Visits & medical services prices at CHI Health Plainview

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

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

Compare against other hospitals interactively →

ProcedureCash priceGross charge× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $93.24 $111 0.9×
Actigraphy testing recording analysis i&r (95803) $293.16 $349 4.8×
Airway inhalation treatment (94640) $153.72 $183 0.7×
Allergy skin tests (95028) $236.04 $281 6.1×
Allg tstg perq & ic venoms immed react w/ i&r (95017) $37.80 $45 1.3×
Analyze neurostim no prog (95970) $157.92 $188 1.1×
Anogenital exam, child (99170) $322.14 $383.50 1.5×
Appl on-body injector for timed subq injection (96377) $108.36 $129 2.2×
Assessment of aphasia (96105) $544.32 $648 5.6×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $81.48 $97 2.2×
Basic vestibular evaluation (92540) $192.36 $229 0.9×
Behavioral and qualitative analysis of voice and resonance (92524) $640.92 $763 5.9×
Biofeedback training any modality (90901) $80.64 $96 2.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $627.48 $747 1.6×
Canalith Repositioning (95992) $49.56 $59 1.2×
Capsule endoscopy (91110) $2,303.28 $2,742 2.4×
Car seat/bed test 60 min (94780) $293.16 $349 7.6×
Cardiac Stress Tst,Tracing Only (93017) $1,268.40 $1,510 5.7×
Cardiopulmonary exercise testing (94621) $466.20 $555 1.2×
Cardiopulmonary resuscitation (92950) $895.02 $1,065.50 4.0×
Cardioversion (92960) $891.66 $1,061.50 1.3×
Cbt 1st hour (94644) $149.52 $178 1.1×
Chemo Hormon Antineopl Sq/Im (96402) $186.90 $222.50 2.5×
Chemo IV push addl drug (96411) $304.50 $362.50 4.1×
Chemo Iv Push Sngl Drug (96409) $304.50 $362.50 0.9×
Chemo prolong 8+ hrs infuse w/pump (96416) $199.08 $237 0.6×
Chemother, IV infusion, 1 hr (96413) $396.48 $472 1.2×
Chemother, IV infusion, ea add hr (96415) $441.84 $526 5.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $186.90 $222.50 2.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $304.50 $362.50 4.1×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $147 $175 1.4×
Color/duplex Doppler, complete (93975) $1,201.20 $1,430 4.8×
Color/duplex Doppler, limited (93976) $756.84 $901 7.0×
Comprehensive Hearing Test (92557) $157.08 $187 1.2×
Continuous Glucose Monitoring (95250) $311.64 $371 2.3×
Cpap initiation and management (94660) $184.80 $220 0.8×
Cpt initial (94667) $126 $150 0.9×
Critical care (99291) $2,263.38 $2,694.50 2.6×
Debridement Open Wound 20 Sq Cm< (97597) $171.36 $204 0.8×
Demo &/or eval,pt use,aerosol device (94664) $142.80 $170 0.6×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $3,291.12 $3,918 7.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,741.32 $2,073 7.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $984.48 $1,172 9.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,190.28 $1,417 4.8×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $892.92 $1,063 8.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,085.28 $1,292 4.4×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $682.92 $813 6.3×
Dup-scan xtr veins unilateral/limited study (93971) $1,046.64 $1,246 9.6×
Duplex hemodialysis access (93990) $740.04 $881 6.8×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $3,167.64 $3,771 12.8×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $152.88 $182 1.4×
Duplex scan extracranial art compl bi study (93880) $1,255.80 $1,495 5.1×
Echo Heart Xthoracic,Limited (93308) $509.88 $607 2.1×
EEG awake asleep (95819) $658.56 $784 2.9×
EEG awake drowsy (95816) $499.80 $595 2.2×
EKG (93005) $137.34 $163.50 2.2×
EKG rhythm strip (93041) $147 $175 2.4×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $48.72 $58 1.3×
EMG one extremity (95860) $384.30 $457.50 2.8×
EMG two extremities (95861) $265.86 $316.50 1.9×
Er level 1 (99281) $133.14 $158.50 1.5×
Er level ii (99282) $238.98 $284.50 1.5×
Er level iii (99283) $399.84 $476 1.4×
Er level IV (99284) $637.56 $759 1.5×
Er level v (99285) $907.20 $1,080 1.5×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $670.32 $798 9.4×
Evaluation of speech fluency (92521) $1,070.58 $1,274.50 8.0×
Evaluation of speech sound production (92522) $640.92 $763 5.7×
Evaluation of swallowing function (92610) $499.80 $595 5.9×
Evaluation with prescription of speech-generating alternative (92607) $302.40 $360 2.5×
Exhaled Air Analysis (94690) $629.16 $749 10.3×
Exhaled air analysis o2 (94680) $178.92 $213 1.3×
External ECG rec>48hr<7d recording (93242) $65.94 $78.50 1.7×
