Visits & medical services prices at Sanford Luverne Medical Center

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

156 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 11 matching MRF lines
$119.20–$276.80 $149–$346 varies
Appl modality 1+ areas lllt po pain reduction (97037) $65.60 $82 1.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $62.40 $78 4.3×
Behavral qualit analys voice (92524) $368.80 $461 3.4×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $141.60 $177 1.7×
Bfb training ea addl 15 min (90913) $104 $130 3.2×
Biofeedback training any modality (90901) $122.40 $153 3.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $450.40 $563 1.2×
Canalith repositioning proc (95992) $144 $180 3.5×
Cardiac Stress Tst,Tracing Only (93017) $1,016 $1,270 4.6×
Cardiopulmonary resuscitation (92950) $1,277.60 $1,597 5.7×
Cardioversion (92960) $1,544 $1,930 2.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $61.60 $77 2.4×
Cbt 1st hour (94644) $257.60 $322 1.9×
Chemo Anti-Neopl Sq/Im (96401) $346.40 $433 4.7×
Chemo Hormon Antineopl Sq/Im (96402) $239.20 $299 3.2×
Chemo IV infusion addl hr (96415) $319.20 $399 4.3×
Chemo IV push addl drug (96411) $331.20 $414 4.5×
Chemother Prolong Infuse W/Pump (96416) $805.60 $1,007 2.4×
Chemotherapy Unspecified (96549) $187.20 $234 3.9×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $991.20 $1,239 2.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $353.60 $442 4.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $717.60 $897 2.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $546.40 $683 1.6×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $552 $690 1.6×
Chest Wall Manipulation (94668) $154.40 $193 1.1×
Color/duplex Doppler, complete (93975) $1,468.80 $1,836 6.0×
Color/duplex Doppler, limited (93976) $867.20 $1,084 8.0×
Community/Work Reintegration Trainj Ea 15 Min (97537) $116 $145 3.6×
Continuous Pulse Ox (94762) $368 $460 2.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $300.80 $376 1.3×
Cpt initial (94667) $187.20 $234 1.4×
Critical care first hour (99291) $2,088.80 $2,611 2.5×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,052.80 $1,316 4.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $754.40 $943 7.0×
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) $888.80 $1,111 8.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,322.40 $1,653 5.4×
Dup-scan xtr veins unilateral/limited study (93971) $893.60 $1,117 8.3×
Duplex up extrem art bilat (93930) $1,203.20 $1,504 4.9×
Duplex up extrem art unilat/ltd (93931) $812 $1,015 7.5×
Echo Congenital Complete (93303) $2,082.40 $2,603 3.7×
Echo Heart Xthoracic,Limited (93308) $979.20 $1,224 4.0×
Eeg 41-60 Minutes (95812) $1,256.80 $1,571 5.6×
EEG awake and asleep (95819) $1,259.20 $1,574 5.7×
EEG awake drowsy (95816) $1,126.40 $1,408 5.1×
Electrical Stimulation Ea 15 Min (97032) $69.60 $87 4.7×
Electrocardiogram Tracing (93005) $180.80 $226 3.0×
Emergency Dept Visit Level 2 (99282) $430.40 $538 2.7×
Emergency Dept Visit Level 3 (99283) $658.40 $823 2.3×
Emergency Dept Visit Level 4 (99284) $1,190.40 $1,488 2.8×
Er level 1 (99281) $230.40 $288 2.6×
Er level v (99285) $1,766.40 $2,208 2.9×
Evaluate pt use of inhaler (94664)
range across 4 matching MRF lines
$112.80–$180 $141–$225 varies
Evaluate Speech Production (92522) $351.20 $439 3.1×
Evaluate Swallowing Function (92610) $370.40 $463 4.4×
Evaluation of speech fluency (92521) $391.20 $489 2.9×
Evoked Auditory Test,Limited (92587) $151.20 $189 0.7×
Exercise test for bronchospasm (94617) $377.60 $472 2.7×
External ECG rec>48hr<7d recording (93242) $182.40 $228 4.7×
External ECG rec>7d<15d recording (93246) $224 $280 5.8×
External Ecg Scanning Analysis Report (93226) $671.20 $839 11.0×
Extracranial Bilat Study (93880) $1,244.80 $1,556 5.1×
Extracranial Uni/Ltd Study (93882) $796 $995 7.4×
Flexible endoscopic eval swallow c/v rec (92612) $513.60 $642 2.6×
Group Therapeutic Procedures (97150) $81.60 $102 4.5×
Holter monitor recording (93225) $512.80 $641 3.7×
Im Adm Intransl/Oral 1 Vaccine (90473) $56 $70 0.8×
Immunization administration (90471)
range across 11 matching MRF lines
$15.75–$85.60 $19.68–$107 varies
Iontophoresis 15 min (97033) $86.40 $108 4.5×
Irrig Drug Delivery Device (96523) $171.20 $214 2.8×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$120–$170.40 $150–$213 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$260–$394.40 $325–$493 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$252–$280 $315–$350 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$192–$248 $240–$310 varies
IV push initial (96374) $323.20 $404 1.5×
Lwr Xtr Vasc Stdy Bilat (93924) $974.40 $1,218 4.4×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $47.20 $59 2.8×
