Visits & medical services prices at Sanford Worthington Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $136 $170 0.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $101.60 $127 7.1×
Application on-body injector (96377) $112.80 $141 2.3×
Assessment of aphasia per hr (96105) $196.80 $246 2.0×
Bedside Swallowing Eval (92610) $304.80 $381 3.6×
Behavioral and qualitative analysis of voice and resonance (92524) $276.80 $346 2.5×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $155.20 $194 1.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $347.20 $434 0.9×
Canalith Repositioning Procedure (95992) $139.20 $174 3.4×
Car seat/bed test 60 min (94780) $72.80 $91 1.9×
Cardiac Stress Tst,Tracing Only (93017) $1,184 $1,480 5.3×
Cardiopulmonary resuscitation (92950) $830.40 $1,038 3.7×
Cardioversion (92960) $1,357.20 $1,696.50 2.0×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $63.20 $79 2.4×
Cbt 1st hour (94644) $300 $375 2.2×
Chemo Hormon Antineopl Sq/Im (96402) $192.80 $241 2.6×
Chemo IV push addl drug (96411) $292.80 $366 3.9×
Chemo prolong 8+ hrs infuse w/pump (96416) $560 $700 1.6×
Chemother, IV infusion, 1 hr (96413) $473.80 $592.25 1.4×
Chemother, IV infusion, ea add hr (96415) $220 $275 3.0×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $192.80 $241 2.6×
Chemotherapy, unspecified procedure (96549) $197.60 $247 4.1×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $493.60 $617 1.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $220 $275 3.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $292.80 $366 0.9×
Color/duplex Doppler, complete (93975) $916 $1,145 3.7×
Color/duplex Doppler, limited (93976) $832.80 $1,041 7.7×
Comprehensive Hearing Test (92557) $184 $230 1.4×
Continuous Glucose Monitoring (95250) $342.40 $428 2.5×
Cpap/bipap (94660) $641.60 $802 2.8×
Cpt initial (94667) $188.80 $236 1.4×
Critical care (99291) $1,664 $2,080 2.0×
Debridement Open Wound 20 Sq Cm< (97597) $364 $455 1.8×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $199.20 $249 0.9×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $864 $1,080 3.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $644 $805 6.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,392.80 $1,741 5.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,098.40 $1,373 10.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,127.20 $1,409 4.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $792 $990 7.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,261.60 $1,577 5.1×
Dup-scan xtr veins unilateral/limited study (93971) $928 $1,160 8.6×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $868 $1,085 3.5×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $454.40 $568 4.2×
Duplex scan extracranial art compl bi study (93880) $1,120.80 $1,401 4.6×
Duplex Scan Hemodialysis Access (93990) $391.20 $489 3.6×
Echo Heart Xthoracic,Limited (93308) $1,071.20 $1,339 4.3×
Echo transesophageal (93312) $2,693.60 $3,367 4.8×
Echo Transthoracic - Congenital Tte Complete (93303) $2,061.60 $2,577 3.7×
Echo Transthoracic - Congenital Tte Limited (93304) $1,439.20 $1,799 2.6×
EEG awake and asleep (95819) $1,161.60 $1,452 5.2×
EEG awake drowsy (95816) $732.40 $915.50 3.3×
EKG rhythm strip (93041) $91.20 $114 1.5×
Electrocardiogram Tracing (93005) $123.20 $154 2.0×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $768 $960 3.4×
Er level 1 (99281) $256 $320 2.9×
Er level ii (99282) $432.80 $541 2.7×
Er level iii (99283) $668 $835 2.4×
Er level IV (99284) $880 $1,100 2.0×
Er level v (99285) $1,335.20 $1,669 2.2×
Eval speech sound production (92522) $267.20 $334 2.4×
Eval to use/fit voice prosth (92597) $264.80 $331 3.7×
Evaluate Pt Use Of Inhaler (94664) $128.80 $161 0.6×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $321.60 $402 2.6×
Evaluation of speech fluency (92521) $348 $435 2.6×
External Ecg Scanning Analysis Report (93226) $776.80 $971 12.8×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $464 $580 2.3×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,940.80 $2,426 2.2×
Holter Monitor (93225) $476 $595 3.5×
Imm admn sarscov2 vaccine single dose (90480) $71.20 $89 1.7×
Immune Admin Oral/Nasal (90473) $38.40 $48 0.5×
Immunization Admin (90471) $94.40 $118 1.3×
Iontophoresis 15 min (97033) $124 $155 6.5×
Irrig drug delivery device (96523) $122.40 $153 2.0×
IV infusion hydration each additional hour (96361) $134.80 $168.50 2.8×
IV infusion hydration initial 31 min-1 hour (96360) $353.20 $441.50 1.6×
IV infusion ther proph addl sequential to 1 hr (96367) $232.80 $291 3.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $501.60 $627 2.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $198.40 $248 4.1×
IV push ea addl new drug (96375) $73.20 $91.50 1.5×
IV push initial (96374) $166.46 $208.08 0.8×
Manual therapy 15 min (97140) $120.96 $151.20 4.4×
Maximum voluntary ventilation (94200) $95.20 $119 1.6×
Mechanical traction (97012) $100.80 $126 7.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $40 $50 1.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $48.80 $61 1.3×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $39.20 $49 2.3×
Methacholine challenge (94070) $1,046.40 $1,308 2.7×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $288 $360 3.1×
Multiple Sleep Latency Test (95805) $3,138.40 $3,923 3.5×
Neg press wound tx >50 cm (97608) $192.80 $241 0.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $192.80 $241 0.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $122.40 $153 0.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $151.20 $189 0.4×
Nerve Conduction Studies 11-12 Studies (95912) $1,861.60 $2,327 4.8×
Nerve conduction studies 13/> studies (95913) $2,173.60 $2,717 5.6×
Nerve Conduction Studies 3-4 Studies (95908) $680.80 $851 3.1×
Nerve Conduction Studies 5-6 Studies (95909) $981.60 $1,227 4.4×
Nerve Conduction Studies 7-8 Studies (95910) $1,190.40 $1,488 3.1×
Nerve Conduction Studies 9-10 Studies (95911) $1,551.20 $1,939 4.0×
Nerve conduction studies; 1-2 studies (95907) $370.40 $463 1.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $785.20 $981.50 5.7×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $372 $465 2.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $113.60 $142 2.5×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $109.60 $137 3.4×
Ot Contrast Bath Ea 15 Min (97034) $101.60 $127 7.2×
Ot eval high complex 60 min (97167) $266.40 $333 2.6×
Ot eval low complex 30 min (97165) $240.80 $301 2.4×
Ot eval mod complex 45 min (97166) $248 $310 2.5×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $129.60 $162 2.6×
Ot Prosthetic Training, Each 15 Min (97761) $113.60 $142 2.8×
Ot re-evaluation (97168) $135.20 $169 2.0×
Ot therapeutic activity 15 min (97530) $117.04 $146.30 3.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $217.60 $272 1.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $178.40 $223 1.3×
Paraffin bath pt (97018) $97.60 $122 16.2×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $348 $435 1.5×
Peripheral arterial disease rehab per session (93668) $112 $140 1.8×
Phlebotomy therapeutic (99195) $216 $270 1.6×
Plethysmography (94726) $302.40 $378 0.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,288.40 $5,360.50 4.8×
Pt Aquatic Therapy/Exercises (97113) $125.60 $157 3.4×
Pt Electrical Stimulation (97032) $104 $130 7.1×
Pt eval high complex 45 min (97163) $241.60 $302 2.5×
Pt eval low complex 20 min (97161) $219.20 $274 2.2×
Pt eval mod complex 30 min (97162) $225.60 $282 2.3×
Pt gait training 15 min (97116) $109.60 $137 3.8×
Pt group caregiver training (97552) $53.60 $67 2.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $113.60 $142 3.5×
Pt Physical Performance Test (97750) $116.80 $146 3.5×
Pt re-evaluation (97164) $135.20 $169 2.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $113.60 $142 3.5×
Pt Whirlpool Therapy (97022) $111.20 $139 7.1×
Pulmonary Service/Procedure (94799) $110.40 $138 0.8×
Pulmonary stress test simple (94618) $325.60 $407 2.4×
Refill/Maint Portable Pump (96521) $365.60 $457 1.7×
Respiratory flow volume loop (94375) $134.40 $168 0.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $148.80 $186 0.7×
Rt Chest Wall Manipulation,Subsequent (94668) $116.80 $146 0.9×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $61.60 $77 1.3×
Sensory Integration Ea 15 Min (97533) $113.60 $142 1.9×
Slp caregiver training 1st 30 min (97550) $127.20 $159 2.4×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $608 $760 2.7×
Smoking cessation > 10 min (99407) $57.60 $72 1.5×
Speech sound lang comprehen (92523) $477.60 $597 2.1×
Spirometry (94010) $188.80 $236 0.8×
Standardized Cognitive Performance Testing (96125) $319.20 $399 3.1×
Stress echo (93350) $2,123.60 $2,654.50 3.8×
Temp transcutaneous pacing (92953) $731.20 $914 1.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $103.20 $129 4.6×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $57.60 $72 2.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $266.40 $333 2.6×
Therapeutic prophylactic/dx injection subq/im (96372) $73.20 $91.50 1.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $50.40 $63 1.3×
Tte w/doppler, complete (93306) $2,164.80 $2,706 3.8×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,672.80 $2,091 6.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $297.44 $371.80 3.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $193.60 $242 2.3×
Tympanometry (92567) $88.80 $111 2.3×
Upr/lxtr art stdy 3+ lvls (93923) $840.80 $1,051 3.8×
Vasc Duplex Scan Extracranial,Limited (93882) $784.80 $981 7.3×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,097.60 $1,372 4.9×
Vasopneumatic device (97016) $68 $85 5.7×
Vent mgmt inpat init day (94002) $1,500 $1,875 2.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,348 $1,685 2.1×
Wheelchair Mgmt Ea 15 Min (97542) $110.40 $138 3.6×