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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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (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) $96.20 $260 0.4×
Analyze Neurostim Complex (95972) $3,996 $10,800 40.5×
Assessment of aphasia (96105) $222 $600 2.3×
Behavioral and qualitative analysis of voice and resonance (92524) $188.33 $509 1.7×
Bfb training 1st 15 min (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) $412.55 $1,115 1.1×
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 (95992) $104.71 $283 2.6×
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) $554.26 $1,498 2.5×
Cardioversion (92960) $661.93 $1,789 1.0×
Caregiver training 1st 30 min (97550) $150.59 $407 2.9×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $6,669.99 $18,027 2.0×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $6,380.65 $17,245 1.9×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $7,086.98 $19,154 2.1×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $6,836.86 $18,478 2.0×
Cbt 1st hour (94644) $100.46 $271.50 0.7×
Chemo Hormon Antineopl Sq/Im (96402) $66.23 $179 0.9×
Chemo IV push addl drug (96411) $125.80 $340 1.7×
Chemo Iv Push Sngl Drug (96409) $125.80 $340 0.4×
Chemother, IV infusion, 1 hr (96413) $246.79 $667 0.7×
Chemother, IV infusion, ea add hr (96415) $106.93 $289 1.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $139.49 $377 1.9×
Chemotx Admn Cns Req Spinal Puncture (96450) $267.51 $723 0.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $35.52 $96 0.5×
Color/duplex Doppler, complete (93975) $594.96 $1,608 2.4×
Color/duplex Doppler, limited (93976) $594.96 $1,608 5.5×
Cont Gluc Monitoring Patient Provided Equipment (95249) $69.19 $187 1.1×
Continuous Glucose Monitoring (95250) $212.38 $574 1.5×
Coronary artery angio s&i (93454) $6,296.66 $17,018 1.9×
Cpap initiation and management (94660) $198.32 $536 0.9×
Cpt initial (94667) $92.87 $251 0.7×
Critical care (99291) $1,122.95 $3,035 1.3×
Ctr motor ep std transcrnl motor stimj lwr limbs (95929) $215.34 $582 0.6×
Debridement Open Wound 20 Sq Cm< (97597) $109.89 $297 0.5×
Demo &/or eval,pt use,aerosol device (94664) $103.60 $280 0.5×
Dialysis other/than hemodialysis 1 phys/qhp eval (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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $375.18 $1,014 1.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $208.31 $563 1.9×
Dup-scan xtr veins unilateral/limited study (93971) $551.30 $1,490 5.1×
Duplex hemodialysis access (93990) $143.56 $388 1.3×
Duplex scan extracranial art compl bi study (93880) $907.24 $2,452 3.7×
Echo Heart Xthoracic,Limited (93308) $583.12 $1,576 2.4×
Echo transesophageal (93312) $1,187.70 $3,210 2.1×
EEG awake 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×
EKG (93005) $200.17 $541 3.3×
EKG rhythm strip (93041) $71.78 $194 1.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
unusually low: confirm this is the full procedure
$3,323.34 $8,982 0.4×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $1,447.81 $3,913 1.1×
Er level 1 (99281) $112.85 $305 1.3×
Er level ii (99282) $186.11 $503 1.2×
Er level iii (99283) $326.34 $882 1.2×
Er level IV (99284) $516.89 $1,397 1.2×
Er level v (99285) $679.69 $1,837 1.1×
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) $177.04 $478.50 1.3×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $185.37 $501 2.6×
Evaluation of speech fluency (92521) $188.33 $509 1.4×
Evaluation of speech sound production (92522) $188.33 $509 1.7×
Evaluation of swallowing function (92610) $189.81 $513 2.2×
Evaluation with prescription of speech-generating alternative (92607) $253.45 $685 2.1×
Exhaled Air Analysis (94690) $51.80 $140 0.8×
External ECG rec>48hr<7d recording (93242) $44.40 $120 1.1×
Eye exam w anesth; complete (92018) $608.28 $1,644 0.2×
Flow volume loop (94375) $107.30 $290 0.5×
Group Therapeutic Procedures (97150) $69.93 $189 3.9×
Hemodialysis (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 Admin (90471) $45.14 $122 0.6×
Ingestion challenge test initial 120 minutes (95076) $571.65 $1,545 1.5×
Injection intra arterial (96373) $113.96 $308 0.5×
Ins swan ganz bedside (93503) $2,070.89 $5,597 1.3×
Intralesional Chemo Admin,8+ Lesn (96406) $116.18 $314 0.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $80.29 $217 1.3×
IV infusion hydration each additional hour (96361) $79.74 $215.50 1.6×
IV infusion hydration initial 31 min-1 hour (96360) $224.59 $607 1.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $95.64 $258.50 1.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $224.59 $607 1.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $63.27 $171 1.3×
IV push initial (96374) $105.08 $284 0.5×
L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) $3,576.79 $9,667 1.1×
Manual therapy 15 min (97140) $75.48 $204 2.7×
Massage 15 min (97124) $57.72 $156 1.9×
Maximum voluntary ventilation (94200) $71.41 $193 1.2×
Mechanical traction (97012) $56.24 $152 3.9×
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×
Methacholine challenge (94070) $425.50 $1,150 1.1×
Mnt Group Ea 30 Min (97804) $19.98 $54 1.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $280.09 $757 3.1×
Nasopharyngoscopy (92511) $128.20 $346.50 0.6×
Needle electromyography larynx (95865) $104.34 $282 0.8×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $58.83 $159 0.4×
Neg press wnd tx </=50 sq cm (97607) $2,445.52 $6,609.50 5.8×
Neg press wound tx >50 cm (97608) $389.61 $1,053 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $145.41 $393 0.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $292.30 $790 0.7×
