Visits & medical services prices at Grand Island Regional Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $129 $215 0.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $46.80 $78 3.3×
Assessment of aphasia per hr (96105) $201 $335 2.1×
Auditory Function, 60 Min (92620) $199.20 $332 1.5×
Behavral qualit analys voice (92524) $270.60 $451 2.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $490.80 $818 1.3×
Canalith repositioning proc (95992) $68.40 $114 1.7×
Car seat/bed test 60 min (94780) $68.40 $114 1.8×
Cardiac Stress Tst,Tracing Only (93017) $947.40 $1,579 4.2×
Cardiopulmonary resuscitation (92950) $988.80 $1,648 4.4×
Cardioversion (92960) $1,855.80 $3,093 2.7×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $15,267.60 $25,446 4.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $12,226.20 $20,377 3.6×
Cbt 1st hour (94644) $173.40 $289 1.3×
Chest Wall Manipulation (94668) $133.20 $222 1.0×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$778.20–$996.60 $1,297–$1,661 varies
Color/duplex Doppler, limited (93976) $472.20 $787 4.3×
Cont gluc mntr physician/qhp provided equiptment (95250) $228 $380 1.6×
Cont Gluc Mntr Pt Prov Eqp (95249) $87 $145 1.4×
Coronary Art/Grft Angio S&I (93455) $10,400.40 $17,334 3.1×
Coronary Artery Angio S&I (93454) $10,022.40 $16,704 3.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 6 matching MRF lines
$290.40–$748.80 $484–$1,248 varies
Cpt initial (94667)
range across 5 matching MRF lines
$166.80–$173.40 $278–$289 varies
Critical care first hour (99291) $1,718.40 $2,864 2.0×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$211.80–$246 $353–$410 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$123–$650.40 $205–$1,084 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,234.20 $2,057 5.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$938.40–$1,008.60 $1,564–$1,681 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,313.40 $2,189 5.3×
Dup-scan xtr veins unilateral/limited study (93971)
range across 3 matching MRF lines
$966–$1,053.60 $1,610–$1,756 varies
Duplex Scan Hemodialysis Access (93990) $747.60 $1,246 6.9×
Duplex up extrem art bilat (93930) $1,220.40 $2,034 4.9×
Duplex up extrem art unilat/ltd (93931) $840 $1,400 7.7×
ECG/monitoring and analysis (93271) $703.80 $1,173 7.1×
Echo Heart Xthoracic,Limited (93308) $981.60 $1,636 4.0×
Echo transesophageal (93312) $2,305.80 $3,843 4.1×
Electrical Stimulation Ea 15 Min (97032) $69.60 $116 4.7×
Electrocardiogram Tracing (93005) $247.80 $413 4.0×
Emergency Dept Visit Level 2 (99282) $327 $545 2.1×
Emergency Dept Visit Level 3 (99283) $408 $680 1.4×
Emergency Dept Visit Level 4 (99284) $844.80 $1,408 1.9×
Er level 1 (99281) $178.20 $297 2.0×
Er level v (99285) $1,295.40 $2,159 2.1×
Evaluate pt use of inhaler (94664) $135 $225 0.6×
Evaluate Speech Production (92522) $184.80 $308 1.7×
Evaluate Swallowing Function (92610) $184.20 $307 2.2×
External ECG rec>48hr<7d recording (93242) $225 $375 5.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $2,460 $4,100 17.8×
External ECG rec>7d<15d recording (93246) $232.20 $387 6.0×
External ECG rec>7d<15d scanning alys w/report (93247) $3,660 $6,100 26.5×
External Ecg Scanning Analysis Report (93226)
range across 3 matching MRF lines
$637.20–$1,227 $1,062–$2,045 varies
Extracranial Bilat Study (93880) $1,198.20 $1,997 4.8×
Extracranial Uni/Ltd Study (93882) $900 $1,500 8.3×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $16,197 $26,995 4.8×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 2 matching MRF lines
$815.40–$1,129.80 $1,359–$1,883 varies
Holter monitor recording (93225) $327.60 $546 2.4×
Immunization administration (90471)
range across 4 matching MRF lines
$33–$50.40 $55–$84 varies
Insert/Place Heart Catheter (93503) $2,190 $3,650 1.3×
Irrig Drug Delivery Device (96523) $89.40 $149 1.5×
IV infusion hydration each additional hour (96361) $79.80 $133 1.6×
IV infusion hydration initial 31 min-1 hour (96360) $316.80 $528 1.4×
IV infusion ther proph addl sequential to 1 hr (96367) $89.40 $149 1.2×