External ECG rec>7d<15d recording (93246) $309.54 $368.50 8.0×
External Ecg Scanning Analysis Report (93226) $491.82 $585.50 8.0×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $1,433.46 $1,706.50 7.2×
Group Therapeutic Procedures (97150) $98.28 $117 5.4×
Holter Monitor Recording (93225) $320.88 $382 2.3×
Hydrotherapy (97036) $84 $100 2.4×
Imaging of colon using capsule endoscope, with interpretation and report (91113) $994.56 $1,184 1.0×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $86.10 $102.50 2.0×
Immunization Admin (90471) $39.48 $47 0.5×
Immunotherapy, 2+ Injections (95117) $47.04 $56 1.0×
Injection intra arterial (96373) $424.20 $505 1.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $147 $175 2.4×
IV infusion hydration each additional hour (96361) $46.20 $55 1.0×
IV infusion hydration initial 31 min-1 hour (96360) $202.44 $241 0.9×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $141.96 $169 1.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $206.64 $246 0.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $46.20 $55 1.0×
IV push initial (96374) $110.88 $132 0.5×
Manual therapy 15 min (97140) $59.64 $71 2.2×
Massage 15 min (97124) $64.68 $77 2.2×
Mechanical chest wall oscillation (94669) $242.76 $289 1.1×
Mechanical traction (97012) $76.86 $91.50 5.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $30.24 $36 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $32.76 $39 0.9×
Methacholine challenge (94070) $971.88 $1,157 2.5×
Mnt Group Ea 30 Min (97804) $30.24 $36 1.8×
Motility study esophagus (91010) $1,977.36 $2,354 5.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $407.40 $485 4.5×
Multiple sleep latency test (95805) $2,971.92 $3,538 3.3×
Nasopharyngoscopy (92511) $274.68 $327 1.3×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $173.04 $206 1.3×
Neg press wnd tx </=50 sq cm (97607) $376.32 $448 0.9×
Neg press wound tx >50 cm (97608) $376.32 $448 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $167.16 $199 0.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $199.08 $237 0.5×
Nerve conduction studies 13/> studies (95913) $346.08 $412 0.9×
Nerve Conduction Studies 3-4 Studies (95908) $304.50 $362.50 1.4×
Nerve Conduction Studies 9-10 Studies (95911) $562.80 $670 1.5×
Nerve conduction studies; 1-2 studies (95907) $199.92 $238 0.9×
Nerve conduction studies; 5-6 studies (95909) $331.80 $395 1.5×
Nerve conduction studies; 7-8 studies (95910) $383.04 $456 1.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $472.08 $562 3.4×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $713.16 $849 3.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $477.12 $568 3.6×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $794.64 $946 2.1×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $217.56 $259 4.7×
Oscillating Tracking Test (92545) $192.36 $229 0.9×
Osteopathic manipulative tx 1-2 body regions (98925) $49.56 $59 2.2×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $102.48 $122 3.2×
Ot Contrast Bath Ea 15 Min (97034) $61.32 $73 4.4×
Ot eval high complex 60 min (97167) $146.58 $174.50 1.5×
Ot eval low complex 30 min (97165) $164.64 $196 1.6×
Ot eval mod complex 45 min (97166) $164.64 $196 1.6×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $102.48 $122 2.0×
Ot Prosthetic Training, Each 15 Min (97761) $116.76 $139 2.9×
Ot Range Motion Measure,Each Extrem (95851) $61.32 $73 2.4×
Ot re-eval est plan care (97168) $117.18 $139.50 1.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $297.36 $354 2.2×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $225.96 $269 1.7×
Paraffin bath (97018) $57.12 $68 9.5×
Patch/Application Test Specify Number Tests (95044) $664.44 $791 0.7×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $183.12 $218 0.8×
Percutaneous tests w/allergenic extracts (95004) $472.08 $562 0.5×
Peripheral arterial disease rehab per session (93668) $69.30 $82.50 1.1×
Phy/qhp op pulm rhb w/mntr (94626) $336 $400 5.5×
Phy/qhp op pulm rhb w/o mntr (94625) $324.66 $386.50 5.3×
Plethysmography (94726) $747.60 $890 1.9×
Pm/Icd Remote Tech Serv (93296) $76.44 $91 2.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,108.04 $6,081 5.7×
Polysom <6 yrs 4/> paramtrs (95782) $1,212.12 $1,443 1.4×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,212.12 $1,443 1.4×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $1,328.04 $1,581 1.5×
Positional Nystagmus Test (92542) $176.40 $210 1.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $162.12 $193 3.3×