New patient problem focused exam of visual system (92002) $127.28 $344 0.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $187.22 $506 1.4×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $554.26 $1,498 2.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $222 $600 1.7×
Orthotics mgmt & traing 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 Community/Work Reintegration Trainj Ea 15 Min (97537) $63.08 $170.50 2.0×
Ot Contrast Bath Ea 15 Min (97034) $33.30 $90 2.4×
Ot eval high complex 60 min (97167) $131.72 $356 1.3×
Ot eval low complex 30 min (97165) $131.72 $356 1.3×
Ot eval mod complex 45 min (97166) $131.72 $356 1.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $50.32 $136 1.0×
Ot Prosthetic Training, Each 15 Min (97761) $53.65 $145 1.3×
Ot Range Motion Measure,Each Extrem (95851) $52.54 $142 2.0×
Ot re-eval est plan care (97168) $66.23 $179 1.0×
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×
Paraffin bath (97018) $47.73 $129 7.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $285.27 $771 1.3×
Peripheral arterial disease rehab per session (93668) $71.04 $192 1.2×
Perq Transcath Cls Mitral (93590) $17,555.02 $47,446 0.9×
Perq transcath cls paravalvr leak 1 aortic valve (93591) $17,555.02 $47,446 0.9×
Phy/qhp op pulm rhb w/mntr (94626) $159.84 $432 2.6×
Phy/qhp op pulm rhb w/o mntr (94625) $159.84 $432 2.6×
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 revasc chronic 1vsl (92943) $9,173.04 $24,792 0.8×
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×
Prq trluml coronary angio/atherect one art/brnch (92924) $11,696.44 $31,612 1.0×
Prq trluml coronary angioplasty one art/branch (92920) $6,862.94 $18,548.50 1.2×
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 Aquatic Therapy/Exercises (97113) $86.58 $234 2.3×
Pt Electric Current Therapy (97033) $68.45 $185 3.6×
Pt Electrical Stimulation (97032) $62.16 $168 4.2×
Pt eval high complex 45 min (97163) $102.49 $277 1.0×
Pt eval low complex 20 min (97161) $102.49 $277 1.0×
Pt Gait Training Therapy (97116) $49.95 $135 1.7×
Pt Infrared Therapy (97026) $15.54 $42 2.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $59.57 $161 1.8×
Pt Physical Performance Test (97750) $64.01 $173 1.9×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $102.49 $277 1.0×
Pt re-evaluation (97164) $61.05 $165 0.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $53.28 $144 1.6×
Pt Ultrasound Therapy (97035) $75.11 $203 5.2×
Pt Whirlpool Therapy (97022) $80.29 $217 5.1×
Pulmonary stress testing (94618) $258.63 $699 1.9×
R & l hrt cath w/njx l ventriculog img s&i (93453) $6,361.04 $17,192 1.9×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $6,836.86 $18,478 2.0×
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& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $7,253.48 $19,604 2.2×
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×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $195.36 $528 5.0×
Right heart cath (93451) $6,296.66 $17,018 1.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $129.13 $349 0.6×
Rom meas&reprt hand w/wo comparison normal sid (95852) $39.96 $108 1.9×
Rt Chest Wall Manipulation,Subsequent (94668) $89.17 $241 0.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $98.05 $265 2.1×
Sc Ther Infusion Reset Pump (96371) $42.55 $115 0.6×
Sensory Integration Ea 15 Min (97533) $48.84 $132 0.8×
Short-latency somatosens ep std lwr limbs (95926) $239.76 $648 1.1×
Short-latency somatosens ep std upr limbs (95925) $239.76 $648 1.1×
Sleep study unattended (95806) $186.85 $505 0.8×
Smoking cessation > 10 min (99407) $22.57 $61 0.6×
Speech group therapy (92508) $55.50 $150 2.3×
Speech sound lang comprehen (92523) $188.33 $509 0.8×
Spirometry (94010) $199.80 $540 0.9×
Standardized Cognitive Performance Testing (96125) $182.22 $492.50 1.8×
Stress echo (93350) $886.89 $2,397 1.6×
Stress Tte Complete (93351) $834.90 $2,256.50 1.5×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $58.46 $158 1.2×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $176.86 $478 0.8×
Temp transcutaneous pacing (92953) $197.21 $533 0.3×
Tensilon test (95857) $125.80 $340 0.6×
Test for allergy using combination of methods with drug or biological (95018) $41.07 $111 1.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $54.02 $146 2.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $32.19 $87 1.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $98.05 $265 1.0×
Ther/prop/diag inj/inf proc (96379) $41.44 $112 0.9×
Ther/Proph/Diag Inj Sc/Im (96372) $61.42 $166 0.8×
Therapeutic Activities (97530) $82.14 $222 2.3×
Therapeutic phlebotomy (99195) $243.83 $659 1.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $90.28 $244 2.3×
Transcranial Doppler Limited (93888) $199.06 $538 1.8×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,234.32 $3,336 2.2×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $737.04 $1,992 3.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $156.14 $422 2.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $136.53 $369 1.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $105.08 $284 2.2×
Unlisted Cardiovascular Service/Procedure (93799) $671.92 $1,816 5.0×
Unlisted pulmonary service/procedure (94799) $143.93 $389 1.1×
Vasc Duplex Extrem Venous,Bilat (93970) $839.90 $2,270 3.4×
Vasc Duplex Scan Extracranial,Limited (93882) $468.42 $1,266 4.3×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $628.26 $1,698 2.8×
Vasopneumatic device (97016) $44.40 $120 3.7×
Ventilation assist & mgmt inpatient 1st day (94002) $735.56 $1,988 1.1×
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×