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.

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ProcedureCash priceGross charge× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $164 $173 1.2×
Acoustic reflex testing (92568) $97 $102 2.5×
Airway inhalation treatment (94640) $317.50 $334 1.4×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $75 $79 2.0×
Basic vestibular evaluation (92540) $279 $294 1.2×
Behav assmt w/score & docd/stand instrument (96127) $18 $19 0.5×
Behavioral and qualitative analysis of voice and resonance (92524) $365 $384 3.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $796 $838 2.1×
Caloric vestibular test w/rec bi bithermal (92537) $290 $305 2.2×
Cardiac Stress Tst,Tracing Only (93017) $1,412 $1,486 6.3×
Cardiopulmonary resuscitation (92950) $1,089 $1,146 4.9×
Cardioversion (92960) $2,028 $2,135 3.0×
Cbt 1st hour (94644) $371 $390 2.7×
Chemo Hormon Antineopl Sq/Im (96402) $271 $285 3.6×
Chemo IV push addl drug (96411) $326 $343 4.4×
Chemo Iv Push Sngl Drug (96409) $559 $588 1.6×
Chemo prolong 8+ hrs infuse w/pump (96416) $682 $718 2.0×
Chemother, IV infusion, 1 hr (96413) $684 $720 2.0×
Chemother, IV infusion, ea add hr (96415) $330 $347 4.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $299 $315 4.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $335 $353 4.5×
Chronic care mgmt svcs staff 1st 20 min cal mo (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×
Comprehensive Hearing Test (92557) $149 $157 1.1×
Cont Gluc Monitoring Patient Provided Equipment (95249) $146 $154 2.4×
Continuous Glucose Monitoring (95250) $413 $435 3.0×
Cpap initiation and management (94660) $1,049 $1,104 4.6×
Cpt initial (94667) $232 $244 1.7×
Critical care (99291) $2,055 $2,163 2.4×
Debridement Open Wound 20 Sq Cm< (97597) $358 $377 1.7×
Demo &/or eval,pt use,aerosol device (94664) $181 $191 0.8×
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) $1,097.50 $1,155 10.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,257 $1,323 5.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $990 $1,042 9.1×
Dup-scan xtr veins unilateral/limited study (93971) $1,221 $1,285 11.2×
Duplex scan extracranial art compl bi study (93880) $1,618 $1,703 6.5×
Echo Heart Xthoracic,Limited (93308) $1,086 $1,143 4.4×
Echo transesophageal (93312) $2,757 $2,902 4.9×
Echo Transthoracic - Congenital Tte Complete (93303) $1,807 $1,902 3.2×
Echo Transthoracic - Congenital Tte Limited (93304) $1,381 $1,454 2.4×
EEG awake asleep (95819) $1,204 $1,267 5.4×
EEG awake drowsy (95816) $1,183 $1,245 5.3×
EKG (93005) $205 $216 3.3×
Er level 1 (99281) $250 $263 2.9×
Er level ii (99282) $390 $410 2.4×
Er level iii (99283) $603 $635 2.1×
Er level IV (99284) $908 $956 2.1×
Er level v (99285) $1,440 $1,516 2.3×
Evaluation of speech fluency (92521) $359 $378 2.7×
Evaluation of speech sound production (92522) $314 $330 2.8×
Evaluation of swallowing function (92610) $492.50 $518.50 5.8×
Evoked Auditory Test,Comprehsv (92588) $396 $417 1.0×
Evoked auditory test,limited (92587) $194 $204 0.9×
Exercise tst brncspsm (94617) $863 $908 6.2×
External ECG rec>7d<15d recording (93246) $93 $98 2.4×
Group Therapeutic Procedures (97150) $85 $89 4.7×
Holter Monitor Recording (93225) $663 $698 4.8×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $57 $60 1.4×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $39 $41 0.5×
Immunization Admin (90471) $34 $36 0.5×
Immunotherapy, 2+ Injections (95117) $34 $36 0.7×
Interrog dev eval scrms phys/qhp in person (93291) $75 $79 2.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $186 $196 3.0×
IV infusion hydration each additional hour (96361) $200 $210 4.1×
