Visits & medical services prices at Memorial Community Hospital & Health System

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $132.41 $165.52 0.6×
Appl on-body injector for timed subq injection (96377) $25.60 $32 0.5×
Behavioral and qualitative analysis of voice and resonance (92524) $204.80 $256 1.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $466.65 $583.31 1.2×
Canalith Repositioning (95992) $86.40 $108 2.1×
Car seat/bed test 60 min (94780) $74.40 $93 1.9×
Cardiac Stress Tst,Tracing Only (93017) $858.60 $1,073.25 3.8×
Cardiopulmonary resuscitation (92950) $674.03 $842.54 3.0×
Cardioversion (92960) $1,165.60 $1,457 1.7×
Chemo Hormon Antineopl Sq/Im (96402) $164 $205 2.2×
Chemo prolong 8+ hrs infuse w/pump (96416) $400 $500 1.2×
Chemother, IV infusion, 1 hr (96413) $424 $530 1.2×
Chemother, IV infusion, ea add hr (96415) $78.17 $97.71 1.0×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $223.20 $279 3.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $284.77 $355.96 3.8×
Color/duplex Doppler, complete (93975) $749.67 $937.09 3.0×
Color/duplex Doppler, limited (93976) $573.16 $716.44 5.3×
Cpap initiation and management (94660) $115.72 $144.65 0.5×
Cpt initial (94667) $164.80 $206 1.2×
Critical care (99291) $471.20 $589 0.5×
Debridement Open Wound 20 Sq Cm< (97597) $134.82 $168.54 0.6×
Demo &/or eval,pt use,aerosol device (94664) $167.20 $209 0.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $735.57 $919.46 3.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $793.08 $991.35 3.2×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $605.60 $757 5.6×
Dup-scan xtr veins unilateral/limited study (93971) $755.90 $944.87 7.0×
Duplex scan extracranial art compl bi study (93880) $1,018.01 $1,272.51 4.1×
Echo Heart Xthoracic,Limited (93308) $784.07 $980.09 3.2×
Echo transesophageal (93312) $2,234.40 $2,793 3.9×
EKG (93005) $236.71 $295.88 3.9×
Er level 1 (99281) $168.25 $210.31 1.9×
Er level ii (99282) $88.98 $111.23 0.6×
Er level iii (99283) $136.58 $170.73 0.5×
Er level IV (99284) $254.12 $317.65 0.6×
Er level v (99285) $378.48 $473.09 0.6×
Evaluation of speech sound production (92522) $204.80 $256 1.8×
Evaluation of swallowing function (92610) $267.27 $334.09 3.2×
Evoked auditory test,limited (92587) $108 $135 0.5×
Exhaled Air Analysis (94690) $199 $248.75 3.2×
Exhaled air analysis o2 (94680) $140.64 $175.80 1.1×
External ECG rec>48hr<7d recording (93242) $387.88 $484.85 10.0×
External ECG rec>7d<15d recording (93246) $149.60 $187 3.9×
External Ecg Scanning Analysis Report (93226) $578.88 $723.60 9.4×
Holter Monitor Recording (93225) $456.60 $570.75 3.3×
Immunization Admin (90471) $92.80 $116 1.2×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $214.40 $268 3.5×
IV infusion hydration each additional hour (96361) $72.80 $91 1.5×
IV infusion hydration initial 31 min-1 hour (96360) $255.31 $319.13 1.2×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $128.70 $160.88 1.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $248 $310 1.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $90.40 $113 1.9×
IV push initial (96374) $160 $200 0.7×
Manual therapy 15 min (97140) $80.09 $100.11 2.9×
Massage 15 min (97124) $50.55 $63.19 1.7×
Mechanical traction (97012) $76 $95 5.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $48 $60 1.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $41.20 $51.50 1.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $344.50 $430.62 3.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $204.80 $256 1.0×
Newborn resuscitation (99465) $200 $250 0.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $370.57 $463.21 2.7×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $352.80 $441 2.6×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $101.60 $127 2.2×
Ot eval high complex 60 min (97167) $154.40 $193 1.5×
Ot eval low complex 30 min (97165) $148.37 $185.47 1.5×
Ot eval mod complex 45 min (97166) $152.23 $190.29 1.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $141.09 $176.36 1.1×
Paraffin bath (97018) $52.11 $65.14 8.7×
Patient-initiated spirometric phys/qhp r&i only (94016) $54.40 $68 2.2×
Phy/qhp op pulm rhb w/mntr (94626) $359.20 $449 5.9×
Plethysmography (94726) $421.77 $527.21 1.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,328.21 $4,160.26 3.7×
Pt Electric Current Therapy (97033) $100.16 $125.20 5.3×
Pt Electrical Stimulation (97032) $57.60 $72 3.9×
Pt eval high complex 45 min (97163) $141.60 $177 1.4×
Pt eval low complex 20 min (97161) $140.35 $175.44 1.4×
Pt Gait Training Therapy (97116) $79.14 $98.93 2.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $76.90 $96.12 2.3×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $145.91 $182.39 1.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $76.09 $95.11 2.3×
Pt Ultrasound Therapy (97035) $57.77 $72.22 4.0×
Pulmonary stress testing (94618) $277.20 $346.50 2.0×
Rt Chest Wall Manipulation,Subsequent (94668) $95.20 $119 0.7×
Sleep study unattended (95806) $254.87 $318.59 1.1×
Speech sound lang comprehen (92523) $204.80 $256 0.9×
Spirometry (94010) $216.80 $271 1.0×
Stress echo (93350) $1,230.34 $1,537.92 2.2×
Ther/Proph/Diag Inj Sc/Im (96372) $88.26 $110.33 1.2×
Therapeutic Activities (97530) $76 $95 2.2×
Therapeutic phlebotomy (99195) $134.40 $168 1.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $33.60 $42 0.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,625.42 $2,031.77 2.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $210.78 $263.47 2.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $202.40 $253 2.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $120 $150 2.5×
Tympanometry (92567) $43.20 $54 1.1×
Unlisted pulmonary service/procedure (94799) $86.40 $108 0.6×
Vasc Duplex Extrem Venous,Bilat (93970) $976.89 $1,221.11 3.9×
Ventilation assist & mgmt inpatient 1st day (94002) $1,002.40 $1,253 1.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $353.87 $442.33 0.6×