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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $129 $215 0.6×
Assessment of aphasia (96105) $201 $335 2.1×
Auditory Function, 60 Min (92620) $199.20 $332 1.5×
Behavioral and qualitative analysis of voice and resonance (92524) $270.60 $451 2.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $490.80 $818 1.3×
Canalith Repositioning (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 Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $10,400.40 $17,334 3.1×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $16,303.80 $27,173 4.8×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $16,576.20 $27,627 0.9×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $13,335 $22,225 4.0×
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×
Color/duplex Doppler, complete (93975) $887.40 $1,479 3.6×
Color/duplex Doppler, limited (93976) $472.20 $787 4.3×
Cont Gluc Monitoring Patient Provided Equipment (95249) $87 $145 1.4×
Continuous Glucose Monitoring (95250) $228 $380 1.6×
Coronary artery angio s&i (93454) $10,022.40 $16,704 3.0×
Cpap initiation and management (94660) $693.90 $1,156.50 3.1×
Cpt initial (94667) $166.80 $278 1.2×
Critical care (99291) $1,718.40 $2,864 2.0×
Debridement Open Wound 20 Sq Cm< (97597) $228.90 $381.50 1.1×
Demo &/or eval,pt use,aerosol device (94664) $135 $225 0.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $386.70 $644.50 1.6×
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) $973.50 $1,622.50 9.0×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,220.40 $2,034 4.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $840 $1,400 7.7×
Dup-scan xtr veins unilateral/limited study (93971) $1,010.40 $1,684 9.3×
Duplex hemodialysis access (93990) $747.60 $1,246 6.9×
Duplex scan extracranial art compl bi study (93880) $1,198.20 $1,997 4.8×
Echo Heart Xthoracic,Limited (93308) $981.60 $1,636 4.0×
Echo transesophageal (93312) $2,305.80 $3,843 4.1×
EKG (93005) $247.80 $413 4.0×
EKG rhythm strip (93041) $142.20 $237 2.3×
Er level 1 (99281) $178.20 $297 2.0×
Er level ii (99282) $327 $545 2.1×
Er level iii (99283) $408 $680 1.4×
Er level IV (99284) $844.80 $1,408 1.9×
Er level v (99285) $1,295.40 $2,159 2.1×
Evaluation of speech sound production (92522) $184.80 $308 1.7×
Evaluation of 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) $866.40 $1,444 14.1×
Hemodialysis (90935) $972.60 $1,621 1.4×
Holter Monitor Recording (93225) $327.60 $546 2.4×
Immunization Admin (90471) $49.80 $83 0.7×
Ins swan ganz bedside (93503) $2,190 $3,650 1.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $89.40 $149 1.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $394.80 $658 1.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $82.80 $138 1.7×
IV push initial (96374) $189.60 $316 0.9×
Liver elastography w/o imag w/i&r (91200) $280.80 $468 2.1×
Manual therapy 15 min (97140) $58.20 $97 2.1×
Massage 15 min (97124) $53.40 $89 1.8×
Mechanical chest wall oscillation (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 Fluor Eval Swlng Funcj C/V Rec (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×
Newborn resuscitation (99465) $466.80 $778 0.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $342 $570 2.5×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $676.80 $1,128 3.0×
Ot eval high complex 60 min (97167) $153.60 $256 1.5×
Ot eval low complex 30 min (97165) $117.60 $196 1.2×
Ot eval mod complex 45 min (97166) $144.60 $241 1.4×
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×
Plethysmography (94726) $423.60 $706 1.1×
Prq card revasc chronic 1vsl (92943) $14,293.20 $23,822 1.2×
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×
Prq trluml coronary angioplasty one art/branch (92920) $10,576.80 $17,628 1.8×
Pt Electrical Stimulation (97032) $69.60 $116 4.7×
Pt eval high complex 45 min (97163) $99.60 $166 1.0×
Pt eval low complex 20 min (97161) $115.20 $192 1.2×
Pt Gait Training Therapy (97116) $45 $75 1.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $45.60 $76 1.4×
Pt Physical Performance Test (97750) $90 $150 2.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $105.60 $176 1.1×
Pt re-evaluation (97164) $66.60 $111 1.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $52.80 $88 1.6×
Pt Ultrasound Therapy (97035) $46.80 $78 3.3×
Pulmonary stress testing (94618) $296.70 $494.50 2.1×
R & l hrt cath w/njx l ventriculog img s&i (93453) $9,401.40 $15,669 2.8×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $15,267.60 $25,446 4.5×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $16,197 $26,995 4.8×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $349.20 $582 9.0×
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×
Rt Chest Wall Manipulation,Subsequent (94668) $133.20 $222 1.0×
Sleep study unattended (95806) $398.40 $664 1.8×
Speech sound lang comprehen (92523) $286.20 $477 1.3×
Spirometry (94010) $177.90 $296.50 0.8×
Standardized Cognitive Performance Testing (96125) $169.20 $282 1.6×
Stress echo (93350) $1,225.20 $2,042 2.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $84.90 $141.50 3.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $46.80 $78 2.2×
Ther/Proph/Diag Inj Sc/Im (96372) $127.80 $213 1.7×
Therapeutic Activities (97530) $54.60 $91 1.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $625.50 $1,042.50 1.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $220.20 $367 2.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $194.40 $324 2.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $146.40 $244 3.0×
Unlisted Cardiovascular Service/Procedure (93799) $4,157.40 $6,929 31.1×
Unlisted pulmonary service/procedure (94799) $108 $180 0.8×
Vasc Duplex Extrem Venous,Bilat (93970) $1,313.40 $2,189 5.3×
Vasc Duplex Scan Extracranial,Limited (93882) $900 $1,500 8.3×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $811.80 $1,353 3.6×
Vasopneumatic device (97016) $37.80 $63 3.1×
Ventilation assist & mgmt inpatient 1st day (94002) $877.20 $1,462 1.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $881.40 $1,469 1.4×
Wheelchair Mgmt Ea 15 Min (97542) $56.40 $94 1.8×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $703.80 $1,173 7.1×