Visits & medical services prices at CHI St. Gabriel's Hospital

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

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

Compare against other hospitals interactively →

ProcedureCash priceGross charge× Medicare
Aep Thrshld Est Mlt Freq I&R (92652) $754.58 $1,301 3.4×
Airway inhalation treatment (94640) $41.18 $71 0.2×
Brief Emotional/Behavioral Assessment (96127) $7.54 $13 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $65.54 $113 0.2×
Car seat/bed test 60 min (94780) $277.82 $479 7.2×
Cardiac Stress Tst,Tracing Only (93017) $659.46 $1,137 3.0×
Cardiopulmonary resuscitation (92950) $502.86 $867 2.3×
Cardioversion (92960) $627.85 $1,082.50 0.9×
Caregiver hlth risk assmt score doc stnd instrm (96161) $5.22 $9 0.1×
Cbt 1st hour (94644) $171.10 $295 1.2×
Chemo Hormon Antineopl Sq/Im (96402) $60.32 $104 0.8×
Chemo IV push addl drug (96411) $65.54 $113 0.9×
Chemo prolong 8+ hrs infuse w/pump (96416) $120.06 $207 0.4×
Chemother, IV infusion, 1 hr (96413) $365.40 $630 1.1×
Chemother, IV infusion, ea add hr (96415) $86.42 $149 1.2×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $87.29 $150.50 1.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $365.40 $630 4.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $65.54 $113 0.2×
Chronic care management services 1st 20 min (99490) $103.82 $179 1.0×
Color/duplex Doppler, complete (93975) $571.30 $985 2.3×
Color/duplex Doppler, limited (93976) $544.04 $938 5.0×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $225.62 $389 1.2×
Continuous Glucose Monitoring (95250) $280.14 $483 2.0×
Cpap/bipap (94660) $357.28 $616 1.6×
Cpt initial (94667) $87 $150 0.6×
Critical care (99291) $1,289.34 $2,223 1.5×
Debridement Open Wound 20 Sq Cm< (97597) $146.16 $252 0.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $544.04 $938 2.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $168.78 $291 1.6×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $742.98 $1,281 3.0×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $534.18 $921 2.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $843.90 $1,455 3.4×
Duplex scan extracranial art compl bi study (93880) $844.48 $1,456 3.4×
Duplex Scan Hemodialysis Access (93990) $264.19 $455.50 2.4×
Echo Heart Xthoracic,Limited (93308) $332.63 $573.50 1.4×
Echo Transthoracic - Congenital Tte Complete (93303) $1,125.78 $1,941 2.0×
EKG rhythm strip (93041) $13.92 $24 0.2×
Electrocardiogram Tracing (93005) $10.44 $18 0.2×
EMG four extremities (95864) $273.18 $471 2.1×
EMG one extremity (95860) $117.74 $203 0.9×
EMG three extremities (95863) $144.42 $249 1.1×
EMG two extremities (95861) $133.40 $230 1.0×
Er level 1 (99281) $187.92 $324 2.2×
Er level ii (99282) $216.63 $373.50 1.4×
Er level iii (99283) $350.03 $603.50 1.2×
Er level IV (99284) $641.48 $1,106 1.5×
Er level v (99285) $869.13 $1,498.50 1.4×
Evaluate Pt Use Of Inhaler (94664) $80.91 $139.50 0.4×
External ECG rec>48hr<7d recording (93242) $19.72 $34 0.5×
External ECG rec>7d<15d recording (93246) $19.72 $34 0.5×
Gi tract capsule endoscopy (91110) $960.48 $1,656 1.0×
Holter Monitor (93225) $165.59 $285.50 1.2×
Ilr Device Eval Progr (93285) $24.36 $42 0.6×
Imm admn sarscov2 vaccine single dose (90480) $34.80 $60 0.8×
Immune Admin Oral/Nasal (90473) $27.84 $48 0.4×
Immunization Admin (90471) $34.80 $60 0.5×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) $176.32 $304 1.3×
Interrog dev eval icpms phys/qhp in person (93290) $43.50 $75 1.1×
Interrog dev eval scrms phys/qhp in person (93291) $40.31 $69.50 1.4×
Interrog device eval heart (93289) $29.58 $51 0.8×
Irrig drug delivery device (96523) $135.14 $233 2.2×
IV infusion hydration each additional hour (96361) $53.07 $91.50 1.1×
IV infusion hydration initial 31 min-1 hour (96360) $156.60 $270 0.7×
IV infusion ther proph addl sequential to 1 hr (96367) $261 $450 3.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $261 $450 1.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $86.42 $149 1.8×
IV push ea addl new drug (96375) $44.66 $77 0.9×
