Visits & medical services prices at Franciscan Healthcare

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $260 $260 1.1×
Assessment of aphasia (96105) $307 $307 3.2×
Behavioral and qualitative analysis of voice and resonance (92524) $420 $420 3.8×
Bfb training 1st 15 min (90912) $331 $331 4.0×
Bfb training ea addl 15 min (90913) $331 $331 10.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,066 $1,066 2.8×
Canalith Repositioning (95992) $154 $154 3.8×
Cardiac Stress Tst,Tracing Only (93017) $1,895 $1,895 8.5×
Cardiopulmonary resuscitation (92950) $1,648 $1,648 7.4×
Cardioversion (92960) $2,159 $2,159 3.1×
Caregiver training 1st 30 min (97550) $110 $110 2.1×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $56 $56 2.1×
Cbt 1st hour (94644) $315 $315 2.3×
Chemo Hormon Antineopl Sq/Im (96402) $369 $369 4.9×
Chemother, IV infusion, 1 hr (96413) $968 $968 2.8×
Chemother, IV infusion, ea add hr (96415) $478.50 $478.50 6.4×
Color/duplex Doppler, limited (93976) $984 $984 9.1×
Cpap initiation and management (94660) $1,230 $1,230 5.4×
Cpt initial (94667) $255 $255 1.8×
Critical care (99291) $3,250 $3,250 3.8×
Debridement Open Wound 20 Sq Cm< (97597) $578 $578 2.8×
Demo &/or eval,pt use,aerosol device (94664) $265 $265 1.2×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $1,000 $1,000 9.2×
Dup-scan artl infl&ven o/f pen vsl f-up/lmtd std (93981) $998 $998 9.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,946 $1,946 7.9×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,681 $1,681 15.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $2,091 $2,091 8.4×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,733 $1,733 16.0×
Dup-scan xtr veins unilateral/limited study (93971) $1,515 $1,515 14.0×
Duplex scan extracranial art compl bi study (93880) $2,481 $2,481 10.0×
Echo Heart Xthoracic,Limited (93308) $1,377 $1,377 5.6×
EKG (93005) $246.50 $246.50 4.0×
EKG rhythm strip (93041) $284 $284 4.6×
Er level 1 (99281) $312 $312 3.6×
Er level ii (99282) $568 $568 3.6×
Er level iii (99283) $940 $940 3.3×
Er level IV (99284) $1,390 $1,390 3.2×
Er level v (99285) $1,990 $1,990 3.2×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $386 $386 5.4×
Evaluation of speech fluency (92521) $507 $507 3.8×
Evaluation of speech sound production (92522) $402 $402 3.6×
Evaluation of swallowing function (92610) $502 $502 5.9×
Evaluation with prescription of speech-generating alternative (92607) $566 $566 4.6×
Exercise tst brncspsm (94617) $725 $725 5.2×
External ECG rec>48hr<7d recording (93242) $152 $152 3.9×
External ECG rec>7d<15d recording (93246) $152 $152 3.9×
Group Therapeutic Procedures (97150) $117 $117 6.5×
Holter Monitor Recording (93225) $810 $810 5.9×
Immunization Admin (90471) $106 $106 1.4×
Immunotherapy, 2+ Injections (95117) $80 $80 1.6×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $239 $239 3.9×
IV infusion hydration each additional hour (96361) $190.50 $190.50 3.9×
IV infusion hydration initial 31 min-1 hour (96360) $563 $563 2.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $189 $189 2.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $620 $620 2.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $184 $184 3.8×
IV push initial (96374) $320 $320 1.4×
Manual therapy 15 min (97140) $185 $185 6.7×
Massage 15 min (97124) $98 $98 3.3×
Mechanical chest wall oscillation (94669) $252 $252 1.1×
Mechanical traction (97012) $115 $115 8.0×
Methacholine challenge (94070) $1,547 $1,547 4.0×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $775 $775 8.5×
Multiple sleep latency test (95805) $3,901 $3,901 4.4×
