Visits & medical services prices at Faith Health

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $14,235.24 $22,740 1.8×
Aep hearing status deter broadband stimuli i&r (92651) $180.92 $289 0.8×
Aep threshold estimation mlt frequencies i&r (92652) $466.37 $745 2.1×
Airway inhalation treatment (94640) $312.37 $499 1.4×
Analyze neurostim no prog (95970) $212.21 $339 1.5×
Anogenital exam, child (99170) $330.53 $528 1.6×
Appl on-body injector for timed subq injection (96377) $77.62 $124 1.6×
Arrhythmia induction (93618) $1,995.06 $3,187 1.6×
Assessment of aphasia (96105) $252.28 $403 2.6×
Behavioral and qualitative analysis of voice and resonance (92524) $159.63 $255 1.5×
Bfb training 1st 15 min (90912) $105.79 $169 1.3×
Bfb training ea addl 15 min (90913) $45.07 $72 1.4×
Biofeedback training any modality (90901) $96.40 $154 2.3×
Bis extracellular fluid alys lymphedema assmnt (93702) $245.08 $391.50 1.8×
Breath Hydrogen/Methane Test (91065) $165.89 $265 0.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $594.08 $949 1.5×
Bundle of his recording (93600) $12,469.92 $19,920 1.5×
C motor evoked upr&lwr limbs (95939) $869.51 $1,389 1.0×
Canalith Repositioning (95992) $87.33 $139.50 2.1×
Car seat/bed test 60 min (94780) $83.57 $133.50 2.2×
Cardiac Stress Tst,Tracing Only (93017) $1,077.34 $1,721 4.8×
Cardiopulmonary exercise testing (94621) $406.90 $650 1.1×
Cardiopulmonary resuscitation (92950) $993.15 $1,586.50 4.4×
Cardioversion (92960) $1,281.42 $2,047 1.9×
Caregiver training 1st 30 min (97550) $205.95 $329 3.9×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $102.04 $163 3.9×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $13,791.10 $22,030.50 4.1×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $17,015.30 $27,181 5.1×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $29,507.76 $47,137 1.6×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $17,352.72 $27,720 5.2×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $16,627.81 $26,562 4.9×
Cbt 1st hour (94644) $376.85 $602 2.7×
Chemo Hormon Antineopl Sq/Im (96402) $191.24 $305.50 2.6×
Chemo IV push addl drug (96411) $304.24 $486 4.1×
Chemo Iv Push Sngl Drug (96409) $545.87 $872 1.6×
Chemo prolong 8+ hrs infuse w/pump (96416) $715.52 $1,143 2.1×
Chemother, IV infusion, 1 hr (96413) $551.82 $881.50 1.6×
Chemother, IV infusion, ea add hr (96415) $494.54 $790 6.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $166.20 $265.50 2.2×
Chemotherapy, unspecified procedure (96549) $79.50 $127 1.6×
Chemotx Admn Cns Req Spinal Puncture (96450) $655.42 $1,047 1.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $441.33 $705 5.9×
Color/duplex Doppler, complete (93975) $1,017.56 $1,625.50 4.1×
Color/duplex Doppler, limited (93976) $588.44 $940 5.4×
Comprehensive Hearing Test (92557) $192.50 $307.50 1.4×
Conditioning Play Audiometry (92582) $369.97 $591 2.8×
Cont Gluc Monitoring Patient Provided Equipment (95249) $170.27 $272 2.8×
Continuous Glucose Monitoring (95250) $211.59 $338 1.5×
Coronary artery angio s&i (93454) $10,572.52 $16,889 3.1×
Cpap initiation and management (94660) $734.92 $1,174 3.2×
Cpt initial (94667) $193.12 $308.50 1.4×
Critical care (99291) $1,896.16 $3,029 2.2×
Debridement Open Wound 20 Sq Cm< (97597) $753.39 $1,203.50 3.6×
Demo &/or eval,pt use,aerosol device (94664) $297.35 $475 1.3×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $2,333.42 $3,727.50 5.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $634.14 $1,013 5.8×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,187.84 $1,897.50 4.8×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $861.69 $1,376.50 7.9×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,295.50 $2,069.50 5.2×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $932.43 $1,489.50 8.6×
