Visits & medical services prices at Cherry County Hospital

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

148 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) $176.40 $176.40 1.7×
Aep threshold estimation mlt frequencies i&r (92652) $103.65 $103.65 0.5×
Airway inhalation treatment (94640) $207.85 $207.85 0.9×
Appl on-body injector for timed subq injection (96377) $330.75 $330.75 6.8×
Assessment of aphasia (96105) $179.40 $179.40 1.8×
Behav assmt w/score & docd/stand instrument (96127) $121.30 $121.30 3.1×
Behavioral and qualitative analysis of voice and resonance (92524) $341.80 $341.80 3.1×
Biofeedback training any modality (90901) $110.25 $110.25 2.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $841.25 $841.25 2.2×
Canalith Repositioning (95992) $136.75 $136.75 3.4×
Cardiac Stress Tst,Tracing Only (93017) $1,228.80 $1,228.80 5.5×
Cardiopulmonary resuscitation (92950) $671.78 $671.78 3.0×
Cardioversion (92960) $272.98 $272.98 0.4×
Caregiver hlth risk assmt score doc stnd instrm (96161) $5.85 $5.85 0.2×
Chemo Hormon Antineopl Sq/Im (96402) $363.85 $363.85 4.9×
Chemo IV push addl drug (96411) $385.90 $385.90 5.2×
Chemo Iv Push Sngl Drug (96409) $463.05 $463.05 1.4×
Chemo prolong 8+ hrs infuse w/pump (96416) $407.95 $407.95 1.2×
Chemother, IV infusion, 1 hr (96413) $490.65 $490.65 1.4×
Chemother, IV infusion, ea add hr (96415) $289.05 $289.05 3.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $407.95 $407.95 5.5×
Chemotherapy, unspecified procedure (96549) $490.65 $490.65 10.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $407.95 $407.95 5.5×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $149.10 $149.10 1.4×
Color vision examination (92283) $122.10 $122.10 2.0×
Color/duplex Doppler, complete (93975) $1,416.75 $1,416.75 5.7×
Color/duplex Doppler, limited (93976) $1,248.05 $1,248.05 11.5×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $323.40 $323.40 1.8×
Cpap initiation and management (94660) $1,147.70 $1,147.70 5.0×
Cpt initial (94667) $166.25 $166.25 1.2×
Critical care (99291) $616.40 $616.40 0.7×
Debridement Open Wound 20 Sq Cm< (97597) $251.10 $251.10 1.2×
Demo &/or eval,pt use,aerosol device (94664) $61.25 $61.25 0.3×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,135.90 $1,135.90 4.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $964.70 $964.70 8.9×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,437.70 $1,437.70 5.8×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,185.20 $1,185.20 10.9×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,305.40 $1,305.40 5.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $569.75 $569.75 5.2×
Dup-scan xtr veins unilateral/limited study (93971) $1,255.75 $1,255.75 11.6×
Duplex hemodialysis access (93990) $1,151.80 $1,151.80 10.6×
Duplex scan extracranial art compl bi study (93880) $1,712.20 $1,712.20 6.9×
Ear and throat examination (92502) $290.15 $290.15 0.5×
Echo Heart Xthoracic,Limited (93308) $1,030.25 $1,030.25 4.2×
EKG (93005) $321.85 $321.85 5.3×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $121.30 $121.30 1.2×
Er level 1 (99281) $126.30 $126.30 1.4×
Er level ii (99282) $258.35 $258.35 1.6×
Er level iii (99283) $259 $259 0.9×
Er level IV (99284) $420.35 $420.35 1.0×
Er level v (99285) $487.85 $487.85 0.8×
Evaluation of speech fluency (92521) $348.40 $348.40 2.6×
Evaluation of speech sound production (92522) $348.40 $348.40 3.1×
Evaluation of swallowing function (92610) $385.90 $385.90 4.5×
External ECG rec>48hr<7d recording (93242) $625.80 $625.80 16.1×
External ECG rec>48hr<7d scanning alys w/report (93243) $158.70 $158.70 1.1×
External ECG rec>7d<15d recording (93246) $752.85 $752.85 19.4×
External ECG rec>7d<15d scanning alys w/report (93247) $420 $420 3.0×
External Ecg Scanning Analysis Report (93226) $148.85 $148.85 2.4×
Eye exam, new patient,comprehesv (92004) $391.05 $391.05 2.8×
Holter Monitor Recording (93225) $597.60 $597.60 4.3×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $49.10 $49.10 1.2×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $36.88 $36.88 0.5×
Immunization Admin (90471) $47.92 $47.92 0.6×
Immunotherapy, 2+ Injections (95117) $29.52 $29.52 0.6×
Inital newborn e/m (99460) $316.80 $316.80 2.3×
Initial normal newborn care, same day discharge (99463) $232.88 $232.88 1.7×
Injection intra arterial (96373) $330.75 $330.75 1.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $101.45 $101.45 1.7×
IV infusion hydration each additional hour (96361) $176.40 $176.40 3.6×
IV infusion hydration initial 31 min-1 hour (96360) $330.75 $330.75 1.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $363.85 $363.85 4.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $407.95 $407.95 1.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $341.80 $341.80 7.0×
