Visits & medical services prices at Sanford Bemidji Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $13,548 $16,935 1.7×
Actigraphy testing recording analysis i&r (95803) $135.20 $169 2.2×
Aep hearing status deter broadband stimuli i&r (92651) $360.80 $451 1.6×
Aep neurodiagnostic interpretation and report (92653) $613.60 $767 2.8×
Aep Thrshld Est Mlt Freq I&R (92652) $613.60 $767 2.8×
Airway inhalation treatment (94640) $168 $210 0.7×
Ambulatory Bp Analysis (93788) $306.40 $383 2.2×
Ambulatory Bp Recording (93786) $291.20 $364 2.1×
Analyze neurostim no prog (95970) $300 $375 2.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $98.40 $123 6.9×
Application on-body injector (96377) $97.20 $121.50 2.0×
Assessment of aphasia per hr (96105) $351.20 $439 3.6×
Basic vestibular evaluation (92540) $336 $420 1.5×
Bedside Swallowing Eval (92610) $340.80 $426 4.0×
Behavioral and qualitative analysis of voice and resonance (92524) $376 $470 3.4×
Biofeedback training any modality (90901) $264.80 $331 6.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $646.40 $808 1.7×
Caloric vestibular test w/rec bi bithermal (92537) $472 $590 3.6×
Canalith Repositioning Procedure (95992) $146.40 $183 3.6×
Car seat/bed test 60 min (94780) $70.40 $88 1.8×
Cardiac Stress Tst,Tracing Only (93017) $1,175.20 $1,469 5.3×
Cardiopulmonary resuscitation (92950) $1,010.40 $1,263 4.5×
Cardioversion (92960) $1,792 $2,240 2.6×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $70.40 $88 2.7×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $19,500.80 $24,376 1.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $15,952 $19,940 4.8×
Cbt 1st hour (94644) $260 $325 1.9×
Chemo Admin Peritoneal Cavity (96446) $714.40 $893 2.1×
Chemo Hormon Antineopl Sq/Im (96402) $173.60 $217 2.3×
Chemo IV push addl drug (96411) $256.40 $320.50 3.5×
Chemo prolong 8+ hrs infuse w/pump (96416) $436 $545 1.3×
Chemother, IV infusion, 1 hr (96413) $443.20 $554 1.3×
Chemother, IV infusion, ea add hr (96415) $95.20 $119 1.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $182.40 $228 2.5×
Chemotherapy into cns (96450) $1,004 $1,255 2.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $218.40 $273 2.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $251.20 $314 0.7×
Color/duplex Doppler, complete (93975) $1,232 $1,540 5.0×
Color/duplex Doppler, limited (93976) $853.60 $1,067 7.9×
Continuous Glucose Monitoring (95250) $487.20 $609 3.5×
Coronary art/grft angio s&i (93455) $13,275.20 $16,594 4.0×
Coronary artery angio s&i (93454) $11,734.40 $14,668 3.5×
Cpap/bipap (94660) $519.20 $649 2.3×
Cpt initial (94667) $100.80 $126 0.7×
Critical care (99291) $2,949.60 $3,687 3.5×
Debridement Open Wound 20 Sq Cm< (97597) $360.80 $451 1.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,022.40 $1,278 4.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $567.20 $709 5.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,088 $1,360 4.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $676.80 $846 6.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $809.60 $1,012 3.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $508 $635 4.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,243.20 $1,554 5.0×
Dup-scan xtr veins unilateral/limited study (93971) $878.40 $1,098 8.1×
Duplex scan extracranial art compl bi study (93880) $1,036 $1,295 4.2×
Duplex Scan Hemodialysis Access (93990) $644.80 $806 6.0×
Echo Heart Xthoracic,Limited (93308) $992 $1,240 4.0×
Echo r-t 2d w/probe placement only (93313) $1,844.80 $2,306 3.3×
Echo transesophageal (93312) $2,648.80 $3,311 4.7×
Echo Transesophageal - Congenital Tee Complete (93315) $2,579.20 $3,224 4.6×
Echo Transthoracic - Congenital Tte Complete (93303) $1,712 $2,140 3.0×
Echo Transthoracic - Congenital Tte Limited (93304) $1,276.80 $1,596 2.3×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,421.60 $3,027 4.3×
