Visits & medical services prices at Lexington Regional Health Center

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

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $108 $112.50 1.0×
Airway inhalation treatment (94640) $130.56 $136 0.6×
Behav assmt w/score & docd/stand instrument (96127) $48.96 $51 1.3×
Behavioral and qualitative analysis of voice and resonance (92524) $185.28 $193 1.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $648.96 $676 1.7×
C motor evoked upr&lwr limbs (95939) $1,039.68 $1,083 1.2×
Canalith Repositioning (95992) $86.40 $90 2.1×
Cardiac Stress Tst,Tracing Only (93017) $1,241.76 $1,293.50 5.5×
Cardiopulmonary resuscitation (92950) $47.04 $49 0.2×
Cardioversion (92960) $1,570.56 $1,636 2.3×
Chemo Iv Push Sngl Drug (96409) $297.60 $310 0.9×
Chemo prolong 8+ hrs infuse w/pump (96416) $930.72 $969.50 2.7×
Chemother, IV infusion, 1 hr (96413) $640.70 $667.40 1.9×
Chemother, IV infusion, ea add hr (96415) $151.49 $157.80 2.0×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $184.32 $192 2.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $262.08 $273 3.5×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $91.20 $95 0.9×
Color/duplex Doppler, complete (93975) $1,296 $1,350 5.2×
Color/duplex Doppler, limited (93976) $167.04 $174 1.5×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $119.04 $124 0.6×
Cont Gluc Monitoring Patient Provided Equipment (95249) $44.16 $46 0.7×
Continuous Glucose Monitoring (95250) $87.84 $91.50 0.6×
Cpt initial (94667) $298.56 $311 2.2×
Critical care (99291) $1,356 $1,412.50 1.6×
Debridement Open Wound 20 Sq Cm< (97597) $57.60 $60 0.3×
Demo &/or eval,pt use,aerosol device (94664) $168 $175 0.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $912 $950 3.7×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,188.96 $1,238.50 4.8×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $813.12 $847 7.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,008.96 $1,051 4.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $932.16 $971 8.6×
Dup-scan xtr veins unilateral/limited study (93971) $1,027.20 $1,070 9.5×
Duplex scan extracranial art compl bi study (93880) $1,583.04 $1,649 6.4×
Echo Heart Xthoracic,Limited (93308) $633.60 $660 2.6×
EEG awake asleep (95819) $751.68 $783 3.4×
EKG (93005) $136.32 $142 2.2×
EMG four extremities (95864) $504 $525 3.8×
EMG two extremities (95861) $361.92 $377 2.6×
Er level 1 (99281) $209.28 $218 2.4×
Er level ii (99282) $346.56 $361 2.2×
Er level iii (99283) $435.84 $454 1.5×
Er level IV (99284) $948.48 $988 2.2×
Er level v (99285) $1,092.48 $1,138 1.8×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $198.72 $207 2.8×
Evaluation of speech fluency (92521) $189.12 $197 1.4×
Evaluation of speech sound production (92522) $189.12 $197 1.7×
Evaluation of swallowing function (92610) $189.12 $197 2.2×
Evaluation with prescription of speech-generating alternative (92607) $304.32 $317 2.5×
Evoked auditory test,limited (92587) $192.96 $201 0.9×
External ECG rec>48hr<7d recording (93242) $254.40 $265 6.6×
External ECG rec>7d<15d recording (93246) $254.40 $265 6.6×
External Ecg Scanning Analysis Report (93226) $734.40 $765 12.0×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $580.80 $605 2.9×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $591.36 $616 2.6×
Flow volume loop (94375) $173.76 $181 0.8×
Holter Monitor Recording (93225) $552 $575 4.0×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $28.80 $30 0.4×
Immunization Admin (90471) $67.20 $70 0.9×
Immunotherapy, 2+ Injections (95117) $29.28 $30.50 0.6×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $29.76 $31 0.5×
IV infusion hydration each additional hour (96361) $128.35 $133.70 2.6×
IV infusion hydration initial 31 min-1 hour (96360) $554.88 $578 2.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $299.66 $312.15 4.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $554.88 $578 2.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $128.35 $133.70 2.6×
IV push initial (96374) $241.15 $251.20 1.1×
Laryngoscopic Sensory Test (92614) $404.16 $421 2.7×
Low frequency non-thermal us (97610) $24 $25 0.1×
Manual therapy 15 min (97140) $93.60 $97.50 3.4×
Massage 15 min (97124) $55.68 $58 1.9×
Mechanical traction (97012) $84 $87.50 5.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $29.76 $31 0.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $42.24 $44 1.1×
Mnt Group Ea 30 Min (97804) $40.32 $42 2.4×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $514.56 $536 5.6×
Needle electromyography larynx (95865) $303.36 $316 2.2×
