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 →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) | $60.32 | $104 | 1.6× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $34.80 | $60 | 0.8× |
| Aep threshold estimation mlt frequencies i&r (92652) | $754.58 | $1,301 | 3.4× |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$13.34–$87 | $23–$150 | varies |
| Brief Emotional/Behav Assmt (96127) | $7.54 | $13 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$65.54–$375.26 | $113–$647 | varies |
| 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) range across 2 matching MRF lines |
$476.76–$528.96 | $822–$912 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$341.04–$914.66 | $588–$1,577 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $5.22 | $9 | 0.1× |
| Cbt 1st hour (94644) | $171.10 | $295 | 1.2× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$60.32–$114.26 | $104–$197 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $60.32 | $104 | 0.8× |
| Chemo IV infusion addl hr (96415) | $86.42 | $149 | 1.2× |
| Chemo IV push addl drug (96411) | $65.54 | $113 | 0.9× |
| Chemother Prolong Infuse W/Pump (96416) | $120.06 | $207 | 0.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $365.40 | $630 | 4.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $365.40 | $630 | 1.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $65.54 | $113 | 0.2× |
| Chest Wall Manipulation (94668) | $69.02 | $119 | 0.5× |
| Chron Care Mgmt Srvc 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× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $280.14 | $483 | 2.0× |
| Continuous Pulse Ox (94762) | $170.52 | $294 | 1.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$267.96–$446.60 | $462–$770 | varies |
| Cpt initial (94667) | $87 | $150 | 0.6× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$580–$1,998.68 | $1,000–$3,446 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$41.76–$167.04 | $72–$288 | varies |
| 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 Xtr Veins Complete Bilateral Study (93970) | $843.90 | $1,455 | 3.4× |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$37.70–$490.68 | $65–$846 | varies |
| Duplex up extrem art bilat (93930) | $534.18 | $921 | 2.2× |
| ECG/monitoring and analysis (93271) | $230.26 | $397 | 2.3× |
| Echo Congenital Complete (93303) | $1,125.78 | $1,941 | 2.0× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$162.98–$502.28 | $281–$866 | varies |
| Electrocardiogram Tracing (93005) | $10.44 | $18 | 0.2× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$98.02–$335.24 | $169–$578 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$150.80–$549.26 | $260–$947 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$399.04–$883.92 | $688–$1,524 | varies |
| Emg 3 Extremities (95863) | $144.42 | $249 | 1.1× |
| Emg 4 Extremities (95864) | $273.18 | $471 | 2.1× |
| Er level 1 (99281) | $187.92 | $324 | 2.2× |
| Er level v (99285) range across 2 matching MRF lines |
$399.04–$1,339.22 | $688–$2,309 | varies |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$29.58–$132.24 | $51–$228 | varies |
| External ECG rec>48hr<7d recording (93242) range across 3 matching MRF lines |
$19.72–$485.46 | $34–$837 | varies |
| External ECG rec>7d<15d recording (93246) range across 3 matching MRF lines |
$19.72–$485.46 | $34–$837 | varies |
| Extracranial Bilat Study (93880) | $844.48 | $1,456 | 3.4× |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$293.48–$1,627.48 | $506–$2,806 | varies |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$30.16–$301.02 | $52–$519 | varies |
| Icd Device Interrogate (93289) | $29.58 | $51 | 0.8× |
| Icd device progr eval dual (93283) | $40.02 | $69 | 1.0× |
| Icd Device Progr Eval Mult (93284) | $43.50 | $75 | 1.1× |
| Icm Device Eval (93290) range across 2 matching MRF lines |
$21.46–$65.54 | $37–$113 | varies |
| Ilr Device Eval Progr (93285) | $24.36 | $42 | 0.6× |
| Ilr Device Interrogate (93291) range across 2 matching MRF lines |
$19.72–$60.90 | $34–$105 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $27.84 | $48 | 0.4× |
| Immunization administration (90471) range across 3 matching MRF lines |
$34.80–$38.86 | $60–$67 | varies |
| Irrig Drug Delivery Device (96523) | $135.14 | $233 | 2.2× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$19.72–$86.42 | $34–$149 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$52.20–$261 | $90–$450 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $261 | $450 | 3.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $86.42 | $149 | 1.8× |
| IV push initial (96374) range across 2 matching MRF lines |
$58.58–$64.96 | $101–$112 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$53.94–$74.24 | $93–$128 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$61.48–$74.24 | $106–$128 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $69.02 | $119 | 4.1× |
| Muscle Test 2 Limbs (95861) | $133.40 | $230 | 1.0× |
| Muscle Test One Limb (95860) | $117.74 | $203 | 0.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$139.78–$560.86 | $241–$967 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$145.58–$438.48 | $251–$756 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$17.98–$73.08 | $31–$126 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $87 | $150 | 0.2× |
| Nerve Conduction Studies 1-2 Studies (95907) | $139.78 | $241 | 0.6× |
| Nerve Conduction Studies 11-12 Studies (95912) | $232.58 | $401 | 0.6× |
| Nerve conduction studies 13 or more 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× |
| 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× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 4 matching MRF lines |
$12.76–$52.20 | $22–$90 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 3 matching MRF lines |
$18.56–$75.40 | $32–$130 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$24.36–$73.66 | $42–$127 | varies |
| 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) range across 3 matching MRF lines |
$23.20–$92.80 | $40–$160 | varies |
| 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× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $32.48 | $56 | 0.8× |
| 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× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$80.62–$241.86 | $139–$417 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$63.80–$191.98 | $110–$331 | varies |
| Pulmonary Stress Testing (94618) | $146.16 | $252 | 1.1× |
| Pure Tone Audiometry Air (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 dev supply ea 30 d (99454) | $74.82 | $129 | 1.9× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $33.64 | $58 | 0.2× |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $85.26 | $147 | 2.2× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$13.34–$325.38 | $23–$561 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $13.92 | $24 | 0.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$13.34–$40.02 | $23–$69 | varies |
| Same day nb discharge (99463) | $176.32 | $304 | 1.3× |
| Sleep study unattended (95806) | $568.98 | $981 | 2.6× |
| Spirometry (94010) range across 2 matching MRF lines |
$45.82–$124.12 | $79–$214 | varies |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$306.24–$1,024.86 | $528–$1,767 | varies |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$662.36 | $55–$1,142 | 1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$23.78–$55.10 | $41–$95 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $261 | $450 | 1.2× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $45.24 | $78 | 1.2× |
| 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) range across 2 matching MRF lines |
$325.38–$1,248.16 | $561–$2,152 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$66.70–$759.80 | $115–$1,310 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$24.36–$64.96 | $42–$112 | varies |
| Tympanometry (92567) | $26.68 | $46 | 0.7× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$33.64–$150.80 | $58–$260 | varies |
| 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× |
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.