Visits & medical services prices at Children's Nebraska

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $20,508
Acoustic reflex testing (92568) $144
Actigraphy testing recording analysis i&r (95803) $443
Aep hearing status deter broadband stimuli i&r (92651) $488.50
Aep Neurodiagnostic I&R (92653) $397.50
Aep threshold estimation mlt frequencies i&r (92652) $1,197
Airway inhalation treatment (94640) $422
Ambulatory Bp Analysis (93788) $774
Ambulatory Bp Recording (93786) $425
Analysis and programming of inner ear implant (younger than 7 years) (92601) $631
Analysis and reprogramming of inner ear implant (younger than 7 years) (92602) $710
Anorectal manometry (91125) $1,746
Arrhythmia induction (93618) $7,862
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $156
Auditory Function, 60 Min (92620) $386
Behav assmt w/score & docd/stand instrument (96127) $108
Behavioral and qualitative analysis of voice and resonance (92524) $441.50
Bfb training 1st 15 min (90912) $245
Bfb training ea addl 15 min (90913) $167
Breath Hydrogen/Methane Test (91065) $782
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $847
Bundle of his recording (93600) $8,836
Capsule endoscopy (91110) $3,918
Cardiac Stress Tst,Tracing Only (93017) $862
Cardiopulmonary exercise testing (94621) $1,719.50
Cardiopulmonary resuscitation (92950) $1,478
Cardioversion (92960) $2,717.50
Cardioversion internal (92961) $2,986
Caregiver training 1st 30 min (97550) $167
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $84
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $19,909
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $26,019
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $45,506
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $27,254
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $27,267
Cbt 1st hour (94644) $346.50
Chemo Hormon Antineopl Sq/Im (96402) $109
Chemo IV push addl drug (96411) $222
Chemo Iv Push Sngl Drug (96409) $481
Chemo prolong 8+ hrs infuse w/pump (96416) $572
Chemother, IV infusion, 1 hr (96413) $975
Chemother, IV infusion, ea add hr (96415) $577
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $131
Chemotx Admn Cns Req Spinal Puncture (96450) $2,886
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $706
Circadian respiratry pattern rec 12-24 hr infant (94772) $900
Colon Motility 6 Hr Study (91117) $907
Color/duplex Doppler, complete (93975) $1,834.50
Color/duplex Doppler, limited (93976) $1,453
Comprehensive Hearing Test (92557) $376
Conditioning Play Audiometry (92582) $370
Cont Gluc Monitoring Patient Provided Equipment (95249) $199
Continuous Glucose Monitoring (95250) $1,285
Coronary artery angio s&i (93454) $20,915
Cpap initiation and management (94660) $4,309
Cpt initial (94667) $361
Critical care (99291) $1,199
Debridement Open Wound 20 Sq Cm< (97597) $341.50
Demo &/or eval,pt use,aerosol device (94664) $206
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $1,520
Duodenal Motility Study (91022) $1,543
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,539
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,233
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,750
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,445
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $2,109
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,349
Dup-scan xtr veins unilateral/limited study (93971) $1,432
Duplex scan extracranial art compl bi study (93880) $2,149
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $515
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $550
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $631
Ear Protector Attenuation Measurements (92596) $92
Echo Heart Xthoracic,Limited (93308) $1,242
Echo transesophageal (93312) $2,889
Echo Transesophageal - Congenital Tee Complete (93315) $3,871
Echo Transthoracic - Congenital Tte Complete (93303) $2,328
Echo Transthoracic - Congenital Tte Limited (93304) $1,991.50
EEG awake asleep (95819) $1,622
EEG awake drowsy (95816) $1,322
EEG cerebral death evaluation (95824) $1,737
EEG coma or sleep only (95822) $1,301
EEG cont rec w/video by tech min 8 channels (95700) $1,910
Eeg Extended Monitoring 61-119 Minutes (95813) $1,968
EKG (93005) $304
EKG rhythm strip (93041) $266
Ekg Signal Averaging (93278) $1,075
Electrocochleography (92584) $541.50
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,766
EMG four extremities (95864) $1,079
EMG one extremity (95860) $875
EMG three extremities (95863) $1,012
Endomyocardial biopsy (93505) $11,062
Ep & ablate supravent arrhyt (93653) $62,650
Ep & ablate ventric tachy (93654) $68,441
Ep Analyze Pacer Sys (93724) $1,922
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $23,023
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $18,596
Ep Electrophysiologic F/U Study (93624) $14,424
