Visits & medical services prices at Greeley County Health Services

Tribune, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $42 $60 0.2×
Biofeedback training any modality (90901) $78.40 $112 1.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $235.90 $337 0.7×
Cardiac Stress Tst,Tracing Only (93017) $350 $500 1.8×
Cardiopulmonary resuscitation (92950) $337.75 $482.50 1.7×
Cardioversion (92960) $1,106 $1,580 1.8×
Chemo Iv Push Sngl Drug (96409) $393.40 $562 1.3×
Chemother, IV infusion, 1 hr (96413) $728 $1,040 2.4×
Chemother, IV infusion, ea add hr (96415) $728 $1,040 11.0×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $243.60 $348 3.7×
Color/duplex Doppler, complete (93975) $745.50 $1,065 3.4×
Cpap initiation and management (94660) $266 $380 1.3×
Cpt initial (94667) $126 $180 1.0×
Critical care (99291) $702.45 $1,003.50 0.9×
Debridement Open Wound 20 Sq Cm< (97597) $203 $290 1.1×
Demo &/or eval,pt use,aerosol device (94664) $206.50 $295 1.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $745.50 $1,065 3.4×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $745.50 $1,065 7.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $745.50 $1,065 3.4×
Dup-scan xtr veins unilateral/limited study (93971) $745.50 $1,065 7.8×
EKG (93005) $234.50 $335 4.3×
Er level 1 (99281) $101.15 $144.50 1.3×
Er level ii (99282) $85.40 $122 0.6×
Er level iii (99283) $127.40 $182 0.5×
Er level IV (99284) $240.80 $344 0.6×
Er level v (99285) $696.85 $995.50 1.3×
Exercise tst brncspsm (94617) $122.50 $175 1.0×
External Ecg Scanning Analysis Report (93226) $315 $450 5.8×
Flow volume loop (94375) $175 $250 0.9×
Holter Monitor Recording (93225) $315 $450 2.6×
Immunization Admin (90471) $17.50 $25 0.3×
Immunotherapy, 2+ Injections (95117) $35 $50 0.8×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $140 $200 2.6×
IV infusion hydration each additional hour (96361) $224 $320 5.2×
IV infusion hydration initial 31 min-1 hour (96360) $406 $580 2.1×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $224 $320 3.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $406 $580 2.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $224 $320 5.2×
IV push initial (96374) $406 $580 2.1×
Maximum voluntary ventilation (94200) $63 $90 1.2×
Methacholine challenge (94070) $353.50 $505 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $354.90 $507 1.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $519.40 $742 4.2×
Osteopathic manipulative tx 1-2 body regions (98925) $60.20 $86 3.0×
Osteopathic manipulative tx 3-4 body regions (98926) $87.50 $125 4.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $51.10 $73 1.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $105 $150 0.9×
Percutaneous tests w/allergenic extracts (95004) $15.40 $22 0.0×
Phy/qhp op pulm rhb w/mntr (94626) $525 $750 9.7×
Phy/qhp op pulm rhb w/o mntr (94625) $367.50 $525 6.8×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $56 $80 1.3×
Prepj& antigen prv allergen immunotherapy 1 do (95144) $35 $50 0.8×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $31.50 $45 0.7×
Pt Whirlpool Therapy (97022) $38.50 $55 2.5×
Pulm function test by gas (94727) $140 $200 0.7×
Pulmonary stress testing (94618) $122.50 $175 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $354.90 $507 1.9×
Rt Chest Wall Manipulation,Subsequent (94668) $126 $180 1.0×
Spirometry (94010) $183.40 $262 0.9×
Test for allergy using allergenic extract injected into skin (95024) $255.50 $365 4.7×
Test for allergy using combination of methods with drug or biological (95018) $33.60 $48 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $70 $100 1.1×
Therapeutic phlebotomy (99195) $318.50 $455 2.6×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,029 $1,470 4.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $84 $120 2.0×
Unlisted pulmonary service/procedure (94799) $140 $200 1.2×
Vasc Duplex Extrem Venous,Bilat (93970) $745.50 $1,065 3.4×
Vital capacity total (94150) $35 $50 0.3×