Visits & medical services prices at Humboldt County Memorial Hospital
Humboldt, IA · every code in this section with a posted price and a Medicare benchmark.
125 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$59.85–$99 | $66.50–$110 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $165.60 | $184 | 1.3× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $37.80 | $42 | 0.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $44.10 | $49 | 3.1× |
| Application Modality 1/> Areas Infrared (97026) | $22.95 | $25.50 | 3.4× |
| Application on-body injector (96377) | $136.35 | $151.50 | 3.0× |
| Assessment of aphasia per hr (96105) | $96.30 | $107 | 1.0× |
| Behavral qualit analys voice (92524) | $202.50 | $225 | 1.8× |
| Brief Emotional/Behav Assmt (96127) | $13.50 | $15 | 0.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $82.80 | $92 | 0.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $490.05 | $544.50 | 2.4× |
| Cardiopulmonary resuscitation (92950) | $741.60 | $824 | 3.6× |
| Cardioversion (92960) | $370.80 | $412 | 0.6× |
| Chemo IV infusion addl hr (96415) | $55.80 | $62 | 0.8× |
| Chemo IV push addl drug (96411) | $139.05 | $154.50 | 2.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $185.40 | $206 | 0.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $139.05 | $154.50 | 0.4× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$68.85–$87.30 | $76.50–$97 | varies |
| Color/duplex Doppler, complete (93975) | $550.80 | $612 | 2.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $270 | $300 | 2.1× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $135 | $150 | 2.4× |
| Continuous Pulse Ox (94762) | $183.60 | $204 | 1.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $270 | $300 | 1.3× |
| Cpt initial (94667) | $87.30 | $97 | 0.7× |
| Critical care first hour (99291) | $572.85 | $636.50 | 0.7× |
| Debridement Open Wound 20 Sq Cm< (97597) | $68.85 | $76.50 | 0.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $392.85 | $436.50 | 3.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $440.55 | $489.50 | 1.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $391.95 | $435.50 | 3.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $590.40 | $656 | 2.6× |
| Dup-scan xtr veins unilateral/limited study (93971) | $495.90 | $551 | 4.9× |
| Duplex up extrem art unilat/ltd (93931) | $378 | $420 | 3.8× |
| Echo Heart Xthoracic,Limited (93308) | $247.50 | $275 | 1.1× |
| Eeg 41-60 Minutes (95812) | $725.40 | $806 | 3.5× |
| EEG awake drowsy (95816) | $793.80 | $882 | 3.8× |
| EEG cont rec w/video by tech min 8 channels (95700) | $607.50 | $675 | 2.9× |
| EEG extended monitoring 61-119 minutes (95813) | $894.60 | $994 | 4.3× |
| Electrical Stimulation Ea 15 Min (97032) | $42.30 | $47 | 2.9× |
| Electrocardiogram Tracing (93005) | $165.15 | $183.50 | 2.9× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$18–$175.50 | $20–$195 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$18–$297 | $20–$330 | varies |
| Emergency Dept Visit Level 4 (99284) | $490.50 | $545 | 1.2× |
| Er level 1 (99281) range across 2 matching MRF lines |
$18–$99 | $20–$110 | varies |
| Er level v (99285) | $747 | $830 | 1.3× |
| Evaluate pt use of inhaler (94664) | $96.30 | $107 | 0.5× |
| Evaluate Speech Production (92522) | $202.50 | $225 | 1.8× |
| Evaluate Swallowing Function (92610) | $179.10 | $199 | 2.1× |
| Evaluation of speech fluency (92521) | $202.50 | $225 | 1.5× |
| External ECG rec>48hr<7d recording (93242) | $183.60 | $204 | 5.1× |
| External ECG rec>7d<15d recording (93246) | $367.20 | $408 | 10.2× |
| Extracranial Bilat Study (93880) | $717.75 | $797.50 | 3.1× |
| Flexible endoscopic eval swallow c/v rec (92612) | $208.35 | $231.50 | 1.0× |
| Group Therapeutic Procedures (97150) | $50.40 | $56 | 2.8× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$183.60–$367.20 | $204–$408 | varies |
| Immunization administration (90471) range across 5 matching MRF lines |
$13.50–$15.50 | $15–$15.50 | varies |
| Iontophoresis 15 min (97033) | $68.85 | $76.50 | 3.6× |
| Irrig Drug Delivery Device (96523) | $69.75 | $77.50 | 1.2× |
| IV infusion hydration each additional hour (96361) | $27.90 | $31 | 0.6× |
| IV infusion hydration initial 31 min-1 hour (96360) | $92.70 | $103 | 0.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $129.60 | $144 | 1.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $36.90 | $41 | 0.8× |
