Visits & medical services prices at Tioga Medical Center
Tioga, ND · every code in this section with a posted price and a Medicare benchmark.
101 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$62–$63 | $62–$63 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $115 | $115 | 8.0× |
| Application Modality 1/> Areas Infrared (97026) | $58 | $58 | 8.7× |
| Assessment of aphasia per hr (96105) | $518 | $518 | 5.3× |
| Behavral qualit analys voice (92524) | $478 | $478 | 4.4× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$594–$1,506 | $594–$1,506 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $150 | $150 | 2.0× |
| Color/duplex Doppler, complete (93975) | $1,463 | $1,463 | 6.0× |
| Color/duplex Doppler, limited (93976) | $1,183 | $1,183 | 11.1× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $188 | $188 | 5.9× |
| Comprehensive Hearing Test (92557) | $182 | $182 | 1.4× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$770–$2,445 | $770–$2,445 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $454 | $454 | 2.2× |
| Developmental tst admin phys/qhp 1st hour (96112) | $563 | $563 | 4.3× |
| Dialysis One Evaluation (90945) | $349 | $349 | 0.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,203 | $1,203 | 4.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,526 | $1,526 | 6.3× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,059 | $1,059 | 9.9× |
| Echo Congenital Complete (93303) | $774 | $774 | 1.4× |
| Echo Heart Xthoracic,Limited (93308) | $473 | $473 | 1.9× |
| Electrical Stimulation Ea 15 Min (97032) | $141 | $141 | 9.6× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$49–$200 | $49–$200 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$143–$325 | $143–$325 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$227–$565 | $227–$565 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$386–$914 | $386–$914 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$84–$249 | $84–$249 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$542–$1,494 | $542–$1,494 | varies |
| Evaluate Speech Production (92522) | $490 | $490 | 4.4× |
| Evaluate Swallowing Function (92610) | $698 | $698 | 8.2× |
| Evaluation of speech fluency (92521) | $585 | $585 | 4.4× |
| External ECG rec>48hr<7d recording (93242) | $264 | $264 | 6.9× |
| External ECG rec>7d<15d recording (93246) | $264 | $264 | 6.9× |
| External Ecg Scanning Analysis Report (93226) | $184 | $184 | 3.1× |
| Extracranial Bilat Study (93880) | $1,429 | $1,429 | 5.9× |
| Extracranial Uni/Ltd Study (93882) | $774 | $774 | 7.2× |
| Holter monitor recording (93225) | $817 | $817 | 6.0× |
| Immunization administration (90471) range across 5 matching MRF lines |
$51–$80 | $51–$80 | varies |
| Inital newborn e/m (99460) | $301 | $301 | 2.2× |
| Iontophoresis 15 min (97033) | $137 | $137 | 7.2× |
| Irrig Drug Delivery Device (96523) | $18 | $18 | 0.3× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$51–$119 | $51–$119 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$190–$511 | $190–$511 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $161 | $161 | 2.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $120 | $120 | 2.5× |
| IV push initial (96374) range across 2 matching MRF lines |
$292–$511 | $292–$511 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $154 | $154 | 4.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $177 | $177 | 4.8× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $81 | $81 | 4.8× |
| Motion Fluoroscopy/Swallow (92611) | $698 | $698 | 7.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $210 | $210 | 1.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $246 | $246 | 0.6× |
| Neurobehavioral Status Exam (96116) | $551 | $551 | 2.5× |
| Neuromuscular Reeducation (97112) | $175 | $175 | 5.3× |
| Oral Function Therapy (92526) | $425 | $425 | 5.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $300 | $300 | 6.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $228 | $228 | 4.9× |
| Ot Contrast Bath Ea 15 Min (97034) | $91 | $91 | 6.5× |
| Ot eval high complexity (97167) | $569 | $569 | 5.7× |
| Ot Eval Low Complex (97165) | $436 | $436 | 4.3× |
| Ot Eval Moderate Complexity (97166) | $463 | $463 | 4.6× |
| Ot manual therapy 15 min (97140) | $180 | $180 | 6.5× |
| Ot paraffin bath (97018) | $91 | $91 | 15.1× |
| Ot Prosthetic Training, Each 15 Min (97761) | $195 | $195 | 4.8× |
| Ot Re-Eval Est Plan Care (97168) | $299 | $299 | 4.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $220 | $220 | 1.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $331 | $331 | 2.5× |
| Phlebotomy therapeutic (99195) | $480 | $480 | 3.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,654 | $3,654 | 4.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $42 | $42 | 0.9× |
| Pt Eval High Complex (97163) | $569 | $569 | 5.8× |
| Pt eval low complex 20 min (97161) | $451 | $451 | 4.6× |
| Pt Eval Mod Complex (97162) | $463 | $463 | 4.7× |
| Pt gait training 15 min (97116) | $151 | $151 | 5.2× |
| Pt mechanical traction (97012) | $101 | $101 | 7.0× |
| Pt Re-Eval Est Plan Care (97164) | $308 | $308 | 4.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $457 | $457 | 2.2× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $701 | $701 | 5.7× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $267 | $267 | 5.6× |
| Self Care Mngment Training (97535) | $180 | $180 | 5.6× |
| Sensory Integration Ea 15 Min (97533) | $269 | $269 | 4.4× |
| Sleep study attended (95807) | $2,014 | $2,014 | 5.3× |
| Speech sound lang comprehen (92523) | $1,005 | $1,005 | 4.4× |
| Spirometry (94010) | $123 | $123 | 0.6× |
| Standardized Cognitive Performance Testing (96125) | $565 | $565 | 5.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $185 | $185 | 8.3× |
| Ther Ivntj Ea Addl 15 Min (97130) | $176 | $176 | 8.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $137 | $137 | 4.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $533 | $533 | 5.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$88–$161 | $88–$161 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$232–$561 | $232–$561 | varies |
| Therapeutic Activities (97530) | $206 | $206 | 5.9× |
| Tte w/doppler, complete (93306) | $1,458 | $1,458 | 2.6× |
| Tte W/O Doppler Complete (93307) | $992 | $992 | 4.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $382 | $382 | 5.0× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $162 | $162 | 6.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$89–$122 | $89–$122 | varies |
| Tympanometry (92567) | $73 | $73 | 1.9× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $984 | $984 | 4.5× |
| Vasopneumatic device (97016) | $92 | $92 | 7.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $166 | $166 | 5.3× |
| Whirlpool Therapy (97022) | $113 | $113 | 7.2× |
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.