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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $288 $300 1.3×
Assessment of aphasia (96105) $384 $400 4.0×
Behavioral and qualitative analysis of voice and resonance (92524) $264 $275 2.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $600 $625 1.5×
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×
Color/duplex Doppler, complete (93975) $936 $975 3.8×
Cpt initial (94667) $240 $250 1.7×
Critical care (99291) $1,872 $1,950 2.2×
Demo &/or eval,pt use,aerosol device (94664) $240 $250 1.1×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,152 $1,200 4.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $888 $925 8.2×
Dup-scan xtr veins unilateral/limited study (93971) $1,152 $1,200 10.6×
Duplex scan extracranial art compl bi study (93880) $1,536 $1,600 6.2×
Echo Heart Xthoracic,Limited (93308) $1,152 $1,200 4.6×
EKG (93005) $336 $350 5.5×
Er level 1 (99281) $216 $225 2.5×
Er level ii (99282) $432 $450 2.7×
Er level iii (99283) $744 $775 2.6×
Er level IV (99284) $1,200 $1,250 2.8×
Er level v (99285) $1,680 $1,750 2.7×
Evaluation of swallowing function (92610) $336 $350 4.0×
Evaluation with prescription of speech-generating alternative (92607) $456 $475 3.7×
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×
Holter Monitor Recording (93225) $432 $450 3.1×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $57.60 $60 0.8×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $264 $275 3.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $504 $525 2.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $288 $300 5.9×
IV push initial (96374) $288 $300 1.3×
Manual therapy 15 min (97140) $105.60 $110 3.8×
Massage 15 min (97124) $96 $100 3.2×
Mechanical traction (97012) $76.80 $80 5.3×
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×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $504 $525 3.6×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $1,008 $1,050 4.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $480 $500 3.6×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $156 $162.50 3.4×
Ot eval high complex 60 min (97167) $264 $275 2.6×
Ot eval low complex 30 min (97165) $216 $225 2.1×
Ot eval mod complex 45 min (97166) $240 $250 2.4×
Ot re-eval est plan care (97168) $153.60 $160 2.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $336 $350 2.5×
Paraffin bath (97018) $72.96 $76 12.1×
Phy/qhp op pulm rhb w/mntr (94626) $288 $300 4.7×
Phy/qhp op pulm rhb w/o 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 Electric Current Therapy (97033) $105.60 $110 5.5×
Pt eval high complex 45 min (97163) $264 $275 2.7×
Pt eval low complex 20 min (97161) $192 $200 2.0×
Pt Gait Training Therapy (97116) $96 $100 3.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $144 $150 4.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $216 $225 2.2×
Pt re-evaluation (97164) $144 $150 2.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $144 $150 4.4×
Pt Ultrasound Therapy (97035) $76.80 $80 5.3×
Pulmonary stress testing (94618) $480 $500 3.5×
Rt Chest Wall Manipulation,Subsequent (94668) $336 $350 2.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $96 $100 2.0×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $528 $550 2.4×
Speech group therapy (92508) $206.40 $215 8.6×
Speech sound lang comprehen (92523) $408 $425 1.8×
Spirometry (94010) $336 $350 1.5×
Stress echo (93350) $1,728 $1,800 3.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $249.60 $260 2.4×
Ther/Proph/Diag Inj Sc/Im (96372) $192 $200 2.6×
Therapeutic Activities (97530) $144 $150 4.1×
Therapeutic phlebotomy (99195) $216 $225 1.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,400 $2,500 4.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $288 $300 3.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $312 $325 3.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $192 $200 3.9×
Vasc Duplex Extrem Venous,Bilat (93970) $1,488 $1,550 6.0×
Vasc Duplex Scan Extracranial,Limited (93882) $864 $900 8.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,008 $1,050 4.5×
Vasopneumatic device (97016) $76.80 $80 6.4×
Wheelchair Mgmt Ea 15 Min (97542) $192 $200 6.2×