Visits & medical services prices at St. Croix Regional Medical Center

Saint Croix Falls, WI · every code in this section with a posted price and a Medicare benchmark.

87 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Acupunct W/Stimul 15 Min (97813)
range across 2 matching MRF lines
$18.13–$30.02 $32.96–$54.59 varies
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810)
range across 2 matching MRF lines
$15.86–$26.63 $28.84–$48.41 varies
Airway Inhalation Treatment (94640) $81.58 $148.32 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $39.09 $71.07 2.7×
Assessment of aphasia per hr (96105) $160.32 $291.49 1.6×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $45.32 $82.40 0.6×
Bfb training ea addl 15 min (90913) $26.06 $47.38 0.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $89.51 $162.74 0.2×
Chemotherapy Into Cns (96450) $71.38 $129.78 0.2×
Chest Wall Manipulation (94668) $32.86 $59.74 0.3×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$160.32–$445.27 $291.49–$809.58 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $43.05 $78.28 1.3×
Cont gluc mntr physician/qhp provided equiptment (95250) $228.87 $416.12 1.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $169.95 $309 0.8×
Cpt initial (94667) $47.02 $85.49 0.4×
Debridement Open Wound 20 Sq Cm< (97597) $60.62 $110.21 0.3×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $37.39 $67.98 0.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$51.55–$199.41 $93.73–$362.56 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925) $53.82 $97.85 0.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $35.12 $63.86 0.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$60.62–$356.90 $110.21–$648.90 varies
Dup-scan xtr veins unilateral/limited study (93971) $31.72 $57.68 0.3×
Duplex Scan Hemodialysis Access (93990)
range across 2 matching MRF lines
$27.19–$258.32 $49.44–$469.68 varies
Duplex up extrem art bilat (93930) $49.29 $89.61 0.2×
Duplex up extrem art unilat/ltd (93931) $33.42 $60.77 0.3×
Echo Heart Xthoracic,Limited (93308)
range across 4 matching MRF lines
$37.39–$225.47 $67.98–$409.94 varies
Echo transesophageal (93312) $299.11 $543.84 0.6×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $403.91 $734.39 0.8×
EEG awake and asleep (95819) $822.56 $1,495.56 3.9×
EEG awake drowsy (95816) $545.54 $991.89 2.6×
Electrical Stimulation Ea 15 Min (97032) $44.75 $81.37 3.0×
Electrocardiogram Tracing (93005) $116.70 $212.18 2.0×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $815.19 $1,482.17 2.2×
Evaluate Swallowing Function (92610) $131.43 $238.96 1.5×
Evoked Auditory Test,Limited (92587) $27.19 $49.44 0.1×
Exercise test for bronchospasm (94617) $95.17 $173.04 0.7×
Extracranial Uni/Ltd Study (93882)
range across 2 matching MRF lines
$37.39–$164.85 $67.98–$299.73 varies
Flexible endoscopic eval swallow c/v rec (92612) $78.18 $142.14 0.4×
Gi tract capsule endoscopy (91110) $1,169.82 $2,126.95 1.3×
Icd Device Interrogate (93289) $363.69 $661.26 10.0×
Interrogate Subq Defib (93261) $56.65 $103 1.6×
IV infusion hydration each additional hour (96361) $41.35 $75.19 0.9×
IV infusion hydration initial 31 min-1 hour (96360) $89.51 $162.74 0.4×
IV push initial (96374) $89.51 $162.74 0.4×
Lung Function Test (Mbc/Mvv) (94200) $86.67 $157.59 1.5×
Lwr Xtr Vasc Stdy Bilat (93924)
range across 2 matching MRF lines
$44.19–$591.99 $80.34–$1,076.35 varies
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $41.35 $75.19 1.3×
Methacholine challenge (94070) $221.50 $402.73 0.6×
Motility study esophagus (91010)
range across 3 matching MRF lines
$116.13–$1,186.82 $211.15–$2,157.85 varies
Motion Fluoroscopy/Swallow (92611) $79.88 $145.23 0.9×
Muscle Test 2 Limbs (95861) $60.62 $110.21 0.5×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $43.62 $79.31 0.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$49.85–$59.48 $90.64–$108.15 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$69.68–$104.80 $126.69–$190.55 varies
Nerve conduction studies 13 or more studies (95913) $1,156.79 $2,103.26 3.2×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $101.97 $185.40 0.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $49.29 $89.61 1.1×
Ot paraffin bath (97018) $37.96 $69.01 6.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $112.17 $203.94 0.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $112.17 $203.94 0.9×
Peripheral arterial disease rehab per session (93668) $104.24 $189.52 1.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625)
range across 2 matching MRF lines
$49.85–$163.58 $90.64–$297.41 varies
Physical Performance Test (97750) $42.49 $77.25 1.3×
Pm device eval in person (93288) $363.69 $661.26 10.0×
Psytx Crisis Initial 60 Min (90839) $188.08 $341.96 1.1×
Pt mechanical traction (97012) $39.09 $71.07 2.7×
Pt ultraviolet (97028) $14.16 $25.75 1.7×
Pulmonary service/procedure (94799) $29.46 $53.56 0.2×
Refill/Maint Pump/Resvr Syst (96522) $20.39 $37.08 0.1×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $36.26 $65.92 0.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $55.52 $100.94 0.3×
Sensory Integration Ea 15 Min (97533) $35.69 $64.89 0.6×
Sleep study attended (95807)
range across 3 matching MRF lines
$90.64–$1,992.38 $164.80–$3,622.51 varies
Spirometry (94010) $50.42 $91.67 0.2×
Standardized Cognitive Performance Testing (96125) $205.07 $372.86 2.0×
Stress Tte Only (93350) $403.91 $734.39 0.8×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$16.43–$220.94 $29.87–$401.70 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $42.49 $77.25 1.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $42.49 $77.25 1.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 4 matching MRF lines
$13.60–$28.33 $24.72–$51.50 varies
Ther/Proph/Diag Iv Inf Init (96365) $89.51 $162.74 0.4×
Tte w/doppler, complete (93306) $1,050.29 $1,909.62 2.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $169.95 $309 2.2×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$22.66–$103.10 $41.20–$187.46 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$40.22–$591.99 $73.13–$1,076.35 varies
Vital capacity, total (94150) $86.67 $157.59 0.7×
Wheelchair Mgmt Ea 15 Min (97542)
range across 4 matching MRF lines
$55.52–$68.55 $100.94–$124.63 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.