Visits & medical services prices at Ogallala Community Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Analyze Neurostim Simple (95971)
range across 2 matching MRF lines
$91.70–$134.27 $139–$186 varies
Analyze Pacemaker System (93724) $245.89 $452 0.8×
Appl modality 1+ areas lllt po pain reduction (97037) $54.61 $86 1.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 4 matching MRF lines
$64.68–$69.85 $110 varies
Application Modality 1/> Areas Infrared (97026) $25.87 $44 3.9×
Application on-body injector (96377) $61.88 $119 1.3×
Arrhythmia Induction (93618) $1,002.59 $1,843 0.8×
Assessment of aphasia per hr (96105) $245.36 $289 2.5×
Behavral qualit analys voice (92524) $322.62 $380 2.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $370.40 $587 1.0×
Canalith repositioning proc (95992) $142.88 $225 3.5×
Cardiac Stress Tst,Tracing Only (93017) $1,046.46 $1,630 4.7×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$462.64–$494.46 $852–$869 varies
Cardioversion (92960)
range across 3 matching MRF lines
$122.72–$676.54 $226–$1,189 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551)
range across 3 matching MRF lines
$57.04–$82.35 $97 varies
Chemo Anti-Neopl Sq/Im (96401) $253.94 $495 3.4×
Chemo Hormon Antineopl Sq/Im (96402) $94.90 $185 1.3×
Chemo IV infusion addl hr (96415) $32.65 $88 0.4×
Chemo IV push addl drug (96411) $91.31 $178 1.2×
Chemother Prolong Infuse W/Pump (96416) $157.30 $424 0.5×
Chemotherapy Into Cns (96450) $458.11 $893 1.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $74.20 $200 1.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $151 $407 0.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $200.58 $391 0.6×
Chest Wall Manipulation (94668) $104.14 $184 0.8×
Color/duplex Doppler, complete (93975) $789.16 $1,349 3.2×
Color/duplex Doppler, limited (93976) $465.66 $796 4.3×
Community/Work Reintegration Trainj Ea 15 Min (97537) $58.80 $100 1.8×
Computerized Ophthalmic Imaging Optic Nerve (92133) $79.80 $150 1.3×
Computerized Ophthalmic Imaging Retina (92134) $79.80 $150 1.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $500.91 $885 2.2×
Cpt initial (94667) $80.37 $142 0.6×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) $250.04 $470 1.1×
Critical care first hour (99291)
range across 3 matching MRF lines
$541.91–$1,092.48 $998–$1,920 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 6 matching MRF lines
$41.27–$144.15 $76–$227 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $438.75 $750 1.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $339.88 $581 3.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $870.48 $1,488 3.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $565.11 $966 5.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,003.86 $1,716 4.1×
Dup-scan xtr veins unilateral/limited study (93971) $761.67 $1,302 7.0×
Duplex up extrem art bilat (93930) $751.72 $1,285 3.0×
Duplex up extrem art unilat/ltd (93931) $628.88 $1,075 5.8×
Echo Heart Xthoracic,Limited (93308) $449.57 $669 1.8×
Echo transesophageal (93312) $1,303.01 $1,939 2.3×
Electrical Stimulation Ea 15 Min (97032)
range across 4 matching MRF lines
$80.56–$87 $137 varies
Electrocardiogram Tracing (93005) $205.59 $330 3.4×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
unusually low: confirm this is the full procedure
$3,580.06 $6,581 0.4×
Electrophysiology Evaluation (93642) $3,059.46 $5,624 2.4×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$373.72 $196–$350 2.3×
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$894.62 $293–$615 3.2×
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$2,004.83 $537–$1,005 4.6×
Er level 1 (99281)
range across 2 matching MRF lines
$293 $102–$190 3.3×
Er level v (99285)
range across 2 matching MRF lines
$3,172.59 $780–$1,460 5.1×
Evaluate pt use of inhaler (94664) $140.93 $249 0.6×
Evaluate Speech Production (92522) $236.87 $279 2.1×
Evaluate Swallowing Function (92610) $136.30 $233 1.6×
Evaluation of speech fluency (92521) $284.42 $335 2.1×
Evoked Auditory Test,Limited (92587) $167.95 $241 0.7×
External ECG rec>48hr<7d recording (93242) $359.89 $542 9.3×
External ECG rec>7d<15d recording (93246) $270.91 $408 7.0×
Extracranial Bilat Study (93880) $855.27 $1,462 3.5×
Extracranial Uni/Ltd Study (93882) $459.22 $785 4.2×
Group Therapeutic Procedures (97150) $50.87 $73 2.8×
Holter monitor recording (93225) $278.88 $420 2.0×
Immunization administration (90471) $38.34 $108 0.5×
Ingestion challenge test initial 120 minutes (95076) $556.82 $799 1.4×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $556.82 $799 1.4×
Intracranial Complete Study (93886) $585 $1,000 2.4×
Iontophoresis 15 min (97033)
range across 4 matching MRF lines
$87.02–$93.98 $148 varies
Irrig Drug Delivery Device (96523) $132.08 $254 2.2×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$64.87–$73.30 $114 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$241.26–$272.63 $424 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$75.68–$85.52 $133 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$69.42–$78.45 $122 varies
IV push initial (96374)
range across 3 matching MRF lines
$166.40–$182.08 $320 varies
Low frequency non-thermal us (97610)
range across 4 matching MRF lines
$176.40–$190.50 $300 varies
Lung Function Test (Mbc/Mvv) (94200) $110.42 $175 1.8×
