Visits & medical services prices at CHI Health St. Mary's
Nebraska City, NE · every code in this section with a posted price and a Medicare benchmark.
199 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) | $65.57 | $79 | 1.6× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$19.92–$206.67 | $24–$249 | varies |
| Airway resistance by oscillometry (94728) | $118.69 | $143 | 0.9× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $163.51 | $197 | 1.2× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $206.67 | $249 | 1.5× |
| Analyze neurostim no prog (95970) | $173.47 | $209 | 1.3× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) range across 2 matching MRF lines |
$283.03–$382.63 | $341–$461 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$57.27–$58.93 | $69–$71 | varies |
| Application Modality 1/> Areas Infrared (97026) range across 2 matching MRF lines |
$49.80–$159.36 | $60–$192 | varies |
| Application on-body injector (96377) | $164.34 | $198 | 3.4× |
| Behavral qualit analys voice (92524) | $269.75 | $325 | 2.5× |
| Bfb training ea addl 15 min (90913) | $144.42 | $174 | 4.4× |
| Biofeedback training any modality (90901) | $80.51 | $97 | 2.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $698.86 | $842 | 1.8× |
| Canalith repositioning proc (95992) | $180.94 | $218 | 4.4× |
| Car seat/bed test 60 min (94780) | $360.22 | $434 | 9.3× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,216.78 | $1,466 | 5.4× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$778.54–$1,185.24 | $938–$1,428 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$367.69–$1,550.44 | $443–$1,868 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $48.97 | $59 | 1.9× |
| Chemo Anti-Neopl Sq/Im (96401) | $217.46 | $262 | 2.9× |
| Chemo Hormon Antineopl Sq/Im (96402) | $217.46 | $262 | 2.9× |
| Chemo IV infusion addl hr (96415) | $119.52 | $144 | 1.6× |
| Chemo IV push addl drug (96411) | $330.34 | $398 | 4.4× |
| Chemother Prolong Infuse W/Pump (96416) | $557.76 | $672 | 1.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $330.34 | $398 | 4.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $428.28 | $516 | 1.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $330.34 | $398 | 1.0× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $297.97 | $359 | 0.9× |
| Chest Wall Manipulation (94668) | $249.83 | $301 | 1.8× |
| Chron Care Mgmt Srvc 20 Min (99490) | $145.25 | $175 | 1.4× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$129.48–$1,259.94 | $156–$1,518 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$89.64–$794.31 | $108–$957 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $318.72 | $384 | 2.3× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $140.27 | $169 | 2.3× |
| Continuous Pulse Ox (94762) | $434.92 | $524 | 3.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $835.81 | $1,007 | 3.7× |
| Cpt initial (94667) | $249.83 | $301 | 1.8× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$650.72–$3,778.99 | $784–$4,553 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$125.33–$239.04 | $151–$288 | varies |
| Dialysis One Evaluation (90945) | $3,480.19 | $4,193 | 8.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$86.32–$554.44 | $104–$668 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$53.95–$1,033.35 | $65–$1,245 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$87.15–$1,245 | $105–$1,500 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$53.12–$1,045.80 | $64–$1,260 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$77.19–$2,404.51 | $93–$2,897 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$129.48–$1,202.67 | $156–$1,449 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) range across 2 matching MRF lines |
$570.21–$3,044.44 | $687–$3,668 | varies |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) range across 2 matching MRF lines |
$146.91–$232.40 | $177–$280 | varies |
| Duplex up extrem art bilat (93930) | $1,184.41 | $1,427 | 4.8× |
| Duplex up extrem art unilat/ltd (93931) | $1,071.53 | $1,291 | 9.9× |
| ECG/monitoring and analysis (93271) | $1,020.90 | $1,230 | 10.3× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$58.93–$880.63 | $71–$1,061 | varies |
| Echo transesophageal (93312) | $2,206.97 | $2,659 | 3.9× |
| Eeg 41-60 Minutes (95812) | $1,226.74 | $1,478 | 5.5× |
| EEG awake and asleep (95819) | $870.67 | $1,049 | 3.9× |
| EEG awake drowsy (95816) | $772.73 | $931 | 3.4× |
| EEG extended monitoring 61-119 minutes (95813) | $1,068.21 | $1,287 | 4.8× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $131.97 | $159 | 1.3× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $52.29 | $63 | 1.3× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$50.63–$52.29 | $61–$63 | varies |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$15.77–$298.80 | $19–$360 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$98.77–$347.77 | $119–$419 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$167.66–$542.82 | $202–$654 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$283.86–$848.26 | $342–$1,022 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$50.63–$180.94 | $61–$218 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$411.68–$1,390.25 | $496–$1,675 | varies |
