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Hospital Profile Rural Emergency Hospital Government - Local

Mahnomen Health Center

414 W JEFFERSON AVE, Mahnomen, MN 56557

CMS Overall Rating No CMS Rating
Factual Overview

Mahnomen Health Center is a Rural Emergency Hospital (Government - Local) operating in Mahnomen, MN. Mapped commercial insurance prices across 94 procedures average 4.95x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: N/A Bed Count: N/A Teaching Status: N/A Annual Discharges: N/A

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): N/A Readmission Rate: N/A

Pricing & Transparency

Procedures Mapped: 94 codes Avg Markup vs Medicare: 4.95x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
 Contact Desk Calc
Total hip replacement
CPT Code: 27130
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Total knee replacement
CPT Code: 27447
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Bunion correction surgery
CPT Code: 28296
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Knee arthroscopy with meniscus repair
CPT Code: 29881
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Blood transfusion
CPT Code: 36430
 $1,840 Calc
Upper endoscopy with biopsy
CPT Code: 43239
 Contact Desk Calc
Colonoscopy (diagnostic)
CPT Code: 45378
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Colonoscopy with biopsy
CPT Code: 45380
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Gallbladder removal (laparoscopic)
CPT Code: 47562
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Inguinal hernia repair
CPT Code: 49505
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Cataract surgery with lens implant
CPT Code: 66984
 Contact Desk Calc
CT scan, head (no contrast)
CPT Code: 70450
 $1,955 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $2,265 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $2,933 Calc
CT scan, sinuses
CPT Code: 70486
 $2,072 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $3,326 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $5,648 Calc
X-ray, chest (single view)
CPT Code: 71045
 $352 Calc
X-ray, chest (two views)
CPT Code: 71046
 $412 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $2,466 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $387 Calc
X-ray, lower back
CPT Code: 72110
 $734 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $2,188 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $2,401 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $3,825 Calc
X-ray, pelvis
CPT Code: 72170
 $454 Calc
CT scan, pelvis
CPT Code: 72192
 $2,130 Calc
X-ray, shoulder
CPT Code: 73030
 $509 Calc
X-ray, hand
CPT Code: 73130
 $382 Calc
X-ray, hip
CPT Code: 73502
 $409 Calc
X-ray, ankle
CPT Code: 73610
 $430 Calc
X-ray, foot
CPT Code: 73630
 $402 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $3,318 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $3,643 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $5,581 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $490 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $699 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $443 Calc
Ultrasound, pelvis
CPT Code: 76856
 $532 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $416 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $490 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $141 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $218 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $194 Calc
Blood test, liver function panel
CPT Code: 80076
 $173 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $87 Calc
Blood test, amylase
CPT Code: 82150
 $147 Calc
Blood test, vitamin D
CPT Code: 82306
 $289 Calc
Blood test, calcium
CPT Code: 82310
 $107 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $116 Calc
Blood test, vitamin B12
CPT Code: 82607
 $198 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $245 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $95 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $147 Calc
Blood test, lipase
CPT Code: 83690
 $120 Calc
Blood test, magnesium
CPT Code: 83735
 $131 Calc
Blood test, potassium
CPT Code: 84132
 $94 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $191 Calc
Blood test, sodium
CPT Code: 84295
 $94 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $246 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $91 Calc
Blood test, hemoglobin
CPT Code: 85018
 $59 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $163 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $104 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $148 Calc
Hepatitis C antibody test
CPT Code: 86803
 $139 Calc
Blood antibody screen
CPT Code: 86850
 $160 Calc
Culture, blood
CPT Code: 87040
 $210 Calc
Culture, bacterial
CPT Code: 87070
 $137 Calc
Psychiatric evaluation (first visit)
CPT Code: 90791
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Psychotherapy session (45 minutes)
CPT Code: 90834
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Psychotherapy session (60 minutes)
CPT Code: 90837
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Family therapy session
CPT Code: 90847
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Group therapy session
CPT Code: 90853
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Speech therapy (language evaluation)
CPT Code: 92507
 $352 Calc
Speech therapy (group session)
CPT Code: 92508
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Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $216 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $3,985 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $934 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $174 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
 $2,832 Calc
Neurobehavioral status check
CPT Code: 96116
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Psychological testing evaluation
CPT Code: 96136
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Psychological testing by technician
CPT Code: 96138
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Physical therapy (therapeutic exercise)
CPT Code: 97110
 $163 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $145 Calc
Physical therapy (gait training)
CPT Code: 97116
 $140 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $265 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $160 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $158 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
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Orthotic fitting and training
CPT Code: 97760
 $223 Calc
Prosthetic fitting and training
CPT Code: 97761
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