Visits & medical services prices at Guttenberg Municipal Hospital

Guttenberg, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $44.80 $56 1.1×
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines
$200–$210.40 $250–$263 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $80.80 $101 5.6×
Behavral qualit analys voice (92524) $259.20 $324 2.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $451.20 $564 1.3×
Canalith repositioning proc (95992) $128 $160 3.1×
Cardiac Stress Tst,Tracing Only (93017) $690.40 $863 3.3×
Cardiopulmonary resuscitation (92950) $840 $1,050 4.0×
Cardioversion (92960) $974.40 $1,218 1.5×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $72 $90 2.8×
Cbt 1st hour (94644) $190.40 $238 1.5×
Chest Wall Manipulation (94668) $128.80 $161 1.0×
Color/duplex Doppler, complete (93975) $619.20 $774 2.7×
Community/Work Reintegration Trainj Ea 15 Min (97537) $96.80 $121 3.0×
Continuous Pulse Ox (94762) $338.40 $423 2.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$1,070.40–$1,126.40 $1,338–$1,408 varies
Cpt initial (94667) $174.40 $218 1.4×
Critical care first hour (99291) $2,027.20 $2,534 2.6×
Debridement Open Wound 20 Sq Cm< (97597) $333.60 $417 1.7×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $926.40 $1,158 4.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $788 $985 7.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $681.60 $852 3.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $518.40 $648 5.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,216 $1,520 5.3×
Dup-scan xtr veins unilateral/limited study (93971) $756 $945 7.5×
Duplex up extrem art bilat (93930) $669.60 $837 2.9×
Duplex up extrem art unilat/ltd (93931) $468 $585 4.7×
ECG/monitoring and analysis (93271) $564.80 $706 6.2×
Echo Heart Xthoracic,Limited (93308) $722.40 $903 3.1×
Electrical Stimulation Ea 15 Min (97032) $102.40 $128 7.0×
Electrocardiogram Tracing (93005) $216 $270 3.8×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$26.40–$216 $33–$270 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$26.40–$372.80 $33–$466 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$26.40–$620.80 $33–$776 varies
Er level 1 (99281)
range across 2 matching MRF lines
$26.40–$180.80 $33–$226 varies
Er level v (99285)
range across 2 matching MRF lines
$901.60 $33–$1,127 1.6×
Evaluate pt use of inhaler (94664) $200 $250 1.0×
Evaluate Speech Production (92522) $259.20 $324 2.3×
Evaluate Swallowing Function (92610) $339.20 $424 4.0×
Evaluation of speech fluency (92521) $259.20 $324 1.9×
Exercise test for bronchospasm (94617) $451.20 $564 3.5×
External ECG rec>48hr<7d recording (93242) $263.20 $329 7.3×
External ECG rec>48hr<7d scanning alys w/report (93243) $561.60 $702 4.4×
External ECG rec>7d<15d recording (93246) $250.40 $313 7.0×
External ECG rec>7d<15d scanning alys w/report (93247) $589.60 $737 4.6×
External Ecg Scanning Analysis Report (93226) $619.20 $774 10.9×
Extracranial Bilat Study (93880) $834.40 $1,043 3.6×
Extracranial Uni/Ltd Study (93882) $619.20 $774 6.2×
Flexible endoscopic eval swallow c/v rec (92612) $705.60 $882 3.5×
Holter monitor recording (93225) $437.60 $547 3.4×
Immunization administration (90471)
range across 5 matching MRF lines
$96–$114 $114–$120 varies
Iontophoresis 15 min (97033) $108 $135 5.7×
Irrig Drug Delivery Device (96523) $152 $190 2.7×
IV infusion hydration each additional hour (96361) $105.60 $132 2.3×
IV infusion hydration initial 31 min-1 hour (96360) $277.60 $347 1.4×
IV infusion ther proph addl sequential to 1 hr (96367) $136 $170 2.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $96 $120 2.1×
IV push initial (96374) $163.20 $204 0.8×
Lung Function Test (Mbc/Mvv) (94200) $174.40 $218 3.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $50.40 $63 1.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $50.40 $63 1.4×
Motion Fluoroscopy/Swallow (92611) $395.20 $494 4.3×
