Visits & medical services prices at Ridgeview Le Sueur Medical Center
Le Sueur, MN · every code in this section with a posted price and a Medicare benchmark.
200 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Reflex Testing (92568) range across 4 matching MRF lines |
$36.40 | $51–$52 | 0.9× |
| Actinotherapy Ultraviolet Light (96900) | $60.90 | $87 | 1.6× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$14.85–$39.90 | $21.22–$57 | varies |
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$180.60–$198.10 | $258–$283 | varies |
| Airway Inhalation Treatment (94640) | $127.40 | $182 | 0.6× |
| Analyze neurostim complex (95972) range across 4 matching MRF lines |
$137.20 | $59–$196 | 1.4× |
| Analyze neurostim no prog (95970) range across 2 matching MRF lines |
$45.50 | $63–$65 | 0.3× |
| Analyze Neurostim Simple (95971) | — | $33 | — |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $202.30 | $289 | 1.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $93.80 | $134 | 6.5× |
| Assessment of aphasia per hr (96105) | $371 | $530 | 3.8× |
| Audiometry Air & Bone (92553) | $111.30 | $159 | 0.8× |
| Basic vestibular evaluation (92540) range across 2 matching MRF lines |
$74.90–$257.60 | $107–$368 | varies |
| Behavral qualit analys voice (92524) | $317.10 | $453 | 2.9× |
| Brief Emotional/Behav Assmt (96127) | $11.90 | $17 | 0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 4 matching MRF lines |
$24.50–$94.50 | $35–$135 | varies |
| Caloric vestibular test w/rec bi monothermal (92538) | $16.10 | $23 | 0.1× |
| Caloric Vstblr Test W/Rec (92537) | $23.10 | $33 | 0.2× |
| Canalith repositioning proc (95992) | $159.60 | $228 | 3.9× |
| Cardiac Stress Tst,Tracing Only (93017) | $856.80 | $1,224 | 3.8× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$436.10–$781.90 | $623–$1,117 | varies |
| Cardioversion (92960) range across 4 matching MRF lines |
$256.20–$1,280.30 | $366–$1,829 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $7.70 | $11 | 0.2× |
| Chemo Anti-Neopl Sq/Im (96401) | $258.30 | $369 | 3.4× |
| Chemo Hormon Antineopl Sq/Im (96402) | $85.40 | $122 | 1.1× |
| Chemo IV infusion addl hr (96415) | $67.20 | $96 | 0.9× |
| Chemo IV push addl drug (96411) | $131.60 | $188 | 1.7× |
| Chemother Prolong Infuse W/Pump (96416) | $308 | $440 | 0.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $154 | $220 | 2.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $312.90 | $447 | 0.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $241.50 | $345 | 0.7× |
| Chron Care Mgmt Srvc 20 Min (99490) range across 2 matching MRF lines |
$120.40–$151.90 | $172–$217 | varies |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $111.30 | $159 | 1.8× |
| Color/duplex Doppler, complete (93975) | $1,004.50 | $1,435 | 4.0× |
| Color/duplex Doppler, limited (93976) | $730.10 | $1,043 | 6.7× |
| Comprehensive Hearing Test (92557) range across 4 matching MRF lines |
$88.20 | $109–$126 | 0.7× |
| Computerized dynamic posturography (92548) | $34.30 | $49 | 0.2× |
| Conditioning Play Audiometry (92582) | $209.30 | $299 | 1.6× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $357 | $510 | 2.6× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $158.20 | $226 | 2.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$492.80–$493.50 | $704–$705 | varies |
| Critical care first hour (99291) range across 3 matching MRF lines |
$508.20–$1,928.50 | $726–$2,755 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 6 matching MRF lines |
$84.70–$244.30 | $121–$349 | varies |
| Debridement Prmlg Hyperkeratotic Les W/Pdt (96574) range across 3 matching MRF lines |
$670.60 | $287–$958 | 3.2× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $12.60 | $18 | 0.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $497.70 | $711 | 4.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $680.40 | $972 | 6.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,124.20 | $1,606 | 4.5× |
