Visits & medical services prices at Welia Health
Mora, MN · every code in this section with a posted price and a Medicare benchmark.
134 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) | $28 | $40 | 0.7× |
| Airway Inhalation Treatment (94640) | $90.30 | $129 | 0.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $133 | $190 | 9.3× |
| Application on-body injector (96377) | $57.40 | $82 | 1.2× |
| Behavral qualit analys voice (92524) | $286.30 | $409 | 2.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $253.40 | $362 | 0.7× |
| Canalith repositioning proc (95992) | $58.10 | $83 | 1.4× |
| Cardiac Stress Tst,Tracing Only (93017) | $286.30 | $409 | 1.3× |
| Cardiopulmonary resuscitation (92950) | $417.20 | $596 | 1.9× |
| Cardioversion (92960) | $417.20 | $596 | 0.6× |
| Cbt 1st hour (94644) | $174.30 | $249 | 1.3× |
| Chemo Anti-Neopl Sq/Im (96401) | $206.50 | $295 | 2.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $91 | $130 | 1.2× |
| Chemo IV infusion addl hr (96415) | $91 | $130 | 1.2× |
| Chemo IV push addl drug (96411) | $91 | $130 | 1.2× |
| Chemother Prolong Infuse W/Pump (96416) | $114.10 | $163 | 0.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $119 | $170 | 1.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $245 | $350 | 0.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $206.50 | $295 | 0.6× |
| Chest Wall Manipulation (94668) | $117.60 | $168 | 0.9× |
| Color/duplex Doppler, complete (93975) | $786.10 | $1,123 | 3.2× |
| Color/duplex Doppler, limited (93976) range across 3 matching MRF lines |
$742.70–$774.20 | $1,061–$1,106 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $165.90 | $237 | 5.2× |
| Continuous Pulse Ox (94762) | $219.10 | $313 | 1.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $736.40 | $1,052 | 3.3× |
| Cpt initial (94667) | $128.10 | $183 | 0.9× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$375.20–$2,198 | $536–$3,140 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $215.60 | $308 | 1.0× |
| Developmental tst admin phys/qhp 1st hour (96112) | $315 | $450 | 2.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $786.10 | $1,123 | 3.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$987.70–$1,019.90 | $1,411–$1,457 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$786.10–$817.60 | $1,123–$1,168 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$1,022.70–$1,055.60 | $1,461–$1,508 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$819.70–$851.20 | $1,171–$1,216 | varies |
| Duplex up extrem art bilat (93930) | $601.30 | $859 | 2.4× |
| Duplex up extrem art unilat/ltd (93931) | $786.10 | $1,123 | 7.3× |
| Echo Heart Xthoracic,Limited (93308) | $353.50 | $505 | 1.4× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,653.40 | $2,362 | 2.9× |
| Electrical Stimulation Ea 15 Min (97032) | $174.30 | $249 | 11.9× |
| Electrocardiogram Tracing (93005) | $133.70 | $191 | 2.2× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$188.30–$564.20 | $269–$806 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$236.60–$727.30 | $338–$1,039 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$281.40–$1,022 | $402–$1,460 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$102.20–$208.60 | $146–$298 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$329–$1,309 | $470–$1,870 | varies |
| Evaluate pt use of inhaler (94664) | $91 | $130 | 0.4× |
| Evaluate Speech Production (92522) | $286.30 | $409 | 2.6× |
| Evaluate Swallowing Function (92610) | $284.20 | $406 | 3.3× |
| Evaluation of speech fluency (92521) | $286.30 | $409 | 2.1× |
| External ECG rec>48hr<7d recording (93242) | $192.50 | $275 | 5.0× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $192.50 | $275 | 1.4× |
| External ECG rec>7d<15d recording (93246) | $192.50 | $275 | 5.0× |
| External Ecg Scanning Analysis Report (93226) | $192.50 | $275 | 3.2× |
| Extracranial Bilat Study (93880) | $831.60 | $1,188 | 3.4× |
| Holter monitor recording (93225) | $192.50 | $275 | 1.4× |
| Icd Device Interrogate (93289) | $191.10 | $273 | 5.0× |
| Icd device progr eval dual (93283) | $191.10 | $273 | 5.0× |
| Icd Device Progr Eval Mult (93284) | $191.10 | $273 | 5.0× |
| Ilr Device Eval Progr (93285) | $191.10 | $273 | 5.0× |
| Immunization administration (90471) | $28 | $40 | 0.4× |
| Iontophoresis 15 min (97033) | $123.20 | $176 | 6.5× |
| Irrig Drug Delivery Device (96523) | $116.90 | $167 | 1.9× |
| IV infusion hydration each additional hour (96361) | $91 | $130 | 1.9× |
| IV infusion hydration initial 31 min-1 hour (96360) | $305.20 | $436 | 1.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $131.60 | $188 | 1.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $145.60 | $208 | 3.0× |
