Visits & medical services prices at Fillmore County Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Reflex Testing (92568) $150 $150 3.9×
Airway Inhalation Treatment (94640) $338 $338 1.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $90 $90 6.3×
Assessment of aphasia per hr (96105) $367 $367 3.8×
Behavral qualit analys voice (92524) $382 $382 3.5×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $159 $159 1.9×
Bfb training ea addl 15 min (90913) $96 $96 2.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $809 $809 2.1×
Canalith repositioning proc (95992) $136 $136 3.3×
Car seat/bed test 60 min (94780) $181 $181 4.7×
Cardiac Stress Tst,Tracing Only (93017) $1,326 $1,326 5.9×
Cardiopulmonary resuscitation (92950) $1,080 $1,080 4.8×
Cardioversion (92960) $2,974 $2,974 4.3×
Chemo Anti-Neopl Sq/Im (96401) $390 $390 5.2×
Chemo Hormon Antineopl Sq/Im (96402) $350 $350 4.7×
Chemo IV infusion addl hr (96415) $380 $380 5.1×
Chemo IV push addl drug (96411) $280 $280 3.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $450 $450 6.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $760 $760 2.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $470 $470 1.4×
Chest Wall Manipulation (94668) $101 $101 0.7×
Continuous Pulse Ox (94762) $486 $486 3.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,029 $1,029 4.5×
Cpt initial (94667) $167 $167 1.2×
Critical care first hour (99291) $2,080 $2,080 2.4×
Echo Congenital Complete (93303) $1,750 $1,750 3.1×
Echo Heart Xthoracic,Limited (93308) $1,000 $1,000 4.0×
Electrical Stimulation Ea 15 Min (97032) $83 $83 5.6×
Electrocardiogram Tracing (93005) $367 $367 6.0×
Emergency Dept Visit Level 2 (99282) $390 $390 2.4×
Emergency Dept Visit Level 3 (99283) $620 $620 2.2×
Emergency Dept Visit Level 4 (99284) $1,030 $1,030 2.4×
Er level 1 (99281) $250 $250 2.9×
Er level v (99285) $1,430 $1,430 2.3×
Evaluate pt use of inhaler (94664) $209 $209 0.9×
Evaluate Speech Production (92522) $346 $346 3.1×
Evaluate Swallowing Function (92610) $389 $389 4.6×
Evaluation of speech fluency (92521) $298 $298 2.2×
External ECG rec>48hr<7d recording (93242) $575 $575 14.8×
External ECG rec>7d<15d recording (93246) $675 $675 17.4×
External Ecg Scanning Analysis Report (93226) $816 $816 13.3×
F-up/limited tthrc echo congenital car anomaly (93304) $760 $760 1.3×
Group Therapeutic Procedures (97150) $87 $87 4.8×
Holter monitor recording (93225) $563 $563 4.1×
Icd Device Interrogate (93289) $68 $68 1.8×
Icd device progr eval dual (93283) $77 $77 2.0×
Icd Device Progr Eval Mult (93284) $90 $90 2.3×
Immunization administration (90471) $85 $85 1.1×
Iontophoresis 15 min (97033) $133 $133 7.0×
Irrig Drug Delivery Device (96523) $198 $198 3.2×
IV infusion hydration each additional hour (96361) $200 $200 4.1×
IV infusion hydration initial 31 min-1 hour (96360) $440 $440 2.0×
IV infusion ther proph addl sequential to 1 hr (96367) $350 $350 4.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $370 $370 7.6×
IV push initial (96374) $310 $310 1.4×
Motion Fluoroscopy/Swallow (92611) $544 $544 5.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $275 $275 1.3×
Neuromuscular Reeducation (97112) $112 $112 3.4×
Newborn resuscitation (99465) $628 $628 0.9×
Oral Function Therapy (92526) $343 $343 4.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $138 $138 2.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $121 $121 2.6×
Ot eval high complexity (97167) $268 $268 2.7×
Ot Eval Low Complex (97165) $218 $218 2.2×
Ot Eval Moderate Complexity (97166) $244 $244 2.4×
Ot manual therapy 15 min (97140) $112 $112 4.0×
Ot paraffin bath (97018) $81 $81 13.5×
Ot Prosthetic Training, Each 15 Min (97761) $305 $305 7.5×
Ot Re-Eval Est Plan Care (97168) $164 $164 2.4×
Phlebotomy therapeutic (99195) $224 $224 1.6×
Physical Performance Test (97750) $121 $121 3.6×
Pm device eval in person (93288) $56 $56 1.4×
Pm device progr eval dual (93280) $68 $68 1.8×
Pm device progr eval multi (93281) $77 $77 2.0×
Pm Device Progr Eval Sngl (93279) $56 $56 1.4×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $71 $71 1.8×
Pt Eval High Complex (97163) $272 $272 2.8×
Pt eval low complex 20 min (97161) $195 $195 2.0×
Pt Eval Mod Complex (97162) $230 $230 2.4×
Pt gait training 15 min (97116) $112 $112 3.9×
Pt mechanical traction (97012) $88 $88 6.1×
Pt Re-Eval Est Plan Care (97164) $161 $161 2.4×
Pulm function test by gas (94727) $463 $463 2.1×
Pulmonary Stress Testing (94618) $413 $413 3.0×
Remote 30 Day Ecg Rev/Report (93270) $377 $377 9.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $190 $190 0.9×
Self Care Mngment Training (97535) $120 $120 3.7×
Sensory Integration Ea 15 Min (97533) $107 $107 1.8×
Speech audiometry threshold (92555) $150 $150 2.4×
Speech sound lang comprehen (92523) $462 $462 2.0×
Spirometry (94010) $359 $359 1.6×
Standardized Cognitive Performance Testing (96125) $384 $384 3.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $100 $100 4.5×
Ther Ivntj Ea Addl 15 Min (97130) $90 $90 4.3×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $132 $132 3.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $110 $110 3.7×
Ther/Proph/Diag Inj Sc/Im (96372) $190 $190 2.5×
Ther/Proph/Diag Iv Inf Init (96365) $470 $470 2.1×
Therapeutic Activities (97530) $112 $112 3.2×
Tobacco Use Cessation Intensive >10 Minutes (99407) $84 $84 2.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $52 $52 1.3×
Tte w/doppler, complete (93306) $2,538 $2,538 4.5×
Tte W/O Doppler Complete (93307) $1,831 $1,831 7.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $344 $344 4.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $230 $230 4.7×
Tympanometry (92567) $59 $59 1.5×
Upr/L Xtremity Art 2 Levels (93922) $611 $611 4.4×
Wheelchair Mgmt Ea 15 Min (97542) $109 $109 3.5×