Visits & medical services prices at Unity Medical Center

Grafton, ND · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines		 $20–$95 $20–$95 varies
Airway Inhalation Treatment (94640) $70 $70 0.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $60 $60 4.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $174 $174 0.5×
Canalith repositioning proc (95992) $243 $243 6.0×
Cardioversion (92960)
range across 2 matching MRF lines		 $415–$630 $415–$630 varies
Chemo Anti-Neopl Sq/Im (96401) $145 $145 2.0×
Chemo Hormon Antineopl Sq/Im (96402) $145 $145 2.0×
Chemo IV infusion addl hr (96415) $145 $145 2.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $710 $710 2.1×
Chest Wall Manipulation (94668) $122 $122 0.9×
Chron Care Mgmt Srvc 20 Min (99490) $200 $200 1.9×
Color/duplex Doppler, limited (93976) $624 $624 5.8×
Cpt initial (94667) $95 $95 0.7×
Critical care first hour (99291) $2,074 $2,074 2.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,294 $1,294 5.3×
Dup-scan xtr veins unilateral/limited study (93971) $1,142 $1,142 10.7×
Echo Heart Xthoracic,Limited (93308) $519 $519 2.1×
Electrocardiogram Tracing (93005) $48 $48 0.8×
Emergency Dept Visit Level 2 (99282) $305 $305 1.9×
Emergency Dept Visit Level 3 (99283) $525 $525 1.9×
Emergency Dept Visit Level 4 (99284) $819 $819 1.9×
Er level 1 (99281) $174 $174 2.0×
Er level v (99285) $1,182 $1,182 1.9×
Evaluate Speech Production (92522) $459 $459 4.1×
Evaluate Swallowing Function (92610) $352 $352 4.1×
Extracranial Bilat Study (93880) $767 $767 3.1×
Immunization administration (90471)
range across 4 matching MRF lines		 $20–$69 $20–$69 varies
Irrig Drug Delivery Device (96523) $184 $184 3.1×
IV infusion hydration each additional hour (96361) $90 $90 1.9×
IV infusion hydration initial 31 min-1 hour (96360) $460 $460 2.1×
IV infusion ther proph addl sequential to 1 hr (96367) $140 $140 1.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $90 $90 1.9×
IV push initial (96374) $460 $460 2.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $100 $100 2.7×
Ot manual therapy 15 min (97140) $114 $114 4.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines		 $108–$178 $108–$178 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $210 $210 3.5×
Psychiatric diagnostic evaluation (90791) $425 $425 2.3×
Pt Eval High Complex (97163) $410 $410 4.2×
Pt eval low complex 20 min (97161) $410 $410 4.2×
Pt Eval Mod Complex (97162) $410 $410 4.2×
Pt Re-Eval Est Plan Care (97164) $281 $281 4.2×
Pulmonary Stress Testing (94618) $42 $42 0.3×
Self Care Mngment Training (97535) $140 $140 4.3×
Ther/Proph/Diag Inj Sc/Im (96372) $140 $140 1.9×
Ther/Proph/Diag Iv Inf Init (96365) $460 $460 2.1×
Trans Care Mgmt 14 Day Disch (99495) $525 $525 3.9×
Trans Care Mgmt 7 Day Disch (99496) $693 $693 5.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $320 $320 4.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $95 $95 2.0×
Wheelchair Mgmt Ea 15 Min (97542) $132 $132 4.2×

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.