Visits & medical services prices at Ridgeview Medical Center

Waconia, MN · every code in this section with a posted price and a Medicare benchmark.

255 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Acoustic reflex testing (92568) $25.48 $52 0.7×
Advance care planning first 30 mins (99497) $138.67 $283 1.3×
Airway inhalation treatment (94640) $33
Analyze neurostim complex (95972) $59
Analyze neurostim no prog (95970) $2
Analyze neurostim simple (95971) $360.15 $384 3.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $34.30 $70 2.4×
Application Modality 1/> Areas Infrared (97026) $14.70 $30 2.2×
Application on-body injector (96377) $100.94 $206 2.1×
Assessment of aphasia per hr (96105) $270.48 $552 2.8×
Basic vestibular evaluation (92540) $116.38 $237.50 0.5×
Bedside Swallowing Eval (92610) $173.70 $354.50 2.0×
Behavioral and qualitative analysis of voice and resonance (92524) $276.36 $564 2.5×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $98.49 $201 1.2×
Brief Emotional/Behavioral Assessment (96127) $8.33 $17 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $65.17 $131 0.2×
Caloric vestibular test w/rec bi bithermal (92537) $16.17 $33 0.1×
Caloric vestibular test w/rec bi monothermal (92538) $11.27 $23 0.0×
Canalith Repositioning Procedure (95992) $86.48 $147 2.1×
Car seat/bed test 60 min (94780) $85.26 $174 2.2×
Cardiac Stress Tst,Tracing Only (93017) $261.17 $533 1.2×
Cardiopulmonary resuscitation (92950) $502 $932 2.2×
Cardioversion (92960) $537.53 $528 0.8×
Caregiver hlth risk assmt score doc stnd instrm (96161) $5.39 $11 0.1×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $6,329.33 $12,917 1.9×
Cbt 1st hour (94644) $187.18 $382 1.3×
Chemo Hormon Antineopl Sq/Im (96402) $104.08 $212.42 1.4×
Chemo IV push addl drug (96411) $126.91 $259 1.7×
Chemo prolong 8+ hrs infuse w/pump (96416) $215.60 $440 0.6×
Chemother, IV infusion, 1 hr (96413) $419.36 $855.84 1.2×
Chemother, IV infusion, ea add hr (96415) $124.98 $255.07 1.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $140.14 $286 1.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $107.80 $220 1.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $169.05 $345 0.5×
Chronic care management services 1st 20 min (99490) $106.33 $217 1.0×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $734.51 $1,499 1.9×
Color Vision Examination (92283) $77.91 $159 1.3×
Color/duplex Doppler, complete (93975) $649.25 $819 2.6×
Color/duplex Doppler, limited (93976) $273.42 $419 2.5×
Comprehensive Hearing Test (92557) $101
Computerized dynamic posturography (92548) $24.01 $49 0.2×
Conditioning Play Audiometry (92582) $146.51 $299 1.1×
Cont Gluc Monitoring Patient Provided Equipment (95249) $110.74 $226 1.8×
Continuous Glucose Monitoring (95250) $249.90 $510 1.8×
Coronary art/grft angio s&i (93455) $7,056.49 $14,401 2.1×
Coronary artery angio s&i (93454) $5,310.13 $10,837 1.6×
Cpap/bipap (94660) $265.09 $541 1.2×
Cpt initial (94667) $91.63 $187 0.7×
Critical care (99291) $1,190.94 $941 1.4×
Dbrdmt prmlg les w/pdt (96574) $469.42 $958 2.2×
Debridement Open Wound 20 Sq Cm< (97597) $349
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $6.37 $13 0.0×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $8.82 $18 0.0×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $366.52 $748 1.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $254.80 $327 2.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $468.93 $923 1.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $282.24 $512 2.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $316.36 $578.50 1.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $313.60 $360 2.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $391.02 $534 1.6×
