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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ProcedureCash priceGross charge× Medicare
Acoustic reflex testing (92568) $150 $150 3.9×
Airway inhalation treatment (94640) $338 $338 1.5×
Assessment of aphasia (96105) $367 $367 3.8×
Behavioral and qualitative analysis of voice and resonance (92524) $382 $382 3.5×
Bfb training 1st 15 min (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 (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 Hormon Antineopl Sq/Im (96402) $350 $350 4.7×
Chemo IV push addl drug (96411) $280 $280 3.7×
Chemo Iv Push Sngl Drug (96409) $470 $470 1.4×
Chemother, IV infusion, 1 hr (96413) $760 $760 2.2×
Chemother, IV infusion, ea add hr (96415) $380 $380 5.1×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $390 $390 5.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $450 $450 6.0×
Cpap initiation and management (94660) $1,029 $1,029 4.5×
Cpt initial (94667) $167 $167 1.2×
Critical care (99291) $2,080 $2,080 2.4×
Demo &/or eval,pt use,aerosol device (94664) $209 $209 0.9×
Echo Heart Xthoracic,Limited (93308) $1,000 $1,000 4.0×
Echo Transthoracic - Congenital Tte Complete (93303) $1,750 $1,750 3.1×
Echo Transthoracic - Congenital Tte Limited (93304) $760 $760 1.3×
EKG (93005) $367 $367 6.0×
Er level 1 (99281) $250 $250 2.9×
Er level ii (99282) $390 $390 2.4×
Er level iii (99283) $620 $620 2.2×
Er level IV (99284) $1,030 $1,030 2.4×
Er level v (99285) $1,430 $1,430 2.3×
Evaluation of speech fluency (92521) $298 $298 2.2×
Evaluation of speech sound production (92522) $346 $346 3.1×
Evaluation of swallowing function (92610) $389 $389 4.6×
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×
Group Therapeutic Procedures (97150) $87 $87 4.8×
Holter Monitor Recording (93225) $563 $563 4.1×
Icd Device Interrogate (93289) $68 $68 1.8×
Immunization Admin (90471) $85 $85 1.1×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $350 $350 4.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $470 $470 2.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $370 $370 7.6×
IV push initial (96374) $310 $310 1.4×
Manual therapy 15 min (97140) $112 $112 4.0×
Massage 15 min (97124) $110 $110 3.7×
Mechanical traction (97012) $88 $88 6.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $544 $544 5.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $275 $275 1.3×
Newborn resuscitation (99465) $628 $628 0.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $611 $611 4.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $486 $486 3.6×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $121 $121 2.6×
Ot eval high complex 60 min (97167) $268 $268 2.7×
Ot eval low complex 30 min (97165) $218 $218 2.2×
Ot eval mod complex 45 min (97166) $244 $244 2.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $138 $138 2.8×
Ot Prosthetic Training, Each 15 Min (97761) $305 $305 7.5×
Ot re-eval est plan care (97168) $164 $164 2.4×
Paraffin bath (97018) $81 $81 13.5×
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×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $90 $90 2.3×
Programming of dual lead implantable defibrillator system (93283) $77 $77 2.0×
Programming of single lead implantable defibrillator system (93282) $71 $71 1.8×
Pt Aquatic Therapy/Exercises (97113) $132 $132 3.6×
Pt Electric Current Therapy (97033) $133 $133 7.0×
Pt Electrical Stimulation (97032) $83 $83 5.6×
Pt eval high complex 45 min (97163) $272 $272 2.8×
Pt eval low complex 20 min (97161) $195 $195 2.0×
Pt Gait Training Therapy (97116) $112 $112 3.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $112 $112 3.4×
Pt Physical Performance Test (97750) $121 $121 3.6×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $230 $230 2.4×
Pt re-evaluation (97164) $161 $161 2.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $120 $120 3.7×
Pt Ultrasound Therapy (97035) $90 $90 6.3×
Pulm function test by gas (94727) $463 $463 2.1×
Pulmonary stress testing (94618) $413 $413 3.0×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $377 $377 9.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $190 $190 0.9×
Rt Chest Wall Manipulation,Subsequent (94668) $101 $101 0.7×
Sensory Integration Ea 15 Min (97533) $107 $107 1.8×
Smoking cessation > 10 min (99407) $84 $84 2.2×
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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $90 $90 4.3×
Ther/Proph/Diag Inj Sc/Im (96372) $190 $190 2.5×
Therapeutic Activities (97530) $112 $112 3.2×
Therapeutic phlebotomy (99195) $224 $224 1.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $52 $52 1.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,538 $2,538 4.5×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,831 $1,831 7.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $344 $344 4.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $343 $343 4.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $230 $230 4.7×
Tympanometry (92567) $59 $59 1.5×
Wheelchair Mgmt Ea 15 Min (97542) $109 $109 3.5×