| Evaluate pt use of inhaler (94664) | $102.92 | $124 | 0.5× |
| Evaluate Speech Production (92522) | $269.75 | $325 | 2.4× |
| Evaluate Swallowing Function (92610) | $285.52 | $344 | 3.4× |
| Evaluation of speech fluency (92521) | $269.75 | $325 | 2.0× |
| Evoked Auditory Test,Limited (92587) | $405.87 | $489 | 1.8× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$89.64–$221.61 | $108–$267 | varies |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$122.01–$544.48 | $147–$656 | varies |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$92.96–$1,502.30 | $112–$1,810 | varies |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$88.81–$1,557.91 | $107–$1,877 | varies |
| Extracranial Uni/Ltd Study (93882) | $1,013.43 | $1,221 | 9.3× |
| Gi tract imaging intraluminal colon i&r (91113) | $1,051.61 | $1,267 | 1.1× |
| Group Therapeutic Procedures (97150) | $58.93 | $71 | 3.3× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$66.40–$523.73 | $80–$631 | varies |
| Icd Device Interrogate (93289) | $190.07 | $229 | 4.9× |
| Icd device progr eval dual (93283) | $192.56 | $232 | 5.0× |
| Icd Device Progr Eval Mult (93284) | $224.93 | $271 | 5.8× |
| Ilr Device Eval Progr (93285) | $212.48 | $256 | 5.5× |
| Ilr Device Interrogate (93291) | $144.42 | $174 | 4.8× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $45.65 | $55 | 0.6× |
| Immunization administration (90471) range across 5 matching MRF lines |
$15.77–$332.83 | $19–$401 | varies |
| Interrogate Subq Defib (93261) | $135.29 | $163 | 3.5× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$52.29–$84.66 | $63–$102 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$125.33–$129.48 | $151–$156 | varies |
| IV infusion hydration each additional hour (96361) | $97.94 | $118 | 2.0× |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$215.80–$320.38 | $260–$386 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $126.16 | $152 | 1.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $118.69 | $143 | 2.4× |
| IV push initial (96374) range across 2 matching MRF lines |
$126.16–$263.11 | $152–$317 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $693.05 | $835 | 3.1× |
| Mechanical chest wall oscillation per session (94669) | $268.09 | $323 | 1.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $41.50 | $50 | 1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $48.14 | $58 | 1.3× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $42.33 | $51 | 2.5× |
| Methacholine challenge (94070) | $957.82 | $1,154 | 2.5× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$286.35–$406.70 | $345–$490 | varies |
| Multiple Sleep Latency Test (95805) | $4,003.09 | $4,823 | 4.5× |
| Muscle Test 2 Limbs (95861) | $390.10 | $470 | 2.8× |
| Muscle Test One Limb (95860) | $269.75 | $325 | 2.0× |
| Nasopharyngoscopy (92511) | $301.29 | $363 | 1.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$328.68–$843.28 | $396–$1,016 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$351.92–$845.77 | $424–$1,019 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $120.35 | $145 | 0.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$119.52–$472.27 | $144–$569 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) range across 2 matching MRF lines |
$217.46–$325.36 | $262–$392 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,455.82 | $1,754 | 3.8× |
| Nerve conduction studies 13 or more studies (95913) | $2,006.94 | $2,418 | 5.2× |
| Nerve Conduction Studies 3-4 Studies (95908) range across 2 matching MRF lines |
$271.41–$560.25 | $327–$675 | varies |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$325.36–$817.55 | $392–$985 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$426.62–$1,048.29 | $514–$1,263 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$514.60–$1,284.84 | $620–$1,548 | varies |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$74.70–$89.64 | $90–$108 | varies |
| Newborn resuscitation (99465) | $877.31 | $1,057 | 1.3× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $346.94 | $418 | 0.9× |
| Oral Function Therapy (92526) | $185.09 | $223 | 2.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $71.38 | $86 | 1.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$73.04–$83.83 | $88–$101 | varies |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$57.27–$83 | $69–$100 | varies |
| Ot eval high complexity (97167) | $205.84 | $248 | 2.0× |
| Ot Eval Low Complex (97165) | $136.12 | $164 | 1.4× |
| Ot Eval Moderate Complexity (97166) | $171.81 | $207 | 1.7× |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$74.70–$86.32 | $90–$104 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$69.72–$70.55 | $84–$85 | varies |
| Ot Re-Eval Est Plan Care (97168) | $136.12 | $164 | 2.0× |
