Visits & medical services prices at Stevens Community Medical Center Inc

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $42 $56 1.0×
Advncd Care Plan 30 Min (99497) $134.25 $179 1.3×
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$30.75–$152.25 $41–$203 varies
Allg test perq & ic drug/biol immed react w/ i&r (95018) $33 $44 0.9×
Allg tstg perq & ic venoms immed react w/i&r (95017) $13.50 $18 0.5×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $35.25 $47 0.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $70.50 $94 4.9×
Application on-body injector (96377) $89.25 $119 1.8×
Assessment of aphasia per hr (96105) $206.25 $275 2.1×
Behavral qualit analys voice (92524) $200.25 $267 1.8×
Biofeedback training any modality (90901) $138 $184 3.4×
Brief Emotional/Behav Assmt (96127)
range across 2 matching MRF lines
$8.25–$10.50 $11–$14 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 3 matching MRF lines
$56.25–$324.75 $75–$433 varies
Canalith repositioning proc (95992) $111 $148 2.7×
Car seat/bed test 60 min (94780) $798.75 $1,065 20.7×
Cardiac Stress Tst,Tracing Only (93017) $784.50 $1,046 3.5×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$297.75–$1,168.50 $397–$1,558 varies
Cardioversion (92960)
range across 3 matching MRF lines
$150–$1,206.75 $200–$1,609 varies
Cardioversion elective internal (92961) $398.25 $531 0.6×
Caregiver hlth risk assmt score doc stnd instrm (96161) $9.75 $13 0.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $19.50 $26 0.7×
Cbt 1st hour (94644) $121.50 $162 0.9×
Chemo Anti-Neopl Sq/Im (96401) $240.75 $321 3.2×
Chemo Hormon Antineopl Sq/Im (96402) $120.75 $161 1.6×
Chemo IV infusion addl hr (96415) $185.25 $247 2.5×
Chemo IV push addl drug (96411) $175.50 $234 2.4×
Chemother Prolong Infuse W/Pump (96416) $845.25 $1,127 2.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $197.25 $263 2.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $597.75 $797 1.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $363 $484 1.1×
Chest Wall Manipulation (94668) $103.50 $138 0.8×
Cmptr ophth dx img ant segmt (92132)
range across 3 matching MRF lines
$41.25–$103.50 $55–$138 varies
Color/duplex Doppler, complete (93975)
range across 4 matching MRF lines
$84.75–$406.50 $113–$542 varies
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$117.75–$452.25 $157–$603 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $84 $112 2.6×
Computerized Ophthalmic Imaging Optic Nerve (92133)
range across 3 matching MRF lines
$54.75–$159 $73–$212 varies
Computerized Ophthalmic Imaging Retina (92134)
range across 3 matching MRF lines
$28.50–$84.75 $38–$113 varies
Cont gluc mntr physician/qhp provided equiptment (95250) $234.75 $313 1.7×
Cont Gluc Mntr Pt Prov Eqp (95249) $88.50 $118 1.5×
Contact Lens Fit,Corneoscleral Lens (92313)
range across 3 matching MRF lines
$57.75–$168 $77–$224 varies
Continuous Pulse Ox (94762) $414 $552 3.1×
Corneal Topography (92025)
range across 3 matching MRF lines
$12–$36 $16–$48 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660) $748.50 $998 3.3×
Cpt initial (94667) $114.75 $153 0.8×
Critical care first hour (99291)
range across 2 matching MRF lines
$264–$300.75 $352–$401 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$111.75–$360.75 $149–$481 varies
Debridement Prmlg Hyperkeratotic Les W/Pdt (96574)
range across 2 matching MRF lines
$262.50–$420.75 $350–$561 varies
Developmental tst admin phys/qhp 1st hour (96112) $390 $520 2.9×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$79.50–$757.50 $106–$1,010 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$143.25–$1,497.75 $191–$1,997 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$94.50–$1,026 $126–$1,368 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 3 matching MRF lines
$153.75–$1,449 $205–$1,932 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 4 matching MRF lines
$103.50–$1,124.25 $138–$1,499 varies
Duplex up extrem art bilat (93930)
range across 2 matching MRF lines
