Visits & medical services prices at Dundy County Hospital

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

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

Compare against other hospitals interactively →

ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $173 $192 1.6×
Airway inhalation treatment (94640) $192 $213 0.8×
Assmt & care planning pt w/cognitive impairment (99483) $375 $417 3.6×
Behavioral and qualitative analysis of voice and resonance (92524) $343 $381 3.1×
Biofeedback training any modality (90901) $97.50 $108.50 2.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $360.50 $400.50 0.9×
Canalith Repositioning (95992) $103 $114 2.5×
Cardiac Stress Tst,Tracing Only (93017) $963 $1,070 4.3×
Cardiopulmonary resuscitation (92950) $304 $338 1.4×
Cbt 1st hour (94644) $209 $232 1.5×
Chemo prolong 8+ hrs infuse w/pump (96416) $415 $461 1.2×
Chemother, IV infusion, 1 hr (96413) $415 $461 1.2×
Chemother, IV infusion, ea add hr (96415) $68 $76 0.9×
Color/duplex Doppler, complete (93975) $1,361 $1,512 5.5×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $145 $161 0.8×
Cont Gluc Monitoring Patient Provided Equipment (95249) $133 $148 2.2×
Continuous Glucose Monitoring (95250) $328 $364 2.4×
Cpap initiation and management (94660) $631.50 $701.50 2.8×
Critical care (99291) $1,259 $1,399 1.5×
Debridement Open Wound 20 Sq Cm< (97597) $230 $256 1.1×
Demo &/or eval,pt use,aerosol device (94664) $158 $176 0.7×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,445 $1,605 5.8×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,145 $1,272 10.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,445 $1,605 5.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,145 $1,272 10.5×
Dup-scan xtr veins unilateral/limited study (93971) $1,145 $1,272 10.5×
Duplex scan extracranial art compl bi study (93880) $1,551 $1,723 6.3×
Echo Heart Xthoracic,Limited (93308) $979 $1,088 4.0×
EEG awake asleep (95819) $695 $772 3.1×
EEG awake drowsy (95816) $608 $675 2.7×
EEG cerebral death evaluation (95824) $175 $194 0.5×
EEG coma or sleep only (95822) $900 $1,000 4.0×
Eeg Extended Monitoring 61-119 Minutes (95813) $716 $796 3.2×
EKG (93005) $219 $243 3.6×
EKG rhythm strip (93041) $102 $113 1.7×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $586 $651 2.6×
EMG one extremity (95860) $521 $579 3.8×
EMG two extremities (95861) $578 $642 4.2×
Er level 1 (99281) $243 $270 2.8×
Er level ii (99282) $95 $106 0.6×
Er level iii (99283) $142 $158 0.5×
Er level IV (99284) $270 $300 0.6×
Er level v (99285) $397 $441 0.6×
Evaluation of speech fluency (92521) $352 $391 2.6×
Evaluation of speech sound production (92522) $352 $391 3.1×
Evaluation of swallowing function (92610) $356 $396 4.2×
Evoked auditory test,limited (92587) $169 $188 0.8×
External ECG rec>48hr<7d recording (93242) $759 $843 19.6×
External ECG rec>7d<15d recording (93246) $529 $587.50 13.6×
External Ecg Scanning Analysis Report (93226) $617.50 $686 10.1×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $160 $177.50 0.8×
Holter Monitor Recording (93225) $201 $223 1.5×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $53 $59 1.3×
Immunization Admin (90471) $53 $59 0.7×
Immunotherapy, 2+ Injections (95117) $26 $29 0.5×
Inital newborn e/m (99460) $94 $104 0.7×
Initial normal newborn care, same day discharge (99463) $197 $219 1.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $194 $215 3.2×
IV infusion hydration each additional hour (96361) $71 $79 1.5×
IV infusion hydration initial 31 min-1 hour (96360) $358.50 $398.50 1.6×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $40 $44 0.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $431 $479 2.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $71 $79 1.5×
IV push initial (96374) $77.50 $86.50 0.4×
Manual therapy 15 min (97140) $71 $79 2.6×
Maximum voluntary ventilation (94200) $57 $63 0.9×
Mechanical chest wall oscillation (94669) $74 $82 0.3×
Mechanical traction (97012) $69 $76.50 4.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $68 $75 2.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $95 $105 2.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $540 $600 5.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $113 $126 0.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $181 $201 0.4×
