Visits & medical services prices at Rainy Lake Medical Center
International Falls, MN · every code in this section with a posted price and a Medicare benchmark.
138 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $53.99 | $70.11 | 1.3× |
| Airway Inhalation Treatment (94640) | $165.49 | $214.92 | 0.7× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) range across 2 matching MRF lines |
$35.73–$51.06 | $46.40–$66.30 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $86.60 | $112.46 | 6.0× |
| Application on-body injector (96377) | $159.90 | $207.65 | 3.3× |
| Assessment of aphasia per hr (96105) | $188.92 | $245.34 | 1.9× |
| Behavral qualit analys voice (92524) | $289.37 | $375.80 | 2.6× |
| Brief Emotional/Behav Assmt (96127) range across 4 matching MRF lines |
$15.54–$22.20 | $20.18–$28.83 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 4 matching MRF lines |
$77–$256.72 | $99.99–$333.40 | varies |
| Canalith repositioning proc (95992) | $127.11 | $165.07 | 3.1× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$113.53–$370.33 | $147.43–$480.94 | varies |
| Cardiopulmonary resuscitation (92950) | $661.70 | $859.35 | 3.0× |
| Cardioversion (92960) range across 2 matching MRF lines |
$191.30–$446.31 | $248.44–$579.62 | varies |
| Care mgmt services behavioral hlth cond 20 mins (99484) range across 2 matching MRF lines |
$66.63–$95.18 | $86.52–$123.60 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $11.49 | $14.92 | 0.3× |
| Chemo Anti-Neopl Sq/Im (96401) | $237.70 | $308.69 | 3.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $155.91 | $202.48 | 2.1× |
| Chemo IV infusion addl hr (96415) | $160.63 | $208.60 | 2.2× |
| Chemo IV push addl drug (96411) | $246.81 | $320.52 | 3.3× |
| Chemother Prolong Infuse W/Pump (96416) | $529.80 | $688.04 | 1.6× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $965.24 | $1,253.55 | 2.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $224.91 | $292.08 | 3.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $590.10 | $766.36 | 1.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $405.08 | $526.07 | 1.2× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$34.66–$49.51 | $45.01–$64.29 | varies |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$528.53–$965.24 | $686.39–$1,253.55 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) range across 2 matching MRF lines |
$56.38–$80.52 | $73.21–$104.56 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $132.65 | $172.27 | 2.2× |
| Continuous Pulse Ox (94762) | $222.84 | $289.39 | 1.7× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$656.48–$1,746.90 | $852.57–$2,268.69 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$143.25–$204.65 | $186.03–$265.77 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $25.01 | $32.47 | 0.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $898.58 | $1,166.98 | 3.6× |
| Dup-scan xtr veins unilateral/limited study (93971) | $455.50 | $591.55 | 4.2× |
| Duplex Scan Hemodialysis Access (93990) | $459.90 | $597.27 | 4.3× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$383.07–$547.24 | $497.49–$710.70 | varies |
| Echo Heart Xthoracic,Limited (93308) | $754.38 | $979.71 | 3.1× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,455.22 | $1,889.89 | 2.6× |
| Electrical Stimulation Ea 15 Min (97032) | $83.22 | $108.07 | 5.7× |
| Electrocardiogram Tracing (93005) | $178.64 | $231.99 | 2.9× |
| Emergency Dept Visit Level 2 (99282) range across 4 matching MRF lines |
$51.73–$320.27 | $67.17–$415.93 | varies |
| Emergency Dept Visit Level 3 (99283) range across 4 matching MRF lines |
$64.05–$522.81 | $83.18–$678.97 | varies |
| Emergency Dept Visit Level 4 (99284) range across 4 matching MRF lines |
$76.49–$850.71 | $99.33–$1,104.81 | varies |
