Visits & medical services prices at Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $170 $170 0.7×
Appl on-body injector for timed subq injection (96377) $89 $89 1.8×
Behavioral and qualitative analysis of voice and resonance (92524) $374 $374 3.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $760 $760 2.0×
Car seat/bed test 60 min (94780) $231 $231 6.0×
Cardiac Stress Tst,Tracing Only (93017) $1,585 $1,585 7.1×
Cardiopulmonary resuscitation (92950) $983.50 $983.50 4.4×
Cardioversion (92960) $1,970 $1,970 2.9×
Cbt 1st hour (94644) $340 $340 2.5×
Chemo Hormon Antineopl Sq/Im (96402) $277 $277 3.7×
Chemother, IV infusion, 1 hr (96413) $789 $789 2.3×
Chemother, IV infusion, ea add hr (96415) $218 $218 2.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $314 $314 4.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $423 $423 5.7×
Color/duplex Doppler, complete (93975) $1,416 $1,416 5.7×
Cpap initiation and management (94660) $1,075 $1,075 4.7×
Cpt initial (94667) $256 $256 1.9×
Critical care (99291) $560 $560 0.7×
Debridement Open Wound 20 Sq Cm< (97597) $206 $206 1.0×
Demo &/or eval,pt use,aerosol device (94664) $199 $199 0.9×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $885 $885 3.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $599 $599 5.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,639 $1,639 6.6×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,277 $1,277 11.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,354 $1,354 5.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,011 $1,011 9.3×
Dup-scan xtr veins unilateral/limited study (93971) $1,534 $1,534 14.1×
Duplex hemodialysis access (93990) $1,054 $1,054 9.7×
Duplex scan extracranial art compl bi study (93880) $1,822 $1,822 7.4×
Echo Heart Xthoracic,Limited (93308) $1,177 $1,177 4.8×
Echo transesophageal (93312) $3,070 $3,070 5.4×
EKG (93005) $270 $270 4.4×
Er level 1 (99281) $23 $23 0.3×
Er level ii (99282) $84 $84 0.5×
Er level iii (99283) $144 $144 0.5×
Er level IV (99284) $245 $245 0.6×
Er level v (99285) $356 $356 0.6×
Evaluation of speech fluency (92521) $350 $350 2.6×
Evaluation of speech sound production (92522) $348 $348 3.1×
Evaluation of swallowing function (92610) $404 $404 4.8×
Evaluation with prescription of speech-generating alternative (92607) $524 $524 4.3×
Exercise tst brncspsm (94617) $980 $980 7.1×
External ECG rec>48hr<7d recording (93242) $468 $468 12.1×
External ECG rec>7d<15d recording (93246) $468 $468 12.1×
External Ecg Scanning Analysis Report (93226) $520 $520 8.5×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $577 $577 2.9×
Flow volume loop (94375) $281 $281 1.3×
Holter Monitor Recording (93225) $517 $517 3.7×
Inital newborn e/m (99460) $191 $191 1.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $202 $202 3.3×
IV infusion hydration each additional hour (96361) $148 $148 3.0×
IV infusion hydration initial 31 min-1 hour (96360) $405 $405 1.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $218 $218 2.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $410 $410 1.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $152 $152 3.1×
IV push initial (96374) $332 $332 1.5×
Manual therapy 15 min (97140) $114 $114 4.1×
Massage 15 min (97124) $81 $81 2.7×
Maximum voluntary ventilation (94200) $218 $218 3.6×
Mechanical traction (97012) $87 $87 6.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $60 $60 1.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $60 $60 1.6×
Nasopharyngoscopy (92511) $239 $239 1.2×
Neg press wnd tx </=50 sq cm (97607) $664 $664 1.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $385 $385 1.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $559 $559 1.3×
Neurobehavioral Status Exam (96116) $256 $256 1.1×
Newborn resuscitation (99465) $292 $292 0.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $553 $553 4.0×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $926 $926 4.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $563 $563 4.2×
Ophth medical xm&eval intermediate estab pt (92012) $184 $184 1.3×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $119 $119 2.6×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $180 $180 5.6×
Ot eval high complex 60 min (97167) $291 $291 2.9×
Ot eval low complex 30 min (97165) $228 $228 2.3×
Ot eval mod complex 45 min (97166) $268 $268 2.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $119 $119 2.4×
Ot Prosthetic Training, Each 15 Min (97761) $119 $119 2.9×
Ot Range Motion Measure,Each Extrem (95851) $44 $44 1.7×
Ot re-eval est plan care (97168) $161 $161 2.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $368 $368 2.7×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $368 $368 2.7×
Paraffin bath (97018) $88 $88 14.6×
Phy/qhp op pulm rhb w/o mntr (94625) $321 $321 5.2×
Plethysmography (94726) $654 $654 1.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,054 $5,054 5.7×
Pt Aquatic Therapy/Exercises (97113) $137 $137 3.7×
Pt Electric Current Therapy (97033) $142 $142 7.5×
Pt Electrical Stimulation (97032) $93 $93 6.3×
Pt eval high complex 45 min (97163) $302 $302 3.1×
Pt eval low complex 20 min (97161) $199 $199 2.0×
Pt Gait Training Therapy (97116) $112 $112 3.9×
Pt Infrared Therapy (97026) $25 $25 3.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $125 $125 3.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $249 $249 2.5×
Pt re-evaluation (97164) $133 $133 2.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $133 $133 4.1×
Pt Ultrasound Therapy (97035) $90 $90 6.3×
Pulm function test by gas (94727) $524 $524 2.3×
Pulmonary stress testing (94618) $435 $435 3.1×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $422 $422 10.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $237.50 $237.50 1.1×
Rt Chest Wall Manipulation,Subsequent (94668) $169 $169 1.2×
Speech sound lang comprehen (92523) $439 $439 1.9×
Spirometry (94010) $332 $332 1.5×
Stress echo (93350) $2,108 $2,108 3.7×
Stress Tte Complete (93351) $475 $475 0.8×
Temp transcutaneous pacing (92953) $713 $713 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $160 $160 2.1×
Therapeutic Activities (97530) $126 $126 3.6×
Therapeutic phlebotomy (99195) $280 $280 2.0×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $1,146 $1,146 4.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,940 $2,940 5.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $325 $325 4.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $345 $345 4.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $166 $166 3.4×
Unlisted pulmonary service/procedure (94799) $124 $124 0.9×
Vasc Duplex Extrem Venous,Bilat (93970) $1,835 $1,835 7.4×
Vasc Duplex Scan Extracranial,Limited (93882) $1,129 $1,129 10.4×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,027 $1,027 4.6×
Vasopneumatic device (97016) $82 $82 6.8×
Ventilation assist & mgmt inpatient 1st day (94002) $2,550.50 $2,550.50 4.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,257 $2,257 3.5×
Wheelchair Mgmt Ea 15 Min (97542) $103 $103 3.3×