93880) | $948 | $1,053 | 3.9× |
| Extracranial Uni/Ltd Study (93882) | $602 | $669 | 5.6× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $129 | $143 | 1.8× |
| Immunization administration (90471) | $129 | $143 | 1.8× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$94–$113 | $104–$126 | varies |
| Irrig Drug Delivery Device (96523) | $158 | $176 | 2.6× |
| IV infusion hydration each additional hour (96361) | $105 | $117 | 2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) | $293 | $326 | 1.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $149 | $165 | 2.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $103 | $114 | 2.2× |
| IV push initial (96374) range across 2 matching MRF lines |
$877–$924 | $974–$1,027 | varies |
| Mechanical chest wall oscillation per session (94669) | $131 | $146 | 0.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $2 | $2 | 0.1× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$120–$161 | $133–$179 | varies |
| Oral Function Therapy (92526) | $271 | $301 | 3.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$135–$230 | $150–$255 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $163 | $181 | 11.6× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$449–$473 | $499–$525 | varies |
| Ot Eval Low Complex (97165) | $401 | $446 | 4.0× |
| Ot Eval Moderate Complexity (97166) | $449 | $499 | 4.5× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$106–$128 | $118–$142 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$27–$59 | $30–$66 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$120–$194 | $133–$216 | varies |
| Ot rom hand (95852) | $84 | $93 | 3.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $187 | $208 | 1.4× |
| Phlebotomy therapeutic (99195) | $445 | $494 | 3.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $131 | $146 | 2.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $131 | $146 | 2.2× |
| Physical Performance Test (97750) | $150 | $167 | 4.4× |
| Plethysmography (94726) | $184 | $204 | 0.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,552 | $2,835 | 2.9× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$44–$49 | $49–$54 | varies |
| Psych diag eval w/med srvcs (90792) | $646 | $718 | 3.6× |
| Psychiatric diagnostic evaluation (90791) | $577 | $641 | 3.2× |
| Psychoanalysis (90845) | $241 | $268 | 1.3× |
| Psytx Crisis Initial 60 Min (90839) | $358 | $398 | 2.0× |
| Pt Eval High Complex (97163) | $473 | $525 | 4.8× |
| Pt eval low complex 20 min (97161) | $426 | $473 | 4.4× |
| Pt Eval Mod Complex (97162) | $426 | $473 | 4.4× |
| Pt gait training 15 min (97116) | $102 | $113 | 3.5× |
| Pt mechanical traction (97012) | $77 | $86 | 5.4× |
| Pt Re-Eval Est Plan Care (97164) | $184 | $204 | 2.7× |
| Pulm function test by gas (94727) | $244 | $271 | 1.1× |
| Pulmonary Stress Testing (94618) | $158 | $176 | 1.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $132 | $147 | 2.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $275 | $306 | 1.3× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$125–$154 | $139–$171 | varies |
| Sensory Integration Ea 15 Min (97533) | $371 | $412 | 6.1× |
| Speech sound lang comprehen (92523) | $617 | $686 | 2.7× |
| Spirometry (94010) | $230 | $255 | 1.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$95–$135 | $105–$150 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$129–$139 | $143–$154 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $581 | $646 | 2.7× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$126–$180 | $140–$200 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $53 | $59 | 1.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $72 | $80 | 1.9× |
| Trans Care Mgmt 14 Day Disch (99495) | $305 | $339 | 2.2× |
| Trans Care Mgmt 7 Day Disch (99496) | $405 | $450 | 3.0× |
| Tte w/doppler, complete (93306) | $544 | $604 | 1.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $249 | $277 | 3.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $149 | $165 | 3.1× |
| Vasopneumatic device (97016) | $71 | $79 | 5.9× |
| Vent Mgmt Inpat Init Day (94002) | $499 | $554 | 0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) | $150 | $167 | 4.8× |
| Whirlpool Therapy (97022) | $92 | $102 | 5.9× |
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.