Visits & medical services prices at Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $312 $325 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $391.20 $407.50 1.0×
Canalith Repositioning (95992) $114.24 $119 2.8×
Cardiac Stress Tst,Tracing Only (93017) $1,296 $1,350 5.8×
Cardiopulmonary resuscitation (92950) $912 $950 4.1×
Caregiver training 1st 30 min (97550) $159.36 $166 3.0×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $79.68 $83 3.1×
Cbt 1st hour (94644) $427.20 $445 3.1×
Chemo Hormon Antineopl Sq/Im (96402) $307.20 $320 4.1×
Chemo IV push addl drug (96411) $316.80 $330 4.2×
Chemo Iv Push Sngl Drug (96409) $422.40 $440 1.2×
Chemother, IV infusion, 1 hr (96413) $700.80 $730 2.0×
Chemother, IV infusion, ea add hr (96415) $369.60 $385 4.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $355.20 $370 4.8×
Color/duplex Doppler, complete (93975) $1,228.80 $1,280 5.0×
Color/duplex Doppler, limited (93976) $665.28 $693 6.1×
Cont Gluc Monitoring Patient Provided Equipment (95249) $168 $175 2.7×
Continuous Glucose Monitoring (95250) $456 $475 3.3×
Cpap initiation and management (94660) $984 $1,025 4.3×
Cpt initial (94667) $225.60 $235 1.6×
Critical care (99291) $1,728 $1,800 2.0×
Debridement Open Wound 20 Sq Cm< (97597) $122.88 $128 0.6×
Demo &/or eval,pt use,aerosol device (94664) $256.80 $267.50 1.1×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,070.40 $1,115 4.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $878.40 $915 8.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,281.60 $1,335 5.2×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,046.40 $1,090 9.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,200 $1,250 4.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $984 $1,025 9.1×
Dup-scan xtr veins unilateral/limited study (93971) $1,137.60 $1,185 10.5×
Duplex hemodialysis access (93990) $859.20 $895 7.9×
Duplex scan extracranial art compl bi study (93880) $1,545.60 $1,610 6.2×
Echo Heart Xthoracic,Limited (93308) $984 $1,025 4.0×
Echo transesophageal (93312) $2,976 $3,100 5.2×
Echo Transthoracic - Congenital Tte Complete (93303) $1,728 $1,800 3.0×
Echo Transthoracic - Congenital Tte Limited (93304) $1,392 $1,450 2.5×
EKG (93005) $336 $350 5.5×
Er level 1 (99281) $206.40 $215 2.4×
Er level ii (99282) $355.20 $370 2.2×
Er level iii (99283) $532.80 $555 1.9×
Er level IV (99284) $787.20 $820 1.8×
Er level v (99285) $1,305.60 $1,360 2.1×
Evaluation of speech sound production (92522) $312 $325 2.8×
Evaluation of swallowing function (92610) $364.80 $380 4.3×
External ECG rec>48hr<7d recording (93242) $396 $412.50 10.2×
External ECG rec>7d<15d recording (93246) $168 $175 4.3×
External Ecg Scanning Analysis Report (93226) $732 $762.50 11.9×
Holter Monitor Recording (93225) $542.40 $565 3.9×
Icd Device Interrogate (93289) $240 $250 6.2×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $86.40 $90 2.0×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $33.60 $35 0.4×
Immunization Admin (90471) $72 $75 1.0×
Immunotherapy, 2+ Injections (95117) $30.72 $32 0.6×
Ingestion challenge test initial 120 minutes (95076) $32.64 $34 0.1×
Interrog dev eval icpms phys/qhp in person (93290) $177.60 $185 4.6×
Interrogate subq defib (93261) $230.40 $240 5.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $568.80 $592.50 9.3×
IV infusion hydration each additional hour (96361) $364.80 $380 7.5×
IV infusion hydration initial 31 min-1 hour (96360) $420 $437.50 1.9×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $273.60 $285 3.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $432 $450 2.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $367.20 $382.50 7.6×
IV push initial (96374) $264 $275 1.2×
Manual therapy 15 min (97140) $109.44 $114 3.9×
Massage 15 min (97124) $86.40 $90 2.9×
Maximum voluntary ventilation (94200) $172.80 $180 2.8×
Mechanical chest wall oscillation (94669) $350.40 $365 1.5×
Mechanical traction (97012) $81.60 $85 5.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $48 $50 1.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $48 $50 1.3×
