Visits & medical services prices at Box Butte General Hospital
Alliance, NE · every code in this section with a posted price and a Medicare benchmark.
158 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) | $52.20 | $58 | 1.2× |
| Aep neurodiagnostic i&r (92653) | $260.10 | $289 | 1.2× |
| Airway Inhalation Treatment (94640) range across 6 matching MRF lines |
$198.90–$669.60 | $221–$744 | varies |
| Airway resistance by oscillometry (94728) range across 2 matching MRF lines |
$240.30–$260.10 | $267–$289 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $276.30 | $307 | 2.0× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $245.70 | $273 | 1.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$96.30–$105.30 | $107–$117 | varies |
| Assessment of aphasia per hr (96105) | $335.70 | $373 | 3.5× |
| Behavral qualit analys voice (92524) | $395.10 | $439 | 3.6× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) range across 2 matching MRF lines |
$144.90–$157.50 | $161–$175 | varies |
| Bfb training ea addl 15 min (90913) | $133.20 | $148 | 4.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$645.30–$742.50 | $717–$825 | varies |
| C motor evoked upr&lwr limbs (95939) | $2,990.70 | $3,323 | 3.4× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$109.80–$119.70 | $122–$133 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$1,204.20–$1,298.70 | $1,338–$1,443 | varies |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$813.60–$897.30 | $904–$997 | varies |
| Cardioversion (92960) | $1,725.30 | $1,917 | 2.5× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $190.80 | $212 | 7.3× |
| Cbt 1st hour (94644) | $483.30 | $537 | 3.5× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$333–$502.20 | $370–$558 | varies |
| Chemo IV push addl drug (96411) | $284.40 | $316 | 3.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $318.60 | $354 | 4.3× |
| Chest Wall Manipulation (94668) | $171.90 | $191 | 1.2× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$1,420.20–$1,531.80 | $1,578–$1,702 | varies |
| Color/duplex Doppler, limited (93976) range across 3 matching MRF lines |
$1,454.40–$2,908.80 | $1,616–$3,232 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $131.40 | $146 | 4.1× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$304.20–$360 | $338–$400 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $208.80 | $232 | 3.4× |
| Continuous Pulse Ox (94762) | $471.60 | $524 | 3.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$800.10–$840.60 | $889–$934 | varies |
| Cpt initial (94667) | $235.80 | $262 | 1.7× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$1,828.80–$1,971.90 | $2,032–$2,191 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $1,261.80 | $1,402 | 3.3× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$276.30–$298.80 | $307–$332 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$868.50–$937.80 | $965–$1,042 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$1,420.20–$1,531.80 | $1,578–$1,702 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$950.40–$1,025.10 | $1,056–$1,139 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$1,462.50–$1,577.70 | $1,625–$1,753 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$1,051.20–$1,134 | $1,168–$1,260 | varies |
| Duplex Scan Hemodialysis Access (93990) | $965.70 | $1,073 | 8.9× |
| Duplex up extrem art bilat (93930) | $1,531.80 | $1,702 | 6.2× |
| Duplex up extrem art unilat/ltd (93931) | $965.70 | $1,073 | 8.9× |
| ECG/monitoring and analysis (93271) | $692.10 | $769 | 7.0× |
| Echo Congenital Complete (93303) | $1,577.70 | $1,753 | 2.8× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$852.30–$919.80 | $947–$1,022 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$92.70–$185.40 | $103–$206 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$333–$360 | $370–$400 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$360.90–$415.80 | $401–$462 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$540–$609.30 | $600–$677 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$847.80–$956.70 | $942–$1,063 | varies |
| Emg 4 Extremities (95864) | $2,773.80 | $3,082 | 20.8× |
| Er level 1 (99281) range across 2 matching MRF lines |
$201.60–$225 | $224–$250 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$1,582.20–$1,732.50 | $1,758–$1,925 | varies |
| Evaluate pt use of inhaler (94664) | $174.60 | $194 | 0.8× |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$272.70–$295.20 | $303–$328 | varies |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$391.50–$423 | $435–$470 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$349.20–$791.10 | $388–$879 | varies |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$146.70–$159.30 | $163–$177 | varies |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$241.20–$261 | $268–$290 | varies |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$1,467.90–$1,583.10 | $1,631–$1,759 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) | $965.70 | $1,073 | 1.7× |
| Group Therapeutic Procedures (97150) | $114.30 | $127 | 6.3× |
| Holter monitor recording (93225) | $557.10 | $619 | 4.0× |
| Immunization administration (90471) range across 3 matching MRF lines |
$39.60–$85.50 | $44–$95 | varies |
| Iontophoresis 15 min (97033) | $125.10 | $139 | 6.6× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$119.70–$129.60 | $133–$144 | varies |
| IV infusion hydration each additional hour (96361) range across 7 matching MRF lines |
$103.50–$1,263.60 | $115–$1,404 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$338.40–$396 | $376–$440 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 6 matching MRF lines |
$138.60–$277.20 | $154–$308 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$102.60–$223.20 | $114–$248 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$202.50–$271.80 | $225–$302 | varies |
| Liver Elastography W/O Imag W/I&R (91200) | $1,017 | $1,130 | 7.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,046.70 | $1,163 | 4.7× |
| Mechanical chest wall oscillation per session (94669) | $322.20 | $358 | 1.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$81.90–$149.40 | $91–$166 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$97.20–$450 | $108–$500 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$509.40–$549.90 | $566–$611 | varies |
| Multiple Sleep Latency Test (95805) | $3,153.60 | $3,504 | 3.5× |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$2,572.20–$2,773.80 | $2,858–$3,082 | varies |
