Visits & medical services prices at Brown County Hospital

Ainsworth, NE · every code in this section with a posted price and a Medicare benchmark.

131 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $562.50 $750 2.5×
Ambulatory Bp Analysis (93788) $37 $49 0.3×
Behav assmt w/score & docd/stand instrument (96127) $37 $49 1.0×
Behavioral and qualitative analysis of voice and resonance (92524) $238 $317 2.2×
Bfb training 1st 15 min (90912) $74 $98 0.9×
Bfb training ea addl 15 min (90913) $74 $98 2.3×
Biofeedback training any modality (90901) $115 $153 2.8×
Cardiac Stress Tst,Tracing Only (93017) $877 $1,169 3.9×
Cardiopulmonary resuscitation (92950) $1,196 $1,595 5.3×
Cardioversion (92960) $1,332 $1,776 1.9×
Chemo Hormon Antineopl Sq/Im (96402) $248 $330 3.3×
Chemo IV push addl drug (96411) $255 $340 3.4×
Chemo Iv Push Sngl Drug (96409) $308 $410 0.9×
Chemo prolong 8+ hrs infuse w/pump (96416) $270 $360 0.8×
Chemother, IV infusion, 1 hr (96413) $360 $480 1.0×
Chemother, IV infusion, ea add hr (96415) $248 $330 3.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $270 $360 3.6×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $58 $77 0.5×
Color/duplex Doppler, complete (93975) $867 $1,156 3.5×
Color/duplex Doppler, limited (93976) $515 $686 4.7×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $179 $239 1.0×
Critical care (99291) $1,463 $1,950 1.7×
Debridement Open Wound 20 Sq Cm< (97597) $169 $225 0.8×
Demo &/or eval,pt use,aerosol device (94664) $32 $42 0.1×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $684 $912 2.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $565 $753 5.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $960 $1,280 3.9×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $728 $971 6.7×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $908 $1,211 3.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $744 $992 6.9×
Dup-scan xtr veins unilateral/limited study (93971) $788 $1,050 7.3×
Duplex hemodialysis access (93990) $677 $903 6.2×
Duplex scan extracranial art compl bi study (93880) $1,125 $1,500 4.5×
Echo Heart Xthoracic,Limited (93308) $705 $940 2.8×
Echo transesophageal (93312) $2,063 $2,750 3.6×
EKG (93005) $134.50 $179.50 2.2×
Er level 1 (99281) $158 $210 1.8×
Er level ii (99282) $270 $360 1.7×
Er level iii (99283) $443 $590 1.6×
Er level IV (99284) $668 $890 1.5×
Er level v (99285) $1,073 $1,430 1.7×
Evaluation of speech fluency (92521) $224 $298 1.7×
Evaluation of speech sound production (92522) $238 $317 2.1×
Evaluation of swallowing function (92610) $263 $350 3.1×
External ECG rec>48hr<7d recording (93242) $450 $600 11.6×
External ECG rec>48hr<7d scanning alys w/report (93243) $747 $996 5.4×
External ECG rec>7d<15d recording (93246) $437 $583 11.3×
External ECG rec>7d<15d scanning alys w/report (93247) $773 $1,030 5.6×
External Ecg Scanning Analysis Report (93226) $519 $692 8.5×
Group Therapeutic Procedures (97150) $84 $112 4.7×
Holter Monitor Recording (93225) $374 $499 2.7×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $26 $34 0.3×
Immunization Admin (90471) $30 $40 0.4×
Immunotherapy, 2+ Injections (95117) $17 $23 0.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $113 $150 1.8×
IV infusion hydration each additional hour (96361) $128 $170 2.6×
IV infusion hydration initial 31 min-1 hour (96360) $300 $400 1.4×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $180 $240 2.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $315 $420 1.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $135 $180 2.8×
IV push initial (96374) $210 $280 1.0×
Manual therapy 15 min (97140) $86 $115 3.1×
Massage 15 min (97124) $56 $75 1.9×
Mechanical traction (97012) $60 $80 4.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $408 $544 4.5×
Nasopharyngoscopy (92511) $174 $232 0.8×
Neg press wnd tx </=50 sq cm (97607) $317 $422 0.8×
Neg press wound tx >50 cm (97608) $338 $450 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $201 $268 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $300 $400 0.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $413 $550 3.0×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $722 $962 3.2×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $80 $106 1.7×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $60 $80 1.9×
Ot Contrast Bath Ea 15 Min (97034) $56 $75 4.0×
Ot eval high complex 60 min (97167) $220 $293 2.2×
Ot eval low complex 30 min (97165) $159 $212 1.6×
Ot eval mod complex 45 min (97166) $170 $226 1.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $77 $102 1.5×
Ot Prosthetic Training, Each 15 Min (97761) $77 $102 1.9×
Ot Range Motion Measure,Each Extrem (95851) $52 $69 2.0×
Ot re-eval est plan care (97168) $115 $153 1.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $188 $250 1.4×
Paraffin bath (97018) $53 $70 8.8×
Patch/Application Test Specify Number Tests (95044) $8 $11 0.0×
Percutaneous tests w/allergenic extracts (95004) $6 $8 0.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,450 $4,600 3.9×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $23 $31 0.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $14.50 $19 0.3×
Pt Aquatic Therapy/Exercises (97113) $86 $115 2.3×
Pt Electric Current Therapy (97033) $98 $130 5.1×
Pt Electrical Stimulation (97032) $60 $80 4.1×
Pt eval high complex 45 min (97163) $206 $275 2.1×
Pt eval low complex 20 min (97161) $139 $185 1.4×
Pt Gait Training Therapy (97116) $71 $95 2.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $75 $100 2.3×
Pt Physical Performance Test (97750) $84 $112 2.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $169 $225 1.7×
Pt re-evaluation (97164) $93 $124 1.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $86 $115 2.7×
Pt Ultrasound Therapy (97035) $61 $81 4.2×
Pt Whirlpool Therapy (97022) $86 $115 5.5×
Pure Tone Audiometry, Air (92552) $54 $72 0.4×
Refill/maint, portable pump (96521) $316 $421 1.4×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $290 $387 7.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $149 $199 0.7×
Rom meas&reprt hand w/wo comparison normal sid (95852) $60 $80 2.8×
Smoking cessation > 10 min (99407) $43 $57 1.1×
Speech sound lang comprehen (92523) $285 $380 1.3×
Stress echo (93350) $1,350 $1,800 2.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $81 $108 3.6×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $81 $108 3.8×
Ther/Proph/Diag Inj Sc/Im (96372) $102 $136 1.4×
Therapeutic Activities (97530) $86 $115 2.5×
Therapeutic phlebotomy (99195) $158 $210 1.1×
Tilt Table Eval (93660) $1,388 $1,850 3.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $38 $50 1.0×
Trans Care Mgmt 14 Day Disch (99495) $305 $407 2.2×
Trans Care Mgmt 7 Day Disch (99496) $413 $551 3.0×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,688 $2,250 3.0×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,212 $1,616 4.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $240 $320 3.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $225 $300 2.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $158 $210 3.2×
Tympanometry (92567) $25 $33 0.6×
Vasc Duplex Extrem Venous,Bilat (93970) $1,118 $1,491 4.5×
Vasc Duplex Scan Extracranial,Limited (93882) $744 $992 6.9×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $743 $990 3.3×
Vasopneumatic device (97016) $62 $82 5.2×
Wheelchair Mgmt Ea 15 Min (97542) $64 $85 2.1×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $197 $263 2.0×