Visits & medical services prices at Methodist Fremont Health

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

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

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ProcedurePosted cashPosted gross× Medicare
Advncd Care Plan 30 Min (99497) $93.98 $254 0.9×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $181.67 $491 0.8×
Aep neurodiagnostic i&r (92653) $344.10 $930 1.5×
Aep threshold estimation mlt frequencies i&r (92652) $344.10 $930 1.5×
Airway Inhalation Treatment (94640)
range across 33 matching MRF lines
$66.60–$103.60 $180–$280 varies
Allg test perq & ic drug/biol immed react w/ i&r (95018) $41.07 $111 1.1×
Analyze neurostim complex (95972)
range across 2 matching MRF lines
$339.66–$7,652.34 $918–$20,682 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 5 matching MRF lines
$51.80–$75.11 $140–$203 varies
Application Modality 1/> Areas Infrared (97026) $15.54 $42 2.3×
Assessment of aphasia per hr (96105)
range across 3 matching MRF lines
$215.71–$222 $583–$600 varies
Behavral qualit analys voice (92524)
range across 3 matching MRF lines
$182.78–$188.33 $494–$509 varies
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $81.40 $220 1.0×
Bfb training ea addl 15 min (90913) $32.19 $87 1.0×
Biofeedback training any modality (90901) $58.46 $158 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 3 matching MRF lines
$247.90–$412.55 $670–$1,115 varies
Bundle of his recording (93600) $7,215.74 $19,502 0.9×
C motor evoked uppr limbs (95928) $198.32 $536 0.2×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$49.95–$159.47 $135–$431 varies
Car seat/bed test 60 min (94780) $131.35 $355 3.4×
Cardiac Stress Tst,Tracing Only (93017) $772.56 $2,088 3.4×
Cardiopulmonary resuscitation (92950)
range across 4 matching MRF lines
$324.86–$554.26 $878–$1,498 varies
Cardioversion (92960)
range across 4 matching MRF lines
$389.24–$966.44 $1,052–$2,612 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $6,836.86 $18,478 2.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $6,836.86 $18,478 2.0×
Cbt 1st hour (94644)
range across 2 matching MRF lines
$58.46–$142.45 $158–$385 varies
Chemo Anti-Neopl Sq/Im (96401) $139.49 $377 1.9×
Chemo Hormon Antineopl Sq/Im (96402) $66.23 $179 0.9×
Chemo Intralesional Over 7 (96406) $116.18 $314 0.5×
Chemo IV infusion addl hr (96415) $106.93 $289 1.4×
Chemo IV push addl drug (96411) $125.80 $340 1.7×
Chemotherapy Into Cns (96450) $267.51 $723 0.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $35.52 $96 0.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 4 matching MRF lines
$246.79–$366.67 $667–$991 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409) $125.80 $340 0.4×
Chest Wall Manipulation (94668) $89.17 $241 0.6×
Color/duplex Doppler, complete (93975) $594.96 $1,608 2.4×
Color/duplex Doppler, limited (93976) $594.96 $1,608 5.5×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 6 matching MRF lines
$58.83–$64.38 $159–$174 varies
Cont gluc mntr physician/qhp provided equiptment (95250) $212.38 $574 1.5×
Cont Gluc Mntr Pt Prov Eqp (95249) $69.19 $187 1.1×
Continuous Pulse Ox (94762) $222 $600 1.7×
Coronary Art/Grft Angio S&I (93455) $6,669.99 $18,027 2.0×
Coronary Artery Angio S&I (93454) $6,296.66 $17,018 1.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 16 matching MRF lines
$115.44–$302.29 $312–$817 varies
Cpt initial (94667) $92.87 $251 0.7×
Critical care first hour (99291)
range across 3 matching MRF lines
$1,090.39–$1,122.95 $2,947–$3,035 varies
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $215.34 $582 0.6×
Debridement Open Wound 20 Sq Cm< (97597)
range across 8 matching MRF lines
$109.89–$4,501.42 $297–$12,166 varies
Dialysis One Evaluation (90945) $525.03 $1,419 1.2×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $752.58 $2,034 3.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $628.26 $1,698 5.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $666.37 $1,801 2.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $611.61 $1,653 5.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 6 matching MRF lines