IV infusion therapy prophylaxis/dx ea hour (96366) $82.80 $138 1.7×
IV push initial (96374) $189.60 $316 0.9×
L Hrt Art/Grft Angio (93459) $13,335 $22,225 4.0×
Liver Elastography W/O Imag W/I&R (91200) $280.80 $468 2.1×
Lwr Xtr Vasc Stdy Bilat (93924) $811.80 $1,353 3.6×
Mechanical chest wall oscillation per session (94669) $171.60 $286 0.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $37.20 $62 1.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $49.80 $83 1.4×
Methacholine challenge (94070) $1,174.20 $1,957 3.0×
Motion Fluoroscopy/Swallow (92611) $300.60 $501 3.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $190.80 $318 0.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $261 $435 0.6×
Neuromuscular Reeducation (97112) $45.60 $76 1.4×
Newborn resuscitation (99465) $466.80 $778 0.7×
Oral Function Therapy (92526) $194.40 $324 2.3×
Ot eval high complexity (97167) $153.60 $256 1.5×
Ot Eval Low Complex (97165) $117.60 $196 1.2×
Ot Eval Moderate Complexity (97166) $144.60 $241 1.4×
Ot manual therapy 15 min (97140) $58.20 $97 2.1×
Ot Re-Eval Est Plan Care (97168) $96.60 $161 1.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $276 $460 2.1×
Peripheral arterial disease rehab per session (93668) $79.20 $132 1.3×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $10,576.80 $17,628 1.8×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $14,293.20 $23,822 1.2×
Physical Performance Test (97750) $90 $150 2.7×
Plethysmography (94726) $423.60 $706 1.1×
Prq Card Stent W/Angio 1 Vsl (92928) $16,156.80 $26,928 1.3×
Prq Revasc Byp Graft 1 Vsl (92937) $13,899.60 $23,166 1.2×
Pt Eval High Complex (97163) $99.60 $166 1.0×
Pt eval low complex 20 min (97161) $115.20 $192 1.2×
Pt Eval Mod Complex (97162) $105.60 $176 1.1×
Pt gait training 15 min (97116) $45 $75 1.5×
Pt Re-Eval Est Plan Care (97164) $66.60 $111 1.0×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$97.80–$234.60 $163–$391 varies
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$177.60–$415.80 $296–$693 varies
R hrt coronary artery angio (93456) $16,303.80 $27,173 4.8×
R&L Hrt Cath W/Ventriclgrphy (93453) $9,401.40 $15,669 2.8×
Remote 30 Day Ecg Rev/Report (93270) $349.20 $582 9.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $142.20 $237 2.3×
Right Heart Cath (93451) $6,373.20 $10,622 1.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $147 $245 0.7×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$50.40–$55.20 $84–$92 varies
Sleep study unattended (95806) $398.40 $664 1.8×
Speech sound lang comprehen (92523) $286.20 $477 1.3×
Spirometry (94010)
range across 2 matching MRF lines
$97.80–$258 $163–$430 varies
Standardized Cognitive Performance Testing (96125) $169.20 $282 1.6×
Stress Tte Only (93350) $1,225.20 $2,042 2.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines
$80.40–$89.40 $134–$149 varies
Ther Ivntj Ea Addl 15 Min (97130) $46.80 $78 2.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $53.40 $89 1.8×
Ther/Proph/Diag Inj Sc/Im (96372) $127.80 $213 1.7×
Ther/Proph/Diag Iv Inf Init (96365) $394.80 $658 1.8×
Therapeutic Activities (97530)
range across 2 matching MRF lines
$54–$55.20 $90–$92 varies
Transcath Closure of Asd (93580) $16,576.20 $27,627 0.9×
Tte w/doppler, complete (93306)
range across 4 matching MRF lines
$180.60–$1,185.60 $301–$1,976 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $220.20 $367 2.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $146.40 $244 3.0×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$3,384.60–$4,930.20 $5,641–$8,217 varies
Upr/L Xtremity Art 2 Levels (93922) $342 $570 2.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $676.80 $1,128 3.0×
Vasopneumatic device (97016) $37.80 $63 3.1×
Vent Mgmt Inpat Init Day (94002)
range across 5 matching MRF lines
$373.20–$1,123.20 $622–$1,872 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 2 matching MRF lines
$421.20–$1,341.60 $702–$2,236 varies
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines
$55.20–$57.60 $92–$96 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.