Visits & medical services prices at Floyd Valley Healthcare

Le Mars, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $40 $40 1.0×
Airway Inhalation Treatment (94640)
range across 6 matching MRF lines		 $71–$389 $71–$389 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $97 $97 6.8×
Application Modality 1/> Areas Infrared (97026) $97 $97 14.5×
Assessment of aphasia per hr (96105) $389 $389 4.0×
Assmt & care planning pt w/cognitive impairment (99483) $148 $148 1.5×
Behavral qualit analys voice (92524) $233 $233 2.1×
Brief Emotional/Behav Assmt (96127) $15 $15 0.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $584 $584 1.6×
Canalith repositioning proc (95992) $197 $197 4.8×
Car seat/bed test 60 min (94780) $71 $71 2.0×
Cardiac Stress Tst,Tracing Only (93017) $500 $500 2.4×
Cardiopulmonary resuscitation (92950) $970 $970 4.7×
Cardioversion (92960) $409 $409 0.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $350 $350 1.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $270 $270 0.9×
Chest Wall Manipulation (94668) $156 $156 1.2×
Color/duplex Doppler, complete (93975) $1,777 $1,777 7.7×
Cont gluc mntr physician/qhp provided equiptment (95250) $240 $240 1.9×
Cont Gluc Mntr Pt Prov Eqp (95249) $135 $135 2.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines		 $416–$888 $416–$888 varies
Cpt initial (94667) $195 $195 1.5×
Critical care first hour (99291) $535 $535 0.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $383 $383 1.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $580 $580 5.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,316 $1,316 5.7×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines		 $274–$877 $274–$877 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $624 $624 2.7×
Duplex up extrem art bilat (93930) $575 $575 2.5×
Duplex up extrem art unilat/ltd (93931) $380 $380 3.8×
Echo Heart Xthoracic,Limited (93308) $563 $563 2.5×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $832 $832 1.6×
Electrical Stimulation Ea 15 Min (97032) $97 $97 6.6×
Electrocardiogram Tracing (93005) $200 $200 3.5×
Emergency Dept Visit Level 2 (99282) $259 $259 1.8×
Emergency Dept Visit Level 3 (99283) $533 $533 2.0×
Emergency Dept Visit Level 4 (99284) $1,040 $1,040 2.6×
Er level 1 (99281)
range across 2 matching MRF lines		 $138–$260 $138–$260 varies
Er level v (99285) $2,047 $2,047 3.6×
Evaluate Speech Production (92522) $233 $233 2.1×
Evaluate Swallowing Function (92610) $233 $233 2.7×
External ECG rec>48hr<7d recording (93242) $338 $338 9.4×
External ECG rec>7d<15d recording (93246) $338 $338 9.4×
Extracranial Bilat Study (93880) $1,364 $1,364 5.9×
Holter monitor recording (93225) $338 $338 2.6×
Immunization administration (90471)
range across 6 matching MRF lines		 $21–$76 $21–$76 varies
Iontophoresis 15 min (97033) $97 $97 5.1×
Irrig Drug Delivery Device (96523)
range across 3 matching MRF lines		 $202–$213 $202–$213 varies
IV infusion hydration each additional hour (96361) $167 $167 3.7×
IV infusion hydration initial 31 min-1 hour (96360) $167 $167 0.8×
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines		 $167–$176 $167–$176 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines		 $196–$206 $196–$206 varies
IV push initial (96374)
range across 2 matching MRF lines		 $138–$144 $138–$144 varies
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $26 $26 0.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $31 $31 0.8×
Motion Fluoroscopy/Swallow (92611) $347 $347 3.8×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $382 $382 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $385 $385 2.0×
Neuromuscular Reeducation (97112) $197 $197 6.0×
Newborn resuscitation (99465) $274 $274 0.4×
Oral Function Therapy (92526) $197 $197 2.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $197 $197 3.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $197 $197 4.3×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $21 $21 1.0×
Osteopathic manipulative tx 3-4 body regions (98926) $45 $45 2.2×
Osteopathic manipulative tx 5-6 body regions (98927) $63 $63 3.0×
Ot eval high complexity (97167) $225 $225 2.2×
Ot Eval Low Complex (97165) $225 $225 2.2×
Ot Eval Moderate Complexity (97166) $225 $225 2.2×
Ot manual therapy 15 min (97140) $197 $197 7.1×
Ot Prosthetic Training, Each 15 Min (97761) $197 $197 4.9×
Ot Re-Eval Est Plan Care (97168) $225 $225 3.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $306 $306 2.5×
Phlebotomy therapeutic (99195) $217 $217 1.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,160 $3,160 3.8×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $31 $31 0.7×
Pt Eval High Complex (97163) $250 $250 2.6×
Pt eval low complex 20 min (97161) $250 $250 2.6×
Pt Eval Mod Complex (97162) $250 $250 2.6×
Pt gait training 15 min (97116) $97 $97 3.3×
Pt mechanical traction (97012) $97 $97 6.8×
Pt Re-Eval Est Plan Care (97164) $250 $250 3.7×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $233 $233 1.9×
Self Care Mngment Training (97535) $97 $97 3.0×
Speech sound lang comprehen (92523) $233 $233 1.0×
Standardized Cognitive Performance Testing (96125) $389 $389 3.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $197 $197 8.8×
Ther Ivntj Ea Addl 15 Min (97130) $197 $197 9.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $197 $197 1.9×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines		 $59–$176 $59–$176 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines		 $196–$206 $196–$206 varies
Therapeutic Activities (97530) $197 $197 5.6×
Trans Care Mgmt 14 Day Disch (99495) $156 $156 1.2×
Trans Care Mgmt 7 Day Disch (99496) $156 $156 1.2×
Tte w/doppler, complete (93306) $1,400 $1,400 2.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $233 $233 3.1×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines		 $138–$144 $138–$144 varies
Upr/L Xtremity Art 2 Levels (93922) $695 $695 5.4×
Vent Mgmt Inpat Init Day (94002) $3,006 $3,006 5.1×
Wheelchair Mgmt Ea 15 Min (97542) $197 $197 6.3×

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.