Visits & medical services prices at Community Medical Center, Inc

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 8 matching MRF lines		 $71–$357 $107–$541 varies
Analyze neurostim complex (95972) $182 $275 1.8×
Analyze Neurostim Simple (95971) $166 $251 1.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $81 $122 5.6×
Assessment of aphasia per hr (96105) $107 $162 1.1×
Behavral qualit analys voice (92524) $173 $262 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $317 $480 0.8×
Canalith repositioning proc (95992) $76 $115 1.9×
Cardiac Stress Tst,Tracing Only (93017) $523 $793 2.3×
Cardiopulmonary resuscitation (92950) $498 $754 2.2×
Cardioversion (92960)
range across 2 matching MRF lines		 $801–$890 $1,213–$1,348 varies
Cbt 1st hour (94644) $89 $135 0.6×
Chemo Anti-Neopl Sq/Im (96401) $94 $143 1.3×
Chemo Hormon Antineopl Sq/Im (96402) $93 $141 1.2×
Chemo IV infusion addl hr (96415) $171 $259 2.3×
Chemo IV push addl drug (96411) $179 $271 2.4×
Chemother Prolong Infuse W/Pump (96416) $284 $431 0.8×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $294 $446 0.9×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $171 $259 3.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $193 $292 2.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $294 $446 0.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $234 $354 0.7×
Chest Wall Manipulation (94668) $147 $223 1.1×
Color/duplex Doppler, complete (93975) $1,057 $1,602 4.3×
Color/duplex Doppler, limited (93976) $548 $831 5.0×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines		 $116–$233 $175–$353 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines		 $460–$490 $697–$742 varies
Cpt initial (94667) $122 $185 0.9×
Critical care first hour (99291) $1,230 $1,864 1.4×
Debridement Open Wound 20 Sq Cm< (97597) $151 $229 0.7×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $465 $704 1.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $443 $671 4.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $636 $963 2.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $576 $872 5.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $564 $854 2.3×
Dup-scan xtr veins unilateral/limited study (93971) $571 $865 5.3×
Duplex Scan Hemodialysis Access (93990) $514 $779 4.7×
Duplex up extrem art bilat (93930) $631 $956 2.5×
Duplex up extrem art unilat/ltd (93931) $667 $1,011 6.1×
Echo Heart Xthoracic,Limited (93308) $660 $1,000 2.7×
Echo transesophageal (93312) $1,544 $2,339 2.7×
EEG awake and asleep (95819) $701 $1,062 3.1×
EEG cerebral death evaluation (95824) $334 $506 0.9×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines		 $48–$52 $72–$79 varies
Electrocardiogram Tracing (93005) $172 $260 2.8×
Emergency Dept Visit Level 2 (99282) $246 $372 1.5×
Emergency Dept Visit Level 3 (99283) $366 $554 1.3×
Emergency Dept Visit Level 4 (99284) $534 $809 1.2×
Emg 3 Extremities (95863) $214 $324 1.6×
Emg 4 Extremities (95864) $229 $347 1.7×
Er level 1 (99281) $135 $204 1.5×
Er level v (99285) $896 $1,357 1.4×
Evaluate pt use of inhaler (94664) $102 $155 0.4×
Evaluate Speech Production (92522) $123 $187 1.1×
Evaluate Swallowing Function (92610) $183 $277 2.2×
Evaluation of speech fluency (92521) $107 $162 0.8×
Evoked Auditory Test,Limited (92587) $211 $319 0.9×
Extracranial Bilat Study (93880) $737 $1,117 3.0×
Extracranial Uni/Ltd Study (93882) $565 $856 5.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $172 $261 0.2×
Holter monitor recording (93225) $581 $880 4.2×
Icd device progr eval dual (93283) $98 $149 2.5×
Icd Device Progr Eval Mult (93284) $115 $174 3.0×
Ilr Device Eval Progr (93285) $57 $86 1.5×
Immunization administration (90471) $52 $79 0.7×
Interrogate Subq Defib (93261) $81 $122 2.1×
Irrig Drug Delivery Device (96523) $84 $128 1.4×
IV infusion hydration each additional hour (96361) $96 $145 2.0×
IV infusion hydration initial 31 min-1 hour (96360) $178 $270 0.8×
