Visits & medical services prices at Hancock County Health System

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

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

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ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492)
range across 3 matching MRF lines
$67.50–$270 $90–$360 varies
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines
$33.75–$54 $45–$72 varies
Advncd Care Plan 30 Min (99497) $131.25 $175 1.3×
Airway Inhalation Treatment (94640)
range across 5 matching MRF lines
$51–$204.75 $68–$273 varies
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $227.25 $303 1.8×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $222 $296 1.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$77.25–$110.25 $103–$147 varies
Assessment of aphasia per hr (96105) $415.50 $554 4.3×
Assmt & care planning pt w/cognitive impairment (99483)
range across 3 matching MRF lines
$141–$562.50 $188–$750 varies
Behavral qualit analys voice (92524) $157.50 $210 1.4×
Brief Emotional/Behav Assmt (96127)
range across 3 matching MRF lines
$17.25–$67.50 $23–$90 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $399 $532 1.1×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$87–$89.25 $116–$119 varies
Cardiac Stress Tst,Tracing Only (93017) $755.25 $1,007 3.6×
Cardiopulmonary resuscitation (92950)
range across 4 matching MRF lines
$147.75–$606 $197–$808 varies
Cardioversion (92960)
range across 4 matching MRF lines
$159–$666.75 $212–$889 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $80.25 $107 3.1×
Cbt 1st hour (94644) $189 $252 1.5×
Chemo Hormon Antineopl Sq/Im (96402) $30.75 $41 0.4×
Chest Wall Manipulation (94668) $111 $148 0.9×
Color/duplex Doppler, complete (93975) $1,074.75 $1,433 4.7×
Color/duplex Doppler, limited (93976) $650.25 $867 6.5×
Community/Work Reintegration Trainj Ea 15 Min (97537) $85.50 $114 2.7×
Cont gluc mntr physician/qhp provided equiptment (95250) $285 $380 2.2×
Cont Gluc Mntr Pt Prov Eqp (95249) $161.25 $215 2.8×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$236.25–$240.75 $315–$321 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 4 matching MRF lines
$112.50–$656.25 $150–$875 varies
Cpt initial (94667) $114 $152 0.9×
Critical care first hour (99291)
range across 5 matching MRF lines
$171–$827.25 $228–$1,103 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines
$104.25–$417 $139–$556 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925) $788.25 $1,051 3.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $627 $836 6.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,041.75 $1,389 4.5×
Dup-scan xtr veins unilateral/limited study (93971) $674.25 $899 6.7×
Duplex up extrem art bilat (93930) $703.50 $938 3.1×
Duplex up extrem art unilat/ltd (93931) $501.75 $669 5.0×
Echo Heart Xthoracic,Limited (93308) $717 $956 3.1×
EEG awake and asleep (95819) $656.25 $875 3.2×
EEG awake drowsy (95816) $656.25 $875 3.2×
Electrical Stimulation Ea 15 Min (97032) $115.50 $154 7.9×
Electrocardiogram Tracing (93005) $127.50 $170 2.2×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$91.50–$121.50 $122–$162 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines
$152.25–$186 $203–$248 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$279–$444.75 $372–$593 varies
Er level 1 (99281)
range across 2 matching MRF lines
$75.75–$76.50 $101–$102 varies
Er level v (99285)
range across 2 matching MRF lines
$429–$696 $572–$928 varies
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$54–$227.25 $72–$303 varies
Evaluate Speech Production (92522) $343.50 $458 3.1×
Evaluate Swallowing Function (92610) $409.50 $546 4.8×
Exhaled Air Analysis O2 (94680) $273 $364 2.2×
External ECG rec>48hr<7d recording (93242) $418.50 $558 11.7×
External ECG rec>7d<15d recording (93246) $418.50 $558 11.7×
External Ecg Scanning Analysis Report (93226) $481.50 $642 8.5×
Extracranial Bilat Study (93880) $969 $1,292 4.2×
Holter monitor recording (93225) $474 $632 3.7×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 3 matching MRF lines
$14.76–$50.25 $19.68–$67 varies
Immunization administration (90471)
range across 3 matching MRF lines
$14.76–$48 $19.68–$64 varies
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$130.50–$171.75 $174–$229 varies
Irrig Drug Delivery Device (96523) $63.75 $85 1.1×
IV infusion hydration each additional hour (96361) $96 $128 2.1×
IV infusion hydration initial 31 min-1 hour (96360) $312.75 $417 1.5×
IV infusion ther proph addl sequential to 1 hr (96367) $191.25 $255 2.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $116.25 $155 2.6×
IV push initial (96374) $228.75 $305 1.1×
Laryngeal Function Studies (92520)
range across 2 matching MRF lines
$258.75–$270 $345–$360 varies
Lwr Xtr Vasc Stdy Bilat (93924) $761.25 $1,015 3.7×
Mechanical chest wall oscillation per session (94669) $240 $320 1.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $30 $40 0.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $30 $40 0.8×
Motion Fluoroscopy/Swallow (92611) $417 $556 4.6×
Multiple Sleep Latency Test (95805) $2,013 $2,684 2.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $309 $412 1.6×
Neuromuscular Reeducation (97112) $91.50 $122 2.8×
Nitric oxide expired gas determination (95012) $138 $184 3.8×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $172.50 $230 0.5×
