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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $86.40 | $90 | 2.0× |
| Airway Inhalation Treatment (94640) range across 7 matching MRF lines |
$278.40–$312 | $290–$325 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $81.60 | $85 | 5.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$48–$734.40 | $50–$765 | varies |
| Canalith repositioning proc (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 Strategies&Tq Ea Addl 15 Min (97551) range across 5 matching MRF lines |
$79.68–$100.80 | $83–$105 | varies |
| Cbt 1st hour (94644) | $427.20 | $445 | 3.1× |
| Chemo Anti-Neopl Sq/Im (96401) | $355.20 | $370 | 4.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $307.20 | $320 | 4.1× |
| Chemo IV infusion addl hr (96415) | $369.60 | $385 | 4.9× |
| Chemo IV push addl drug (96411) | $316.80 | $330 | 4.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $700.80 | $730 | 2.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $422.40 | $440 | 1.2× |
| Chest Wall Manipulation (94668) range across 3 matching MRF lines |
$211.20–$225.60 | $220–$235 | varies |
| Color/duplex Doppler, complete (93975) | $1,228.80 | $1,280 | 5.0× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$658.56–$672 | $686–$700 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $456 | $475 | 3.3× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $168 | $175 | 2.7× |
| Continuous Pulse Ox (94762) | $475.20 | $495 | 3.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 5 matching MRF lines |
$144–$984 | $150–$1,025 | varies |
| Cpt initial (94667) | $225.60 | $235 | 1.6× |
| Critical care first hour (99291) | $1,728 | $1,800 | 2.0× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$11.52–$282.24 | $12–$294 | varies |
| 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 Xtr Veins Complete Bilateral Study (93970) | $1,574.40 | $1,640 | 6.4× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 6 matching MRF lines |
$1,104–$1,137.60 | $1,150–$1,185 | varies |
| Duplex Scan Hemodialysis Access (93990) | $859.20 | $895 | 7.9× |
| Duplex up extrem art bilat (93930) | $1,200 | $1,250 | 4.8× |
| Duplex up extrem art unilat/ltd (93931) | $984 | $1,025 | 9.1× |
| Echo Congenital Complete (93303) range across 2 matching MRF lines |
$1,536–$1,920 | $1,600–$2,000 | varies |
| Echo Heart Xthoracic,Limited (93308) | $984 | $1,025 | 4.0× |
| Echo transesophag montr cardiac pump functj (93318) | $2,976 | $3,100 | 5.2× |
| Echo transesophageal (93312) | $2,976 | $3,100 | 5.2× |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$75.84–$78.72 | $79–$82 | varies |
| Electrocardiogram Tracing (93005) | $336 | $350 | 5.5× |
| Emergency Dept Visit Level 2 (99282) | $355.20 | $370 | 2.2× |
| Emergency Dept Visit Level 3 (99283) | $532.80 | $555 | 1.9× |
| Emergency Dept Visit Level 4 (99284) | $787.20 | $820 | 1.8× |
| Er level 1 (99281) | $206.40 | $215 | 2.4× |
| Er level v (99285) | $1,305.60 | $1,360 | 2.1× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$225.60–$288 | $235–$300 | varies |
| Evaluate Speech Production (92522) | $312 | $325 | 2.8× |
| Evaluate Swallowing Function (92610) | $364.80 | $380 | 4.3× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$168–$624 | $175–$650 | varies |
| External ECG rec>7d<15d recording (93246) | $168 | $175 | 4.3× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$696–$768 | $725–$800 | varies |
| Extracranial Bilat Study (93880) | $1,545.60 | $1,610 | 6.2× |
| Extracranial Uni/Ltd Study (93882) | $1,008 | $1,050 | 9.3× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 2 matching MRF lines |
$1,344–$1,440 | $1,400–$1,500 | varies |
| Holter monitor recording (93225) | $542.40 | $565 | 3.9× |
| Icd Device Interrogate (93289) | $240 | $250 | 6.2× |
| Icm Device Eval (93290) | $177.60 | $185 | 4.6× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $33.60 | $35 | 0.4× |
| Immunization administration (90471) range across 3 matching MRF lines |
$38.40–$86.40 | $40–$90 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $32.64 | $34 | 0.1× |
| Interrogate Subq Defib (93261) | $230.40 | $240 | 5.9× |
| Intracranial Complete Study (93886) | $1,257.60 | $1,310 | 5.1× |
| Iontophoresis 15 min (97033) range across 4 matching MRF lines |