Motion Fluoroscopy/Swallow (92611) $457.60 $572 5.0×
Multiple Sleep Latency Test (95805) $2,748.80 $3,436 3.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $313.60 $392 1.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $398.40 $498 0.9×
Nerve Conduction Studies 1-2 Studies (95907) $340 $425 1.5×
Nerve Conduction Studies 11-12 Studies (95912) $915.20 $1,144 2.4×
Nerve conduction studies 13 or more studies (95913) $1,000 $1,250 2.6×
Nerve Conduction Studies 3-4 Studies (95908) $452.80 $566 2.0×
Nerve conduction studies 5-6 studies (95909) $627.20 $784 2.8×
Nerve conduction studies 7-8 studies (95910) $701.60 $877 1.8×
Nerve Conduction Studies 9-10 Studies (95911) $920.80 $1,151 2.4×
Neuromuscular Reeducation (97112) $124.80 $156 3.8×
Oral Function Therapy (92526) $284 $355 3.4×
Oral Speech Device Eval (92597) $328 $410 4.6×
Orthc/Prostc Mgmt Sbsq Enc (97763) $75.20 $94 1.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $133.60 $167 2.9×
Ot Contrast Bath Ea 15 Min (97034) $75.20 $94 5.4×
Ot eval high complexity (97167) $264.80 $331 2.6×
Ot Eval Low Complex (97165) $236 $295 2.3×
Ot Eval Moderate Complexity (97166) $260 $325 2.6×
Ot manual therapy 15 min (97140) $109.60 $137 4.0×
Ot paraffin bath (97018) $32 $40 5.3×
Ot Prosthetic Training, Each 15 Min (97761) $121.60 $152 3.0×
Ot Re-Eval Est Plan Care (97168) $188.80 $236 2.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $248.80 $311 1.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $208 $260 1.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $233.60 $292 1.0×
Peripheral arterial disease rehab per session (93668) $196.80 $246 3.2×
Phlebotomy therapeutic (99195) $248 $310 1.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $298.40 $373 4.9×
Plethysmography (94726) $380.80 $476 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$4,588.80–$4,808 $5,736–$6,010 varies
Psychiatric diagnostic evaluation (90791)
range across 3 matching MRF lines
$329.60–$390.40 $412–$488 varies
Pt Eval High Complex (97163) $229.60 $287 2.3×
Pt eval low complex 20 min (97161) $219.20 $274 2.2×
Pt Eval Mod Complex (97162) $224.80 $281 2.3×
Pt gait training 15 min (97116) $112 $140 3.9×
Pt group caregiver training (97552) $52 $65 2.4×
Pt mechanical traction (97012) $68 $85 4.7×
Pt Re-Eval Est Plan Care (97164) $164 $205 2.4×
Pulmonary service/procedure (94799) $358.40 $448 2.7×
Pulmonary Stress Testing (94618) $332 $415 2.4×
Refill/Maint Portable Pump (96521) $522.40 $653 2.4×
Remote 30 Day Ecg Rev/Report (93270) $305.60 $382 7.9×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $450.40 $563 3.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $170.40 $213 3.6×
Self Care Mngment Training (97535) $119.20 $149 3.7×
Sensory Integration Ea 15 Min (97533) $121.60 $152 2.0×
Slp caregiver training 1st 30 min (97550) $123.20 $154 2.3×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $660.80 $826 3.0×
Speech sound lang comprehen (92523) $461.60 $577 2.0×
Spirometry (94010)
range across 4 matching MRF lines
$260–$279.20 $325–$349 varies
Standardized Cognitive Performance Testing (96125) $349.60 $437 3.4×
Stress Tte Only (93350) $2,052.80 $2,566 3.6×
Subcutaneous Infusion Each Additional Hour (96370) $151.20 $189 3.1×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $248.80 $311 1.1×
Subq Infusion Additional Pump Infusion Site (96371) $308.80 $386 4.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $129.60 $162 5.8×
Ther Ivntj Ea Addl 15 Min (97130) $127.20 $159 6.0×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $124.80 $156 3.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $301.60 $377 2.9×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$20–$165.60 $25–$207 varies
Ther/Proph/Diag Iv Inf Init (96365) $504.80 $631 2.3×
Therapeutic Activities (97530) $124.80 $156 3.6×
Tobacco Use Cessation Intensive >10 Minutes (99407) $67.20 $84 1.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $38.40 $48 1.0×
Tte w/doppler, complete (93306) $2,258.40 $2,823 4.0×
Tte W/O Doppler Complete (93307) $1,604.80 $2,006 6.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $302.40 $378 4.0×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$160–$180.80 $200–$226 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$557.60–$735.20 $697–$919 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $900.80 $1,126 4.0×
Vasopneumatic device (97016) $63.20 $79 5.3×
Vent Mgmt Inpat Init Day (94002) $1,508.80 $1,886 2.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,148 $1,435 1.8×
Wheelchair Mgmt Ea 15 Min (97542) $115.20 $144 3.7×
Whirlpool Therapy (97022) $101.60 $127 6.5×

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.