$301.18–$839.90 $814–$2,270 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 6 matching MRF lines
$150.22–$551.30 $406–$1,490 varies
Duplex Scan Hemodialysis Access (93990) $143.56 $388 1.3×
Duplex up extrem art bilat (93930) $375.18 $1,014 1.5×
Duplex up extrem art unilat/ltd (93931) $208.31 $563 1.9×
Echo Heart Xthoracic,Limited (93308)
range across 5 matching MRF lines
$356.68–$583.12 $964–$1,576 varies
Echo transesophageal (93312)
range across 4 matching MRF lines
$1,131.83–$1,187.70 $3,059–$3,210 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines
$782.92–$886.89 $2,116–$2,397 varies
EEG awake and asleep (95819) $517.26 $1,398 2.3×
EEG awake drowsy (95816) $480.26 $1,298 2.1×
EEG cerebral death evaluation (95824) $480.26 $1,298 1.2×
Electrical Stimulation Ea 15 Min (97032) $62.16 $168 4.2×
Electrocardiogram Tracing (93005)
range across 6 matching MRF lines
$200.17–$7,652.34 $541–$20,682 varies
Electrophysiology Evaluation (93642) $1,447.81 $3,913 1.1×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$183.52–$188.70 $496–$510 varies
Emergency Dept Visit Level 3 (99283) $326.34 $882 1.2×
Emergency Dept Visit Level 4 (99284)
range across 3 matching MRF lines
$516.89–$4,501.42 $1,397–$12,166 varies
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
unusually low: confirm this is the full procedure
$3,323.34 $8,982 0.4×
Er level 1 (99281)
range across 2 matching MRF lines
$111.37–$114.33 $301–$309 varies
Er level v (99285)
range across 3 matching MRF lines
$660.08–$4,501.42 $1,784–$12,166 varies
Esophgl Balo Distension Dx Std W/Provocation (91040) $626.04 $1,692 1.6×
Eval aud funcj cand/po surg implt dev 1st hr (92626)
range across 2 matching MRF lines
$174.64–$179.45 $472–$485 varies
Evaluate pt use of inhaler (94664)
range across 6 matching MRF lines
$93.24–$103.60 $252–$280 varies
Evaluate Speech Production (92522)
range across 3 matching MRF lines
$182.78–$188.33 $494–$509 varies
Evaluate Swallowing Function (92610)
range across 3 matching MRF lines
$184.63–$189.81 $499–$513 varies
Evaluation of speech fluency (92521)
range across 3 matching MRF lines
$182.78–$188.33 $494–$509 varies
External ECG rec>48hr<7d recording (93242) $44.40 $120 1.1×
Extracranial Bilat Study (93880) $907.24 $2,452 3.7×
Extracranial Uni/Ltd Study (93882) $468.42 $1,266 4.3×
Eye exam w anesth; complete (92018) $608.28 $1,644 0.2×
Group Therapeutic Procedures (97150)
range across 6 matching MRF lines
$68.45–$148 $185–$400 varies
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $7,253.48 $19,604 2.2×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $525.03 $1,419 0.7×
Holter monitor recording (93225) $418.10 $1,130 3.0×
Icd Device Interrogate (93289) $75.48 $204 1.9×
Immunization administration (90471)
range across 8 matching MRF lines
$45.14–$7,652.34 $122–$20,682 varies
Ingestion challenge test initial 120 minutes (95076) $571.65 $1,545 1.5×
Insert/Place Heart Catheter (93503) $2,070.89 $5,597 1.3×
Iontophoresis 15 min (97033) $68.45 $185 3.6×
Irrig Drug Delivery Device (96523)
range across 3 matching MRF lines
$78.07–$93.98 $211–$254 varies
IV infusion hydration each additional hour (96361)
range across 4 matching MRF lines
$63.27–$4,501.42 $171–$12,166 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 4 matching MRF lines
$217.56–$4,501.42 $588–$12,166 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 4 matching MRF lines
$84.36–$4,501.42 $228–$12,166 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 4 matching MRF lines
$61.79–$7,652.34 $167–$20,682 varies
IV push initial (96374)
range across 4 matching MRF lines
$102.49–$4,501.42 $277–$12,166 varies
L Hrt Art/Grft Angio (93459) $7,086.98 $19,154 2.1×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $3,576.79 $9,667 1.1×
Lung Function Test (Mbc/Mvv) (94200) $71.41 $193 1.2×
Lwr Xtr Vasc Stdy Bilat (93924) $628.26 $1,698 2.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $24.05 $65 0.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $24.05 $65 0.7×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $19.98 $54 1.2×
