Visits & medical services prices at Dundy County Hospital
Benkelman, NE · every code in this section with a posted price and a Medicare benchmark.
155 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $56 | $62 | 1.3× |
| Advncd Care Plan 30 Min (99497) | $182 | $202 | 1.7× |
| Airway Inhalation Treatment (94640) range across 10 matching MRF lines |
$39–$202 | $43–$224 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$56–$59 | $62–$65 | varies |
| Assmt & care planning pt w/cognitive impairment (99483) | $394 | $438 | 3.7× |
| Behavral qualit analys voice (92524) | $360 | $400 | 3.3× |
| Biofeedback training any modality (90901) range across 2 matching MRF lines |
$100–$105 | $111–$117 | varies |
| Brief Emotional/Behav Assmt (96127) | $38 | $42 | 1.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$136–$621 | $151–$690 | varies |
| Canalith repositioning proc (95992) | $108 | $120 | 2.7× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,012 | $1,124 | 4.5× |
| Cardiopulmonary resuscitation (92950) | $320 | $355 | 1.4× |
| Cardioversion (92960) | $428 | $475 | 0.6× |
| Cbt 1st hour (94644) | $220 | $244 | 1.6× |
| Chemo IV infusion addl hr (96415) | $72 | $80 | 1.0× |
| Chemother Prolong Infuse W/Pump (96416) | $436 | $484 | 1.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $436 | $484 | 1.3× |
| Chest Wall Manipulation (94668) | $152 | $169 | 1.1× |
| Color/duplex Doppler, complete (93975) range across 3 matching MRF lines |
$1,361–$1,429 | $1,512–$1,588 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $95 | $105 | 3.0× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $152 | $169 | 0.8× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $344 | $382 | 2.5× |
| Cont Gluc Mntr Pt Prov Eqp (95249) range across 2 matching MRF lines |
$132–$148 | $147–$164 | varies |
| Continuous Pulse Ox (94762) | $445 | $494 | 3.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$117–$770 | $130–$855 | varies |
| Critical care first hour (99291) range across 4 matching MRF lines |
$418–$2,045 | $464–$2,272 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) | $242 | $269 | 1.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 4 matching MRF lines |
$1,445–$1,517 | $1,605–$1,685 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 6 matching MRF lines |
$1,156–$1,202 | $1,284–$1,336 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 5 matching MRF lines |
$1,445–$1,517 | $1,605–$1,685 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 10 matching MRF lines |
$1,101–$1,202 | $1,223–$1,336 | varies |
| Duplex up extrem art bilat (93930) | $1,517 | $1,685 | 6.1× |
| Duplex up extrem art unilat/ltd (93931) range across 5 matching MRF lines |
$1,156–$1,202 | $1,284–$1,336 | varies |
| ECG/monitoring and analysis (93271) | $1,001 | $1,112 | 10.1× |
| Echo Heart Xthoracic,Limited (93308) | $1,028 | $1,142 | 4.1× |
| Eeg 41-60 Minutes (95812) | $616 | $684 | 2.7× |
| EEG awake and asleep (95819) | $730 | $811 | 3.3× |
| EEG awake drowsy (95816) | $638 | $709 | 2.8× |
| EEG cerebral death evaluation (95824) | $184 | $204 | 0.5× |
| EEG extended monitoring 61-119 minutes (95813) | $752 | $836 | 3.4× |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$661–$1,229 | $734–$1,366 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $74 | $82 | 5.0× |
| Electrocardiogram Tracing (93005) range across 7 matching MRF lines |
$21–$301 | $23–$334 | varies |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$67–$390 | $74–$433 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$100–$618 | $111–$687 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$189–$910 | $210–$1,011 | varies |
| Er level 1 (99281) | $256 | $284 | 2.9× |
| Er level v (99285) range across 3 matching MRF lines |
$279–$1,321 | $310–$1,468 | varies |
| Evaluate pt use of inhaler (94664) range across 5 matching MRF lines |
$30–$175 | $33–$194 | varies |
| Evaluate Speech Production (92522) | $370 | $411 | 3.3× |
| Evaluate Swallowing Function (92610) | $374 | $416 | 4.4× |
| Evaluation of speech fluency (92521) | $370 | $411 | 2.8× |
| Evoked Auditory Test,Limited (92587) | $177 | $197 | 0.8× |
| External ECG rec>48hr<7d recording (93242) | $797 | $885 | 20.5× |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$529–$581 | $588–$646 | varies |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$638–$659 | $709–$732 | varies |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$1,566–$1,628 | $1,740–$1,809 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) range across 2 matching MRF lines |
$116–$220 | $129–$244 | varies |
| Holter monitor recording (93225) | $211 | $234 | 1.5× |
| Immunization administration (90471) | $56 | $62 | 0.7× |
| Inital newborn e/m (99460) | $98 | $109 | 0.7× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$110–$122 | $122–$135 | varies |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$131–$244 | $146–$271 | varies |
| IV infusion hydration each additional hour (96361) | $75 | $83 | 1.5× |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$271–$482 | $301–$536 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $41 | $46 | 0.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $75 | $83 | 1.5× |
| IV push initial (96374) range across 2 matching MRF lines |
$54–$110 | $60–$122 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $59 | $66 | 1.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$661–$1,270 | $734–$1,411 | varies |
| Mechanical chest wall oscillation per session (94669) | $77 | $86 | 0.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $71 | $79 | 2.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$80–$118 | $89–$131 | varies |
| Motion Fluoroscopy/Swallow (92611) | $567 | $630 | 6.2× |