Oral Function Therapy (92526) $344.25 $459 4.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $91.50 $122 1.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $91.50 $122 2.0×
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 4 matching MRF lines
$16.50–$65.25 $22–$87 varies
Osteopathic manipulative tx 3-4 body regions (98926)
range across 3 matching MRF lines
$21–$82.50 $28–$110 varies
Osteopathic manipulative tx 5-6 body regions (98927)
range across 3 matching MRF lines
$26.25–$105 $35–$140 varies
Osteopathic manipulative tx 7-8 body regions (98928)
range across 3 matching MRF lines
$30.75–$122.25 $41–$163 varies
Osteopathic manipulative tx 9-10 body regions (98929)
range across 3 matching MRF lines
$36–$142.50 $48–$190 varies
Ot Contrast Bath Ea 15 Min (97034) $77.25 $103 5.5×
Ot eval high complexity (97167) $267 $356 2.7×
Ot Eval Low Complex (97165) $143.25 $191 1.4×
Ot Eval Moderate Complexity (97166) $201 $268 2.0×
Ot manual therapy 15 min (97140) $93 $124 3.4×
Ot paraffin bath (97018) $79.50 $106 13.2×
Ot Prosthetic Training, Each 15 Min (97761) $91.50 $122 2.3×
Ot Re-Eval Est Plan Care (97168) $90 $120 1.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $202.50 $270 1.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $228.75 $305 1.1×
Peripheral arterial disease rehab per session (93668) $122.25 $163 2.2×
Phlebotomy therapeutic (99195) $151.50 $202 1.2×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $210 $280 3.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $187.50 $250 3.3×
Physical Performance Test (97750) $48 $64 1.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,143.25 $4,191 3.8×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $36 $48 0.8×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 2 matching MRF lines
$36–$36.75 $48–$49 varies
Psych diag eval w/med srvcs (90792)
range across 3 matching MRF lines
$45.75–$179.25 $61–$239 varies
Psychiatric diagnostic evaluation (90791)
range across 3 matching MRF lines
$75.75–$302.25 $101–$403 varies
Psytx Crisis Initial 60 Min (90839)
range across 3 matching MRF lines
$73.50–$293.25 $98–$391 varies
Pt Eval High Complex (97163) $234 $312 2.4×
Pt eval low complex 20 min (97161) $160.50 $214 1.6×
Pt Eval Mod Complex (97162) $201.75 $269 2.1×
Pt gait training 15 min (97116) $114.75 $153 3.9×
Pt mechanical traction (97012) $91.50 $122 6.4×
Pt Re-Eval Est Plan Care (97164) $93.75 $125 1.4×
Pt-focused hlth risk assmt score doc stnd instrm (96160)
range across 3 matching MRF lines
$5.25–$21 $7–$28 varies
Pulm function test by gas (94727) $215.25 $287 1.0×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$6–$96 $8–$128 varies
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$257.25–$261.75 $343–$349 varies
Pure Tone Audiometry Air (92552)
range across 3 matching MRF lines
$15.75–$60 $21–$80 varies
Remote 30 Day Ecg Rev/Report (93270) $418.50 $558 11.7×
Respiratory flow volume loop (94375) $206.25 $275 1.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $114 $152 2.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $356.25 $475 1.8×
Sbsq Psyc Collab Care Mgmt (99493)
range across 3 matching MRF lines
$53.25–$214.50 $71–$286 varies
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$84.75–$85.50 $113–$114 varies
Sensory Integration Ea 15 Min (97533) $77.25 $103 1.3×
Sleep study attended (95807) $1,732.50 $2,310 4.8×
Slp caregiver training 1st 30 min (97550) $187.50 $250 3.6×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $595.50 $794 2.9×
Speech sound lang comprehen (92523) $343.50 $458 1.5×
Spirometry (94010) $217.50 $290 1.0×
Stress Tte Only (93350) $1,147.50 $1,530 2.2×
Subcutaneous Infusion Each Additional Hour (96370) $90.75 $121 2.0×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $204 $272 1.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines
$77.25–$208.50 $103–$278 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 2 matching MRF lines
$77.25–$208.50 $103–$278 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $90 $120 3.0×
Ther/Proph/Diag Inj Sc/Im (96372) $93 $124 1.3×
Ther/Proph/Diag Iv Inf Init (96365) $364.50 $486 1.8×
Therapeutic Activities (97530) $77.25 $103 2.2×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 3 matching MRF lines
$21.75–$86.25 $29–$115 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 5 matching MRF lines
$20.25–$82.50 $27–$110 varies
Trans Care Mgmt 14 Day Disch (99495)
range across 3 matching MRF lines
$63–$252 $84–$336 varies
Trans Care Mgmt 7 Day Disch (99496)
range across 3 matching MRF lines
$78–$312.75 $104–$417 varies
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$1,672.50–$1,760.25 $2,230–$2,347 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $259.50 $346 3.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $123 $164 2.7×
Tympanometry (92567)
range across 3 matching MRF lines
$10.50–$43.50 $14–$58 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 5 matching MRF lines
$18.75–$426.75 $25–$569 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 3 matching MRF lines
$75–$741.75 $100–$989 varies
Vent Mgmt Inpat Init Day (94002) $1,335 $1,780 2.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,178.25 $1,571 2.0×
Vital capacity, total (94150) $157.50 $210 1.3×
Wheelchair Mgmt Ea 15 Min (97542) $77.25 $103 2.5×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $831.75 $1,109 14.7×

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.