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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $240.56 $248 1.1×
Appl on-body injector for timed subq injection (96377) $94.09 $97 1.9×
Behavioral and qualitative analysis of voice and resonance (92524) $410.31 $423 3.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $929.26 $958 2.4×
Canalith Repositioning (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 Hormon Antineopl Sq/Im (96402) $388.97 $401 5.2×
Chemo IV push addl drug (96411) $377.33 $389 5.0×
Chemo Iv Push Sngl Drug (96409) $383.15 $395 1.1×
Chemo prolong 8+ hrs infuse w/pump (96416) $854.57 $881 2.5×
Chemother, IV infusion, 1 hr (96413) $656.69 $677 1.9×
Chemother, IV infusion, ea add hr (96415) $133.86 $138 1.8×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $182.36 $188 2.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $71.78 $74 1.0×
Color/duplex Doppler, complete (93975) $1,392.92 $1,436 5.6×
Cpap initiation and management (94660) $1,038.87 $1,071 4.6×
Cpt initial (94667) $305.55 $315 2.2×
Critical care (99291) $2,563.71 $2,643 3.0×
Demo &/or eval,pt use,aerosol device (94664) $217.28 $224 1.0×
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 unilateral/limited study (93971) $812.86 $838 7.5×
Duplex scan extracranial art compl bi study (93880) $1,981.71 $2,043 8.0×
Echo Heart Xthoracic,Limited (93308) $1,227.05 $1,265 5.0×
EEG awake asleep (95819) $1,325.02 $1,366 5.9×
EEG awake drowsy (95816) $1,202.80 $1,240 5.4×
EKG (93005) $495.67 $511 8.1×
Er level 1 (99281) $166.84 $172 1.9×
Er level ii (99282) $495.67 $511 3.1×
Er level iii (99283) $840.99 $867 3.0×
Er level IV (99284) $1,225.11 $1,263 2.8×
Er level v (99285) $1,797.41 $1,853 2.9×
Evaluation of speech sound production (92522) $410.31 $423 3.7×
Evaluation of swallowing function (92610) $447.17 $461 5.3×
External Ecg Scanning Analysis Report (93226) $678.03 $699 11.1×
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×
Immunization Admin (90471) $71.78 $74 1.0×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $134.83 $139 2.2×
IV infusion hydration each additional hour (96361) $203.70 $210 4.2×
IV infusion hydration initial 31 min-1 hour (96360) $459.78 $474 2.1×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $71.78 $74 1.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $566 $583.50 2.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $249.78 $257.50 5.1×
IV push initial (96374) $415.16 $428 1.9×
Manual therapy 15 min (97140) $166.36 $171.50 6.0×
Mechanical chest wall oscillation (94669) $251.23 $259 1.1×
Mechanical traction (97012) $122.22 $126 8.5×
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 Fluor Eval Swlng Funcj C/V Rec (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×
Newborn resuscitation (99465) $735.26 $758 1.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $669.30 $690 4.8×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $663.48 $684 5.0×
Ophthalmic biometry (92136) $144.53 $149 1.0×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $172.66 $178 3.7×
Ot eval low complex 30 min (97165) $291.97 $301 2.9×
Ot eval mod complex 45 min (97166) $397.70 $410 4.0×
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×
Phy/qhp op pulm rhb w/mntr (94626) $264.81 $273 4.3×
Phy/qhp op pulm rhb w/o 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×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $152.29 $157 3.9×
Programming of dual lead implantable defibrillator system (93283) $139.68 $144 3.6×
Programming of single lead implantable defibrillator system (93282) $109.61 $113 2.8×
Pt Aquatic Therapy/Exercises (97113) $161.02 $166 4.3×
Pt Electric Current Therapy (97033) $218.74 $225.50 11.5×
Pt Electrical Stimulation (97032) $139.20 $143.50 9.5×
Pt eval low complex 20 min (97161) $249.29 $257 2.5×
Pt Gait Training Therapy (97116) $127.07 $131 4.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $145.50 $150 4.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $339.50 $350 3.5×
Pt re-evaluation (97164) $238.62 $246 3.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $162.96 $168 5.0×
Pt Ultrasound Therapy (97035) $131.92 $136 9.2×
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 - Cardiac Event Monitor (93270) $287.12 $296 7.4×
Rt Chest Wall Manipulation,Subsequent (94668) $243.47 $251 1.8×
Speech sound lang comprehen (92523) $410.31 $423 1.8×
Spirometry (94010) $335.62 $346 1.5×
Stress Tte Complete (93351) $2,807.18 $2,894 4.9×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $120.28 $124 5.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $106.70 $110 5.1×
Ther/Proph/Diag Inj Sc/Im (96372) $229.40 $236.50 3.1×
Therapeutic Activities (97530) $162.96 $168 4.6×
Therapeutic phlebotomy (99195) $420.01 $433 3.0×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $3,250.47 $3,351 5.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $471.42 $486 6.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $449.11 $463 5.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $318.64 $328.50 6.6×
Vasc Duplex Extrem Venous,Bilat (93970) $1,519.02 $1,566 6.1×
Ventilation assist & mgmt inpatient 1st day (94002) $2,905.15 $2,995 4.5×