Newborn resuscitation (99465) $217 $241 0.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $498 $553 3.6×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $1,000 $1,111 4.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $423 $470 3.2×
Nrpsyc tst eval phys/qhp 1st (96132) $211 $234 0.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $103 $114 2.2×
Osteopathic manipulative tx 1-2 body regions (98925) $51 $57 2.3×
Osteopathic manipulative tx 3-4 body regions (98926) $109 $121 4.9×
Osteopathic manipulative tx 5-6 body regions (98927) $140 $155 6.2×
Osteopathic manipulative tx 7-8 body regions (98928) $172 $191 7.7×
Osteopathic manipulative tx 9-10 body regions (98929) $204 $227 9.1×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $90 $100 2.8×
Ot Contrast Bath Ea 15 Min (97034) $53 $59 3.8×
Ot eval high complex 60 min (97167) $215 $239 2.1×
Ot eval low complex 30 min (97165) $215 $239 2.1×
Ot eval mod complex 45 min (97166) $215 $239 2.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $87 $97 1.7×
Ot Prosthetic Training, Each 15 Min (97761) $103 $114 2.5×
Ot Range Motion Measure,Each Extrem (95851) $45 $50 1.7×
Ot re-eval est plan care (97168) $215 $239 3.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $169.50 $188 1.3×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $164 $182 1.2×
Paraffin bath (97018) $60 $67 10.0×
Phy/qhp op pulm rhb w/o mntr (94625) $120 $133 2.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,412 $3,791 3.8×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $19 $21 0.4×
Psych diag eval w/med srvcs (90792) $311 $345 1.7×
Psychiatric diagnostic evaluation (90791) $161.50 $179.50 0.9×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $60 $67 0.1×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $76 $84 0.6×
Psytx crisis initial 60 min (90839) $290 $322 1.6×
Pt Aquatic Therapy/Exercises (97113) $91 $101 2.5×
Pt Electric Current Therapy (97033) $110 $122.50 5.8×
Pt Electrical Stimulation (97032) $70 $78 4.8×
Pt eval high complex 45 min (97163) $207 $230 2.1×
Pt eval low complex 20 min (97161) $207 $230 2.1×
Pt Gait Training Therapy (97116) $82 $91 2.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $94.50 $105 2.9×
Pt Physical Performance Test (97750) $95 $106 2.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $207 $230 2.1×
Pt re-evaluation (97164) $155 $172 2.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $97 $108 3.0×
Pt Ultrasound Therapy (97035) $54.50 $60.50 3.8×
Pt Whirlpool Therapy (97022) $115.50 $128 7.4×
Pulm function test by gas (94727) $95 $106 0.4×
Pulmonary stress testing (94618) $164 $182 1.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $84 $93 0.4×
Rom meas&reprt hand w/wo comparison normal sid (95852) $48 $53 2.2×
Rt Chest Wall Manipulation,Subsequent (94668) $145 $161 1.0×
Sensory Integration Ea 15 Min (97533) $58.50 $65 1.0×
Sleep study unattended (95806) $562 $624 2.5×
Smoking cessation > 10 min (99407) $66 $73 1.7×
Speech sound lang comprehen (92523) $352 $391 1.6×
Spirometry (94010) $194 $215 0.9×
Standardized Cognitive Performance Testing (96125) $185 $205 1.8×
Stress echo (93350) $1,354 $1,504 2.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $90 $100 4.0×
Ther/Proph/Diag Inj Sc/Im (96372) $41 $45.50 0.5×
Therapeutic Activities (97530) $99 $110 2.8×
Therapeutic phlebotomy (99195) $412 $458 3.0×
Trans Care Mgmt 14 Day Disch (99495) $140 $155 1.0×
Trans Care Mgmt 7 Day Disch (99496) $174 $193 1.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,234 $1,371 2.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $297 $330 3.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $258 $287 3.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $39.50 $43.50 0.8×
Unlisted pulmonary service/procedure (94799) $72.50 $80.50 0.5×
Vasc Duplex Extrem Venous,Bilat (93970) $1,445 $1,605 5.8×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $965.50 $1,072.50 4.3×
Vasopneumatic device (97016) $50 $56 4.2×
Ventilation assist & mgmt inpatient 1st day (94002) $897 $997 1.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $792 $880 1.2×
Vital capacity total (94150) $46 $51 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $90 $100 2.9×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $1,001 $1,112 10.1×