| Needle electromyography larynx (95865) | $1,140.30 | $1,267 | 8.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $738 | $820 | 1.7× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $738 | $820 | 1.7× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $371.70 | $413 | 1.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $738 | $820 | 1.7× |
| Nerve Conduction Studies 11-12 Studies (95912) | $2,896.20 | $3,218 | 7.5× |
| Nerve Conduction Studies 3-4 Studies (95908) | $1,429.20 | $1,588 | 6.4× |
| Nerve conduction studies 5-6 studies (95909) | $1,798.20 | $1,998 | 8.0× |
| Nerve conduction studies 7-8 studies (95910) | $2,162.70 | $2,403 | 5.6× |
| Nerve Conduction Studies 9-10 Studies (95911) | $2,529.90 | $2,811 | 6.5× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) range across 2 matching MRF lines |
$1,029.60–$1,111.50 | $1,144–$1,235 | varies |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$125.10–$250.20 | $139–$278 | varies |
| Newborn resuscitation (99465) | $768.60 | $854 | 1.1× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$346.50–$374.40 | $385–$416 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $132.30 | $147 | 2.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$137.70–$149.40 | $153–$166 | varies |
| Ot eval high complexity (97167) | $396 | $440 | 3.9× |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$170.10–$184.50 | $189–$205 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$243.90–$263.70 | $271–$293 | varies |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$118.80–$356.40 | $132–$396 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$74.70–$81.90 | $83–$91 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $135.90 | $151 | 3.4× |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$146.70–$159.30 | $163–$177 | varies |
| Ot rom hand (95852) | $105.30 | $117 | 4.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$274.50–$297 | $305–$330 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $306 | $340 | 1.3× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$183.60–$198.90 | $204–$221 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) range across 2 matching MRF lines |
$222.30–$240.30 | $247–$267 | varies |
| Physical Performance Test (97750) | $132.30 | $147 | 3.9× |
| Plethysmography (94726) range across 2 matching MRF lines |
$553.50–$841.50 | $615–$935 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$4,917.60–$5,558.40 | $5,464–$6,176 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $4,485.60 | $4,984 | 5.0× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$344.70–$372.60 | $383–$414 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$164.70–$179.10 | $183–$199 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$229.50–$248.40 | $255–$276 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$121.50–$223.20 | $135–$248 | varies |
| Pt group caregiver training (97552) | $157.50 | $175 | 7.1× |
| Pt mechanical traction (97012) | $111.60 | $124 | 7.8× |
| Pt Re-Eval Est Plan Care (97164) | $133.20 | $148 | 2.0× |
| Pulm function test by gas (94727) range across 2 matching MRF lines |
$428.40–$508.50 | $476–$565 | varies |
| Pulmonary service/procedure (94799) | $169.20 | $188 | 1.3× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$391.50–$423 | $435–$470 | varies |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$382.50–$413.10 | $425–$459 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $276.30 | $307 | 4.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$201.60–$371.70 | $224–$413 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $128.70 | $143 | 4.9× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $403.20 | $448 | 3.3× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $153.90 | $171 | 3.2× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$145.80–$402.30 | $162–$447 | varies |
| Sensory Integration Ea 15 Min (97533) | $128.70 | $143 | 2.1× |
| Slp caregiver training 1st 30 min (97550) | $240.30 | $267 | 4.6× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $376.20 | $418 | 1.7× |
| Somatosensory Testing (95938) range across 2 matching MRF lines |
$4,592.70–$4,952.70 | $5,103–$5,503 | varies |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$365.40–$395.10 | $406–$439 | varies |
| Spirometry (94010) range across 2 matching MRF lines |
$304.20–$328.50 | $338–$365 | varies |
| Standardized Cognitive Performance Testing (96125) | $349.20 | $388 | 3.4× |
| Stress Tte Only (93350) | $1,623.60 | $1,804 | 2.9× |
| Subcutaneous Infusion Each Additional Hour (96370) range across 3 matching MRF lines |
$106.20–$486 | $118–$540 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) range across 4 matching MRF lines |
$667.80–$786.60 | $742–$874 | varies |
| Subq Infusion Additional Pump Infusion Site (96371) range across 2 matching MRF lines |
$295.20–$322.20 | $328–$358 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $151.20 | $168 | 6.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $116.10 | $129 | 5.5× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$135–$250.20 | $150–$278 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$98.10–$107.10 | $109–$119 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$129.60–$172.80 | $144–$192 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$342–$408.60 | $380–$454 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$134.10–$402.30 | $149–$447 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $71.10 | $79 | 1.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $63.90 | $71 | 1.6× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$2,238.30–$2,413.80 | $2,487–$2,682 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$306.90–$332.10 | $341–$369 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $153.90 | $171 | 6.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 8 matching MRF lines |
$169.20–$542.70 | $188–$603 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$236.70–$654.30 | $263–$727 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$289.80–$873 | $322–$970 | varies |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$115.20–$125.10 | $128–$139 | varies |
| Vent Mgmt Inpat Init Day (94002) | $1,715.40 | $1,906 | 2.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,435.50 | $1,595 | 2.2× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$127.80–$471.60 | $142–$524 | varies |
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.