Dup-scan xtr veins unilateral/limited study (93971) $882.66 $1,410 8.1×
Duplex hemodialysis access (93990) $584.06 $933 5.4×
Duplex scan extracranial art compl bi study (93880) $1,308.34 $2,090 5.3×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $243.51 $389 1.8×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $278.57 $445 2.1×
Echo Heart Xthoracic,Limited (93308) $748.70 $1,196 3.0×
Echo r-t 2d w/probe placement only (93313) $840.72 $1,343 1.5×
Echo transesophageal (93312) $1,695.84 $2,709 3.0×
Echo Transthoracic - Congenital Tte Complete (93303) $1,310.22 $2,093 2.3×
EEG awake drowsy (95816) $819.44 $1,309 3.7×
Eeg Extended Monitoring 61-119 Minutes (95813) $1,228.21 $1,962 5.5×
EKG (93005) $288.90 $461.50 4.7×
Elec alys implt cplx cn npgt prgrmg (95977) $151.49 $242 1.5×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $61.97 $99 1.6×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $845.10 $1,350 3.8×
EMG one extremity (95860) $212.21 $339 1.5×
EMG two extremities (95861) $130.83 $209 0.9×
Endomyocardial biopsy (93505) $5,172.01 $8,262 1.6×
Ep & ablate supravent arrhyt (93653) $29,624.51 $47,323.50 1.1×
Ep & ablate ventric tachy (93654) $28,622.91 $45,723.50 1.1×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $18,084.51 $28,889 2.2×
Ep Right Ventricular Recording (93603) $2,259.23 $3,609 1.8×
Er level 1 (99281) $187.48 $299.50 2.1×
Er level ii (99282) $333.03 $532 2.1×
Er level iii (99283) $706.75 $1,129 2.5×
Er level IV (99284) $1,193.46 $1,906.50 2.8×
Er level v (99285) $2,066.74 $3,301.50 3.3×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $192.50 $307.50 1.4×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $268.55 $429 3.8×
Evaluation of speech fluency (92521) $184.67 $295 1.4×
Evaluation of speech sound production (92522) $146.80 $234.50 1.3×
Evaluation of swallowing function (92610) $281.70 $450 3.3×
Evaluation with prescription of speech-generating alternative (92607) $590.32 $943 4.8×
Evoked Auditory Test,Comprehsv (92588) $404.40 $646 1.0×
Evoked auditory test,limited (92587) $191.24 $305.50 0.9×
Exercise tst brncspsm (94617) $399.39 $638 2.9×
External ECG rec>48hr<7d recording (93242) $474.20 $757.50 12.2×
External ECG rec>48hr<7d scanning alys w/report (93243) $698.62 $1,116 5.1×
External ECG rec>7d<15d recording (93246) $656.98 $1,049.50 16.9×
External ECG rec>7d<15d scanning alys w/report (93247) $626 $1,000 4.5×
External Ecg Scanning Analysis Report (93226) $804.10 $1,284.50 13.1×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $485.15 $775 2.4×
Flow volume loop (94375) $370.90 $592.50 1.7×
Holter Monitor Recording (93225) $430.69 $688 3.1×
Icd Device Interrogate (93289) $61.97 $99 1.6×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $65.73 $105 1.6×
Immunization Admin (90471) $57.59 $92 0.8×
Ingestion challenge test initial 120 minutes (95076) $978.44 $1,563 2.5×
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $794.40 $1,269 2.1×
Ins swan ganz bedside (93503) $2,693.68 $4,303 1.6×
Intra Atrial Recording (93602) $12,469.92 $19,920 1.5×
Intra-atrial pacing (93610) $12,469.92 $19,920 1.5×
Intraventricular pacing (93612) $12,469.92 $19,920 1.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $125.83 $201 2.1×
IV infusion hydration each additional hour (96361) $139.60 $223 2.9×
IV infusion hydration initial 31 min-1 hour (96360) $328.65 $525 1.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $277.32 $443 3.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $376.85 $602 1.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $153.37 $245 3.2×
IV push initial (96374) $307.99 $492 1.4×
Maintenance of spinal canal or brain drug infusion pump (95990) $420.67 $672 1.2×
