Visits & medical services prices at Community Hospital of Bremen Inc
Bremen, IN · every code in this section with a posted price and a Medicare benchmark.
121 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $204.75 | $315 | 0.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$124.80–$125.45 | $192–$193 | varies |
| Assessment of aphasia per hr (96105) | $225.55 | $347 | 2.3× |
| Behavral qualit analys voice (92524) range across 8 matching MRF lines |
$94.90–$728.65 | $146–$1,121 | varies |
| Canalith repositioning proc (95992) | $128.70 | $198 | 3.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $278.20 | $428 | 1.2× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$277.55–$288.60 | $427–$444 | varies |
| Cardioversion (92960) | $1,075.75 | $1,655 | 1.5× |
| Cbt 1st hour (94644) | $210.60 | $324 | 1.5× |
| Chemo IV infusion addl hr (96415) | $133.25 | $205 | 1.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $494 | $760 | 1.4× |
| Chest Wall Manipulation (94668) | $84.50 | $130 | 0.6× |
| Color/duplex Doppler, complete (93975) | $531.70 | $818 | 2.1× |
| Color/duplex Doppler, limited (93976) | $466.05 | $717 | 4.2× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $98.80 | $152 | 3.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$720.85–$893.10 | $1,109–$1,374 | varies |
| Cpt initial (94667) | $325.65 | $501 | 2.3× |
| Critical care first hour (99291) | $1,589.25 | $2,445 | 1.8× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$155.35–$164.45 | $239–$253 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $714.35 | $1,099 | 2.8× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $536.25 | $825 | 4.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $618.15 | $951 | 2.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $416.65 | $641 | 3.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $698.75 | $1,075 | 2.8× |
| Dup-scan xtr veins unilateral/limited study (93971) | $381.55 | $587 | 3.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $491.40 | $756 | 1.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $413.40 | $636 | 3.7× |
| Duplex Scan Hemodialysis Access (93990) | $416.65 | $641 | 3.8× |
| Duplex up extrem art bilat (93930) | $609.05 | $937 | 2.4× |
| Duplex up extrem art unilat/ltd (93931) | $336.05 | $517 | 3.0× |
| Echo Heart Xthoracic,Limited (93308) | $740.35 | $1,139 | 2.9× |
| Echo transesophageal (93312) | $885.30 | $1,362 | 1.5× |
| Electrical Stimulation Ea 15 Min (97032) | $33.80 | $52 | 2.3× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$181.35–$189.15 | $279–$291 | varies |
| Emergency Dept Visit Level 2 (99282) | $319.15 | $491 | 2.0× |
| Emergency Dept Visit Level 3 (99283) | $536.90 | $826 | 1.9× |
| Emergency Dept Visit Level 4 (99284) | $839.15 | $1,291 | 1.9× |
| Er level 1 (99281) | $182.65 | $281 | 2.0× |
| Er level v (99285) | $1,251.25 | $1,925 | 2.0× |
| Evaluate pt use of inhaler (94664) | $179.40 | $276 | 0.8× |
| Evaluate Speech Production (92522) range across 8 matching MRF lines |
$98.80–$763.10 | $152–$1,174 | varies |
| Evaluate Swallowing Function (92610) range across 17 matching MRF lines |
$87.10–$669.50 | $134–$1,030 | varies |
| Evaluation of speech fluency (92521) range across 17 matching MRF lines |
$98.80–$763.10 | $152–$1,174 | varies |
| Extracranial Bilat Study (93880) | $622.70 | $958 | 2.5× |
| Extracranial Uni/Ltd Study (93882) | $594.10 | $914 | 5.4× |
| Flexible endoscopic eval swallow c/v rec (92612) range across 6 matching MRF lines |
$297.05–$462.80 | $457–$712 | varies |
| Flexible ndsc eval swlng&laryn sens c/v rec (92616) range across 6 matching MRF lines |
$295.10–$471.25 | $454–$725 | varies |
| Group Therapeutic Procedures (97150) | $50.05 | $77 | 2.8× |
| Holter monitor recording (93225) | $114.40 | $176 | 0.8× |
| Immunization administration (90471) range across 3 matching MRF lines |
$73.45–$76.70 | $113–$118 | varies |
| Iontophoresis 15 min (97033) | $134.55 | $207 | 7.1× |
| Irrig Drug Delivery Device (96523) | $68.90 | $106 | 1.1× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$120.90–$126.10 | $186–$194 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$239.20–$248.95 | $368–$383 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$161.85–$169 | $249–$260 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$144.30–$150.80 | $222–$232 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$148.20–$154.70 | $228–$238 | varies |
| Laryngeal Function Studies (92520) | $219.05 | $337 | 1.6× |
| Mechanical chest wall oscillation per session (94669) | $328.90 | $506 | 1.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $38.35 | $59 | 1.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $38.35 | $59 | 1.0× |
