Visits & medical services prices at OrthoNebraska Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $447
C motor evoked upr&lwr limbs (95939) $1,275
Canalith Repositioning (95992) $300
Cardiopulmonary resuscitation (92950) $1,184
Cardioversion (92960) $810
Caregiver training 1st 30 min (97550) $475
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $475
Chemo Iv Push Sngl Drug (96409) $245
Chemother, IV infusion, 1 hr (96413) $1,051
Color/duplex Doppler, complete (93975) $1,542.50
Color/duplex Doppler, limited (93976) $705
Cpap initiation and management (94660) $540
Critical care (99291) $2,096.50
Debridement Open Wound 20 Sq Cm< (97597) $521.50
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $714
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $397
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $714
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,124
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $685
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $959.50
Dup-scan xtr veins unilateral/limited study (93971) $1,306
Duplex scan extracranial art compl bi study (93880) $464.50
Ear and throat examination (92502) $367
Echo Heart Xthoracic,Limited (93308) $655
EKG (93005) $90
EKG rhythm strip (93041) $153
Er level 1 (99281) $214.25
Er level ii (99282) $350.25
Er level iii (99283) $653.25
Er level IV (99284) $1,404.25
Er level v (99285) $2,070
Immunization Admin (90471) $147
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $129
IV infusion hydration each additional hour (96361) $93
IV infusion hydration initial 31 min-1 hour (96360) $357
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $112
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $357.50
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $84.50
IV push initial (96374) $447
Manual therapy 15 min (97140) $100
Massage 15 min (97124) $89
Mechanical traction (97012) $162
Nasopharyngoscopy (92511) $302
Neg press wnd tx </=50 sq cm (97607) $804
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $319
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $96
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $92
Ot eval high complex 60 min (97167) $239
Ot eval low complex 30 min (97165) $186
Ot eval mod complex 45 min (97166) $266
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $139
Ot Prosthetic Training, Each 15 Min (97761) $100
Ot re-eval est plan care (97168) $124
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $61
Pt Aquatic Therapy/Exercises (97113) $107
Pt Electric Current Therapy (97033) $107
Pt Electrical Stimulation (97032) $86
Pt eval high complex 45 min (97163) $265
Pt eval low complex 20 min (97161) $176
Pt Gait Training Therapy (97116) $98
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $95
Pt Physical Performance Test (97750) $118
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $214
Pt re-evaluation (97164) $147
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $200
Pt Ultrasound Therapy (97035) $83
Pt Whirlpool Therapy (97022) $55
Sensory Integration Ea 15 Min (97533) $300
Somatosensory testing (95938) $1,876.62
Temp transcutaneous pacing (92953) $165
Ther/Proph/Diag Inj Sc/Im (96372) $112
Therapeutic Activities (97530) $98
Therapeutic phlebotomy (99195) $264
Tx/Pro/Dx Inj New Drug Addon (96375) $61.50
Vasc Duplex Extrem Venous,Bilat (93970) $1,586
Vasc Duplex Scan Extracranial,Limited (93882) $612
Vasopneumatic device (97016) $70
Vital capacity total (94150) $61
Wheelchair Mgmt Ea 15 Min (97542) $139