Visits & medical services prices at Community Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $247.73 $275.25 1.1×
Appl on-body injector for timed subq injection (96377) $146.03 $162.25 3.0×
Assessment of aphasia (96105) $307.35 $341.50 3.2×
Behavioral and qualitative analysis of voice and resonance (92524) $343.80 $382 3.1×
Bfb training 1st 15 min (90912) $187.88 $208.75 2.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $657.23 $730.25 1.7×
Car seat/bed test 60 min (94780) $324.68 $360.75 8.4×
Cardiac Stress Tst,Tracing Only (93017) $1,204.43 $1,338.25 5.4×
Cardioversion (92960) $511.65 $568.50 0.7×
Chemo Hormon Antineopl Sq/Im (96402) $164.25 $182.50 2.2×
Chemo IV push addl drug (96411) $289.80 $322 3.9×
Chemo Iv Push Sngl Drug (96409) $463.28 $514.75 1.4×
Chemo prolong 8+ hrs infuse w/pump (96416) $674.78 $749.75 2.0×
Chemother, IV infusion, 1 hr (96413) $675.68 $750.75 2.0×
Chemother, IV infusion, ea add hr (96415) $360.23 $400.25 4.8×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $333.68 $370.75 4.5×
Chemotx Admn Cns Req Spinal Puncture (96450) $432.68 $480.75 1.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $405.68 $450.75 5.4×
Color/duplex Doppler, complete (93975) $1,213.20 $1,348 4.9×
Color/duplex Doppler, limited (93976) $853.88 $948.75 7.9×
Cont Gluc Monitoring Patient Provided Equipment (95249) $148.50 $165 2.4×
Continuous Glucose Monitoring (95250) $483.30 $537 3.5×
Cpap initiation and management (94660) $810 $900 3.6×
Cpt initial (94667) $225.23 $250.25 1.6×
Critical care (99291) $1,156.28 $1,284.75 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $185.40 $206 0.9×
Demo &/or eval,pt use,aerosol device (94664) $159.08 $176.75 0.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,150.65 $1,278.50 4.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $899.55 $999.50 8.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,275.75 $1,417.50 5.1×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,059.75 $1,177.50 9.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,232.33 $1,369.25 5.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $942.30 $1,047 8.7×
Dup-scan xtr veins unilateral/limited study (93971) $1,108.80 $1,232 10.2×
Duplex hemodialysis access (93990) $877.50 $975 8.1×
Duplex scan extracranial art compl bi study (93880) $1,538.10 $1,709 6.2×
Echo Heart Xthoracic,Limited (93308) $939.15 $1,043.50 3.8×
EKG (93005) $74.70 $83 1.2×
EKG rhythm strip (93041) $178.43 $198.25 2.9×
Er level 1 (99281) $207 $230 2.4×
Er level ii (99282) $342 $380 2.1×
Er level iii (99283) $512.33 $569.25 1.8×
Er level IV (99284) $789.30 $877 1.8×
Er level v (99285) $1,180.35 $1,311.50 1.9×
Evaluation of speech fluency (92521) $278.55 $309.50 2.1×
Evaluation of speech sound production (92522) $311.40 $346 2.8×
Evaluation of swallowing function (92610) $360.90 $401 4.3×
Evaluation with prescription of speech-generating alternative (92607) $413.55 $459.50 3.4×
External ECG rec>48hr<7d recording (93242) $536.18 $595.75 13.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $922.73 $1,025.25 6.7×
External ECG rec>7d<15d recording (93246) $1,007.10 $1,119 26.0×
External ECG rec>7d<15d scanning alys w/report (93247) $1,404.45 $1,560.50 10.2×
External Ecg Scanning Analysis Report (93226) $734.63 $816.25 12.0×
Fluorescein angioscopy (92230) $157.95 $175.50 0.4×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $938.93 $1,043.25 2.4×
Holter Monitor Recording (93225) $536.18 $595.75 3.9×
Immunization Admin (90471) $57.49 $63.88 0.8×
Immunotherapy, 2+ Injections (95117) $21.60 $24 0.4×
Ingestion challenge test initial 120 minutes (95076) $264.38 $293.75 0.7×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $106.99 $118.88 1.7×
IV infusion hydration each additional hour (96361) $128.02 $142.25 2.6×
IV infusion hydration initial 31 min-1 hour (96360) $424.35 $471.50 1.9×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $168.86 $187.62 2.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $272.14 $302.38 1.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $163.24 $181.38 3.4×
IV push initial (96374) $275.63 $306.25 1.2×
Manual therapy 15 min (97140) $106.43 $118.25 3.8×
Massage 15 min (97124) $98.78 $109.75 3.3×
Maximum voluntary ventilation (94200) $193.73 $215.25 3.2×
Mechanical chest wall oscillation (94669) $419.40 $466 1.8×
Mechanical traction (97012) $79.43 $88.25 5.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $74.70 $83 2.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $90.90 $101 2.5×
Mnt Group Ea 30 Min (97804) $49.50 $55 2.9×
