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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ProcedureCash priceGross charge× Medicare
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×
Bedside Swallowing Eval (92610) $376.80 $471 4.4×
Behavioral and qualitative analysis of voice and resonance (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 Hormon Antineopl Sq/Im (96402) $272 $340 3.7×
Chemo IV push addl drug (96411) $366.40 $458 4.9×
Chemother, IV infusion, 1 hr (96413) $876.80 $1,096 2.6×
Chemother, IV infusion, ea add hr (96415) $344.80 $431 4.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $308 $385 4.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $418.40 $523 5.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $572 $715 1.7×
Color/duplex Doppler, complete (93975) $1,340 $1,675 5.4×
Color/duplex Doppler, limited (93976) $935.20 $1,169 8.7×
Cpap/bipap (94660) $598.40 $748 2.6×
Cpt initial (94667) $214.40 $268 1.6×
Critical care (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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,242.40 $1,553 5.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $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 extracranial art compl bi study (93880) $1,396 $1,745 5.7×
Duplex Scan Hemodialysis Access (93990) $648.80 $811 6.0×
Echo Heart Xthoracic,Limited (93308) $1,023.20 $1,279 4.2×
Echo Transthoracic - Congenital Tte Complete (93303) $2,348.80 $2,936 4.2×
EEG awake and asleep (95819) $1,289.60 $1,612 5.8×
EEG awake drowsy (95816) $1,291.20 $1,614 5.8×
EKG rhythm strip (93041) $322.40 $403 5.3×
Electrocardiogram Tracing (93005) $300.80 $376 4.9×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,286.40 $1,608 5.8×
Er level 1 (99281) $282.40 $353 3.2×
Er level ii (99282) $437.60 $547 2.8×
Er level iii (99283) $689.60 $862 2.4×
Er level IV (99284) $1,181.60 $1,477 2.7×
Er level v (99285) $1,818.40 $2,273 3.0×
Eval speech sound production (92522) $394.40 $493 3.5×
Evaluate Pt Use Of Inhaler (94664) $234.40 $293 1.0×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $486.40 $608 4.0×
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×
Holter Monitor (93225) $624 $780 4.5×
Imm admn sarscov2 vaccine single dose (90480) $71.20 $89 1.7×
Immunization Admin (90471) $92.80 $116 1.2×
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, therap/proph/diagnost,initial,1st hour (96365) $632 $790 2.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $248.80 $311 5.1×
IV push ea addl new drug (96375) $239.20 $299 4.9×
IV push initial (96374) $384.80 $481 1.8×
Manual therapy 15 min (97140) $120.80 $151 4.4×
Massage 15 min (97124) $111.20 $139 3.7×
Mechanical traction (97012) $126.40 $158 8.8×
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×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $553.60 $692 4.0×
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 Community/Work Reintegration Trainj Ea 15 Min (97537) $133.60 $167 4.2×
Ot eval high complex 60 min (97167) $316 $395 3.1×
Ot eval low complex 30 min (97165) $258.40 $323 2.6×
Ot eval mod complex 45 min (97166) $287.20 $359 2.9×
Ot re-evaluation (97168) $245.60 $307 3.6×
Ot therapeutic activity 15 min (97530) $123.20 $154 3.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $303.20 $379 2.3×
Paraffin bath pt (97018) $104 $130 17.3×
Phlebotomy therapeutic (99195) $190.40 $238 1.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,859.20 $6,074 5.5×
Pt Electrical Stimulation (97032) $114.40 $143 7.8×
Pt eval high complex 45 min (97163) $325.60 $407 3.3×
Pt eval low complex 20 min (97161) $235.20 $294 2.4×
Pt eval mod complex 30 min (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 Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $128 $160 3.9×
Pt Physical Performance Test (97750) $147.20 $184 4.4×
Pt re-evaluation (97164) $224 $280 3.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $125.60 $157 3.9×
Pt Whirlpool Therapy (97022) $140 $175 8.9×
Refill/Maint Portable Pump (96521) $492 $615 2.2×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $412.80 $516 10.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $296.80 $371 1.4×
Rt Chest Wall Manipulation,Subsequent (94668) $160.80 $201 1.2×
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 echo (93350) $2,166.40 $2,708 3.8×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $113.60 $142 5.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $61.60 $77 2.9×
Therapeutic prophylactic/dx injection subq/im (96372) $95.60 $119.50 1.3×
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 Swallowing Dysfunction&/Oral Funcj Feeding (92526) $293.60 $367 3.5×
Upr/lxtr art stdy 3+ lvls (93923) $1,124 $1,405 5.0×
Vasc Duplex Scan Extracranial,Limited (93882) $950.40 $1,188 8.8×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,063.20 $1,329 4.8×