Visits & medical services prices at Winona Health

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

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

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ProcedureCash priceGross charge× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $36.75 $105 0.3×
Acoustic reflex testing (92568) $17.85 $51 0.5×
Advance care planning first 30 mins (99497) $55.44 $158.40 0.5×
Aep hearing status deter broadband stimuli i&r (92651) $89.25 $255 0.4×
Airway inhalation treatment (94640) $30.10 $86 0.1×
Anogenital examination, magnified, in childhood for suspected trauma, including image recording when performed Facility (99170) $93.80 $139.50 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $30.45 $87 2.1×
Application Modality 1/> Areas Infrared (97026) $14.35 $41 2.1×
Assessment of aphasia per hr (96105) $63 $180 0.6×
Bedside Swallowing Eval (92610) $86.45 $247 1.0×
Behavioral and qualitative analysis of voice and resonance (92524) $114.80 $328 1.0×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $67.55 $193 0.8×
Bfb training ea addl 15 min (90913) $27.30 $78 0.8×
Biofeedback training any modality (90901) $17.50 $50 0.4×
Brief Emotional/Behavioral Assessment (96127) $3.15 $9 0.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $63.88 $182.50 0.2×
Canalith Repositioning Procedure (95992) $32.55 $93 0.8×
Car seat/bed test 60 min (94780) $61.60 $176 1.6×
Cardiac Stress Tst,Tracing Only (93017) $123.72 $353.50 0.6×
Cardiopulmonary resuscitation (92950) $153.72 $439.20 0.7×
Cardioversion (92960) $180.60 $516 0.3×
Cardioversion elective internal (92961) $87.50 $250 0.1×
Care mgmt svc bhvl hlth cond (99484) $60.55 $173 1.6×
Cbt 1st hour (94644) $27.65 $79 0.2×
Chemo Hormon Antineopl Sq/Im (96402) $35.88 $102.50 0.5×
Chemo IV push addl drug (96411) $52.50 $150 0.7×
Chemo prolong 8+ hrs infuse w/pump (96416) $192.50 $550 0.6×
Chemother, IV infusion, 1 hr (96413) $141.75 $405 0.4×
Chemother, IV infusion, ea add hr (96415) $54.95 $157 0.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $56 $160 0.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $62.48 $178.50 0.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $95.38 $272.50 0.3×
Chiropractic manipulative treatment (CMT); spinal, 3-4 regions Facility (98941) $26.25 $75 1.2×
Chronic care management services 1st 20 min (99490) $43.05 $123 0.4×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $89.60 $256 0.2×
Color/duplex Doppler, complete (93975) $137.55 $393 0.6×
Color/duplex Doppler, limited (93976) $51.45 $147 0.5×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $102.02 $291.50 0.6×
Comprehensive Hearing Test (92557) $88.20 $252 0.7×
Conditioning Play Audiometry (92582) $47.67 $136.20 0.4×
Cont Gluc Monitoring Patient Provided Equipment (95249) $85.92 $245.50 1.4×
Continuous Glucose Monitoring (95250) $172.90 $494 1.3×
Corneal Topography (92025) $14.07 $40.20 0.2×
Cpap/bipap (94660) $91.35 $261 0.4×
Cpt initial (94667) $24.85 $71 0.2×
Cptrized oph dx img pst segment uni/bi optic nrv (92133) $17.64 $50.40 0.3×
Cptrized oph dx img pst segment uni/bi retina (92134) $19.74 $56.40 0.3×
Critical care (99291) $204.40 $584 0.2×
Debridement Open Wound 20 Sq Cm< (97597) $58.10 $166 0.3×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $25.90 $74 0.1×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $17.22 $49.20 0.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $237.48 $678.50 1.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $231 $660 2.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $196.35 $561 0.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $148.75 $425 1.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $394.80 $1,128 1.6×
Dup-scan xtr veins unilateral/limited study (93971) $253.40 $724 2.3×