Manual therapy 15 min (97140) $190.30 $304 6.9×
Mechanical chest wall oscillation (94669) $323.32 $516.50 1.4×
Mechanical traction (97012) $64.80 $103.50 4.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $53.84 $86 1.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $126.45 $202 3.4×
Methacholine challenge (94070) $1,266.40 $2,023 3.3×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $456.98 $730 5.0×
Multiple sleep latency test (95805) $2,158.44 $3,448 2.4×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $105.17 $168 0.8×
Neg press wnd tx </=50 sq cm (97607) $1,191.90 $1,904 2.8×
Neg press wound tx >50 cm (97608) $826.63 $1,320.50 2.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $509.56 $814 2.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $752.14 $1,201.50 1.8×
Nerve conduction studies 13/> studies (95913) $1,037.28 $1,657 2.7×
Nerve Conduction Studies 3-4 Studies (95908) $466.37 $745 2.1×
Nerve Conduction Studies 9-10 Studies (95911) $813.80 $1,300 2.1×
Nerve conduction studies; 1-2 studies (95907) $589.69 $942 2.6×
Nerve conduction studies; 11-12 studies (95912) $925.23 $1,478 2.4×
Nerve conduction studies; 5-6 studies (95909) $589.69 $942 2.6×
Nerve conduction studies; 7-8 studies (95910) $701.12 $1,120 1.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $536.48 $857 3.9×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $791.26 $1,264 3.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $441.96 $706 3.3×
Nonphysician Telephone Assessment 5-10 Min (98966) $23.16 $37 1.7×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $120.50 $192.50 2.6×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $95.15 $152 3.0×
Ot eval high complex 60 min (97167) $263.86 $421.50 2.6×
Ot eval low complex 30 min (97165) $159 $254 1.6×
Ot eval mod complex 45 min (97166) $190.62 $304.50 1.9×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $75.12 $120 1.5×
Ot Prosthetic Training, Each 15 Min (97761) $200.32 $320 5.0×
Ot re-eval est plan care (97168) $127.70 $204 1.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $250.40 $400 1.9×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $250.40 $400 1.9×
Paraffin bath (97018) $51.33 $82 8.5×
Peripheral arterial disease rehab per session (93668) $77.62 $124 1.3×
Phy/qhp op pulm rhb w/mntr (94626) $256.66 $410 4.2×
Phy/qhp op pulm rhb w/o mntr (94625) $256.66 $410 4.2×
Plethysmography (94726) $623.18 $995.50 1.6×
Pm device eval in person (93288) $61.97 $99 1.6×
Pm device progr eval dual (93280) $55.72 $89 1.4×
Pm device progr eval multi (93281) $56.97 $91 1.5×
Pm device progr eval sngl (93279) $55.72 $89 1.4×
Pm/Icd Remote Tech Serv (93296) $111.12 $177.50 2.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,180.43 $6,678 4.7×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $55.72 $89 1.4×
Programming of dual lead implantable defibrillator system (93283) $55.72 $89 1.4×
Programming of single lead implantable defibrillator system (93282) $55.72 $89 1.4×
Prq balloon valvuloplasty aortic valve (92986) $9,369.34 $14,967 1.6×
Prq card revasc chronic 1vsl (92943) $17,380.89 $27,765 1.4×
Prq Card Stent W/Angio 1 Vsl (92928) $16,553.32 $26,443 1.4×
Prq Card Stent/Ath/Angio (92933) $27,521.46 $43,964 1.4×
Prq revasc byp graft 1 vsl (92937) $17,380.89 $27,765 1.4×
Prq trluml coronary angio/atherect one art/brnch (92924) $18,636.02 $29,770 1.6×
Prq trluml coronary angioplasty one art/branch (92920) $11,867.40 $18,957.50 2.0×
Pt Aquatic Therapy/Exercises (97113) $205.33 $328 5.5×
Pt Electric Current Therapy (97033) $103.29 $165 5.4×
Pt Electrical Stimulation (97032) $76.37 $122 5.2×
Pt eval high complex 45 min (97163) $263.86 $421.50 2.7×
Pt eval low complex 20 min (97161) $159 $254 1.6×
Pt Gait Training Therapy (97116) $83.57 $133.50 2.9×
