Visits & medical services prices at Annie Jeffrey Memorial County Health Center

Osceola, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $288 $300 1.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $76.80 $80 5.3×
Assessment of aphasia per hr (96105) $384 $400 4.0×
Behavral qualit analys voice (92524) $264 $275 2.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines		 $480–$720 $500–$750 varies
Cardiac Stress Tst,Tracing Only (93017) $1,344 $1,400 6.0×
Cardiopulmonary resuscitation (92950) $792 $825 3.5×
Cardioversion (92960) $1,920 $2,000 2.8×
Cbt 1st hour (94644) $384 $400 2.8×
Chest Wall Manipulation (94668) $336 $350 2.4×
Color/duplex Doppler, complete (93975) $936 $975 3.8×
Continuous Pulse Ox (94762) $480 $500 3.6×
Cpt initial (94667) $240 $250 1.7×
Critical care first hour (99291) $1,872 $1,950 2.2×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $936 $975 3.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $432 $450 4.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,440 $1,500 5.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,056 $1,100 9.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,488 $1,550 6.0×
Dup-scan xtr veins unilateral/limited study (93971) $1,152 $1,200 10.6×
Duplex up extrem art bilat (93930) $1,152 $1,200 4.6×
Duplex up extrem art unilat/ltd (93931) $888 $925 8.2×
Echo Heart Xthoracic,Limited (93308) $1,152 $1,200 4.6×
Electrocardiogram Tracing (93005) $336 $350 5.5×
Emergency Dept Visit Level 2 (99282) $432 $450 2.7×
Emergency Dept Visit Level 3 (99283) $744 $775 2.6×
Emergency Dept Visit Level 4 (99284) $1,200 $1,250 2.8×
Er level 1 (99281)
range across 2 matching MRF lines		 $144–$288 $150–$300 varies
Er level v (99285) $1,680 $1,750 2.7×
Evaluate pt use of inhaler (94664) $240 $250 1.1×
Evaluate Swallowing Function (92610) $336 $350 4.0×
External ECG rec>48hr<7d recording (93242) $384 $400 9.9×
External ECG rec>7d<15d recording (93246) $384 $400 9.9×
External Ecg Scanning Analysis Report (93226) $720 $750 11.8×
Extracranial Bilat Study (93880) $1,536 $1,600 6.2×
Extracranial Uni/Ltd Study (93882) $864 $900 8.0×
Holter monitor recording (93225) $432 $450 3.1×
Im Adm Intransl/Oral 1 Vaccine (90473) $57.60 $60 0.8×
Iontophoresis 15 min (97033) $105.60 $110 5.5×
Irrig Drug Delivery Device (96523) $192 $200 3.1×
IV infusion hydration each additional hour (96361) $192 $200 3.9×
IV infusion hydration initial 31 min-1 hour (96360) $432 $450 2.0×
IV infusion ther proph addl sequential to 1 hr (96367) $264 $275 3.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $288 $300 5.9×
IV push initial (96374) $288 $300 1.3×
Lwr Xtr Vasc Stdy Bilat (93924) $1,008 $1,050 4.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $96 $100 3.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $144 $150 3.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $384 $400 1.8×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines		 $120–$168 $125–$175 varies
Oral Function Therapy (92526) $312 $325 3.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines		 $120–$192 $125–$200 varies
Ot eval high complexity (97167) $264 $275 2.6×
Ot Eval Low Complex (97165) $216 $225 2.1×
Ot Eval Moderate Complexity (97166) $240 $250 2.4×
Ot manual therapy 15 min (97140) $105.60 $110 3.8×
Ot paraffin bath (97018) $72.96 $76 12.1×
Ot Re-Eval Est Plan Care (97168) $153.60 $160 2.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $336 $350 2.5×
Phlebotomy therapeutic (99195) $216 $225 1.6×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $288 $300 4.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $288 $300 4.7×
Plethysmography (94726) $696 $725 1.8×
Pm device eval in person (93288) $96 $100 2.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,416 $4,600 5.0×
Psycl/Nrpsyc Tst Auto Result (96146) $48 $50 1.6×
Pt Eval High Complex (97163) $264 $275 2.7×
Pt eval low complex 20 min (97161) $192 $200 2.0×
Pt Eval Mod Complex (97162) $216 $225 2.2×
Pt gait training 15 min (97116) $96 $100 3.3×
Pt mechanical traction (97012) $76.80 $80 5.3×
Pt Re-Eval Est Plan Care (97164) $144 $150 2.1×
Pulmonary Stress Testing (94618) $480 $500 3.5×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $456 $475 3.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $96 $100 2.0×
Self Care Mngment Training (97535) $144 $150 4.4×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $528 $550 2.4×
Speech sound lang comprehen (92523) $408 $425 1.8×
Spirometry (94010) $336 $350 1.5×
Stress Tte Only (93350) $1,728 $1,800 3.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $96 $100 3.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $249.60 $260 2.4×
Ther/Proph/Diag Inj Sc/Im (96372) $192 $200 2.6×
Ther/Proph/Diag Iv Inf Init (96365) $504 $525 2.3×
Therapeutic Activities (97530)
range across 2 matching MRF lines		 $120–$168 $125–$175 varies
Tte w/doppler, complete (93306) $2,400 $2,500 4.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $288 $300 3.8×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $206.40 $215 8.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $192 $200 3.9×
Upr/L Xtremity Art 2 Levels (93922) $504 $525 3.6×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,008 $1,050 4.5×
Vasopneumatic device (97016) $76.80 $80 6.4×
Wheelchair Mgmt Ea 15 Min (97542) $192 $200 6.2×

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.