Visits & medical services prices at Harlan County Health System

Alma, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $81.60 $102 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines		 $21.60–$75.20 $27–$94 varies
Application Modality 1/> Areas Diathermy (97024) $44.42 $55.52 6.0×
Application on-body injector (96377) $124.80 $156 2.6×
Behavral qualit analys voice (92524) $244.73 $305.91 2.2×
Biofeedback training any modality (90901) $141.40 $176.75 3.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $233.60 $292 0.6×
Cardiac Stress Tst,Tracing Only (93017) $944.80 $1,181 4.2×
Cardiopulmonary resuscitation (92950)
range across 4 matching MRF lines		 $124.41–$837.26 $155.51–$1,046.58 varies
Cardioversion (92960) $1,020 $1,275 1.5×
Cbt 1st hour (94644) $276.04 $345.05 2.0×
Chemo Anti-Neopl Sq/Im (96401) $248 $310 3.3×
Chemo Hormon Antineopl Sq/Im (96402) $249.94 $312.42 3.3×
Chemo IV infusion addl hr (96415) $184.80 $231 2.5×
Chemo IV push addl drug (96411) $250.40 $313 3.3×
Chemother Prolong Infuse W/Pump (96416) $547.20 $684 1.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $260.80 $326 3.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $548.80 $686 1.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $377.47 $471.84 1.1×
Chest Wall Manipulation (94668) $75.81 $94.76 0.5×
Color/duplex Doppler, complete (93975)
range across 3 matching MRF lines		 $809.99–$850.49 $1,012.49–$1,063.11 varies
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines		 $578.45–$607.37 $723.06–$759.21 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $70.70 $88.37 2.2×
Continuous Pulse Ox (94762) $392 $490 2.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $820.80 $1,026 3.6×
Cpt initial (94667) $138.43 $173.04 1.0×
Critical care first hour (99291) $1,098.40 $1,373 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $155.20 $194 0.7×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $571.16 $713.95 2.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $613.60 $767 5.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,034.40 $1,293 4.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $898.40 $1,123 8.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,212 $1,515 4.9×
Dup-scan xtr veins unilateral/limited study (93971) $965.60 $1,207 8.9×
Duplex Scan Hemodialysis Access (93990) $424.36 $530.45 3.9×
Duplex up extrem art unilat/ltd (93931) $700.40 $875.50 6.5×
Echo Heart Xthoracic,Limited (93308) $765.60 $957 3.1×
Echo transesophageal (93312) $1,819.39 $2,274.24 3.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,199.74 $1,499.68 2.1×
EEG awake and asleep (95819) $770.44 $963.05 3.4×
EEG awake drowsy (95816) $724.30 $905.37 3.2×
Electrical Stimulation Ea 15 Min (97032) $34.40 $43 2.3×
Electrocardiogram Tracing (93005) $228.80 $286 3.7×
Emergency Dept Visit Level 2 (99282) $144.80 $181 0.9×
Emergency Dept Visit Level 3 (99283) $231.20 $289 0.8×
Emergency Dept Visit Level 4 (99284) $288.80 $361 0.7×
Er level 1 (99281) $181.60 $227 2.1×
Er level v (99285) $371.20 $464 0.6×
Evaluate pt use of inhaler (94664) $148.80 $186 0.7×
Evaluate Speech Production (92522) $224.78 $280.98 2.0×
Evaluate Swallowing Function (92610) $313.60 $392 3.7×
Evaluation of speech fluency (92521) $228.42 $285.52 1.7×
Evoked Auditory Test,Limited (92587) $229.32 $286.65 1.0×
External ECG rec>48hr<7d recording (93242) $28.02 $35.02 0.7×
External ECG rec>48hr<7d scanning alys w/report (93243) $977 $1,221.25 7.1×
External ECG rec>7d<15d recording (93246) $46.97 $58.71 1.2×
External ECG rec>7d<15d scanning alys w/report (93247) $1,498 $1,872.50 10.8×
Extracranial Bilat Study (93880) $1,260 $1,575 5.1×
Extracranial Uni/Ltd Study (93882) $730.06 $912.58 6.7×
Group Therapeutic Procedures (97150) $59.82 $74.78 3.3×
Holter monitor recording (93225) $436 $545 3.2×
Icd device progr eval dual (93283) $119.48 $149.35 3.1×
Icd Device Progr Eval Mult (93284) $97.23 $121.54 2.5×
Immunization administration (90471) $44.80 $56 0.6×
Inital newborn e/m (99460) $124 $155 0.9×
Intracutaneous tests w/allergenic extracts (95024) $42.85 $53.56 0.7×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines		 $41.60–$104.80 $52–$131 varies
Irrig Drug Delivery Device (96523) $59.20 $74 1.0×
IV infusion hydration each additional hour (96361) $69.60 $87 1.4×
IV infusion hydration initial 31 min-1 hour (96360) $286.40 $358 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $160.80 $201 2.2×
IV infusion therapy prophylaxis/dx ea hour (96366) $87.20 $109 1.8×
IV push initial (96374) $201.60 $252 0.9×
Low frequency non-thermal us (97610) $301.26 $376.57 1.4×
Lwr Xtr Vasc Stdy Bilat (93924)
range across 2 matching MRF lines		 $693.81–$955.02 $867.26–$1,193.77 varies