| Dup-scan xtr veins unilateral/limited study (93971) | $873.60 | $1,248 | 8.0× |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$56–$610.40 | $80–$872 | varies |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $191.10 | $273 | 1.4× |
| Ear and throat examination (92502) | $229.60 | $328 | 0.4× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$58.80–$717.50 | $84–$1,025 | varies |
| Eeg 41-60 Minutes (95812) | $712.60 | $1,018 | 3.2× |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$135.10–$964.60 | $193–$1,378 | varies |
| EEG awake drowsy (95816) | $819.70 | $1,171 | 3.6× |
| EEG extended monitoring 61-119 minutes (95813) | $868 | $1,240 | 3.8× |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$863.80–$998.20 | $1,234–$1,426 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $119.70 | $171 | 8.1× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$16.80–$288.40 | $24–$412 | varies |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$100.10–$393.40 | $143–$562 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$170.10–$613.20 | $243–$876 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$289.10–$1,014.30 | $413–$1,449 | varies |
| Emg 3 Extremities (95863) range across 4 matching MRF lines |
$233.80–$500.50 | $334–$715 | varies |
| Er level 1 (99281) range across 3 matching MRF lines |
$28–$231 | $40–$330 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$418.60–$1,404.20 | $598–$2,006 | varies |
| Esophageal Capsule Endoscopy (91111) range across 2 matching MRF lines |
$2,005.50–$2,112.60 | $2,865–$3,018 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) range across 2 matching MRF lines |
$841.40–$973 | $1,202–$1,390 | varies |
| Evaluate pt use of inhaler (94664) | $44.10 | $63 | 0.2× |
| Evaluate Speech Production (92522) | $329 | $470 | 2.9× |
| Evaluate Swallowing Function (92610) | $126 | $180 | 1.5× |
| Evoked Auditory Test,Limited (92587) | $9.10 | $13 | 0.0× |
| External ECG rec>48hr<7d recording (93242) | $208.60 | $298 | 5.3× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $540.40 | $772 | 3.9× |
| External ECG rec>7d<15d recording (93246) | $208.60 | $298 | 5.3× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $567 | $810 | 4.1× |
| External Ecg Scanning Analysis Report (93226) | $86.80 | $124 | 1.4× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$368.90–$1,193.50 | $527–$1,705 | varies |
| Extracranial Uni/Ltd Study (93882) | $245 | $350 | 2.2× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $345.10 | $493 | 0.9× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $292.60 | $418 | 1.3× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $192.50 | $275 | 0.2× |
| Gi tract capsule endoscopy (91110) | $1,497.30 | $2,139 | 1.6× |
| Holter monitor recording (93225) | $44.80 | $64 | 0.3× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 3 matching MRF lines |
$14.85–$40.60 | $21.22–$58 | varies |
| Immunization administration (90471) range across 7 matching MRF lines |
$14.85–$127.40 | $21.22–$182 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $84.70 | $121 | 0.2× |
| Inital newborn e/m (99460) | $221.90 | $317 | 1.6× |
| Intracutaneous tests w/allergenic extracts (95024) | — | $24 | — |
| Iontophoresis 15 min (97033) | $149.10 | $213 | 7.8× |
| Irrig Drug Delivery Device (96523) | $129.50 | $185 | 2.1× |
| IV infusion hydration each additional hour (96361) | $116.20 | $166 | 2.4× |
| IV infusion hydration initial 31 min-1 hour (96360) | $831.60 | $1,188 | 3.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $158.20 | $226 | 2.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $128.10 | $183 | 2.6× |
| IV push initial (96374) | $169.40 | $242 | 0.8× |
| Liver Elastography W/O Imag W/I&R (91200) range across 2 matching MRF lines |