| Multiple Sleep Latency Test (95805) | $1,840.15 | $2,831 | 2.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$243.75–$244.40 | $375–$376 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $310.70 | $478 | 0.7× |
| Neuromuscular Reeducation (97112) range across 6 matching MRF lines |
$98.80–$104 | $152–$160 | varies |
| Newborn resuscitation (99465) | $1,427.40 | $2,196 | 2.0× |
| Oral Function Therapy (92526) range across 11 matching MRF lines |
$87.10–$404.95 | $134–$623 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $104 | $160 | 2.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $107.90 | $166 | 2.3× |
| Ot Contrast Bath Ea 15 Min (97034) | $154.05 | $237 | 11.0× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$256.75–$267.80 | $395–$412 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$87.10–$90.35 | $134–$139 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$170.95–$178.75 | $263–$275 | varies |
| Ot manual therapy 15 min (97140) range across 6 matching MRF lines |
$130.65–$136.50 | $201–$210 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$94.90–$102.05 | $146–$157 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $101.40 | $156 | 2.5× |
| Ot Re-Eval Est Plan Care (97168) | $148.85 | $229 | 2.2× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $219.05 | $337 | 0.9× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$113.75–$120.25 | $175–$185 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,311.10 | $5,094 | 3.6× |
| Psychiatric diagnostic evaluation (90791) | $513.50 | $790 | 2.7× |
| Pt Eval High Complex (97163) range across 3 matching MRF lines |
$257.40–$359.45 | $396–$553 | varies |
| Pt eval low complex 20 min (97161) | $91 | $140 | 0.9× |
| Pt Eval Mod Complex (97162) | $182 | $280 | 1.9× |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$118.30–$123.50 | $182–$190 | varies |
| Pt mechanical traction (97012) range across 3 matching MRF lines |
$142.35–$151.45 | $219–$233 | varies |
| Pt Re-Eval Est Plan Care (97164) | $142.35 | $219 | 2.1× |
| Pulmonary service/procedure (94799) | $209.95 | $323 | 1.5× |
| Pulmonary Stress Testing (94618) | $124.15 | $191 | 0.9× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $60.45 | $93 | 1.5× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $210.60 | $324 | 1.5× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $65 | $100 | 1.6× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $82.55 | $127 | 1.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $232.05 | $357 | 3.7× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$118.30–$124.80 | $182–$192 | varies |
| Self Care Mngment Training (97535) | $125.45 | $193 | 3.9× |
| Sensory Integration Ea 15 Min (97533) | $92.30 | $142 | 1.5× |
| Speech sound lang comprehen (92523) range across 15 matching MRF lines |
$295.10–$763.10 | $454–$1,174 | varies |
| Spirometry (94010) | $564.85 | $869 | 2.5× |
| Standardized Cognitive Performance Testing (96125) | $254.80 | $392 | 2.5× |
| Subcutaneous Infusion Each Additional Hour (96370) | $71.50 | $110 | 1.4× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $366.60 | $564 | 1.6× |
| Subq Infusion Additional Pump Infusion Site (96371) | $183.30 | $282 | 2.4× |
| Temp transcutaneous pacing (92953) | $2,123.55 | $3,267 | 3.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $120.25 | $185 | 5.4× |
| Ther Ivntj Ea Addl 15 Min (97130) | $120.25 | $185 | 5.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$141.05–$146.90 | $217–$226 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $232.05 | $357 | 1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$76.70–$79.95 | $118–$123 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$242.45–$251.55 | $373–$387 | varies |
| Therapeutic Activities (97530) | $120.25 | $185 | 3.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $126.10 | $194 | 3.2× |
| Tte w/doppler, complete (93306) | $1,513.20 | $2,328 | 2.6× |
| Tte W/O Doppler Complete (93307) | $312 | $480 | 1.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 11 matching MRF lines |
$113.10–$522.60 | $174–$804 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$96.85–$101.40 | $149–$156 | varies |
| Vasopneumatic device (97016) | $191.10 | $294 | 15.9× |
| Vent Mgmt Inpat Init Day (94002) | $1,320.15 | $2,031 | 2.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,320.15 | $2,031 | 2.0× |
| Wheelchair Mgmt Ea 15 Min (97542) | $120.25 | $185 | 3.9× |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$174.85–$185.90 | $269–$286 | 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.