EEG awake and asleep (95819) $918.40 $1,148 4.1×
EEG awake drowsy (95816) $899.20 $1,124 4.0×
EEG cerebral death evaluation (95824) $1,183.20 $1,479 3.1×
EEG greater than 1 hour (95813) $1,527.20 $1,909 6.9×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $876.80 $1,096 3.9×
EKG rhythm strip (93041) $196.80 $246 3.2×
Electrocardiogram Tracing (93005) $260.80 $326 4.3×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,218.40 $1,523 5.5×
EMG four extremities (95864) $852 $1,065 6.4×
EMG one extremity (95860) $400.80 $501 2.9×
EMG three extremities (95863) $676 $845 5.1×
EMG two extremities (95861) $632.80 $791 4.6×
Ep & ablate supravent arrhyt (93653) $42,019.20 $52,524 1.6×
Ep & ablate ventric tachy (93654) $46,756 $58,445 1.7×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $18,872 $23,590 2.3×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $14,220.80 $17,776 1.8×
Er level 1 (99281) $315.20 $394 3.6×
Er level ii (99282) $501.60 $627 3.2×
Er level iii (99283) $888 $1,110 3.2×
Er level IV (99284) $1,411.20 $1,764 3.3×
Er level v (99285) $2,052.80 $2,566 3.3×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $373.60 $467 2.8×
Eval speech sound production (92522) $354.40 $443 3.2×
Evaluate Pt Use Of Inhaler (94664) $115.20 $144 0.5×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $440 $550 3.6×
Evaluation of speech fluency (92521) $370.40 $463 2.8×
External ECG rec>48hr<7d recording (93242) $412 $515 10.7×
External ECG rec>48hr<7d scanning alys w/report (93243) $421.60 $527 3.1×
External ECG rec>7d<15d recording (93246) $432.80 $541 11.2×
External ECG rec>7d<15d scanning alys w/report (93247) $426.40 $533 3.1×
Eye exam w anesth; complete (92018) $44.80 $56 0.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $424 $530 0.5×
Gi tract capsule endoscopy (91110) $2,599.20 $3,249 2.8×
Group Therapeutic Procedures (97150) $78.40 $98 4.3×
Hemodialysis (90935) $1,652 $2,065 2.3×
Holter Monitor (93225) $552 $690 4.0×
Ilr Device Eval Progr (93285) $131.20 $164 3.4×
Imm admn sarscov2 vaccine single dose (90480) $71.20 $89 1.7×
Immune Admin Oral/Nasal (90473) $67.20 $84 0.9×
Immunization Admin (90471) $96.80 $121 1.3×
Ins swan ganz bedside (93503) $3,674.40 $4,593 2.3×
Interrog dev eval icpms phys/qhp in person (93290) $128.80 $161 3.3×
Interrog dev eval scrms phys/qhp in person (93291) $172 $215 5.8×
Interrog device eval heart (93289) $150.40 $188 3.9×
Interrogate subq defib (93261) $108 $135 2.8×
Interrogation eval in person wr defibrillator (93292) $144.80 $181 3.8×
Intra-atrial pacing (93610) $7,796.80 $9,746 1.0×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $265.60 $332 1.2×
Iontophoresis 15 min (97033) $144 $180 7.6×
Irrig drug delivery device (96523) $170.40 $213 2.8×
IV infusion hydration each additional hour (96361) $104.40 $130.50 2.2×
IV infusion hydration initial 31 min-1 hour (96360) $541.60 $677 2.5×
IV infusion ther proph addl sequential to 1 hr (96367) $248 $310 3.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $417.60 $522 1.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $70.40 $88 1.5×
IV push ea addl new drug (96375) $70 $87.50 1.4×
IV push initial (96374) $125.60 $157 0.6×
L hrt art/grft angio (93459) $19,779.20 $24,724 5.9×
Liver Elastography W/O Imag W/I&R (91200) $379.20 $474 2.9×
Manual therapy 15 min (97140) $132.80 $166 4.8×
Massage 15 min (97124) $98.40 $123 3.3×
Mechanical traction (97012) $119.20 $149 8.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $54.40 $68 1.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $57.60 $72 1.6×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $68 $85 4.0×
Methacholine challenge (94070) $612 $765 1.6×
Motility study esophagus (91010) $417.60 $522 1.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $342.40 $428 3.7×
Multiple Sleep Latency Test (95805) $1,960 $2,450 2.2×
