Visits & medical services prices at Clarke County Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Reflex Testing (92568) $30 $40 0.8×
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines		 $71.25–$97.50 $95–$130 varies
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $142.50 $190 1.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $33 $44 2.3×
Application on-body injector (96377) $281.25 $375 6.2×
Audiometry Air & Bone (92553) $67.50 $90 0.5×
Basic vestibular evaluation (92540) $47.25 $63 0.2×
Behavral qualit analys voice (92524) $129 $172 1.2×
Blink reflex test (95933) $53.07 $70.76 0.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $309 $412 0.9×
Caloric Vstblr Test W/Rec (92537) $15 $20 0.1×
Canalith repositioning proc (95992) $33 $44 0.8×
Cardiac Stress Tst,Tracing Only (93017) $387 $516 1.9×
Cardiopulmonary resuscitation (92950) $561 $748 2.7×
Cardioversion (92960) $789 $1,052 1.2×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $31.50 $42 1.2×
Cbt 1st hour (94644) $161.25 $215 1.3×
Chemo Anti-Neopl Sq/Im (96401) $116.25 $155 1.7×
Chemo Hormon Antineopl Sq/Im (96402) $139.50 $186 2.0×
Chemo IV infusion addl hr (96415) $261.75 $349 3.8×
Chemo IV push addl drug (96411) $147.75 $197 2.1×
Chemother Prolong Infuse W/Pump (96416) $516.75 $689 1.6×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $372 $496 1.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $116.25 $155 1.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $748.50 $998 2.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $191.25 $255 0.6×
Chest Wall Manipulation (94668) $43.50 $58 0.3×
Color/duplex Doppler, complete (93975) $1,131.75 $1,509 4.9×
Community/Work Reintegration Trainj Ea 15 Min (97537) $33 $44 1.0×
Comprehensive Hearing Test (92557) $66 $88 0.5×
Conditioning Play Audiometry (92582) $135 $180 1.1×
Cont gluc mntr physician/qhp provided equiptment (95250) $157.50 $210 1.2×
Cont Gluc Mntr Pt Prov Eqp (95249) $75 $100 1.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $180.75 $241 0.9×
Cpt initial (94667) $44.25 $59 0.3×
Critical care first hour (99291) $2,235 $2,980 2.8×
Debridement Open Wound 20 Sq Cm< (97597) $172.50 $230 0.9×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,356 $1,808 5.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $454.50 $606 4.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,097.25 $1,463 4.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $539.25 $719 5.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $972.75 $1,297 4.2×
Dup-scan xtr veins unilateral/limited study (93971) $928.50 $1,238 9.2×
Duplex up extrem art bilat (93930) $726 $968 3.2×
Duplex up extrem art unilat/ltd (93931) $518.25 $691 5.2×
Echo Heart Xthoracic,Limited (93308) $1,072.50 $1,430 4.7×
Eeg 41-60 Minutes (95812) $366 $488 1.8×
EEG awake and asleep (95819) $366 $488 1.8×
EEG awake drowsy (95816) $366 $488 1.8×
EEG cerebral death evaluation (95824) $408 $544 1.1×
EEG extended monitoring 61-119 minutes (95813) $366 $488 1.8×
Eeg Sleep Only (95822) $366 $488 1.8×
Electrical Stimulation Ea 15 Min (97032) $33 $44 2.2×
Electrocardiogram Tracing (93005) $21.25 $28.33 0.4×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines		 $75–$487.50 $100–$650 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines		 $210–$487.50 $280–$650 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines		 $487.50–$555 $650–$740 varies
Er level 1 (99281)
range across 2 matching MRF lines		 $487.50 $5–$650 6.0×
Er level v (99285)
range across 2 matching MRF lines		 $487.50–$1,518.75 $650–$2,025 varies
Evaluate pt use of inhaler (94664) $69.75 $93 0.3×
Evaluate Speech Production (92522) $129 $172 1.2×
Evaluate Swallowing Function (92610) $261.75 $349 3.1×
Evaluation of speech fluency (92521) $129 $172 1.0×
Exercise test for bronchospasm (94617) $161.25 $215 1.3×
External ECG rec>48hr<7d recording (93242) $255 $340 7.1×
External ECG rec>48hr<7d scanning alys w/report (93243) $333.75 $445 2.6×
External ECG rec>7d<15d recording (93246) $255 $340 7.1×
External ECG rec>7d<15d scanning alys w/report (93247) $333.75 $445 2.6×
External Ecg Scanning Analysis Report (93226)
range across 2 matching MRF lines		 $306.75–$407.25 $409–$543 varies
Extracranial Bilat Study (93880) $1,709.25 $2,279 7.5×
Extracranial Uni/Ltd Study (93882) $375 $500 3.7×
Holter monitor recording (93225)
range across 2 matching MRF lines		 $191.25–$255 $255–$340 varies
Im Adm Intransl/Oral 1 Vaccine (90473) $11.25 $15 0.2×
Immunization administration (90471)
range across 49 matching MRF lines		 $11.25–$153 $15–$203.99 varies
Iontophoresis 15 min (97033) $33 $44 1.7×
Irrig Drug Delivery Device (96523) $168.75 $225 3.0×
IV infusion hydration each additional hour (96361) $37.50 $50 0.8×
IV infusion hydration initial 31 min-1 hour (96360) $386.25 $515 1.9×
IV infusion ther proph addl sequential to 1 hr (96367) $262.50 $350 3.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $45 $60 1.0×
IV push initial (96374) $141.75 $189 0.7×