$157.50–$316.50 $210–$422 varies
Duplex up extrem art unilat/ltd (93931)
range across 3 matching MRF lines
$78–$414.75 $104–$553 varies
Ear and throat examination (92502) $149.25 $199 0.3×
ECG/monitoring and analysis (93271) $258 $344 2.6×
Echo Heart Xthoracic,Limited (93308) $1,181.25 $1,575 4.8×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,881 $2,508 3.3×
Electrical Stimulation Ea 15 Min (97032) $78 $104 5.3×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$99.75–$191.25 $133–$255 varies
Emergency Dept Visit Level 2 (99282) $69 $92 0.4×
Emergency Dept Visit Level 3 (99283) $102.75 $137 0.4×
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$111.75–$158.25 $149–$211 varies
Er level 1 (99281) $234 $312 2.7×
Er level v (99285)
range across 2 matching MRF lines
$162–$233.25 $216–$311 varies
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$78–$168 $104–$224 varies
Evaluate Speech Production (92522) $200.25 $267 1.8×
Evaluate Swallowing Function (92610) $147 $196 1.7×
Evaluation of speech fluency (92521) $200.25 $267 1.5×
Exercise test for bronchospasm (94617) $365.25 $487 2.7×
External ECG rec>48hr<7d recording (93242) $348.75 $465 9.0×
External ECG rec>7d<15d recording (93246) $744 $992 19.3×
External Ecg Scanning Analysis Report (93226) $56.25 $75 0.9×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$144–$1,509.75 $192–$2,013 varies
Extracranial Uni/Ltd Study (93882)
range across 2 matching MRF lines
$103.50–$201 $138–$268 varies
Fluorescein angiography (92235)
range across 3 matching MRF lines
$67.50–$198.75 $90–$265 varies
Fundus photography (92250)
range across 3 matching MRF lines
$51.75–$149.25 $69–$199 varies
Gonioscopy (92020)
range across 3 matching MRF lines
$20.25–$58.50 $27–$78 varies
Group Therapeutic Procedures (97150) $81 $108 4.5×
Holter monitor recording (93225) $40.50 $54 0.3×
Im Adm Intransl/Oral 1 Vaccine (90473) $17.25 $23 0.2×
Immunization administration (90471)
range across 4 matching MRF lines
$27–$117 $36–$156 varies
Ingestion challenge test initial 120 minutes (95076) $186 $248 0.5×
Inital newborn e/m (99460)
range across 2 matching MRF lines
$149.25–$156 $199–$208 varies
Intracutaneous tests w/allergenic extracts (95024) $14.25 $19 0.2×
Iontophoresis 15 min (97033) $85.50 $114 4.5×
Irrig Drug Delivery Device (96523) $78.75 $105 1.3×
IV infusion hydration each additional hour (96361) $132.75 $177 2.7×
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$53.25–$309.75 $71–$413 varies
IV infusion ther proph addl sequential to 1 hr (96367) $196.50 $262 2.6×
IV infusion therapy prophylaxis/dx ea hour (96366) $152.25 $203 3.2×
IV push initial (96374)
range across 2 matching MRF lines
$37.50–$180.75 $50–$241 varies
Low frequency non-thermal us (97610)
range across 2 matching MRF lines
$262.50–$441.75 $350–$589 varies
Mechanical chest wall oscillation per session (94669) $299.25 $399 1.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $33.75 $45 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $61.50 $82 1.7×
Methacholine challenge (94070)
range across 2 matching MRF lines
$582–$585.75 $776–$781 varies
Motion Fluoroscopy/Swallow (92611)
range across 2 matching MRF lines
$210–$280.50 $280–$374 varies
Multiple Sleep Latency Test (95805) $9,806.25 $13,075 11.1×
Nasopharyngoscopy (92511) $119.25 $159 0.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$424.50–$523.50 $566–$698 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$420.75–$523.50 $561–$698 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$52.50–$262.50 $70–$350 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$523.50–$879 $698–$1,172 varies
Neurobehavioral Status Exam (96116) $152.25 $203 0.7×
Neuromuscular Reeducation (97112) $100.50 $134 3.1×
Newborn resuscitation (99465)
range across 2 matching MRF lines
$229.50–$468 $306–$624 varies
Nitric oxide expired gas determination (95012) $32.25 $43 0.8×
Nonphysician Telephone Assessment 11-20 Min (98967)
range across 3 matching MRF lines
