Visits & medical services prices at Callaway District Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $281 $312 1.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $74 $82 5.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $684 $760 1.8×
Canalith repositioning proc (95992) $108 $120 2.7×
Cardiopulmonary resuscitation (92950) $598 $664 2.7×
Cardioversion (92960) $360 $400 0.5×
Chemo Hormon Antineopl Sq/Im (96402) $220 $244 2.9×
Chron Care Mgmt Srvc 20 Min (99490) $138 $153 1.3×
Color/duplex Doppler, complete (93975) $1,076 $1,196 4.3×
Color/duplex Doppler, limited (93976) $384 $427 3.5×
Community/Work Reintegration Trainj Ea 15 Min (97537) $93 $103 2.9×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $292 $324 1.6×
Critical care first hour (99291) $1,868 $2,075 2.2×
Debridement Open Wound 20 Sq Cm< (97597) $363 $403 1.7×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,003 $1,114 4.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $711 $790 6.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,179 $1,310 4.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,003 $1,114 9.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,420 $1,578 5.7×
Dup-scan xtr veins unilateral/limited study (93971) $1,049 $1,166 9.7×
Duplex up extrem art bilat (93930) $682 $758 2.8×
Duplex up extrem art unilat/ltd (93931) $584 $649 5.4×
ECG/monitoring and analysis (93271) $908 $1,009 9.2×
Echo Heart Xthoracic,Limited (93308) $847 $941 3.4×
Echo transesophageal (93312) $2,434 $2,704 4.3×
Electrical Stimulation Ea 15 Min (97032) $78 $87 5.3×
Electrocardiogram Tracing (93005) $311 $345 5.1×
Emergency Dept Visit Level 2 (99282) $338 $376 2.1×
Emergency Dept Visit Level 3 (99283) $533 $592 1.9×
Emergency Dept Visit Level 4 (99284) $750 $833 1.7×
Er level 1 (99281) $195 $217 2.2×
Er level v (99285) $1,168 $1,298 1.9×
Evaluate Swallowing Function (92610) $341 $379 4.0×
External ECG rec>48hr<7d recording (93242) $476 $529 12.3×
External ECG rec>7d<15d recording (93246) $501 $557 12.9×
External Ecg Scanning Analysis Report (93226) $651 $723 10.6×
Extracranial Bilat Study (93880) $1,425 $1,583 5.8×
Extracranial Uni/Ltd Study (93882) $764 $849 7.0×
Holter monitor recording (93225) $486 $540 3.5×
Im Adm Intransl/Oral 1 Vaccine (90473) $39 $43 0.5×
Immunization administration (90471) $77 $86 1.0×
Iontophoresis 15 min (97033) $113 $125 5.9×
Irrig Drug Delivery Device (96523) $158 $175 2.6×
IV infusion hydration each additional hour (96361) $98 $109 2.0×
IV infusion hydration initial 31 min-1 hour (96360) $365 $406 1.7×
IV infusion ther proph addl sequential to 1 hr (96367) $225 $250 3.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $98 $109 2.0×
IV push initial (96374) $220 $244 1.0×
Lwr Xtr Vasc Stdy Bilat (93924) $922 $1,024 4.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $59 $66 1.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $81 $90 2.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $400 $444 0.9×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $380 $422 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $236 $262 1.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $385 $428 0.9×
Neuromuscular Reeducation (97112) $98 $109 3.0×
Ophth medical xm&eval intermediate estab pt (92012) $198 $220 1.4×
Oral Function Therapy (92526) $234 $260 2.8×
Ot eval high complexity (97167) $294 $327 2.9×
Ot Eval Low Complex (97165) $197 $219 2.0×
Ot Eval Moderate Complexity (97166) $223 $248 2.2×
Ot manual therapy 15 min (97140) $98 $109 3.5×
Ot Re-Eval Est Plan Care (97168) $131 $146 1.9×
Phlebotomy therapeutic (99195) $198 $220 1.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $22 $24 0.5×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $26 $29 0.5×
Pt Eval High Complex (97163) $257 $286 2.6×
Pt eval low complex 20 min (97161) $174 $193 1.8×
Pt Eval Mod Complex (97162) $203 $225 2.1×
Pt gait training 15 min (97116) $93 $103 3.2×
Pt mechanical traction (97012) $78 $87 5.4×
Pulmonary Stress Testing (94618) $75 $83 0.5×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $108 $120 2.8×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $41 $45 0.3×
Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) $42 $47 1.1×
Remote 30 Day Ecg Rev/Report (93270) $437 $485 11.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $241 $268 1.2×
Self Care Mngment Training (97535)
range across 2 matching MRF lines		 $103–$105 $114–$117 varies
Speech sound lang comprehen (92523) $366 $407 1.6×
Spirometry (94010) $279 $310 1.2×
Stress Tte Only (93350) $1,343 $1,492 2.4×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $98 $109 3.3×
Ther/Proph/Diag Inj Sc/Im (96372) $149 $166 2.0×
Ther/Proph/Diag Iv Inf Init (96365) $365 $406 1.7×
Therapeutic Activities (97530) $98 $109 2.8×
Tobacco Use Cessation Intensive >10 Minutes (99407) $61 $68 1.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $33 $37 0.8×
Tte w/doppler, complete (93306) $2,171 $2,412 3.8×
Tte W/O Doppler Complete (93307) $1,066 $1,184 4.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $299 $332 3.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $171 $190 3.5×
Upr/L Xtremity Art 2 Levels (93922) $553 $614 4.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $817 $908 3.6×

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.