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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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $71.20 $89 1.7×
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines		 $110.40–$208 $138–$260 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $94.40 $118 6.6×
Behavral qualit analys voice (92524) $248 $310 2.3×
Canalith repositioning proc (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 Anti-Neopl Sq/Im (96401) $283.20 $354 3.8×
Chemo Hormon Antineopl Sq/Im (96402) $232 $290 3.1×
Chemo IV infusion addl hr (96415) $154.40 $193 2.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $803.20 $1,004 2.4×
Color/duplex Doppler, complete (93975) $1,189.60 $1,487 4.8×
Color/duplex Doppler, limited (93976) $824.80 $1,031 7.6×
Community/Work Reintegration Trainj Ea 15 Min (97537) $118.40 $148 3.7×
Critical care first hour (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 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 up extrem art unilat/ltd (93931) $780.80 $976 7.2×
Echo Congenital Complete (93303) $1,522.40 $1,903 2.7×
Echo Heart Xthoracic,Limited (93308) $736.80 $921 3.0×
Electrical Stimulation Ea 15 Min (97032) $96 $120 6.5×
Electrocardiogram Tracing (93005) $224.80 $281 3.7×
Emergency Dept Visit Level 2 (99282) $372 $465 2.3×
Emergency Dept Visit Level 3 (99283) $569.60 $712 2.0×
Emergency Dept Visit Level 4 (99284) $957.60 $1,197 2.2×
Er level 1 (99281) $244 $305 2.8×
Er level v (99285) $1,270.40 $1,588 2.1×
Evaluate Speech Production (92522) $237.60 $297 2.1×
Evaluate Swallowing Function (92610) $338.40 $423 4.0×
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×
Extracranial Bilat Study (93880) $1,078.40 $1,348 4.4×
Group Therapeutic Procedures (97150) $112.80 $141 6.3×
Holter monitor recording (93225) $382.40 $478 2.8×
Im Adm Intransl/Oral 1 Vaccine (90473) $56.80 $71 0.8×
Immunization administration (90471)
range across 8 matching MRF lines		 $15.75–$72 $19.68–$90 varies
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 therapy prophylaxis/dx ea hour (96366) $144 $180 3.0×
IV push initial (96374) $178.40 $223 0.8×
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×
Neuromuscular Reeducation (97112) $112.80 $141 3.4×
Oral Function Therapy (92526) $273.60 $342 3.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $100.80 $126 2.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $131.20 $164 2.8×
Ot eval high complexity (97167) $228 $285 2.3×
Ot Eval Low Complex (97165) $178.40 $223 1.8×
Ot Eval Moderate Complexity (97166) $200 $250 2.0×
Ot manual therapy 15 min (97140) $108.80 $136 3.9×
Ot paraffin bath (97018) $81.60 $102 13.6×
Ot Re-Eval Est Plan Care (97168) $232 $290 3.4×
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×
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 Eval High Complex (97163) $228 $285 2.3×
Pt eval low complex 20 min (97161) $193.60 $242 2.0×
Pt Eval Mod Complex (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 mechanical traction (97012) $100 $125 7.0×
Pt Re-Eval Est Plan Care (97164) $219.20 $274 3.2×
Remote 30 Day Ecg Rev/Report (93270) $290.40 $363 7.5×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $156.80 $196 2.6×
Self Care Mngment Training (97535) $85.60 $107 2.6×
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 Ea Addl 15 Min (97130) $97.60 $122 4.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $98.40 $123 3.3×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines		 $20–$88.80 $25–$111 varies
Ther/Proph/Diag Iv Inf Init (96365) $432.80 $541 2.0×
Therapeutic Activities (97530) $104 $130 3.0×
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/Pro/Dx Inj New Drug Addon (96375) $129.60 $162 2.7×
Upr/L Xtremity Art 2 Levels (93922) $500.80 $626 3.6×
Wheelchair Mgmt Ea 15 Min (97542) $102.40 $128 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.