| Muscle Test 2 Limbs (95861) | $607 | $674 | 4.4× |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$482–$612 | $536–$680 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $119 | $132 | 0.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $190 | $211 | 0.5× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,087 | $1,208 | 2.8× |
| Nerve Conduction Studies 3-4 Studies (95908) | $565 | $628 | 2.5× |
| Nerve conduction studies 7-8 studies (95910) | $888 | $987 | 2.3× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,040 | $1,155 | 2.7× |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$98–$100 | $109–$111 | varies |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$215–$240 | $239–$267 | varies |
| Nrpsyc tst eval phys/qhp 1st (96132) | $221 | $246 | 0.6× |
| Oral Function Therapy (92526) | $271 | $301 | 3.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $92 | $102 | 1.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$103–$108 | $114–$120 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 3 matching MRF lines |
$43–$78 | $48–$87 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) | $114 | $127 | 5.1× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $147 | $163 | 6.6× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $181 | $201 | 8.1× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $214 | $238 | 9.5× |
| Ot Contrast Bath Ea 15 Min (97034) | $56 | $62 | 4.0× |
| Ot eval high complexity (97167) | $226 | $251 | 2.2× |
| Ot Eval Low Complex (97165) | $226 | $251 | 2.2× |
| Ot Eval Moderate Complexity (97166) | $226 | $251 | 2.2× |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$53–$92 | $59–$102 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$62–$64 | $69–$71 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 3 matching MRF lines |
$103–$108 | $114–$120 | varies |
| Ot Re-Eval Est Plan Care (97168) | $226 | $251 | 3.3× |
| Ot rom hand (95852) | $50 | $56 | 2.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$117–$239 | $130–$265 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $172 | $191 | 1.3× |
| Phlebotomy therapeutic (99195) | $433 | $481 | 3.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $126 | $140 | 2.1× |
| Physical Performance Test (97750) | $100 | $111 | 3.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,583 | $3,981 | 4.0× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$18–$22 | $20–$24 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $27 | $30 | 0.6× |
| Psych diag eval w/med srvcs (90792) | $326 | $362 | 1.8× |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$44–$295 | $49–$328 | varies |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $63 | $70 | 0.1× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $79 | $88 | 0.6× |
| Psytx Crisis Initial 60 Min (90839) | $304 | $338 | 1.6× |
| Pt Eval High Complex (97163) | $218 | $242 | 2.2× |
| Pt eval low complex 20 min (97161) | $218 | $242 | 2.2× |
| Pt Eval Mod Complex (97162) | $218 | $242 | 2.2× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$86–$87 | $95–$97 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$71–$74 | $79–$82 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$118–$207 | $131–$230 | varies |
| Pulm function test by gas (94727) | $100 | $111 | 0.4× |
| Pulmonary service/procedure (94799) range across 10 matching MRF lines |
$43–$294 | $48–$327 | varies |
| Pulmonary Stress Testing (94618) | $172 | $191 | 1.2× |
| Remote 30 Day Ecg Tech Supp (93229) | $1,787 | $1,986 | 4.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 3 matching MRF lines |
$21–$107 | $23–$119 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $88 | $98 | 0.4× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 2 matching MRF lines |
$41–$54 | $45–$60 | varies |
| Same day nb discharge (99463) | $207 | $230 | 1.5× |
| Self Care Mngment Training (97535) range across 4 matching MRF lines |
$102–$112 | $113–$124 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$59–$63 | $66–$70 | varies |
| Sleep study unattended (95806) | $695 | $772 | 3.1× |
| Speech sound lang comprehen (92523) | $370 | $411 | 1.6× |
| Spirometry (94010) range across 2 matching MRF lines |
$90–$317 | $100–$352 | varies |
| Standardized Cognitive Performance Testing (96125) | $194 | $215 | 1.9× |
| Stress Tte Only (93350) | $1,421 | $1,579 | 2.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $95 | $105 | 4.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 3 matching MRF lines |
$95–$102 | $106–$113 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$20–$60 | $22–$67 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $453 | $503 | 2.1× |
| Therapeutic Activities (97530) range across 4 matching MRF lines |
$95–$106 | $106–$118 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $69 | $77 | 1.8× |
| Trans Care Mgmt 14 Day Disch (99495) | $147 | $163 | 1.1× |
| Trans Care Mgmt 7 Day Disch (99496) | $183 | $203 | 1.3× |
| Tte w/doppler, complete (93306) | $1,296 | $1,440 | 2.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $312 | $347 | 4.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$40–$42 | $44–$47 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$465–$527 | $517–$586 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$592–$1,000 | $658–$1,111 | varies |
| Vasopneumatic device (97016) | $53 | $59 | 4.4× |
| Vent Mgmt Inpat Init Day (94002) | $942 | $1,047 | 1.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $832 | $924 | 1.3× |
| Vital capacity, total (94150) | $49 | $54 | 0.4× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 6 matching MRF lines |
$91–$98 | $101–$109 | varies |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$118–$124 | $131–$138 | 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.