Duplex scan extracranial art compl bi study (93880) $220.85 $631 0.9×
Duplex Scan Hemodialysis Access (93990) $117.42 $335.50 1.1×
Ear Protector Evaluation (92596) $56.70 $162 1.5×
Echo Heart Xthoracic,Limited (93308) $93.10 $266 0.4×
EEG awake and asleep (95819) $211.75 $605 1.0×
EEG awake drowsy (95816) $182.70 $522 0.8×
EEG cerebral death evaluation (95824) $125.12 $357.50 0.3×
EEG coma or sleep only (95822) $169.05 $483 0.8×
EEG greater than 1 hour (95813) $170.80 $488 0.8×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $226.10 $646 1.0×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $297.85 $851 0.8×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $504 $1,440 1.3×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $324.10 $926 1.5×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $996.10 $2,846 4.5×
Electrocardiogram Tracing (93005) $44.10 $126 0.7×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $140 $400 0.6×
Er level 1 (99281) $26.08 $74.50 0.3×
Er level ii (99282) $66.85 $191 0.4×
Er level iii (99283) $96.95 $277 0.3×
Er level IV (99284) $166.25 $475 0.4×
Er level v (99285) $276.32 $789.50 0.4×
Eval speech sound production (92522) $80.85 $231 0.7×
Eval to use/fit voice prosth (92597) $80.15 $229 1.1×
Evaluate Pt Use Of Inhaler (94664) $31.85 $91 0.1×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $91.70 $262 0.8×
Evaluation of speech fluency (92521) $100.10 $286 0.8×
Excimer laser tx psoriasis tot area <250 sq cm (96920) $78.33 $223.80 0.4×
External ECG rec>48hr<7d recording (93242) $105 $300 2.7×
External ECG rec>48hr<7d scanning alys w/report (93243) $121.80 $348 0.9×
External ECG rec>7d<15d recording (93246) $105 $300 2.7×
External Ecg Scanning Analysis Report (93226) $98.70 $282 1.6×
Eye exam w anesth; complete (92018) $121.80 $348 0.0×
Eye exam, new patient,comprehesv (92004) $54.81 $156.60 0.4×
Eye service or procedure (92499) $3.85 $11 0.1×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $218.40 $624 1.1×
Fluorescein Angrph W/Multiframe I&R Uni/Bi (92235) $57.54 $164.40 0.3×
Fundus photography w/interpretation & report (92250) $41.37 $118.20 0.3×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $109.94 $314.10 0.3×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $213.57 $610.20 1.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $665.49 $1,901.40 0.8×
Gonioscopy (92020) $14.07 $40.20 0.1×
Group Therapeutic Procedures (97150) $28.70 $82 1.6×
Hemodialysis (90935) $63.28 $180.80 0.1×
Holter Monitor (93225) $66.85 $191 0.5×
Imm admn sarscov2 vaccine single dose (90480) $15.75 $45 0.4×
Immune Admin Oral/Nasal (90473) $8.75 $25 0.1×
Immunization Admin (90471) $10.50 $30 0.1×
Inital newborn e/m (99460) $87.36 $249.60 0.6×
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and… (99463) $100.10 $286 0.7×
Injection intra arterial (96373) $15.40 $44 0.1×
Ins swan ganz bedside (93503) $308.35 $881 0.2×
Interrog device eval heart (93289) $77.28 $220.80 2.0×
Iontophoresis 15 min (97033) $34.48 $98.50 1.8×
Irrig drug delivery device (96523) $25.55 $73 0.4×
IV infusion hydration each additional hour (96361) $36.40 $104 0.8×
IV infusion hydration initial 31 min-1 hour (96360) $56.70 $162 0.3×
IV infusion ther proph addl sequential to 1 hr (96367) $28.52 $81.50 0.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $80.50 $230 0.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $36.40 $104 0.8×
IV push ea addl new drug (96375) $32.55 $93 0.7×
IV push initial (96374) $36.40 $104 0.2×
Manual therapy 15 min (97140) $35.70 $102 1.3×
Massage 15 min (97124) $33.25 $95 1.1×
Maximum voluntary ventilation (94200) $21.70 $62 0.4×
Mechanical traction (97012) $28.35 $81 2.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $20.65 $59 0.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $16.80 $48 0.5×
Methacholine challenge (94070) $82.60 $236 0.2×
