Visits & medical services prices at Wagner Community Memorial Hospital - Cah
Wagner, SD · every code in this section with a posted price and a Medicare benchmark.
78 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $81 | $90 | 2.0× |
| Airway Inhalation Treatment (94640) | $180 | $200 | 0.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $185.40 | $206 | 12.9× |
| Behavral qualit analys voice (92524) | $529.20 | $588 | 4.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $828 | $920 | 2.2× |
| Canalith repositioning proc (95992) | $175.50 | $195 | 4.3× |
| Cardiopulmonary resuscitation (92950) | $709.20 | $788 | 3.2× |
| Chemo Anti-Neopl Sq/Im (96401) | $202.50 | $225 | 2.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $345.60 | $384 | 4.7× |
| Chemo IV infusion addl hr (96415) | $198 | $220 | 2.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $999 | $1,110 | 3.0× |
| Color/duplex Doppler, complete (93975) | $1,809.90 | $2,011 | 7.4× |
| Continuous Pulse Ox (94762) | $599.40 | $666 | 4.6× |
| Critical care first hour (99291) | $3,561.30 | $3,957 | 4.2× |
| Debridement Open Wound 20 Sq Cm< (97597) | $247.50 | $275 | 1.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $2,137.50 | $2,375 | 8.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $702.90 | $781 | 6.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,888.20 | $2,098 | 7.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $900 | $1,000 | 8.4× |
| Echo Heart Xthoracic,Limited (93308) | $1,745.10 | $1,939 | 7.2× |
| Electrical Stimulation Ea 15 Min (97032) | $144 | $160 | 9.8× |
| Electrocardiogram Tracing (93005) | $497.70 | $553 | 8.3× |
| Emergency Dept Visit Level 2 (99282) | $585 | $650 | 3.7× |
| Emergency Dept Visit Level 3 (99283) | $897.30 | $997 | 3.2× |
| Emergency Dept Visit Level 4 (99284) | $1,622.70 | $1,803 | 3.8× |
| Er level 1 (99281) | $185.40 | $206 | 2.2× |
| Er level v (99285) | $1,980 | $2,200 | 3.3× |
| Evaluate Swallowing Function (92610) | $723.60 | $804 | 8.5× |
| External ECG rec>48hr<7d recording (93242) | $789.30 | $877 | 20.7× |
| External ECG rec>7d<15d recording (93246) | $789.30 | $877 | 20.7× |
| Extracranial Bilat Study (93880) | $1,829.70 | $2,033 | 7.5× |
| Holter monitor recording (93225) | $789.30 | $877 | 5.8× |
| Immunization administration (90471) range across 5 matching MRF lines |
$54–$60.30 | $60–$67 | varies |
| Iontophoresis 15 min (97033) | $215.10 | $239 | 11.3× |
| Irrig Drug Delivery Device (96523) | $199.80 | $222 | 3.3× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$139.50–$239.40 | $155–$266 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$671.40–$711.90 | $746–$791 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$289.80–$342.90 | $322–$381 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$189–$256.50 | $210–$285 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$258.30–$453.60 | $287–$504 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $45 | $50 | 1.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $56.70 | $63 | 1.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $292.50 | $325 | 1.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $405 | $450 | 1.0× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$155.70–$175.50 | $173–$195 | varies |
| Oral Function Therapy (92526) | $349.20 | $388 | 4.1× |
| Ot Eval Low Complex (97165) | $318.60 | $354 | 3.2× |
| Ot Eval Moderate Complexity (97166) | $245.70 | $273 | 2.4× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$163.80–$191.70 | $182–$213 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $549 | $610 | 4.2× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $204.30 | $227 | 1.6× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $540 | $600 | 9.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $597.60 | $664 | 9.9× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $136.80 | $152 | 2.9× |
| Psychiatric diagnostic evaluation (90791) | $144 | $160 | 0.8× |
| Pt eval low complex 20 min (97161) | $425.70 | $473 | 4.4× |
| Pt Eval Mod Complex (97162) | $464.40 | $516 | 4.7× |
| Pt gait training 15 min (97116) | $191.70 | $213 | 6.6× |
| Pt mechanical traction (97012) | $191.70 | $213 | 13.3× |
| Pt Re-Eval Est Plan Care (97164) | $215.10 | $239 | 3.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $337.50 | $375 | 1.6× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$175.50–$179.10 | $195–$199 | varies |
| Speech sound lang comprehen (92523) | $545.40 | $606 | 2.4× |
| Spirometry (94010) | $190.80 | $212 | 0.9× |
| Standardized Cognitive Performance Testing (96125) | $275.40 | $306 | 2.7× |
| Stress Tte Only (93350) | $1,539 | $1,710 | 2.8× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $349.20 | $388 | 1.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $78.30 | $87 | 3.5× |
| Ther Ivntj Ea Addl 15 Min (97130) | $132.30 | $147 | 6.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $267.30 | $297 | 7.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $135 | $150 | 1.8× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$625.50–$665.10 | $695–$739 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$153.90–$175.50 | $171–$195 | varies |
| Tte w/doppler, complete (93306) | $2,880 | $3,200 | 5.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $406.80 | $452 | 5.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$238.50–$263.70 | $265–$293 | varies |
| Tympanometry (92567) | $20.70 | $23 | 0.5× |
| Upr/L Xtremity Art 2 Levels (93922) | $830.70 | $923 | 6.1× |
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.