$42.75–$61.50 $57–$82 varies
Nonphysician Telephone Assessment 21-30 Min (98968)
range across 3 matching MRF lines
$59.25–$99 $79–$132 varies
Nonphysician Telephone Assessment 5-10 Min (98966)
range across 3 matching MRF lines
$30–$32.25 $40–$43 varies
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136)
range across 3 matching MRF lines
$29.25–$83.25 $39–$111 varies
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004)
range across 3 matching MRF lines
$77.25–$225 $103–$300 varies
Ophth medical xm&eval comprhnsv estab pt 1/> (92014)
range across 3 matching MRF lines
$54.75–$159 $73–$212 varies
Ophth medical xm&eval intermediate estab pt (92012)
range across 3 matching MRF lines
$34.50–$104.25 $46–$139 varies
Ophth Medical Xm&Eval Intermediate New Pt (92002)
range across 3 matching MRF lines
$33.75–$101.25 $45–$135 varies
Oral Function Therapy (92526) $147 $196 1.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $99.75 $133 2.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $105 $140 2.3×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $49.50 $66 2.2×
Osteopathic manipulative tx 3-4 body regions (98926) $72 $96 3.2×
Osteopathic manipulative tx 5-6 body regions (98927) $93.75 $125 4.2×
Osteopathic manipulative tx 7-8 body regions (98928) $112.50 $150 5.0×
Ot Contrast Bath Ea 15 Min (97034) $58.50 $78 4.2×
Ot eval high complexity (97167) $204.75 $273 2.0×
Ot Eval Low Complex (97165) $204.75 $273 2.0×
Ot Eval Moderate Complexity (97166) $204.75 $273 2.0×
Ot manual therapy 15 min (97140)
range across 3 matching MRF lines
$33–$101.25 $44–$135 varies
Ot paraffin bath (97018) $55.50 $74 9.2×
Ot Prosthetic Training, Each 15 Min (97761) $94.50 $126 2.3×
Ot Re-Eval Est Plan Care (97168) $152.25 $203 2.2×
Ot rom hand (95852) $58.50 $78 2.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $218.25 $291 1.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $153.75 $205 1.2×
Patch/Application Test Specify Number Tests (95044) $11.25 $15 0.0×
Pdt dstr prmlg les phys/qhp (96573)
range across 2 matching MRF lines
$262.50–$334.50 $350–$446 varies
Pdt dstr prmlg les skn illum/activj per day (96567) $207.75 $277 1.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $288 $384 1.3×
Percutaneous tests w/allergenic extracts (95004) $7.50 $10 0.0×
Peripheral arterial disease rehab per session (93668) $69 $92 1.1×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$67.50–$197.25 $90–$263 varies
Physical Performance Test (97750) $96.75 $129 2.9×
Plethysmography (94726)
range across 2 matching MRF lines
$87–$350.25 $116–$467 varies
Pm device eval in person (93288) $91.50 $122 2.4×
Pm device progr eval dual (93280) $139.50 $186 3.6×
Pm Device Progr Eval Sngl (93279) $15 $20 0.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,756.75 $5,009 4.2×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $23.25 $31 0.5×
Prepj& Antigen Allergen Immunotherapy 1 Insect (95145) $48 $64 1.0×
Prepj& antigen allergen immunotherapy 2 insect (95146) $87.75 $117 1.8×
Prepj& Antigen Allergen Immunotherapy 3 Insect (95147) $88.50 $118 1.2×
Prepj& antigen allergen immunotherapy 5 insect (95149) $172.50 $230 2.3×
Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317)
range across 3 matching MRF lines
$39.75–$118.50 $53–$158 varies
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $42.75 $57 0.9×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $52.50 $70 1.1×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $129 $172 1.7×
Psych diag eval w/med srvcs (90792)
range across 4 matching MRF lines
$62.25–$441 $83–$588 varies
Psychiatric diagnostic evaluation (90791)
range across 4 matching MRF lines
$77.25–$546.75 $103–$729 varies
Psychological tst eval svc phys/qhp first hour (96130)
range across 4 matching MRF lines
$24–$186.75 $32–$249 varies
Psycl/Nrpsyc Tst Auto Result (96146) $83.25 $111 2.8×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136)
range across 3 matching MRF lines
$24–$168 $32–$224 varies
Psytx Crisis Initial 60 Min (90839)
