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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$132.37–$134.40 | $165.46–$168 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$55.20–$68.80 | $69–$86 | varies |
| Application on-body injector (96377) | $25.60 | $32 | 0.5× |
| Behavral qualit analys voice (92524) | $204.80 | $256 | 1.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $466.65 | $583.31 | 1.2× |
| Canalith repositioning proc (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) range across 3 matching MRF lines |
$466.16–$676.30 | $582.71–$845.38 | varies |
| Cardioversion (92960) | $1,165.60 | $1,457 | 1.7× |
| Chemo Anti-Neopl Sq/Im (96401) | $223.20 | $279 | 3.0× |
| Chemo Hormon Antineopl Sq/Im (96402) | $164 | $205 | 2.2× |
| Chemo IV infusion addl hr (96415) | $78.17 | $97.71 | 1.0× |
| Chemother Prolong Infuse W/Pump (96416) | $400 | $500 | 1.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $284.77 | $355.96 | 3.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $424 | $530 | 1.2× |
| Chest Wall Manipulation (94668) | $95.20 | $119 | 0.7× |
| Color/duplex Doppler, complete (93975) | $749.67 | $937.09 | 3.0× |
| Color/duplex Doppler, limited (93976) | $573.16 | $716.44 | 5.3× |
| Continuous Pulse Ox (94762) | $352.80 | $441 | 2.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $115.72 | $144.65 | 0.5× |
| Cpt initial (94667) | $164.80 | $206 | 1.2× |
| Critical care first hour (99291) | $471.20 | $589 | 0.5× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$116–$153.65 | $145–$192.07 | varies |
| 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 Complete Bilateral Study (93970) | $976.89 | $1,221.11 | 3.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $755.90 | $944.87 | 7.0× |
| Echo Heart Xthoracic,Limited (93308) | $784.07 | $980.09 | 3.2× |
| Echo transesophageal (93312) | $2,234.40 | $2,793 | 3.9× |
| Electrical Stimulation Ea 15 Min (97032) | $57.60 | $72 | 3.9× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$228.50–$237.05 | $285.63–$296.31 | varies |
| Emergency Dept Visit Level 2 (99282) | $88.98 | $111.23 | 0.6× |
| Emergency Dept Visit Level 3 (99283) | $136.58 | $170.73 | 0.5× |
| Emergency Dept Visit Level 4 (99284) | $254.12 | $317.65 | 0.6× |
| Er level 1 (99281) | $168.25 | $210.31 | 1.9× |
| Er level v (99285) | $378.48 | $473.09 | 0.6× |
| Evaluate pt use of inhaler (94664) | $167.20 | $209 | 0.7× |
| Evaluate Speech Production (92522) | $204.80 | $256 | 1.8× |
| Evaluate Swallowing Function (92610) | $267.27 | $334.09 | 3.2× |
| Evoked Auditory Test,Limited (92587) | $108 | $135 | 0.5× |
| 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× |
| Extracranial Bilat Study (93880) | $1,018.01 | $1,272.51 | 4.1× |
| Holter monitor recording (93225) | $456.60 | $570.75 | 3.3× |
| Immunization administration (90471) | $92.80 | $116 | 1.2× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$90.44–$109.88 | $113.05–$137.36 | varies |
| Irrig Drug Delivery Device (96523) | $214.40 | $268 | 3.5× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$72–$73.60 | $90–$92 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$254.96–$260 | $318.70–$325 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$127.16–$130.24 | $158.95–$162.80 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $90.40 | $113 | 1.9× |
| IV push initial (96374) | $160 | $200 | 0.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$47.20–$48.80 | $59–$61 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$33.60–$48.80 | $42–$61 | varies |
| Motion Fluoroscopy/Swallow (92611) | $344.50 | $430.62 | 3.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $204.80 | $256 | 1.0× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$76.46–$77.33 | $95.58–$96.67 | varies |
| Newborn resuscitation (99465) | $200 | $250 | 0.3× |
| Oral Function Therapy (92526) | $202.40 | $253 | 2.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $101.60 | $127 | 2.2× |
| Ot eval high complexity (97167) | $154.40 | $193 | 1.5× |
| Ot Eval Low Complex (97165) | $148.37 | $185.47 | 1.5× |
| Ot Eval Moderate Complexity (97166) | $152.23 | $190.29 | 1.5× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$80–$80.18 | $100–$100.22 | varies |
| Ot paraffin bath (97018) | $52.11 | $65.14 | 8.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $141.09 | $176.36 | 1.1× |
| Oxygen Uptake Rest Indirect (94690) | $199 | $248.75 | 3.2× |
| Patient-initiated spirometric phys/qhp r&i only (94016) | $54.40 | $68 | 2.2× |
| Phlebotomy therapeutic (99195) | $134.40 | $168 | 1.0× |
| Phys/qhp svcs op pulm rehab w/cont oximtry 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 Eval High Complex (97163) | $141.60 | $177 | 1.4× |
| Pt eval low complex 20 min (97161) | $140.35 | $175.44 | 1.4× |
| Pt Eval Mod Complex (97162) | $145.91 | $182.39 | 1.5× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$77.85–$80.43 | $97.32–$100.54 | varies |
| Pt mechanical traction (97012) | $76 | $95 | 5.3× |
| Pulmonary service/procedure (94799) | $86.40 | $108 | 0.6× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$266.40–$288 | $333–$360 | varies |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$76–$76.20 | $95–$95.25 | varies |
| 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 Tte Only (93350) | $1,230.34 | $1,537.92 | 2.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $50.55 | $63.19 | 1.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$88–$88.53 | $110–$110.66 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $248 | $310 | 1.1× |
| Therapeutic Activities (97530) range across 5 matching MRF lines |
$73.80–$76.39 | $92.25–$95.48 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $33.60 | $42 | 0.9× |
| Tte w/doppler, complete (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/Pro/Dx Inj New Drug Addon (96375) | $120 | $150 | 2.5× |
| Tympanometry (92567) | $43.20 | $54 | 1.1× |
| Upr/L Xtremity Art 2 Levels (93922) | $370.57 | $463.21 | 2.7× |
| Vent Mgmt Inpat Init Day (94002) | $1,002.40 | $1,253 | 1.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $353.87 | $442.33 | 0.6× |
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.