Visits & medical services prices at RiverView Health

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

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

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ProcedureCash priceGross charge× Medicare
Actigraphy testing recording analysis i&r (95803) $150.30 $167 2.5×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $38.70 $43 1.3×
Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the… (97813) $48.60 $54 1.6×
Advance care planning first 30 mins (99497) $280.80 $312 2.7×
Airway inhalation treatment (94640) $208.35 $231.50 0.9×
Analyze neurostim complex (95972) $432.45 $480.50 4.4×
Analyze neurostim no prog (95970) $306 $340 2.2×
Analyze neurostim simple (95971) $308.25 $342.50 3.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $112.05 $124.50 7.8×
Assessment of aphasia per hr (96105) $410.40 $456 4.2×
Bedside Swallowing Eval (92610) $374.40 $416 4.4×
Behavioral and qualitative analysis of voice and resonance (92524) $421.20 $468 3.8×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $67.50 $75 0.8×
Bfb training ea addl 15 min (90913) $67.50 $75 2.1×
Breath Hydrogen/Methane Test (91065) $568.80 $632 2.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $179.10 $199 0.5×
C motor evoked upr&lwr limbs (95939) $503.10 $559 0.6×
Canalith Repositioning Procedure (95992) $226.80 $252 5.6×
Car seat/bed test 60 min (94780) $91.80 $102 2.4×
Cardiac Stress Tst,Tracing Only (93017) $939.60 $1,044 4.2×
Cardiopulmonary resuscitation (92950) $1,101.60 $1,224 4.9×
Cardioversion (92960) $1,089.45 $1,210.50 1.6×
Cbt 1st hour (94644) $306.90 $341 2.2×
Chemo Hormon Antineopl Sq/Im (96402) $166.50 $185 2.2×
Chemother, IV infusion, 1 hr (96413) $656.10 $729 1.9×
Chemother, IV infusion, ea add hr (96415) $173.70 $193 2.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $205.65 $228.50 2.8×
Chronic care management services 1st 20 min (99490) $102.60 $114 1.0×
Color/duplex Doppler, complete (93975) $1,021.50 $1,135 4.1×
Color/duplex Doppler, limited (93976) $381.60 $424 3.5×
Cpap/bipap (94660) $590.40 $656 2.6×
Cpt initial (94667) $179.10 $199 1.3×
Critical care (99291) $1,606.95 $1,785.50 1.9×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,063.80 $1,182 2.8×
Ctr Motor Ep Std Transcrnl Motor Stimj Upr Limbs (95928) $1,039.50 $1,155 1.2×
Debridement Open Wound 20 Sq Cm< (97597) $425.70 $473 2.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $950.40 $1,056 8.8×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,854 $2,060 7.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $494.38 $549.30 4.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $595.80 $662 5.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,120.50 $1,245 4.6×
Dup-scan xtr veins unilateral/limited study (93971) $799.20 $888 7.4×
Duplex scan extracranial art compl bi study (93880) $877.50 $975 3.6×
Echo Heart Xthoracic,Limited (93308) $447.75 $497.50 1.8×
Echo Transthoracic - Congenital Tte Complete (93303) $731.25 $812.50 1.3×
EEG coma or sleep only (95822) $569.70 $633 2.6×
EKG rhythm strip (93041) $50.40 $56 0.8×
Elec alys implt cplx cn npgt prgrmg (95977) $241.20 $268 2.5×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $176.40 $196 4.6×
Electrocardiogram Tracing (93005) $234 $260 3.8×
EMG four extremities (95864) $585 $650 4.4×
EMG one extremity (95860) $206.10 $229 1.5×
EMG two extremities (95861) $357.30 $397 2.6×
Er level 1 (99281) $148.50 $165 1.7×
Er level ii (99282) $244.80 $272 1.5×
Er level iii (99283) $375.30 $417 1.3×
Er level IV (99284) $661.05 $734.50 1.5×
Er level v (99285) $991.35 $1,101.50 1.6×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $283.95 $315.50 2.1×
Eval speech sound production (92522) $415.35 $461.50 3.7×
Eval to use/fit voice prosth (92597) $591.30 $657 8.3×
Evaluate Pt Use Of Inhaler (94664) $182.25 $202.50 0.8×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $724.05 $804.50 5.9×
Evaluation of speech fluency (92521) $539.10 $599 4.0×