Motility study esophagus (91010) $1,211.40 $1,346 3.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $489.60 $544 5.3×
Multiple sleep latency test (95805) $2,443.50 $2,715 2.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $267.98 $297.75 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $771.08 $856.75 1.8×
Newborn resuscitation (99465) $332.78 $369.75 0.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $562.28 $624.75 4.1×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $1,014.53 $1,127.25 4.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $452.93 $503.25 3.4×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $130.95 $145.50 2.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $126.45 $140.50 3.9×
Ot Contrast Bath Ea 15 Min (97034) $117.68 $130.75 8.4×
Ot eval high complex 60 min (97167) $272.93 $303.25 2.7×
Ot eval low complex 30 min (97165) $209.03 $232.25 2.1×
Ot eval mod complex 45 min (97166) $226.13 $251.25 2.2×
Ot Prosthetic Training, Each 15 Min (97761) $102.15 $113.50 2.5×
Ot re-eval est plan care (97168) $155.93 $173.25 2.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $256.73 $285.25 1.9×
Paraffin bath (97018) $73.13 $81.25 12.2×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $374.18 $415.75 1.6×
Phy/qhp op pulm rhb w/o mntr (94625) $220.50 $245 3.6×
Plethysmography (94726) $562.50 $625 1.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,823.10 $5,359 5.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $18 $20 0.4×
Psych diag eval w/med srvcs (90792) $301.95 $335.50 1.6×
Psychiatric diagnostic evaluation (90791) $268.76 $298.62 1.5×
Pt Aquatic Therapy/Exercises (97113) $131.63 $146.25 3.6×
Pt Electric Current Therapy (97033) $120.38 $133.75 6.3×
Pt Electrical Stimulation (97032) $78.98 $87.75 5.4×
Pt eval high complex 45 min (97163) $285.53 $317.25 2.9×
Pt eval low complex 20 min (97161) $123.08 $136.75 1.3×
Pt Gait Training Therapy (97116) $106.20 $118 3.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $105.42 $117.12 3.2×
Pt Physical Performance Test (97750) $108.22 $120.25 3.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $213.53 $237.25 2.2×
Pt re-evaluation (97164) $144.90 $161 2.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $139.73 $155.25 4.3×
Pt Ultrasound Therapy (97035) $83.70 $93 5.8×
Pt Whirlpool Therapy (97022) $119.70 $133 7.6×
Pulmonary stress testing (94618) $232.20 $258 1.7×
Refill/maint, portable pump (96521) $551.25 $612.50 2.5×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $383.63 $426.25 9.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $183.83 $204.25 0.9×
Rt Chest Wall Manipulation,Subsequent (94668) $212.85 $236.50 1.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $109.35 $121.50 2.3×
Sensory Integration Ea 15 Min (97533) $221.85 $246.50 3.6×
Sleep study unattended (95806) $492.75 $547.50 2.2×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $492.75 $547.50 2.2×
Smoking cessation > 10 min (99407) $78.75 $87.50 2.0×
Speech group therapy (92508) $179.10 $199 7.4×
Speech sound lang comprehen (92523) $407.93 $453.25 1.8×
Spirometry (94010) $324.68 $360.75 1.4×
Standardized Cognitive Performance Testing (96125) $345.83 $384.25 3.4×
Stress echo (93350) $1,814.63 $2,016.25 3.2×
Test for allergy using combination of methods with drug or biological (95018) $89.78 $99.75 2.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $261.68 $290.75 11.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $272.03 $302.25 2.7×
Ther/Proph/Diag Inj Sc/Im (96372) $104.62 $116.25 1.4×
Therapeutic Activities (97530) $159.08 $176.75 4.5×
Therapeutic phlebotomy (99195) $218.25 $242.50 1.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $45.45 $50.50 1.2×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,392.43 $2,658.25 4.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $310.28 $344.75 4.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $292.28 $324.75 3.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $333 $370 6.8×
Unlisted pulmonary service/procedure (94799) $234.68 $260.75 1.8×
Vasc Duplex Extrem Venous,Bilat (93970) $1,138.84 $1,265.38 4.6×
Vasc Duplex Scan Extracranial,Limited (93882) $895.50 $995 8.2×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $947.25 $1,052.50 4.2×
Vasopneumatic device (97016) $85.05 $94.50 7.1×
Ventilation assist & mgmt inpatient 1st day (94002) $1,516.50 $1,685 2.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,272.60 $1,414 2.0×
Vital capacity total (94150) $110.70 $123 0.8×
Wheelchair Mgmt Ea 15 Min (97542) $161.78 $179.75 5.2×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $1,815.30 $2,017 18.4×