Visits & medical services prices at Sanford Wheaton Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $118.40 $148 0.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $94.40 $118 6.6×
Bedside Swallowing Eval (92610) $338.40 $423 4.0×
Behavioral and qualitative analysis of voice and resonance (92524) $248 $310 2.3×
Canalith Repositioning Procedure (95992) $141.60 $177 3.5×
Cardiac Stress Tst,Tracing Only (93017) $824.80 $1,031 3.7×
Cardiopulmonary resuscitation (92950) $967.20 $1,209 4.3×
Cardioversion (92960) $1,174.40 $1,468 1.7×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $67.20 $84 2.6×
Chemo Hormon Antineopl Sq/Im (96402) $232 $290 3.1×
Chemother, IV infusion, 1 hr (96413) $803.20 $1,004 2.4×
Chemother, IV infusion, ea add hr (96415) $154.40 $193 2.1×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $283.20 $354 3.8×
Color/duplex Doppler, complete (93975) $1,189.60 $1,487 4.8×
Color/duplex Doppler, limited (93976) $824.80 $1,031 7.6×
Critical care (99291) $2,176.80 $2,721 2.6×
Debridement Open Wound 20 Sq Cm< (97597) $358.40 $448 1.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $639.20 $799 5.9×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,174.40 $1,468 4.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $780.80 $976 7.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,256 $1,570 5.1×
Dup-scan xtr veins unilateral/limited study (93971) $780.80 $976 7.2×
Duplex scan extracranial art compl bi study (93880) $1,078.40 $1,348 4.4×
Echo Heart Xthoracic,Limited (93308) $736.80 $921 3.0×
Echo Transthoracic - Congenital Tte Complete (93303) $1,522.40 $1,903 2.7×
EKG rhythm strip (93041) $156.80 $196 2.6×
Electrocardiogram Tracing (93005) $224.80 $281 3.7×
Er level 1 (99281) $244 $305 2.8×
Er level ii (99282) $372 $465 2.3×
Er level iii (99283) $569.60 $712 2.0×
Er level IV (99284) $957.60 $1,197 2.2×
Er level v (99285) $1,270.40 $1,588 2.1×
Eval speech sound production (92522) $237.60 $297 2.1×
Evaluation of speech fluency (92521) $357.60 $447 2.7×
External ECG rec>48hr<7d recording (93242) $194.40 $243 5.0×
External ECG rec>7d<15d recording (93246) $212 $265 5.5×
External Ecg Scanning Analysis Report (93226) $598.40 $748 9.8×
Group Therapeutic Procedures (97150) $112.80 $141 6.3×
Holter Monitor (93225) $382.40 $478 2.8×
Imm admn sarscov2 vaccine single dose (90480) $71.20 $89 1.7×
Immune Admin Oral/Nasal (90473) $56.80 $71 0.8×
Immunization Admin (90471) $72 $90 1.0×
Iontophoresis 15 min (97033) $107.20 $134 5.6×
Irrig drug delivery device (96523) $120.80 $151 2.0×
IV infusion hydration each additional hour (96361) $141.60 $177 2.9×
IV infusion hydration initial 31 min-1 hour (96360) $382.40 $478 1.7×
IV infusion ther proph addl sequential to 1 hr (96367) $208 $260 2.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $432.80 $541 2.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $144 $180 3.0×
IV push ea addl new drug (96375) $129.60 $162 2.7×
IV push initial (96374) $178.40 $223 0.8×
Manual therapy 15 min (97140) $108.80 $136 3.9×
Massage 15 min (97124) $98.40 $123 3.3×
Mechanical traction (97012) $100 $125 7.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $48 $60 1.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $62.40 $78 1.7×
Multiple Sleep Latency Test (95805) $2,708.80 $3,386 3.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $500.80 $626 3.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $131.20 $164 2.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $118.40 $148 3.7×
Ot eval high complex 60 min (97167) $228 $285 2.3×
Ot eval low complex 30 min (97165) $178.40 $223 1.8×
Ot eval mod complex 45 min (97166) $200 $250 2.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $100.80 $126 2.0×
Ot re-evaluation (97168) $232 $290 3.4×
Ot therapeutic activity 15 min (97530) $104 $130 3.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $248 $310 1.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $195.20 $244 1.5×
Paraffin bath pt (97018) $81.60 $102 13.6×
Peripheral arterial disease rehab per session (93668) $154.40 $193 2.5×
Phlebotomy therapeutic (99195) $264 $330 1.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,322.40 $5,403 4.9×
Psych diag eval w/med srvcs (90792) $340.80 $426 1.9×
Psychiatric diagnostic evaluation (90791) $332.80 $416 1.8×
Pt Electrical Stimulation (97032) $96 $120 6.5×
Pt eval high complex 45 min (97163) $228 $285 2.3×
Pt eval low complex 20 min (97161) $193.60 $242 2.0×
Pt eval mod complex 30 min (97162) $200 $250 2.0×
Pt gait training 15 min (97116) $100.80 $126 3.5×
Pt group caregiver training (97552) $56.80 $71 2.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $112.80 $141 3.4×
Pt re-evaluation (97164) $219.20 $274 3.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $85.60 $107 2.6×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $290.40 $363 7.5×
Slp caregiver training 1st 30 min (97550) $136 $170 2.6×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $376 $470 1.7×
Speech sound lang comprehen (92523) $337.60 $422 1.5×
Standardized Cognitive Performance Testing (96125) $347.20 $434 3.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $122.40 $153 5.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $97.60 $122 4.6×
Therapeutic prophylactic/dx injection subq/im (96372) $54.40 $68 0.7×
Tte w/doppler, complete (93306) $1,397.60 $1,747 2.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $268.80 $336 3.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $273.60 $342 3.3×
Wheelchair Mgmt Ea 15 Min (97542) $102.40 $128 3.3×