Visits & medical services prices at Windom Area Health

Windom, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $153 $225 0.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $107.10 $157.50 7.5×
Assessment of aphasia per hr (96105) $331.16 $487 3.4×
Bedside Swallowing Eval (92610) $331.16 $487 3.9×
Behavioral and qualitative analysis of voice and resonance (92524) $310.76 $457 2.8×
Breathing response to hypoxia (94450) $206.72 $304 1.6×
Brief Emotional/Behavioral Assessment (96127) $21.76 $32 0.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $271.32 $399 0.7×
Canalith Repositioning Procedure (95992) $108.12 $159 2.7×
Cardiac Stress Tst,Tracing Only (93017) $856.12 $1,259 3.8×
Cardiopulmonary exercise testing (94621) $1,049.24 $1,543 2.7×
Cardiopulmonary resuscitation (92950) $415.14 $610.50 1.9×
Cardioversion (92960) $1,234.88 $1,816 1.8×
Cbt 1st hour (94644) $240.04 $353 1.7×
Chemo Hormon Antineopl Sq/Im (96402) $31.28 $46 0.4×
Chemo IV push addl drug (96411) $31.28 $46 0.4×
Chemo prolong 8+ hrs infuse w/pump (96416) $69.36 $102 0.2×
Chemother, IV infusion, 1 hr (96413) $110.16 $162 0.3×
Chemother, IV infusion, ea add hr (96415) $55.08 $81 0.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $31.28 $46 0.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $55.08 $81 0.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $31.28 $46 0.1×
Color/duplex Doppler, complete (93975) $1,021.36 $1,502 4.1×
Color/duplex Doppler, limited (93976) $921.40 $1,355 8.5×
Cont Gluc Monitoring Patient Provided Equipment (95249) $96.56 $142 1.6×
Continuous Glucose Monitoring (95250) $267.24 $393 1.9×
Cpap/bipap (94660) $201.96 $297 0.9×
Cpt initial (94667) $85 $125 0.6×
Critical care (99291) $1,026.80 $1,510 1.2×
Debridement Open Wound 20 Sq Cm< (97597) $178.69 $262.78 0.9×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $322.95 $474.92 1.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $595 $875 5.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $544.11 $800.16 2.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $467.54 $687.55 4.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $525.75 $773.16 2.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $844.56 $1,242 7.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $730.68 $1,074.52 3.0×
Dup-scan xtr veins unilateral/limited study (93971) $482.69 $709.84 4.5×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $800.36 $1,177 3.3×
Duplex scan extracranial art compl bi study (93880) $725.73 $1,067.25 2.9×
Duplex Scan Hemodialysis Access (93990) $495.60 $728.83 4.6×
Echo Heart Xthoracic,Limited (93308) $378.89 $557.19 1.5×
Echo Transthoracic - Congenital Tte Complete (93303) $449.81 $661.48 0.8×
EEG awake and asleep (95819) $878.56 $1,292 3.9×
EEG awake drowsy (95816) $878.56 $1,292 3.9×
EKG rhythm strip (93041) $76.50 $112.50 1.3×
Electrocardiogram Tracing (93005) $307.36 $452 5.0×
Er level 1 (99281) $60.52 $89 0.7×
Er level ii (99282) $217.60 $320 1.4×
Er level iii (99283) $329.12 $484 1.2×
Er level IV (99284) $467.16 $687 1.1×
Er level v (99285) $722.84 $1,063 1.2×
Eval speech sound production (92522) $310.76 $457 2.8×
Evaluate Pt Use Of Inhaler (94664) $58.48 $86 0.3×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $331.16 $487 2.7×
Evaluation of speech fluency (92521) $310.76 $457 2.3×
Exhaled Air Analysis (94690) $242.08 $356 4.0×
Exhaled air analysis o2 (94680) $312.80 $460 2.4×
External ECG rec>48hr<7d recording (93242) $35.36 $52 0.9×
External ECG rec>48hr<7d scanning alys w/report (93243) $360.40 $530 2.6×
External ECG rec>7d<15d recording (93246) $35.36 $52 0.9×
External Ecg Scanning Analysis Report (93226) $305.22 $448.86 5.0×
High altitude simulation test (94452) $293.08 $431 2.1×
High altitude simulation test (94453) $331.16 $487 2.4×
Holter Monitor (93225) $233.26 $343.03 1.7×
Immune Admin Oral/Nasal (90473) $15.64 $23 0.2×
Immunization Admin (90471) $19.72 $29 0.3×
Injection intra arterial (96373) $19.72 $29 0.1×
Iontophoresis 15 min (97033) $110.84 $163 5.8×
Irrig drug delivery device (96523) $166.60 $245 2.7×
IV infusion hydration each additional hour (96361) $36.72 $54 0.8×
IV infusion hydration initial 31 min-1 hour (96360) $73.44 $108 0.3×
IV infusion ther proph addl sequential to 1 hr (96367) $36.72 $54 0.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $73.44 $108 0.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $36.72 $54 0.8×
IV push ea addl new drug (96375) $19.38 $28.50 0.4×
IV push initial (96374) $19.72 $29 0.1×
Manual therapy 15 min (97140) $122.40 $180 4.4×
Massage 15 min (97124) $110.16 $162 3.7×
Maximum voluntary ventilation (94200) $172.04 $253 2.8×
Mechanical chest wall oscillation (94669) $153 $225 0.7×
Mechanical traction (97012) $110.16 $162 7.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $42.84 $63 1.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $42.84 $63 1.2×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $25.16 $37 1.5×
Methacholine challenge (94070) $796.96 $1,172 2.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $214.46 $315.38 2.3×
Multiple Sleep Latency Test (95805) $933.64 $1,373 1.1×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $824.84 $1,213 3.7×
