Visits & medical services prices at Morrill County Community Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $78 $83 0.6×
Acoustic Reflex Testing (92568) $38 $40 1.0×
Acupunct W/Stimul 15 Min (97813) $41 $44 1.4×
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines		 $311–$324 $331–$345 varies
Airway resistance by oscillometry (94728) $229 $244 1.7×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $275 $293 2.0×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $377 $401 2.7×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $389 $414 2.9×
Analyze neurostim complex (95972) $274 $292 2.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines		 $103–$130 $110–$138 varies
Assessment of tinnitus (92625) $165 $176 1.2×
Audiometry Air & Bone (92553) $86 $92 0.6×
Behavral qualit analys voice (92524) $356 $379 3.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $844 $898 2.2×
Canalith repositioning proc (95992) $152 $162 3.7×
Cardiac Stress Tst,Tracing Only (93017) $1,284 $1,366 5.7×
Cardiopulmonary resuscitation (92950) $965 $1,027 4.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $89 $95 3.4×
Cbt 1st hour (94644) $180 $192 1.3×
Chemo Anti-Neopl Sq/Im (96401) $269 $286 3.6×
Chemo Hormon Antineopl Sq/Im (96402) $264 $281 3.5×
Chemo IV infusion addl hr (96415) $213 $227 2.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,068 $1,136 3.1×
Chest Wall Manipulation (94668) $131 $139 0.9×
Color/duplex Doppler, complete (93975) $999 $1,063 4.0×
Comprehensive Hearing Test (92557) $89 $95 0.7×
Conditioning Play Audiometry (92582) $164 $174 1.2×
Continuous Pulse Ox (94762) $442 $470 3.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $932 $992 4.1×
Cpt initial (94667) $206 $219 1.5×
Critical care first hour (99291) $1,919 $2,041 2.2×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines		 $229–$440 $244–$468 varies
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $243 $258 1.8×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $80 $85 0.2×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,139 $1,212 4.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $989 $1,052 9.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,267 $1,348 5.1×
Dup-scan xtr veins unilateral/limited study (93971) $986 $1,049 9.1×
Duplex up extrem art bilat (93930) $1,316 $1,400 5.3×
Duplex up extrem art unilat/ltd (93931) $940 $1,000 8.7×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $217 $231 1.6×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $363 $386 2.7×
Ear Protector Evaluation (92596) $147 $156 3.8×
Echo Heart Xthoracic,Limited (93308) $1,164 $1,238 4.7×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $3,474 $3,696 6.1×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines		 $91–$99 $97–$105 varies
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines		 $362–$369 $385–$393 varies
Emergency Dept Visit Level 2 (99282) $365 $388 2.3×
Emergency Dept Visit Level 3 (99283) $614 $653 2.2×
Emergency Dept Visit Level 4 (99284) $825 $878 1.9×
Er level 1 (99281) $230 $245 2.6×
Er level v (99285) $1,386 $1,474 2.2×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $212 $225 1.6×
Evaluate pt use of inhaler (94664) $202 $215 0.9×
Evaluate Speech Production (92522) $325 $346 2.9×
Evaluate Swallowing Function (92610) $384 $408 4.5×
Evaluation of speech fluency (92521) $403 $429 3.0×
Evoked Auditory Test,Limited (92587) $53 $56 0.2×
External ECG rec>48hr<7d recording (93242) $635 $675 16.4×
External ECG rec>7d<15d recording (93246) $708 $753 18.3×
Extracranial Bilat Study (93880) $1,439 $1,531 5.8×
F-up/limited tthrc echo congenital car anomaly (93304) $1,164 $1,238 2.1×
Holter monitor recording (93225) $473 $503 3.4×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines		 $5–$33 $5–$35 varies
Immunization administration (90471)
range across 6 matching MRF lines		 $5–$33 $5–$35 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $462 $491 1.2×
Iontophoresis 15 min (97033) $134 $143 7.0×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines		 $108–$113 $115–$120 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines		 $388–$404 $413–$430 varies
IV infusion ther proph addl sequential to 1 hr (96367) $184 $196 2.5×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines		 $138–$144 $147–$153 varies
IV push initial (96374) $274 $292 1.2×
