Visits & medical services prices at Southwest Healthcare Services
Bowman, ND · every code in this section with a posted price and a Medicare benchmark.
110 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) | $45 | $50 | 1.1× |
| Advncd Care Plan 30 Min (99497) | $145.80 | $162 | 1.4× |
| Airway Inhalation Treatment (94640) | $16.20 | $18 | 0.1× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $61.20 | $68 | 1.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $51.30 | $57 | 3.6× |
| Assessment of aphasia per hr (96105) | $387 | $430 | 4.0× |
| Behavral qualit analys voice (92524) | $396 | $440 | 3.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $292.50 | $325 | 0.8× |
| Canalith repositioning proc (95992) | $90.90 | $101 | 2.2× |
| Cardiopulmonary resuscitation (92950) | $504 | $560 | 2.3× |
| Cardioversion (92960) | $1,058.40 | $1,176 | 1.6× |
| Chemo Hormon Antineopl Sq/Im (96402) | $120.60 | $134 | 1.6× |
| Chemo IV infusion addl hr (96415) | $146.70 | $163 | 2.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $736.20 | $818 | 2.2× |
| Chest Wall Manipulation (94668) | $208.80 | $232 | 1.5× |
| Chron Care Mgmt Srvc 20 Min (99490) | $109.80 | $122 | 1.1× |
| Continuous Pulse Ox (94762) | $135 | $150 | 1.0× |
| Cpt initial (94667) | $208.80 | $232 | 1.5× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$536.40–$2,047.50 | $596–$2,275 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$181.80–$325.80 | $202–$362 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $669.60 | $744 | 2.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $418.50 | $465 | 3.9× |
| Echo Heart Xthoracic,Limited (93308) | $420.30 | $467 | 1.7× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$50.40–$54.90 | $56–$61 | varies |
| Electrocardiogram Tracing (93005) | $103.50 | $115 | 1.7× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$72–$315 | $80–$350 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$124.20–$495 | $138–$550 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$210.60–$810 | $234–$900 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$54–$180 | $60–$200 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$304.20–$1,237.50 | $338–$1,375 | varies |
| Evaluate pt use of inhaler (94664) | $47.70 | $53 | 0.2× |
| Evaluate Speech Production (92522) | $399.60 | $444 | 3.6× |
| Evaluate Swallowing Function (92610) | $320.40 | $356 | 3.8× |
| Evaluation of speech fluency (92521) | $420.30 | $467 | 3.2× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$66.60–$77.40 | $74–$86 | varies |
| External ECG rec>7d<15d recording (93246) | $126.90 | $141 | 3.3× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$90–$664.20 | $100–$738 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $439.20 | $488 | 2.2× |
| Holter monitor recording (93225) | $225 | $250 | 1.7× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $41.40 | $46 | 0.6× |
| Immunization administration (90471) range across 6 matching MRF lines |
$22.50–$135 | $25–$150 | varies |
| Iontophoresis 15 min (97033) | $77.40 | $86 | 4.1× |
| Irrig Drug Delivery Device (96523) | $102.60 | $114 | 1.7× |
| IV infusion hydration each additional hour (96361) | $75.60 | $84 | 1.6× |
| IV infusion hydration initial 31 min-1 hour (96360) | $372.60 | $414 | 1.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $120.60 | $134 | 1.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$75.60–$94.50 | $84–$105 | varies |
| IV push initial (96374) | $372.60 | $414 | 1.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $135 | $150 | 4.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $156.60 | $174 | 4.3× |
| Multiple Sleep Latency Test (95805) | $1,543.50 | $1,715 | 1.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $325.80 | $362 | 1.6× |
| Neuromuscular Reeducation (97112) | $129.60 | $144 | 4.0× |
| Oral Function Therapy (92526) | $319.50 | $355 | 3.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $194.40 | $216 | 3.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $208.80 | $232 | 4.5× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$45–$54 | $50–$60 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) | $80.10 | $89 | 3.6× |
| Ot eval high complexity (97167) | $337.50 | $375 | 3.4× |
| Ot Eval Low Complex (97165) | $292.50 | $325 | 2.9× |
| Ot Eval Moderate Complexity (97166) | $315 | $350 | 3.1× |
| Ot manual therapy 15 min (97140) | $103.50 | $115 | 3.7× |
| Ot paraffin bath (97018) | $21.60 | $24 | 3.6× |
| Ot Prosthetic Training, Each 15 Min (97761) | $159.30 | $177 | 3.9× |
| Ot Re-Eval Est Plan Care (97168) | $231.30 | $257 | 3.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $157.50 | $175 | 1.2× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $117 | $130 | 0.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $316.80 | $352 | 1.4× |
| Percutaneous tests w/allergenic extracts (95004) range across 2 matching MRF lines |
$9.90–$17.10 | $11–$19 | varies |
| Phlebotomy therapeutic (99195) | $427.50 | $475 | 3.1× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $135 | $150 | 2.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $90 | $100 | 1.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,208.60 | $2,454 | 2.5× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) range across 4 matching MRF lines |
$27–$75.60 | $30–$84 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$22.50–$54 | $25–$60 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$27.90–$61.20 | $31–$68 | varies |
| Pt Eval High Complex (97163) | $337.50 | $375 | 3.4× |
| Pt eval low complex 20 min (97161) | $292.50 | $325 | 3.0× |
| Pt Eval Mod Complex (97162) | $315 | $350 | 3.2× |
| Pt gait training 15 min (97116) | $112.50 | $125 | 3.9× |
| Pt mechanical traction (97012) | $54.90 | $61 | 3.8× |
| Pt Re-Eval Est Plan Care (97164) | $270 | $300 | 4.0× |
| Pure Tone Audiometry Air (92552) | $80.10 | $89 | 0.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $50.40 | $56 | 1.3× |
| Remote 30 Day Ecg Tech Supp (93229) | $261.90 | $291 | 0.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $325.80 | $362 | 1.6× |
| Self Care Mngment Training (97535) | $126.90 | $141 | 3.9× |
| Speech sound lang comprehen (92523) | $724.50 | $805 | 3.2× |
| Spirometry (94010) | $112.50 | $125 | 0.5× |
| Standardized Cognitive Performance Testing (96125) | $408.60 | $454 | 4.0× |
| Temp transcutaneous pacing (92953) | $1,058.40 | $1,176 | 1.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $82.80 | $92 | 3.7× |
| Ther Ivntj Ea Addl 15 Min (97130) | $79.20 | $88 | 3.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $106.20 | $118 | 3.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $225 | $250 | 2.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$35.10–$137.70 | $39–$153 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $372.60 | $414 | 1.7× |
| Therapeutic Activities (97530) | $147.60 | $164 | 4.2× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $48.60 | $54 | 1.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $30.60 | $34 | 0.8× |
| Trans Care Mgmt 14 Day Disch (99495) | $352.80 | $392 | 2.6× |
| Trans Care Mgmt 7 Day Disch (99496) | $479.70 | $533 | 3.5× |
| Tte w/doppler, complete (93306) | $905.40 | $1,006 | 1.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $291.60 | $324 | 3.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$75.60–$94.50 | $84–$105 | varies |
| Tympanometry (92567) | $26.10 | $29 | 0.7× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$147.60–$208.80 | $164–$232 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $327.60 | $364 | 1.5× |
| Vasopneumatic device (97016) | $35.10 | $39 | 2.9× |
| Wheelchair Mgmt Ea 15 Min (97542) | $123.30 | $137 | 4.0× |
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.