Visits & medical services prices at St. Andrews Health Center - Cah
Bottineau, ND · every code in this section with a posted price and a Medicare benchmark.
81 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$63–$65 | $70–$72 | varies |
| Application on-body injector (96377) | $102 | $113 | 2.1× |
| Assessment of aphasia per hr (96105) | $480 | $533 | 4.9× |
| Canalith repositioning proc (95992) | $252 | $280 | 6.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $248 | $276 | 1.1× |
| Cardiopulmonary resuscitation (92950) | $1,515 | $1,683 | 6.9× |
| Cardioversion (92960) | $829 | $921 | 1.2× |
| Chemo IV infusion addl hr (96415) | $158 | $175 | 2.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $790 | $878 | 2.3× |
| Color/duplex Doppler, complete (93975) | $967 | $1,074 | 4.0× |
| Color/duplex Doppler, limited (93976) | $575 | $639 | 5.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $151 | $168 | 4.7× |
| Computerized Ophthalmic Imaging Retina (92134) | $72 | $80 | 1.2× |
| Critical care first hour (99291) | $2,352 | $2,613 | 2.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $744 | $827 | 3.1× |
| Dup-scan xtr veins unilateral/limited study (93971) | $464 | $516 | 4.3× |
| Electrical Stimulation Ea 15 Min (97032) | $77 | $86 | 5.2× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$95–$99 | $105–$110 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$131–$315 | $145–$350 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$221–$554 | $245–$615 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$373–$879 | $414–$977 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$68–$192 | $75–$213 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$544–$1,281 | $604–$1,423 | varies |
| Evaluate pt use of inhaler (94664) | $51 | $57 | 0.2× |
| Evaluate Speech Production (92522) | $512 | $569 | 4.6× |
| Evaluate Swallowing Function (92610) | $398 | $442 | 4.7× |
| External ECG rec>48hr<7d recording (93242) | $82 | $91 | 2.1× |
| External ECG rec>7d<15d recording (93246) | $136 | $151 | 3.6× |
| External Ecg Scanning Analysis Report (93226) | $185 | $206 | 3.1× |
| Extracranial Bilat Study (93880) | $742 | $824 | 3.0× |
| Holter monitor recording (93225) | $118 | $131 | 0.9× |
| Immunization administration (90471) range across 2 matching MRF lines |
$70–$74 | $78–$82 | varies |
| Iontophoresis 15 min (97033) | $95 | $106 | 5.0× |
| Irrig Drug Delivery Device (96523) | $138 | $153 | 2.3× |
| IV infusion hydration each additional hour (96361) | $102 | $113 | 2.1× |
| IV infusion hydration initial 31 min-1 hour (96360) | $517 | $574 | 2.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $158 | $175 | 2.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $102 | $113 | 2.1× |
| IV push initial (96374) | $517 | $574 | 2.4× |
| Motion Fluoroscopy/Swallow (92611) | $419 | $466 | 4.6× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$158–$162 | $175–$180 | varies |
| Oral Function Therapy (92526) | $396 | $440 | 4.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$279–$302 | $310–$336 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$220–$224 | $244–$249 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $76 | $84 | 5.4× |
| Ot eval high complexity (97167) | $455 | $505 | 4.5× |
| Ot Eval Low Complex (97165) | $419 | $466 | 4.2× |
| Ot Eval Moderate Complexity (97166) | $421 | $468 | 4.2× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$126–$128 | $140–$142 | varies |
| Ot paraffin bath (97018) | $44 | $49 | 7.3× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$187–$190 | $208–$211 | varies |
| Ot Re-Eval Est Plan Care (97168) | $288 | $320 | 4.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$122–$150 | $135–$167 | varies |
| Phlebotomy therapeutic (99195) | $485 | $539 | 3.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 2 matching MRF lines |
$130–$150 | $144–$167 | varies |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$158–$162 | $175–$180 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $27 | $30 | 0.6× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $35 | $39 | 0.7× |
| Pt Eval High Complex (97163) | $455 | $506 | 4.6× |
| Pt eval low complex 20 min (97161) | $455 | $506 | 4.6× |
| Pt Eval Mod Complex (97162) | $455 | $506 | 4.6× |
| Pt gait training 15 min (97116) | $138 | $153 | 4.7× |
| Pt mechanical traction (97012) | $67 | $74 | 4.7× |
| Pt Re-Eval Est Plan Care (97164) | $313 | $348 | 4.6× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$154–$158 | $171–$175 | varies |
| Speech sound lang comprehen (92523) | $1,051 | $1,168 | 4.6× |
| Spirometry (94010) | $107 | $119 | 0.5× |
| Temp transcutaneous pacing (92953) | $45 | $50 | 0.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $104 | $116 | 4.6× |
| Ther Ivntj Ea Addl 15 Min (97130) | $101 | $112 | 4.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $131 | $146 | 4.4× |
| Ther/Proph/Diag Inj Ia (96373) | $517 | $574 | 2.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$74–$158 | $82–$175 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $517 | $574 | 2.4× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$181–$184 | $201–$204 | varies |
| Tte w/doppler, complete (93306) | $752 | $836 | 1.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $362 | $402 | 4.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $102 | $113 | 2.1× |
| Upr/L Xtremity Art 2 Levels (93922) | $321 | $357 | 2.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $488 | $542 | 2.2× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$150–$153 | $167–$170 | 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.