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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ProcedureCash priceGross charge× Medicare
Appl modality 1+lllt po pain (97037) $54.61 $86 1.4×
Appl on-body injector for timed subq injection (96377) $61.88 $119 1.3×
Arrhythmia induction (93618) $1,002.59 $1,843 0.8×
Assessment of aphasia (96105) $245.36 $289 2.5×
Behavioral and qualitative analysis of voice and resonance (92524) $322.62 $380 2.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $370.40 $587 1.0×
Canalith Repositioning (95992) $142.88 $225 3.5×
Cardiac Stress Tst,Tracing Only (93017) $1,046.46 $1,630 4.7×
Cardiopulmonary resuscitation (92950) $491.85 $869 2.2×
Cardioversion (92960) $646.82 $1,189 0.9×
Caregiver training 1st 30 min (97550) $123.19 $194 2.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $61.59 $97 2.4×
Chemo Hormon Antineopl Sq/Im (96402) $94.90 $185 1.3×
Chemo IV push addl drug (96411) $91.31 $178 1.2×
Chemo Iv Push Sngl Drug (96409) $200.58 $391 0.6×
Chemo prolong 8+ hrs infuse w/pump (96416) $157.30 $424 0.5×
Chemother, IV infusion, 1 hr (96413) $151 $407 0.4×
Chemother, IV infusion, ea add hr (96415) $32.65 $88 0.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $253.94 $495 3.4×
Chemotx Admn Cns Req Spinal Puncture (96450) $458.11 $893 1.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $74.20 $200 1.0×
Color/duplex Doppler, complete (93975) $789.16 $1,349 3.2×
Color/duplex Doppler, limited (93976) $465.66 $796 4.3×
Computerized Ophthalmic Imaging Optic Nerve (92133) $79.80 $150 1.3×
Cpap initiation and management (94660) $500.91 $885 2.2×
Cpt initial (94667) $80.37 $142 0.6×
Cptrized oph dx img pst segment uni/bi retina (92134) $79.80 $150 1.3×
Cptrz oph img pst sg rta oct (92137) $250.04 $470 1.1×
Critical care (99291) $588.82 $998 0.7×
Debridement Open Wound 20 Sq Cm< (97597) $133.48 $227 0.6×
Demo &/or eval,pt use,aerosol device (94664) $140.93 $249 0.6×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $751.72 $1,285 3.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $628.88 $1,075 5.8×
Dup-scan xtr veins unilateral/limited study (93971) $761.67 $1,302 7.0×
Duplex scan extracranial art compl bi study (93880) $855.27 $1,462 3.5×
Echo Heart Xthoracic,Limited (93308) $449.57 $669 1.8×
Echo transesophageal (93312) $1,303.01 $1,939 2.3×
EKG (93005) $205.59 $330 3.4×
EKG rhythm strip (93041) $108.40 $174 1.8×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $112.98 $162.50 1.1×
Ep Analyze Pacer Sys (93724) $245.89 $452 0.8×
Ep Electrophysiologic F/U Study (93624)
unusually low: confirm this is the full procedure
$3,580.06 $6,581 0.4×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $3,059.46 $5,624 2.4×
Er level 1 (99281) $293 $146 3.3×
Er level ii (99282) $373.72 $273 2.3×
Er level iii (99283) $894.62 $454 3.2×
Er level IV (99284) $2,004.83 $771 4.6×
Er level v (99285) $3,172.59 $1,120 5.1×
Evaluation of speech fluency (92521) $284.42 $335 2.1×
Evaluation of speech sound production (92522) $236.87 $279 2.1×
Evaluation of swallowing function (92610) $136.30 $233 1.6×
Evaluation with prescription of speech-generating alternative (92607) $222.30 $380 1.8×
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×
Flow volume loop (94375) $181.73 $288 0.8×
Group Therapeutic Procedures (97150) $50.87 $73 2.8×
Holter Monitor Recording (93225) $278.88 $420 2.0×
Immunization Admin (90471) $38.34 $108 0.5×
Ingestion challenge test initial 120 minutes (95076) $556.82 $799 1.4×
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $556.82 $799 1.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $132.08 $254 2.2×
IV infusion hydration each additional hour (96361) $69.08 $114 1.4×
IV infusion hydration initial 31 min-1 hour (96360) $256.94 $424 1.2×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $80.60 $133 1.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $272.70 $450 1.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $73.94 $122 1.5×
IV push initial (96374) $166.40 $320 0.8×
Low frequency non-thermal us (97610) $183.45 $300 0.9×
Manual therapy 15 min (97140) $92.95 $152 3.4×