| IV push initial (96374) | $55.80 | $62 | 0.3× |
| Mechanical chest wall oscillation per session (94669) | $396 | $440 | 1.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $22.50 | $25 | 0.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $31.50 | $35 | 0.9× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $31.50 | $35 | 1.8× |
| Motion Fluoroscopy/Swallow (92611) | $225 | $250 | 2.5× |
| Multiple Sleep Latency Test (95805) | $1,312.65 | $1,458.50 | 1.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $414.72 | $460.80 | 1.1× |
| Neurobehavioral Status Exam (96116) | $229.50 | $255 | 1.1× |
| Neuromuscular Reeducation (97112) | $54.90 | $61 | 1.7× |
| Oral Function Therapy (92526) | $151.65 | $168.50 | 1.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $59.85 | $66.50 | 1.3× |
| Ot Contrast Bath Ea 15 Min (97034) | $41.40 | $46 | 3.0× |
| Ot eval high complexity (97167) | $110.25 | $122.50 | 1.1× |
| Ot Eval Low Complex (97165) | $110.25 | $122.50 | 1.1× |
| Ot Eval Moderate Complexity (97166) | $110.25 | $122.50 | 1.1× |
| Ot manual therapy 15 min (97140) | $59.85 | $66.50 | 2.2× |
| Ot paraffin bath (97018) | $36.90 | $41 | 6.1× |
| Ot Prosthetic Training, Each 15 Min (97761) | $59.85 | $66.50 | 1.5× |
| Ot Re-Eval Est Plan Care (97168) | $69.75 | $77.50 | 1.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $183.60 | $204 | 1.5× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $183.60 | $204 | 1.5× |
| Phlebotomy therapeutic (99195) | $48.15 | $53.50 | 0.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $183.60 | $204 | 3.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $183.60 | $204 | 3.2× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$67.50–$68.85 | $75–$76.50 | varies |
| Plethysmography (94726) | $367.20 | $408 | 1.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,019.60 | $2,244 | 2.4× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $23.40 | $26 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $45 | $50 | 1.0× |
| Pt Eval High Complex (97163) | $110.25 | $122.50 | 1.1× |
| Pt eval low complex 20 min (97161) | $110.25 | $122.50 | 1.1× |
| Pt Eval Mod Complex (97162) | $110.25 | $122.50 | 1.1× |
| Pt gait training 15 min (97116) | $50.40 | $56 | 1.7× |
| Pt mechanical traction (97012) | $38.70 | $43 | 2.7× |
| Pt Re-Eval Est Plan Care (97164) | $59.85 | $66.50 | 0.9× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$27–$64.35 | $30–$71.50 | varies |
| Pulmonary Stress Testing (94618) | $121.05 | $134.50 | 0.9× |
| Remote 30 Day Ecg Rev/Report (93270) | $182.25 | $202.50 | 5.1× |
| Respiratory flow volume loop (94375) | $110.25 | $122.50 | 0.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $54.90 | $61 | 1.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $68.85 | $76.50 | 0.4× |
| Self Care Mngment Training (97535) | $59.85 | $66.50 | 1.8× |
| Sensory Integration Ea 15 Min (97533) | $88.20 | $98 | 1.5× |
| Sleep study unattended (95806) | $540 | $600 | 2.6× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $320.40 | $356 | 1.5× |
| Speech sound lang comprehen (92523) | $202.50 | $225 | 0.9× |
| Spirometry (94010) range across 2 matching MRF lines |
$27–$229.50 | $30–$255 | varies |
| Standardized Cognitive Performance Testing (96125) | $191.63 | $212.93 | 1.9× |
| Stress Tte Only (93350) | $459 | $510 | 0.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $54.90 | $61 | 1.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $189 | $210 | 1.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $46.35 | $51.50 | 0.7× |
| Ther/Proph/Diag Iv Inf Init (96365) | $129.60 | $144 | 0.6× |
| Therapeutic Activities (97530) | $59.85 | $66.50 | 1.7× |
| Tte w/doppler, complete (93306) | $734.40 | $816 | 1.4× |
| Tte W/O Doppler Complete (93307) | $614.25 | $682.50 | 2.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $151.65 | $168.50 | 2.0× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $36.90 | $41 | 1.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $55.80 | $62 | 1.2× |
| Upr/L Xtremity Art 2 Levels (93922) | $302.85 | $336.50 | 2.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $404.10 | $449 | 1.9× |
| Vasopneumatic device (97016) | $49.50 | $55 | 4.1× |
| Wheelchair Mgmt Ea 15 Min (97542) | $50.40 | $56 | 1.6× |
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.