Neg press wnd tx </=50 sq cm (97607) $125.28 $130.50 0.3×
Neg press wound tx >50 cm (97608) $24 $25 0.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $115.20 $120 0.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $197.76 $206 0.5×
Nerve Conduction Studies 3-4 Studies (95908) $251.52 $262 1.1×
Nerve Conduction Studies 9-10 Studies (95911) $586.56 $611 1.5×
Nerve conduction studies; 1-2 studies (95907) $202.56 $211 0.9×
Nerve conduction studies; 5-6 studies (95909) $304.32 $317 1.4×
Nerve conduction studies; 7-8 studies (95910) $487.68 $508 1.3×
Neuromuscular junction test (95937) $171.84 $179 1.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $608.64 $634 4.4×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $766.08 $798 3.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $461.76 $481 3.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $101.76 $106 2.2×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $54.72 $57 1.7×
Ot eval high complex 60 min (97167) $182.40 $190 1.8×
Ot eval low complex 30 min (97165) $182.40 $190 1.8×
Ot eval mod complex 45 min (97166) $182.40 $190 1.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $62.88 $65.50 1.3×
Ot Prosthetic Training, Each 15 Min (97761) $103.68 $108 2.6×
Ot re-eval est plan care (97168) $70.08 $73 1.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $260.16 $271 1.9×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $260.16 $271 1.9×
Paraffin bath (97018) $42.72 $44.50 7.1×
Peripheral arterial disease rehab per session (93668) $260.16 $271 4.2×
Plethysmography (94726) $702.72 $732 1.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,779.84 $4,979 5.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $66.72 $69.50 1.4×
Psychiatric diagnostic evaluation (90791) $311.04 $324 1.7×
Pt Aquatic Therapy/Exercises (97113) $93.12 $97 2.5×
Pt Electric Current Therapy (97033) $107.52 $112 5.6×
Pt Electrical Stimulation (97032) $62.40 $65 4.2×
Pt eval high complex 45 min (97163) $226.08 $235.50 2.3×
Pt eval low complex 20 min (97161) $224.64 $234 2.3×
Pt Gait Training Therapy (97116) $76.80 $80 2.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $78.72 $82 2.4×
Pt Physical Performance Test (97750) $77.76 $81 2.3×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $226.08 $235.50 2.3×
Pt re-evaluation (97164) $108.48 $113 1.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $79.20 $82.50 2.4×
Pt Ultrasound Therapy (97035) $61.92 $64.50 4.3×
Pt Whirlpool Therapy (97022) $77.76 $81 5.0×
Pulmonary stress testing (94618) $426.24 $444 3.1×
Refill/maint, portable pump (96521) $373.44 $389 1.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $560.64 $584 14.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $137.28 $143 0.7×
Rt Chest Wall Manipulation,Subsequent (94668) $145.92 $152 1.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $149.76 $156 3.1×
Sensory Integration Ea 15 Min (97533) $83.04 $86.50 1.4×
Sleep study unattended (95806) $372.48 $388 1.7×
Smoking cessation > 10 min (99407) $55.68 $58 1.4×
Somatosensory testing (95938) $706.56 $736 0.8×
Speech sound lang comprehen (92523) $189.12 $197 0.8×
Spirometry (94010) $284.16 $296 1.3×
Standardized Cognitive Performance Testing (96125) $407.52 $424.50 4.0×
Stress echo (93350) $823.68 $858 1.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $93.12 $97 4.2×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $93.12 $97 4.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $303.36 $316 3.0×
Ther/Proph/Diag Inj Sc/Im (96372) $109.63 $114.20 1.5×
Therapeutic Activities (97530) $88.80 $92.50 2.5×
Therapeutic phlebotomy (99195) $110.06 $114.65 0.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $33.60 $35 0.9×
Trans Care Mgmt 14 Day Disch (99495) $174.72 $182 1.3×
Trans Care Mgmt 7 Day Disch (99496) $246.72 $257 1.8×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,160.96 $2,251 3.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $269.76 $281 3.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $153.60 $160 1.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $266.98 $278.10 5.5×
Unlisted pulmonary service/procedure (94799) $135.36 $141 1.0×
Vasc Duplex Extrem Venous,Bilat (93970) $1,407.36 $1,466 5.7×
Vasc Duplex Scan Extracranial,Limited (93882) $1,143.36 $1,191 10.5×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $891.84 $929 4.0×
Vasopneumatic device (97016) $70.08 $73 5.8×
Ventilation assist & mgmt inpatient 1st day (94002) $1,531.20 $1,595 2.4×
Wheelchair Mgmt Ea 15 Min (97542) $64.80 $67.50 2.1×