| Er level 1 (99281) range across 4 matching MRF lines |
$42.71–$234.92 | $55.46–$305.09 | varies |
| Er level v (99285) range across 4 matching MRF lines |
$86.60–$1,133.86 | $112.46–$1,472.54 | varies |
| Evaluate pt use of inhaler (94664) | $126.19 | $163.88 | 0.6× |
| Evaluate Speech Production (92522) | $300.25 | $389.93 | 2.7× |
| Evaluate Swallowing Function (92610) | $323.84 | $420.56 | 3.8× |
| Evaluation of speech fluency (92521) | $300.25 | $389.93 | 2.3× |
| Exercise test for bronchospasm (94617) | $240.22 | $311.97 | 1.7× |
| External ECG rec>48hr<7d recording (93242) | $163.72 | $212.62 | 4.2× |
| External ECG rec>7d<15d recording (93246) | $256.58 | $333.22 | 6.7× |
| Extracranial Bilat Study (93880) | $1,083.06 | $1,406.56 | 4.4× |
| Holter monitor recording (93225) | $764.35 | $992.65 | 5.6× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 4 matching MRF lines |
$16.34–$53.99 | $21.22–$70.11 | varies |
| Immunization administration (90471) range across 9 matching MRF lines |
$16.34–$53.99 | $21.22–$70.11 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $1,118.58 | $1,452.69 | 2.9× |
| Inital newborn e/m (99460) | $377.69 | $490.50 | 2.7× |
| Iontophoresis 15 min (97033) | $87.74 | $113.94 | 4.6× |
| Irrig Drug Delivery Device (96523) | $92.23 | $119.77 | 1.5× |
| IV infusion hydration each additional hour (96361) | $140.28 | $182.17 | 2.9× |
| IV infusion hydration initial 31 min-1 hour (96360) | $330.05 | $428.63 | 1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $164.50 | $213.63 | 2.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $125.91 | $163.51 | 2.6× |
| IV push initial (96374) | $158.70 | $206.10 | 0.7× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $502.92 | $653.14 | 2.3× |
| Methacholine challenge (94070) range across 4 matching MRF lines |
$102.09–$601.91 | $132.58–$781.69 | varies |
| Motion Fluoroscopy/Swallow (92611) | $323.84 | $420.56 | 3.5× |
| Muscle Test 2 Limbs (95861) | $36.35 | $47.20 | 0.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$115.05–$164.36 | $149.41–$213.45 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 3 matching MRF lines |
$122.43–$174.90 | $158.99–$227.13 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $158.70 | $206.10 | 0.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $262.02 | $340.28 | 0.6× |
| Nerve Conduction Studies 1-2 Studies (95907) range across 3 matching MRF lines |
$70.61–$235.32 | $91.69–$305.60 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 3 matching MRF lines |
$189.51–$631.77 | $246.11–$820.47 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 3 matching MRF lines |
$214.97–$716.62 | $279.18–$930.67 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) range across 3 matching MRF lines |
$90.62–$302.08 | $117.68–$392.30 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 3 matching MRF lines |
$107.50–$358.32 | $139.60–$465.34 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 3 matching MRF lines |
$142.78–$475.90 | $185.42–$618.04 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 3 matching MRF lines |
$169.81–$566.06 | $220.52–$735.14 | varies |
| Neuromuscular Reeducation (97112) | $106.80 | $138.70 | 3.3× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $72.24 | $93.81 | 2.9× |
| Oral Function Therapy (92526) | $307.05 | $398.76 | 3.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $83.22 | $108.07 | 1.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $110.25 | $143.17 | 2.4× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$18.29–$42.62 | $23.75–$55.34 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$26.29–$61.27 | $34.14–$79.56 | varies |
| Ot eval high complexity (97167) | $353 | $458.44 | 3.5× |
| Ot Eval Low Complex (97165) | $176.99 | $229.85 | 1.8× |
