Visits & medical services prices at Boone County Hospital
Boone, IA · every code in this section with a posted price and a Medicare benchmark.
162 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $33.60 | $42 | 0.9× |
| Advncd Care Plan 30 Min (99497) range across 2 matching MRF lines |
$73.02–$100 | $91.28–$125 | varies |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$28.80–$111.58 | $36–$139.48 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $71.65 | $89.56 | 2.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$50.33–$69.98 | $62.91–$87.48 | varies |
| Assessment of aphasia per hr (96105) | $301.32 | $376.65 | 3.1× |
| Behavral qualit analys voice (92524) | $254.66 | $318.33 | 2.3× |
| Brief Emotional/Behav Assmt (96127) | $13.20 | $16.50 | 0.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 4 matching MRF lines |
$73.48–$248.80 | $91.85–$311 | varies |
| Canalith repositioning proc (95992) | $90 | $112.50 | 2.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $887.70 | $1,109.62 | 4.3× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$549.76–$1,058.26 | $687.20–$1,322.82 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$203.20–$878.86 | $254–$1,098.57 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $6 | $7.50 | 0.2× |
| Chemo Anti-Neopl Sq/Im (96401) | $36.29 | $45.36 | 0.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $36.29 | $45.36 | 0.5× |
| Chemo IV infusion addl hr (96415) | $297.78 | $372.23 | 4.3× |
| Chemo IV push addl drug (96411) | $120.43 | $150.54 | 1.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $723.94 | $904.93 | 10.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $593.77 | $742.21 | 1.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $131.32 | $164.15 | 0.4× |
| Chiropract manj 3-4 regions (98941) | $68.80 | $86 | 3.3× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $49.60 | $62 | 2.4× |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) | $90.40 | $113 | 4.4× |
| Color/duplex Doppler, complete (93975) | $1,520.92 | $1,901.15 | 6.6× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$666.34–$719.18 | $832.93–$898.98 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$91.37–$100.87 | $114.21–$126.09 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$244.80–$318.42 | $306–$398.03 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $68 | $85 | 1.2× |
| Continuous Pulse Ox (94762) | $396.90 | $496.13 | 3.2× |
| Critical care first hour (99291) range across 5 matching MRF lines |
$336.80–$881.80 | $421–$1,102.25 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 6 matching MRF lines |
$76–$552 | $95–$690 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $703.18 | $878.98 | 3.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $634.82 | $793.52 | 6.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,327.69 | $1,659.61 | 5.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $665.20 | $831.50 | 6.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,283.46 | $1,604.33 | 5.6× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$641.73–$684.94 | $802.16–$856.17 | varies |
| Duplex up extrem art bilat (93930) | $1,328 | $1,660 | 5.8× |
| Duplex up extrem art unilat/ltd (93931) | $665.20 | $831.50 | 6.6× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$755.47–$939.47 | $944.34–$1,174.34 | varies |
| Echo transesophageal (93312) | $1,336.30 | $1,670.38 | 2.5× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$1,800.79–$1,984.79 | $2,250.99–$2,480.99 | varies |
| EEG awake and asleep (95819) | $1,002.23 | $1,252.79 | 4.8× |
| EEG awake drowsy (95816) | $1,002.23 | $1,252.79 | 4.8× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$21–$64.37 | $26.25–$80.46 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$15.20–$200.95 | $19–$251.19 | varies |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$52.80–$159.66 | $66–$199.58 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$84–$283.05 | $105–$353.81 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$148–$424.34 | $185–$530.43 | varies |
| Er level 1 (99281) range across 3 matching MRF lines |
$32–$98.89 | $40–$123.61 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$232.80–$634.82 | $291–$793.52 | varies |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$27.22–$144.93 | $34.02–$181.16 | varies |
| Evaluate Speech Production (92522) | $254.66 | $318.33 | 2.3× |
| Evaluate Swallowing Function (92610) | $434.81 | $543.51 | 5.1× |
| Evaluation of speech fluency (92521) | $254.66 | $318.33 | 1.9× |
| Evoked Auditory Test,Limited (92587) | $52.62 | $65.77 | 0.3× |
| External ECG rec>48hr<7d recording (93242) | $816.26 | $1,020.32 | 22.7× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $917.18 | $1,146.47 | 7.2× |
| External ECG rec>7d<15d recording (93246) | $816.26 | $1,020.32 | 22.7× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $917.18 | $1,146.47 | 7.2× |
| External Ecg Scanning Analysis Report (93226) | $917.18 | $1,146.47 | 16.2× |
| Extracranial Bilat Study (93880) | $1,228.58 | $1,535.72 | 5.4× |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$39.10–$77.54 | $48.87–$96.93 | varies |
| Holter monitor recording (93225) | $816.26 | $1,020.32 | 6.4× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $18.40 | $23 | 0.3× |
| Immunization administration (90471) range across 3 matching MRF lines |
$33.60–$78.26 | $42–$97.83 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $260.15 | $325.19 | 0.7× |
| Inital newborn e/m (99460) | $116.80 | $146 | 0.9× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$91.37–$100.87 | $114.21–$126.09 | varies |
| Irrig Drug Delivery Device (96523) | $120.43 | $150.54 | 2.1× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$25.60–$334.07 | $32–$417.59 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$97.60–$459.50 | $122–$574.38 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$298.93–$334.07 | $373.66–$417.59 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$97.07–$334.07 | $121.34–$417.59 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$131.32–$140.17 | $164.15–$175.21 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $90.12 | $112.65 | 1.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $21.17 | $26.46 | 0.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $21.17 | $26.46 | 0.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $38.10 | $47.62 | 2.2× |
