Visits & medical services prices at Clarinda Regional Health Center

Clarinda, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acupunct W/Stimul 15 Min (97813) $66.67 $113 2.4×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $59.59 $101 2.1×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 3 matching MRF lines
$11.80–$20.06 $20–$34 varies
Advncd Care Plan 30 Min (99497)
range across 2 matching MRF lines
$30.68–$70.21 $52–$119 varies
Airway Inhalation Treatment (94640)
range across 5 matching MRF lines
$7.67–$88.38 $13–$149.80 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $48.97 $83 3.4×
Application on-body injector (96377) $56.05 $95 1.2×
Assessment of aphasia per hr (96105)
range across 2 matching MRF lines
$97.35–$173.46 $165–$294 varies
Audiometry Air & Bone (92553) $47.20 $80 0.4×
Behavral qualit analys voice (92524) $180.54 $306 1.6×
Biofeedback training any modality (90901) $73.75 $125 1.8×
Brief Emotional/Behav Assmt (96127)
range across 2 matching MRF lines
$25.96–$27.73 $44–$47 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$54.87–$247.39 $93–$419.30 varies
Canalith repositioning proc (95992) $69.62 $118 1.7×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines
$412.06–$412.59 $698.40–$699.30 varies
Cardiopulmonary resuscitation (92950)
range across 4 matching MRF lines
$327.63–$355.18 $555.30–$602 varies
Cardioversion (92960)
range across 4 matching MRF lines
$167.88–$371.70 $284.55–$630 varies
Caregiver hlth risk assmt score doc stnd instrm (96161) $18.88 $32 0.5×
Chemo Admin Peritoneal Cavity (96446) $377.01 $639 1.2×
Chemo Anti-Neopl Sq/Im (96401) $156.94 $266 2.3×
Chemo Hormon Antineopl Sq/Im (96402) $100.30 $170 1.4×
Chemo Ia Push (96420) $195.29 $331 0.6×
Chemo IV infusion addl hr (96415) $156.94 $266 2.3×
Chemo IV push addl drug (96411) $156.94 $266 2.3×
Chemother Prolong Infuse W/Pump (96416) $327.45 $555 1.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $156.94 $266 2.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $390.58 $662 1.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $253.70 $430 0.8×
Chest Wall Manipulation (94668) $88.38 $149.80 0.7×
Chron Care Mgmt Srvc 20 Min (99490) $46.02 $78 0.5×
Color/duplex Doppler, complete (93975) $742.22 $1,258 3.2×
Community/Work Reintegration Trainj Ea 15 Min (97537) $41.89 $71 1.3×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $106.20 $180 0.6×
Comprehensive Hearing Test (92557) $82.60 $140 0.7×
Cont gluc mntr physician/qhp provided equiptment (95250) $215.94 $366 1.7×
Cont Gluc Mntr Pt Prov Eqp (95249) $166.38 $282 2.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $44.25 $75 0.2×
Cpt initial (94667) $91.95 $155.85 0.7×
Critical care first hour (99291)
range across 2 matching MRF lines
$646.76–$647.23 $1,096.20–$1,097 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$21.68–$103.84 $36.75–$176 varies
Developmental tst admin phys/qhp 1st hour (96112) $260.19 $441 2.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $330.99 $561 1.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $257.24 $436 2.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $543.98 $922 2.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $394.12 $668 3.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $618.32 $1,048 2.7×
Dup-scan xtr veins unilateral/limited study (93971) $420.67 $713 4.2×
Duplex Scan Hemodialysis Access (93990) $225.38 $382 2.2×
Duplex up extrem art bilat (93930) $506.22 $858 2.2×
Duplex up extrem art unilat/ltd (93931) $319.19 $541 3.2×
ECG/monitoring and analysis (93271) $667.82 $1,131.90 7.3×
Echo Congenital Complete (93303) $525.10 $890 1.0×
Echo Heart Xthoracic,Limited (93308) $450.17 $763 2.0×
Echo transesophageal (93312) $675.55 $1,145 1.3×
Eeg 41-60 Minutes (95812) $433.03 $733.95 2.1×
EEG awake and asleep (95819) $329.57 $558.60 1.6×
EEG awake drowsy (95816) $422.50 $716.10 2.0×
Electrical Stimulation Ea 15 Min (97032) $51.92 $88 3.5×
Electrocardiogram Tracing (93005)
range across 5 matching MRF lines
$12.39–$114.40 $21–$193.90 varies
Emergency Dept Visit Level 2 (99282) $128.86 $218.40 0.9×
Emergency Dept Visit Level 3 (99283) $183.99 $311.85 0.7×
Emergency Dept Visit Level 4 (99284) $279.39 $473.55 0.7×
