Visits & medical services prices at Orange City Area Health System
Orange City, IA · every code in this section with a posted price and a Medicare benchmark.
175 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$15.74–$47.20 | $19.68–$59 | varies |
| Advncd Care Plan 30 Min (99497) | $142.40 | $178 | 1.5× |
| Airway Inhalation Treatment (94640) | $60 | $75 | 0.3× |
| Analyze neurostim complex (95972) | $73.60 | $92 | 0.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $29.60 | $37 | 2.1× |
| Application Modality 1/> Areas Infrared (97026) | $20.80 | $26 | 3.1× |
| Application on-body injector (96377) | $121.60 | $152 | 2.7× |
| Assessment of aphasia per hr (96105) | $128 | $160 | 1.3× |
| Behavral qualit analys voice (92524) | $372 | $465 | 3.4× |
| Brief Emotional/Behav Assmt (96127) | $19.20 | $24 | 0.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$108–$256 | $135–$320 | varies |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$88–$105.60 | $110–$132 | varies |
| Car seat/bed test 60 min (94780) | $124.80 | $156 | 3.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $350.40 | $438 | 1.7× |
| Cardiopulmonary exercise testing (94621) | $377.60 | $472 | 1.1× |
| Cardiopulmonary resuscitation (92950) | $748 | $935 | 3.6× |
| Cardioversion (92960) | $442.40 | $553 | 0.7× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $40 | $50 | 1.5× |
| Chemo Anti-Neopl Sq/Im (96401) | $176.80 | $221 | 2.6× |
| Chemo Hormon Antineopl Sq/Im (96402) | $163.20 | $204 | 2.4× |
| Chemo IV infusion addl hr (96415) | $91.20 | $114 | 1.3× |
| Chemo IV push addl drug (96411) | $116 | $145 | 1.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $86.40 | $108 | 1.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $368.80 | $461 | 1.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $176.80 | $221 | 0.6× |
| Chest Wall Manipulation (94668) | $71.20 | $89 | 0.6× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $60 | $75 | 1.1× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$128–$636.80 | $160–$796 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$145.60–$325.60 | $182–$407 | varies |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 3 matching MRF lines |
$36.80–$88 | $46–$110 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 3 matching MRF lines |
$36.80–$88 | $46–$110 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$378.40–$394.40 | $473–$493 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $149.60 | $187 | 2.6× |
| Continuous Pulse Ox (94762) | $211.20 | $264 | 1.7× |
| Cpt initial (94667) | $56 | $70 | 0.4× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$359.20–$416.80 | $449–$521 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$120–$160 | $150–$200 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $414.40 | $518 | 1.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$80–$568 | $100–$710 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$54.40–$477.60 | $68–$597 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$78.40–$591.20 | $98–$739 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$49.60–$500 | $62–$625 | varies |
| Duplex Scan Hemodialysis Access (93990) | $306.40 | $383 | 3.0× |
| Duplex up extrem art bilat (93930) | $568 | $710 | 2.5× |
| Duplex up extrem art unilat/ltd (93931) | $432 | $540 | 4.3× |
| Echo Congenital Complete (93303) | $526.40 | $658 | 1.0× |
| Echo Heart Xthoracic,Limited (93308) | $412.80 | $516 | 1.8× |
| EEG awake and asleep (95819) | $487.20 | $609 | 2.3× |
| Electrocardiogram Tracing (93005) | $87.20 | $109 | 1.5× |
| Emergency Dept Visit Level 2 (99282) | $70.40 | $88 | 0.5× |
| Emergency Dept Visit Level 3 (99283) | $120.80 | $151 | 0.5× |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$181.60–$204 | $227–$255 | varies |
| Er level 1 (99281) | $36.80 | $46 | 0.5× |
| Er level v (99285) | $293.60 | $367 | 0.5× |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$26.40–$44 | $33–$55 | varies |
| Evaluate Speech Production (92522) | $170.40 | $213 | 1.5× |
| Evaluate Swallowing Function (92610) | $266.40 | $333 | 3.1× |
| Evaluation of speech fluency (92521) | $210.40 | $263 | 1.6× |