Nasopharyngoscopy (92511) $96 $100 0.5×
Neg press wnd tx </=50 sq cm (97607) $547.20 $570 1.3×
Neg press wound tx >50 cm (97608) $576 $600 1.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $8.64 $9 0.0×
Nitric oxide expired gas determination (95012) $28.80 $30 0.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $576 $600 4.2×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $912 $950 4.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $475.20 $495 3.6×
Ophth medical xm&eval intermediate estab pt (92012) $34.56 $36 0.2×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $99.84 $104 2.2×
Ot eval high complex 60 min (97167) $273.60 $285 2.7×
Ot eval low complex 30 min (97165) $206.40 $215 2.1×
Ot eval mod complex 45 min (97166) $235.20 $245 2.3×
Ot Prosthetic Training, Each 15 Min (97761) $77.76 $81 1.9×
Ot re-eval est plan care (97168) $158.40 $165 2.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $312 $325 2.3×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $144 $150 0.6×
Percutaneous tests w/allergenic extracts (95004) $4.80 $5 0.0×
Peripheral arterial disease rehab per session (93668) $283.20 $295 4.6×
Phy/qhp op pulm rhb w/mntr (94626) $304.80 $317.50 5.0×
Phy/qhp op pulm rhb w/o mntr (94625) $278.40 $290 4.5×
Plethysmography (94726) $988.80 $1,030 2.6×
Pm device eval in person (93288) $187.20 $195 4.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,224 $4,400 4.7×
Pt Aquatic Therapy/Exercises (97113) $117.12 $122 3.2×
Pt Electric Current Therapy (97033) $118.56 $123.50 6.2×
Pt Electrical Stimulation (97032) $77.28 $80.50 5.3×
Pt eval high complex 45 min (97163) $288 $300 2.9×
Pt eval low complex 20 min (97161) $187.20 $195 1.9×
Pt Gait Training Therapy (97116) $93.12 $97 3.2×
Pt group caregiver training (97552) $79.68 $83 3.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $91.68 $95.50 2.8×
Pt Physical Performance Test (97750) $112.32 $117 3.3×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $220.80 $230 2.3×
Pt re-evaluation (97164) $148.80 $155 2.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $115.20 $120 3.6×
Pt Ultrasound Therapy (97035) $81.60 $85 5.7×
Pt Whirlpool Therapy (97022) $120 $125 7.6×
Refill/maint, portable pump (96521) $369.60 $385 1.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $188.16 $196 0.9×
Rt Chest Wall Manipulation,Subsequent (94668) $225.60 $235 1.6×
Sleep study unattended (95806) $571.20 $595 2.5×
Spirometry (94010) $340.80 $355 1.5×
Stress echo (93350) $1,680 $1,750 3.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $124.80 $130 5.6×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $124.80 $130 5.9×
Ther/prop/diag inj/inf proc (96379) $249.60 $260 5.1×
Ther/Proph/Diag Inj Sc/Im (96372) $172.80 $180 2.3×
Therapeutic Activities (97530) $103.68 $108 3.0×
Therapeutic phlebotomy (99195) $206.40 $215 1.5×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $1,257.60 $1,310 5.1×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,400 $2,500 4.2×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,752 $1,825 7.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $321.60 $335 4.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $302.40 $315 3.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $307.20 $320 6.3×
Ultrasound of heart with probe in esophagus to assess heart pump function (93318) $2,976 $3,100 5.2×
Unlisted pulmonary service/procedure (94799) $369.60 $385 2.8×
Vasc Duplex Extrem Venous,Bilat (93970) $1,574.40 $1,640 6.4×
Vasc Duplex Scan Extracranial,Limited (93882) $1,008 $1,050 9.3×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $972 $1,012.50 4.3×
Vasopneumatic device (97016) $82.56 $86 6.9×
Ventilation assist & mgmt inpatient 1st day (94002) $1,584 $1,650 2.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,248 $1,300 1.9×
Vital capacity total (94150) $96 $100 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $102.72 $107 3.3×