Visits & medical services prices at Sanford Jackson Medical Center

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

120 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) $195.20 $244 0.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $100 $125 7.0×
Assessment of aphasia per hr (96105) $407.20 $509 4.2×
Behavral qualit analys voice (92524) $396 $495 3.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $716 $895 1.9×
Cardiac Stress Tst,Tracing Only (93017) $1,138.40 $1,423 5.1×
Cardiopulmonary resuscitation (92950) $1,290.40 $1,613 5.8×
Cardioversion (92960) $1,839.20 $2,299 2.7×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $61.60 $77 2.4×
Chemo Anti-Neopl Sq/Im (96401) $308 $385 4.1×
Chemo Hormon Antineopl Sq/Im (96402) $272 $340 3.7×
Chemo IV infusion addl hr (96415) $344.80 $431 4.6×
Chemo IV push addl drug (96411) $366.40 $458 4.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $418.40 $523 5.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $876.80 $1,096 2.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $572 $715 1.7×
Chest Wall Manipulation (94668) $160.80 $201 1.2×
Color/duplex Doppler, complete (93975) $1,340 $1,675 5.4×
Color/duplex Doppler, limited (93976) $935.20 $1,169 8.7×
Community/Work Reintegration Trainj Ea 15 Min (97537) $133.60 $167 4.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $598.40 $748 2.6×
Cpt initial (94667) $214.40 $268 1.6×
Critical care first hour (99291) $3,038.40 $3,798 3.6×
Debridement Open Wound 20 Sq Cm< (97597) $361.60 $452 1.7×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,060.80 $1,326 4.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $847.20 $1,059 7.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,424.80 $1,781 5.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,031.20 $1,289 9.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,372.80 $1,716 5.6×
Dup-scan xtr veins unilateral/limited study (93971) $1,008 $1,260 9.3×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $951.20 $1,189 3.9×
Duplex Scan Hemodialysis Access (93990) $648.80 $811 6.0×
Duplex up extrem art bilat (93930) $1,242.40 $1,553 5.0×
Duplex up extrem art unilat/ltd (93931) $1,031.20 $1,289 9.6×
Echo Congenital Complete (93303) $2,348.80 $2,936 4.2×
Echo Heart Xthoracic,Limited (93308) $1,023.20 $1,279 4.2×
Eeg 41-60 Minutes (95812) $1,286.40 $1,608 5.8×
EEG awake and asleep (95819) $1,289.60 $1,612 5.8×
EEG awake drowsy (95816) $1,291.20 $1,614 5.8×
Electrical Stimulation Ea 15 Min (97032) $114.40 $143 7.8×
Electrocardiogram Tracing (93005) $300.80 $376 4.9×
Emergency Dept Visit Level 2 (99282) $437.60 $547 2.8×
Emergency Dept Visit Level 3 (99283) $689.60 $862 2.4×
Emergency Dept Visit Level 4 (99284) $1,181.60 $1,477 2.7×
Er level 1 (99281) $282.40 $353 3.2×
Er level v (99285) $1,818.40 $2,273 3.0×
Evaluate pt use of inhaler (94664) $234.40 $293 1.0×
Evaluate Speech Production (92522) $394.40 $493 3.5×
Evaluate Swallowing Function (92610) $376.80 $471 4.4×
Evaluation of speech fluency (92521) $387.20 $484 2.9×
External ECG rec>48hr<7d recording (93242) $181.60 $227 4.7×
External ECG rec>7d<15d recording (93246) $181.60 $227 4.7×
External Ecg Scanning Analysis Report (93226) $874.40 $1,093 14.4×
Extracranial Bilat Study (93880) $1,396 $1,745 5.7×
Extracranial Uni/Ltd Study (93882) $950.40 $1,188 8.8×
Holter monitor recording (93225) $624 $780 4.5×
Immunization administration (90471)
range across 6 matching MRF lines
$15.75–$92.80 $19.68–$116 varies
Iontophoresis 15 min (97033) $138.40 $173 7.3×
Irrig Drug Delivery Device (96523) $179.20 $224 2.9×
IV infusion hydration each additional hour (96361) $184 $230 3.8×
IV infusion hydration initial 31 min-1 hour (96360) $603.20 $754 2.7×
IV infusion ther proph addl sequential to 1 hr (96367) $361.60 $452 4.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $248.80 $311 5.1×
IV push initial (96374) $384.80 $481 1.8×
Lwr Xtr Vasc Stdy Bilat (93924) $1,063.20 $1,329 4.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $60 $75 1.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $68.80 $86 1.9×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $51.20 $64 3.0×
Multiple Sleep Latency Test (95805) $3,232 $4,040 3.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $380.80 $476 1.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $467.20 $584 1.1×
Nerve conduction studies 5-6 studies (95909) $520 $650 2.3×
Nerve conduction studies 7-8 studies (95910) $656 $820 1.7×
Neuromuscular Reeducation (97112) $128 $160 3.9×
Oral Function Therapy (92526) $293.60 $367 3.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $159.20 $199 3.5×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $75.20 $94 3.4×
Ot eval high complexity (97167) $316 $395 3.1×
Ot Eval Low Complex (97165) $258.40 $323 2.6×
Ot Eval Moderate Complexity (97166) $287.20 $359 2.9×
Ot manual therapy 15 min (97140) $120.80 $151 4.4×
Ot paraffin bath (97018) $104 $130 17.3×
Ot Re-Eval Est Plan Care (97168) $245.60 $307 3.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $303.20 $379 2.3×
Phlebotomy therapeutic (99195) $190.40 $238 1.4×
Physical Performance Test (97750) $147.20 $184 4.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,859.20 $6,074 5.5×
Pt Eval High Complex (97163) $325.60 $407 3.3×
Pt eval low complex 20 min (97161) $235.20 $294 2.4×
Pt Eval Mod Complex (97162) $261.60 $327 2.7×
Pt gait training 15 min (97116) $117.60 $147 4.0×
Pt group caregiver training (97552) $52.80 $66 2.4×
Pt mechanical traction (97012) $126.40 $158 8.8×
Pt Re-Eval Est Plan Care (97164) $224 $280 3.3×
Refill/Maint Portable Pump (96521) $492 $615 2.2×
Remote 30 Day Ecg Rev/Report (93270) $412.80 $516 10.7×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $322.40 $403 5.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $296.80 $371 1.4×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $486.40 $608 4.0×
Self Care Mngment Training (97535) $125.60 $157 3.9×
Sensory Integration Ea 15 Min (97533) $124.80 $156 2.1×
Sleep study unattended (95806) $752.80 $941 3.4×
Slp caregiver training 1st 30 min (97550) $129.60 $162 2.5×
Speech sound lang comprehen (92523) $440.80 $551 1.9×
Spirometry (94010) $421.60 $527 1.9×
Standardized Cognitive Performance Testing (96125) $380 $475 3.7×
Stress Tte Only (93350) $2,166.40 $2,708 3.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $113.60 $142 5.1×
Ther Ivntj Ea Addl 15 Min (97130) $61.60 $77 2.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $111.20 $139 3.7×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$20–$171.20 $25–$214 varies
Ther/Proph/Diag Iv Inf Init (96365) $632 $790 2.9×
Therapeutic Activities (97530) $123.20 $154 3.5×
Tte w/doppler, complete (93306) $2,800 $3,500 5.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $320 $400 4.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $239.20 $299 4.9×
Upr/L Xtremity Art 2 Levels (93922) $553.60 $692 4.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,124 $1,405 5.0×
Whirlpool Therapy (97022) $140 $175 8.9×

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.