Visits & medical services prices at Johnson County Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $52 $52 1.7×
Acupuncture 1/> ndls w/elec stimj 1st 15 min (97813) $56 $56 1.9×
Airway inhalation treatment (94640) $324 $324 1.4×
Assmt & care planning pt w/cognitive impairment (99483) $310 $310 2.9×
Behavioral and qualitative analysis of voice and resonance (92524) $541 $541 4.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $694 $694 1.8×
Canalith Repositioning (95992) $135 $135 3.3×
Cardiac Stress Tst,Tracing Only (93017) $1,634 $1,634 7.3×
Cardiopulmonary resuscitation (92950) $912 $912 4.1×
Cardioversion (92960) $1,512 $1,512 2.2×
Chemo Hormon Antineopl Sq/Im (96402) $271 $271 3.6×
Chemo IV push addl drug (96411) $292 $292 3.9×
Chemo Iv Push Sngl Drug (96409) $381 $381 1.1×
Chemo prolong 8+ hrs infuse w/pump (96416) $613 $613 1.8×
Chemother, IV infusion, 1 hr (96413) $605 $605 1.8×
Chemother, IV infusion, ea add hr (96415) $224 $224 3.0×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $293 $293 3.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $287 $287 3.8×
Color/duplex Doppler, complete (93975) $1,092 $1,092 4.4×
Color/duplex Doppler, limited (93976) $833 $833 7.7×
Comprehensive Hearing Test (92557) $132 $132 1.0×
Cont Gluc Monitoring Patient Provided Equipment (95249) $67 $67 1.1×
Continuous Glucose Monitoring (95250) $167 $167 1.2×
Cpap initiation and management (94660) $910 $910 4.0×
Cpt initial (94667) $194 $194 1.4×
Critical care (99291) $2,203 $2,203 2.6×
Debridement Open Wound 20 Sq Cm< (97597) $513 $513 2.5×
Demo &/or eval,pt use,aerosol device (94664) $224 $224 1.0×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,139 $1,139 4.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $818 $818 7.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,228 $1,228 5.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,011 $1,011 9.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,145 $1,145 4.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $947 $947 8.7×
Dup-scan xtr veins unilateral/limited study (93971) $1,134 $1,134 10.4×
Duplex hemodialysis access (93990) $811 $811 7.5×
Duplex scan extracranial art compl bi study (93880) $1,383 $1,383 5.6×
Echo Heart Xthoracic,Limited (93308) $869 $869 3.5×
EKG (93005) $340 $340 5.6×
EKG rhythm strip (93041) $1,150 $1,150 18.8×
Er level 1 (99281) $230 $230 2.6×
Er level ii (99282) $410 $410 2.6×
Er level iii (99283) $780 $780 2.8×
Er level IV (99284) $1,131 $1,131 2.6×
Er level v (99285) $1,731 $1,731 2.8×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $274 $274 2.1×
Evaluation of speech fluency (92521) $307 $307 2.3×
Evaluation of speech sound production (92522) $303 $303 2.7×
Evaluation of swallowing function (92610) $348 $348 4.1×
External ECG rec>48hr<7d recording (93242) $520 $520 13.4×
External ECG rec>48hr<7d scanning alys w/report (93243) $269 $269 1.9×
External ECG rec>7d<15d recording (93246) $789 $789 20.3×
External ECG rec>7d<15d scanning alys w/report (93247) $283 $283 2.0×
External Ecg Scanning Analysis Report (93226) $735 $735 12.0×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $506 $506 2.5×
Flow volume loop (94375) $188 $188 0.8×
Holter Monitor Recording (93225) $563 $563 4.1×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $33 $33 0.4×
Immunization Admin (90471) $107 $107 1.4×
Immunotherapy, 2+ Injections (95117) $41 $41 0.8×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $106 $106 1.7×
IV infusion hydration each additional hour (96361) $151 $151 3.1×
IV infusion hydration initial 31 min-1 hour (96360) $394 $394 1.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $187.50 $187.50 2.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $425 $425 1.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $159 $159 3.3×
IV push initial (96374) $341 $341 1.5×
Manual therapy 15 min (97140) $112 $112 4.0×
Massage 15 min (97124) $72 $72 2.4×
Maximum voluntary ventilation (94200) $204 $204 3.3×
