Visits & medical services prices at CHI St. Francis Health

Breckenridge, MN · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Actinotherapy Ultraviolet Light (96900) $89.40 $149 2.3×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 3 matching MRF lines
$46.80–$81 $78–$135 varies
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$13.80–$85.80 $23–$143 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $67.20 $112 0.2×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$76.80–$207.60 $128–$346 varies
Car seat/bed test 60 min (94780)
range across 2 matching MRF lines
$68.40–$93 $114–$155 varies
Cardiopulmonary resuscitation (92950)
range across 4 matching MRF lines
$442.80–$1,117.20 $738–$1,862 varies
Cardioversion (92960)
range across 5 matching MRF lines
$213–$749.40 $355–$1,249 varies
Chemo IV infusion addl hr (96415) $126.60 $211 1.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $675 $1,125 2.0×
Chest Wall Manipulation (94668) $120 $200 0.9×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$396.60–$856.80 $661–$1,428 varies
Color/duplex Doppler, limited (93976) $481.20 $802 4.5×
Continuous Pulse Ox (94762) $120 $200 0.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
$93–$256.80 $155–$428 varies
Cpt initial (94667) $99.60 $166 0.7×
Critical care first hour (99291)
range across 3 matching MRF lines
$478.20–$1,932 $797–$3,220 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$127.80–$321 $213–$535 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925) $758.40 $1,264 3.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $624 $1,040 5.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,264.20 $2,107 5.1×
Duplex up extrem art bilat (93930) $609.60 $1,016 2.5×
Echo Heart Xthoracic,Limited (93308) $400.20 $667 1.6×
EEG awake and asleep (95819) $1,498.20 $2,497 6.7×
Eeg Sleep Only (95822) $1,362.60 $2,271 6.1×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$10.80–$170.40 $18–$284 varies
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$99–$292.20 $165–$487 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$147–$527.40 $245–$879 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$286.80–$907.80 $478–$1,513 varies
Er level 1 (99281)
range across 2 matching MRF lines
$51.60–$202.80 $86–$338 varies
Er level v (99285)
range across 2 matching MRF lines
$414.60–$1,350 $691–$2,250 varies
Evaluate pt use of inhaler (94664) $64.80 $108 0.3×
Evoked Auditory Test,Limited (92587) $14.40 $24 0.1×
Exhaled Air Analysis O2 (94680) $127.80 $213 1.0×
External ECG rec>48hr<7d recording (93242) $20.40 $34 0.5×
External ECG rec>7d<15d recording (93246) $20.40 $34 0.5×
Extracranial Bilat Study (93880) $969.60 $1,616 3.9×
Im Adm Intransl/Oral 1 Vaccine (90473) $28.80 $48 0.4×
Immunization administration (90471)
range across 4 matching MRF lines
$35.40–$59.40 $59–$99 varies
Irrig Drug Delivery Device (96523)
range across 3 matching MRF lines
$64.20–$129.60 $107–$216 varies
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$20.40–$109.20 $34–$182 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines
$53.40–$435.60 $89–$726 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 3 matching MRF lines
$128.40–$135 $214–$225 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$102–$109.20 $170–$182 varies
IV push initial (96374)
range across 5 matching MRF lines
$384–$403.80 $640–$673 varies
Mechanical chest wall oscillation per session (94669) $104.40 $174 0.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $129.60 $216 4.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $150 $250 4.1×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $68.40 $114 4.0×
Methacholine challenge (94070) $108.60 $181 0.3×
Multiple Sleep Latency Test (95805) $1,430.40 $2,384 1.6×
Newborn resuscitation (99465) $753.60 $1,256 1.1×
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 2 matching MRF lines
$20.40–$48.60 $34–$81 varies
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $185.40 $309 1.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $93 $155 0.7×
Peripheral arterial disease rehab per session (93668) $73.20 $122 1.2×
Phlebotomy therapeutic (99195) $409.20 $682 3.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 4 matching MRF lines
$1,573.20–$2,043.60 $2,622–$3,406 varies
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $1,944 $3,240 2.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $18.60 $31 0.4×
Psych diag eval w/med srvcs (90792)
range across 3 matching MRF lines
$82.20–$328.80 $137–$548 varies
Psychiatric diagnostic evaluation (90791)
range across 3 matching MRF lines
$73.20–$292.80 $122–$488 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$105–$316.20 $175–$527 varies
Spirometry (94010)
range across 2 matching MRF lines
$46.80–$99.60 $78–$166 varies
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$35.40–$136.80 $59–$228 varies
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $12 $20 0.3×
Ther/Prop/Diag Inj/Inf Proc (96379)
range across 2 matching MRF lines
$32.40–$81 $54–$135 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 7 matching MRF lines
$24.60–$137.40 $41–$229 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$414.60–$435.60 $691–$726 varies
Tte w/doppler, complete (93306) $1,055.40 $1,759 1.9×
Tte W/O Doppler Complete (93307) $303 $505 1.2×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 5 matching MRF lines
$90–$104.40 $150–$174 varies
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$16.20–$27 $27–$45 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $454.20 $757 2.0×
Vent Mgmt Inpat Init Day (94002) $355.20 $592 0.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $256.20 $427 0.4×
Vital capacity, total (94150) $99 $165 0.7×

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.