| Ot rom hand (95852) | $136.95 | $165 | 6.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $299.63 | $361 | 2.2× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $299.63 | $361 | 2.2× |
| Peripheral arterial disease rehab per session (93668) | $175.96 | $212 | 2.9× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$179.28–$307.93 | $216–$371 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) range across 2 matching MRF lines |
$171.81–$225.76 | $207–$272 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 2 matching MRF lines |
$149.40–$225.76 | $180–$272 | varies |
| Physical Performance Test (97750) | $104.58 | $126 | 3.1× |
| Plethysmography (94726) | $908.02 | $1,094 | 2.3× |
| Pm device eval in person (93288) | $154.38 | $186 | 4.0× |
| Pm device progr eval dual (93280) | $146.91 | $177 | 3.8× |
| Pm device progr eval multi (93281) | $151.89 | $183 | 3.9× |
| Pm Device Progr Eval Sngl (93279) | $124.50 | $150 | 3.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,790.61 | $4,567 | 4.3× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $135.29 | $163 | 3.5× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $190.07 | $229 | 4.9× |
| Pt Eval High Complex (97163) | $205.84 | $248 | 2.1× |
| Pt eval low complex 20 min (97161) | $136.12 | $164 | 1.4× |
| Pt Eval Mod Complex (97162) | $171.81 | $207 | 1.8× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$83.83–$84.66 | $101–$102 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$60.59–$80.51 | $73–$97 | varies |
| Pt Re-Eval Est Plan Care (97164) | $136.12 | $164 | 2.0× |
| Pt ultraviolet (97028) | $31.54 | $38 | 3.8× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$26.56–$224.10 | $32–$270 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$142.76–$339.47 | $172–$409 | varies |
| Refill/Maint Portable Pump (96521) | $514.60 | $620 | 2.3× |
| Refill/Maint Pump/Resvr Syst (96522) | $92.96 | $112 | 0.4× |
| Remote 30 Day Ecg Rev/Report (93270) | $392.59 | $473 | 10.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $163.51 | $197 | 2.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$69.72–$182.60 | $84–$220 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $337.81 | $407 | 2.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $146.91 | $177 | 3.1× |
| Self Care Mngment Training (97535) | $84.66 | $102 | 2.6× |
| Sensory Integration Ea 15 Min (97533) | $70.55 | $85 | 1.2× |
| Sleep study attended (95807) | $1,879.95 | $2,265 | 4.9× |
| Sleep study unattended (95806) | $517.92 | $624 | 2.3× |
| Slp caregiver training 1st 30 min (97550) | $48.97 | $59 | 0.9× |
| Speech sound lang comprehen (92523) | $274.73 | $331 | 1.2× |
| Spirometry (94010) | $345.28 | $416 | 1.5× |
| Standardized Cognitive Performance Testing (96125) | $150.23 | $181 | 1.5× |
| Stress Tte Only (93350) | $1,398.55 | $1,685 | 2.5× |
| Temp transcutaneous pacing (92953) | $1,008.45 | $1,215 | 1.5× |
| Tensilon Test (95857) range across 2 matching MRF lines |
$148.57–$151.89 | $179–$183 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$120.35–$130.31 | $145–$157 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$120.35–$130.31 | $145–$157 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 3 matching MRF lines |
$79.68–$91.30 | $96–$110 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $54.78 | $66 | 1.8× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $126.16 | $152 | 2.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$139.44–$202.52 | $168–$244 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$215.80–$318.72 | $260–$384 | varies |
| Therapeutic Activities (97530) range across 4 matching MRF lines |
$71.38–$85.49 | $86–$103 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $26.56 | $32 | 0.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $26.56 | $32 | 0.7× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$470.61–$2,062.55 | $567–$2,485 | varies |
| Tte W/O Doppler Complete (93307) | $1,382.78 | $1,666 | 5.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $168.49 | $203 | 2.2× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $107.90 | $130 | 4.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$126.16–$144.42 | $152–$174 | varies |
| Unlisted otorhinolaryngological service (92700) | $118.69 | $143 | 4.0× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$190.90–$498.83 | $230–$601 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $663.17 | $799 | 3.0× |
| Vasopneumatic device (97016) | $75.53 | $91 | 6.3× |
| Veeg 2-12 Hr Cont Mntr (95713) | $678.94 | $818 | 1.8× |
| Veeg 2-12 hr intmt mntr (95712) | $353.58 | $426 | 0.9× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $678.94 | $818 | 1.8× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$820.87–$1,700.67 | $989–$2,049 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $854.90 | $1,030 | 1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $59.76 | $72 | 1.9× |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$69.72–$148.57 | $84–$179 | 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.