Er level 1 (99281) $110.89 $187.95 1.4×
Er level v (99285) $478.25 $810.60 0.8×
Evaluate pt use of inhaler (94664)
range across 4 matching MRF lines
$77.59–$88.38 $131.50–$149.80 varies
Evaluate Speech Production (92522) $173.46 $294 1.6×
Evaluate Swallowing Function (92610) $263.14 $446 3.1×
Evaluation of speech fluency (92521) $202.37 $343 1.5×
Evoked Auditory Test,Limited (92587) $118 $200 0.6×
External Ecg Scanning Analysis Report (93226) $412.59 $699.30 7.3×
Extracranial Bilat Study (93880) $581.15 $985 2.5×
Extracranial Uni/Ltd Study (93882) $300.31 $509 3.0×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $104.43 $177 0.7×
Flexible endoscopic eval swallow c/v rec (92612) $232.46 $394 1.2×
Fluorescein angiography (92235) $369.34 $626 1.8×
Group Therapeutic Procedures (97150) $34.81 $59 1.9×
Holter monitor recording (93225)
range across 2 matching MRF lines
$200.04–$217.44 $339.05–$368.55 varies
Im Adm Intransl/Oral 1 Vaccine (90473) $16.52 $28 0.2×
Immunization administration (90471)
range across 3 matching MRF lines
$6.49–$11.61 $11–$19.68 varies
Ingestion challenge test initial 120 minutes (95076) $210.04 $356 0.6×
Iontophoresis 15 min (97033) $59.59 $101 3.1×
Irrig Drug Delivery Device (96523) $59.59 $101 1.1×
IV infusion hydration each additional hour (96361) $37.17 $63 0.8×
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$115.05–$121.54 $195–$206 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$74.34–$79.06 $126–$134 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$79.06–$80.24 $134–$136 varies
IV push initial (96374)
range across 2 matching MRF lines
$113.87–$118 $193–$200 varies
Low frequency non-thermal us (97610) $114.61 $194.25 0.6×
Lwr Xtr Vasc Stdy Bilat (93924) $450.17 $763 2.2×
Mechanical chest wall oscillation per session (94669) $66.29 $112.35 0.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $41.30 $70 1.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $41.30 $70 1.1×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $22.42 $38 1.3×
Methacholine challenge (94070) $111.51 $189 0.3×
Motion Fluoroscopy/Swallow (92611) $279.66 $474 3.1×
Nasopharyngoscopy (92511) $86.73 $147 0.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,060.58 $1,797.60 2.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $158.59 $268.80 0.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $170.36 $288.75 0.4×
Neurobehavioral Status Exam (96116)
range across 2 matching MRF lines
$173.46–$221.25 $294–$375 varies
Neuromuscular Reeducation (97112) $62.54 $106 1.9×
Newborn resuscitation (99465) $415.36 $704 0.7×
Nrpsyc tst eval phys/qhp 1st (96132) $228.92 $388 0.6×
Oral Function Therapy (92526) $147.50 $250 1.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $62.54 $106 1.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$60.77–$67.26 $103–$114 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 3 matching MRF lines
$18.29–$46.02 $31–$78 varies
Ot Contrast Bath Ea 15 Min (97034) $38.35 $65 2.7×
Ot eval high complexity (97167) $135.70 $230 1.3×
Ot Eval Low Complex (97165) $129.21 $219 1.3×
Ot Eval Moderate Complexity (97166) $132.16 $224 1.3×
Ot manual therapy 15 min (97140) $66.08 $112 2.4×
Ot paraffin bath (97018) $40.12 $68 6.7×
Ot Re-Eval Est Plan Care (97168) $59.59 $101 0.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $128.62 $218 1.0×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $128.62 $218 1.0×
Patch/Application Test Specify Number Tests (95044) $42.13 $71.40 0.1×
Peripheral arterial disease rehab per session (93668) $69.62 $118 1.2×
Phlebotomy therapeutic (99195) $103.46 $175.35 0.8×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $138.65 $235 2.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $138.65 $235 2.4×
Physical Performance Test (97750) $95.58 $162 2.8×
Plethysmography (94726) $524.42 $888.85 1.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,261.20 $3,832.55 2.7×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 4 matching MRF lines
$19.47–$24.19 $33–$41 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 2 matching MRF lines
$33.63–$35.40 $57–$60 varies
Psych diag eval w/med srvcs (90792) $221.25 $375 1.3×
