Visits & medical services prices at Sioux Center Health
Sioux Center, IA · every code in this section with a posted price and a Medicare benchmark.
104 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $51.41 | $53 | 1.3× |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$20.37–$371.51 | $21–$383 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$75.66–$81.48 | $78–$84 | varies |
| Assmt & care planning pt w/cognitive impairment (99483) | $250.26 | $258 | 2.6× |
| Behavral qualit analys voice (92524) | $327.86 | $338 | 3.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $320.10 | $330 | 0.9× |
| Canalith repositioning proc (95992) | $97 | $100 | 2.4× |
| Car seat/bed test 60 min (94780) | $183.33 | $189 | 5.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $672.21 | $693 | 3.2× |
| Cardiopulmonary resuscitation (92950) | $517.01 | $533 | 2.5× |
| Chemo Anti-Neopl Sq/Im (96401) | $239.59 | $247 | 3.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $145.50 | $150 | 2.1× |
| Chemo IV infusion addl hr (96415) | $151.32 | $156 | 2.2× |
| Chemo IV push addl drug (96411) | $253.17 | $261 | 3.7× |
| Chemother Prolong Infuse W/Pump (96416) | $678.03 | $699 | 2.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $309.43 | $319 | 4.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $758.54 | $782 | 2.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $439.41 | $453 | 1.4× |
| Color/duplex Doppler, complete (93975) | $1,021.41 | $1,053 | 4.5× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$397.70–$412.25 | $410–$425 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $171.69 | $177 | 3.0× |
| Continuous Pulse Ox (94762) | $78.57 | $81 | 0.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $207.58 | $214 | 1.0× |
| Critical care first hour (99291) | $454.93 | $469 | 0.6× |
| Debridement Open Wound 20 Sq Cm< (97597) | $178.48 | $184 | 0.9× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $741.08 | $764 | 3.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $879.79 | $907 | 3.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $530.59 | $547 | 5.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,011.71 | $1,043 | 4.4× |
| Dup-scan xtr veins unilateral/limited study (93971) | $754.66 | $778 | 7.5× |
| Duplex up extrem art unilat/ltd (93931) | $465.60 | $480 | 4.6× |
| Echo Congenital Complete (93303) | $983.58 | $1,014 | 1.9× |
| Echo Heart Xthoracic,Limited (93308) | $404.49 | $417 | 1.8× |
| Electrical Stimulation Ea 15 Min (97032) | $86.33 | $89 | 5.9× |
| Electrocardiogram Tracing (93005) | $189.15 | $195 | 3.3× |
| Emergency Dept Visit Level 2 (99282) | $292.94 | $302 | 2.0× |
| Emergency Dept Visit Level 3 (99283) | $515.07 | $531 | 2.0× |
| Emergency Dept Visit Level 4 (99284) | $682.88 | $704 | 1.7× |
| Er level 1 (99281) range across 2 matching MRF lines |
$23.28–$107.67 | $24–$111 | varies |
| Er level v (99285) | $1,108.71 | $1,143 | 1.9× |
| Evaluate Speech Production (92522) | $323.98 | $334 | 2.9× |
| Evaluate Swallowing Function (92610) | $473.36 | $488 | 5.6× |
| Evaluation of speech fluency (92521) | $389.94 | $402 | 2.9× |
| External ECG rec>48hr<7d recording (93242) | $448.14 | $462 | 12.5× |
| External ECG rec>7d<15d recording (93246) | $448.14 | $462 | 12.5× |
| External Ecg Scanning Analysis Report (93226) | $509.25 | $525 | 9.0× |
| Extracranial Bilat Study (93880) | $924.41 | $953 | 4.0× |
| Holter monitor recording (93225) | $297.79 | $307 | 2.3× |
| Immunization administration (90471) range across 6 matching MRF lines |
$19.09–$71.78 | $19–$74 | varies |
| Inital newborn e/m (99460) | $183.33 | $189 | 1.4× |
| Intracutaneous tests w/allergenic extracts (95024) | $6.79 | $7 | 0.1× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$91.18–$97.97 | $94–$101 | varies |
| Irrig Drug Delivery Device (96523) | $169.75 | $175 | 3.0× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$104.76–$107.67 | $108–$111 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$257.05–$262.87 | $265–$271 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$179.45–$183.33 | $185–$189 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$54.32–$138.71 | $56–$143 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$160.05–$163.93 | $165–$169 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $44.62 | $46 | 1.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $44.62 | $46 | 1.2× |
| Motion Fluoroscopy/Swallow (92611) | $457.84 | $472 | 5.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $139.68 | $144 | 0.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $148.41 | $153 | 0.4× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$86.33–$97 | $89–$100 | varies |
| Newborn resuscitation (99465) | $555.81 | $573 | 0.9× |
| Oral Function Therapy (92526) | $218.25 | $225 | 2.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $99.91 | $103 | 2.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$86.33–$114.46 | $89–$118 | varies |
| Ot eval high complexity (97167) | $198.85 | $205 | 2.0× |
| Ot Eval Low Complex (97165) | $198.85 | $205 | 2.0× |
| Ot Eval Moderate Complexity (97166) | $198.85 | $205 | 2.0× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$84.39–$97.97 | $87–$101 | varies |
| Ot Re-Eval Est Plan Care (97168) | $129.98 | $134 | 1.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $208.55 | $215 | 1.7× |
| Percutaneous tests w/allergenic extracts (95004) | $2.91 | $3 | 0.0× |
| Phlebotomy therapeutic (99195) | $166.84 | $172 | 1.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $164.90 | $170 | 2.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,528.86 | $3,638 | 4.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $10.67 | $11 | 0.2× |
| Psych diag eval w/med srvcs (90792) | $147.44 | $152 | 0.9× |
| Psychiatric diagnostic evaluation (90791) | $130.95 | $135 | 0.8× |
| Pt Eval High Complex (97163) | $210.49 | $217 | 2.2× |
| Pt eval low complex 20 min (97161) | $210.49 | $217 | 2.2× |
| Pt Eval Mod Complex (97162) | $210.49 | $217 | 2.2× |
| Pt gait training 15 min (97116) | $86.33 | $89 | 3.0× |
| Pt Re-Eval Est Plan Care (97164) | $123.19 | $127 | 1.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $142.59 | $147 | 0.7× |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$86.33–$119.31 | $89–$123 | varies |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$291–$668.33 | $300–$689 | varies |
| Standardized Cognitive Performance Testing (96125) | $323.98 | $334 | 3.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $78.57 | $81 | 3.5× |
| Ther Ivntj Ea Addl 15 Min (97130) | $114.46 | $118 | 5.4× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $100.88 | $104 | 2.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$26.19–$72.75 | $27–$75 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$286.15–$291.97 | $295–$301 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$85.36–$94.09 | $88–$97 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $184.30 | $190 | 1.4× |
| Trans Care Mgmt 7 Day Disch (99496) | $249.29 | $257 | 1.9× |
| Tte w/doppler, complete (93306) | $1,044.69 | $1,077 | 2.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $168.78 | $174 | 2.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$104.76–$107.67 | $108–$111 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $419.04 | $432 | 3.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $540.29 | $557 | 2.6× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$57.23–$86.33 | $59–$89 | varies |
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.