Visits & medical services prices at Sanford Canby Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $71.20 $89 1.7×
Airway Inhalation Treatment (94640)
range across 7 matching MRF lines		 $66.40–$148 $83–$185 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $117.60 $147 8.2×
Application Modality 1/> Areas Diathermy (97024) $89.60 $112 12.2×
Application Modality 1/> Areas Infrared (97026) $54.40 $68 8.1×
Application on-body injector (96377) $139.20 $174 2.9×
Behavral qualit analys voice (92524) $255.20 $319 2.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $688.80 $861 1.8×
Canalith repositioning proc (95992) $139.20 $174 3.4×
Cardiac Stress Tst,Tracing Only (93017) $900.80 $1,126 4.0×
Cardiopulmonary resuscitation (92950) $1,085.60 $1,357 4.9×
Cardioversion (92960) $1,224.80 $1,531 1.8×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $59.20 $74 2.3×
Chemo Anti-Neopl Sq/Im (96401) $508 $635 6.8×
Chemo Hormon Antineopl Sq/Im (96402) $508 $635 6.8×
Chemo IV infusion addl hr (96415) $280.80 $351 3.8×
Chemo IV push addl drug (96411) $234.40 $293 3.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $308 $385 4.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $799.20 $999 2.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $685.60 $857 2.0×
Chest Wall Manipulation (94668) $160 $200 1.2×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines		 $384–$1,552.80 $480–$1,941 varies
Color/duplex Doppler, limited (93976) $952 $1,190 8.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $124.80 $156 3.9×
Cont gluc mntr physician/qhp provided equiptment (95250) $427.20 $534 3.1×
Cont Gluc Mntr Pt Prov Eqp (95249) $160 $200 2.6×
Continuous Pulse Ox (94762) $426.40 $533 3.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $600 $750 2.7×
Cpt initial (94667) $204 $255 1.5×
Critical care first hour (99291) $2,857.60 $3,572 3.4×
Debridement Open Wound 20 Sq Cm< (97597) $506.40 $633 2.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,123.20 $1,404 4.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $786.40 $983 7.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,441.60 $1,802 5.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,088 $1,360 10.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,372.80 $1,716 5.6×
Dup-scan xtr veins unilateral/limited study (93971) $920.80 $1,151 8.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $815.20 $1,019 3.3×
Duplex Scan Hemodialysis Access (93990)
range across 2 matching MRF lines		 $885.60–$940 $1,107–$1,175 varies
Duplex up extrem art bilat (93930) $1,303.20 $1,629 5.3×
Duplex up extrem art unilat/ltd (93931) $1,036 $1,295 9.6×
Echo Congenital Complete (93303) $2,382.40 $2,978 4.2×
Echo Heart Xthoracic,Limited (93308) $1,002.40 $1,253 4.1×
Eeg 41-60 Minutes (95812) $1,262.40 $1,578 5.7×
EEG awake and asleep (95819) $1,224.80 $1,531 5.5×
EEG awake drowsy (95816) $1,134.40 $1,418 5.1×
Electrical Stimulation Ea 15 Min (97032) $118.40 $148 8.1×
Electrocardiogram Tracing (93005) $265.60 $332 4.4×
Emergency Dept Visit Level 2 (99282) $504.80 $631 3.2×
Emergency Dept Visit Level 3 (99283) $836 $1,045 3.0×
Emergency Dept Visit Level 4 (99284) $1,224 $1,530 2.8×
Er level 1 (99281) $296.80 $371 3.4×
Er level v (99285) $1,670.40 $2,088 2.7×
Evaluate pt use of inhaler (94664) $110.40 $138 0.5×
Evaluate Speech Production (92522) $243.20 $304 2.2×
Evaluate Swallowing Function (92610) $371.20 $464 4.4×
Evaluation of speech fluency (92521) $297.60 $372 2.2×
Exercise test for bronchospasm (94617) $378.40 $473 2.8×
External ECG rec>48hr<7d recording (93242) $181.60 $227 4.7×
External ECG rec>48hr<7d scanning alys w/report (93243) $396.80 $496 2.9×
External ECG rec>7d<15d recording (93246) $230.40 $288 6.0×
External ECG rec>7d<15d scanning alys w/report (93247) $380 $475 2.8×
External Ecg Scanning Analysis Report (93226) $826.40 $1,033 13.6×
Extracranial Bilat Study (93880) $1,212 $1,515 4.9×
Extracranial Uni/Ltd Study (93882) $926.40 $1,158 8.6×
Holter monitor recording (93225) $708.80 $886 5.2×
Im Adm Intransl/Oral 1 Vaccine (90473) $32.80 $41 0.4×
Immunization administration (90471)
range across 7 matching MRF lines		 $15.75–$73.60 $19.68–$92 varies
Iontophoresis 15 min (97033) $136.80 $171 7.2×
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines		 $144–$160.80 $180–$201 varies
IV infusion hydration each additional hour (96361) $190.40 $238 3.9×
IV infusion hydration initial 31 min-1 hour (96360) $632.80 $791 2.9×
IV infusion ther proph addl sequential to 1 hr (96367) $376.80 $471 5.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $190.40 $238 3.9×
