Visits & medical services prices at Butler County Health

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

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $103 $103 0.8×
Acoustic Reflex Testing (92568) $48 $48 1.2×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $279 $279 1.2×
Aep neurodiagnostic i&r (92653) $268 $268 1.2×
Aep threshold estimation mlt frequencies i&r (92652) $365 $365 1.6×
Airway Inhalation Treatment (94640) $370 $370 1.6×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $524 $524 3.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $98 $98 6.8×
Assessment of aphasia per hr (96105) $377 $377 3.9×
Assessment of tinnitus (92625) $100 $100 0.7×
Audiometry Air & Bone (92553) $120 $120 0.9×
Auditory Function, 60 Min (92620) $400 $400 3.0×
Behavral qualit analys voice (92524) $409 $409 3.7×
Brief Emotional/Behav Assmt (96127) $15 $15 0.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $890 $890 2.3×
Cardiac Stress Tst,Tracing Only (93017) $1,405 $1,405 6.3×
Cardiopulmonary resuscitation (92950) $1,197 $1,197 5.3×
Cardioversion (92960) $1,911 $1,911 2.8×
Chemo Anti-Neopl Sq/Im (96401) $473 $473 6.3×
Chemo Hormon Antineopl Sq/Im (96402) $420 $420 5.6×
Chemo IV infusion addl hr (96415) $441 $441 5.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $651 $651 1.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $536 $536 1.6×
Chest Wall Manipulation (94668) $273 $273 2.0×
Color/duplex Doppler, complete (93975) $1,372 $1,372 5.5×
Color/duplex Doppler, limited (93976) $720 $720 6.6×
Community/Work Reintegration Trainj Ea 15 Min (97537) $128 $128 4.0×
Comprehensive Hearing Test (92557) $250 $250 1.9×
Conditioning Play Audiometry (92582) $226 $226 1.7×
Cont gluc mntr physician/qhp provided equiptment (95250) $564 $564 4.1×
Cont Gluc Mntr Pt Prov Eqp (95249) $175 $175 2.9×
Continuous Pulse Ox (94762) $553 $553 4.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,156 $1,156 5.1×
Cpt initial (94667) $260 $260 1.9×
Critical care first hour (99291) $3,385 $3,385 3.9×
Developmental tst admin phys/qhp 1st hour (96112) $449 $449 3.4×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $332 $332 2.5×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $107 $107 0.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,229 $1,229 5.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,013 $1,013 9.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,418 $1,418 5.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,236 $1,236 11.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,822 $1,822 7.4×
Dup-scan xtr veins unilateral/limited study (93971) $1,281 $1,281 11.8×
Duplex Scan Hemodialysis Access (93990) $1,024 $1,024 9.4×
Duplex up extrem art bilat (93930) $1,311 $1,311 5.3×
Duplex up extrem art unilat/ltd (93931) $1,099 $1,099 10.1×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $295 $295 2.2×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $488 $488 3.7×
Ear Protector Evaluation (92596) $150 $150 3.9×
Echo Heart Xthoracic,Limited (93308) $1,084 $1,084 4.4×
Electrical Stimulation Ea 15 Min (97032) $93 $93 6.3×
Electrocardiogram Tracing (93005) $388 $388 6.3×
Emergency Dept Visit Level 2 (99282) $510 $510 3.2×
Emergency Dept Visit Level 3 (99283) $785 $785 2.8×
Emergency Dept Visit Level 4 (99284) $1,295 $1,295 3.0×
Er level 1 (99281) $265 $265 3.0×
Er level v (99285) $1,790 $1,790 2.9×
Eval aud funcj cand/po surg implt dev 1st hr (92626)
range across 2 matching MRF lines		 $283–$315 $283–$315 varies
Evaluate pt use of inhaler (94664) $230 $230 1.0×
Evaluate Speech Production (92522) $370 $370 3.3×
Evaluate Swallowing Function (92610) $429 $429 5.1×
Evaluation of speech fluency (92521) $324 $324 2.4×
Evoked Auditory Test,Limited (92587) $70 $70 0.3×
Exercise test for bronchospasm (94617) $7,968 $7,968 57.7×
External ECG rec>7d<15d recording (93246) $710 $710 18.3×
External Ecg Scanning Analysis Report (93226) $857 $857 14.0×
Extracranial Bilat Study (93880) $1,725 $1,725 7.0×
Extracranial Uni/Ltd Study (93882) $1,315 $1,315 12.1×
Filtered Speech Test (92571) $83 $83 2.1×
Holter monitor recording (93225) $808 $808 5.8×
Immunization administration (90471) $93 $93 1.2×
Iontophoresis 15 min (97033) $142 $142 7.5×
IV infusion hydration each additional hour (96361) $220 $220 4.5×
IV infusion hydration initial 31 min-1 hour (96360) $380 $380 1.7×