| Ot Eval Moderate Complexity (97166) | $265.49 | $344.79 | 2.6× |
| Ot manual therapy 15 min (97140) | $103.46 | $134.36 | 3.7× |
| Ot Re-Eval Est Plan Care (97168) | $122.25 | $158.76 | 1.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$59.67–$295.76 | $77.49–$384.10 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $171 | $222.07 | 1.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 2 matching MRF lines |
$204.19–$226.69 | $265.18–$294.39 | varies |
| Peripheral arterial disease rehab per session (93668) range across 2 matching MRF lines |
$171–$295.76 | $222.07–$384.10 | varies |
| Phlebotomy therapeutic (99195) | $198.43 | $257.70 | 1.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $193.54 | $251.34 | 3.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $193.54 | $251.34 | 3.2× |
| Plethysmography (94726) range across 4 matching MRF lines |
$102.09–$505.14 | $132.58–$656.02 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$393.01–$3,755.92 | $510.40–$4,877.81 | varies |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) range across 2 matching MRF lines |
$101.14–$144.47 | $131.34–$187.62 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $53.13 | $69 | 1.1× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $89.93 | $116.79 | 1.9× |
| Pt Eval High Complex (97163) | $398.26 | $517.22 | 4.1× |
| Pt eval low complex 20 min (97161) | $176.99 | $229.85 | 1.8× |
| Pt Eval Mod Complex (97162) | $265.49 | $344.79 | 2.7× |
| Pt gait training 15 min (97116) | $104.61 | $135.85 | 3.6× |
| Pt mechanical traction (97012) | $104.61 | $135.85 | 7.3× |
| Pt Re-Eval Est Plan Care (97164) | $129.93 | $168.74 | 1.9× |
| Pulmonary Stress Testing (94618) range across 7 matching MRF lines |
$72.07–$240.22 | $93.59–$311.97 | varies |
| Pure Tone Audiometry Air (92552) | $65.67 | $85.28 | 0.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$84.47–$120.67 | $109.70–$156.71 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $516.17 | $670.35 | 4.2× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $113.53 | $147.43 | 2.4× |
| Self Care Mngment Training (97535) | $119.33 | $154.97 | 3.7× |
| Sensory Integration Ea 15 Min (97533) | $110.19 | $143.10 | 1.8× |
| Speech sound lang comprehen (92523) | $300.25 | $389.93 | 1.3× |
| Spirometry (94010) | $158.83 | $206.27 | 0.7× |
| Standardized Cognitive Performance Testing (96125) | $309.26 | $401.63 | 3.0× |
| Stress Tte Only (93350) | $864.70 | $1,122.98 | 1.5× |
| Testing Autonomic Nervous System Function (95923) range across 2 matching MRF lines |
$489.76–$699.64 | $636.04–$908.62 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $136.56 | $177.35 | 6.1× |
| Ther Ivntj Ea Addl 15 Min (97130) | $136.56 | $177.35 | 6.5× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $279.95 | $363.56 | 2.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $87.74 | $113.94 | 1.2× |
| Ther/Proph/Diag Iv Inf Init (96365) | $315.94 | $410.30 | 1.4× |
| Therapeutic Activities (97530) | $119.33 | $154.97 | 3.4× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$44.44–$63.51 | $57.71–$82.47 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$25.24–$36.03 | $32.77–$46.79 | varies |
| Tte w/doppler, complete (93306) | $1,002.04 | $1,301.35 | 1.8× |
| Tte W/O Doppler Complete (93307) | $864.70 | $1,122.98 | 3.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $295.76 | $384.10 | 3.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $152.48 | $198.02 | 3.2× |
| Tympanometry (92567) | $73.39 | $95.31 | 1.9× |
| Upr/L Xtremity Art 2 Levels (93922) | $388.62 | $504.69 | 2.8× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $572.45 | $743.44 | 2.6× |
| Wheelchair Mgmt Ea 15 Min (97542) | $104.61 | $135.85 | 3.4× |
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.