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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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 5 matching MRF lines		 $143–$217 $143–$217 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $90 $90 6.3×
Application Modality 1/> Areas Infrared (97026) $25 $25 3.7×
Application on-body injector (96377) $89 $89 1.8×
Behavral qualit analys voice (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)
range across 2 matching MRF lines		 $661–$1,306 $661–$1,306 varies
Cardioversion (92960)
range across 3 matching MRF lines		 $315–$2,162 $315–$2,162 varies
Cbt 1st hour (94644) $340 $340 2.5×
Chemo Anti-Neopl Sq/Im (96401) $314 $314 4.2×
Chemo Hormon Antineopl Sq/Im (96402) $277 $277 3.7×
Chemo IV infusion addl hr (96415) $218 $218 2.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $423 $423 5.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $789 $789 2.3×
Chest Wall Manipulation (94668) $169 $169 1.2×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines		 $1,407–$1,425 $1,407–$1,425 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $180 $180 5.6×
Continuous Pulse Ox (94762) $563 $563 4.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines		 $410–$1,178 $410–$1,178 varies
Cpt initial (94667) $256 $256 1.9×
Critical care first hour (99291) $560 $560 0.7×
Debridement Open Wound 20 Sq Cm< (97597) $206 $206 1.0×
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 Xtr Veins Complete Bilateral Study (93970) $1,835 $1,835 7.4×
Dup-scan xtr veins unilateral/limited study (93971) $1,534 $1,534 14.1×
Duplex Scan Hemodialysis Access (93990) $1,054 $1,054 9.7×
Duplex up extrem art bilat (93930) $1,354 $1,354 5.5×
Duplex up extrem art unilat/ltd (93931) $1,011 $1,011 9.3×
Echo Heart Xthoracic,Limited (93308) $1,177 $1,177 4.8×
Echo transesophageal (93312) $3,070 $3,070 5.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $475 $475 0.8×
Electrical Stimulation Ea 15 Min (97032) $93 $93 6.3×
Electrocardiogram Tracing (93005) $270 $270 4.4×
Emergency Dept Visit Level 2 (99282) $84 $84 0.5×
Emergency Dept Visit Level 3 (99283) $144 $144 0.5×
Emergency Dept Visit Level 4 (99284) $245 $245 0.6×
Er level 1 (99281) $23 $23 0.3×
Er level v (99285) $356 $356 0.6×
Evaluate pt use of inhaler (94664) $199 $199 0.9×
Evaluate Speech Production (92522) $348 $348 3.1×
Evaluate Swallowing Function (92610) $404 $404 4.8×
Evaluation of speech fluency (92521) $350 $350 2.6×
Exercise test for bronchospasm (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×
Extracranial Bilat Study (93880) $1,822 $1,822 7.4×
Extracranial Uni/Ltd Study (93882) $1,129 $1,129 10.4×
Flexible endoscopic eval swallow c/v rec (92612) $577 $577 2.9×
Holter monitor recording (93225) $517 $517 3.7×
Inital newborn e/m (99460) $191 $191 1.4×
Intracranial Complete Study (93886) $1,146 $1,146 4.6×
Iontophoresis 15 min (97033) $142 $142 7.5×
Irrig Drug Delivery Device (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 ther proph addl sequential to 1 hr (96367) $218 $218 2.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $152 $152 3.1×
IV push initial (96374) $332 $332 1.5×
Lung Function Test (Mbc/Mvv) (94200) $218 $218 3.6×
Lwr Xtr Vasc Stdy Bilat (93924) $1,027 $1,027 4.6×
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 Pressure Wound Therapy Non Dme </= 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×
Neuromuscular Reeducation (97112) $125 $125 3.8×
Newborn resuscitation (99465) $292 $292 0.4×
Ophth medical xm&eval intermediate estab pt (92012) $184 $184 1.3×
Oral Function Therapy (92526) $345 $345 4.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $119 $119 2.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $119 $119 2.6×
Ot eval high complexity (97167) $291 $291 2.9×
Ot Eval Low Complex (97165) $228 $228 2.3×
Ot Eval Moderate Complexity (97166) $268 $268 2.7×
Ot manual therapy 15 min (97140) $114 $114 4.1×
Ot paraffin bath (97018) $88 $88 14.6×
Ot Prosthetic Training, Each 15 Min (97761) $119 $119 2.9×
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×
Phlebotomy therapeutic (99195) $280 $280 2.0×
Phys/qhp svcs op pulm rehab wo cont oximtry 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 Eval High Complex (97163) $302 $302 3.1×
Pt eval low complex 20 min (97161) $199 $199 2.0×
Pt Eval Mod Complex (97162) $249 $249 2.5×
Pt gait training 15 min (97116) $112 $112 3.9×
Pt mechanical traction (97012) $87 $87 6.1×
Pt Re-Eval Est Plan Care (97164) $133 $133 2.0×
Pulm function test by gas (94727) $524 $524 2.3×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines		 $89–$196 $89–$196 varies
Pulmonary Stress Testing (94618) $435 $435 3.1×
Remote 30 Day Ecg Rev/Report (93270) $422 $422 10.9×
Respiratory flow volume loop (94375) $281 $281 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines		 $170–$305 $170–$305 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $44 $44 1.7×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $524 $524 4.3×
Self Care Mngment Training (97535) $133 $133 4.1×
Speech sound lang comprehen (92523) $439 $439 1.9×
Spirometry (94010) $332 $332 1.5×
Stress Tte Only (93350) $2,108 $2,108 3.7×
Temp transcutaneous pacing (92953) $713 $713 1.0×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $137 $137 3.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $81 $81 2.7×
Ther/Proph/Diag Inj Sc/Im (96372) $160 $160 2.1×
Ther/Proph/Diag Iv Inf Init (96365) $410 $410 1.9×
Therapeutic Activities (97530) $126 $126 3.6×
Tte w/doppler, complete (93306) $2,940 $2,940 5.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $325 $325 4.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $166 $166 3.4×
Upr/L Xtremity Art 2 Levels (93922) $553 $553 4.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $926 $926 4.1×
Vasopneumatic device (97016) $82 $82 6.8×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines		 $790–$4,311 $790–$4,311 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,257 $2,257 3.5×
Wheelchair Mgmt Ea 15 Min (97542) $103 $103 3.3×

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.