Dup-scan xtr veins unilateral/limited study (93971) $343.98 $521 3.1×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $485.10 $990 1.9×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $333.20 $680 3.0×
Duplex scan extracranial art compl bi study (93880) $388.57 $527 1.6×
Duplex Scan Hemodialysis Access (93990) $356.72 $404 3.3×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $133.77 $273 1.0×
Ear and throat examination (92502) $160.72 $328 0.3×
Echo Heart Xthoracic,Limited (93308) $233.73 $84 0.9×
Echo r-t 2d w/probe placement only (93313) $399.35 $815 0.7×
Echo transesophageal (93312) $1,187.76 $2,424 2.1×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,265.67 $2,583 2.2×
EEG awake and asleep (95819) $305.76 $624 1.4×
EEG awake drowsy (95816) $385.63 $787 1.7×
EEG coma or sleep only (95822) $604.66 $1,234 2.7×
EEG greater than 1 hour (95813) $607.60 $1,240 2.7×
EKG rhythm strip (93041) $119.07 $243 1.9×
Electrocardiogram Tracing (93005) $24
Electroencephalogram Extend Monitoring 41-60 Min (95812) $498.82 $605.50 2.2×
EMG one extremity (95860) $95.30 $194.50 0.7×
EMG three extremities (95863) $381
EMG two extremities (95861) $202.37 $550 1.5×
Er level 1 (99281) $29.80 $40 0.3×
Er level ii (99282) $70.07 $143 0.4×
Er level iii (99283) $119.07 $243 0.4×
Er level IV (99284) $202.37 $413 0.5×
Er level v (99285) $293.02 $598 0.5×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $588.98 $1,202 1.5×
Eval speech sound production (92522) $281.75 $575 2.5×
Eval to use/fit voice prosth (92597) $182.77 $373 2.6×
Evaluate Pt Use Of Inhaler (94664) $66.15 $135 0.3×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $270.97 $553 2.2×
Evaluation of speech fluency (92521) $281.75 $575 2.1×
External ECG rec>48hr<7d recording (93242) $118.34 $241.50 3.0×
External ECG rec>48hr<7d scanning alys w/report (93243) $378.28 $772 2.7×
External ECG rec>7d<15d recording (93246) $118.34 $241.50 3.0×
External ECG rec>7d<15d scanning alys w/report (93247) $396.90 $810 2.8×
External Ecg Scanning Analysis Report (93226) $60.76 $124 1.0×
Fundus photography w/interpretation & report (92250) $208.25 $425 1.5×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $241.57 $493 0.6×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $204.82 $418 0.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $899.88 $275 1.0×
Gastrointestinal Tract Imaging Esophagus W/I&R (91111) $1,403.85 $2,865 1.5×
Gi tract capsule endoscopy (91110) $1,198.54 $2,139 1.3×
Group Therapeutic Procedures (97150) $45.57 $93 2.5×
Health behavior ivntj indiv f2f 1st 30 min (96158) $199.92 $408 1.1×
Hemodialysis (90935) $804.58 $1,642 1.1×
Holter Monitor (93225) $31.36 $64 0.2×
Imm admn sarscov2 vaccine single dose (90480) $35.28 $72 0.8×
Immune Admin Oral/Nasal (90473) $28.42 $58 0.4×
Immunization Admin (90471) $72
Inhalation bronchial challenge testing (95070) $59.29 $121 0.2×
Inital newborn e/m (99460) $155.33 $317 1.1×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) $181.30 $370 1.3×
Injection intra arterial (96373) $93.10 $190 0.4×
Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and… (95024) $24
Iontophoresis 15 min (97033) $76.44 $156 4.0×
Irrig drug delivery device (96523) $110.40 $225.30 1.8×
IV infusion hydration each additional hour (96361) $95.06 $194 1.9×
IV infusion hydration initial 31 min-1 hour (96360) $251.06 $512.37 1.1×
IV infusion ther proph addl sequential to 1 hr (96367) $160.23 $327 2.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $285.78 $583.24 1.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $164.15 $335 3.3×
IV push ea addl new drug (96375) $100.36 $204.81 2.0×
IV push initial (96374) $99.50 $203.07 0.4×
L hrt art/grft angio (93459) $7,317.17 $14,933 2.2×
Liver Elastography W/O Imag W/I&R (91200) $34.79 $71 0.3×
Manual therapy 15 min (97140) $85.26 $174 3.1×
Maximum voluntary ventilation (94200) $21.07 $43 0.3×