$25.20–$49.70 | $36–$71 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $30.10 | $43 | 0.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 4 matching MRF lines |
$77 | $94–$110 | 2.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$88.20 | $110–$126 | 2.4× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 4 matching MRF lines |
$40.60 | $53–$58 | 2.4× |
| Methacholine challenge (94070) | $87.50 | $125 | 0.2× |
| Motility study esophagus (91010) | $380.80 | $544 | 1.0× |
| Motion Fluoroscopy/Swallow (92611) | $222.60 | $318 | 2.4× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$135.80–$908.60 | $194–$1,298 | varies |
| Muscle Test 2 Limbs (95861) range across 3 matching MRF lines |
$193.20–$385 | $276–$550 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$120.40–$151.90 | $172–$217 | varies |
| Nasopharyngoscopy (92511) range across 4 matching MRF lines |
$91–$283.50 | $130–$405 | varies |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) range across 2 matching MRF lines |
$158.90–$256.90 | $227–$367 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $51.10 | $73 | 0.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $60.20 | $86 | 0.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $58.10 | $83 | 0.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $63.70 | $91 | 0.1× |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$93.10–$217.70 | $133–$311 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) | $224.70 | $321 | 0.6× |
| Nerve conduction studies 13 or more studies (95913) | $249.20 | $356 | 0.6× |
| Nerve Conduction Studies 3-4 Studies (95908) | $114.10 | $163 | 0.5× |
| Nerve conduction studies 5-6 studies (95909) | $137.20 | $196 | 0.6× |
| Nerve conduction studies 7-8 studies (95910) | $174.30 | $249 | 0.4× |
| Nerve Conduction Studies 9-10 Studies (95911) | $199.50 | $285 | 0.5× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 3 matching MRF lines |
$81.90–$251.30 | $117–$359 | varies |
| Neuromuscular Reeducation (97112) | $120.40 | $172 | 3.7× |
| Newborn resuscitation (99465) | $339.50 | $485 | 0.5× |
| Nitric oxide expired gas determination (95012) | $46.20 | $66 | 1.2× |
| Nrpsyc tst eval phys/qhp 1st (96132) range across 3 matching MRF lines |
$310.10 | $81–$443 | 0.8× |
| Optokinetic Nystagmus Test (92544) | $9.10 | $13 | 0.1× |
| Oral Function Therapy (92526) | $109.20 | $156 | 1.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $102.20 | $146 | 2.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $114.10 | $163 | 2.5× |
| Oscillating Tracking Test (92545) | $9.10 | $13 | 0.0× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$76.30 | $79–$109 | 3.4× |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$109.20 | $119–$156 | 4.8× |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$142.10 | $158–$203 | 6.3× |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 2 matching MRF lines |
$173.60 | $199–$248 | 7.7× |
| Osteopathic manipulative tx 9-10 body regions (98929) range across 2 matching MRF lines |
$203.70 | $239–$291 | 9.0× |
| Ot eval high complexity (97167) | $320.60 | $458 | 3.2× |
| Ot Eval Low Complex (97165) | $248.50 | $355 | 2.5× |
| Ot Eval Moderate Complexity (97166) | $222.60 | $318 | 2.2× |
| Ot manual therapy 15 min (97140) | $127.40 | $182 | 4.6× |
| Ot paraffin bath (97018) | $74.20 | $106 | 12.3× |
| Ot Re-Eval Est Plan Care (97168) | $189 | $270 | 2.8× |
| Patch/Application Test Specify Number Tests (95044) | $12.60 | $18 | 0.0× |
| Pdt dstr prmlg les skn illum/activj per day (96567) | $331.10 | $473 | 1.6× |
| Percutaneous tests w/allergenic extracts (95004) | $9.10 | $13 | 0.0× |
| Phlebotomy therapeutic (99195) | $231.70 | $331 | 1.7× |
| Photo patch test(s) (95052) | $15.40 | $22 | 0.2× |
| Plethysmography (94726) | $107.10 | $153 | 0.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$291.20–$1,285.20 | $416–$1,836 | varies |
