Visits & medical services prices at Merrick Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 6 matching MRF lines
$28.20–$124.80 $47–$208 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $52.80 $88 3.7×
Assessment of aphasia per hr (96105) $327 $545 3.4×
Auditory Function, 60 Min (92620) $186.60 $311 1.4×
Behavral qualit analys voice (92524) $269.40 $449 2.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $439.20 $732 1.1×
Car seat/bed test 60 min (94780) $190.20 $317 4.9×
Cardiac Stress Tst,Tracing Only (93017) $751.20 $1,252 3.4×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$400.20–$653.40 $667–$1,089 varies
Cardioversion (92960)
range across 2 matching MRF lines
$199.20–$1,547.40 $332–$2,579 varies
Chemo Anti-Neopl Sq/Im (96401) $175.80 $293 2.4×
Chemo Hormon Antineopl Sq/Im (96402) $141.60 $236 1.9×
Chemo IV infusion addl hr (96415) $77.40 $129 1.0×
Chemo IV push addl drug (96411) $117.60 $196 1.6×
Chemother Prolong Infuse W/Pump (96416) $108.60 $181 0.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $108.60 $181 1.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $379.20 $632 1.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $227.40 $379 0.7×
Chest Wall Manipulation (94668) $130.80 $218 0.9×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$538.80–$735 $898–$1,225 varies
Color/duplex Doppler, limited (93976) $424.20 $707 3.9×
Community/Work Reintegration Trainj Ea 15 Min (97537) $54 $90 1.7×
Cont Gluc Mntr Pt Prov Eqp (95249) $67.80 $113 1.1×
Continuous Pulse Ox (94762) $289.20 $482 2.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 5 matching MRF lines
$425.40–$1,595.40 $709–$2,659 varies
Cpt initial (94667)
range across 6 matching MRF lines
$90–$196.20 $150–$327 varies
Critical care first hour (99291)
range across 2 matching MRF lines
$347.40–$1,189.80 $579–$1,983 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$120.60–$182.40 $201–$304 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $697.80 $1,163 2.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $802.20 $1,337 3.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $642 $1,070 5.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $935.40 $1,559 3.8×
Dup-scan xtr veins unilateral/limited study (93971)
range across 3 matching MRF lines
$679.80–$699 $1,133–$1,165 varies
Duplex Scan Hemodialysis Access (93990) $451.20 $752 4.2×
Duplex up extrem art bilat (93930) $783.60 $1,306 3.2×
Duplex up extrem art unilat/ltd (93931) $632.40 $1,054 5.8×
ECG/monitoring and analysis (93271) $732.60 $1,221 7.4×
Echo Heart Xthoracic,Limited (93308) $611.40 $1,019 2.5×
Electrical Stimulation Ea 15 Min (97032) $49.80 $83 3.4×
Electrocardiogram Tracing (93005) $214.20 $357 3.5×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$54.60–$238.80 $91–$398 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$82.20–$367.80 $137–$613 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$148.80–$540 $248–$900 varies
Er level 1 (99281)
range across 2 matching MRF lines
$28.20–$156.60 $47–$261 varies
Er level v (99285)
range across 2 matching MRF lines
$216–$813 $360–$1,355 varies
Evaluate pt use of inhaler (94664) $106.20 $177 0.5×
Evaluate Speech Production (92522) $233.40 $389 2.1×
Evaluate Swallowing Function (92610) $258 $430 3.0×
Evaluation of speech fluency (92521) $328.80 $548 2.5×
External ECG rec>48hr<7d recording (93242) $317.40 $529 8.2×
External ECG rec>48hr<7d scanning alys w/report (93243) $599.40 $999 4.3×
External ECG rec>7d<15d recording (93246) $458.40 $764 11.8×
External ECG rec>7d<15d scanning alys w/report (93247) $739.20 $1,232 5.4×
External Ecg Scanning Analysis Report (93226)
range across 3 matching MRF lines
$468–$933 $780–$1,555 varies
Extracranial Bilat Study (93880) $991.20 $1,652 4.0×
Extracranial Uni/Ltd Study (93882) $808.20 $1,347 7.4×
Group Therapeutic Procedures (97150) $66.60 $111 3.7×
Holter monitor recording (93225) $362.40 $604 2.6×
Immunization administration (90471) $13.80 $23 0.2×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$79.20–$79.80 $132–$133 varies
Irrig Drug Delivery Device (96523) $88.80 $148 1.4×
IV infusion hydration each additional hour (96361) $70.80 $118 1.5×
IV infusion hydration initial 31 min-1 hour (96360) $234.60 $391 1.1×
IV infusion ther proph addl sequential to 1 hr (96367) $117.60 $196 1.6×