Psychiatric diagnostic evaluation (90791) $202.96 $344 1.2×
Psychological tst eval svc phys/qhp first hour (96130) $257.83 $437 1.2×
Psycl/Nrpsyc Tst Auto Result (96146) $121.54 $206 4.4×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $70.80 $120 0.2×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $115.05 $195 0.9×
Psytx Crisis Initial 60 Min (90839) $166.38 $282 1.0×
Pt Eval High Complex (97163) $135.70 $230 1.4×
Pt eval low complex 20 min (97161) $129.21 $219 1.3×
Pt Eval Mod Complex (97162) $132.16 $224 1.4×
Pt gait training 15 min (97116) $59.59 $101 2.1×
Pt mechanical traction (97012) $51.92 $88 3.6×
Pt Re-Eval Est Plan Care (97164) $74.34 $126 1.1×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $27.73 $47 0.8×
Pulmonary Stress Testing (94618) $102.54 $173.80 0.8×
Pure Tone Audiometry Air (92552) $40.12 $68 0.3×
Refill/Maint Portable Pump (96521) $253.70 $430 1.2×
Refill/Maint Pump/Resvr Syst (96522) $331.58 $562 1.6×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $66.08 $112 1.8×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $25.96 $44 0.2×
Remote 30 Day Ecg Rev/Report (93270) $213.73 $362.25 6.0×
Respiratory flow volume loop (94375) $71.39 $121 0.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $67.53 $114.45 1.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $76.82 $130.20 0.4×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851)
range across 2 matching MRF lines
$35.40–$37.17 $60–$63 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607)
range across 2 matching MRF lines
$220.66–$243.08 $374–$412 varies
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $103.84 $176 2.2×
Self Care Mngment Training (97535) $56.05 $95 1.7×
Sensory Integration Ea 15 Min (97533) $56.05 $95 0.9×
Speech Audiometry Complete (92556) $40.12 $68 0.7×
Speech sound lang comprehen (92523) $312.11 $529 1.4×
Spirometry (94010)
range across 4 matching MRF lines
$14.16–$116.67 $24–$197.75 varies
Standardized Cognitive Performance Testing (96125)
range across 2 matching MRF lines
$105.61–$173.46 $179–$294 varies
Stress Tte Only (93350) $543.98 $922 1.0×
Temp transcutaneous pacing (92953) $37.17 $63 0.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines
$45.43–$54.87 $77–$93 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 2 matching MRF lines
$27.73–$40.12 $47–$68 varies
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $76.11 $129 2.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $66.08 $112 2.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $110.92 $188 1.1×
Ther/Proph/Diag Inj Ia (96373) $121.54 $206 0.6×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$48.97–$55.46 $83–$94 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines
$178.77–$191.75 $303–$325 varies
Therapeutic Activities (97530) $62.54 $106 1.8×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 4 matching MRF lines
$13.57–$64.31 $23–$109 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 6 matching MRF lines
$7.67–$70.21 $13–$119 varies
Trans Care Mgmt 14 Day Disch (99495) $228.92 $388 1.8×
Trans Care Mgmt 7 Day Disch (99496) $295 $500 2.3×
Tte w/doppler, complete (93306) $1,012.44 $1,716 1.9×
Tte W/O Doppler Complete (93307) $506.22 $858 2.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $169.92 $288 2.2×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $56.05 $95 2.3×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$63.72–$64.31 $108–$109 varies
Tympanometry (92567)
range across 4 matching MRF lines
$12.39–$53.10 $21–$90 varies
Unlisted cardiovascular service/procedure (93799) $274.94 $466 2.2×
Upr/L Xtremity Art 2 Levels (93922) $284.97 $483 2.2×
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$300.31–$319.19 $509–$541 varies
Vasopneumatic device (97016) $45.43 $77 3.8×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$253.11–$530.03 $429–$898.35 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $353.35 $598.90 0.6×
Vital capacity, total (94150) $38.35 $65 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $45.43 $77 1.5×
Whirlpool Therapy (97022)
range across 2 matching MRF lines
$29.50–$48.38 $50–$82 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.