Methacholine challenge (94070) $425.50 $1,150 1.1×
Motion Fluoroscopy/Swallow (92611)
range across 3 matching MRF lines
$271.95–$280.09 $735–$757 varies
Muscle Test Nonparaspinal (95870) $58.83 $159 0.4×
Nasopharyngoscopy (92511)
range across 2 matching MRF lines
$78.07–$178.34 $211–$482 varies
Needle electromyography larynx (95865)
range across 3 matching MRF lines
$102.49–$7,652.34 $277–$20,682 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$389.61–$4,501.42 $1,053–$12,166 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $389.61 $1,053 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$140.23–$177.97 $379–$481 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $292.30 $790 0.7×
Neuromuscular Reeducation (97112) $59.57 $161 1.8×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $127.28 $344 0.9×
Oral Function Therapy (92526)
range across 3 matching MRF lines
$132.46–$136.53 $358–$369 varies
Oral Speech Device Eval (92597) $185.37 $501 2.6×
Orthc/Prostc Mgmt Sbsq Enc (97763) $50.32 $136 1.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $57.72 $156 1.3×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $38.48 $104 1.7×
Osteopathic manipulative tx 3-4 body regions (98926) $38.48 $104 1.7×
Ot Contrast Bath Ea 15 Min (97034) $33.30 $90 2.4×
Ot eval high complexity (97167) $131.72 $356 1.3×
Ot Eval Low Complex (97165) $131.72 $356 1.3×
Ot Eval Moderate Complexity (97166) $131.72 $356 1.3×
Ot manual therapy 15 min (97140) $75.48 $204 2.7×
Ot paraffin bath (97018) $47.73 $129 7.9×
Ot Prosthetic Training, Each 15 Min (97761) $53.65 $145 1.3×
Ot Re-Eval Est Plan Care (97168) $66.23 $179 1.0×
Ot rom hand (95852) $39.96 $108 1.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $205.35 $555 1.5×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $167.61 $453 1.3×
Oxygen Uptake Rest Indirect (94690) $51.80 $140 0.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642)
range across 3 matching MRF lines
$285.27–$379.25 $771–$1,025 varies
Peripheral arterial disease rehab per session (93668) $71.04 $192 1.2×
Perq Transcath Cls Aortic (93591) $17,555.02 $47,446 0.9×
Perq Transcath Cls Mitral (93590) $17,555.02 $47,446 0.9×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
range across 2 matching MRF lines
$6,649.64–$7,076.25 $17,972–$19,125 varies
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
range across 2 matching MRF lines
$6,649.64–$11,696.44 $17,972–$31,612 varies
Phlebotomy therapeutic (99195)
range across 4 matching MRF lines
$126.17–$317.46 $341–$858 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $159.84 $432 2.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $159.84 $432 2.6×
Physical Performance Test (97750)
range across 6 matching MRF lines
$61.42–$64.01 $166–$173 varies
Plethysmography (94726) $802.16 $2,168 2.1×
Pm device progr eval multi (93281) $83.99 $227 2.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,639.95 $7,135 3.0×
Prq Card Angio/Athrect 1 Art (92924) $11,696.44 $31,612 1.0×
Prq Card Stent W/Angio 1 Vsl (92928) $11,696.44 $31,612 1.0×
Prq Card Stent/Ath/Angio (92933) $11,696.44 $31,612 0.6×
Prq Revasc Byp Graft 1 Vsl (92937) $11,696.44 $31,612 1.0×
Psych diag eval w/med srvcs (90792) $192.03 $519 1.0×
Psychiatric diagnostic evaluation (90791) $192.03 $519 1.0×
Psytx Crisis Initial 60 Min (90839) $218.30 $590 1.2×
Pt Eval High Complex (97163) $102.49 $277 1.0×
Pt eval low complex 20 min (97161) $102.49 $277 1.0×
Pt Eval Mod Complex (97162) $102.49 $277 1.0×
Pt gait training 15 min (97116) $49.95 $135 1.7×
Pt mechanical traction (97012) $56.24 $152 3.9×
Pt Re-Eval Est Plan Care (97164) $61.05 $165 0.9×
Pulmonary service/procedure (94799)
range across 17 matching MRF lines
$51.80–$298.96 $140–$808 varies
Pulmonary Stress Testing (94618) $258.63 $699 1.9×
R Hrt Art/Grft Angio (93457) $6,296.66 $17,018 1.9×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $3,576.79 $9,667 1.1×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $3,576.79 $9,667 1.1×
