Visits & medical services prices at Friend Community Healthcare System

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

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $30.01 $50.01 0.3×
Airway inhalation treatment (94640) $186.84 $311.40 0.8×
Behav assmt w/score & docd/stand instrument (96127) $41.92 $69.87 1.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $320.89 $534.81 0.8×
Cardiac Stress Tst,Tracing Only (93017) $663.06 $1,105.10 3.0×
Cardiopulmonary resuscitation (92950) $543.31 $905.52 2.4×
Cardioversion (92960) $368.12 $613.54 0.5×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions (98940) $20.01 $33.35 0.9×
Chiropractic manipulative treatment (CMT); spinal, 3-4 regions (98941) $28.98 $48.30 1.3×
Color/duplex Doppler, complete (93975) $627.91 $1,046.51 2.5×
Color/duplex Doppler, limited (93976) $434.15 $723.58 4.0×
Cpap initiation and management (94660) $839.28 $1,398.80 3.7×
Cpt initial (94667) $86.25 $143.75 0.6×
Critical care (99291) $730.83 $1,218.05 0.9×
Debridement Open Wound 20 Sq Cm< (97597) $150.83 $251.38 0.7×
Echo Heart Xthoracic,Limited (93308) $562.54 $937.56 2.3×
EEG awake asleep (95819) $579.60 $966 2.6×
EEG awake drowsy (95816) $567.18 $945.30 2.5×
Eeg Extended Monitoring 61-119 Minutes (95813) $714.15 $1,190.25 3.2×
EKG (93005) $184.26 $307.10 3.0×
Er level 1 (99281) $88.69 $147.81 1.0×
Er level ii (99282) $190.22 $317.04 1.2×
Er level iii (99283) $303.52 $505.88 1.1×
Er level IV (99284) $435.90 $726.50 1.0×
Er level v (99285) $653.72 $1,089.53 1.1×
External ECG rec>48hr<7d recording (93242) $147.16 $245.26 3.8×
External Ecg Scanning Analysis Report (93226) $106.92 $178.20 1.7×
Eye service or procedure (92499) $19.68 $32.80 0.7×
Holter Monitor Recording (93225) $321.05 $535.08 2.3×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $21.32 $35.54 0.5×
Immunization Admin (90471) $21.32 $35.54 0.3×
Immunotherapy, 2+ Injections (95117) $21.32 $35.54 0.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $142.85 $238.09 2.3×
IV infusion hydration each additional hour (96361) $86.94 $144.90 1.8×
IV infusion hydration initial 31 min-1 hour (96360) $326.37 $543.95 1.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $144.57 $240.96 1.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $326.37 $543.95 1.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $138.58 $230.98 2.9×
IV push initial (96374) $172.91 $288.19 0.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $45.94 $76.56 1.3×
New patient problem focused exam of visual system (92002) $143.93 $239.89 1.0×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98972) $37.25 $62.08 1.1×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98970) $13.48 $22.46 1.1×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98971) $23.77 $39.62 1.0×
Nonphysician Telephone Assessment 11-20 Min (98967) $58.32 $97.21 2.3×
Nonphysician Telephone Assessment 21-30 Min (98968) $82.50 $137.51 2.4×
Nonphysician Telephone Assessment 5-10 Min (98966) $29.87 $49.78 2.2×
Ophth medical xm&eval intermediate estab pt (92012) $146.45 $244.09 1.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $345 $575 2.6×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $345 $575 2.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,758.62 $4,597.70 3.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $17.77 $29.61 0.4×
Psych diag eval w/med srvcs (90792) $201.31 $335.51 1.1×
Psychiatric diagnostic evaluation (90791) $146.41 $244.01 0.8×
Pulm function test by gas (94727) $228.41 $380.69 1.0×
Pulmonary stress testing (94618) $172.50 $287.50 1.2×
Pure Tone Audiometry, Air (92552) $36.95 $61.59 0.3×
Rem mntr physiol param 1st dev supply ea 30 days (99454) $120.53 $200.88 3.1×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $35.89 $59.81 0.3×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $200.42 $334.03 5.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $65.31 $108.85 0.3×
Rt Chest Wall Manipulation,Subsequent (94668) $86.25 $143.75 0.6×
Smoking cessation > 10 min (99407) $33.40 $55.67 0.9×
Spirometry (94010) $110.40 $184 0.5×
Ther/Proph/Diag Inj Sc/Im (96372) $107.33 $178.89 1.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $18.48 $30.80 0.5×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,268.60 $2,114.33 2.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $107.33 $178.89 2.2×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $442.06 $736.76 4.5×