Nasopharyngoscopy (92511) $374.40 $468 1.8×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $628 $785 2.8×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $526.40 $658 2.4×
Needle electromyography hemidiaphragm (95866) $386.40 $483 2.9×
Needle electromyography larynx (95865) $1,288 $1,610 9.4×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $296 $370 2.2×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $388.80 $486 1.7×
Neg press wound tx >50 cm (97608) $808 $1,010 1.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $597.60 $747 1.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $176 $220 0.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $340 $425 0.8×
Nerve Conduction Studies 11-12 Studies (95912) $1,248 $1,560 3.2×
Nerve conduction studies 13/> studies (95913) $1,328 $1,660 3.4×
Nerve Conduction Studies 3-4 Studies (95908) $553.60 $692 2.5×
Nerve Conduction Studies 5-6 Studies (95909) $716 $895 3.2×
Nerve Conduction Studies 7-8 Studies (95910) $720.80 $901 1.9×
Nerve Conduction Studies 9-10 Studies (95911) $1,047.20 $1,309 2.7×
Nerve conduction studies; 1-2 studies (95907) $355.20 $444 1.6×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $410.40 $513 3.1×
Nitric oxide expired gas determination (95012) $152.80 $191 4.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $507.20 $634 3.7×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $341.60 $427 2.6×
Orbicularis Oculi Reflx Electrodiagnostic Test (95933) $357.60 $447 5.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $134.40 $168 2.9×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $111.60 $139.50 3.5×
Ot eval high complex 60 min (97167) $303.20 $379 3.0×
Ot eval low complex 30 min (97165) $268.80 $336 2.7×
Ot eval mod complex 45 min (97166) $289.60 $362 2.9×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $134.40 $168 2.7×
Ot Prosthetic Training, Each 15 Min (97761) $123.20 $154 3.0×
Ot Range Motion Measure,Each Extrem (95851) $84.80 $106 3.3×
Ot re-evaluation (97168) $154.40 $193 2.3×
Ot therapeutic activity 15 min (97530) $132.80 $166 3.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $319.20 $399 2.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $294.40 $368 2.2×
Paraffin bath pt (97018) $84.80 $106 14.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $288.80 $361 1.3×
Peripheral arterial disease rehab per session (93668) $143.20 $179 2.4×
Peritoneal Dialysis (90945) $920 $1,150 2.1×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $13,866.40 $17,333 2.4×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $19,342.40 $24,178 1.6×
Phlebotomy therapeutic (99195) $261.60 $327 1.9×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $165.60 $207 2.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $165.60 $207 2.7×
Plethysmography (94726) $556.80 $696 1.4×
Pm device eval in person (93288) $152.80 $191 4.0×
Pm device progr eval dual (93280) $154.40 $193 4.0×
Pm device progr eval multi (93281) $222.40 $278 5.8×
Pm device progr eval sngl (93279) $192 $240 5.0×
Pm/Icd Remote Tech Serv (93296) $156 $195 4.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,322 $5,402.50 4.9×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $138.40 $173 3.6×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $196.80 $246 5.1×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $232 $290 6.0×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $256.80 $321 6.7×
Prq Card Stent W/Angio 1 Vsl (92928) $17,416.80 $21,771 1.5×
Prq Revasc Byp Graft 1 Vsl (92937) $20,723.20 $25,904 1.7×
Prq tcat plmt ntrac st 2+les (92930) $21,600 $27,000 1.1×
Prq trluml coronary angio/atherect one art/brnch (92924) $21,934.40 $27,418 1.8×
Psych diag eval w/med srvcs (90792) $324 $405 1.8×
Pt Aquatic Therapy/Exercises (97113) $136.80 $171 3.7×
Pt Electrical Stimulation (97032) $132.80 $166 9.0×
Pt eval high complex 45 min (97163) $340.80 $426 3.5×
