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.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $271 $271 1.2×
Appl on-body injector for timed subq injection (96377) $162 $162 3.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $760 $760 2.0×
Canalith Repositioning (95992) $134 $134 3.3×
Cardiac Stress Tst,Tracing Only (93017) $1,841 $1,841 8.2×
Cardiopulmonary resuscitation (92950) $926 $926 4.1×
Cardioversion (92960) $1,083.50 $1,083.50 1.6×
Chemo Hormon Antineopl Sq/Im (96402) $196 $196 2.6×
Chemo IV push addl drug (96411) $379 $379 5.1×
Chemo Iv Push Sngl Drug (96409) $468 $468 1.4×
Chemo prolong 8+ hrs infuse w/pump (96416) $715 $715 2.1×
Chemother, IV infusion, 1 hr (96413) $770 $770 2.2×
Chemother, IV infusion, ea add hr (96415) $216 $216 2.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $419 $419 5.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $419 $419 5.6×
Color/duplex Doppler, complete (93975) $1,713 $1,713 6.9×
Cont Gluc Monitoring Patient Provided Equipment (95249) $189 $189 3.1×
Continuous Glucose Monitoring (95250) $439 $439 3.2×
Cpap initiation and management (94660) $960 $960 4.2×
Cpt initial (94667) $233 $233 1.7×
Critical care (99291) $1,764 $1,764 2.1×
Debridement Open Wound 20 Sq Cm< (97597) $340 $340 1.6×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,440 $1,440 5.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,137 $1,137 10.5×
Dup-scan xtr veins unilateral/limited study (93971) $1,488 $1,488 13.7×
Duplex hemodialysis access (93990) $1,259 $1,259 11.6×
Duplex scan extracranial art compl bi study (93880) $2,066 $2,066 8.3×
Echo Heart Xthoracic,Limited (93308) $1,091 $1,091 4.4×
EKG (93005) $378 $378 6.2×
Er level 1 (99281) $288 $288 3.3×
Er level ii (99282) $424 $424 2.7×
Er level iii (99283) $664 $664 2.3×
Er level IV (99284) $1,010 $1,010 2.3×
Er level v (99285) $1,417 $1,417 2.3×
Evaluation of speech fluency (92521) $327 $327 2.5×
Evaluation of speech sound production (92522) $332 $332 3.0×
Evaluation of swallowing function (92610) $255 $255 3.0×
Evoked auditory test,limited (92587) $355 $355 1.6×
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×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $45 $45 1.1×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $48 $48 0.6×
Immunization Admin (90471) $43 $43 0.6×
Immunotherapy, 2+ Injections (95117) $31 $31 0.6×
Injection intra arterial (96373) $58.50 $58.50 0.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $94 $94 1.5×
IV infusion hydration each additional hour (96361) $140.50 $140.50 2.9×
IV infusion hydration initial 31 min-1 hour (96360) $493.50 $493.50 2.2×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $233 $233 3.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $527 $527 2.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $191.50 $191.50 3.9×
IV push initial (96374) $344 $344 1.6×
Maintenance of spinal canal or brain drug infusion pump (95990) $640 $640 1.9×
Manual therapy 15 min (97140) $156 $156 5.6×
Massage 15 min (97124) $338 $338 11.4×
Mechanical chest wall oscillation (94669) $768 $768 3.4×
Mechanical traction (97012) $81 $81 5.6×
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) $364 $364 1.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $668.50 $668.50 1.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $632 $632 4.6×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $855 $855 3.8×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $559 $559 4.2×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $150 $150 3.3×
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 Community/Work Reintegration Trainj Ea 15 Min (97537) $100 $100 3.1×
Ot Contrast Bath Ea 15 Min (97034) $90 $90 6.4×
Ot eval high complex 60 min (97167) $170 $170 1.7×
Ot eval low complex 30 min (97165) $152 $152 1.5×
Ot eval mod complex 45 min (97166) $150 $150 1.5×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $65.50 $65.50 1.3×
Ot re-eval est plan care (97168) $150 $150 2.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $345 $345 2.6×
Paraffin bath (97018) $78.50 $78.50 13.1×
Peripheral arterial disease rehab per session (93668) $121 $121 2.0×
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×
Pt Electric Current Therapy (97033) $128 $128 6.7×
Pt Electrical Stimulation (97032) $90 $90 6.1×
Pt eval high complex 45 min (97163) $279 $279 2.9×
Pt eval low complex 20 min (97161) $208 $208 2.1×
Pt Gait Training Therapy (97116) $150 $150 5.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $152 $152 4.6×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $229 $229 2.3×
Pt re-evaluation (97164) $140 $140 2.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $452 $452 14.0×
Pt Ultrasound Therapy (97035) $89 $89 6.2×
Pulmonary stress testing (94618) $470 $470 3.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $364 $364 1.7×
Rt Chest Wall Manipulation,Subsequent (94668) $158 $158 1.1×
Sensory Integration Ea 15 Min (97533) $190 $190 3.1×
Speech sound lang comprehen (92523) $438 $438 1.9×
Spirometry (94010) $354 $354 1.6×
Stress echo (93350) $2,094 $2,094 3.7×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $48 $48 1.0×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $415 $415 1.9×
Temp transcutaneous pacing (92953) $1,082 $1,082 1.6×
Ther/Proph/Diag Inj Sc/Im (96372) $170 $170 2.3×
Therapeutic Activities (97530) $150 $150 4.3×
Therapeutic phlebotomy (99195) $258 $258 1.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $3,048 $3,048 5.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $442 $442 5.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $244 $244 2.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $235 $235 4.8×
Tympanometry (92567) $31 $31 0.8×
Vasc Duplex Extrem Venous,Bilat (93970) $1,935 $1,935 7.8×
Vasc Duplex Scan Extracranial,Limited (93882) $1,091 $1,091 10.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,128 $1,128 5.0×
Wheelchair Mgmt Ea 15 Min (97542) $119 $119 3.8×