Neg press wnd tx </=50 sq cm (97607) $721 $721 1.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $538 $538 2.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $688 $688 1.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $978 $978 7.1×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $1,517 $1,517 6.8×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $661 $661 4.9×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $68 $68 1.5×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $154 $154 4.8×
Ot Contrast Bath Ea 15 Min (97034) $83 $83 5.9×
Ot eval high complex 60 min (97167) $435 $435 4.3×
Ot eval low complex 30 min (97165) $278 $278 2.8×
Ot eval mod complex 45 min (97166) $309 $309 3.1×
Ot Prosthetic Training, Each 15 Min (97761) $169 $169 4.2×
Ot Range Motion Measure,Each Extrem (95851) $83 $83 3.2×
Ot re-eval est plan care (97168) $223 $223 3.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $335 $335 2.5×
Paraffin bath (97018) $90 $90 15.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $358 $358 1.6×
Peripheral arterial disease rehab per session (93668) $222 $222 3.6×
Phy/qhp op pulm rhb w/mntr (94626) $354 $354 5.8×
Plethysmography (94726) $1,523 $1,523 3.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $6,615 $6,615 7.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $60 $60 1.2×
Pt Aquatic Therapy/Exercises (97113) $258 $258 7.0×
Pt Electric Current Therapy (97033) $163 $163 8.6×
Pt Electrical Stimulation (97032) $121 $121 8.2×
Pt eval high complex 45 min (97163) $435 $435 4.4×
Pt eval low complex 20 min (97161) $278 $278 2.8×
Pt Gait Training Therapy (97116) $137 $137 4.7×
Pt group caregiver training (97552) $56 $56 2.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $181 $181 5.5×
Pt Physical Performance Test (97750) $170 $170 5.0×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $309 $309 3.2×
Pt re-evaluation (97164) $223 $223 3.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $146 $146 4.5×
Pt Ultrasound Therapy (97035) $116 $116 8.1×
Pt Whirlpool Therapy (97022) $122 $122 7.8×
Pulm function test by gas (94727) $665 $665 3.0×
Pulmonary stress testing (94618) $715 $715 5.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $285 $285 1.4×
Rom meas&reprt hand w/wo comparison normal sid (95852) $83 $83 3.9×
Rt Chest Wall Manipulation,Subsequent (94668) $220.50 $220.50 1.6×
Sensory Integration Ea 15 Min (97533) $160 $160 2.6×
Smoking cessation > 10 min (99407) $67 $67 1.7×
Speech sound lang comprehen (92523) $525 $525 2.3×
Spirometry (94010) $312 $312 1.4×
Standardized Cognitive Performance Testing (96125) $376 $376 3.7×
Stress echo (93350) $2,658 $2,658 4.7×
Stress Tte Complete (93351) $2,322 $2,322 4.1×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $184 $184 3.8×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $306 $306 1.4×
Temp transcutaneous pacing (92953) $677 $677 1.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $129 $129 5.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $129 $129 6.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $384 $384 3.7×
Ther/Proph/Diag Inj Sc/Im (96372) $192 $192 2.6×
Therapeutic Activities (97530) $181 $181 5.2×
Therapeutic phlebotomy (99195) $280 $280 2.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $52 $52 1.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $3,132 $3,132 5.5×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $2,000 $2,000 8.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $435 $435 5.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $383 $383 4.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $192 $192 3.9×
Unlisted pulmonary service/procedure (94799) $616 $616 4.6×
Vasc Duplex Extrem Venous,Bilat (93970) $2,300 $2,300 9.3×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,771 $1,771 7.9×
Vasopneumatic device (97016) $125 $125 10.4×
Ventilation assist & mgmt inpatient 1st day (94002) $2,040 $2,040 3.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,574 $1,574 2.5×
Vital capacity total (94150) $190 $190 1.4×
Wheelchair Mgmt Ea 15 Min (97542) $166 $166 5.3×