| Evoked Auditory Test,Limited (92587) | $61.60 | $77 | 0.3× |
| External ECG rec>48hr<7d recording (93242) | $221.60 | $277 | 6.2× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $290.40 | $363 | 2.3× |
| External ECG rec>7d<15d recording (93246) | $292 | $365 | 8.1× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $292 | $365 | 2.3× |
| External Ecg Scanning Analysis Report (93226) | $290.40 | $363 | 5.1× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$90.40–$482.40 | $113–$603 | varies |
| Extracranial Uni/Ltd Study (93882) | $284.80 | $356 | 2.8× |
| Fundus photography (92250) | $156 | $195 | 1.2× |
| Gonioscopy (92020) | $68.80 | $86 | 0.5× |
| Group Therapeutic Procedures (97150) | $36 | $45 | 2.0× |
| Holter monitor recording (93225) | $221.60 | $277 | 1.7× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $47.20 | $59 | 0.7× |
| Immunization administration (90471) range across 3 matching MRF lines |
$15.74–$47.20 | $19.68–$59 | varies |
| Ingestion challenge test initial 120 minutes (95076) | $166.40 | $208 | 0.5× |
| Inital newborn e/m (99460) | $149.60 | $187 | 1.2× |
| Iontophoresis 15 min (97033) | $61.60 | $77 | 3.2× |
| Irrig Drug Delivery Device (96523) | $146.40 | $183 | 2.6× |
| IV infusion hydration each additional hour (96361) | $88 | $110 | 2.0× |
| IV infusion hydration initial 31 min-1 hour (96360) | $306.40 | $383 | 1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $88 | $110 | 1.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $91.20 | $114 | 2.0× |
| IV push initial (96374) | $141.60 | $177 | 0.7× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $260 | $325 | 1.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $60.80 | $76 | 1.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $69.60 | $87 | 1.9× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $32 | $40 | 1.9× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$82.40–$724 | $103–$905 | varies |
| Motion Fluoroscopy/Swallow (92611) | $272.80 | $341 | 3.0× |
| Multiple Sleep Latency Test (95805) | $1,474.40 | $1,843 | 1.8× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $222.40 | $278 | 0.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$38.40–$82.40 | $48–$103 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$42.40–$93.60 | $53–$117 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) | $987.20 | $1,234 | 2.8× |
| Nerve conduction studies 13 or more studies (95913) | $1,142.40 | $1,428 | 3.2× |
| Nerve Conduction Studies 3-4 Studies (95908) | $304.80 | $381 | 1.5× |
| Nerve conduction studies 5-6 studies (95909) | $415.20 | $519 | 2.0× |
| Nerve conduction studies 7-8 studies (95910) | $624 | $780 | 1.7× |
| Nerve Conduction Studies 9-10 Studies (95911) | $871.20 | $1,089 | 2.4× |
| Neuromuscular Reeducation (97112) | $64.80 | $81 | 2.0× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$265.60–$748 | $332–$935 | varies |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $114.40 | $143 | 0.9× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 3 matching MRF lines |
$91.20–$392 | $114–$490 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 3 matching MRF lines |
$76.80–$328.80 | $96–$411 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 3 matching MRF lines |
$68.80–$232 | $86–$290 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 3 matching MRF lines |
$68.80–$228 | $86–$285 | varies |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $47.20 | $59 | 0.8× |
| Oral Function Therapy (92526) | $187.20 | $234 | 2.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $64 | $80 | 1.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $60 | $75 | 1.3× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$44.80–$60.80 | $56–$76 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) | $86.40 | $108 | 4.2× |
| Ot eval high complexity (97167) | $172 | $215 | 1.7× |
| Ot Eval Low Complex (97165) | $172 | $215 | 1.7× |
| Ot Eval Moderate Complexity (97166) | $172 | $215 | 1.7× |
| Ot manual therapy 15 min (97140) | $64.80 | $81 | 2.3× |
