Visits & medical services prices at MercyOne New Hampton Medical Center

New Hampton, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines
$12.79–$71.50 $19.68–$110 varies
Airway Inhalation Treatment (94640) $197.60 $304 0.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $87.75 $135 6.1×
Application Modality 1/> Areas Diathermy (97024) $65.65 $101 8.9×
Behavral qualit analys voice (92524) $286.65 $441 2.6×
Brief Emotional/Behav Assmt (96127) $749.45 — 20.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $453.05 $697 1.3×
Canalith repositioning proc (95992) $213.20 $328 5.2×
Cardiac Stress Tst,Tracing Only (93017) $765.05 $1,177 3.7×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$632.45–$1,591.20 $973–$2,448 varies
Cardioversion (92960) $1,225.90 $1,886 1.9×
Cbt 1st hour (94644) $241.15 $371 1.9×
Chemo Anti-Neopl Sq/Im (96401) $271.05 $417 3.9×
Chemo IV infusion addl hr (96415) $340.60 $524 4.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $543.40 $836 1.7×
Color/duplex Doppler, complete (93975) $841.75 $1,295 3.7×
Color/duplex Doppler, limited (93976) $762.45 $1,173 7.6×
Cont Gluc Mntr Pt Prov Eqp (95249) $157.30 $242 2.8×
Continuous Pulse Ox (94762) $291.85 $449 2.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $641.55 $987 3.0×
Critical care first hour (99291)
range across 2 matching MRF lines
$428.35–$1,240.20 $659–$1,908 varies
Debridement Open Wound 20 Sq Cm< (97597) $227.50 $350 1.2×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $824.20 $1,268 3.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $880.75 $1,355 3.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $686.40 $1,056 6.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $987.35 $1,519 4.3×
Dup-scan xtr veins unilateral/limited study (93971) $735.80 $1,132 7.3×
Duplex up extrem art bilat (93930) $1,101.10 $1,694 4.8×
ECG/monitoring and analysis (93271) $477.75 $735 5.2×
Echo Heart Xthoracic,Limited (93308) $910 $1,400 4.0×
Electrical Stimulation Ea 15 Min (97032) $81.25 $125 5.5×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$750.10–$945.10 — varies
Emergency Dept Visit Level 2 (99282) $615.32 — 4.2×
Emergency Dept Visit Level 3 (99283) $972.92 — 3.7×
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$2,304.25–$2,448.55 — varies
Er level 1 (99281)
range across 3 matching MRF lines
$35.10–$341.25 $54–$525 varies
Er level v (99285)
range across 2 matching MRF lines
$5,057–$5,452.20 — varies
Evaluate Speech Production (92522) $336.70 $518 3.0×
Evaluate Swallowing Function (92610) $293.15 $451 3.5×
External ECG rec>48hr<7d recording (93242) $219.70 $338 6.1×
External ECG rec>7d<15d recording (93246) $458.25 $705 12.8×
External Ecg Scanning Analysis Report (93226) $500.50 $770 8.8×
Extracranial Bilat Study (93880) $719.55 $1,107 3.1×
Extracranial Uni/Ltd Study (93882) $479.70 $738 4.8×
Holter monitor recording (93225) $451.10 $694 3.5×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines
$12.79–$46.80 $19.68–$72 varies
Immunization administration (90471)
range across 2 matching MRF lines
$12.79–$95.55 $19.68–$147 varies
Iontophoresis 15 min (97033) $102.05 $157 5.4×
Irrig Drug Delivery Device (96523) $163.15 $251 2.9×
IV infusion hydration each additional hour (96361) $846.30 — 18.8×
IV infusion hydration initial 31 min-1 hour (96360) $505.70 — 2.5×
IV infusion ther proph addl sequential to 1 hr (96367) $191.10 $294 2.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $3,726.64 — 82.8×
IV push initial (96374) $1,308.77 — 6.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $94.90 $146 2.6×
Motion Fluoroscopy/Swallow (92611) $312.65 $481 3.4×
Muscle Test 2 Limbs (95861) $321.10 $494 2.5×
Nerve Conduction Studies 1-2 Studies (95907) $217.10 $334 1.0×
Nerve Conduction Studies 11-12 Studies (95912) $780 $1,200 2.2×
Nerve conduction studies 13 or more studies (95913) $1,238.25 $1,905 3.5×
Nerve Conduction Studies 3-4 Studies (95908) $295.75 $455 1.4×
Nerve conduction studies 5-6 studies (95909) $421.20 $648 2.0×
Nerve conduction studies 7-8 studies (95910) $545.35 $839 1.5×
Nerve Conduction Studies 9-10 Studies (95911) $671.45 $1,033 1.9×
Neuromuscular Reeducation (97112) $129.35 $199 4.0×
Oral Function Therapy (92526) $221 $340 2.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $128.70 $198 2.8×
Ot eval high complexity (97167) $216.45 $333 2.2×
Ot Eval Low Complex (97165) $179.40 $276 1.8×
Ot Eval Moderate Complexity (97166) $198.90 $306 2.0×
Ot manual therapy 15 min (97140) $128.70 $198 4.6×
Ot paraffin bath (97018) $53.95 $83 9.0×
Ot Re-Eval Est Plan Care (97168) $146.90 $226 2.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $260.65 $401 2.1×
Phlebotomy therapeutic (99195) $306.80 $472 2.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,024.15 $6,191 4.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $33.15 $51 0.7×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $32.50 $50 0.7×
Pt Eval High Complex (97163) $196.95 $303 2.0×
Pt eval low complex 20 min (97161) $222.95 $343 2.3×
Pt Eval Mod Complex (97162) $194.35 $299 2.0×
Pt gait training 15 min (97116) $92.30 $142 3.2×
Pt mechanical traction (97012) $70.85 $109 4.9×
Pt Re-Eval Est Plan Care (97164) $162.50 $250 2.4×
Pulmonary Stress Testing (94618) $273.65 $421 2.1×
Pure Tone Audiometry Air (92552) $14.30 $22 0.1×
Respiratory flow volume loop (94375) $197.60 $304 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$243.10–$300.95 $374–$463 varies
Self Care Mngment Training (97535) $93.60 $144 2.9×
Sleep study unattended (95806) $540.80 $832 2.6×
Speech sound lang comprehen (92523) $428.35 $659 1.9×
Spirometry (94010) $221.65 $341 1.1×
Standardized Cognitive Performance Testing (96125) $408.85 $629 4.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $68.90 $106 2.3×
Ther/Proph/Diag Inj Sc/Im (96372) $538.52 — 7.8×
Ther/Proph/Diag Iv Inf Init (96365) $1,434.35 — 7.0×
Therapeutic Activities (97530) $128.70 $198 3.7×
Tobacco Use Cessation Intensive >10 Minutes (99407) $76.05 $117 2.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $27.30 $42 0.8×
Trans Care Mgmt 14 Day Disch (99495)
range across 2 matching MRF lines
$262.60–$282.75 $404–$435 varies
Trans Care Mgmt 7 Day Disch (99496)
range across 2 matching MRF lines
$353.60–$373.10 $544–$574 varies
Tte w/doppler, complete (93306) $1,527.50 $2,350 2.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $245.70 $378 3.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $11,543.25 — 256.4×
Upr/L Xtremity Art 2 Levels (93922) $444.60 $684 3.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $588.25 $905 2.8×
Vasopneumatic device (97016) $65 $100 5.4×
Vent Mgmt Inpat Init Day (94002) $2,653.95 $4,083 4.5×

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.