| Motion Fluoroscopy/Swallow (92611) | $434.81 | $543.51 | 4.8× |
| Nasopharyngoscopy (92511) | $203.20 | $254 | 1.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$140–$176 | $175–$220 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$176–$240 | $220–$300 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$56.40–$552 | $70.50–$690 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 5 matching MRF lines |
$56.40–$984 | $70.50–$1,230 | varies |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$98.93–$108.22 | $123.66–$135.27 | varies |
| Newborn resuscitation (99465) range across 5 matching MRF lines |
$207.20–$518.40 | $259–$648 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $168.51 | $210.64 | 1.3× |
| Oral Function Therapy (92526) | $197.86 | $247.32 | 2.4× |
| Oral Speech Device Eval (92597) | $483.41 | $604.26 | 6.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$69.12–$76.56 | $86.40–$95.70 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$98.93–$107.35 | $123.66–$134.19 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$36.80–$52 | $46–$65 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$52.80–$76 | $66–$95 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$68.80–$94.40 | $86–$118 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 2 matching MRF lines |
$84.80–$116.80 | $106–$146 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) | $100.80 | $126 | 4.9× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$49.46–$53.14 | $61.83–$66.42 | varies |
| Ot eval high complexity (97167) | $150.34 | $187.92 | 1.5× |
| Ot Eval Low Complex (97165) | $150.34 | $187.92 | 1.5× |
| Ot Eval Moderate Complexity (97166) | $150.34 | $187.92 | 1.5× |
| Ot manual therapy 15 min (97140) | $122.26 | $152.82 | 4.4× |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$42.98–$55.94 | $53.73–$69.93 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $91.37 | $114.21 | 2.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$72.79–$224 | $90.99–$280 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $224 | $280 | 1.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $201.88 | $252.35 | 1.0× |
| Percutaneous tests w/allergenic extracts (95004) range across 2 matching MRF lines |
$8–$71.65 | $10–$89.56 | varies |
| Peripheral arterial disease rehab per session (93668) | $104 | $130 | 1.8× |
| Phlebotomy therapeutic (99195) | $173.50 | $216.87 | 1.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $176 | $220 | 3.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $176 | $220 | 3.1× |
| Physical Performance Test (97750) | $61.56 | $76.95 | 1.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$2,875.60–$3,024.61 | $3,594.50–$3,780.76 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $16.80 | $21 | 0.4× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$10.40–$21.55 | $13–$26.94 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$13.60–$23.16 | $17–$28.95 | varies |
| Pt Eval High Complex (97163) | $150.34 | $187.92 | 1.5× |
| Pt eval low complex 20 min (97161) | $150.34 | $187.92 | 1.5× |
| Pt Eval Mod Complex (97162) | $150.34 | $187.92 | 1.5× |
| Pt gait training 15 min (97116) | $89.64 | $112.05 | 3.1× |
| Pt mechanical traction (97012) | $74.74 | $93.42 | 5.2× |
| Pt Re-Eval Est Plan Care (97164) | $106.27 | $132.84 | 1.6× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $6.40 | $8 | 0.2× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$20–$164.66 | $25–$205.83 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$148.72–$302.78 | $185.90–$378.48 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $100.02 | $125.02 | 1.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$125.06–$552 | $156.33–$690 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $483.41 | $604.26 | 4.0× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $405.86 | $507.33 | 8.5× |
| Same day nb discharge (99463) | $154.40 | $193 | 1.2× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$91.37–$100.87 | $114.21–$126.09 | varies |
| Sensory Integration Ea 15 Min (97533) | $98.93 | $123.66 | 1.6× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $520 | $650 | 2.5× |
| Speech sound lang comprehen (92523) | $254.66 | $318.33 | 1.1× |
| Spirometry (94010) range across 2 matching MRF lines |
$43.20–$177.36 | $54–$221.70 | varies |
| Standardized Cognitive Performance Testing (96125) | $299.59 | $374.49 | 2.9× |
| Stress Tte Only (93350) | $913.10 | $1,141.38 | 1.7× |
| Temp transcutaneous pacing (92953) | $86.18 | $107.73 | 0.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $19.63 | $24.54 | 0.9× |
| Ther Ivntj Ea Addl 15 Min (97130) | $26.77 | $33.46 | 1.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $100.87 | $126.09 | 2.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$71.93–$84.02 | $89.91–$105.03 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $309.74 | $387.18 | 3.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$33.60–$93.77 | $42–$117.21 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$298.93–$459.50 | $373.66–$574.38 | varies |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$91.37–$100.87 | $114.21–$126.09 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $52 | $65 | 1.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $28 | $35 | 0.8× |
| Trans Care Mgmt 14 Day Disch (99495) range across 3 matching MRF lines |
$55.68–$139.20 | $69.60–$174 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 3 matching MRF lines |
$78.40–$204 | $98–$255 | varies |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,840.94–$2,024.94 | $2,301.17–$2,531.17 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $166.10 | $207.63 | 2.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$120.43–$140.17 | $150.54–$175.21 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$15.20–$720.60 | $19–$900.75 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$48.80–$460 | $61–$575 | varies |
| Vasopneumatic device (97016) | $69.12 | $86.40 | 5.8× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$422.40–$1,320.66 | $528–$1,650.82 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$264–$1,226.76 | $330–$1,533.45 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$62.42–$69.12 | $78.03–$86.40 | varies |
| Whirlpool Therapy (97022) | $59.62 | $74.52 | 3.8× |
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.