| Ot Re-Eval Est Plan Care (97168) | $114.40 | $143 | 1.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $245.60 | $307 | 2.0× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $62.40 | $78 | 0.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $124 | $155 | 0.6× |
| Peripheral arterial disease rehab per session (93668) | $240.80 | $301 | 4.2× |
| Phlebotomy therapeutic (99195) | $288 | $360 | 2.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $65.60 | $82 | 1.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $46.40 | $58 | 0.8× |
| Physical Performance Test (97750) | $55.20 | $69 | 1.6× |
| Plethysmography (94726) range across 2 matching MRF lines |
$44–$95.20 | $55–$119 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,476 | $3,095 | 3.0× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$21.60–$22.40 | $27–$28 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$25.60–$26.40 | $32–$33 | varies |
| Psych diag eval w/med srvcs (90792) | $254.40 | $318 | 1.5× |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$88–$291.20 | $110–$364 | varies |
| Psycl/Nrpsyc Tst Auto Result (96146) | $4.80 | $6 | 0.2× |
| Psytx Crisis Initial 60 Min (90839) | $162.40 | $203 | 1.0× |
| Pt Eval High Complex (97163) | $172 | $215 | 1.8× |
| Pt eval low complex 20 min (97161) | $172 | $215 | 1.8× |
| Pt Eval Mod Complex (97162) | $172 | $215 | 1.8× |
| Pt gait training 15 min (97116) | $50.40 | $63 | 1.7× |
| Pt mechanical traction (97012) | $32.80 | $41 | 2.3× |
| Pt Re-Eval Est Plan Care (97164) | $114.40 | $143 | 1.7× |
| Pulmonary Stress Testing (94618) | $134.40 | $168 | 1.1× |
| Pure Tone Audiometry Air (92552) | $80.80 | $101 | 0.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $660.80 | $826 | 18.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $87.20 | $109 | 0.5× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $295.20 | $369 | 2.4× |
| Same day nb discharge (99463) | $195.20 | $244 | 1.5× |
| Self Care Mngment Training (97535) | $64.80 | $81 | 2.0× |
| Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) | $150.40 | $188 | 2.7× |
| Slp caregiver training 1st 30 min (97550) | $80.80 | $101 | 1.5× |
| Speech sound lang comprehen (92523) | $356 | $445 | 1.6× |
| Spirometry (94010) range across 2 matching MRF lines |
$41.60–$67.20 | $52–$84 | varies |
| Standardized Cognitive Performance Testing (96125) | $268.80 | $336 | 2.6× |
| Stress Tte Only (93350) | $1,327.20 | $1,659 | 2.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $33.60 | $42 | 1.5× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $69.60 | $87 | 1.9× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $260 | $325 | 2.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$47.20–$114.40 | $59–$143 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$304.80–$305.60 | $381–$382 | varies |
| Therapeutic Activities (97530) | $73.60 | $92 | 2.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $48.80 | $61 | 1.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $28.80 | $36 | 0.8× |
| Trans Care Mgmt 14 Day Disch (99495) | $333.60 | $417 | 2.6× |
| Trans Care Mgmt 7 Day Disch (99496) | $450.40 | $563 | 3.5× |
| Tte w/doppler, complete (93306) | $1,332 | $1,665 | 2.5× |
| Tte W/O Doppler Complete (93307) | $375.20 | $469 | 1.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $162.40 | $203 | 2.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $96.80 | $121 | 2.2× |
| Tympanometry (92567) | $40 | $50 | 1.1× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$30.40–$327.20 | $38–$409 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $228 | $285 | 1.1× |
| Vasopneumatic device (97016) | $30.40 | $38 | 2.5× |
| Vent Mgmt Inpat Init Day (94002) | $549.60 | $687 | 0.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $432.80 | $541 | 0.7× |
| Visual Field Exam Extended (92083) range across 3 matching MRF lines |
$64–$149.60 | $80–$187 | varies |
| Visual field xm uni/bi w/interp intermed exam (92082) range across 3 matching MRF lines |
$49.60–$112 | $62–$140 | varies |
| Vital capacity, total (94150) | $60 | $75 | 0.5× |
| Wheelchair Mgmt Ea 15 Min (97542) | $54.40 | $68 | 1.8× |
| Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) | $56 | $70 | 1.6× |
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.