R hrt coronary artery angio (93456) $6,380.65 $17,245 1.9×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $6,296.66 $17,018 1.9×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $6,296.66 $17,018 1.9×
R&L Hrt Cath W/Ventriclgrphy (93453) $6,361.04 $17,192 1.9×
Remote 30 Day Ecg Rev/Report (93270) $195.36 $528 5.0×
Respiratory flow volume loop (94375) $107.30 $290 0.5×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $71.78 $194 1.2×
Right Heart Cath (93451) $6,296.66 $17,018 1.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 4 matching MRF lines
$80.29–$275.65 $217–$745 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $52.54 $142 2.0×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607)
range across 3 matching MRF lines
$246.05–$253.45 $665–$685 varies
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608)
range across 3 matching MRF lines
$95.09–$98.05 $257–$265 varies
Self Care Mngment Training (97535) $53.28 $144 1.6×
Sensory Integration Ea 15 Min (97533) $48.84 $132 0.8×
Short-latency somatosens ep std upr limbs (95925) $239.76 $648 1.1×
Sleep study unattended (95806) $186.85 $505 0.8×
Slp caregiver training 1st 30 min (97550) $150.59 $407 2.9×
Speech sound lang comprehen (92523)
range across 3 matching MRF lines
$182.78–$193.88 $494–$524 varies
Spirometry (94010)
range across 9 matching MRF lines
$113.22–$199.80 $306–$540 varies
Ssep lower limbs (95926) $239.76 $648 1.1×
Standardized Cognitive Performance Testing (96125)
range across 2 matching MRF lines
$179.45–$185 $485–$500 varies
Stress Tte Only (93350) $886.89 $2,397 1.6×
Subcutaneous Infusion Each Additional Hour (96370) $58.46 $158 1.2×
Subcutaneous infusion initial 1 hr w/pump set-up (96369)
range across 3 matching MRF lines
$176.86–$226.81 $478–$613 varies
Subq Infusion Additional Pump Infusion Site (96371) $42.55 $115 0.6×
Temp transcutaneous pacing (92953) $197.21 $533 0.3×
Tensilon Test (95857) $125.80 $340 0.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $54.02 $146 2.4×
Ther Ivntj Ea Addl 15 Min (97130) $32.19 $87 1.5×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $86.58 $234 2.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $57.72 $156 1.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609)
range across 4 matching MRF lines
$95.09–$98.05 $257–$265 varies
Ther/Prop/Diag Inj/Inf Proc (96379)
range across 3 matching MRF lines
$41.44–$52.17 $112–$141 varies
Ther/Proph/Diag Inj Ia (96373)
range across 3 matching MRF lines
$73.26–$113.96 $198–$308 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 9 matching MRF lines
$59.57–$7,652.34 $161–$20,682 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 5 matching MRF lines
$217.56–$7,652.34 $588–$20,682 varies
Therapeutic Activities (97530) $82.14 $222 2.3×
Tobacco Use Cessation Intensive >10 Minutes (99407) $22.57 $61 0.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $90.28 $244 2.3×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $199.06 $538 1.8×
Tte w/doppler, complete (93306) $1,234.32 $3,336 2.2×
Tte W/O Doppler Complete (93307) $737.04 $1,992 3.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 3 matching MRF lines
$151.70–$156.14 $410–$422 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $55.50 $150 2.3×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 4 matching MRF lines
$102.49–$4,501.42 $277–$12,166 varies
Unlisted cardiovascular service/procedure (93799) $671.92 $1,816 5.0×
Upr/L Xtremity Art 2 Levels (93922) $187.22 $506 1.4×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $554.26 $1,498 2.5×
Vasopneumatic device (97016) $44.40 $120 3.7×
Vent Mgmt Inpat Init Day (94002)
range across 7 matching MRF lines
$714.47–$735.56 $1,931–$1,988 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $512.45 $1,385 0.8×
Vital capacity, total (94150) $76.59 $207 0.6×
Wheelchair Mgmt Ea 15 Min (97542) $61.05 $165 2.0×
Whirlpool Therapy (97022) $80.29 $217 5.1×

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.