IV infusion ther proph addl sequential to 1 hr (96367) $415 $415 5.6×
IV infusion therapy prophylaxis/dx ea hour (96366) $415 $415 8.5×
IV push initial (96374) $415 $415 1.9×
Loudness balance test (92562) $139 $139 0.6×
Lwr Xtr Vasc Stdy Bilat (93924) $1,103 $1,103 4.9×
Mechanical chest wall oscillation per session (94669) $407 $407 1.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $68 $68 2.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $79 $79 2.2×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $65 $65 3.8×
Motion Fluoroscopy/Swallow (92611) $582 $582 6.4×
Neuromuscular Reeducation (97112) $128 $128 3.9×
Oral Function Therapy (92526) $348 $348 4.1×
Oral Speech Device Eval (92597) $272 $272 3.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $118 $118 2.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $134 $134 2.9×
Ot eval high complexity (97167) $324 $324 3.2×
Ot Eval Low Complex (97165) $233 $233 2.3×
Ot Eval Moderate Complexity (97166) $269 $269 2.7×
Ot manual therapy 15 min (97140) $135 $135 4.9×
Ot paraffin bath (97018) $87 $87 14.5×
Ot Re-Eval Est Plan Care (97168) $185 $185 2.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $349 $349 2.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $244 $244 1.8×
Peripheral arterial disease rehab per session (93668) $224 $224 3.7×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $424 $424 6.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $307 $307 5.0×
Physical Performance Test (97750) $128 $128 3.8×
Plethysmography (94726) $804 $804 2.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,627 $5,627 6.3×
Psych diag eval w/med srvcs (90792) $503 $503 2.7×
Psychiatric diagnostic evaluation (90791) $445 $445 2.4×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $128 $128 3.4×
Pt Eval High Complex (97163) $339 $339 3.5×
Pt eval low complex 20 min (97161) $211 $211 2.2×
Pt Eval Mod Complex (97162) $254 $254 2.6×
Pt gait training 15 min (97116) $118 $118 4.1×
Pt mechanical traction (97012) $94 $94 6.5×
Pt Re-Eval Est Plan Care (97164) $172 $172 2.5×
Pulmonary service/procedure (94799) $568 $568 4.3×
Pulmonary Stress Testing (94618) $637 $637 4.6×
Pure Tone Audiometry Air (92552) $97 $97 0.7×
Remote 30 Day Ecg Rev/Report (93270) $447 $447 11.5×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $477 $477 3.9×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $218 $218 4.6×
Select picture audiometry (92583) $152 $152 2.5×
Self Care Mngment Training (97535) $123 $123 3.8×
Sensory Integration Ea 15 Min (97533) $118 $118 1.9×
Sleep study unattended (95806) $597 $597 2.7×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $559 $559 2.5×
Speech Audiometry Complete (92556) $118 $118 1.9×
Speech audiometry threshold (92555) $74 $74 1.2×
Speech sound lang comprehen (92523) $494 $494 2.2×
Spirometry (94010) $396 $396 1.8×
Standardized Cognitive Performance Testing (96125) $411 $411 4.0×
Stenger Test Speech (92577) $45 $45 0.1×
Stenger Test, Pure Tone (92565) $52 $52 0.8×
Test to assess hearing loss using different tone pitches (92575) $205 $205 5.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $134 $134 6.0×
Ther Ivntj Ea Addl 15 Min (97130) $118 $118 5.6×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $321 $321 8.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $385 $385 3.8×
Ther/Proph/Diag Inj Sc/Im (96372) $370 $370 4.9×
Ther/Proph/Diag Iv Inf Init (96365) $465 $465 2.1×
Therapeutic Activities (97530) $144 $144 4.1×
Tobacco Use Cessation Intensive >10 Minutes (99407) $76 $76 2.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $53 $53 1.4×
Tone Decay Test (92563) $94 $94 2.4×
Tte w/doppler, complete (93306) $2,710 $2,710 4.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $368 $368 4.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $250 $250 5.1×
Tympanometry (92567) $51 $51 1.3×
Tympanometry and reflex threshold measurements (92550) $70 $70 0.3×
Upr/L Xtremity Art 2 Levels (93922) $655 $655 4.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,183 $1,183 5.3×
Vasopneumatic device (97016) $98 $98 8.2×
Vent Mgmt Inpat Init Day (94002) $1,858 $1,858 2.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,315 $1,315 2.0×
Visual reinforcement audiometry (vra) (92579) $147 $147 0.7×
Vital capacity, total (94150) $347 $347 2.6×
Wheelchair Mgmt Ea 15 Min (97542) $123 $123 4.0×

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.