IV push initial (96374) $61.77 $106.50 0.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $64.09 $110.50 2.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $67.86 $117 1.8×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $69.02 $119 4.1×
Neg press wound tx >50 cm (97608) $292.03 $503.50 0.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $421.08 $726 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $64.09 $110.50 0.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $87 $150 0.2×
Nerve Conduction Studies 11-12 Studies (95912) $232.58 $401 0.6×
Nerve conduction studies 13/> studies (95913) $232.58 $401 0.6×
Nerve Conduction Studies 3-4 Studies (95908) $232.58 $401 1.0×
Nerve Conduction Studies 5-6 Studies (95909) $232.58 $401 1.0×
Nerve Conduction Studies 7-8 Studies (95910) $232.58 $401 0.6×
Nerve Conduction Studies 9-10 Studies (95911) $232.58 $401 0.6×
Nerve conduction studies; 1-2 studies (95907) $139.78 $241 0.6×
Neurobehavioral Status Exam (96116) $152.54 $263 0.7×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $291.16 $502 2.2×
Newborn resuscitation (99465) $230.26 $397 0.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $136.30 $235 1.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $170.52 $294 1.3×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $45.82 $79 2.1×
Osteopathic manipulative tx 3-4 body regions (98926) $56.84 $98 2.6×
Osteopathic manipulative tx 5-6 body regions (98927) $49.01 $84.50 2.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $203 $350 1.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $190.82 $329 0.8×
Phlebotomy therapeutic (99195) $169.94 $293 1.2×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $150.80 $260 2.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $150.80 $260 2.5×
Plethysmography (94726) $261.58 $451 0.7×
Pm device eval in person (93288) $92.80 $160 2.4×
Pm device progr eval dual (93280) $32.48 $56 0.8×
Pm device progr eval multi (93281) $34.22 $59 0.9×
Pm device progr eval sngl (93279) $27.84 $48 0.7×
Pm/Icd Remote Tech Serv (93296) $33.64 $58 0.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,596 $6,200 4.1×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $43.50 $75 1.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $17.98 $31 0.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $20.30 $35 0.4×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $32.48 $56 0.8×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $40.02 $69 1.0×
Psych diag eval w/med srvcs (90792) $161.24 $278 0.9×
Psytx crisis initial 60 min (90839) $127.89 $220.50 0.7×
Pulmonary stress test simple (94618) $146.16 $252 1.1×
Pure Tone Audiometry Air Only (92552) $67.28 $116 0.5×
Rem interrog icpms <30 d phys/qhp (93297) $100.34 $173 2.6×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $168.78 $291 4.4×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $33.64 $58 0.2×
Rem mntr physiol param dev (99454) $74.82 $129 1.9×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $169.36 $292 4.4×
Remote monitoring of a wireless pulmonary artery pressure sensor for up to 30 days, including at least weekly downloads… (93264) $85.26 $147 2.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $26.68 $46 0.1×
Rt Chest Wall Manipulation,Subsequent (94668) $69.02 $119 0.5×
Sleep study unattended (95806) $568.98 $981 2.6×
Smoking cessation > 10 min (99407) $45.24 $78 1.2×
Spirometry (94010) $84.97 $146.50 0.4×
Stress echo (93350) $665.55 $1,147.50 1.2×
Temp transcutaneous pacing (92953) $662.36 $598.50 1.0×
Therapeutic prophylactic/dx injection subq/im (96372) $23.78 $41 0.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $23.78 $41 0.6×
Trans Care Mgmt 14 Day Disch (99495) $345.68 $596 2.5×
Trans Care Mgmt 7 Day Disch (99496) $468.06 $807 3.4×
Tte w/doppler, complete (93306) $786.77 $1,356.50 1.4×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $413.25 $712.50 1.7×
Tympanometry (92567) $26.68 $46 0.7×
Ultraviolet Light Therapy (96900) $60.32 $104 1.6×
Upr/lxtr art stdy 3+ lvls (93923) $582.32 $1,004 2.6×
Vent mgmt inpat init day (94002) $1,215.68 $2,096 1.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,125.78 $1,941 1.8×
Vital capacity, total (94150) $38.28 $66 0.3×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $230.26 $397 2.3×