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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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $134.25 $179 1.3×
Airway inhalation treatment (94640) $32.25 $43 0.1×
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 Recording (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×
Bedside Swallowing Eval (92610) $147 $196 1.7×
Behavioral and qualitative analysis of voice and resonance (92524) $200.25 $267 1.8×
Biofeedback training any modality (90901) $138 $184 3.4×
Brief Emotional/Behavioral Assessment (96127) $9.38 $12.50 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $102.75 $137 0.3×
Canalith Repositioning Procedure (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) $508.50 $678 2.3×
Cardioversion (92960) $150.75 $201 0.2×
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 Hormon Antineopl Sq/Im (96402) $120.75 $161 1.6×
Chemo IV push addl drug (96411) $175.50 $234 2.4×
Chemo prolong 8+ hrs infuse w/pump (96416) $845.25 $1,127 2.5×
Chemother, IV infusion, 1 hr (96413) $597.75 $797 1.8×
Chemother, IV infusion, ea add hr (96415) $185.25 $247 2.5×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $240.75 $321 3.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $197.25 $263 2.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $363 $484 1.1×
Color/duplex Doppler, complete (93975) $325.12 $433.50 1.3×
Color/duplex Doppler, limited (93976) $285 $380 2.6×
Cont Gluc Monitoring Patient Provided Equipment (95249) $88.50 $118 1.5×
Continuous Glucose Monitoring (95250) $234.75 $313 1.7×
Corneal Topography (92025) $24 $32 0.4×
Cpap/bipap (94660) $748.50 $998 3.3×
Cpt initial (94667) $114.75 $153 0.8×
Cptrized oph dx img anterior segment uni/bi (92132) $68.25 $91 1.1×
Cptrized oph dx img pst segment uni/bi optic nrv (92133) $104.25 $139 1.7×
Cptrized oph dx img pst segment uni/bi retina (92134) $56.25 $75 0.9×
Critical care (99291) $282.38 $376.50 0.3×
Dbrdmt prmlg les w/pdt (96574) $341.62 $455.50 1.6×
Debridement Open Wound 20 Sq Cm< (97597) $262.50 $350 1.3×
Developmental tst admin phys/qhp 1st hour (96112) $390 $520 2.9×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $418.50 $558 1.7×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $820.50 $1,094 3.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $560.25 $747 5.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $237 $316 1.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $99 $132 0.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $181.50 $242 0.7×
Dup-scan xtr veins unilateral/limited study (93971) $775.88 $1,034.50 7.2×
Duplex scan extracranial art compl bi study (93880) $826.88 $1,102.50 3.4×
Ear and throat examination (92502) $149.25 $199 0.3×
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×
EKG rhythm strip (93041) $57 $76 0.9×
Electrocardiogram Tracing (93005) $145.50 $194 2.4×
Er level 1 (99281) $234 $312 2.7×
Er level ii (99282) $69 $92 0.4×
Er level iii (99283) $102.75 $137 0.4×
Er level IV (99284) $135 $180 0.3×
Er level v (99285) $197.62 $263.50 0.3×
Eval speech sound production (92522) $200.25 $267 1.8×
Evaluate Pt Use Of Inhaler (94664) $123 $164 0.5×
Evaluation of speech fluency (92521) $200.25 $267 1.5×
Exercise tst brncspsm (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×
Eye exam, new patient,comprehesv (92004) $147.75 $197 1.1×
Fluorescein Angrph W/Multiframe I&R Uni/Bi (92235) $131.25 $175 0.6×
Fundus photography w/interpretation & report (92250) $97.50 $130 0.7×
Gonioscopy (92020) $38.25 $51 0.3×
Group Therapeutic Procedures (97150) $81 $108 4.5×
Holter Monitor (93225) $40.50 $54 0.3×
Imm admn sarscov2 vaccine single dose (90480) $42 $56 1.0×
Immune Admin Oral/Nasal (90473) $17.25 $23 0.2×
Immunization Admin (90471) $40.88 $54.50 0.6×
Ingestion challenge test initial 120 minutes (95076) $186 $248 0.5×
Inital newborn e/m (99460) $152.62 $203.50 1.1×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) $198.38 $264.50 1.4×
Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and… (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) $181.50 $242 0.8×
IV infusion ther proph addl sequential to 1 hr (96367) $196.50 $262 2.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $423 $564 1.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $152.25 $203 3.2×
IV push ea addl new drug (96375) $117.75 $157 2.4×
IV push initial (96374) $109.12 $145.50 0.5×
Low frequency non-thermal us (97610) $352.12 $469.50 1.7×
Manual therapy 15 min (97140) $94.50 $126 3.4×
Mechanical chest wall oscillation (94669) $299.25 $399 1.3×
Mechanical traction (97012) $75 $100 5.2×
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) $583.88 $778.50 1.5×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $245.25 $327 2.7×
Multiple Sleep Latency Test (95805) $9,806.25 $13,075 11.1×
Nasopharyngoscopy (92511) $119.25 $159 0.6×
Neg press wound tx >50 cm (97608) $472.12 $629.50 1.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $474 $632 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $157.50 $210 0.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $701.25 $935 1.7×
Neurobehavioral Status Exam (96116) $152.25 $203 0.7×
Newborn resuscitation (99465) $348.75 $465 0.5×
