Visits & medical services prices at Niobrara Valley Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $30 $30 0.1×
Canalith Repositioning (95992) $135 $135 3.3×
Cardioversion (92960) $2,231.50 $2,231.50 3.3×
Color/duplex Doppler, limited (93976) $871.25 $871.25 8.0×
Critical care (99291) $2,908.50 $2,908.50 3.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,758 $1,758 7.1×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,005 $1,005 9.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $984 $984 4.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $978.50 $978.50 9.0×
Dup-scan xtr veins unilateral/limited study (93971) $1,186.50 $1,186.50 10.9×
Duplex scan extracranial art compl bi study (93880) $1,942.50 $1,942.50 7.8×
Echo Heart Xthoracic,Limited (93308) $1,155 $1,155 4.7×
EKG (93005) $47.50 $47.50 0.8×
Er level 1 (99281) $184.25 $184.25 2.1×
Er level ii (99282) $327 $327 2.1×
Er level iii (99283) $522.50 $522.50 1.8×
Er level IV (99284) $760 $760 1.8×
Er level v (99285) $1,222.75 $1,222.75 2.0×
Evaluation of swallowing function (92610) $472.50 $472.50 5.6×
Group Therapeutic Procedures (97150) $91 $91 5.0×
Holter Monitor Recording (93225) $656.50 $656.50 4.8×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $18 $18 0.2×
Immunization Admin (90471) $23 $23 0.3×
Immunotherapy, 2+ Injections (95117) $38 $38 0.8×
IV infusion hydration each additional hour (96361) $160.50 $160.50 3.3×
IV infusion hydration initial 31 min-1 hour (96360) $493.50 $493.50 2.2×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $409.50 $409.50 5.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $572.50 $572.50 2.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $231 $231 4.8×
IV push initial (96374) $299.50 $299.50 1.4×
Manual therapy 15 min (97140) $132 $132 4.8×
Massage 15 min (97124) $113.50 $113.50 3.8×
Maximum voluntary ventilation (94200) $52 $52 0.8×
Mechanical traction (97012) $83 $83 5.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $46 $46 1.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $46 $46 1.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $794.50 $794.50 5.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $107 $107 2.3×
Ot Contrast Bath Ea 15 Min (97034) $68.50 $68.50 4.9×
Ot eval high complex 60 min (97167) $365.50 $365.50 3.6×
Ot eval low complex 30 min (97165) $240.50 $240.50 2.4×
Ot eval mod complex 45 min (97166) $299.50 $299.50 3.0×
Ot re-eval est plan care (97168) $211 $211 3.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $23 $23 0.5×
Pt Electric Current Therapy (97033) $199.50 $199.50 10.5×
Pt Electrical Stimulation (97032) $142 $142 9.7×
Pt eval high complex 45 min (97163) $399 $399 4.1×
Pt eval low complex 20 min (97161) $299.50 $299.50 3.1×
Pt Gait Training Therapy (97116) $122 $122 4.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $149 $149 4.6×
Pt Physical Performance Test (97750) $92.50 $92.50 2.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $299.50 $299.50 3.1×
Pt re-evaluation (97164) $199.50 $199.50 3.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $138 $138 4.3×
Pt Ultrasound Therapy (97035) $149 $149 10.4×
Pt Whirlpool Therapy (97022) $113.50 $113.50 7.2×
Speech sound lang comprehen (92523) $493.50 $493.50 2.2×
Ther/Proph/Diag Inj Sc/Im (96372) $110.25 $110.25 1.5×
Therapeutic Activities (97530) $147 $147 4.2×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,818.75 $2,818.75 5.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $388.50 $388.50 5.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $366.50 $366.50 4.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $247 $247 5.1×
Vasc Duplex Extrem Venous,Bilat (93970) $1,890 $1,890 7.6×
Wheelchair Mgmt Ea 15 Min (97542) $74.50 $74.50 2.4×