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $6,882
Ep Esophageal Recording Atria+Pacing (93616) $6,432.50
Ep Right Ventricular Recording (93603) $10,029
Er level 1 (99281) $239
Er level ii (99282) $478
Er level iii (99283) $819
Er level IV (99284) $999
Er level v (99285) $4,737
Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) $2,059
Esophageal recording (93615) $4,183
Eval aud funcj cand/po surg implt dev 1st hr (92626) $451
Evaluation of speech fluency (92521) $440
Evaluation of speech sound production (92522) $448.50
Evaluation of swallowing function (92610) $450
Evaluation with prescription of speech-generating alternative (92607) $587.50
Evoked Auditory Test,Comprehsv (92588) $342
Evoked auditory test,limited (92587) $277
Exercise tst brncspsm (94617) $752
Exhaled Air Analysis (94690) $1,438
Exhaled air analysis o2 (94680) $532
External ECG rec>48hr<7d scanning alys w/report (93243) $861
External ECG rec>7d<15d scanning alys w/report (93247) $927
External Ecg Scanning Analysis Report (93226) $1,221
Filtered Speech Test (92571) $182
Flow volume loop (94375) $529
Full field erg w/i&r (92273) $968
Fundus photography w/interpretation & report (92250) $394
Gastric motility studies (91020) $2,478
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $2,863
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $1,000
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,217
Group Therapeutic Procedures (97150) $132
Hemodialysis (90935) $2,222
Holter Monitor Recording (93225) $697
Icd Device Interrogate (93289) $363.50
Ilr Device Eval Progr (93285) $318
Imm Admn Sarscov2 Vaccine Single Dose (90480) $40.50
Immuniz admin,intranasal/oral,1 vac/tox (90473) $50
Immunization Admin (90471) $102
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $884
Ins swan ganz bedside (93503) $5,695
Interrog dev eval icpms phys/qhp in person (93290) $287
Interrog dev eval scrms phys/qhp in person (93291) $309
Interrogate subq defib (93261) $377
Interrogation eval in person wr defibrillator (93292) $573
Intra Atrial Recording (93602) $9,243
Intra-atrial pacing (93610) $11,663
Intralesional Chemo Admin,<8 Lesn (96405) $308
Intraventricular pacing (93612) $9,095
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $216
IV infusion hydration each additional hour (96361) $357
IV infusion hydration initial 31 min-1 hour (96360) $582
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $419
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $689.50
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $361
IV push initial (96374) $328.50
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $16,106
Liver elastography w/o imag w/i&r (91200) $473
Manual therapy 15 min (97140) $160.50
Massage 15 min (97124) $115.50
Mechanical chest wall oscillation (94669) $279
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $47
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $47
Methacholine challenge (94070) $1,450
Motility study esophagus (91010) $2,151
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $1,273
Multifocal erg w/i&r (92274) $913
Multiple sleep latency test (95805) $3,587.50
Nasopharyngoscopy (92511) $391.50
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $434
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $57
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $74
Nerve conduction studies 13/> studies (95913) $2,906
Nerve Conduction Studies 3-4 Studies (95908) $855
Nerve Conduction Studies 9-10 Studies (95911) $1,953
Nerve conduction studies; 1-2 studies (95907) $537
Nerve conduction studies; 11-12 studies (95912) $2,562
Nerve conduction studies; 5-6 studies (95909) $1,220
Nerve conduction studies; 7-8 studies (95910) $1,512
Neuromuscular junction test (95937) $423
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $489
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $150
Ot Contrast Bath Ea 15 Min (97034) $114.50
Ot eval high complex 60 min (97167) $335.50
Ot eval low complex 30 min (97165) $322.50
Ot eval mod complex 45 min (97166) $325.50
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $138.50
Ot Prosthetic Training, Each 15 Min (97761) $127
Ot Range Motion Measure,Each Extrem (95851) $935
Ot re-eval est plan care (97168) $186
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $368
Outpatient cardiac rehab w/o cont ECG monitor (93797) $326
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $472.50
Perq transcath closure pda (93582) $52,105
Perq Transcath Cls Mitral (93590) $63,900
Perq transcath cls paravalvr leak 1 aortic valve (93591) $55,993
Plethysmography (94726) $598
Pm device eval in person (93288) $313
Pm device progr eval dual (93280) $438
Pm device progr eval multi (93281) $475.50
Pm device progr eval sngl (93279) $351
Pm/Icd Remote Tech Serv (93296) $300
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,513.50