IV push initial (96374) $341.80 $341.80 1.5×
Maintenance of spinal canal or brain drug infusion pump (95990) $168.70 $168.70 0.5×
Manual therapy 15 min (97140) $121.30 $121.30 4.4×
Mechanical traction (97012) $92.65 $92.65 6.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $78.75 $78.75 2.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $78.75 $78.75 2.1×
Mnt Group Ea 30 Min (97804) $157.50 $157.50 9.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $378.12 $378.12 4.1×
Nasopharyngoscopy (92511) $323.48 $323.48 1.6×
Neg press wnd tx </=50 sq cm (97607) $400.32 $400.32 0.9×
Neg press wound tx >50 cm (97608) $403.68 $403.68 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $288.90 $288.90 1.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $139.52 $139.52 0.3×
Newborn resuscitation (99465) $335.10 $335.10 0.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $627.35 $627.35 4.5×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $1,136.02 $1,136.02 5.1×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $152.15 $152.15 3.3×
Osteopathic manipulative tx 1-2 body regions (98925) $61.25 $61.25 2.7×
Osteopathic manipulative tx 3-4 body regions (98926) $61.25 $61.25 2.7×
Osteopathic manipulative tx 5-6 body regions (98927) $61.25 $61.25 2.7×
Ot Contrast Bath Ea 15 Min (97034) $112.50 $112.50 8.0×
Ot eval high complex 60 min (97167) $276.75 $276.75 2.8×
Ot eval low complex 30 min (97165) $219.40 $219.40 2.2×
Ot eval mod complex 45 min (97166) $256.90 $256.90 2.6×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $101.55 $101.55 2.0×
Ot re-eval est plan care (97168) $165.40 $165.40 2.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $267 $267 2.0×
Paraffin bath (97018) $82.70 $82.70 13.8×
Peripheral arterial disease rehab per session (93668) $253.75 $253.75 4.1×
Plethysmography (94726) $970.20 $970.20 2.5×
Pm device eval in person (93288) $79.40 $79.40 2.0×
Principal care mgmt svc 1st 30 staff cal mo (99426) $152.25 $152.25 1.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $24.82 $24.82 0.5×
Pt Aquatic Therapy/Exercises (97113) $143.35 $143.35 3.9×
Pt Electric Current Therapy (97033) $144.45 $144.45 7.6×
Pt Electrical Stimulation (97032) $87.10 $87.10 5.9×
Pt eval high complex 45 min (97163) $326.35 $326.35 3.3×
Pt eval low complex 20 min (97161) $207.30 $207.30 2.1×
Pt Gait Training Therapy (97116) $115.80 $115.80 4.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $126.80 $126.80 3.9×
Pt Physical Performance Test (97750) $119.10 $119.10 3.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $242.55 $242.55 2.5×
Pt re-evaluation (97164) $126.80 $126.80 1.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $102.55 $102.55 3.2×
Pt Ultrasound Therapy (97035) $59.75 $59.75 4.2×
Pt Whirlpool Therapy (97022) $125.70 $125.70 8.0×
Pulmonary stress testing (94618) $285.68 $285.68 2.1×
Pure Tone Audiometry Air & Bone (92553) $61.25 $61.25 0.5×
Refill/maint, portable pump (96521) $91.55 $91.55 0.4×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $304.80 $304.80 7.9×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $124.60 $124.60 0.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $95.72 $95.72 0.5×
Rt Chest Wall Manipulation,Subsequent (94668) $182.78 $182.78 1.3×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $407.95 $407.95 1.8×
Speech sound lang comprehen (92523) $480.70 $480.70 2.1×
Spirometry (94010) $381.50 $381.50 1.7×
Stress echo (93350) $2,212.30 $2,212.30 3.9×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $118.52 $118.52 5.3×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $147.20 $147.20 7.0×
Ther/Proph/Diag Inj Sc/Im (96372) $113.05 $113.05 1.5×
Therapeutic Activities (97530) $126.80 $126.80 3.6×
Therapeutic phlebotomy (99195) $206.20 $206.20 1.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $33.10 $33.10 0.9×
Trans Care Mgmt 14 Day Disch (99495) $494.55 $494.55 3.6×
Trans Care Mgmt 7 Day Disch (99496) $670.95 $670.95 4.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $3,225.20 $3,225.20 5.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $346.20 $346.20 4.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $325.25 $325.25 3.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $198.45 $198.45 4.1×
Vasc Duplex Extrem Venous,Bilat (93970) $860.25 $860.25 3.5×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,206.45 $1,206.45 5.4×
Vasopneumatic device (97016) $64.95 $64.95 5.4×
Ventilation assist & mgmt inpatient 1st day (94002) $1,603.05 $1,603.05 2.5×
Wheelchair Mgmt Ea 15 Min (97542) $97.12 $97.12 3.1×