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.

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ProcedureCash priceGross charge× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $324 $360 3.1×
Airway inhalation treatment (94640) $293 $325 1.3×
Analyze Neurostim Complex (95972) $310 $344 3.1×
Assessment of aphasia (96105) $270 $300 2.8×
Behavioral and qualitative analysis of voice and resonance (92524) $270 $300 2.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $641.50 $712.50 1.7×
Cardiac Stress Tst,Tracing Only (93017) $1,494 $1,660 6.7×
Cardiopulmonary resuscitation (92950) $901 $1,001 4.0×
Cardioversion (92960) $1,359.50 $1,510.50 2.0×
Cbt 1st hour (94644) $405 $450 2.9×
Chemo Hormon Antineopl Sq/Im (96402) $261 $290 3.5×
Chemo IV push addl drug (96411) $279 $310 3.7×
Chemo Iv Push Sngl Drug (96409) $450 $500 1.3×
Chemother, IV infusion, 1 hr (96413) $639 $710 1.9×
Chemother, IV infusion, ea add hr (96415) $270 $300 3.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $293 $325 3.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $315 $350 4.2×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions (98940) $45 $50 2.0×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $84 $93 0.8×
Color/duplex Doppler, complete (93975) $1,080 $1,200 4.4×
Cont Gluc Monitoring Patient Provided Equipment (95249) $59 $65 1.0×
Continuous Glucose Monitoring (95250) $113 $126 0.8×
Cpap initiation and management (94660) $810 $900 3.6×
Cpt initial (94667) $331 $368 2.4×
Critical care (99291) $1,575 $1,750 1.8×
Debridement Open Wound 20 Sq Cm< (97597) $126 $140 0.6×
Demo &/or eval,pt use,aerosol device (94664) $195.50 $217 0.9×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,013 $1,125 4.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $978 $1,087 9.0×
Dup-scan xtr veins unilateral/limited study (93971) $1,256 $1,396 11.6×
Duplex hemodialysis access (93990) $745 $828 6.9×
Duplex scan extracranial art compl bi study (93880) $1,575 $1,750 6.4×
Echo Heart Xthoracic,Limited (93308) $900 $1,000 3.6×
EKG (93005) $329 $365 5.4×
Er level 1 (99281) $211 $234 2.4×
Er level ii (99282) $381 $423 2.4×
Er level iii (99283) $585 $650 2.1×
Er level IV (99284) $878 $975 2.0×
Er level v (99285) $1,413 $1,570 2.3×
Evaluation of speech fluency (92521) $225 $250 1.7×
Evaluation of speech sound production (92522) $248 $275 2.2×
Evaluation of swallowing function (92610) $320 $355 3.8×
Evaluation with prescription of speech-generating alternative (92607) $360 $400 2.9×
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×
Flow volume loop (94375) $281 $312 1.3×
Group Therapeutic Procedures (97150) $90 $100 5.0×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $27 $30 0.6×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $27 $30 0.4×
Immunization Admin (90471) $65 $72 0.9×
Immunotherapy, 2+ Injections (95117) $32 $35 0.7×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $270 $300 3.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $383 $425 1.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $248 $275 5.1×
IV push initial (96374) $252 $280 1.1×
Manual therapy 15 min (97140) $109 $121 3.9×
Massage 15 min (97124) $95 $105 3.2×
Maximum voluntary ventilation (94200) $162 $180 2.6×
Mechanical traction (97012) $95 $105.50 6.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $33.50 $37 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $58 $64.50 1.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $473 $525 3.4×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $774 $860 3.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $394 $437.50 2.9×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $99 $110 2.1×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $72 $80 2.2×
Ot Contrast Bath Ea 15 Min (97034) $72 $80 5.1×
Ot eval high complex 60 min (97167) $203 $225 2.0×
Ot eval low complex 30 min (97165) $191 $212 1.9×
Ot eval mod complex 45 min (97166) $203 $225 2.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $270 $300 5.4×
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) $281.50 $312.50 2.1×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $198 $220 1.5×
Paraffin bath (97018) $77 $85 12.8×
Percutaneous tests w/allergenic extracts (95004) $15 $17 0.0×
Phy/qhp op pulm rhb w/o mntr (94625) $241 $267.50 3.9×
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×
Psychiatric diagnostic evaluation (90791) $270 $300 1.5×
Pt Aquatic Therapy/Exercises (97113) $133 $147.50 3.6×
Pt Electric Current Therapy (97033) $139.50 $155 7.3×
Pt Electrical Stimulation (97032) $99 $110 6.7×
Pt eval high complex 45 min (97163) $234 $260 2.4×
Pt eval low complex 20 min (97161) $189.50 $210 1.9×
Pt Gait Training Therapy (97116) $99 $110 3.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $122 $135 3.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $212 $235 2.2×
Pt re-evaluation (97164) $117 $130 1.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $122 $135 3.8×
Pt Ultrasound Therapy (97035) $92.50 $102.50 6.4×
Pt Whirlpool Therapy (97022) $90 $100 5.7×
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 days (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 - Cardiac Event Monitor (93270) $360 $400 9.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $126 $140 0.6×
Rt Chest Wall Manipulation,Subsequent (94668) $331 $368 2.4×
Sbsq psychiatric collab care mgmt 1st 60 mins (99493) $302 $335 2.9×
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) $310.50 $345 1.4×
Stress echo (93350) $1,620 $1,800 2.9×
Temp transcutaneous pacing (92953) $571 $634 0.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $315 $350 3.1×
Ther/Proph/Diag Inj Sc/Im (96372) $126 $140 1.7×
Therapeutic Activities (97530) $104 $115 3.0×
Therapeutic phlebotomy (99195) $207 $230 1.5×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,295 $2,550 4.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $277 $308 3.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $252 $280 3.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $270 $300 5.6×
Vasc Duplex Extrem Venous,Bilat (93970) $1,530 $1,700 6.2×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $682 $757.50 3.0×
Vasopneumatic device (97016) $81 $90 6.7×
Ventilation assist & mgmt inpatient 1st 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) $81 $90 2.6×
Xtrnl mobile cv telemetry w/technical support (93229) $1,440 $1,600 3.7×