| Positional nystagmus test (92542) | $10.50 | $15 | 0.1× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 2 matching MRF lines |
$35.70 | $12–$51 | 0.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $25.20 | $36 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $30.10 | $43 | 0.6× |
| Psych diag eval w/med srvcs (90792) | $409.50 | $585 | 2.2× |
| Psychiatric diagnostic evaluation (90791) range across 4 matching MRF lines |
$357–$416.50 | $85–$595 | varies |
| Psychological tst eval svc phys/qhp first hour (96130) | $261.80 | $374 | 1.2× |
| Psytx Crisis Initial 60 Min (90839) range across 4 matching MRF lines |
$312.20–$354.20 | $60–$506 | varies |
| Pt Eval High Complex (97163) | $165.90 | $237 | 1.7× |
| Pt eval low complex 20 min (97161) | $161.70 | $231 | 1.7× |
| Pt Eval Mod Complex (97162) | $161.70 | $231 | 1.7× |
| Pt gait training 15 min (97116) | $98 | $140 | 3.4× |
| Pt mechanical traction (97012) | $97.30 | $139 | 6.8× |
| Pt Re-Eval Est Plan Care (97164) | $155.40 | $222 | 2.3× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $7.70 | $11 | 0.2× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$46.90–$66.50 | $67–$95 | varies |
| Pure Tone Audiometry Air (92552) | $92.40 | $132 | 0.7× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $114.80 | $164 | 2.9× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $48.30 | $69 | 0.3× |
| Remote 30 Day Ecg Rev/Report (93270) | $20.30 | $29 | 0.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $277.90 | $397 | 1.3× |
| Same day nb discharge (99463) | $259 | $370 | 1.9× |
| Self Care Mngment Training (97535) | $100.80 | $144 | 3.1× |
| Sleep study attended (95807) range across 3 matching MRF lines |
$140.70–$990.50 | $201–$1,415 | varies |
| Sleep study unattended (95806) range across 3 matching MRF lines |
$104.30–$228.20 | $149–$326 | varies |
| Speech Audiometry Complete (92556) | $109.20 | $156 | 1.8× |
| Speech audiometry threshold (92555) | $70.70 | $101 | 1.1× |
| Speech sound lang comprehen (92523) | $329 | $470 | 1.5× |
| Spirometry (94010) range across 5 matching MRF lines |
$19.60–$66.50 | $28–$95 | varies |
| Spontaneous Nystagmus Test (92541) | $10.50 | $15 | 0.1× |
| Standardized Cognitive Performance Testing (96125) | $364.70 | $521 | 3.5× |
| Temp transcutaneous pacing (92953) | $2.80 | $4 | 0.0× |
| Ther/Prop/Diag Inj/Inf Proc (96379) range across 2 matching MRF lines |
$180.60–$1,842.40 | $258–$2,632 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $45.50 | $65 | 0.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $133 | $190 | 1.8× |
| Ther/Proph/Diag Iv Inf Init (96365) | $831.60 | $1,188 | 3.7× |
| Therapeutic Activities (97530) | $97.30 | $139 | 2.8× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 8 matching MRF lines |
$60.20–$66.50 | $9–$95 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 6 matching MRF lines |
$28.70–$35.70 | $10–$51 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$500.50 | $236–$715 | 3.6× |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$455 | $316–$650 | 3.3× |
| Tte w/doppler, complete (93306) | $1,836.80 | $2,624 | 3.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $305.90 | $437 | 4.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $138.60 | $198 | 2.8× |
| Tympanometry (92567) range across 2 matching MRF lines |
$39.90 | $37–$57 | 1.0× |
| Tympanometry and reflex threshold measurements (92550) | $52.50 | $75 | 0.2× |
| Unlisted otorhinolaryngological service (92700) | $369.60 | $528 | 12.2× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$28.70–$436.10 | $41–$623 | varies |
| Vasopneumatic device (97016) | $114.80 | $164 | 9.6× |
| Vent Mgmt Inpat Init Day (94002) | $681.10 | $973 | 1.1× |
| Visual reinforcement audiometry (vra) (92579) range across 2 matching MRF lines |
$106.40 | $126–$152 | 0.5× |
| Wheelchair Mgmt Ea 15 Min (97542) | $90.30 | $129 | 2.9× |
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.