Exercise tst brncspsm (94617) $310.50 $345 2.3×
External ECG rec>48hr<7d recording (93242) $73.80 $82 1.9×
External ECG rec>7d<15d recording (93246) $151.20 $168 3.9×
External ECG rec>7d<15d scanning alys w/report (93247) $108.90 $121 0.8×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $582.30 $647 2.9×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $216 $240 1.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $390.60 $434 0.4×
Gi tract capsule endoscopy (91110) $1,305 $1,450 1.4×
Group Therapeutic Procedures (97150) $68.40 $76 3.8×
Holter Monitor (93225) $109.35 $121.50 0.8×
Hypnotherapy (90880) $269.10 $299 2.6×
Imm admn sarscov2 vaccine single dose (90480) $57.60 $64 1.4×
Immune Admin Oral/Nasal (90473) $51.75 $57.50 0.7×
Immunization Admin (90471) $69.30 $77 0.9×
Inhalation bronchial challenge testing (95070) $180.90 $201 0.5×
Inital newborn e/m (99460) $263.70 $293 1.9×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) $217.80 $242 1.6×
Injection intra arterial (96373) $182.70 $203 0.8×
Iontophoresis 15 min (97033) $130.95 $145.50 6.9×
Irrig drug delivery device (96523) $250.20 $278 4.1×
IV infusion hydration each additional hour (96361) $145.80 $162 3.0×
IV infusion hydration initial 31 min-1 hour (96360) $349.20 $388 1.6×
IV infusion ther proph addl sequential to 1 hr (96367) $173.70 $193 2.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $581.40 $646 2.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $130.50 $145 2.7×
IV push ea addl new drug (96375) $117 $130 2.4×
IV push initial (96374) $196.20 $218 0.9×
Manual therapy 15 min (97140) $136.35 $151.50 4.9×
Massage 15 min (97124) $112.50 $125 3.8×
Maximum voluntary ventilation (94200) $109.80 $122 1.8×
Mechanical traction (97012) $99.90 $111 7.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $61.20 $68 1.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $76.50 $85 2.1×
Methacholine challenge (94070) $127.80 $142 0.3×
Motility study esophagus (91010) $595.80 $662 1.5×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $444.60 $494 4.9×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $471.60 $524 1.0×
Multiple Family Group Psychotherapy (90849) $96.30 $107 0.5×
Multiple Sleep Latency Test (95805) $247.50 $275 0.3×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $176.85 $196.50 1.3×
Neg press wound tx >50 cm (97608) $211.50 $235 0.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $176.40 $196 0.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $175.05 $194.50 0.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $299.25 $332.50 0.7×
Newborn resuscitation (99465) $621.90 $691 0.9×
Nitric oxide expired gas determination (95012) $173.70 $193 4.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $444.60 $494 3.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $415.80 $462 3.1×
Nonphysician Telephone Assessment 11-20 Min (98967) $119.70 $133 4.8×
Nonphysician Telephone Assessment 21-30 Min (98968) $180.90 $201 5.2×
Nonphysician Telephone Assessment 5-10 Min (98966) $62.10 $69 4.5×
Nrpsyc tst eval phys/qhp 1st (96132) $434.70 $483 1.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $154.80 $172 3.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $113.40 $126 3.5×
Ot Contrast Bath Ea 15 Min (97034) $103.50 $115 7.4×
Ot eval high complex 60 min (97167) $308.70 $343 3.1×
Ot eval low complex 30 min (97165) $281.25 $312.50 2.8×
Ot eval mod complex 45 min (97166) $290.70 $323 2.9×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $154.80 $172 3.1×
Ot Range Motion Measure,Each Extrem (95851) $26.10 $29 1.0×
Ot re-evaluation (97168) $165.60 $184 2.4×
Ot therapeutic activity 15 min (97530) $174.15 $193.50 5.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $286.20 $318 2.2×
Paraffin bath pt (97018) $92.70 $103 15.4×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $444.60 $494 2.0×
Peripheral arterial disease rehab per session (93668) $68.40 $76 1.1×