Mechanical chest wall oscillation (94669) $270.48 $552 1.2×
Mechanical traction (97012) $39.69 $81 2.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $53.66 $110 1.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $61.74 $126 1.7×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $28.42 $58 1.7×
Methacholine challenge (94070) $61.25 $125 0.2×
Motility study esophagus (91010) $266.56 $544 0.7×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $218.78 $446.50 2.4×
Multiple Sleep Latency Test (95805) $987.35 $2,015 1.1×
Nasopharyngoscopy (92511) $198.45 $340 0.9×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $111.23 $227 0.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $210.70 $430 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $254.31 $519 0.6×
Nerve Conduction Studies 11-12 Studies (95912) $157.29 $531 0.4×
Nerve conduction studies 13/> studies (95913) $174.44 $356 0.4×
Nerve Conduction Studies 3-4 Studies (95908) $79.87 $163 0.4×
Nerve Conduction Studies 5-6 Studies (95909) $96.04 $196 0.4×
Nerve Conduction Studies 7-8 Studies (95910) $122.01 $249 0.3×
Nerve Conduction Studies 9-10 Studies (95911) $313.11 $364.50 0.8×
Nerve conduction studies; 1-2 studies (95907) $65.17 $133 0.3×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $119.07 $243 0.9×
Newborn resuscitation (99465) $775.67 $1,034 1.1×
Nitric oxide expired gas determination (95012) $32.34 $66 0.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $341.53 $697 2.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $152.39 $311 1.1×
Nonphysician Telephone Assessment 11-20 Min (98967) $83
Nonphysician Telephone Assessment 21-30 Min (98968) $114
Nonphysician Telephone Assessment 5-10 Min (98966) $45
Nrpsyc tst eval phys/qhp 1st (96132) $217.07 $262 0.6×
Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording Non-Facility (92544) $6.37 $13 0.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $82.32 $168 1.8×
Oscillating Tracking Test (92545) $6.37 $13 0.0×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $53.41 $94 2.4×
Osteopathic manipulative tx 3-4 body regions (98926) $76.44 $137.50 3.4×
Osteopathic manipulative tx 5-6 body regions (98927) $99.47 $180.50 4.4×
Osteopathic manipulative tx 7-8 body regions (98928) $121.52 $223.50 5.4×
Osteopathic manipulative tx 9-10 body regions (98929) $142.59 $265 6.3×
Ot eval high complex 60 min (97167) $224.42 $458 2.2×
Ot eval low complex 30 min (97165) $173.46 $354 1.7×
Ot eval mod complex 45 min (97166) $187.18 $382 1.9×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $82.32 $168 1.6×
Ot re-evaluation (97168) $101.92 $208 1.5×
Ot therapeutic activity 15 min (97530) $81.34 $166 2.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $180.32 $368 1.3×
Paraffin bath pt (97018) $19.60 $40 3.3×
Patch/Application Test Specify Number Tests (95044) $8.82 $18 0.0×
Pdt dstr prmlg les skn illum/activj per day (96567) $231.77 $473 1.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $196 $400 0.9×
Percutaneous tests w/allergenic extracts (95004) $6.37 $13 0.0×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $5,116.58 $10,442 0.9×
Phlebotomy therapeutic (99195) $179.58 $366.50 1.3×
Photo patch test(s) (specify number of tests) Facility (95052) $10.78 $22 0.2×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $66.64 $136 1.1×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $66.64 $136 1.1×
Plethysmography (94726) $132.06 $153 0.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $899.64 $416 1.0×
Positional Nystagmus Test (92542) $11.18 $15 0.1×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $24.99 $51 0.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $17.64 $36 0.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $21.07 $43 0.4×
