Visits & medical services prices at Chadron Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $78 $112 0.7×
Airway inhalation treatment (94640) $241 $344 1.1×
Assessment of aphasia (96105) $195 $279 2.0×
Assmt & care planning pt w/cognitive impairment (99483) $260 $371 2.5×
Behavioral and qualitative analysis of voice and resonance (92524) $230 $329 2.1×
Biofeedback training any modality (90901) $75 $107 1.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $511 $730 1.3×
Canalith Repositioning (95992) $87 $124 2.1×
Cardiac Stress Tst,Tracing Only (93017) $795 $1,136 3.5×
Cardiopulmonary resuscitation (92950) $663 $947 3.0×
Cardioversion (92960) $1,185 $1,693 1.7×
Chemo Hormon Antineopl Sq/Im (96402) $146 $209 2.0×
Chemo IV push addl drug (96411) $215 $307 2.9×
Chemo Iv Push Sngl Drug (96409) $357 $510 1.0×
Chemother, IV infusion, 1 hr (96413) $401 $573 1.2×
Chemother, IV infusion, ea add hr (96415) $104 $148 1.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $225 $322 3.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $192 $274 2.6×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $69 $99 0.7×
Color/duplex Doppler, complete (93975) $957 $1,367 3.9×
Color/duplex Doppler, limited (93976) $493 $705 4.5×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $207 $296 1.1×
Cpt initial (94667) $79.50 $113 0.6×
Critical care (99291) $1,276 $1,823 1.5×
Debridement Open Wound 20 Sq Cm< (97597) $213 $304 1.0×
Demo &/or eval,pt use,aerosol device (94664) $131 $187 0.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $856 $1,223 3.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $957 $1,367 3.9×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $723 $1,033 6.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $669 $956 6.2×
Dup-scan xtr veins unilateral/limited study (93971) $823 $1,175 7.6×
Duplex scan extracranial art compl bi study (93880) $1,124 $1,606 4.5×
EKG (93005) $244 $348 4.0×
Er level 1 (99281) $155 $222 1.8×
Er level ii (99282) $245 $350 1.5×
Er level iii (99283) $384 $548 1.4×
Er level IV (99284) $574 $820 1.3×
Er level v (99285) $964 $1,377 1.6×
Evaluation of speech fluency (92521) $204 $292 1.5×
Evaluation of speech sound production (92522) $224 $320 2.0×
Evaluation of swallowing function (92610) $259 $370 3.1×
Evaluation with prescription of speech-generating alternative (92607) $270 $385 2.2×
Evoked auditory test,limited (92587) $130 $186 0.6×
External Ecg Scanning Analysis Report (93226) $575 $822 9.4×
Holter Monitor Recording (93225) $358 $512 2.6×
Immunization Admin (90471) $57 $82 0.8×
Immunotherapy, 2+ Injections (95117) $25 $35 0.5×
IV infusion hydration each additional hour (96361) $131 $187 2.7×
IV infusion hydration initial 31 min-1 hour (96360) $284 $405 1.3×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $152 $217 2.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $291 $416 1.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $160 $229 3.3×
IV push initial (96374) $187 $267 0.8×
Manual therapy 15 min (97140) $86 $123 3.1×
Massage 15 min (97124) $54 $77 1.8×
Mechanical traction (97012) $59 $84 4.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $176 $252 0.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $447 $639 3.2×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $73 $104 1.6×
Ot eval high complex 60 min (97167) $192 $274 1.9×
Ot eval low complex 30 min (97165) $142 $203 1.4×
Ot eval mod complex 45 min (97166) $166 $237 1.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $80 $114 1.6×
Ot re-eval est plan care (97168) $116 $166 1.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $205 $293 1.5×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $104 $149 0.8×
Paraffin bath (97018) $56 $80 9.3×
Phy/qhp op pulm rhb w/o mntr (94625) $104 $149 1.7×
Principal care mgmt svc 1st 30 staff cal mo (99426) $55 $79 0.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $17 $24 0.3×
Psych diag eval w/med srvcs (90792) $277 $395 1.5×
Psychiatric diagnostic evaluation (90791) $149 $213 0.8×
Psytx crisis initial 60 min (90839) $220 $314 1.2×
Pt Aquatic Therapy/Exercises (97113) $203 $290 5.5×
Pt Electric Current Therapy (97033) $88 $126 4.6×
Pt Electrical Stimulation (97032) $59 $85 4.0×
Pt eval high complex 45 min (97163) $199 $284 2.0×
Pt eval low complex 20 min (97161) $131 $187 1.3×
Pt Gait Training Therapy (97116) $76 $109 2.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $83 $119 2.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $160 $228 1.6×
Pt re-evaluation (97164) $109 $155 1.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $92 $132 2.8×
Pt Ultrasound Therapy (97035) $59 $84 4.1×
Pt Whirlpool Therapy (97022) $85 $121 5.4×
Pulmonary stress testing (94618) $335 $478 2.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $146 $208 0.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $86 $123 1.8×
Sensory Integration Ea 15 Min (97533) $162 $231 2.7×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $273 $390 1.2×
Smoking cessation > 10 min (99407) $24 $34 0.6×
Speech sound lang comprehen (92523) $280 $400 1.2×
Spirometry (94010) $159 $227 0.7×
Standardized Cognitive Performance Testing (96125) $246 $351 2.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $84.50 $120.50 3.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $134 $191 6.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $228 $326 2.2×
Ther/Proph/Diag Inj Sc/Im (96372) $72 $102.50 1.0×
Therapeutic Activities (97530) $105 $150 3.0×
Therapeutic phlebotomy (99195) $152 $217 1.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $15 $21 0.4×
Trans Care Mgmt 7 Day Disch (99496) $357 $510 2.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,726 $2,465 3.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $230 $329 3.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $214 $306 2.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $172 $245 3.5×
Ultraviolet Light Therapy (96900) $68 $97 1.8×
Unlisted pulmonary service/procedure (94799) $180 $257 1.3×
Vasc Duplex Extrem Venous,Bilat (93970) $1,096 $1,565 4.4×
Vasopneumatic device (97016) $63 $90 5.2×
Ventilation assist & mgmt inpatient 1st day (94002) $1,079 $1,542 1.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $659 $942 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $166 $237 5.3×