Mechanical traction (97012) $80 $80 5.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $53 $53 1.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $76 $76 2.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $472 $472 5.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $386 $386 1.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $542 $542 3.9×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $740 $740 3.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $459 $459 3.4×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $105 $105 2.3×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $114 $114 3.6×
Ot eval high complex 60 min (97167) $220 $220 2.2×
Ot eval low complex 30 min (97165) $187 $187 1.9×
Ot eval mod complex 45 min (97166) $254 $254 2.5×
Ot re-eval est plan care (97168) $107 $107 1.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $276 $276 2.1×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $150 $150 1.1×
Paraffin bath (97018) $71 $71 11.8×
Phy/qhp op pulm rhb w/mntr (94626) $304 $304 5.0×
Phy/qhp op pulm rhb w/o mntr (94625) $248 $248 4.0×
Plethysmography (94726) $598 $598 1.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,547 $4,547 5.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $31 $31 0.6×
Psych diag eval w/med srvcs (90792) $330 $330 1.8×
Psychiatric diagnostic evaluation (90791) $290 $290 1.6×
Pt Electric Current Therapy (97033) $114 $114 6.0×
Pt Electrical Stimulation (97032) $78 $78 5.3×
Pt eval high complex 45 min (97163) $300 $300 3.1×
Pt eval low complex 20 min (97161) $230 $230 2.4×
Pt Gait Training Therapy (97116) $100 $100 3.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $110 $110 3.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $270 $270 2.8×
Pt re-evaluation (97164) $118 $118 1.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $103 $103 3.2×
Pt Ultrasound Therapy (97035) $78 $78 5.4×
Pulmonary stress testing (94618) $427 $427 3.1×
Pure Tone Audiometry, Air (92552) $78 $78 0.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $180 $180 0.9×
Rt Chest Wall Manipulation,Subsequent (94668) $134.50 $134.50 1.0×
Sensory Integration Ea 15 Min (97533) $175 $175 2.9×
Sleep study unattended (95806) $586 $586 2.6×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $586 $586 2.6×
Smoking cessation > 10 min (99407) $104 $104 2.7×
Speech Audiometry, Complete (92556) $88 $88 1.4×
Speech sound lang comprehen (92523) $524 $524 2.3×
Spirometry (94010) $471 $471 2.1×
Standardized Cognitive Performance Testing (96125) $591 $591 5.7×
Stress echo (93350) $1,638 $1,638 2.9×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $112 $112 5.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $62 $62 2.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $130 $130 1.3×
Ther/Proph/Diag Inj Sc/Im (96372) $230 $230 3.1×
Therapeutic Activities (97530) $102 $102 2.9×
Therapeutic phlebotomy (99195) $267 $267 1.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $62.50 $62.50 1.6×
Trans Care Mgmt 14 Day Disch (99495) $284 $284 2.1×
Trans Care Mgmt 7 Day Disch (99496) $323 $323 2.3×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $625 $625 2.5×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,401 $2,401 4.2×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $2,355 $2,355 9.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $305 $305 4.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $286 $286 3.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $199 $199 4.1×
Tympanometry (92567) $66 $66 1.7×
Unlisted pulmonary service/procedure (94799) $196 $196 1.5×
Vasc Duplex Extrem Venous,Bilat (93970) $1,423 $1,423 5.7×
Vasc Duplex Scan Extracranial,Limited (93882) $882 $882 8.1×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $993 $993 4.4×
Vasopneumatic device (97016) $96 $96 8.0×
Ventilation assist & mgmt inpatient 1st day (94002) $1,299 $1,299 2.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $222 $222 0.3×
Vital capacity total (94150) $110 $110 0.8×
Wheelchair Mgmt Ea 15 Min (97542) $103 $103 3.3×
Xtrnl mobile cv telemetry w/technical support (93229) $1,787 $1,787 4.6×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $809 $809 8.2×