Motility study esophagus (91010) $271.53 $775.80 0.7×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $122.50 $350 1.3×
Multiple Sleep Latency Test (95805) $490 $1,400 0.6×
Nasopharyngoscopy (92511) $37.80 $108 0.2×
Neg press wound tx >50 cm (97608) $32.34 $92.40 0.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $28.35 $81 0.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $24.64 $70.40 0.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $33.70 $96.30 0.1×
Newborn resuscitation (99465) $157.50 $450 0.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $45.15 $129 0.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $75.95 $217 0.6×
Nonphysician Telephone Assessment 11-20 Min (98967) $23.10 $66 0.9×
Nonphysician Telephone Assessment 21-30 Min (98968) $33.95 $97 1.0×
Nonphysician Telephone Assessment 5-10 Min (98966) $11.90 $34 0.9×
Oph Bmtry Prtl Coher Intrfrmtry Io Lens Pwr Cal (92136) $30.14 $86.10 0.2×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $65.52 $187.20 0.5×
Ophth medical xm&eval intermediate estab pt (92012) $49.14 $140.40 0.4×
Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program;… (92002) $60.06 $171.60 0.4×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $13.65 $39 0.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $35.35 $101 0.8×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $18.90 $54 0.8×
Osteopathic manipulative tx 3-4 body regions (98926) $24.15 $69 1.1×
Osteopathic manipulative tx 5-6 body regions (98927) $37.45 $107 1.7×
Osteopathic manipulative tx 7-8 body regions (98928) $41.48 $118.50 1.9×
Osteopathic manipulative tx 9-10 body regions (98929) $47.78 $136.50 2.1×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $21.70 $62 0.7×
Ot Contrast Bath Ea 15 Min (97034) $21 $60 1.5×
Ot eval high complex 60 min (97167) $84.35 $241 0.8×
Ot eval low complex 30 min (97165) $84.35 $241 0.8×
Ot eval mod complex 45 min (97166) $84.35 $241 0.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $37.80 $108 0.8×
Ot Prosthetic Training, Each 15 Min (97761) $35.35 $101 0.9×
Ot Range Motion Measure,Each Extrem (95851) $21 $60 0.8×
Ot re-evaluation (97168) $57.40 $164 0.8×
Ot therapeutic activity 15 min (97530) $39.20 $112 1.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $43.92 $125.50 0.3×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $44.10 $126 0.3×
Paraffin bath pt (97018) $29.40 $84 4.9×
Patch/Application Test Specify Number Tests (95044) $3.92 $11.20 0.0×
Pdt dstr prmlg les skn illum/activj per day (96567) $164.50 $470 0.8×
Peripheral arterial disease rehab per session (93668) $22.75 $65 0.4×
Phlebotomy therapeutic (99195) $50.92 $145.50 0.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $58.45 $167 1.0×
Pm device eval in person (93288) $45.36 $129.60 1.2×
Pm device progr eval dual (93280) $29.19 $83.40 0.8×
Pm device progr eval multi (93281) $34.23 $97.80 0.9×
Pm device progr eval sngl (93279) $24.99 $71.40 0.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $756 $2,160 0.9×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $756.35 $2,161 0.9×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $42.42 $121.20 1.1×
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) $67.90 $194 0.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $15.40 $44 0.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $22.92 $65.50 0.5×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $31.50 $90 0.8×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $41.16 $117.60 1.1×
Psych diag eval w/med srvcs (90792) $99.75 $285 0.5×
Psychiatric diagnostic evaluation (90791) $106.96 $305.60 0.6×
Psytx crisis initial 60 min (90839) $87.88 $251.10 0.5×
Pt Aquatic Therapy/Exercises (97113) $40.60 $116 1.1×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $3.85 $11 0.1×
Pt Electrical Stimulation (97032) $26.95 $77 1.8×