Pt eval low complex 20 min (97161) $268.80 $336 2.7×
Pt eval mod complex 30 min (97162) $304 $380 3.1×
Pt gait training 15 min (97116) $116 $145 4.0×
Pt group caregiver training (97552) $59.20 $74 2.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $132.80 $166 4.1×
Pt Physical Performance Test (97750) $92 $115 2.7×
Pt re-evaluation (97164) $154.40 $193 2.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $132.80 $166 4.1×
Pt Whirlpool Therapy (97022) $90 $112.50 5.7×
Pulm function test by gas (94727) $526.40 $658 2.4×
Pulmonary Service/Procedure (94799) $122.40 $153 0.9×
Pulmonary stress test simple (94618) $264.80 $331 1.9×
R & l hrt cath w/njx l ventriculog img s&i (93453) $15,120.80 $18,901 4.5×
R hrt art/grft angio (93457) $17,324.80 $21,656 5.2×
R hrt coronary artery angio (93456) $14,715.20 $18,394 4.4×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $24,120.80 $30,151 7.2×
R&l hrt art/ventricle angio (93460) $19,350.40 $24,188 5.8×
Refill/Maint Portable Pump (96521) $339.20 $424 1.5×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $151.20 $189 3.9×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $197.60 $247 5.1×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $502.40 $628 1.6×
Right heart cath (93451) $7,724 $9,655 2.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $336.80 $421 1.6×
Rom meas&reprt hand w/wo comparison normal sid (95852) $70.40 $88 3.3×
Rt Chest Wall Manipulation,Subsequent (94668) $88.80 $111 0.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $207.20 $259 4.3×
Sensory Integration Ea 15 Min (97533) $124.80 $156 2.1×
Short-latency somatosens ep std upr limbs (95925) $1,141.60 $1,427 5.1×
Sleep study unattended (95806) $708 $885 3.2×
Slp caregiver training 1st 30 min (97550) $140.80 $176 2.7×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $660.80 $826 3.0×
Smoking cessation > 10 min (99407) $60 $75 1.6×
Speech sound lang comprehen (92523) $471.20 $589 2.1×
Spirometry (94010) $312 $390 1.4×
Ssep lower limbs (95926) $1,276 $1,595 5.7×
Standardized Cognitive Performance Testing (96125) $309.60 $387 3.0×
Stress echo (93350) $2,121.60 $2,652 3.8×
Temp transcutaneous pacing (92953) $738.40 $923 1.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $138.40 $173 6.2×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $124 $155 5.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $315.20 $394 3.1×
Ther/prop/diag inj/inf proc (96379) $126.40 $158 2.6×
Therapeutic prophylactic/dx injection subq/im (96372) $74.40 $93 1.0×
Tilt table evaluation (93660) $1,943.20 $2,429 5.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $48 $60 1.2×
Transtelephonic rhythm strip pacemaker eval (93293) $160.80 $201 4.2×
Tte w/doppler, complete (93306) $2,280 $2,850 4.0×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,427.20 $1,784 5.8×
Tx atrial fib pulm vein isol (93656) $49,375.20 $61,719 1.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $306.40 $383 4.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $140 $175 5.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $287.20 $359 3.4×
Unlis neurological/neuromuscular dx px (95999) $804.80 $1,006 6.1×
Unlisted Cardiovascular Service/Procedure (93799) $2,424 $3,030 18.3×
Unlisted Diagnostic Gastroenterology Procedure (91299) $1,104.80 $1,381 8.3×
Upr/lxtr art stdy 3+ lvls (93923) $849.60 $1,062 3.8×
Vasc Duplex Scan Extracranial,Limited (93882) $632 $790 5.9×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $691.20 $864 3.1×
Vasopneumatic device (97016) $117.60 $147 9.8×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $1,980.80 $2,476 5.1×
Vent mgmt inpat init day (94002) $1,037.60 $1,297 1.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,047.20 $1,309 1.6×
Visual Evoked Potential Test (95930) $964.80 $1,206 4.3×
Wheelchair Mgmt Ea 15 Min (97542) $134.40 $168 4.3×