Visits & medical services prices at Midwest Surgical Hospital LLC

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

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

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ProcedureCash priceGross charge× Medicare
Analyze Neurostim Complex (95972) $985.50 $1,314 10.0×
Analyze neurostim no prog (95970) $985.50 $1,314 7.1×
C motor evoked upr&lwr limbs (95939) $2,445.75 $3,261 2.7×
Cardiopulmonary resuscitation (92950) $495 $660 2.2×
Cardioversion (92960) $1,238.25 $1,651 1.8×
Critical care (99291) $1,614.75 $2,153 1.9×
Debridement Open Wound 20 Sq Cm< (97597) $867 $1,156 4.2×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $357 $476 3.3×
Dup-scan xtr veins unilateral/limited study (93971) $2,047.50 $2,730 18.9×
Ear and throat examination (92502) $1,573.50 $2,098 2.8×
EEG coma or sleep only (95822) $156 $208 0.7×
EKG (93005) $141 $188 2.3×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $2,445.75 $3,261 24.8×
Electrocochleography (92584) $654 $872 4.9×
EMG cranial nerve bilat (95868) $1,651.50 $2,202 7.4×
EMG cranial nerve unilat (95867) $1,428 $1,904 6.4×
Immunization Admin (90471) $54.75 $73 0.7×
IV push initial (96374) $1,560.75 $2,081 7.1×
Maintenance of spinal canal or brain drug infusion pump (95990) $985.50 $1,314 2.9×
Nasopharyngoscopy (92511) $1,490.25 $1,987 7.2×
Needle electromyography larynx (95865) $1,651.50 $2,202 12.0×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $2,445.75 $3,261 17.7×
Neg press wnd tx </=50 sq cm (97607) $958.50 $1,278 2.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $958.50 $1,278 4.6×
Pt eval high complex 45 min (97163) $113.25 $151 1.2×
Pt eval low complex 20 min (97161) $121.50 $162 1.2×
Pt Gait Training Therapy (97116) $161.62 $215.50 5.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $134.25 $179 4.1×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $113.25 $151 1.2×
Pt re-evaluation (97164) $113.25 $151 1.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $113.25 $151 3.5×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $985.50 $1,314 3.1×
Somatosensory testing (95938) $2,387.25 $3,183 2.7×
Ther/Proph/Diag Inj Sc/Im (96372) $1,560.75 $2,081 20.9×
Therapeutic Activities (97530) $238.88 $318.50 6.8×
Vasc Duplex Extrem Venous,Bilat (93970) $2,047.50 $2,730 8.3×