IV infusion therapy prophylaxis/dx ea hour (96366) $71.40 $119 1.5×
IV push initial (96374) $136.20 $227 0.6×
Lwr Xtr Vasc Stdy Bilat (93924) $679.20 $1,132 3.0×
Mechanical chest wall oscillation per session (94669) $151.80 $253 0.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$30.60–$32.40 $51–$54 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$32.40–$56.40 $54–$94 varies
Motion Fluoroscopy/Swallow (92611) $346.80 $578 3.8×
Nasopharyngoscopy (92511) $169.20 $282 0.8×
Nerve Conduction Studies 1-2 Studies (95907) $61.20 $102 0.3×
Nerve Conduction Studies 11-12 Studies (95912) $145.20 $242 0.4×
Nerve conduction studies 13 or more studies (95913) $157.20 $262 0.4×
Nerve Conduction Studies 3-4 Studies (95908) $74.40 $124 0.3×
Nerve conduction studies 5-6 studies (95909) $93.60 $156 0.4×
Nerve conduction studies 7-8 studies (95910) $122.40 $204 0.3×
Nerve Conduction Studies 9-10 Studies (95911) $141.60 $236 0.4×
Neuromuscular Reeducation (97112) $68.40 $114 2.1×
Oral Function Therapy (92526) $205.20 $342 2.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $61.20 $102 1.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $69 $115 1.5×
Ot Contrast Bath Ea 15 Min (97034) $51 $85 3.6×
Ot eval high complexity (97167) $167.40 $279 1.7×
Ot Eval Low Complex (97165) $117 $195 1.2×
Ot Eval Moderate Complexity (97166) $139.20 $232 1.4×
Ot manual therapy 15 min (97140) $78 $130 2.8×
Ot paraffin bath (97018) $45.60 $76 7.6×
Ot Prosthetic Training, Each 15 Min (97761) $66 $110 1.6×
Ot Re-Eval Est Plan Care (97168) $73.80 $123 1.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 3 matching MRF lines
$32.40–$173.40 $54–$289 varies
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797)
range across 5 matching MRF lines
$11.40–$150.60 $19–$251 varies
Phlebotomy therapeutic (99195) $142.20 $237 1.0×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $79.80 $133 1.3×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $79.80 $133 1.3×
Physical Performance Test (97750) $73.80 $123 2.2×
Plethysmography (94726) $324.60 $541 0.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,021.60 $5,036 3.4×
Psychiatric diagnostic evaluation (90791) $184.20 $307 1.0×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $73.80 $123 2.0×
Pt Eval High Complex (97163) $189.60 $316 1.9×
Pt eval low complex 20 min (97161) $110.40 $184 1.1×
Pt Eval Mod Complex (97162) $127.20 $212 1.3×
Pt gait training 15 min (97116) $63 $105 2.2×
Pt mechanical traction (97012) $52.20 $87 3.6×
Pt Re-Eval Est Plan Care (97164) $73.80 $123 1.1×
Pulm function test by gas (94727) $348 $580 1.6×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$164.40–$301.20 $274–$502 varies
Pulmonary Stress Testing (94618) $249.60 $416 1.8×
Rem ther mntr dev sply resp (98976) $52.20 $87 1.3×
Remote 30 Day Ecg Rev/Report (93270) $252.60 $421 6.5×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $171.60 $286 1.2×
Self Care Mngment Training (97535) $70.80 $118 2.2×
Sensory Integration Ea 15 Min (97533) $69 $115 1.1×
Sleep study unattended (95806) $739.20 $1,232 3.3×
Speech sound lang comprehen (92523) $296.40 $494 1.3×
Spirometry (94010)
range across 2 matching MRF lines
$99.60–$237 $166–$395 varies
Standardized Cognitive Performance Testing (96125)
range across 2 matching MRF lines
$216.60–$225 $361–$375 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $66.60 $111 3.0×
Ther Ivntj Ea Addl 15 Min (97130) $66.60 $111 3.2×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $86.40 $144 2.3×
Ther/Proph/Diag Inj Sc/Im (96372) $88.20 $147 1.2×
Ther/Proph/Diag Iv Inf Init (96365) $234.60 $391 1.1×
Therapeutic Activities (97530) $67.80 $113 1.9×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$1,485–$1,514.40 $2,475–$2,524 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $215.40 $359 2.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $111 $185 2.3×
Upr/L Xtremity Art 2 Levels (93922) $390.60 $651 2.8×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $580.20 $967 2.6×
Vasopneumatic device (97016)
range across 3 matching MRF lines
$57–$193.20 $95–$322 varies
Vent Mgmt Inpat Init Day (94002) $658.80 $1,098 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $331.20 $552 0.5×
Vital capacity, total (94150) $39.60 $66 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $64.80 $108 2.1×

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.