Nitric oxide expired gas determination (95012) $32.25 $43 0.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $121.50 $162 0.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $414 $552 3.1×
Nonphysician Telephone Assessment 11-20 Min (98967) $44.25 $59 1.8×
Nonphysician Telephone Assessment 21-30 Min (98968) $61.50 $82 1.8×
Nonphysician Telephone Assessment 5-10 Min (98966) $31.50 $42 2.3×
Oph Bmtry Prtl Coher Intrfrmtry Io Lens Pwr Cal (92136) $54 $72 0.4×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $104.25 $139 0.8×
Ophth medical xm&eval intermediate estab pt (92012) $69.75 $93 0.5×
Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92002) $67.50 $90 0.5×
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 Community/Work Reintegration Trainj Ea 15 Min (97537) $84 $112 2.6×
Ot Contrast Bath Ea 15 Min (97034) $58.50 $78 4.2×
Ot eval high complex 60 min (97167) $204.75 $273 2.0×
Ot eval low complex 30 min (97165) $204.75 $273 2.0×
Ot eval mod complex 45 min (97166) $204.75 $273 2.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $99.75 $133 2.0×
Ot Prosthetic Training, Each 15 Min (97761) $94.50 $126 2.3×
Ot Range Motion Measure,Each Extrem (95851) $60.75 $81 2.3×
Ot re-evaluation (97168) $152.25 $203 2.2×
Ot therapeutic activity 15 min (97530) $100.50 $134 2.9×
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×
Paraffin bath pt (97018) $55.50 $74 9.2×
Patch/Application Test Specify Number Tests (95044) $11.25 $15 0.0×
Pdt dstr prmlg les phys/qhp (96573) $298.50 $398 1.4×
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) $132.38 $176.50 1.0×
Plethysmography (94726) $218.62 $291.50 0.6×
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×
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92313) $110.25 $147 0.8×
Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and… (92317) $78.75 $105 2.0×
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… (95149) $172.50 $230 2.3×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95147) $88.50 $118 1.2×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95146) $87.75 $117 1.8×
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) $405.38 $540.50 2.2×
Psychiatric diagnostic evaluation (90791) $497.62 $663.50 2.7×
Psycl tst eval phys/qhp 1st (96130) $163.50 $218 0.7×
Psycl/nrpsyc tst phy/qhp 1st (96136) $144 $192 1.0×
Psycl/nrpsycl tst elec platform auto result (96146) $83.25 $111 2.8×
Psytx crisis initial 60 min (90839) $141.75 $189 0.8×
Pt Aquatic Therapy/Exercises (97113) $100.50 $134 2.7×
Pt Electrical Stimulation (97032) $78 $104 5.3×
Pt eval high complex 45 min (97163) $204.75 $273 2.1×
Pt eval low complex 20 min (97161) $204.75 $273 2.1×
Pt eval mod complex 30 min (97162) $204.75 $273 2.1×
Pt gait training 15 min (97116) $87 $116 3.0×
Pt group caregiver training (97552) $8.25 $11 0.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $100.50 $134 3.1×
Pt Physical Performance Test (97750) $96.75 $129 2.9×
Pt re-evaluation (97164) $141 $188 2.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $96 $128 3.0×
Pt-focused hlth risk assmt (96160) $14.25 $19 0.4×
Pulm function test by gas (94727) $195.75 $261 0.9×
Pulmonary stress test simple (94618) $342.75 $457 2.5×
Pure Tone Audiometry Air Only (92552) $52.50 $70 0.4×
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×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98971) $30 $40 1.3×
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 - Cardiac Event Monitor (93270) $254.62 $339.50 6.6×
Replacement of contact lens Facility (92326) $168.75 $225 2.8×
Respiratory flow volume loop (94375) $45 $60 0.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $240.75 $321 1.2×
Rom meas&reprt hand w/wo comparison normal sid (95852) $58.50 $78 2.7×
Rt Chest Wall Manipulation,Subsequent (94668) $103.50 $138 0.8×
Sensory Integration Ea 15 Min (97533) $92.25 $123 1.5×
Slp caregiver training 1st 30 min (97550) $33.75 $45 0.6×
Smoking cessation > 10 min (99407) $45 $60 1.2×
Speech sound lang comprehen (92523) $230.25 $307 1.0×
Spirometry (94010) $60.75 $81 0.3×
Standardized Cognitive Performance Testing (96125) $269.62 $359.50 2.6×
Stress echo (93350) $1,604.25 $2,139 2.8×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $799.50 $1,066 3.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $124.50 $166 5.6×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $46.12 $61.50 2.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $147 $196 1.4×
Therapeutic prophylactic/dx injection subq/im (96372) $42 $56 0.6×
Tilt table evaluation (93660) $426 $568 1.1×
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 Swallowing Dysfunction&/Oral Funcj Feeding (92526) $147 $196 1.7×
Tympanometry (92567) $25.50 $34 0.7×
Upr/lxtr art stdy 3+ lvls (93923) $939.75 $1,253 4.2×
Vasc Duplex Scan Extracranial,Limited (93882) $152.25 $203 1.4×
Vasopneumatic device (97016) $66.75 $89 5.6×
Vent mgmt inpat init day (94002) $750.75 $1,001 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $452.25 $603 0.7×
Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann… (92083) $82.50 $110 0.6×
Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at… (92082) $105 $140 1.7×
Wheelchair Mgmt Ea 15 Min (97542) $87 $116 2.8×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $66 $88 1.7×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $258 $344 2.6×