Lwr Xtr Vasc Stdy Bilat (93924) $502.52 $859 2.2×
Mechanical chest wall oscillation per session (94669) $173.76 $307 0.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $34.59 $46 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $36.85 $49 1.0×
Methacholine challenge (94070) $385.54 $611 1.0×
Nasopharyngoscopy (92511) $35.26 $78 0.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $138.43 $218 0.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $248.28 $391 0.6×
Neuromuscular Reeducation (97112)
range across 4 matching MRF lines
$84.67–$91.44 $144 varies
Newborn resuscitation (99465) $687.83 $987 1.0×
Oral Function Therapy (92526) $180.84 $213 2.1×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 4 matching MRF lines
$77.03–$83.18 $131 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 4 matching MRF lines
$69.97–$75.56 $119 varies
Ot Contrast Bath Ea 15 Min (97034)
range across 4 matching MRF lines
$35.87–$38.74 $61 varies
Ot eval high complexity (97167) $142.53 $262 1.4×
Ot Eval Low Complex (97165) $141.98 $261 1.4×
Ot Eval Moderate Complexity (97166) $137.09 $252 1.4×
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines
$89.38–$96.52 $152 varies
Ot paraffin bath (97018)
range across 4 matching MRF lines
$38.22–$41.27 $65 varies
Ot Prosthetic Training, Each 15 Min (97761)
range across 4 matching MRF lines
$61.74–$66.67 $105 varies
Ot Re-Eval Est Plan Care (97168) $122.40 $225 1.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $227.53 $402 1.0×
Percutaneous tests w/allergenic extracts (95004) $117.77 $169 0.1×
Phlebotomy therapeutic (99195) $133.64 $257 1.0×
Physical Performance Test (97750) $59.06 $93 1.8×
Plethysmography (94726) $296.57 $470 0.8×
Pt Eval High Complex (97163) $164.01 $262 1.7×
Pt eval low complex 20 min (97161) $163.39 $261 1.7×
Pt Eval Mod Complex (97162) $157.75 $252 1.6×
Pt gait training 15 min (97116)
range across 4 matching MRF lines
$49.39–$53.34 $84 varies
Pt group caregiver training (97552)
range across 3 matching MRF lines
$38.22–$55.18 $65 varies
Pt mechanical traction (97012)
range across 4 matching MRF lines
$90.55–$97.79 $154 varies
Pt Re-Eval Est Plan Care (97164) $140.85 $225 2.1×
Pulm function test by gas (94727) $259.97 $412 1.2×
Pulmonary Stress Testing (94618) $364.72 $578 2.6×
Refill/Maint Portable Pump (96521) $160.16 $308 0.7×
Refill/Maint Pump/Resvr Syst (96522) $132.08 $254 0.6×
Remote 30 Day Ecg Rev/Report (93270) $272.24 $410 7.0×
Respiratory flow volume loop (94375) $181.73 $288 0.8×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $108.40 $174 1.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 4 matching MRF lines
$116.42–$125.73 $198 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $222.30 $380 1.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $71.96 $123 1.5×
Self Care Mngment Training (97535)
range across 4 matching MRF lines
$57.04–$61.59 $97 varies
Sensory Integration Ea 15 Min (97533) $78.20 $133 1.3×
Sleep study unattended (95806) $561.25 $581 2.5×
Slp caregiver training 1st 30 min (97550)
range across 3 matching MRF lines
$114.07–$164.71 $194 varies
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $603.75 $625 2.7×
Speech sound lang comprehen (92523) $339.60 $400 1.5×
Spin/Brain Pump Refil & Main (95991)
range across 2 matching MRF lines
$91.20–$231.40 $185–$445 varies
Spirometry (94010) $290.89 $461 1.3×
Standardized Cognitive Performance Testing (96125) $217.34 $256 2.1×
Stress Tte Only (93350) $866.21 $1,289 1.5×
Surfactant Admin Thru Tube (94610) $96.54 $153 0.4×
Temp transcutaneous pacing (92953) $561.60 $987 0.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 3 matching MRF lines
$58.21–$84.05 $99 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 3 matching MRF lines
$54.68–$78.96 $93 varies
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $69.85 $110 1.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 4 matching MRF lines
$45.28–$48.90 $77 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $220.74 $260 2.2×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$92.04–$100.71 $177 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$256.05–$289.35 $450 varies
Therapeutic Activities (97530)
range across 4 matching MRF lines
$55.86–$60.33 $95 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $900.32 $1,655 2.3×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $339.30 $580 3.1×
Tte w/doppler, complete (93306) $1,989.12 $2,960 3.5×
Tte W/O Doppler Complete (93307) $633.02 $942 2.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $163.86 $193 2.2×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $52.27 $75 2.2×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$115.44–$126.32 $222 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$263.84–$396.04 $451–$677 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $608.98 $1,041 2.7×
Vasopneumatic device (97016)
range across 4 matching MRF lines
$63.50–$68.58 $108 varies
Vent Mgmt Inpat Init Day (94002) $688.82 $1,217 1.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $555.81 $982 0.9×
Vital capacity, total (94150) $54.90 $87 0.4×
Wheelchair Mgmt Ea 15 Min (97542)
range across 4 matching MRF lines
$49.98–$53.98 $85 varies
Whirlpool Therapy (97022)
range across 4 matching MRF lines
$69.97–$75.56 $119 varies

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.