Pt eval high complex 45 min (97163) $77 $220 0.8×
Pt eval low complex 20 min (97161) $77 $220 0.8×
Pt eval mod complex 30 min (97162) $77 $220 0.8×
Pt gait training 15 min (97116) $32.20 $92 1.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $39.90 $114 1.2×
Pt Physical Performance Test (97750) $35 $100 1.0×
Pt re-evaluation (97164) $51.10 $146 0.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $34.12 $97.50 1.1×
Pt Whirlpool Therapy (97022) $29.05 $83 1.9×
Pulmonary Service/Procedure (94799) $14 $40 0.1×
Pure Tone Audiometry Air & Bone (92553) $47.67 $136.20 0.4×
Pure Tone Audiometry Air Only (92552) $22.68 $64.80 0.2×
Refill/Maint Portable Pump (96521) $105.70 $302 0.5×
Refill/Maint Pump/Resvr Syst (96522) $92.92 $265.50 0.4×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $55.82 $159.50 1.4×
Respiratory flow volume loop (94375) $63.70 $182 0.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $36.75 $105 0.2×
Rom meas&reprt hand w/wo comparison normal sid (95852) $17.50 $50 0.8×
Rt Chest Wall Manipulation,Subsequent (94668) $23.80 $68 0.2×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $68.95 $197 1.4×
Select Picture Audiometry (92583) $25.41 $72.60 0.4×
Sensory Integration Ea 15 Min (97533) $27.30 $78 0.4×
Sleep study attended (95807) $494.38 $1,412.50 1.3×
Sleep study unattended (95806) $214.38 $612.50 1.0×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $328.12 $937.50 1.5×
Smoking cessation > 10 min (99407) $18.69 $53.40 0.5×
Speech Audiometry Complete (92556) $23.31 $66.60 0.4×
Speech audiometry threshold (92555) $15.96 $45.60 0.3×
Speech sound lang comprehen (92523) $166.95 $477 0.7×
Spirometry (94010) $40.60 $116 0.2×
Standardized Cognitive Performance Testing (96125) $59.50 $170 0.6×
Stenger Test Speech (92577) $23.10 $66 0.1×
Stenger Test, Pure Tone (92565) $14.70 $42 0.2×
Stress echo (93350) $332.50 $950 0.6×
Synthetic Sentence Identification Test (92576) $17.85 $51 0.5×
Temp transcutaneous pacing (92953) $35.18 $100.50 0.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $20.30 $58 0.9×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $19.25 $55 0.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $57.75 $165 0.6×
Therapeutic prophylactic/dx injection subq/im (96372) $24.85 $71 0.3×
Tinnitus assessment (92625) $78.75 $225 0.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $14.21 $40.60 0.4×
Tone Decay Test (92563) $16.80 $48 0.4×
Trans Care Mgmt 14 Day Disch (99495) $120.12 $343.20 0.9×
Trans Care Mgmt 7 Day Disch (99496) $142.17 $406.20 1.0×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $15.75 $45 0.1×
Transtelephonic rhythm strip pacemaker eval (93293) $34.65 $99 0.9×
Tte w/doppler, complete (93306) $258.30 $738 0.5×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $245 $700 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $74.90 $214 1.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $20.65 $59 0.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $68.95 $197 0.8×
Tympanometry (92567) $35.35 $101 0.9×
Tympanometry And Reflex Threshold Measurements (92550) $25.41 $72.60 0.1×
Ultraviolet Light Therapy (96900) $10.29 $29.40 0.3×
Upr/lxtr art stdy 3+ lvls (93923) $93.80 $268 0.4×
Vasopneumatic device (97016) $35 $100 2.9×
Vent mgmt inpat init day (94002) $77 $220 0.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $240.10 $686 0.4×
Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann… (92083) $37.59 $107.40 0.3×
Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at… (92082) $21.21 $60.60 0.3×
Visual reinforcement audiometry (vra) (92579) $52.92 $151.20 0.2×
Vital capacity, total (94150) $23.80 $68 0.2×
Wheelchair Mgmt Ea 15 Min (97542) $23.10 $66 0.7×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $10.29 $29.40 0.3×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $144.90 $414 1.5×