Visits & medical services prices at Audubon County Memorial Hospital

Audubon, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $41 $41 1.0×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$40–$80 $40–$80 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $85 $85 5.9×
Behavral qualit analys voice (92524) $285 $285 2.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $250 $250 0.7×
Canalith repositioning proc (95992) $115 $115 2.8×
Cardiac Stress Tst,Tracing Only (93017) $590 $590 2.8×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$435–$600 $435–$600 varies
Cardioversion (92960)
range across 2 matching MRF lines
$425–$475 $425–$475 varies
Cardioversion elective internal (92961)
range across 2 matching MRF lines
$700–$750 $700–$750 varies
Chemo Anti-Neopl Sq/Im (96401) $145 $145 2.1×
Chemo IV infusion addl hr (96415) $75 $75 1.1×
Chemo IV push addl drug (96411) $105 $105 1.5×
Chemother Prolong Infuse W/Pump (96416) $350 $350 1.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $300 $300 4.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $500 $500 1.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $140 $140 0.4×
Chest Wall Manipulation (94668) $120 $120 0.9×
Color/duplex Doppler, complete (93975) $565 $565 2.5×
Color/duplex Doppler, limited (93976) $650 $650 6.5×
Continuous Pulse Ox (94762) $125 $125 1.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $105 $105 0.5×
Cpt initial (94667) $110 $110 0.9×
Critical care first hour (99291) $800 $800 1.0×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$75–$190 $75–$190 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,160 $1,160 5.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $450 $450 4.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,175 $1,175 5.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $375 $375 3.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,165 $1,165 5.1×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$65–$800 $65–$800 varies
Duplex up extrem art unilat/ltd (93931) $330 $330 3.3×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$75–$775 $75–$775 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $420 $420 0.8×
Electrocardiogram Tracing (93005) $151 $151 2.7×
Emergency Dept Visit Level 2 (99282) $150 $150 1.0×
Emergency Dept Visit Level 3 (99283) $300 $300 1.1×
Emergency Dept Visit Level 4 (99284) $450 $450 1.1×
Er level 1 (99281) $100 $100 1.2×
Er level v (99285) $800 $800 1.4×
Evaluate pt use of inhaler (94664) $115 $115 0.5×
Evaluate Speech Production (92522) $290 $290 2.6×
Evaluate Swallowing Function (92610) $390 $390 4.6×
External ECG rec>48hr<7d recording (93242) $100 $100 2.8×
External ECG rec>7d<15d recording (93246) $100 $100 2.8×
External Ecg Scanning Analysis Report (93226) $175 $175 3.1×
Extracranial Bilat Study (93880) $1,140 $1,140 5.0×
Extracranial Uni/Ltd Study (93882) $355 $355 3.5×
Holter monitor recording (93225) $200 $200 1.6×
Ilr Device Eval Progr (93285)
range across 2 matching MRF lines
$175–$275 $175–$275 varies
Ilr Device Interrogate (93291)
range across 2 matching MRF lines
$90–$125 $90–$125 varies
Im Adm Intransl/Oral 1 Vaccine (90473) $19 $19 0.3×
Immunization administration (90471)
range across 3 matching MRF lines
$19–$40 $19–$40 varies
Iontophoresis 15 min (97033) $100 $100 5.3×
Irrig Drug Delivery Device (96523) $75 $75 1.3×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$55–$65 $55–$65 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$125–$220 $125–$220 varies
IV infusion ther proph addl sequential to 1 hr (96367) $125 $125 1.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $90 $90 2.0×
IV push initial (96374) $125 $125 0.6×
Lung Function Test (Mbc/Mvv) (94200) $45 $45 0.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $70 $70 2.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $80 $80 2.2×
Nasopharyngoscopy (92511)
range across 2 matching MRF lines
$100–$300 $100–$300 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$102–$635 $102–$635 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$55–$660 $55–$660 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$50–$85 $50–$85 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$55–$100 $55–$100 varies
Neuromuscular Reeducation (97112) $100 $100 3.1×
Oral Function Therapy (92526) $230 $230 2.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $140 $140 3.0×
Ot eval high complexity (97167) $575 $575 5.7×
Ot Eval Low Complex (97165) $250 $250 2.5×
Ot Eval Moderate Complexity (97166) $450 $450 4.5×
Ot manual therapy 15 min (97140) $100 $100 3.6×
Ot paraffin bath (97018) $25 $25 4.2×
Ot Prosthetic Training, Each 15 Min (97761) $125 $125 3.1×
Ot Re-Eval Est Plan Care (97168) $135 $135 2.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $195 $195 1.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $180 $180 0.9×
Phlebotomy therapeutic (99195) $51 $51 0.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,000 $3,000 3.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $30 $30 0.7×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $35 $35 0.8×
Pt Eval High Complex (97163) $385 $385 3.9×
Pt eval low complex 20 min (97161) $225 $225 2.3×
Pt Eval Mod Complex (97162) $310 $310 3.2×
Pt gait training 15 min (97116) $100 $100 3.4×
Pt mechanical traction (97012) $100 $100 7.0×
Pt Re-Eval Est Plan Care (97164) $135 $135 2.0×
Pulm function test by gas (94727) $305 $305 1.5×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $275 $275 7.7×
Remote 30 Day Ecg Rev/Report (93270) $100 $100 2.8×
Respiratory flow volume loop (94375) $75 $75 0.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $260 $260 1.3×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $60 $60 2.3×
Self Care Mngment Training (97535) $120 $120 3.7×
Sleep study unattended (95806) $700 $700 3.4×
Speech sound lang comprehen (92523) $600 $600 2.6×
Spirometry (94010)
range across 2 matching MRF lines
$200–$245 $200–$245 varies
Stress Tte Only (93350) $525 $525 1.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $180 $180 8.0×
Ther Ivntj Ea Addl 15 Min (97130) $70 $70 3.3×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$55–$150 $55–$150 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$175–$180 $175–$180 varies
Therapeutic Activities (97530) $135 $135 3.8×
Tobacco Use Cessation Intensive >10 Minutes (99407) $55 $55 1.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $40 $40 1.1×
Tte w/doppler, complete (93306) $1,500 $1,500 2.9×
Tte W/O Doppler Complete (93307) $275 $275 1.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $215 $215 2.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $75 $75 1.7×
Upr/L Xtremity Art 2 Levels (93922) $575 $575 4.5×
Vent Mgmt Inpat Init Day (94002) $260 $260 0.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $180 $180 0.3×

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.