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $35.43 $44.29 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $16 $20 0.4×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $28.02 $35.02 1.6×
Motion Fluoroscopy/Swallow (92611) $410.40 $513 4.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $222.40 $278 0.5×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $793.84 $992.30 1.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $112 $140 0.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $351.66 $439.58 0.8×
Neuromuscular Reeducation (97112) $89.60 $112 2.7×
Oral Function Therapy (92526) $246.40 $308 2.9×
Orthc/Prostc Mgmt Sbsq Enc (97763) $65.26 $81.58 1.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $86.40 $108 1.9×
Ot Contrast Bath Ea 15 Min (97034) $63.45 $79.31 4.5×
Ot eval high complexity (97167) $165.60 $207 1.6×
Ot Eval Low Complex (97165) $177.60 $222 1.8×
Ot Eval Moderate Complexity (97166) $197.60 $247 2.0×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines		 $88.80–$98.40 $111–$123 varies
Ot paraffin bath (97018) $69.60 $87 11.6×
Ot Prosthetic Training, Each 15 Min (97761) $78.86 $98.57 2.0×
Ot Re-Eval Est Plan Care (97168) $96.98 $121.23 1.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $224 $280 1.7×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $197.60 $247 1.5×
Patch/Application Test Specify Number Tests (95044) $42.85 $53.56 0.0×
Percutaneous tests w/allergenic extracts (95004) $42.85 $53.56 0.0×
Peripheral arterial disease rehab per session (93668) $244.34 $305.43 4.0×
Phlebotomy therapeutic (99195) $159.86 $199.82 1.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $138.40 $173 2.3×
Physical Performance Test (97750) $96.08 $120.10 2.8×
Plethysmography (94726) $187.20 $234 0.5×
Pm device eval in person (93288) $116.18 $145.23 3.0×
Pm device progr eval dual (93280) $78.28 $97.85 2.0×
Pm Device Progr Eval Sngl (93279) $74.16 $92.70 1.9×
Pm/Icd Remote Tech Serv (93296) $116.18 $145.23 3.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,760 $4,700 4.2×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $2.40 $3 0.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $25.60 $32 0.5×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $34.40 $43 0.7×
Pt Eval High Complex (97163) $190.34 $237.93 1.9×
Pt eval low complex 20 min (97161) $167.20 $209 1.7×
Pt Eval Mod Complex (97162) $177.60 $222 1.8×
Pt gait training 15 min (97116) $84.80 $106 2.9×
Pt mechanical traction (97012) $39.20 $49 2.7×
Pt Re-Eval Est Plan Care (97164) $167.20 $209 2.5×
Pulm function test by gas (94727) $440 $550 2.0×
Pulmonary service/procedure (94799) $147.20 $184 1.1×
Pulmonary Stress Testing (94618) $339.20 $424 2.5×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $191.20 $239 0.6×
Remote 30 Day Ecg Rev/Report (93270) $256.26 $320.33 6.6×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $108.77 $135.96 1.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $99.20 $124 0.5×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $193.97 $242.46 1.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $58.92 $73.65 1.2×
Self Care Mngment Training (97535) $98.40 $123 3.0×
Short-latency somatosens ep std upr limbs (95925) $405.60 $507 1.8×
Sleep study unattended (95806) $486.40 $608 2.2×
Speech sound lang comprehen (92523) $264 $330 1.2×
Spin/Brain Pump Refil & Main (95991) $278.40 $348 0.9×
Spirometry (94010) $277.60 $347 1.2×
Ssep lower limbs (95926) $401.60 $502 1.8×
Stress Tte Only (93350) $1,199.74 $1,499.68 2.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $59.20 $74 1.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $45.60 $57 1.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $128.71 $160.89 1.3×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines		 $36–$44.80 $45–$56 varies
Ther/Proph/Diag Iv Inf Init (96365) $170.40 $213 0.8×
Therapeutic Activities (97530) $88.80 $111 2.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $32.96 $41.20 0.8×
Trans Care Mgmt 14 Day Disch (99495) $218.36 $272.95 1.6×
Tte w/doppler, complete (93306) $1,737.60 $2,172 3.1×
Tte W/O Doppler Complete (93307) $1,586.20 $1,982.75 6.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $259.20 $324 3.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $153.60 $192 3.2×
Upr/L Xtremity Art 2 Levels (93922) $464 $580 3.4×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $575.98 $719.97 2.6×
Vasopneumatic device (97016) $89.60 $112 7.5×
Vent Mgmt Inpat Init Day (94002) $1,116.52 $1,395.65 1.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $810.82 $1,013.52 1.3×
Wheelchair Mgmt Ea 15 Min (97542) $81.58 $101.97 2.6×
Whirlpool Therapy (97022) $102.40 $128 6.5×

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.