$117.12–$120 | $122–$125 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$177.60–$960 | $185–$1,000 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$360–$369.60 | $375–$385 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$417.60–$422.40 | $435–$440 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $273.60 | $285 | 3.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$340.80–$393.60 | $355–$410 | varies |
| IV push initial (96374) | $264 | $275 | 1.2× |
| Lung Function Test (Mbc/Mvv) (94200) | $172.80 | $180 | 2.8× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$969.60–$974.40 | $1,010–$1,015 | varies |
| Mechanical chest wall oscillation per session (94669) | $350.40 | $365 | 1.5× |
| 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 Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $547.20 | $570 | 1.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $576 | $600 | 1.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $8.64 | $9 | 0.0× |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$81.60–$101.76 | $85–$106 | varies |
| Nitric oxide expired gas determination (95012) | $28.80 | $30 | 0.7× |
| Ophth medical xm&eval intermediate estab pt (92012) | $34.56 | $36 | 0.2× |
| Oral Function Therapy (92526) | $302.40 | $315 | 3.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $99.84 | $104 | 2.2× |
| Ot eval high complexity (97167) | $273.60 | $285 | 2.7× |
| Ot Eval Low Complex (97165) | $206.40 | $215 | 2.1× |
| Ot Eval Moderate Complexity (97166) | $235.20 | $245 | 2.3× |
| Ot manual therapy 15 min (97140) range across 5 matching MRF lines |
$107.52–$109.44 | $112–$114 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 4 matching MRF lines |
$49.92–$105.60 | $52–$110 | varies |
| 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× |
| Phlebotomy therapeutic (99195) | $206.40 | $215 | 1.5× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) range across 2 matching MRF lines |
$288–$321.60 | $300–$335 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $278.40 | $290 | 4.5× |
| Physical Performance Test (97750) | $112.32 | $117 | 3.3× |
| 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× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $30.72 | $32 | 0.6× |
| Pt Eval High Complex (97163) | $288 | $300 | 2.9× |
| Pt eval low complex 20 min (97161) | $187.20 | $195 | 1.9× |
| Pt Eval Mod Complex (97162) | $220.80 | $230 | 2.3× |
| Pt gait training 15 min (97116) | $93.12 | $97 | 3.2× |
| Pt group caregiver training (97552) range across 7 matching MRF lines |
$79.68–$100.80 | $83–$105 | varies |
| Pt mechanical traction (97012) | $81.60 | $85 | 5.7× |
| Pt Re-Eval Est Plan Care (97164) | $148.80 | $155 | 2.2× |
| Pulmonary service/procedure (94799) range across 5 matching MRF lines |
$283.20–$379.20 | $295–$395 | varies |
| 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× |
| Self Care Mngment Training (97535) | $115.20 | $120 | 3.6× |
| Sleep study unattended (95806) | $571.20 | $595 | 2.5× |
| Slp caregiver training 1st 30 min (97550) range across 5 matching MRF lines |
$158.40–$201.60 | $165–$210 | varies |
| Spirometry (94010) range across 3 matching MRF lines |
$340.80–$345.60 | $355–$360 | varies |
| Stress Tte Only (93350) | $1,680 | $1,750 | 3.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $124.80 | $130 | 5.6× |
| Ther Ivntj Ea Addl 15 Min (97130) | $124.80 | $130 | 5.9× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $117.12 | $122 | 3.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 3 matching MRF lines |
$86.40–$87.36 | $90–$91 | varies |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $249.60 | $260 | 5.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $172.80 | $180 | 2.3× |
| Ther/Proph/Diag Iv Inf Init (96365) | $432 | $450 | 2.0× |
| Therapeutic Activities (97530) | $103.68 | $108 | 3.0× |
| Tte w/doppler, complete (93306) | $2,400 | $2,500 | 4.2× |
| Tte W/O Doppler Complete (93307) | $1,752 | $1,825 | 7.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $321.60 | $335 | 4.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $307.20 | $320 | 6.3× |
| Upr/L Xtremity Art 2 Levels (93922) | $576 | $600 | 4.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $912 | $950 | 4.1× |
| Vasopneumatic device (97016) | $82.56 | $86 | 6.9× |
| Vent Mgmt Inpat Init 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) range across 4 matching MRF lines |
$99.84–$105.60 | $104–$110 | varies |
| Whirlpool Therapy (97022) | $120 | $125 | 7.6× |
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.