Visits & medical services prices at Gothenburg Health
Gothenburg, NE · every code in this section with a posted price and a Medicare benchmark.
132 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | $324 | $360 | 3.1× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $27 | $30 | 0.6× |
| Airway Inhalation Treatment (94640) range across 8 matching MRF lines |
$33–$428 | $37–$475 | varies |
| Analyze neurostim complex (95972) | $310 | $344 | 3.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$74–$111 | $82–$123 | varies |
| Assessment of aphasia per hr (96105) | $270 | $300 | 2.8× |
| Behavral qualit analys voice (92524) | $270 | $300 | 2.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$608–$675 | $675–$750 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $1,494 | $1,660 | 6.7× |
| Cardiopulmonary resuscitation (92950) | $901 | $1,001 | 4.0× |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,198–$1,521 | $1,331–$1,690 | varies |
| Cbt 1st hour (94644) | $405 | $450 | 2.9× |
| Chemo Anti-Neopl Sq/Im (96401) | $293 | $325 | 3.9× |
| Chemo Hormon Antineopl Sq/Im (96402) | $261 | $290 | 3.5× |
| Chemo IV infusion addl hr (96415) | $270 | $300 | 3.6× |
| Chemo IV push addl drug (96411) | $279 | $310 | 3.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $315 | $350 | 4.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $639 | $710 | 1.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $450 | $500 | 1.3× |
| Chest Wall Manipulation (94668) | $331 | $368 | 2.4× |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) | $45 | $50 | 2.0× |
| Chron Care Mgmt Srvc 20 Min (99490) | $84 | $93 | 0.8× |
| Color/duplex Doppler, complete (93975) | $1,080 | $1,200 | 4.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $72 | $80 | 2.2× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $113 | $126 | 0.8× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $59 | $65 | 1.0× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$360–$428 | $400–$475 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 5 matching MRF lines |
$414–$810 | $460–$900 | varies |
| Cpt initial (94667) | $331 | $368 | 2.4× |
| Critical care first hour (99291) | $1,575 | $1,750 | 1.8× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$72–$180 | $80–$200 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $990 | $1,100 | 9.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,215 | $1,350 | 4.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $945 | $1,050 | 8.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,530 | $1,700 | 6.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,256 | $1,396 | 11.6× |
| Duplex Scan Hemodialysis Access (93990) | $745 | $828 | 6.9× |
| Duplex up extrem art bilat (93930) | $1,013 | $1,125 | 4.1× |
| Duplex up extrem art unilat/ltd (93931) | $978 | $1,087 | 9.0× |
| Echo Heart Xthoracic,Limited (93308) | $900 | $1,000 | 3.6× |
| Electrical Stimulation Ea 15 Min (97032) | $99 | $110 | 6.7× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$306–$329 | $340–$365 | varies |
| Emergency Dept Visit Level 2 (99282) | $381 | $423 | 2.4× |
| Emergency Dept Visit Level 3 (99283) | $585 | $650 | 2.1× |
| Emergency Dept Visit Level 4 (99284) | $878 | $975 | 2.0× |
| Er level 1 (99281) | $211 | $234 | 2.4× |
| Er level v (99285) | $1,413 | $1,570 | 2.3× |
| Evaluate pt use of inhaler (94664) range across 4 matching MRF lines |
$184–$405 | $204–$450 | varies |
| Evaluate Speech Production (92522) | $248 | $275 | 2.2× |
| Evaluate Swallowing Function (92610) | $320 | $355 | 3.8× |
| Evaluation of speech fluency (92521) | $225 | $250 | 1.7× |
| External ECG rec>48hr<7d recording (93242) | $743 | $825 | 19.2× |
| External ECG rec>7d<15d recording (93246) | $690 | $767 | 17.8× |
| External Ecg Scanning Analysis Report (93226) | $878 | $975 | 14.3× |
| Extracranial Bilat Study (93880) | $1,575 | $1,750 | 6.4× |
| Group Therapeutic Procedures (97150) | $90 | $100 | 5.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $27 | $30 | 0.4× |
| Immunization administration (90471) range across 3 matching MRF lines |
$27–$77 | $30–$85 | varies |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$117–$162 | $130–$180 | varies |
| Irrig Drug Delivery Device (96523) | $162 | $180 | 2.6× |
| IV infusion hydration each additional hour (96361) | $225 | $250 | 4.6× |
| IV infusion hydration initial 31 min-1 hour (96360) | $365 | $405 | 1.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $270 | $300 | 3.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $248 | $275 | 5.1× |
| IV push initial (96374) | $252 | $280 | 1.1× |