Pt group caregiver training (97552) $87.01 $139 3.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $181.54 $290 5.5×
Pt Physical Performance Test (97750) $257.60 $411.50 7.6×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $190.62 $304.50 1.9×
Pt re-evaluation (97164) $137.40 $219.50 2.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $82.63 $132 2.6×
Pt Ultrasound Therapy (97035) $77 $123 5.4×
Pt Whirlpool Therapy (97022) $68.54 $109.50 4.4×
Pulmonary stress testing (94618) $374.04 $597.50 2.7×
Pure Tone Audiometry, Air (92552) $156.50 $250 1.1×
R & l hrt cath w/njx l ventriculog img s&i (93453) $15,961.12 $25,497 4.7×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $19,529.94 $31,198 5.8×
R hrt art/grft angio (93457) $18,656.05 $29,802 5.5×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $17,383.70 $27,769.50 5.2×
Rem interrog icpms <30 d phys/qhp (93297) $113.93 $182 2.9×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $125.20 $200 3.2×
Rem mntr physiol param 1st dev supply ea 30 days (99454) $61.97 $99 1.6×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $212.21 $339 1.5×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $61.97 $99 1.6×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $452.60 $723 1.4×
Right heart cath (93451) $9,345.56 $14,929 2.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $501.43 $801 2.4×
Rt Chest Wall Manipulation,Subsequent (94668) $197.82 $316 1.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $287.96 $460 6.0×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $387.49 $619 1.7×
Smoking cessation > 10 min (99407) $56.96 $91 1.5×
Somatosensory testing (95938) $685.47 $1,095 0.8×
Speech Audiometry Threshold (92555) $85.76 $137 1.4×
Speech Audiometry, Complete (92556) $43.82 $70 0.7×
Speech sound lang comprehen (92523) $318.32 $508.50 1.4×
Spirometry (94010) $277.32 $443 1.2×
Standardized Cognitive Performance Testing (96125) $167.14 $267 1.6×
Stress Tte Complete (93351) $1,649.82 $2,635.50 2.9×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $371.22 $593 1.7×
Surfactant Admin Thru Tube (94610) $312.37 $499 1.4×
Test for allergy using combination of methods with drug or biological (95018) $330.22 $527.50 8.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $31.30 $50 1.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $46.64 $74.50 2.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $192.18 $307 1.9×
Ther/Proph/Diag Inj Sc/Im (96372) $133.34 $213 1.8×
Therapeutic Activities (97530) $65.73 $105 1.9×
Therapeutic phlebotomy (99195) $243.82 $389.50 1.8×
Tilt Table Eval (93660) $2,254.22 $3,601 5.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $56.96 $91 1.5×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,833.87 $2,929.50 3.2×
Tx atrial fib pulm vein isol (93656) $29,817 $47,631 1.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $215.34 $344 2.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $276.06 $441 3.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $245.39 $392 5.0×
Tympanometry (92567) $46.32 $74 1.2×
Ultrasound of heart with probe in esophagus to assess heart pump function (93318) $1,461.71 $2,335 2.6×
Unlisted Cardiovascular Service/Procedure (93799) $2,725.60 $4,354 20.4×
Unlisted pulmonary service/procedure (94799) $177.16 $283 1.3×
Vasc Duplex Extrem Venous,Bilat (93970) $1,235.72 $1,974 5.0×
Vasc Duplex Scan Extracranial,Limited (93882) $662.30 $1,058 6.1×
Ventilation assist & mgmt inpatient 1st day (94002) $1,174.38 $1,876 1.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,050.12 $1,677.50 1.6×
Visual reinforcement audiometry (vra) (92579) $250.40 $400 1.1×
Vital capacity total (94150) $257.91 $412 1.9×
Wheelchair Mgmt Ea 15 Min (97542) $200.32 $320 6.4×