Lwr Xtr Vasc Stdy Bilat (93924) $464.25 $619 2.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $31.50 $42 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $39.75 $53 1.1×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $19.50 $26 1.1×
Motion Fluoroscopy/Swallow (92611) $261.75 $349 2.9×
Muscle Test One Limb (95860) $85.56 $114.07 0.7×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $84.26 $112.34 0.4×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $63.91 $85.21 0.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $318.75 $425 1.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $375 $500 1.0×
Nerve Conduction Studies 1-2 Studies (95907) $50.93 $67.90 0.2×
Nerve Conduction Studies 11-12 Studies (95912) $122.38 $163.17 0.3×
Nerve conduction studies 13 or more studies (95913) $132.33 $176.44 0.4×
Nerve Conduction Studies 3-4 Studies (95908) $62.61 $83.47 0.3×
Nerve conduction studies 5-6 studies (95909) $77.76 $103.68 0.4×
Nerve conduction studies 7-8 studies (95910) $103.32 $137.75 0.3×
Nerve Conduction Studies 9-10 Studies (95911) $119.34 $159.12 0.3×
Neuromuscular Reeducation (97112) $33 $44 1.0×
Oral Function Therapy (92526) $261.75 $349 3.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $33 $44 0.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $33 $44 0.7×
Ot Contrast Bath Ea 15 Min (97034) $33 $44 2.4×
Ot eval high complexity (97167) $49.50 $66 0.5×
Ot Eval Low Complex (97165) $49.50 $66 0.5×
Ot Eval Moderate Complexity (97166) $49.50 $66 0.5×
Ot manual therapy 15 min (97140) $33 $44 1.2×
Ot paraffin bath (97018) $33 $44 5.5×
Ot Prosthetic Training, Each 15 Min (97761) $33 $44 0.8×
Ot Re-Eval Est Plan Care (97168) $49.50 $66 0.7×
Ot rom hand (95852) $78.75 $105 3.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $317.25 $423 2.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $156 $208 1.3×
Phlebotomy therapeutic (99195) $140.25 $187 1.1×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $100.50 $134 1.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $75 $100 1.3×
Physical Performance Test (97750) $33 $44 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,365 $1,820 1.7×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $15.75 $21 0.3×
Pt Eval High Complex (97163) $49.50 $66 0.5×
Pt eval low complex 20 min (97161) $49.50 $66 0.5×
Pt Eval Mod Complex (97162) $49.50 $66 0.5×
Pt gait training 15 min (97116) $33 $44 1.1×
Pt group caregiver training (97552) $31.50 $42 1.4×
Pt mechanical traction (97012) $33 $44 2.3×
Pt Re-Eval Est Plan Care (97164) $49.50 $66 0.7×
Pulmonary Stress Testing (94618) $153.75 $205 1.2×
Pure Tone Audiometry Air (92552) $66 $88 0.5×
Refill/Maint Portable Pump (96521) $357 $476 1.7×
Refill/Maint Pump/Resvr Syst (96522) $357 $476 1.7×
Remote 30 Day Ecg Rev/Report (93270) $177 $236 4.9×
Respiratory flow volume loop (94375) $37.50 $50 0.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $125.25 $167 0.6×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $33 $44 1.3×
Self Care Mngment Training (97535) $33 $44 1.0×
Sleep study unattended (95806) $218.25 $291 1.1×
Slp caregiver training 1st 30 min (97550) $71.25 $95 1.4×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $218.25 $291 1.1×
Speech Audiometry Complete (92556) $67.50 $90 1.2×
Speech audiometry threshold (92555) $47.25 $63 0.8×
Speech sound lang comprehen (92523) $129 $172 0.6×
Spirometry (94010) $120 $160 0.6×
Standardized Cognitive Performance Testing (96125) $129 $172 1.3×
Stress Tte Only (93350) $1,136.25 $1,515 2.2×
Subcutaneous Infusion Each Additional Hour (96370) $75 $100 1.7×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $150 $200 0.7×
Subq Infusion Additional Pump Infusion Site (96371) $79.76 $106.34 1.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $135.75 $181 6.1×
Ther Ivntj Ea Addl 15 Min (97130) $75 $100 3.6×
Ther/Proph/Diag Inj Ia (96373) $88.50 $118 0.4×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 27 matching MRF lines		 $41.25–$89.25 $55–$119 varies
Ther/Proph/Diag Iv Inf Init (96365) $375 $500 1.8×
Therapeutic Activities (97530) $33 $44 0.9×
Tobacco Use Cessation Intensive >10 Minutes (99407) $37.85 $50.46 1.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $37.85 $50.46 1.1×
Tte w/doppler, complete (93306) $2,462.25 $3,283 4.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $163.50 $218 2.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $131.25 $175 2.9×
Tympanometry (92567) $47.25 $63 1.3×
Tympanometry and reflex threshold measurements (92550) $47.25 $63 0.2×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines		 $375–$675.75 $500–$901 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $686.25 $915 3.3×
Vasopneumatic device (97016) $33 $44 2.7×
Vent Mgmt Inpat Init Day (94002) $668.25 $891 1.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $150.75 $201 0.3×
Visual reinforcement audiometry (vra) (92579) $67.50 $90 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $33 $44 1.1×
Whirlpool Therapy (97022) $33 $44 2.1×

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.