| Lung Function Test (Mbc/Mvv) (94200) | $162 | $180 | 2.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$621–$743 | $690–$825 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$22–$45 | $24–$50 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$26–$90 | $29–$100 | varies |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$104–$140 | $115–$155 | varies |
| Oral Function Therapy (92526) | $252 | $280 | 3.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $270 | $300 | 5.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $99 | $110 | 2.1× |
| Ot Contrast Bath Ea 15 Min (97034) | $72 | $80 | 5.1× |
| Ot eval high complexity (97167) | $203 | $225 | 2.0× |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$188–$194 | $209–$215 | varies |
| Ot Eval Moderate Complexity (97166) | $203 | $225 | 2.0× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$105–$113 | $117–$125 | varies |
| Ot paraffin bath (97018) | $77 | $85 | 12.8× |
| Ot Prosthetic Training, Each 15 Min (97761) | $77 | $85 | 1.9× |
| Ot Re-Eval Est Plan Care (97168) | $158 | $175 | 2.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$270–$293 | $300–$325 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $198 | $220 | 1.5× |
| Percutaneous tests w/allergenic extracts (95004) | $15 | $17 | 0.0× |
| Phlebotomy therapeutic (99195) | $207 | $230 | 1.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 2 matching MRF lines |
$230–$252 | $255–$280 | varies |
| Plethysmography (94726) | $630 | $700 | 1.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $4,680 | $5,200 | 5.2× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $3,559 | $3,954 | 4.0× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $23 | $25 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $32 | $35 | 0.7× |
| Psychiatric diagnostic evaluation (90791) | $270 | $300 | 1.5× |
| Pt Eval High Complex (97163) | $234 | $260 | 2.4× |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$185–$194 | $205–$215 | varies |
| Pt Eval Mod Complex (97162) | $212 | $235 | 2.2× |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$68–$104 | $75–$115 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$77–$113 | $85–$126 | varies |
| Pt Re-Eval Est Plan Care (97164) | $117 | $130 | 1.7× |
| Pulm function test by gas (94727) | $473 | $525 | 2.1× |
| Pulmonary Stress Testing (94618) | $189 | $210 | 1.4× |
| Refill/Maint Portable Pump (96521) | $360 | $400 | 1.6× |
| Rem mntr physiol param 1st dev supply ea 30 d (99454) | $39 | $43 | 1.0× |
| Rem mntr physiol param 1st set up pt educaj eqp (99453) | $116 | $129 | 0.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $360 | $400 | 9.3× |
| Remote 30 Day Ecg Tech Supp (93229) | $1,440 | $1,600 | 3.7× |
| Respiratory flow volume loop (94375) | $281 | $312 | 1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $126 | $140 | 0.6× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $360 | $400 | 2.9× |
| Sbsq Psyc Collab Care Mgmt (99493) | $302 | $335 | 2.9× |
| Self Care Mngment Training (97535) | $122 | $135 | 3.8× |
| Sensory Integration Ea 15 Min (97533) | $81 | $90 | 1.3× |
| Sleep study unattended (95806) | $743 | $825 | 3.3× |
| Speech sound lang comprehen (92523) | $333 | $370 | 1.5× |
| Spirometry (94010) range across 2 matching MRF lines |
$306–$315 | $340–$350 | varies |
| Stress Tte Only (93350) | $1,620 | $1,800 | 2.9× |
| Temp transcutaneous pacing (92953) | $571 | $634 | 0.8× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$99–$167 | $110–$185 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $95 | $105 | 3.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $315 | $350 | 3.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$90–$162 | $100–$180 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $383 | $425 | 1.7× |
| Therapeutic Activities (97530) range across 7 matching MRF lines |
$27–$117 | $30–$130 | varies |
| Tte w/doppler, complete (93306) | $2,295 | $2,550 | 4.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$252–$284 | $280–$315 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $270 | $300 | 5.6× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$423–$540 | $470–$600 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$734–$774 | $815–$860 | varies |
| Vasopneumatic device (97016) | $81 | $90 | 6.7× |
| Vent Mgmt Inpat Init Day (94002) | $1,440 | $1,600 | 2.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,035 | $1,150 | 1.6× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$63–$99 | $70–$110 | varies |
| Whirlpool Therapy (97022) range across 3 matching MRF lines |
$81–$90 | $90–$100 | varies |
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.