Visits & medical services prices at Sioux Falls Specialty Hospital LLP
Sioux Falls, SD · every code in this section with a posted price and a Medicare benchmark.
79 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $509.96 | $679.95 | 2.3× |
| Analyze neurostim complex (95972) | $1,342.04 | $1,789.38 | 13.8× |
| Analyze neurostim no prog (95970) | $1,042.99 | $1,390.65 | 7.7× |
| Analyze Neurostim Simple (95971) | $1,219.96 | $1,626.61 | 12.6× |
| Blink reflex test (95933) | $433.42 | $577.89 | 7.2× |
| C motor evoked upr&lwr limbs (95939) | $965.97 | $1,287.96 | 1.1× |
| Cardiopulmonary resuscitation (92950) | $4,038.39 | $5,384.52 | 18.3× |
| Chemo IV infusion addl hr (96415) | $908.62 | $1,211.49 | 12.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $727.55 | $970.07 | 2.2× |
| Color/duplex Doppler, complete (93975) | $500.60 | $667.46 | 2.1× |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $965.97 | $1,287.96 | 2.5× |
| Debridement Open Wound 20 Sq Cm< (97597) | $715.26 | $953.68 | 3.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $588.27 | $784.36 | 2.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $490.77 | $654.36 | 4.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $588.27 | $784.36 | 2.4× |
| Dup-scan xtr veins unilateral/limited study (93971) | $490.77 | $654.36 | 4.6× |
| Ear and throat examination (92502) | $5,958.14 | $7,944.19 | 10.8× |
| Electrical Stimulation Ea 15 Min (97032) | $244.16 | $325.54 | 16.6× |
| Electrocardiogram Tracing (93005) | $159.77 | $213.02 | 2.7× |
| Emg 3 Extremities (95863) | $1,063.47 | $1,417.96 | 8.1× |
| Emg 4 Extremities (95864) | $1,116.73 | $1,488.97 | 8.5× |
| Extracranial Bilat Study (93880) | $386.94 | $515.92 | 1.6× |
| Eye exam w anesth; complete (92018) | $7,922.03 | $10,562.70 | 3.3× |
| Eye exam w anesth; limited (92019) | $7,922.03 | $10,562.70 | 3.3× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $2,015.51 | $2,687.34 | 5.3× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $2,015.51 | $2,687.34 | 9.1× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $2,671.77 | $3,562.36 | 3.0× |
| Gi tract capsule endoscopy (91110) | $6,392.27 | $8,523.03 | 6.9× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $87.05 | $116.07 | 1.2× |
| Immunization administration (90471) | $110.15 | $146.86 | 1.5× |
| IV infusion hydration each additional hour (96361) | $908.62 | $1,211.49 | 19.0× |
| IV infusion hydration initial 31 min-1 hour (96360) | $694.78 | $926.37 | 3.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $546.75 | $729 | 7.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $839.89 | $1,119.85 | 17.6× |
| IV push initial (96374) | $366.23 | $488.31 | 1.7× |
| Motility study esophagus (91010) | $2,015.51 | $2,687.34 | 5.3× |
| Muscle Test 2 Limbs (95861) | $1,013.48 | $1,351.31 | 7.5× |
| Muscle Test Nonparaspinal (95870) | $965.97 | $1,287.96 | 7.1× |
| Nasopharyngoscopy (92511) | $3,798.33 | $5,064.44 | 18.6× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $965.97 | $1,287.96 | 4.4× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $965.97 | $1,287.96 | 4.4× |
| Needle electromyography larynx (95865) | $965.97 | $1,287.96 | 7.1× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $965.97 | $1,287.96 | 4.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $723.45 | $964.60 | 1.7× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,075.92 | $1,434.56 | 2.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $723.45 | $964.60 | 3.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $795.56 | $1,060.74 | 1.9× |
| Nerve Conduction Studies 1-2 Studies (95907) | $965.97 | $1,287.96 | 4.4× |
| Nerve Conduction Studies 3-4 Studies (95908) | $988.91 | $1,318.54 | 4.5× |
| Nerve conduction studies 5-6 studies (95909) | $1,013.48 | $1,351.31 | 4.6× |
| Nerve conduction studies 7-8 studies (95910) | $1,038.89 | $1,385.19 | 2.7× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,065.11 | $1,420.14 | 2.8× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $928.62 | $1,238.16 | 7.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $253.98 | $338.64 | 5.5× |
| Ot eval high complexity (97167) | $480.11 | $640.15 | 4.8× |
| Ot Eval Low Complex (97165) | $358.86 | $478.48 | 3.6× |
| Ot Eval Moderate Complexity (97166) | $436.69 | $582.25 | 4.3× |
| Ot manual therapy 15 min (97140) | $244.16 | $325.54 | 8.8× |
| Ot Re-Eval Est Plan Care (97168) | $316.38 | $421.84 | 4.6× |
| Percutaneous tests w/allergenic extracts (95004) | $996.62 | $1,328.83 | 1.1× |
| Pt Eval High Complex (97163) | $370.33 | $493.77 | 3.8× |
| Pt eval low complex 20 min (97161) | $234.73 | $312.97 | 2.4× |
| Pt Eval Mod Complex (97162) | $352.31 | $469.74 | 3.6× |
| Pt gait training 15 min (97116) | $244.16 | $325.54 | 8.4× |
| Pt Re-Eval Est Plan Care (97164) | $234.73 | $312.97 | 3.5× |
| Self Care Mngment Training (97535) | $316.70 | $422.26 | 9.8× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $965.97 | $1,287.96 | 4.4× |
| Short-latency somatosens ep std upr limbs (95925) | $965.97 | $1,287.96 | 4.4× |
| Somatosensory Testing (95938) | $1,061.01 | $1,414.68 | 1.2× |
| Spin/Brain Pump Refil & Main (95991) | $433.42 | $577.89 | 1.4× |
| Ssep lower limbs (95926) | $965.97 | $1,287.96 | 4.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $110.15 | $146.86 | 1.5× |
| Ther/Proph/Diag Iv Inf Init (96365) | $694.78 | $926.37 | 3.2× |
| Therapeutic Activities (97530) | $251.53 | $335.37 | 7.2× |
| Tte w/doppler, complete (93306) | $1,412.50 | $1,883.33 | 2.5× |
| Tte W/O Doppler Complete (93307) | $1,412.50 | $1,883.33 | 5.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $132.73 | $176.97 | 2.8× |
| Upr/L Xtremity Art 2 Levels (93922) | $539.11 | $718.81 | 4.0× |
| Vent Mgmt Inpat Init Day (94002) | $1,624.70 | $2,166.26 | 2.6× |