Visits & medical services prices at Avera St. Anthony's Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 6 matching MRF lines
$217.28–$600.43 $224–$619 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $131.92 $136 9.2×
Application on-body injector (96377) $94.09 $97 1.9×
Behavral qualit analys voice (92524) $410.31 $423 3.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $929.26 $958 2.4×
Canalith repositioning proc (95992) $208.55 $215 5.1×
Cardiac Stress Tst,Tracing Only (93017) $1,729.51 $1,783 7.7×
Cardiopulmonary resuscitation (92950) $320.10 $330 1.4×
Cbt 1st hour (94644) $228.92 $236 1.7×
Chemo Anti-Neopl Sq/Im (96401) $182.36 $188 2.4×
Chemo Hormon Antineopl Sq/Im (96402) $388.97 $401 5.2×
Chemo IV infusion addl hr (96415) $133.86 $138 1.8×
Chemo IV push addl drug (96411) $377.33 $389 5.0×
Chemother Prolong Infuse W/Pump (96416) $854.57 $881 2.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $71.78 $74 1.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $656.69 $677 1.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $383.15 $395 1.1×
Chest Wall Manipulation (94668) $243.47 $251 1.8×
Color/duplex Doppler, complete (93975) $1,392.92 $1,436 5.6×
Continuous Pulse Ox (94762) $663.48 $684 5.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$992.31–$1,085.43 $1,023–$1,119 varies
Cpt initial (94667) $305.55 $315 2.2×
Critical care first hour (99291) $2,563.71 $2,643 3.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $814.80 $840 3.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $546.11 $563 5.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,519.02 $1,566 6.1×
Dup-scan xtr veins unilateral/limited study (93971) $812.86 $838 7.5×
Echo Heart Xthoracic,Limited (93308) $1,227.05 $1,265 5.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,807.18 $2,894 4.9×
EEG awake and asleep (95819) $1,325.02 $1,366 5.9×
EEG awake drowsy (95816) $1,202.80 $1,240 5.4×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$130.95–$147.44 $135–$152 varies
Electrocardiogram Tracing (93005) $495.67 $511 8.1×
Emergency Dept Visit Level 2 (99282) $495.67 $511 3.1×
Emergency Dept Visit Level 3 (99283) $840.99 $867 3.0×
Emergency Dept Visit Level 4 (99284) $1,225.11 $1,263 2.8×
Er level 1 (99281) $166.84 $172 1.9×
Er level v (99285) $1,797.41 $1,853 2.9×
Evaluate pt use of inhaler (94664) $217.28 $224 1.0×
Evaluate Speech Production (92522) $410.31 $423 3.7×
Evaluate Swallowing Function (92610) $447.17 $461 5.3×
External Ecg Scanning Analysis Report (93226) $678.03 $699 11.1×
Extracranial Bilat Study (93880) $1,981.71 $2,043 8.0×
Group Therapeutic Procedures (97150) $171.69 $177 9.5×
Holter monitor recording (93225) $519.92 $536 3.8×
Icd Device Interrogate (93289) $97.97 $101 2.5×
Icd device progr eval dual (93283) $139.68 $144 3.6×
Icd Device Progr Eval Mult (93284) $152.29 $157 3.9×
Immunization administration (90471) $71.78 $74 1.0×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$207.58–$229.89 $214–$237 varies
Irrig Drug Delivery Device (96523) $134.83 $139 2.2×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$201.76–$205.64 $208–$212 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$448.14–$471.42 $462–$486 varies
IV infusion ther proph addl sequential to 1 hr (96367) $71.78 $74 1.0×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$239.59–$259.96 $247–$268 varies
IV push initial (96374)
range across 2 matching MRF lines
$395.76–$434.56 $408–$448 varies
Mechanical chest wall oscillation per session (94669) $251.23 $259 1.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $48.50 $50 1.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $48.50 $50 1.3×
Motion Fluoroscopy/Swallow (92611) $553.87 $571 6.1×
Multiple Sleep Latency Test (95805) $3,980.88 $4,104 4.5×
Nasopharyngoscopy (92511) $197.88 $204 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $170.72 $176 0.8×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$136.77–$154.23 $141–$159 varies
Newborn resuscitation (99465) $735.26 $758 1.1×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $144.53 $149 1.0×
Oral Function Therapy (92526) $449.11 $463 5.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $172.66 $178 3.7×
Ot Eval Low Complex (97165) $291.97 $301 2.9×
Ot Eval Moderate Complexity (97166) $397.70 $410 4.0×
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines
$162.96–$169.75 $168–$175 varies
Ot Re-Eval Est Plan Care (97168) $182.36 $188 2.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $229.89 $237 1.7×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $229.89 $237 1.7×
Phlebotomy therapeutic (99195) $420.01 $433 3.0×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $264.81 $273 4.3×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $264.81 $273 4.3×
Plethysmography (94726) $1,194.07 $1,231 3.1×
Pm device progr eval dual (93280) $104.76 $108 2.7×
Pm device progr eval multi (93281) $113.49 $117 2.9×
Pm Device Progr Eval Sngl (93279) $89.24 $92 2.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $6,504.82 $6,706 7.3×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $109.61 $113 2.8×
Pt eval low complex 20 min (97161) $249.29 $257 2.5×
Pt Eval Mod Complex (97162) $339.50 $350 3.5×
Pt gait training 15 min (97116) $127.07 $131 4.4×
Pt mechanical traction (97012) $122.22 $126 8.5×
Pt Re-Eval Est Plan Care (97164) $238.62 $246 3.5×
Pulm function test by gas (94727) $226.01 $233 1.0×
Pulmonary Stress Testing (94618) $158.11 $163 1.1×
Refill/Maint Portable Pump (96521) $614.01 $633 2.8×
Remote 30 Day Ecg Rev/Report (93270) $287.12 $296 7.4×
Self Care Mngment Training (97535) $162.96 $168 5.0×
Speech sound lang comprehen (92523) $410.31 $423 1.8×
Spirometry (94010) $335.62 $346 1.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $120.28 $124 5.4×
Ther Ivntj Ea Addl 15 Min (97130) $106.70 $110 5.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 2 matching MRF lines
$141.62–$180.42 $146–$186 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$218.25–$240.56 $225–$248 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$539.32–$592.67 $556–$611 varies
Therapeutic Activities (97530)
range across 3 matching MRF lines
$91.18–$162.96 $94–$168 varies
Tte w/doppler, complete (93306) $3,250.47 $3,351 5.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $471.42 $486 6.2×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$311.37–$325.92 $321–$336 varies
Upr/L Xtremity Art 2 Levels (93922) $669.30 $690 4.8×
Vent Mgmt Inpat Init Day (94002) $2,905.15 $2,995 4.5×

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.