Visits & medical services prices at Chase County Community Hospital
Imperial, NE · every code in this section with a posted price and a Medicare benchmark.
120 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $45 | $45 | 1.1× |
| Airway Inhalation Treatment (94640) | $271 | $271 | 1.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$89–$150 | $89–$150 | varies |
| Application on-body injector (96377) | $162 | $162 | 3.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $760 | $760 | 2.0× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$129–$139 | $129–$139 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $1,841 | $1,841 | 8.2× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$450–$1,402 | $450–$1,402 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$134–$2,033 | $134–$2,033 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $419 | $419 | 5.6× |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$105–$287 | $105–$287 | varies |
| Chemo IV infusion addl hr (96415) | $216 | $216 | 2.9× |
| Chemo IV push addl drug (96411) | $379 | $379 | 5.1× |
| Chemother Prolong Infuse W/Pump (96416) | $715 | $715 | 2.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $419 | $419 | 5.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $770 | $770 | 2.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $468 | $468 | 1.4× |
| Chest Wall Manipulation (94668) | $158 | $158 | 1.1× |
| Color/duplex Doppler, complete (93975) | $1,713 | $1,713 | 6.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $100 | $100 | 3.1× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $439 | $439 | 3.2× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $189 | $189 | 3.1× |
| Continuous Pulse Ox (94762) | $559 | $559 | 4.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $960 | $960 | 4.2× |
| Cpt initial (94667) | $233 | $233 | 1.7× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$1,178–$2,350 | $1,178–$2,350 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$22–$364 | $22–$364 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,438 | $1,438 | 5.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $975 | $975 | 9.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,075 | $1,075 | 4.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,075 | $1,075 | 9.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,935 | $1,935 | 7.8× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,488 | $1,488 | 13.7× |
| Duplex Scan Hemodialysis Access (93990) | $1,259 | $1,259 | 11.6× |
| Duplex up extrem art bilat (93930) | $1,440 | $1,440 | 5.8× |
| Duplex up extrem art unilat/ltd (93931) | $1,137 | $1,137 | 10.5× |
| Echo Heart Xthoracic,Limited (93308) | $1,091 | $1,091 | 4.4× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$83–$137 | $83–$137 | varies |
| Electrocardiogram Tracing (93005) | $378 | $378 | 6.2× |
| Emergency Dept Visit Level 2 (99282) | $424 | $424 | 2.7× |
| Emergency Dept Visit Level 3 (99283) | $664 | $664 | 2.3× |
| Emergency Dept Visit Level 4 (99284) | $1,010 | $1,010 | 2.3× |
| Er level 1 (99281) | $288 | $288 | 3.3× |
| Er level v (99285) | $1,417 | $1,417 | 2.3× |
| Evaluate Speech Production (92522) | $332 | $332 | 3.0× |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$89–$421 | $89–$421 | varies |
| Evaluation of speech fluency (92521) | $327 | $327 | 2.5× |
| Evoked Auditory Test,Limited (92587) | $355 | $355 | 1.6× |
| Extracranial Bilat Study (93880) | $2,066 | $2,066 | 8.3× |
| Extracranial Uni/Ltd Study (93882) | $1,091 | $1,091 | 10.0× |
| Flexible endoscopic eval swallow c/v rec (92612) | $246 | $246 | 1.2× |
| Group Therapeutic Procedures (97150) | $126 | $126 | 7.0× |
| Holter monitor recording (93225) | $774 | $774 | 5.6× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $48 | $48 | 0.6× |
| Immunization administration (90471) range across 8 matching MRF lines |
$40–$126 | $40–$126 | varies |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$124–$132 | $124–$132 | varies |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$88–$241 | $88–$241 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$132–$149 | $132–$149 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$489–$498 | $489–$498 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$231–$235 | $231–$235 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$189–$194 | $189–$194 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$276–$412 | $276–$412 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,128 | $1,128 | 5.0× |
| Mechanical chest wall oscillation per session (94669) | $768 | $768 | 3.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $63 | $63 | 2.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $58 | $58 | 1.6× |
| Nasopharyngoscopy (92511) | $59 | $59 | 0.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$272–$713 | $272–$713 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$656–$681 | $656–$681 | varies |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$142–$338 | $142–$338 | varies |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$150–$338 | $150–$338 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$63–$68 | $63–$68 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$139–$177 | $139–$177 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $75 | $75 | 3.3× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $108 | $108 | 4.8× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $142 | $142 | 6.3× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $171 | $171 | 7.6× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $205 | $205 | 9.1× |
| Ot Contrast Bath Ea 15 Min (97034) | $90 | $90 | 6.4× |
| Ot eval high complexity (97167) | $170 | $170 | 1.7× |
| Ot Eval Low Complex (97165) | $152 | $152 | 1.5× |
| Ot Eval Moderate Complexity (97166) | $150 | $150 | 1.5× |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$147–$156 | $147–$156 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$78–$79 | $78–$79 | varies |
| Ot Re-Eval Est Plan Care (97168) | $150 | $150 | 2.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $345 | $345 | 2.6× |
| Peripheral arterial disease rehab per session (93668) | $121 | $121 | 2.0× |
| Phlebotomy therapeutic (99195) | $258 | $258 | 1.9× |
| Pm device progr eval dual (93280) | $63 | $63 | 1.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $25 | $25 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $31 | $31 | 0.6× |
| Pt Eval High Complex (97163) | $279 | $279 | 2.9× |
| Pt eval low complex 20 min (97161) | $208 | $208 | 2.1× |
| Pt Eval Mod Complex (97162) | $229 | $229 | 2.3× |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$139–$170 | $139–$170 | varies |
| Pt mechanical traction (97012) | $81 | $81 | 5.6× |
| Pt Re-Eval Est Plan Care (97164) | $140 | $140 | 2.1× |
| Pulmonary Stress Testing (94618) | $470 | $470 | 3.4× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $640 | $640 | 1.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $364 | $364 | 1.7× |
| Self Care Mngment Training (97535) | $452 | $452 | 14.0× |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$121–$259 | $121–$259 | varies |
| Speech sound lang comprehen (92523) | $438 | $438 | 1.9× |
| Spirometry (94010) | $354 | $354 | 1.6× |
| Stress Tte Only (93350) | $2,094 | $2,094 | 3.7× |
| Subcutaneous Infusion Each Additional Hour (96370) | $48 | $48 | 1.0× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $415 | $415 | 1.9× |
| Temp transcutaneous pacing (92953) | $1,082 | $1,082 | 1.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $338 | $338 | 11.4× |
| Ther/Proph/Diag Inj Ia (96373) range across 2 matching MRF lines |
$39–$78 | $39–$78 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$52–$173 | $52–$173 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$522–$532 | $522–$532 | varies |
| Therapeutic Activities (97530) | $150 | $150 | 4.3× |
| Tte w/doppler, complete (93306) | $3,048 | $3,048 | 5.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $442 | $442 | 5.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$232–$238 | $232–$238 | varies |
| Tympanometry (92567) | $31 | $31 | 0.8× |
| Upr/L Xtremity Art 2 Levels (93922) | $632 | $632 | 4.6× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $855 | $855 | 3.8× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 3 matching MRF lines |
$119–$150 | $119–$150 | varies |
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.