Visits & medical services prices at Brodstone Healthcare
Superior, NE · every code in this section with a posted price and a Medicare benchmark.
152 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $164 | $173 | 1.2× |
| Acoustic Reflex Testing (92568) | $97 | $102 | 2.5× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$34–$80 | $36–$84 | varies |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$276–$359 | $290–$378 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $87 | $92 | 6.1× |
| Application Modality 1/> Areas Infrared (97026) | $54 | $57 | 8.1× |
| Audiometry Air & Bone (92553) | $230 | $242 | 1.7× |
| Basic vestibular evaluation (92540) | $279 | $294 | 1.2× |
| Behavral qualit analys voice (92524) | $365 | $384 | 3.3× |
| Brief Emotional/Behav Assmt (96127) | $18 | $19 | 0.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $796 | $838 | 2.1× |
| Caloric Vstblr Test W/Rec (92537) | $290 | $305 | 2.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,412 | $1,486 | 6.3× |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$653–$1,089 | $687–$1,146 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$549–$2,028 | $578–$2,135 | varies |
| Cbt 1st hour (94644) | $371 | $390 | 2.7× |
| Chemo Anti-Neopl Sq/Im (96401) | $299 | $315 | 4.0× |
| Chemo Hormon Antineopl Sq/Im (96402) | $271 | $285 | 3.6× |
| Chemo IV infusion addl hr (96415) | $330 | $347 | 4.4× |
| Chemo IV push addl drug (96411) | $326 | $343 | 4.4× |
| Chemother Prolong Infuse W/Pump (96416) | $682 | $718 | 2.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $335 | $353 | 4.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $684 | $720 | 2.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $559 | $588 | 1.6× |
| Chron Care Mgmt Srvc 20 Min (99490) | $79 | $83 | 0.7× |
| Color/duplex Doppler, complete (93975) | $1,291 | $1,359 | 5.2× |
| Color/duplex Doppler, limited (93976) | $1,567 | $1,649 | 14.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $77 | $81 | 2.4× |
| Comprehensive Hearing Test (92557) | $149 | $157 | 1.1× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $413 | $435 | 3.0× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $146 | $154 | 2.4× |
| Continuous Pulse Ox (94762) | $473 | $498 | 3.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $1,049 | $1,104 | 4.6× |
| Cpt initial (94667) | $232 | $244 | 1.7× |
| Critical care first hour (99291) | $2,055 | $2,163 | 2.4× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 7 matching MRF lines |
$167–$413 | $176–$435 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $396 | $417 | 1.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $960 | $1,010 | 3.9× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $960 | $1,010 | 8.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,547 | $1,628 | 6.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$1,071–$1,124 | $1,127–$1,183 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,594 | $1,678 | 6.4× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,221 | $1,285 | 11.2× |
| Duplex up extrem art bilat (93930) | $1,257 | $1,323 | 5.1× |
| Duplex up extrem art unilat/ltd (93931) | $990 | $1,042 | 9.1× |
| Echo Congenital Complete (93303) | $1,807 | $1,902 | 3.2× |
| Echo Heart Xthoracic,Limited (93308) | $1,086 | $1,143 | 4.4× |
| Echo transesophageal (93312) | $2,757 | $2,902 | 4.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,703 | $2,845 | 4.8× |
| EEG awake and asleep (95819) | $1,204 | $1,267 | 5.4× |
| EEG awake drowsy (95816) | $1,183 | $1,245 | 5.3× |
| Electrical Stimulation Ea 15 Min (97032) | $84 | $88 | 5.7× |
| Electrocardiogram Tracing (93005) range across 4 matching MRF lines |
$53–$370 | $56–$389 | varies |
| Emergency Dept Visit Level 2 (99282) | $390 | $410 | 2.4× |
| Emergency Dept Visit Level 3 (99283) | $603 | $635 | 2.1× |
| Emergency Dept Visit Level 4 (99284) | $908 | $956 | 2.1× |
| Er level 1 (99281) | $250 | $263 | 2.9× |
| Er level v (99285) | $1,440 | $1,516 | 2.3× |
| Evaluate pt use of inhaler (94664) | $181 | $191 | 0.8× |
| Evaluate Speech Production (92522) | $314 | $330 | 2.8× |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$383–$602 | $403–$634 | varies |
| Evaluation of speech fluency (92521) | $359 | $378 | 2.7× |
| Evoked Auditory Test,Limited (92587) | $194 | $204 | 0.9× |
| Exercise test for bronchospasm (94617) | $863 | $908 | 6.2× |
| External ECG rec>7d<15d recording (93246) | $93 | $98 | 2.4× |
| Extracranial Bilat Study (93880) | $1,618 | $1,703 | 6.5× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,381 | $1,454 | 2.4× |
| Group Therapeutic Procedures (97150) | $85 | $89 | 4.7× |
| Holter monitor recording (93225) | $663 | $698 | 4.8× |
| Ilr Device Interrogate (93291) | $75 | $79 | 2.5× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $39 | $41 | 0.5× |
| Immunization administration (90471) range across 6 matching MRF lines |
$34–$151 | $36–$159 | varies |
| Iontophoresis 15 min (97033) | $132 | $139 | 6.9× |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$57–$197 | $60–$207 | varies |
| IV infusion hydration each additional hour (96361) range across 5 matching MRF lines |