Pt Aquatic Therapy/Exercises (97113) $80.22 $95.50 2.2×
Pt Electric Current Therapy (97033) $123.48 $147 6.5×
Pt Electrical Stimulation (97032) $87.36 $104 5.9×
Pt eval high complex 45 min (97163) $131.46 $156.50 1.3×
Pt eval low complex 20 min (97161) $126 $150 1.3×
Pt Gait Training Therapy (97116) $82.32 $98 2.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $70.56 $84 2.2×
Pt Physical Performance Test (97750) $115.92 $138 3.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $126 $150 1.3×
Pt re-evaluation (97164) $87.78 $104.50 1.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $73.08 $87 2.3×
Pt Ultrasound Therapy (97035) $84.84 $101 5.9×
Pt Whirlpool Therapy (97022) $61.74 $73.50 3.9×
Pulm function test by gas (94727) $635.88 $757 2.8×
Pulmonary stress testing (94618) $146.58 $174.50 1.1×
Pure Tone Audiometry Air & Bone (92553) $157.08 $187 1.2×
Pure Tone Audiometry, Air (92552) $157.08 $187 1.1×
Refill/Maint Pump/Resvr Syst (96522) $394.80 $470 1.8×
Refill/maint, portable pump (96521) $394.80 $470 1.8×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $393.96 $469 10.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $90.72 $108 0.4×
Rom meas&reprt hand w/wo comparison normal sid (95852) $55.44 $66 2.6×
Rt Chest Wall Manipulation,Subsequent (94668) $73.92 $88 0.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $270.06 $321.50 5.7×
Sbsq psychiatric collab care mgmt 1st 60 mins (99493) $93.24 $111 0.9×
Sinusoidal Rotational Test (92546) $192.36 $229 1.4×
Sleep study attended (95807) $1,636.32 $1,948 4.2×
Sleep study unattended (95806) $484.68 $577 2.2×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $162.96 $194 0.7×
Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) $68.88 $82 1.1×
Smoking cessation > 10 min (99407) $24.36 $29 0.6×
Speech Audiometry Threshold (92555) $57.12 $68 0.9×
Speech Audiometry, Complete (92556) $57.12 $68 0.9×
Speech group therapy (92508) $101.22 $120.50 4.2×
Speech sound lang comprehen (92523) $388.08 $462 1.7×
Spirometry (94010) $361.20 $430 1.6×
Spontaneous Nystagmus Test (92541) $69.72 $83 0.5×
Standardized Cognitive Performance Testing (96125) $576.66 $686.50 5.6×
Stress echo (93350) $1,404.48 $1,672 2.5×
Stress Tte Complete (93351) $2,650.20 $3,155 4.7×
Temp transcutaneous pacing (92953) $918.12 $1,093 1.3×
Tensilon test (95857) $144.48 $172 0.6×
Test for abnormal eye movement using a moving target with recording (92544) $192.36 $229 1.4×
Test for allergy using allergenic extract injected into skin (95024) $1,101.24 $1,311 18.0×
Test for allergy using combination of methods with drug or biological (95018) $37.80 $45 1.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $107.10 $127.50 4.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $119.70 $142.50 5.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $2,403.24 $2,861 23.4×
Ther/prop/diag inj/inf proc (96379) $115.50 $137.50 2.4×
Ther/Proph/Diag Inj Sc/Im (96372) $178.08 $212 2.4×
Therapeutic Activities (97530) $80.64 $96 2.3×
Therapeutic phlebotomy (99195) $238.56 $284 1.7×
Tilt Table Eval (93660) $2,154.60 $2,565 5.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $24.36 $29 0.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $476.28 $567 0.8×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,411.20 $1,680 5.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $783.30 $932.50 10.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $777 $925 9.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $110.88 $132 2.3×
Tympanometry (92567) $1,870.68 $2,227 48.2×
Unlisted Cardiovascular Service/Procedure (93799) $165.48 $197 1.2×
Unlisted otorhinolaryngological service (92700) $107.52 $128 3.6×
Unlisted pulmonary service/procedure (94799) $157.92 $188 1.2×
Vasc Duplex Extrem Venous,Bilat (93970) $2,092.44 $2,491 8.4×
Vasc Duplex Scan Extracranial,Limited (93882) $1,180.20 $1,405 10.9×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,283.52 $1,528 5.7×
Vasopneumatic device (97016) $57.96 $69 4.8×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $617.40 $735 1.6×
Veeg by tech 2-12 hr intermittent monitoring (95712) $321.72 $383 0.8×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $617.40 $735 1.6×
Ventilation assist & mgmt inpatient 1st day (94002) $568.68 $677 0.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $568.68 $677 0.9×
Wheelchair Mgmt Ea 15 Min (97542) $70.56 $84 2.3×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $363.72 $433 3.7×