Phlebotomy therapeutic (99195) $284.40 $316 2.1×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $278.10 $309 4.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $278.10 $309 4.6×
Plethysmography (94726) $222.30 $247 0.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,600.10 $2,889 2.9×
Polysom <6 yrs 4/> paramtrs (95782) $2,524.05 $2,804.50 2.8×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,614.50 $2,905 2.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $12.15 $13.50 0.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $32.40 $36 0.7×
Psych diag eval w/med srvcs (90792) $351 $390 1.9×
Psychiatric diagnostic evaluation (90791) $413.10 $459 2.3×
Psychoanalysis (90845) $223.20 $248 1.2×
Psytx crisis initial 60 min (90839) $446.40 $496 2.4×
Pt Aquatic Therapy/Exercises (97113) $118.80 $132 3.2×
Pt Electrical Stimulation (97032) $114.30 $127 7.8×
Pt eval high complex 45 min (97163) $308.70 $343 3.2×
Pt eval low complex 20 min (97161) $281.25 $312.50 2.9×
Pt eval mod complex 30 min (97162) $290.70 $323 3.0×
Pt gait training 15 min (97116) $128.70 $143 4.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $136.35 $151.50 4.2×
Pt Physical Performance Test (97750) $157.50 $175 4.7×
Pt re-evaluation (97164) $171 $190 2.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $143.10 $159 4.4×
Pt Whirlpool Therapy (97022) $76.50 $85 4.9×
Pulm function test by gas (94727) $225.45 $250.50 1.0×
Pulmonary Service/Procedure (94799) $162.45 $180.50 1.2×
Pulmonary stress test simple (94618) $362.70 $403 2.6×
Pure Tone Audiometry Air Only (92552) $72.90 $81 0.5×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $966.60 $1,074 2.8×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $158.40 $176 4.1×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $41.85 $46.50 0.3×
Rem mntr physiol param dev (99454) $137.25 $152.50 3.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $353.70 $393 1.7×
Rt Chest Wall Manipulation,Subsequent (94668) $128.70 $143 0.9×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $220.05 $244.50 4.6×
Self-measured blood pressure using a device validated for clinical accuracy; patient education/training and device… (99473) $15.30 $17 0.5×
Sensory Integration Ea 15 Min (97533) $121.95 $135.50 2.0×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $792.90 $881 3.6×
Short-latency somatosens ep std upr limbs (95925) $472.95 $525.50 2.1×
Sleep study attended (95807) $270 $300 0.7×
Sleep study unattended (95806) $287.10 $319 1.3×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $356.40 $396 1.6×
Smoking cessation > 10 min (99407) $131.40 $146 3.4×
Somatosensory testing (95938) $191.70 $213 0.2×
Speech sound lang comprehen (92523) $507.60 $564 2.2×
Spirometry (94010) $143.10 $159 0.6×
Ssep lower limbs (95926) $460.35 $511.50 2.1×
Standardized Cognitive Performance Testing (96125) $377.55 $419.50 3.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $133.20 $148 6.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $127.80 $142 6.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $513 $570 5.0×
Therapeutic prophylactic/dx injection subq/im (96372) $79.20 $88 1.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $81.90 $91 2.1×
Tte w/doppler, complete (93306) $218.70 $243 0.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $317.25 $352.50 4.2×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $140.40 $156 5.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $317.70 $353 3.8×
Tympanometry (92567) $42.30 $47 1.1×
Tympanometry And Reflex Threshold Measurements (92550) $52.20 $58 0.2×
Upr/lxtr art stdy 3+ lvls (93923) $824.40 $916 3.7×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $626.40 $696 2.8×
Vasopneumatic device (97016) $158.85 $176.50 13.2×
Vent mgmt inpat init day (94002) $1,411.20 $1,568 2.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,453.50 $1,615 2.3×
Wheelchair Mgmt Ea 15 Min (97542) $110.25 $122.50 3.5×
Xtrnl mobile cv telemetry w/technical support (93229) $251.10 $279 0.7×