Visits & medical services prices at Boys Town National Research Hospital
Boys Town, NE · every code in this section with a posted price and a Medicare benchmark.
137 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) | $67.20 | $84 | 1.7× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $50.40 | $63 | 1.2× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $325.60 | $407 | 1.5× |
| Aep neurodiagnostic i&r (92653) | $438.40 | $548 | 2.0× |
| Aep threshold estimation mlt frequencies i&r (92652) | $440.80 | $551 | 2.0× |
| Airway Inhalation Treatment (94640) | $110.40 | $138 | 0.5× |
| Assessment of aphasia per hr (96105) | $147.20 | $184 | 1.5× |
| Behavral qualit analys voice (92524) range across 8 matching MRF lines |
$431.20–$3,447.20 | $539–$4,309 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $476 | $595 | 1.2× |
| Car seat/bed test 60 min (94780) | $130.40 | $163 | 3.4× |
| Cardiopulmonary resuscitation (92950) | $936.80 | $1,171 | 4.2× |
| Cbt 1st hour (94644) | $102.40 | $128 | 0.7× |
| Chemo Anti-Neopl Sq/Im (96401) | $250.40 | $313 | 3.3× |
| Chemo Hormon Antineopl Sq/Im (96402) | $217.60 | $272 | 2.9× |
| Chemo IV infusion addl hr (96415) | $161.60 | $202 | 2.2× |
| Chemo IV push addl drug (96411) | $278.40 | $348 | 3.7× |
| Chemotherapy Into Cns (96450) | $733.60 | $917 | 2.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $412 | $515 | 5.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $775.20 | $969 | 2.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $733.60 | $917 | 2.1× |
| Chest Wall Manipulation (94668) range across 4 matching MRF lines |
$58.40–$135.20 | $73–$169 | varies |
| Color/duplex Doppler, complete (93975) | $1,120.80 | $1,401 | 4.5× |
| Color/duplex Doppler, limited (93976) | $503.20 | $629 | 4.6× |
| Continuous Pulse Ox (94762) | $285.60 | $357 | 2.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$198.40–$946.40 | $248–$1,183 | varies |
| Cpt initial (94667) range across 5 matching MRF lines |
$58.40–$168.80 | $73–$211 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $364.80 | $456 | 2.7× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $777.60 | $972 | 3.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $475.20 | $594 | 4.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$1,120.80–$1,134.40 | $1,401–$1,418 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 5 matching MRF lines |
$503.20–$1,006.40 | $629–$1,258 | varies |
| Echo Congenital Complete (93303) | $2,208 | $2,760 | 3.9× |
| Echo Heart Xthoracic,Limited (93308) | $980.80 | $1,226 | 4.0× |
| Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) | $316.80 | $396 | 8.2× |
| Eeg 41-60 Minutes (95812) | $1,522.40 | $1,903 | 6.8× |
| EEG awake and asleep (95819) | $1,436 | $1,795 | 6.4× |
| EEG awake drowsy (95816) | $1,712.80 | $2,141 | 7.6× |
| EEG cont rec w/video by tech min 8 channels (95700) | $1,172 | $1,465 | 5.2× |
| EEG extended monitoring 61-119 minutes (95813) | $1,927.20 | $2,409 | 8.6× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $1,436 | $1,795 | 6.4× |
| EEG w/o vid 2-12hr cont mntr (95707) | $1,436 | $1,795 | 6.4× |
| EEG w/o vid ea 12-26hr intmt (95709) | $2,452 | $3,065 | 6.3× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $2,452 | $3,065 | 6.3× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $1,436 | $1,795 | 6.4× |
| EEG wo vid ea 12-26hr unmntr (95708) | $2,452 | $3,065 | 6.3× |
| Electrocardiogram Tracing (93005) | $144.80 | $181 | 2.4× |
| Electrocochleography (92584) | $435.20 | $544 | 3.3× |
| Emg 3 Extremities (95863) | $628 | $785 | 4.7× |
| Emg 4 Extremities (95864) | $669.60 | $837 | 5.0× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,487.20 | $1,859 | 3.8× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) range across 3 matching MRF lines |
$252.80–$1,352 | $316–$1,690 | varies |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$72–$152.80 | $90–$191 | varies |
| Evaluate Speech Production (92522) range across 8 matching MRF lines |
$437.60–$3,500 | $547–$4,375 | varies |
| Evaluate Swallowing Function (92610) range across 8 matching MRF lines |
$335.20–$2,682.40 | $419–$3,353 | varies |
| Evoked Auditory Test,Limited (92587) | $84 | $105 | 0.4× |
| Extracranial Bilat Study (93880) | $1,120.80 | $1,401 | 4.5× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $2,208 | $2,760 | 3.9× |
| Flexible endoscopic eval swallow c/v rec (92612) range across 6 matching MRF lines |
$1,561.60–$6,244.80 | $1,952–$7,806 | varies |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $1,426.40 | $1,783 | 1.6× |
| Gi tract capsule endoscopy (91110) | $2,516 | $3,145 | 2.7× |
| Holter monitor recording (93225) | $456 | $570 | 3.3× |
| Immunization administration (90471) | $62.40 | $78 | 0.8× |
| Ingestion challenge test initial 120 minutes (95076) | $289.60 | $362 | 0.7× |
| Irrig Drug Delivery Device (96523) | $210.40 | $263 | 3.4× |
| IV infusion hydration each additional hour (96361) | $108.80 | $136 | 2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) | $490.40 | $613 | 2.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $161.60 | $202 | 2.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $108.80 | $136 | 2.2× |
| IV push initial (96374) | $490.40 | $613 | 2.2× |
| Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor,… (95966) | $4,782.40 | $5,978 | 5.4× |
| Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral… (95965) | $4,782.40 | $5,978 | 5.4× |
| Mechanical chest wall oscillation per session (94669) | $134.40 | $168 | 0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $124.80 | $156 | 3.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $142.40 | $178 | 3.9× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $65.60 | $82 | 3.9× |
| Motion Fluoroscopy/Swallow (92611) range across 24 matching MRF lines |
$361.60–$4,337.60 | $452–$5,422 | varies |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $527.20 | $659 | 1.1× |
| Multiple Sleep Latency Test (95805) | $1,549.60 | $1,937 | 1.7× |
| Muscle Test 2 Limbs (95861) | $630.40 | $788 | 4.6× |
| Muscle Test Hemidiaphragm (95866) | $714.40 | $893 | 5.3× |
| Muscle Test Nonparaspinal (95870) | $320 | $400 | 2.3× |
| Muscle Test One Limb (95860) | $549.60 | $687 | 4.0× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $931.20 | $1,164 | 4.2× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $465.60 | $582 | 2.1× |
| Needle electromyography larynx (95865) | $179.20 | $224 | 1.3× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $412.80 | $516 | 1.8× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $272.80 | $341 | 1.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $187.20 | $234 | 0.9× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $285.60 | $357 | 0.7× |
| Nerve Conduction Studies 1-2 Studies (95907) | $464 | $580 | 2.1× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,512 | $1,890 | 3.9× |
| Nerve conduction studies 13 or more studies (95913) | $1,800.80 | $2,251 | 4.6× |
| Nerve Conduction Studies 3-4 Studies (95908) | $529.60 | $662 | 2.4× |
| Nerve conduction studies 5-6 studies (95909) | $756 | $945 | 3.4× |
| Nerve conduction studies 7-8 studies (95910) | $936 | $1,170 | 2.4× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,209.60 | $1,512 | 3.1× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $454.40 | $568 | 3.4× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $501.60 | $627 | 1.3× |
| Oral Function Therapy (92526) range across 8 matching MRF lines |
$332.80–$2,661.60 | $416–$3,327 | varies |
| Ot eval high complexity (97167) range across 16 matching MRF lines |
$398.40–$6,370.40 | $498–$7,963 | varies |
| Ot Eval Low Complex (97165) range across 16 matching MRF lines |
$398.40–$6,370.40 | $498–$7,963 | varies |
| Ot Eval Moderate Complexity (97166) range across 16 matching MRF lines |
$398.40–$6,370.40 | $498–$7,963 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 16 matching MRF lines |
$550.40–$4,400.80 | $688–$5,501 | varies |
| Plethysmography (94726) | $288.80 | $361 | 0.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,399.20 | $2,999 | 2.7× |
| Polysom <6 yrs 4/> paramtrs (95782) | $3,967.20 | $4,959 | 4.4× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $3,188 | $3,985 | 3.6× |
| Pt Eval High Complex (97163) range across 10 matching MRF lines |
$394.40–$3,942.40 | $493–$4,928 | varies |
| Pt eval low complex 20 min (97161) range across 10 matching MRF lines |
$394.40–$3,942.40 | $493–$4,928 | varies |
| Pt Eval Mod Complex (97162) range across 10 matching MRF lines |
$394.40–$3,942.40 | $493–$4,928 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$115.20–$116 | $144–$145 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 10 matching MRF lines |
$394.40–$3,942.40 | $493–$4,928 | varies |
| Pulmonary service/procedure (94799) range across 7 matching MRF lines |
$40–$105.60 | $50–$132 | varies |
| Respiratory flow volume loop (94375) | $279.20 | $349 | 1.2× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $487.20 | $609 | 4.0× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $382.40 | $478 | 8.0× |
| Sleep study unattended (95806) | $306.40 | $383 | 1.4× |
| Speech sound lang comprehen (92523) range across 8 matching MRF lines |
$896–$7,167.20 | $1,120–$8,959 | varies |
| Spirometry (94010) | $625.60 | $782 | 2.8× |
| Temp transcutaneous pacing (92953) | $1,914.40 | $2,393 | 2.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $70.40 | $88 | 0.9× |
| Ther/Proph/Diag Iv Inf Init (96365) | $490.40 | $613 | 2.2× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$144–$144.80 | $180–$181 | varies |
| Tte w/doppler, complete (93306) | $2,208 | $2,760 | 3.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 20 matching MRF lines |
$300–$3,599.20 | $375–$4,499 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 8 matching MRF lines |
$96–$764.80 | $120–$956 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $108.80 | $136 | 2.2× |
| Tympanometry (92567) | $64.80 | $81 | 1.7× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,953.60 | $2,442 | 5.0× |
| Veeg 2-12 hr intmt mntr (95712) | $1,436 | $1,795 | 3.7× |
| Veeg 2-12 hr unmonitored (95711) | $1,436 | $1,795 | 6.4× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $2,452 | $3,065 | 6.3× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $2,452 | $3,065 | 6.3× |
| Veeg ea 12-26hr cont mntr (95716) | $4,144.80 | $5,181 | 4.6× |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$290.40–$2,016.80 | $363–$2,521 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 3 matching MRF lines |
$208.80–$1,705.60 | $261–$2,132 | varies |
| Vital capacity, total (94150) | $179.20 | $224 | 1.3× |
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.