IV push initial (96374)
range across 3 matching MRF lines		 $20–$484.80 $25–$606 varies
Lwr Xtr Vasc Stdy Bilat (93924) $961.60 $1,202 4.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $41.60 $52 1.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $41.60 $52 1.1×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $26.40 $33 1.6×
Methacholine challenge (94070) $588.80 $736 1.5×
Motion Fluoroscopy/Swallow (92611) $524 $655 5.7×
Multiple Sleep Latency Test (95805) $3,290.40 $4,113 3.7×
Nerve Conduction Studies 1-2 Studies (95907) $538.40 $673 2.4×
Nerve Conduction Studies 11-12 Studies (95912) $1,608.80 $2,011 4.2×
Nerve conduction studies 13 or more studies (95913) $1,895.20 $2,369 4.9×
Nerve Conduction Studies 3-4 Studies (95908) $721.60 $902 3.2×
Nerve conduction studies 5-6 studies (95909) $864 $1,080 3.9×
Nerve conduction studies 7-8 studies (95910) $938.40 $1,173 2.4×
Nerve Conduction Studies 9-10 Studies (95911) $1,373.60 $1,717 3.6×
Neuromuscular Reeducation (97112) $120 $150 3.7×
Oral Function Therapy (92526) $300 $375 3.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $130.40 $163 2.8×
Ot Contrast Bath Ea 15 Min (97034) $100 $125 7.1×
Ot eval high complexity (97167) $348.80 $436 3.5×
Ot Eval Low Complex (97165) $280 $350 2.8×
Ot Eval Moderate Complexity (97166) $313.60 $392 3.1×
Ot manual therapy 15 min (97140) $120.80 $151 4.4×
Ot paraffin bath (97018) $94.40 $118 15.7×
Ot Prosthetic Training, Each 15 Min (97761) $124.80 $156 3.1×
Ot Re-Eval Est Plan Care (97168) $182.40 $228 2.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $282.40 $353 2.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $254.40 $318 1.9×
Peripheral arterial disease rehab per session (93668) $142.40 $178 2.3×
Phlebotomy therapeutic (99195) $247.20 $309 1.8×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $276 $345 4.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $263.20 $329 4.3×
Pm device progr eval dual (93280) $148 $185 3.8×
Pm device progr eval multi (93281) $154.40 $193 4.0×
Pm Device Progr Eval Sngl (93279) $137.60 $172 3.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,696 $5,870 5.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $42.40 $53 0.9×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $47.20 $59 1.0×
Pt Eval High Complex (97163) $323.20 $404 3.3×
Pt eval low complex 20 min (97161) $256.80 $321 2.6×
Pt Eval Mod Complex (97162) $280 $350 2.9×
Pt gait training 15 min (97116) $124.80 $156 4.3×
Pt group caregiver training (97552) $50.40 $63 2.3×
Pt mechanical traction (97012) $112 $140 7.8×
Pt Re-Eval Est Plan Care (97164) $177.60 $222 2.6×
Pulm function test by gas (94727) $280 $350 1.3×
Pulmonary Stress Testing (94618) $320 $400 2.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $153.60 $192 2.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $276 $345 1.3×
Self Care Mngment Training (97535) $121.60 $152 3.8×
Slp caregiver training 1st 30 min (97550) $120 $150 2.3×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $608 $760 2.7×
Speech sound lang comprehen (92523) $467.20 $584 2.1×
Spirometry (94010) $358.40 $448 1.6×
Standardized Cognitive Performance Testing (96125) $331.20 $414 3.2×
Stress Tte Only (93350) $2,165.60 $2,707 3.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $157.60 $197 7.0×
Ther Ivntj Ea Addl 15 Min (97130) $119.20 $149 5.7×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $146.40 $183 3.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $118.40 $148 4.0×
Ther/Proph/Diag Inj Ia (96373) $172 $215 0.8×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines		 $20–$149.60 $25–$187 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines		 $600–$705.60 $750–$882 varies
Therapeutic Activities (97530) $125.60 $157 3.6×
Tte w/doppler, complete (93306) $2,481.60 $3,102 4.4×
Tte W/O Doppler Complete (93307) $1,879.20 $2,349 7.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $315.20 $394 4.1×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines		 $20–$184.80 $25–$231 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines		 $441.60–$540.80 $552–$676 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $648 $810 2.9×
Vasopneumatic device (97016) $113.60 $142 9.5×
Vent Mgmt Inpat Init Day (94002) $1,497.60 $1,872 2.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,309.60 $1,637 2.1×
Wheelchair Mgmt Ea 15 Min (97542) $116 $145 3.7×
Whirlpool Therapy (97022) $156 $195 9.9×

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.