Massage 15 min (97124) $47.09 $77 1.6×
Maximum voluntary ventilation (94200) $110.42 $175 1.8×
Mechanical chest wall oscillation (94669) $173.76 $307 0.8×
Mechanical traction (97012) $94.17 $154 6.6×
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×
Newborn resuscitation (99465) $687.83 $987 1.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $329.94 $564 2.4×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $608.98 $1,041 2.7×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $72.76 $119 1.6×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $58.80 $100 1.8×
Ot Contrast Bath Ea 15 Min (97034) $37.30 $61 2.7×
Ot eval high complex 60 min (97167) $142.53 $262 1.4×
Ot eval low complex 30 min (97165) $141.98 $261 1.4×
Ot eval mod complex 45 min (97166) $137.09 $252 1.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $80.10 $131 1.6×
Ot Prosthetic Training, Each 15 Min (97761) $64.20 $105 1.6×
Ot re-eval est plan care (97168) $122.40 $225 1.8×
Paraffin bath (97018) $39.74 $65 6.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $227.53 $402 1.0×
Percutaneous tests w/allergenic extracts (95004) $117.77 $169 0.1×
Plethysmography (94726) $296.57 $470 0.8×
Pt Aquatic Therapy/Exercises (97113) $69.85 $110 1.9×
Pt Electric Current Therapy (97033) $90.50 $148 4.8×
Pt Electrical Stimulation (97032) $83.78 $137 5.7×
Pt eval high complex 45 min (97163) $164.01 $262 1.7×
Pt eval low complex 20 min (97161) $163.39 $261 1.7×
Pt Gait Training Therapy (97116) $51.36 $84 1.8×
Pt group caregiver training (97552) $41.27 $65 1.9×
Pt Infrared Therapy (97026) $25.87 $44 3.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $88.06 $144 2.7×
Pt Physical Performance Test (97750) $59.06 $93 1.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $157.75 $252 1.6×
Pt re-evaluation (97164) $140.85 $225 2.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $59.32 $97 1.8×
Pt Ultrasound Therapy (97035) $67.26 $110 4.7×
Pt Whirlpool Therapy (97022) $72.76 $119 4.6×
Pulm function test by gas (94727) $259.97 $412 1.2×
Pulmonary stress testing (94618) $364.72 $578 2.6×
Refill/Maint Pump/Resvr Syst (96522) $132.08 $254 0.6×
Refill/maint, portable pump (96521) $160.16 $308 0.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $272.24 $410 7.0×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $161.30 $315 0.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $121.08 $198 0.6×
Rt Chest Wall Manipulation,Subsequent (94668) $104.14 $184 0.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $71.96 $123 1.5×
Sensory Integration Ea 15 Min (97533) $78.20 $133 1.3×
Sleep study unattended (95806) $561.25 $581 2.5×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $603.75 $625 2.7×
Speech group therapy (92508) $52.27 $75 2.2×
Speech sound lang comprehen (92523) $339.60 $400 1.5×
Spirometry (94010) $290.89 $461 1.3×
Standardized Cognitive Performance Testing (96125) $217.34 $256 2.1×
Stress echo (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) $58.21 $99 2.6×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $54.68 $93 2.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $220.74 $260 2.2×
Ther/Proph/Diag Inj Sc/Im (96372) $96.38 $177 1.3×
Therapeutic Activities (97530) $58.10 $95 1.7×
Therapeutic phlebotomy (99195) $133.64 $257 1.0×
Tilt Table Eval (93660) $900.32 $1,655 2.3×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $585 $1,000 2.4×
Transcranial Doppler Limited (93888) $339.30 $580 3.1×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,989.12 $2,960 3.5×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $633.02 $942 2.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $163.86 $193 2.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $180.84 $213 2.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $120.88 $222 2.5×
Vasc Duplex Extrem Venous,Bilat (93970) $1,003.86 $1,716 4.1×
Vasc Duplex Scan Extracranial,Limited (93882) $459.22 $785 4.2×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $502.52 $859 2.2×
Vasopneumatic device (97016) $66.04 $108 5.5×
Ventilation assist & mgmt inpatient 1st 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) $51.98 $85 1.7×