$114–$200 | $120–$210 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 7 matching MRF lines |
$196–$429 | $206–$452 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 4 matching MRF lines |
$146–$230 | $154–$242 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 5 matching MRF lines |
$105–$210 | $111–$221 | varies |
| IV push initial (96374) range across 8 matching MRF lines |
$102–$319 | $107–$336 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $179 | $188 | 2.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,093 | $1,151 | 4.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $62 | $65 | 2.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $74 | $78 | 2.0× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $90 | $95 | 5.3× |
| Methacholine challenge (94070) | $1,426 | $1,501 | 3.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $717 | $755 | 1.7× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $770 | $811 | 1.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$271–$314 | $285–$331 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $398 | $419 | 0.9× |
| Neuromuscular Reeducation (97112) | $112 | $118 | 3.4× |
| Oral Function Therapy (92526) | $309 | $325 | 3.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $99 | $104 | 2.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $109 | $115 | 2.4× |
| Ot Contrast Bath Ea 15 Min (97034) | $75 | $79 | 5.3× |
| Ot eval high complexity (97167) | $279 | $294 | 2.8× |
| Ot Eval Low Complex (97165) | $210 | $221 | 2.1× |
| Ot Eval Moderate Complexity (97166) | $229 | $241 | 2.3× |
| Ot manual therapy 15 min (97140) range across 6 matching MRF lines |
$109–$119 | $115–$125 | varies |
| Ot paraffin bath (97018) | $82 | $86 | 13.6× |
| Ot Prosthetic Training, Each 15 Min (97761) | $82 | $86 | 2.0× |
| Ot Re-Eval Est Plan Care (97168) | $158 | $166 | 2.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $358 | $377 | 2.7× |
| Phlebotomy therapeutic (99195) range across 3 matching MRF lines |
$214–$265 | $225–$279 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $459 | $483 | 7.5× |
| Physical Performance Test (97750) | $120 | $126 | 3.6× |
| Plethysmography (94726) | $622 | $655 | 1.6× |
| Pm device eval in person (93288) | $126 | $133 | 3.3× |
| Pm device progr eval multi (93281) | $122 | $128 | 3.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $4,887 | $5,144 | 5.5× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $22 | $23 | 0.5× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $140 | $147 | 3.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$23–$24 | $24–$25 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $34 | $36 | 0.7× |
| Psych diag eval w/med srvcs (90792) | $371 | $390 | 2.0× |
| Psychiatric diagnostic evaluation (90791) | $355 | $374 | 1.9× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $75 | $79 | 2.0× |
| Pt Eval High Complex (97163) | $379 | $399 | 3.9× |
| Pt eval low complex 20 min (97161) | $193 | $203 | 2.0× |
| Pt Eval Mod Complex (97162) | $227 | $239 | 2.3× |
| Pt gait training 15 min (97116) | $105 | $111 | 3.6× |
| Pt mechanical traction (97012) | $85 | $89 | 5.9× |
| Pt Re-Eval Est Plan Care (97164) | $150 | $158 | 2.2× |
| Pulm function test by gas (94727) | $604 | $636 | 2.7× |
| Pulmonary Stress Testing (94618) | $459 | $483 | 3.3× |
| Pure Tone Audiometry Air (92552) | $171 | $180 | 1.2× |
| Remote 30 Day Ecg Rev/Report (93270) | $434 | $457 | 11.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $210 | $221 | 1.0× |
| Self Care Mngment Training (97535) | $120 | $126 | 3.7× |
| Sleep study unattended (95806) | $591 | $622 | 2.6× |
| Speech Audiometry Complete (92556) | $224 | $236 | 3.7× |
| Speech audiometry threshold (92555) | $126 | $133 | 2.1× |
| Speech sound lang comprehen (92523) | $441 | $464 | 1.9× |
| Spirometry (94010) | $407 | $428 | 1.8× |
| Standardized Cognitive Performance Testing (96125) | $359 | $378 | 3.5× |
| Stenger Test, Pure Tone (92565) | $110 | $116 | 1.8× |
| Stress Tte Only (93350) | $1,997 | $2,102 | 3.5× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $127 | $134 | 3.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 8 matching MRF lines |
$11–$187 | $12–$197 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 6 matching MRF lines |
$226–$512 | $238–$539 | varies |
| Therapeutic Activities (97530) | $109 | $115 | 3.1× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $2,163 | $2,277 | 5.6× |
| Tone Decay Test (92563) | $215 | $226 | 5.5× |
| Tte w/doppler, complete (93306) | $2,580 | $2,716 | 4.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$329–$335 | $346–$353 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 6 matching MRF lines |
$65–$259 | $68–$273 | varies |
| Tympanometry (92567) | $63 | $66 | 1.6× |
| Upr/L Xtremity Art 2 Levels (93922) | $592 | $623 | 4.3× |
| Vasopneumatic device (97016) | $104 | $109 | 8.7× |
| Vent Mgmt Inpat Init Day (94002) | $1,687 | $1,776 | 2.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $915 | $963 | 1.4× |
| Visual reinforcement audiometry (vra) (92579) | $312 | $328 | 1.4× |
| Wheelchair Mgmt Ea 15 Min (97542) | $130 | $137 | 4.2× |
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.