Multiple Sleep Latency Test (95805) $2,754.40 $3,443 3.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $672.80 $841 1.7×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,007.20 $1,259 2.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $410.40 $513 2.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $836.80 $1,046 2.1×
Neuromuscular Reeducation (97112) $96.80 $121 3.0×
Nrpsyc tst eval phys/qhp 1st (96132) $413.60 $517 1.2×
Oral Function Therapy (92526) $198.40 $248 2.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $143.20 $179 2.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $96.80 $121 2.1×
Ot Contrast Bath Ea 15 Min (97034) $88 $110 6.3×
Ot eval high complexity (97167) $237.60 $297 2.4×
Ot Eval Low Complex (97165) $170.40 $213 1.7×
Ot Eval Moderate Complexity (97166) $202.40 $253 2.0×
Ot manual therapy 15 min (97140) $96.80 $121 3.5×
Ot paraffin bath (97018) $102.40 $128 17.0×
Ot Prosthetic Training, Each 15 Min (97761) $96.80 $121 2.4×
Ot Re-Eval Est Plan Care (97168) $136 $170 2.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $325.60 $407 2.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $217.60 $272 1.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $362.40 $453 1.7×
Peripheral arterial disease rehab per session (93668) $174.40 $218 3.1×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $259.20 $324 4.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $227.20 $284 4.0×
Physical Performance Test (97750) $96.80 $121 2.9×
Plethysmography (94726) $352 $440 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,444 $4,305 4.2×
Psychiatric diagnostic evaluation (90791) $307.20 $384 1.8×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $143.20 $179 1.1×
Pt Eval High Complex (97163) $237.60 $297 2.4×
Pt eval low complex 20 min (97161) $170.40 $213 1.7×
Pt Eval Mod Complex (97162) $202.40 $253 2.1×
Pt gait training 15 min (97116) $96.80 $121 3.3×
Pt group caregiver training (97552) $59.20 $74 2.7×
Pt mechanical traction (97012) $96.80 $121 6.7×
Pt Re-Eval Est Plan Care (97164) $136 $170 2.0×
Pulmonary service/procedure (94799) $154.40 $193 1.2×
Pulmonary Stress Testing (94618) $216 $270 1.7×
Remote 30 Day Ecg Rev/Report (93270) $312 $390 8.7×
Respiratory flow volume loop (94375) $261.60 $327 1.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $90.40 $113 1.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $333.60 $417 1.7×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $339.20 $424 2.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $170.40 $213 3.6×
Self Care Mngment Training (97535) $96.80 $121 3.0×
Sensory Integration Ea 15 Min (97533) $96.80 $121 1.6×
Slp caregiver training 1st 30 min (97550) $148.80 $186 2.8×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $586.40 $733 2.8×
Speech sound lang comprehen (92523) $259.20 $324 1.1×
Spirometry (94010) $220 $275 1.1×
Standardized Cognitive Performance Testing (96125) $250.40 $313 2.4×
Temp transcutaneous pacing (92953) $30.40 $38 0.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $88 $110 3.9×
Ther Ivntj Ea Addl 15 Min (97130) $66.40 $83 3.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $63.20 $79 2.1×
Ther/Proph/Diag Inj Sc/Im (96372) $96 $120 1.4×
Ther/Proph/Diag Iv Inf Init (96365) $460.80 $576 2.3×
Therapeutic Activities (97530) $96.80 $121 2.8×
Tobacco Use Cessation Intensive >10 Minutes (99407) $119.20 $149 3.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $63.20 $79 1.8×
Tte w/doppler, complete (93306) $3,180.80 $3,976 6.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $202.40 $253 2.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $129.60 $162 2.9×
Upr/L Xtremity Art 2 Levels (93922) $152.80 $191 1.2×
Vasopneumatic device (97016) $114.40 $143 9.5×
Vent Mgmt Inpat Init Day (94002) $1,226.40 $1,533 2.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,148.80 $1,436 1.9×
Vital capacity, total (94150) $144 $180 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $96.80 $121 3.1×

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.