Visits & medical services prices at SMP Health St. Aloisius
Harvey, ND · every code in this section with a posted price and a Medicare benchmark.
107 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Advncd Care Plan 30 Min (99497) | $226 | $251 | 2.2× |
| Airway Inhalation Treatment (94640) range across 7 matching MRF lines |
$92–$320 | $102–$356 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $62 | $69 | 4.3× |
| Assessment of aphasia per hr (96105) | $440 | $489 | 4.5× |
| Behavral qualit analys voice (92524) | $474 | $527 | 4.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $269 | $299 | 0.7× |
| Canalith repositioning proc (95992) | $233 | $259 | 5.7× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$534–$1,437 | $593–$1,597 | varies |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$127–$418 | $141–$464 | varies |
| Chest Wall Manipulation (94668) | $107 | $119 | 0.8× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $138 | $153 | 4.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $668 | $742 | 4.9× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $158 | $175 | 2.6× |
| Continuous Pulse Ox (94762) | $124 | $138 | 0.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $327 | $363 | 1.5× |
| Cpt initial (94667) | $128 | $142 | 0.9× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$1,986–$2,047 | $2,207–$2,274 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$267–$403 | $297–$448 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $782 | $869 | 3.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $520 | $578 | 4.9× |
| Echo Heart Xthoracic,Limited (93308) | $412 | $458 | 1.7× |
| Electrical Stimulation Ea 15 Min (97032) | $64 | $71 | 4.4× |
| Electrocardiogram Tracing (93005) | $144 | $160 | 2.4× |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$289–$299 | $321–$332 | varies |
| Emergency Dept Visit Level 3 (99283) | $526 | $584 | 1.9× |
| Emergency Dept Visit Level 4 (99284) | $825 | $917 | 1.9× |
| Er level 1 (99281) | $204 | $227 | 2.4× |
| Er level v (99285) | $1,288 | $1,431 | 2.1× |
| Evaluate pt use of inhaler (94664) | $103 | $114 | 0.5× |
| Evaluate Speech Production (92522) | $385 | $428 | 3.4× |
| Evaluate Swallowing Function (92610) | $422 | $469 | 5.0× |
| Evaluation of speech fluency (92521) | $475 | $528 | 3.6× |
| Exercise test for bronchospasm (94617) | $162 | $180 | 1.2× |
| External ECG rec>7d<15d recording (93246) | $104 | $115 | 2.7× |
| External Ecg Scanning Analysis Report (93226) | $476 | $529 | 7.9× |
| Extracranial Bilat Study (93880) | $785 | $872 | 3.2× |
| Extracranial Uni/Ltd Study (93882) | $583 | $648 | 5.5× |
| Holter monitor recording (93225) | $101 | $112 | 0.7× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $46 | $51 | 0.6× |
| Immunization administration (90471) range across 5 matching MRF lines |
$46–$70 | $51–$78 | varies |
| Iontophoresis 15 min (97033) | $106 | $118 | 5.6× |
| Irrig Drug Delivery Device (96523) | $157 | $174 | 2.6× |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$97–$122 | $108–$135 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$476–$491 | $529–$546 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$149–$173 | $166–$192 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$97–$122 | $108–$135 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$476–$491 | $529–$546 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $185 | $206 | 3.1× |
| Mechanical chest wall oscillation per session (94669) | $128 | $142 | 0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $79 | $88 | 2.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $79 | $88 | 2.2× |
| Methacholine challenge (94070) | $259 | $288 | 0.7× |
| Multiple Sleep Latency Test (95805) | $2,244 | $2,493 | 2.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$170–$184 | $189–$204 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $201 | $223 | 0.5× |
| Neuromuscular Reeducation (97112) | $149 | $166 | 4.6× |
| Oral Function Therapy (92526) | $372 | $413 | 4.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $255 | $283 | 5.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $200 | $222 | 4.3× |
| Ot Contrast Bath Ea 15 Min (97034) | $61 | $68 | 4.3× |
| Ot eval high complexity (97167) | $383 | $425 | 3.8× |
| Ot Eval Low Complex (97165) | $419 | $466 | 4.2× |
| Ot Eval Moderate Complexity (97166) | $419 | $466 | 4.2× |
| Ot manual therapy 15 min (97140) | $122 | $135 | 4.4× |
| Ot paraffin bath (97018) | $46 | $51 | 7.7× |
| Ot Prosthetic Training, Each 15 Min (97761) | $346 | $384 | 8.6× |
| Ot Re-Eval Est Plan Care (97168) | $283 | $314 | 4.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $209 | $232 | 1.6× |
| Phlebotomy therapeutic (99195) | $383 | $425 | 2.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $128 | $142 | 2.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $128 | $142 | 2.1× |
| Plethysmography (94726) | $178 | $198 | 0.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,991 | $3,323 | 3.4× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $37 | $41 | 0.8× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $45 | $50 | 0.9× |
| Pt Eval High Complex (97163) | $420 | $467 | 4.3× |
| Pt eval low complex 20 min (97161) | $432 | $480 | 4.4× |
| Pt Eval Mod Complex (97162) | $432 | $480 | 4.4× |
| Pt gait training 15 min (97116) | $130 | $144 | 4.5× |
| Pt mechanical traction (97012) | $64 | $71 | 4.5× |
| Pt Re-Eval Est Plan Care (97164) | $296 | $329 | 4.4× |
| Pulm function test by gas (94727) | $237 | $263 | 1.1× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$167–$168 | $186–$187 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $23 | $26 | 0.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $237 | $263 | 1.2× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $98 | $109 | 3.8× |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$123–$144 | $137–$160 | varies |
| Speech sound lang comprehen (92523) | $998 | $1,109 | 4.4× |
| Spirometry (94010) range across 2 matching MRF lines |
$92–$136 | $102–$151 | varies |
| Surfactant Admin Thru Tube (94610) | $237 | $263 | 1.1× |
| Temp transcutaneous pacing (92953) | $243 | $270 | 0.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $98 | $109 | 4.4× |
| Ther Ivntj Ea Addl 15 Min (97130) | $94 | $104 | 4.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $149 | $166 | 2.0× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$491–$500 | $545–$555 | varies |
| Therapeutic Activities (97530) | $168 | $187 | 4.8× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$51–$77 | $57–$85 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $41 | $45 | 1.1× |
| Trans Care Mgmt 14 Day Disch (99495) | $434 | $482 | 3.2× |
| Trans Care Mgmt 7 Day Disch (99496) | $615 | $683 | 4.5× |
| Tte w/doppler, complete (93306) | $842 | $936 | 1.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $332 | $369 | 4.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$97–$185 | $108–$206 | varies |
| Tympanometry (92567) | $40 | $44 | 1.0× |
| Vasopneumatic device (97016) | $27 | $30 | 2.2× |
| Vent Mgmt Inpat Init Day (94002) | $484 | $538 | 0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) | $140 | $155 | 4.5× |
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.