| IV push initial (96374) | $81.20 | $116 | 0.4× |
| Lung Function Test (Mbc/Mvv) (94200) | $260.40 | $372 | 4.3× |
| Motion Fluoroscopy/Swallow (92611) | $284.20 | $406 | 3.1× |
| Multiple Sleep Latency Test (95805) | $1,991.50 | $2,845 | 2.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $184.10 | $263 | 0.9× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $184.10 | $263 | 0.4× |
| Neuromuscular Reeducation (97112) | $129.50 | $185 | 4.0× |
| Newborn resuscitation (99465) | $926.10 | $1,323 | 1.4× |
| Nitric oxide expired gas determination (95012) | $106.40 | $152 | 2.8× |
| Oral Function Therapy (92526) | $165.20 | $236 | 2.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $121.80 | $174 | 2.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $129.50 | $185 | 2.8× |
| Ot eval high complexity (97167) | $243.60 | $348 | 2.4× |
| Ot Eval Low Complex (97165) | $243.60 | $348 | 2.4× |
| Ot Eval Moderate Complexity (97166) | $243.60 | $348 | 2.4× |
| Ot manual therapy 15 min (97140) | $141.40 | $202 | 5.1× |
| Ot Re-Eval Est Plan Care (97168) | $139.30 | $199 | 2.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 4 matching MRF lines |
$165.90–$216.30 | $237–$309 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $165.90 | $237 | 1.2× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $228.90 | $327 | 1.0× |
| Peripheral arterial disease rehab per session (93668) | $286.30 | $409 | 4.7× |
| Phlebotomy therapeutic (99195) | $123.20 | $176 | 0.9× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $260.40 | $372 | 4.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $260.40 | $372 | 4.3× |
| Physical Performance Test (97750) | $129.50 | $185 | 3.8× |
| Plethysmography (94726) | $301 | $430 | 0.8× |
| Pm device eval in person (93288) | $191.10 | $273 | 5.0× |
| Pm device progr eval dual (93280) | $126 | $180 | 3.3× |
| Pm device progr eval multi (93281) | $126 | $180 | 3.3× |
| Pm Device Progr Eval Sngl (93279) | $126 | $180 | 3.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,744.30 | $5,349 | 4.2× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $191.10 | $273 | 5.0× |
| Pt Eval High Complex (97163) range across 5 matching MRF lines |
$243.60–$374.50 | $348–$535 | varies |
| Pt eval low complex 20 min (97161) range across 7 matching MRF lines |
$243.60–$374.50 | $348–$535 | varies |
| Pt Eval Mod Complex (97162) range across 5 matching MRF lines |
$243.60–$374.50 | $348–$535 | varies |
| Pt gait training 15 min (97116) | $126 | $180 | 4.3× |
| Pt mechanical traction (97012) | $126 | $180 | 8.8× |
| Pt Re-Eval Est Plan Care (97164) | $139.30 | $199 | 2.1× |
| Pulmonary service/procedure (94799) | $219.10 | $313 | 1.6× |
| Pulmonary Stress Testing (94618) | $168 | $240 | 1.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $186.20 | $266 | 0.9× |
| Self Care Mngment Training (97535) | $124.60 | $178 | 3.8× |
| Sensory Integration Ea 15 Min (97533) | $129.50 | $185 | 2.1× |
| Sleep study unattended (95806) | $630 | $900 | 2.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $630 | $900 | 2.8× |
| Speech sound lang comprehen (92523) | $286.30 | $409 | 1.3× |
| Spirometry (94010) | $108.50 | $155 | 0.5× |
| Standardized Cognitive Performance Testing (96125) | $315 | $450 | 3.1× |
| Stress Tte Only (93350) | $1,653.40 | $2,362 | 2.9× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $141.40 | $202 | 6.3× |
| Ther Ivntj Ea Addl 15 Min (97130) | $141.40 | $202 | 6.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $134.40 | $192 | 3.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $243.60 | $348 | 2.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $49 | $70 | 0.7× |
| Ther/Proph/Diag Iv Inf Init (96365) | $398.30 | $569 | 1.8× |
| Therapeutic Activities (97530) | $129.50 | $185 | 3.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $56.70 | $81 | 1.5× |
| Tte w/doppler, complete (93306) | $1,885.80 | $2,694 | 3.3× |
| Tte W/O Doppler Complete (93307) | $1,885.80 | $2,694 | 7.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $243.60 | $348 | 3.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $81.20 | $116 | 1.7× |
| Upr/L Xtremity Art 2 Levels (93922) | $742.70 | $1,061 | 5.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $987.70 | $1,411 | 4.4× |
| Vasopneumatic device (97016) | $140 | $200 | 11.6× |
| Vent Mgmt Inpat Init Day (94002) | $736.40 | $1,052 | 1.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $445.90 | $637 | 0.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $123.20 | $176 | 4.0× |
| Whirlpool Therapy (97022) | $122.50 | $175 | 7.8× |
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.