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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $281 $312 1.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $684 $760 1.8×
Canalith Repositioning (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×
Chronic care mgmt svcs staff 1st 20 min cal mo (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×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $292 $324 1.6×
Critical care (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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $682 $758 2.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $584 $649 5.4×
Dup-scan xtr veins unilateral/limited study (93971) $1,049 $1,166 9.7×
Duplex scan extracranial art compl bi study (93880) $1,425 $1,583 5.8×
Echo Heart Xthoracic,Limited (93308) $847 $941 3.4×
Echo transesophageal (93312) $2,434 $2,704 4.3×
EKG (93005) $311 $345 5.1×
Er level 1 (99281) $195 $217 2.2×
Er level ii (99282) $338 $376 2.1×
Er level iii (99283) $533 $592 1.9×
Er level IV (99284) $750 $833 1.7×
Er level v (99285) $1,168 $1,298 1.9×
Evaluation of 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×
Holter Monitor Recording (93225) $486 $540 3.5×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $39 $43 0.5×
Immunization Admin (90471) $77 $86 1.0×
Immunotherapy, 2+ Injections (95117) $26 $29 0.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $225 $250 3.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $365 $406 1.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $98 $109 2.0×
IV push initial (96374) $220 $244 1.0×
Manual therapy 15 min (97140) $98 $109 3.5×
Massage 15 min (97124) $98 $109 3.3×
Mechanical traction (97012) $78 $87 5.4×
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 press wnd tx </=50 sq cm (97607) $400 $444 0.9×
Neg press wound tx >50 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×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $553 $614 4.0×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $817 $908 3.6×
Ophth medical xm&eval intermediate estab pt (92012) $198 $220 1.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $93 $103 2.9×
Ot eval high complex 60 min (97167) $294 $327 2.9×
Ot eval low complex 30 min (97165) $197 $219 2.0×
Ot eval mod complex 45 min (97166) $223 $248 2.2×
Ot re-eval est plan care (97168) $131 $146 1.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $22 $24 0.5×
Pt Electric Current Therapy (97033) $113 $125 5.9×
Pt Electrical Stimulation (97032) $78 $87 5.3×
Pt eval high complex 45 min (97163) $257 $286 2.6×
Pt eval low complex 20 min (97161) $174 $193 1.8×
Pt Gait Training Therapy (97116) $93 $103 3.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $98 $109 3.0×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $203 $225 2.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $104 $115.50 3.2×
Pt Ultrasound Therapy (97035) $74 $82 5.2×
Pulmonary stress testing (94618) $75 $83 0.5×
Rem mntr physiol param 1st dev supply ea 30 days (99454) $108 $120 2.8×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $41 $45 0.3×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $437 $485 11.3×
Remote Monitoring Of Physiologic Parameter(s) (Eg, Weight, Blood Pressure, Pulse Oximetry, Respiratory Flow Rate);… (99445) $42 $47 1.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $241 $268 1.2×
Smoking cessation > 10 min (99407) $61 $68 1.6×
Speech sound lang comprehen (92523) $366 $407 1.6×
Spirometry (94010) $279 $310 1.2×
Stress echo (93350) $1,343 $1,492 2.4×
Ther/Proph/Diag Inj Sc/Im (96372) $149 $166 2.0×
Therapeutic Activities (97530) $98 $109 2.8×
Therapeutic phlebotomy (99195) $198 $220 1.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $33 $37 0.8×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,171 $2,412 3.8×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,066 $1,184 4.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $299 $332 3.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $234 $260 2.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $171 $190 3.5×
Vasc Duplex Extrem Venous,Bilat (93970) $1,420 $1,578 5.7×
Vasc Duplex Scan Extracranial,Limited (93882) $764 $849 7.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $922 $1,024 4.1×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $908 $1,009 9.2×