Polysom <6 yrs 4/> paramtrs (95782) $8,155
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $8,576.50
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $358
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $619.50
Programming of dual lead implantable defibrillator system (93283) $603.50
Programming of single lead implantable defibrillator system (93282) $517.50
Prq balloon valvuloplasty aortic valve (92986) $23,319
Prq Balloon Valvuloplasty Mitral Valve (92987) $35,306
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $55,610
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $28,239
Psych diag eval w/med srvcs (90792) $528
Psychiatric diagnostic evaluation (90791) $452
Psytx crisis initial 60 min (90839) $396
Pt Aquatic Therapy/Exercises (97113) $162
Pt Electric Current Therapy (97033) $172.50
Pt Electrical Stimulation (97032) $130.50
Pt eval high complex 45 min (97163) $328.50
Pt eval low complex 20 min (97161) $306.50
Pt Gait Training Therapy (97116) $161
Pt group caregiver training (97552) $83
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $159
Pt Physical Performance Test (97750) $171.50
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $312.50
Pt re-evaluation (97164) $178.50
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $144
Pt Ultrasound Therapy (97035) $133.50
Pulm Funct Test Oscillometry (94728) $451
Pulmonary stress testing (94618) $663.50
Pure Tone Audiometry Air & Bone (92553) $196
Pure Tone Audiometry, Air (92552) $206
R & l hrt cath w/njx l ventriculog img s&i (93453) $24,953
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $31,629
R hrt art/grft angio (93457) $28,216
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $18,407
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $16,106
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $32,531
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $23,568
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $23,839
Rectal sensation tone&compliance study (91124) $765
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $722
Right heart cath (93451) $16,962
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $59
Rt Chest Wall Manipulation,Subsequent (94668) $306
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $259.50
Select picture audiometry (92583) $335
Short-latency somatosens ep std lwr limbs (95926) $1,397
Short-latency somatosens ep std upr limbs (95925) $1,397
Sleep study attended (95807) $3,936.50
Sleep study unattended (95806) $741
Speech Audiometry Threshold (92555) $151
Speech Audiometry, Complete (92556) $267
Speech sound lang comprehen (92523) $450
Staggered Spondaic Word Test (92572) $182
Standardized Cognitive Performance Testing (96125) $431.50
Stenger Test, Pure Tone (92565) $193
Stenger Test, Speech (92577) $182
Stress echo (93350) $2,393
Surfactant Admin Thru Tube (94610) $170
Test to assess hearing loss using grammatically incorrect sentences (92576) $182
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $153.50
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $153.50
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $399.50
Ther/Proph/Diag Inj Sc/Im (96372) $152
Therapeutic Activities (97530) $164.50
Therapeutic phlebotomy (99195) $457.50
Tilt Table Eval (93660) $2,634.50
Tone Decay Test (92563) $182
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $1,367
Transcranial Doppler Limited (93888) $1,655
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $257.50
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $3,929
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $2,003
Tx atrial fib pulm vein isol (93656) $67,257
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $420.50
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $463.50
Tx/Pro/Dx Inj New Drug Addon (96375) $216
Tympanometry (92567) $102.50
Tympanometry And Reflex Threshold Measurements (92550) $269
Unlisted Cardiovascular Service/Procedure (93799) $918
Unlisted noninvasive vascular diagnostic study (93998) $133
Valvuloplasty pulmonary valve (92990) $31,809
Vasc Duplex Extrem Venous,Bilat (93970) $1,943
Vasc Duplex Scan Extracranial,Limited (93882) $1,737
Vasopneumatic device (97016) $138
Veeg by tech 2-12 hours unmonitored (95711) $1,892
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $3,343
Veeg by tech 2-12 hr intermittent monitoring (95712) $2,523
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $6,756
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $5,353
Veeg Ea 12-26 Hr Unmntr (95714) $4,015
Ventilation assist & mgmt inpatient 1st day (94002) $4,229
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $4,229
Visual Evoked Potential Test (95930) $1,342
Visual reinforcement audiometry (vra) (92579) $374
Vital capacity total (94150) $204
Wheelchair Mgmt Ea 15 Min (97542) $153
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $761