Visits & medical services prices at Hansen Family Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480)
range across 5 matching MRF lines
$19.68–$64 $19.68–$64 varies
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$59.25–$130 $59.25–$130 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $93 $93 6.5×
Assessment of aphasia per hr (96105) $159 $159 1.6×
Brief Emotional/Behav Assmt (96127) $87 $87 2.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $393 $393 1.1×
Cardiac Stress Tst,Tracing Only (93017) $787 $787 3.8×
Cardiopulmonary exercise testing (94621) $1,049 $1,049 2.9×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$776–$1,434 $776–$1,434 varies
Cardioversion (92960) $255 $255 0.4×
Chemo Anti-Neopl Sq/Im (96401)
range across 2 matching MRF lines
$164–$265 $164–$265 varies
Chemo Hormon Antineopl Sq/Im (96402) $186 $186 2.7×
Chemo IV infusion addl hr (96415) $530 $530 7.7×
Chemo IV push addl drug (96411) $265 $265 3.8×
Chemotherapy Into Cns (96450) $424 $424 1.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $530 $530 7.7×
Chest Wall Manipulation (94668)
range across 2 matching MRF lines
$81–$97 $81–$97 varies
Chron Care Mgmt Srvc 20 Min (99490) $105.68 $105.68 1.1×
Color/duplex Doppler, complete (93975) $689 $689 3.0×
Color/duplex Doppler, limited (93976) $514 $514 5.1×
Community/Work Reintegration Trainj Ea 15 Min (97537) $60 $60 1.9×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $165 $165 1.0×
Cont gluc mntr physician/qhp provided equiptment (95250) $414 $414 3.2×
Cont Gluc Mntr Pt Prov Eqp (95249) $160 $160 2.8×
Continuous Pulse Ox (94762) $302 $302 2.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 5 matching MRF lines
$179–$802 $179–$802 varies
Cpt initial (94667)
range across 3 matching MRF lines
$115–$130 $115–$130 varies
Critical care first hour (99291) $157 $157 0.2×
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$125.23–$187 $125.23–$187 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $757 $757 3.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,206 $1,206 5.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $650 $650 6.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,300 $1,300 5.7×
Dup-scan xtr veins unilateral/limited study (93971)
range across 3 matching MRF lines
$563–$690 $563–$690 varies
Duplex up extrem art bilat (93930) $1,300 $1,300 5.7×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$395–$650 $395–$650 varies
Echo Heart Xthoracic,Limited (93308) $363 $363 1.6×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$55–$100 $55–$100 varies
Electrocardiogram Tracing (93005) $308 $308 5.4×
Emergency Dept Visit Level 2 (99282) $29 $29 0.2×
Emergency Dept Visit Level 3 (99283) $98 $98 0.4×
Emergency Dept Visit Level 4 (99284) $68 $68 0.2×
Er level 1 (99281) $25 $25 0.3×
Er level v (99285) $103 $103 0.2×
Evaluate pt use of inhaler (94664) $119 $119 0.6×
Evaluate Speech Production (92522) $177 $177 1.6×
Evaluate Swallowing Function (92610)
range across 2 matching MRF lines
$268–$286 $268–$286 varies
Evoked Auditory Test,Limited (92587) $195 $195 0.9×
Exercise test for bronchospasm (94617) $841 $841 6.6×
External ECG rec>48hr<7d recording (93242) $610 $610 17.0×
External ECG rec>7d<15d recording (93246) $610 $610 17.0×
External Ecg Scanning Analysis Report (93226) $712 $712 12.6×
Extracranial Bilat Study (93880) $975 $975 4.3×
Group Therapeutic Procedures (97150) $141 $141 7.8×
Holter monitor recording (93225) $505 $505 3.9×
Immunization administration (90471)
range across 3 matching MRF lines
$19.68–$50 $19.68–$50 varies
Iontophoresis 15 min (97033) $123 $123 6.5×
Irrig Drug Delivery Device (96523)
range across 3 matching MRF lines
$22–$80 $22–$80 varies
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$51–$55 $51–$55 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$165.48–$186 $165.48–$186 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$55–$57 $55–$57 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$55–$64 $55–$64 varies
IV push initial (96374)
range across 3 matching MRF lines
$55–$143 $55–$143 varies
Lung Function Test (Mbc/Mvv) (94200) $151 $151 2.7×
Lwr Xtr Vasc Stdy Bilat (93924) $397 $397 1.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $44 $44 1.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $48 $48 1.3×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $61 $61 3.6×
Motion Fluoroscopy/Swallow (92611) $317 $317 3.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 3 matching MRF lines
$61–$642.46 $61–$642.46 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $800 $800 2.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$105–$380.07 $105–$380.07 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $609.14 $609.14 1.6×
Neuromuscular Reeducation (97112) $118 $118 3.6×
Oral Function Therapy (92526) $198 $198 2.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$100–$107 $100–$107 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $83.71 $83.71 4.0×
Osteopathic manipulative tx 3-4 body regions (98926) $81.93 $81.93 3.9×
Ot eval high complexity (97167) $468 $468 4.7×
Ot Eval Low Complex (97165) $245 $245 2.4×
Ot Eval Moderate Complexity (97166) $356 $356 3.5×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$91–$110 $91–$110 varies
Ot paraffin bath (97018) $55 $55 9.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 3 matching MRF lines
$212–$218 $212–$218 varies
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $258 $258 1.2×
Peripheral arterial disease rehab per session (93668) $154.50 $154.50 2.7×
Phlebotomy therapeutic (99195) $206 $206 1.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625)
range across 3 matching MRF lines
$308–$328 $308–$328 varies
Physical Performance Test (97750)
range across 3 matching MRF lines
$98–$151 $98–$151 varies
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,064 $4,064 4.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $35.67 $35.67 0.8×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $45.15 $45.15 1.0×
Pt Eval High Complex (97163) $338 $338 3.5×
Pt eval low complex 20 min (97161) $170 $170 1.7×
Pt Eval Mod Complex (97162) $255 $255 2.6×
Pt gait training 15 min (97116) $112 $112 3.9×
Pt mechanical traction (97012) $76 $76 5.3×
Pulm function test by gas (94727) $343 $343 1.7×
Pulmonary service/procedure (94799) $200 $200 1.6×
Pulmonary Stress Testing (94618) $270 $270 2.1×
Refill/Maint Portable Pump (96521) $292 $292 1.4×
Rem mntr physiol param 1st dev supply ea 30 d (99454)
range across 2 matching MRF lines
$50–$54 $50–$54 varies
Rem mntr physiol param 1st set up pt educaj eqp (99453)
range across 2 matching MRF lines
$130–$138 $130–$138 varies
Remote 30 Day Ecg Rev/Report (93270) $347 $347 9.7×
Respiratory flow volume loop (94375)
range across 2 matching MRF lines
$55–$151 $55–$151 varies
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $118 $118 2.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$184–$244.11 $184–$244.11 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $226 $226 1.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $63 $63 1.3×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$91–$110 $91–$110 varies
Sleep study unattended (95806) $546 $546 2.6×
Slp Stdy Unatnd W/Anal (95801) $562 $562 9.9×
Speech sound lang comprehen (92523) $294 $294 1.3×
Spirometry (94010) $172 $172 0.8×
Stress Tte Only (93350) $1,698 $1,698 3.2×
Temp transcutaneous pacing (92953) $193 $193 0.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines
$86–$90 $86–$90 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 2 matching MRF lines
$45–$157 $45–$157 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $148 $148 1.4×
Ther/Proph/Diag Inj Ia (96373)
range across 2 matching MRF lines
$55–$57 $55–$57 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$50–$107.33 $50–$107.33 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$193–$204 $193–$204 varies
Therapeutic Activities (97530) $118 $118 3.4×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$91.86–$94 $91.86–$94 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $32.67 $32.67 0.9×
Trans Care Mgmt 14 Day Disch (99495) $232.01 $232.01 1.8×
Trans Care Mgmt 7 Day Disch (99496) $297.84 $297.84 2.3×
Tte w/doppler, complete (93306) $2,300 $2,300 4.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $198 $198 2.6×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$55–$74 $55–$74 varies
Unlisted cardiovascular service/procedure (93799) $243 $243 2.0×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$309–$339 $309–$339 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $672 $672 3.2×
Vent Mgmt Inpat Init Day (94002) $1,109 $1,109 1.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $888 $888 1.5×
Vital capacity, total (94150) $75 $75 0.6×
Wheelchair Mgmt Ea 15 Min (97542) $92 $92 3.0×
Whirlpool Therapy (97022) $113 $113 7.2×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $841 $841 14.8×

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.