IV infusion ther proph addl sequential to 1 hr (96367) $145 $219 1.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $94 $143 1.9×
IV push initial (96374) $96 $145 0.4×
Lung Function Test (Mbc/Mvv) (94200) $128 $194 2.1×
Lwr Xtr Vasc Stdy Bilat (93924) $461 $698 2.1×
Mechanical chest wall oscillation per session (94669) $246 $372 1.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $32 $49 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $30 $46 0.8×
Motion Fluoroscopy/Swallow (92611) $235 $356 2.6×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $168 $255 0.4×
Muscle Test 2 Limbs (95861) $251 $380 1.8×
Muscle Test One Limb (95860) $168 $255 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $197 $298 0.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $271 $411 0.6×
Nerve Conduction Studies 1-2 Studies (95907) $214 $324 1.0×
Nerve Conduction Studies 3-4 Studies (95908) $386 $585 1.7×
Nerve conduction studies 5-6 studies (95909) $669 $1,013 3.0×
Nerve conduction studies 7-8 studies (95910) $689 $1,044 1.8×
Neuromuscular Reeducation (97112) $76 $115 2.3×
Oral Function Therapy (92526) $165 $250 2.0×
Ot eval high complexity (97167) $182 $276 1.8×
Ot Eval Low Complex (97165) $143 $216 1.4×
Ot Eval Moderate Complexity (97166) $150 $227 1.5×
Ot manual therapy 15 min (97140) $80 $121 2.9×
Ot paraffin bath (97018) $55 $84 9.2×
Ot Re-Eval Est Plan Care (97168) $79 $119 1.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $219 $332 1.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $138 $209 1.0×
Phlebotomy therapeutic (99195) $133 $201 1.0×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $165 $250 2.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $165 $250 2.7×
Pm device progr eval dual (93280) $71 $108 1.8×
Pm device progr eval multi (93281) $50 $76 1.3×
Pm Device Progr Eval Sngl (93279) $61 $93 1.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,004 $4,551 3.4×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $94 $143 2.4×
Pt Eval High Complex (97163) $157 $238 1.6×
Pt eval low complex 20 min (97161) $145 $220 1.5×
Pt Eval Mod Complex (97162) $154 $234 1.6×
Pt gait training 15 min (97116) $81 $123 2.8×
Pt mechanical traction (97012) $65 $99 4.5×
Pt Re-Eval Est Plan Care (97164) $96 $146 1.4×
Pulm function test by gas (94727) $226 $342 1.0×
Pulmonary Stress Testing (94618) $230 $349 1.7×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $58 $88 1.5×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $178 $269 1.3×
Remote 30 Day Ecg Rev/Report (93270) $237 $359 6.1×
Self Care Mngment Training (97535) $65 $99 2.0×
Sleep study unattended (95806) $363 $550 1.6×
Speech sound lang comprehen (92523) $192 $291 0.8×
Spirometry (94010) $230 $349 1.0×
Standardized Cognitive Performance Testing (96125) $194 $294 1.9×
Stress Tte Only (93350) $958 $1,451 1.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $66 $100 2.9×
Ther Ivntj Ea Addl 15 Min (97130) $66 $100 3.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $61 $93 2.1×
Ther/Proph/Diag Inj Ia (96373) $77 $116 0.3×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines		 $73–$77 $110–$116 varies
Ther/Proph/Diag Iv Inf Init (96365) $188 $285 0.9×
Therapeutic Activities (97530) $66 $100 1.9×
Tobacco Use Cessation Intensive >10 Minutes (99407) $36 $54 0.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $26 $39 0.7×
Tte w/doppler, complete (93306) $1,808 $2,740 3.2×
Tte W/O Doppler Complete (93307) $614 $931 2.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $194 $294 2.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $77 $116 1.6×
Tympanometry (92567) $68 $103 1.8×
Upr/L Xtremity Art 2 Levels (93922) $461 $698 3.3×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $656 $994 2.9×
Vent Mgmt Inpat Init Day (94002) $789 $1,196 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $368 $558 0.6×

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.