Mechanical chest wall oscillation per session (94669) $200 $213 0.9×
Methacholine challenge (94070) $121 $129 0.3×
Nasopharyngoscopy (92511) $365 $388 1.8×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $273 $290 0.6×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $337 $358 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines		 $98–$331 $104–$352 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines		 $98–$412 $104–$438 varies
Nerve Conduction Studies 1-2 Studies (95907) $478 $509 2.1×
Nerve Conduction Studies 11-12 Studies (95912) $2,197 $2,337 5.7×
Nerve conduction studies 13 or more studies (95913) $2,311 $2,459 6.0×
Nerve Conduction Studies 3-4 Studies (95908) $788 $838 3.5×
Nerve conduction studies 5-6 studies (95909) $883 $939 3.9×
Nerve conduction studies 7-8 studies (95910) $1,158 $1,232 3.0×
Nerve Conduction Studies 9-10 Studies (95911) $1,769 $1,882 4.6×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines		 $118–$146 $125–$155 varies
Oral Function Therapy (92526) $311 $331 3.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $233 $248 4.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $126 $134 2.7×
Ot eval high complexity (97167) $247 $263 2.5×
Ot Eval Low Complex (97165) $201 $214 2.0×
Ot Eval Moderate Complexity (97166) $238 $253 2.4×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines		 $119–$132 $127–$140 varies
Ot paraffin bath (97018) $88 $94 14.6×
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines		 $126–$301 $134–$320 varies
Ot Re-Eval Est Plan Care (97168) $148 $157 2.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $312 $332 2.3×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $215 $229 1.6×
Peripheral arterial disease rehab per session (93668) $660 $702 10.8×
Phlebotomy therapeutic (99195) $199 $212 1.4×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $379 $403 6.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $320 $340 5.2×
Plethysmography (94726) $946 $1,006 2.4×
Psych diag eval w/med srvcs (90792) $294 $313 1.6×
Pt Eval High Complex (97163) $281 $299 2.9×
Pt eval low complex 20 min (97161) $183 $195 1.9×
Pt Eval Mod Complex (97162) $216 $230 2.2×
Pt gait training 15 min (97116) $111 $118 3.8×
Pt group caregiver training (97552) $89 $95 4.0×
Pt mechanical traction (97012) $102 $108 7.1×
Pt Re-Eval Est Plan Care (97164) $142 $151 2.1×
Pulm function test by gas (94727) $533 $567 2.4×
Pulmonary service/procedure (94799) $218 $232 1.6×
Pulmonary Stress Testing (94618) $509 $541 3.7×
Pure Tone Audiometry Air (92552) $71 $75 0.5×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $13 $14 0.0×
Respiratory flow volume loop (94375) $299 $318 1.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $275 $293 4.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines		 $185–$222 $197–$236 varies
Select picture audiometry (92583) $109 $116 1.8×
Self Care Mngment Training (97535) $152 $162 4.7×
Slp caregiver training 1st 30 min (97550) $133 $142 2.5×
Speech Audiometry Complete (92556) $85 $90 1.4×
Speech audiometry threshold (92555) $54 $57 0.9×
Speech sound lang comprehen (92523) $355 $378 1.6×
Spin/Brain Pump Refil & Main (95991) $229 $244 0.7×
Spirometry (94010) $376 $400 1.7×
Standardized Cognitive Performance Testing (96125) $371 $395 3.6×
Stenger Test Speech (92577) $31 $33 0.1×
Stenger Test, Pure Tone (92565) $36 $38 0.6×
Stress Tte Only (93350) $1,755 $1,867 3.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $111 $118 5.0×
Ther Ivntj Ea Addl 15 Min (97130) $85 $90 4.0×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines		 $36–$196 $38–$208 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines		 $470–$489 $500–$520 varies
Therapeutic Activities (97530) $144 $153 4.1×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines		 $2,307–$2,390 $2,454–$2,543 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $307 $327 4.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $181 $193 3.7×
Tympanometry (92567) $38 $40 1.0×
Tympanometry and reflex threshold measurements (92550) $53 $56 0.2×
Vent Mgmt Inpat Init Day (94002) $2,421 $2,575 3.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,062 $1,130 1.7×
Visual reinforcement audiometry (vra) (92579) $110 $117 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $118 $125 3.8×

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.