range across 3 matching MRF lines
$22.50–$186.75 $30–$249 varies
Pt Eval High Complex (97163) $204.75 $273 2.1×
Pt eval low complex 20 min (97161) $204.75 $273 2.1×
Pt Eval Mod Complex (97162) $204.75 $273 2.1×
Pt gait training 15 min (97116) $87 $116 3.0×
Pt group caregiver training (97552)
range across 2 matching MRF lines
$7.50–$9 $10–$12 varies
Pt mechanical traction (97012) $75 $100 5.2×
Pt Re-Eval Est Plan Care (97164) $141 $188 2.1×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $14.25 $19 0.4×
Pulm function test by gas (94727)
range across 2 matching MRF lines
$92.25–$299.25 $123–$399 varies
Pulmonary Stress Testing (94618) $342.75 $457 2.5×
Pure Tone Audiometry Air (92552) $52.50 $70 0.4×
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $30 $40 1.3×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $63.75 $85 1.9×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $24.75 $33 2.0×
Rapid Desensitization Procedure Each Hour (95180) $213.75 $285 0.5×
Refill/Maint Portable Pump (96521) $442.50 $590 2.0×
Remote 30 Day Ecg Rev/Report (93270)
range across 2 matching MRF lines
$15–$494.25 $20–$659 varies
Replacement of contact lens (92326) $168.75 $225 2.8×
Respiratory flow volume loop (94375) $45 $60 0.2×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $57 $76 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$19.50–$262.50 $26–$350 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $60.75 $81 2.3×
Same day nb discharge (99463)
range across 2 matching MRF lines
$173.25–$223.50 $231–$298 varies
Self Care Mngment Training (97535) $96 $128 3.0×
Sensory Integration Ea 15 Min (97533) $92.25 $123 1.5×
Slp caregiver training 1st 30 min (97550)
range across 2 matching MRF lines
$33–$34.50 $44–$46 varies
Speech sound lang comprehen (92523) $230.25 $307 1.0×
Spirometry (94010)
range across 3 matching MRF lines
$55.50–$174.75 $74–$233 varies
Standardized Cognitive Performance Testing (96125)
range across 2 matching MRF lines
$264.75–$274.50 $353–$366 varies
Stress Tte Only (93350) $1,604.25 $2,139 2.8×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $799.50 $1,066 3.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines
$79.50–$169.50 $106–$226 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 2 matching MRF lines
$18.75–$73.50 $25–$98 varies
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $100.50 $134 2.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $147 $196 1.4×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$23.25–$118.50 $31–$158 varies
Ther/Proph/Diag Iv Inf Init (96365) $423 $564 1.9×
Therapeutic Activities (97530) $100.50 $134 2.9×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $426 $568 1.1×
Tobacco Use Cessation Intensive >10 Minutes (99407) $45 $60 1.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $24.75 $33 0.6×
Trans Care Mgmt 14 Day Disch (99495) $323.25 $431 2.4×
Trans Care Mgmt 7 Day Disch (99496) $435 $580 3.2×
Tte w/doppler, complete (93306) $1,665 $2,220 3.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $147 $196 1.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $117.75 $157 2.4×
Tympanometry (92567) $25.50 $34 0.7×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$81.75–$387.75 $109–$517 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $939.75 $1,253 4.2×
Vasopneumatic device (97016) $66.75 $89 5.6×
Vent Mgmt Inpat Init Day (94002)
range across 3 matching MRF lines
$145.50–$948.75 $194–$1,265 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 2 matching MRF lines
$105.75–$798.75 $141–$1,065 varies
Visual Field Exam Extended (92083)
range across 3 matching MRF lines
$45–$126.75 $60–$169 varies
Visual field xm uni/bi w/interp intermed exam (92082)
range across 3 matching MRF lines
$55.50–$160.50 $74–$214 varies
Wheelchair Mgmt Ea 15 Min (97542) $87 $116 2.8×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285)
range across 3 matching MRF lines
$33–$99 $44–$132 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.