Prq trluml coronary angio/atherect one art/brnch (92924) $10,928.96 $22,304 0.9×
Psych diag eval w/med srvcs (90792) $181.30 $370 1.0×
Psychiatric diagnostic evaluation (90791) $510
Psycl tst eval phys/qhp 1st (96130) $149.45 $305 0.7×
Psytx crisis initial 60 min (90839) $446
Pt Aquatic Therapy/Exercises (97113) $121.03 $247 3.3×
Pt Electrical Stimulation (97032) $47.04 $96 3.2×
Pt eval high complex 45 min (97163) $196 $400 2.0×
Pt eval low complex 20 min (97161) $153.86 $314 1.6×
Pt eval mod complex 30 min (97162) $163.66 $334 1.7×
Pt gait training 15 min (97116) $70.07 $143 2.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $78.40 $160 2.4×
Pt Physical Performance Test (97750) $77.91 $159 2.3×
Pt re-evaluation (97164) $108.78 $222 1.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $80.85 $165 2.5×
Pt Whirlpool Therapy (97022) $49.98 $102 3.2×
Pt-focused hlth risk assmt (96160) $5.39 $11 0.1×
Pulmonary Service/Procedure (94799) $39.69 $67 0.3×
Pure Tone Audiometry Air & Bone (92553) $400
Pure Tone Audiometry Air Only (92552) $64.68 $132 0.5×
R & l hrt cath w/njx l ventriculog img s&i (93453) $5,196.45 $10,605 1.5×
R hrt art/grft angio (93457) $9,038.54 $18,446 2.7×
R hrt coronary artery angio (93456) $7,258.37 $14,813 2.1×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $8,894.97 $18,153 2.6×
R&l hrt art/ventricle angio (93460) $7,549.92 $15,408 2.2×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $33.81 $69 0.2×
Rem mntr physiol param dev (99454) $80.36 $164 2.1×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $14.21 $29 0.4×
Right heart cath (93451) $5,222.42 $10,658 1.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $90.16 $184 0.4×
Rt Chest Wall Manipulation,Subsequent (94668) $74.48 $152 0.5×
Sensory Integration Ea 15 Min (97533) $68.11 $139 1.1×
Sleep study attended (95807) $595.35 $1,215 1.5×
Sleep study unattended (95806) $87.22 $178 0.4×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $260.19 $134 1.2×
Smoking cessation > 10 min (99407) $46.55 $95 1.2×
Speech Audiometry Complete (92556) $116.22 $156 1.9×
Speech audiometry threshold (92555) $49.49 $101 0.8×
Speech sound lang comprehen (92523) $425.32 $868 1.9×
Spirometry (94010) $32.83 $67 0.1×
Spontaneous nystagmus test (92541) $7.35 $15 0.1×
Standardized Cognitive Performance Testing (96125) $270.48 $552 2.6×
Stress echo (93350) $735.98 $1,502 1.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $77.42 $158 3.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $77.42 $158 3.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $216.09 $441 2.1×
Ther/prop/diag inj/inf proc (96379) $1,163.26 $1,316 23.7×
Therapeutic prophylactic/dx injection subq/im (96372) $50
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $24.99 $51 0.6×
Trans Care Mgmt 14 Day Disch (99495) $236
Trans Care Mgmt 7 Day Disch (99496) $473.34 $641 3.4×
Tte w/doppler, complete (93306) $1,099.56 $2,244 1.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $185.22 $378 2.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $220.99 $451 2.6×
Tympanometry (92567) $57
Tympanometry And Reflex Threshold Measurements (92550) $36.75 $75 0.2×
Ultraviolet Light Therapy (96900) $42.63 $87 1.1×
Unlisted Cardiovascular Service/Procedure (93799) $1,532.72 $3,128 11.4×
Unlisted otorhinolaryngological service (92700) $258.72 $528 8.5×
Upr/lxtr art stdy 3+ lvls (93923) $419.44 $856 1.9×
Vasc Duplex Scan Extracranial,Limited (93882) $171.50 $350 1.6×
Vasopneumatic device (97016) $44.59 $91 3.7×
Vent mgmt inpat init day (94002) $533.12 $1,088 0.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $401.56 $819.50 0.6×
Visual reinforcement audiometry (vra) (92579) $74.48 $152 0.3×
Vital capacity, total (94150) $100.94 $206 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $73.99 $151 2.4×