Neg press wound tx >50 cm (97608) $531.08 $781 1.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $531.08 $781 1.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $299.20 $440 1.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $531.08 $781 1.3×
Nerve Conduction Studies 11-12 Studies (95912) $919.84 $1,352.70 2.4×
Nerve conduction studies 13/> studies (95913) $997.12 $1,466.34 2.6×
Nerve Conduction Studies 3-4 Studies (95908) $315.37 $463.78 1.4×
Nerve Conduction Studies 5-6 Studies (95909) $466.20 $685.60 2.1×
Nerve Conduction Studies 7-8 Studies (95910) $621.41 $913.84 1.6×
Nerve Conduction Studies 9-10 Studies (95911) $772.38 $1,135.84 2.0×
Nerve conduction studies; 1-2 studies (95907) $162.95 $239.63 0.7×
Newborn resuscitation (99465) $444.04 $653 0.7×
Nitric oxide expired gas determination (95012) $98.60 $145 2.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $129.94 $191.09 0.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $293.08 $431 2.2×
Nonphysician Telephone Assessment 21-30 Min (98968) $78.88 $116 2.3×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $553.52 $814 1.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $117.64 $173 2.6×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $142.80 $210 4.5×
Ot Contrast Bath Ea 15 Min (97034) $117.64 $173 8.4×
Ot eval high complex 60 min (97167) $197.20 $290 2.0×
Ot eval low complex 30 min (97165) $142.80 $210 1.4×
Ot eval mod complex 45 min (97166) $170 $250 1.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $76.84 $113 1.5×
Ot Prosthetic Training, Each 15 Min (97761) $99.96 $147 2.5×
Ot Range Motion Measure,Each Extrem (95851) $61.20 $90 2.3×
Ot re-evaluation (97168) $76.16 $112 1.1×
Ot therapeutic activity 15 min (97530) $117.64 $173 3.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $263.84 $388 2.0×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $263.84 $388 2.0×
Paraffin bath pt (97018) $99.96 $147 16.6×
Patient-initiated spirometric recording (94015) $225.08 $331 1.0×
Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) $401.88 $591 0.9×
Patient-initiated spirometric recording per 30-day period of time; review and interpretation only by a physician or… (94016) $190.40 $280 7.7×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $269.28 $396 1.2×
Peripheral arterial disease rehab per session (93668) $146.20 $215 2.4×
Phlebotomy therapeutic (99195) $89.76 $132 0.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $87.72 $129 1.4×
Plethysmography (94726) $341.36 $502 0.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,346.34 $3,450.50 2.6×
Psychiatric diagnostic evaluation (90791) $76.84 $113 0.4×
Psytx crisis initial 60 min (90839) $57.12 $84 0.3×
Pt Electrical Stimulation (97032) $99.96 $147 6.8×
Pt eval high complex 45 min (97163) $197.20 $290 2.0×
Pt eval low complex 20 min (97161) $142.80 $210 1.5×
Pt eval mod complex 30 min (97162) $170 $250 1.7×
Pt gait training 15 min (97116) $99.96 $147 3.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $114.24 $168 3.5×
Pt Physical Performance Test (97750) $99.96 $147 3.0×
Pt re-evaluation (97164) $76.16 $112 1.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $97.92 $144 3.0×
Pt Whirlpool Therapy (97022) $99.96 $147 6.4×
Pulm Funct Test Oscillometry (94728) $267.92 $394 2.0×
Pulm function test by gas (94727) $297.16 $437 1.3×
Pulmonary Service/Procedure (94799) $142.12 $209 1.1×
Pulmonary stress test simple (94618) $443.36 $652 3.2×
Refill/Maint Portable Pump (96521) $69.36 $102 0.3×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $50.32 $74 1.3×
Respiratory flow volume loop (94375) $282.20 $415 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $173.53 $255.18 0.8×
Rom meas&reprt hand w/wo comparison normal sid (95852) $61.20 $90 2.9×
Rt Chest Wall Manipulation,Subsequent (94668) $110.16 $162 0.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $75.48 $111 1.6×
Sleep study unattended (95806) $612.68 $901 2.7×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $591.60 $870 2.7×
Smoking cessation > 10 min (99407) $61.20 $90 1.6×
Speech sound lang comprehen (92523) $310.76 $457 1.4×
Spirometry (94010) $89.14 $131.08 0.4×
Standardized Cognitive Performance Testing (96125) $331.16 $487 3.2×
Stress echo (93350) $628.79 $924.69 1.1×
Temp transcutaneous pacing (92953) $3,200.08 $4,706 4.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $104.72 $154 4.7×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $104.72 $154 5.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $104.04 $153 1.0×
Ther/prop/diag inj/inf proc (96379) $19.72 $29 0.4×
Therapeutic prophylactic/dx injection subq/im (96372) $19.72 $29 0.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $48.96 $72 1.3×
Tte w/doppler, complete (93306) $755.15 $1,110.51 1.3×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $363.20 $534.11 1.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $248.88 $366 3.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $259.08 $381 3.1×
Upr/lxtr art stdy 3+ lvls (93923) $154.76 $227.59 0.7×
Vasc Duplex Scan Extracranial,Limited (93882) $407.64 $599.48 3.8×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $240.04 $353 1.1×
Vent mgmt inpat init day (94002) $332.52 $489 0.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,074.40 $1,580 1.7×
Vital capacity, total (94150) $145.52 $214 1.1×
Wheelchair Mgmt Ea 15 Min (97542) $85 $125 2.7×