Visits & medical services prices at Sanford Medical Center Mayville

Mayville, ND · every code in this section with a posted price and a Medicare benchmark.

118 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 5 matching MRF lines
$128.80–$199.20 $161–$249 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $73.60 $92 5.1×
Assessment of aphasia per hr (96105) $359.20 $449 3.7×
Behavral qualit analys voice (92524) $279.20 $349 2.5×
Bfb training ea addl 15 min (90913) $66.40 $83 2.0×
Biofeedback training any modality (90901) $124 $155 3.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $324.80 $406 0.9×
Canalith repositioning proc (95992) $164 $205 4.0×
Cardiac Stress Tst,Tracing Only (93017) $525.60 $657 2.4×
Cardiopulmonary resuscitation (92950) $955.20 $1,194 4.3×
Cardioversion (92960) $1,602.40 $2,003 2.4×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $67.20 $84 2.6×
Chemo Anti-Neopl Sq/Im (96401) $280.80 $351 3.8×
Chemo IV infusion addl hr (96415) $162.40 $203 2.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $700.80 $876 2.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $384 $480 1.1×
Chest Wall Manipulation (94668) $127.20 $159 0.9×
Color/duplex Doppler, complete (93975) $1,160.80 $1,451 4.8×
Color/duplex Doppler, limited (93976) $834.40 $1,043 7.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $92.80 $116 2.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $392.80 $491 1.8×
Cpt initial (94667) $154.40 $193 1.1×
Critical care first hour (99291) $2,549.60 $3,187 3.0×
Debridement Open Wound 20 Sq Cm< (97597) $348.80 $436 1.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $928 $1,160 3.8×
Dup-scan xtr veins unilateral/limited study (93971) $604 $755 5.7×
Echo Congenital Complete (93303) $1,204.80 $1,506 2.2×
Echo Heart Xthoracic,Limited (93308) $632 $790 2.6×
Echo transesophageal (93312) $2,469.60 $3,087 4.4×
Electrical Stimulation Ea 15 Min (97032) $67.20 $84 4.6×
Electrocardiogram Tracing (93005) $177.60 $222 2.9×
Emergency Dept Visit Level 2 (99282) $395.20 $494 2.5×
Emergency Dept Visit Level 3 (99283) $565.60 $707 2.0×
Emergency Dept Visit Level 4 (99284) $957.60 $1,197 2.2×
Er level 1 (99281) $238.40 $298 2.8×
Er level v (99285) $1,411.20 $1,764 2.3×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $300.80 $376 2.3×
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$129.60–$208.80 $162–$261 varies
Evaluate Speech Production (92522) $302.40 $378 2.7×
Evaluate Swallowing Function (92610) $352.80 $441 4.2×
Evaluation of speech fluency (92521) $361.60 $452 2.7×
External ECG rec>48hr<7d recording (93242) $364.80 $456 9.6×
External ECG rec>48hr<7d scanning alys w/report (93243) $221.60 $277 1.6×
External ECG rec>7d<15d recording (93246) $218.40 $273 5.7×
External ECG rec>7d<15d scanning alys w/report (93247) $331.20 $414 2.4×
Extracranial Bilat Study (93880) $1,037.60 $1,297 4.3×
Extracranial Uni/Ltd Study (93882) $647.20 $809 6.1×
Flexible endoscopic eval swallow c/v rec (92612) $572.80 $716 2.9×
Group Therapeutic Procedures (97150) $86.40 $108 4.8×
Holter monitor recording (93225) $256 $320 1.9×
Im Adm Intransl/Oral 1 Vaccine (90473) $59.20 $74 0.8×
Immunization administration (90471)
range across 13 matching MRF lines
$15.75–$62.40 $19.68–$78 varies
Iontophoresis 15 min (97033) $108.80 $136 5.7×
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$160–$188.80 $200–$236 varies
IV infusion hydration each additional hour (96361) $102.40 $128 2.1×
IV infusion hydration initial 31 min-1 hour (96360) $372 $465 1.7×
IV infusion ther proph addl sequential to 1 hr (96367) $174.40 $218 2.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $121.60 $152 2.5×
IV push initial (96374) $295.20 $369 1.4×
Lung Function Test (Mbc/Mvv) (94200) $137.60 $172 2.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $74.40 $93 2.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $92.80 $116 2.5×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $45.60 $57 2.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $370.40 $463 1.8×
Neuromuscular Reeducation (97112) $111.20 $139 3.4×
Oral Function Therapy (92526) $278.40 $348 3.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $152.80 $191 3.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $122.40 $153 2.7×
Ot Contrast Bath Ea 15 Min (97034) $80 $100 5.7×
Ot eval high complexity (97167) $312 $390 3.1×
Ot Eval Low Complex (97165) $262.40 $328 2.6×
Ot Eval Moderate Complexity (97166) $294.40 $368 2.9×
Ot manual therapy 15 min (97140) $104.80 $131 3.8×
Ot paraffin bath (97018) $49.60 $62 8.3×
Ot Prosthetic Training, Each 15 Min (97761) $118.40 $148 2.9×
Ot Re-Eval Est Plan Care (97168) $194.40 $243 2.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 3 matching MRF lines
$161.60–$169.60 $202–$212 varies
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $208.80 $261 1.6×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $156.80 $196 2.6×
Physical Performance Test (97750) $121.60 $152 3.6×
Plethysmography (94726) $445.60 $557 1.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,293.60 $5,367 4.9×
Pt Eval High Complex (97163) $312 $390 3.2×
Pt eval low complex 20 min (97161) $262.40 $328 2.7×
Pt Eval Mod Complex (97162) $294.40 $368 3.0×
Pt gait training 15 min (97116) $107.20 $134 3.7×
Pt group caregiver training (97552) $56.80 $71 2.6×
Pt mechanical traction (97012) $61.60 $77 4.3×
Pt Re-Eval Est Plan Care (97164) $181.60 $227 2.7×
Pulmonary service/procedure (94799) $150.40 $188 1.1×
Pulmonary Stress Testing (94618) $261.60 $327 1.9×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $455.20 $569 3.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $146.40 $183 3.1×
Self Care Mngment Training (97535) $119.20 $149 3.7×
Sensory Integration Ea 15 Min (97533) $80.80 $101 1.3×
Sleep study unattended (95806) $544.80 $681 2.5×
Slp caregiver training 1st 30 min (97550) $136 $170 2.6×
Speech sound lang comprehen (92523) $468 $585 2.1×
Spirometry (94010) $270.40 $338 1.2×
Standardized Cognitive Performance Testing (96125) $332 $415 3.2×
Stress Tte Only (93350) $1,854.40 $2,318 3.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $122.40 $153 5.5×
Ther Ivntj Ea Addl 15 Min (97130) $96.80 $121 4.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $76.80 $96 2.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $326.40 $408 3.2×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 5 matching MRF lines
$20–$136 $25–$170 varies
Ther/Proph/Diag Iv Inf Init (96365) $447.20 $559 2.1×
Therapeutic Activities (97530) $117.60 $147 3.4×
Tobacco Use Cessation Intensive >10 Minutes (99407) $81.60 $102 2.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $54.40 $68 1.4×
Tte w/doppler, complete (93306) $1,661.60 $2,077 3.0×
Tte W/O Doppler Complete (93307) $1,440 $1,800 5.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $272 $340 3.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $168 $210 3.5×
Vasopneumatic device (97016) $88.80 $111 7.4×
Vent Mgmt Inpat Init Day (94002) $1,433.60 $1,792 2.3×
Wheelchair Mgmt Ea 15 Min (97542) $101.60 $127 3.3×

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.