IV infusion hydration initial 31 min-1 hour (96360) $429 $452 1.9×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $230 $242 3.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $480.50 $506 2.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $210 $221 4.3×
IV push initial (96374) $299 $315 1.4×
Manual therapy 15 min (97140) $109 $115 3.9×
Maximum voluntary ventilation (94200) $179 $188 2.9×
Mechanical traction (97012) $85 $89 5.9×
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×
Methacholine challenge (94070) $1,426 $1,501 3.7×
Mnt Group Ea 30 Min (97804) $90 $95 5.3×
Neg press wnd tx </=50 sq cm (97607) $717 $755 1.7×
Neg press wound tx >50 cm (97608) $770 $811 1.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $292.50 $308 1.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $398 $419 0.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $592 $623 4.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $473 $498 3.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $109 $115 2.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $77 $81 2.4×
Ot Contrast Bath Ea 15 Min (97034) $75 $79 5.3×
Ot eval high complex 60 min (97167) $279 $294 2.8×
Ot eval low complex 30 min (97165) $210 $221 2.1×
Ot eval mod complex 45 min (97166) $229 $241 2.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $99 $104 2.0×
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×
Paraffin bath (97018) $82 $86 13.6×
Phy/qhp op pulm rhb w/o mntr (94625) $459 $483 7.5×
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×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $23.50 $24.50 0.5×
Programming of single lead implantable defibrillator system (93282) $140 $147 3.6×
Psych diag eval w/med srvcs (90792) $371 $390 2.0×
Psychiatric diagnostic evaluation (90791) $355 $374 1.9×
Pt Aquatic Therapy/Exercises (97113) $127 $134 3.4×
Pt Electric Current Therapy (97033) $132 $139 6.9×
Pt Electrical Stimulation (97032) $84 $88 5.7×
Pt eval high complex 45 min (97163) $379 $399 3.9×
Pt eval low complex 20 min (97161) $193 $203 2.0×
Pt Gait Training Therapy (97116) $105 $111 3.6×
Pt Infrared Therapy (97026) $54 $57 8.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $112 $118 3.4×
Pt Physical Performance Test (97750) $120 $126 3.6×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $227 $239 2.3×
Pt re-evaluation (97164) $150 $158 2.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $120 $126 3.7×
Pt Ultrasound Therapy (97035) $87 $92 6.1×
Pulm function test by gas (94727) $604 $636 2.7×
Pulmonary stress testing (94618) $459 $483 3.3×
Pure Tone Audiometry Air & Bone (92553) $230 $242 1.7×
Pure Tone Audiometry, Air (92552) $171 $180 1.2×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $434 $457 11.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $210 $221 1.0×
Sleep study unattended (95806) $591 $622 2.6×
Speech Audiometry Threshold (92555) $126 $133 2.1×
Speech Audiometry, Complete (92556) $224 $236 3.7×
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 echo (93350) $1,997 $2,102 3.5×
Stress Tte Complete (93351) $2,703 $2,845 4.8×
Ther/Proph/Diag Inj Sc/Im (96372) $187 $197 2.5×
Therapeutic Activities (97530) $109 $115 3.1×
Therapeutic phlebotomy (99195) $265 $279 1.9×
Tilt Table Eval (93660) $2,163 $2,277 5.6×
Tone Decay Test (92563) $215 $226 5.5×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,580 $2,716 4.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $332 $349.50 4.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $309 $325 3.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $259 $273 5.3×
Tympanometry (92567) $63 $66 1.6×
Vasc Duplex Extrem Venous,Bilat (93970) $1,594 $1,678 6.4×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,093 $1,151 4.9×
Vasopneumatic device (97016) $104 $109 8.7×
Ventilation assist & mgmt inpatient 1st 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×