Visits & medical services prices at Osborne County Memorial Hospital

Osborne, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $327 $385 1.6×
Analyze Neurostim Complex (95972) $48 $57 0.5×
Appl on-body injector for timed subq injection (96377) $102 $120 2.4×
Application of heat wave therapy (97024) $33 $39 4.5×
Behavioral and qualitative analysis of voice and resonance (92524) $200 $235 1.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $434 $510 1.3×
Canalith Repositioning (95992) $61 $72 1.5×
Cardiac Stress Tst,Tracing Only (93017) $445 $523 2.2×
Cardiopulmonary resuscitation (92950) $581 $684 2.9×
Cardioversion (92960) $1,275 $1,500 2.1×
Cbt 1st hour (94644) $176 $207 1.4×
Chemo Hormon Antineopl Sq/Im (96402) $161 $189 2.4×
Chemo IV push addl drug (96411) $144 $169 2.2×
Chemo Iv Push Sngl Drug (96409) $197 $232 0.6×
Chemo prolong 8+ hrs infuse w/pump (96416) $293 $345 1.0×
Chemother, IV infusion, 1 hr (96413) $447 $526 1.5×
Chemother, IV infusion, ea add hr (96415) $293 $345 4.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $160 $188 2.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $87 $102 1.3×
Color/duplex Doppler, complete (93975) $658 $774.50 3.0×
Cpap initiation and management (94660) $337 $397 1.7×
Cpt initial (94667) $136.50 $161 1.1×
Critical care (99291) $2,029 $2,387 2.7×
Debridement Open Wound 20 Sq Cm< (97597) $348 $409 1.9×
Demo &/or eval,pt use,aerosol device (94664) $264 $310 1.3×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $700 $824 3.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $678 $798 7.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $745 $876 3.4×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $700 $824 7.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $745 $876 3.4×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $700 $824 7.3×
Dup-scan xtr veins unilateral/limited study (93971) $700 $824 7.3×
Duplex scan extracranial art compl bi study (93880) $842 $990 3.8×
Echo Heart Xthoracic,Limited (93308) $729 $858 3.3×
EEG awake asleep (95819) $437 $514 2.2×
EKG (93005) $215 $253 4.0×
EKG rhythm strip (93041) $91 $107 1.7×
EMG one extremity (95860) $291 $342 2.4×
Er level 1 (99281) $263 $309 3.4×
Er level ii (99282) $527 $620 3.7×
Er level iii (99283) $810 $953 3.2×
Er level IV (99284) $1,381 $1,625 3.6×
Er level v (99285) $2,146 $2,525 3.9×
Evaluation of speech fluency (92521) $204 $240 1.5×
Evaluation of speech sound production (92522) $197 $232 1.8×
Evaluation of swallowing function (92610) $197 $232 2.3×
Evoked auditory test,limited (92587) $95 $112 0.5×
External ECG rec>48hr<7d recording (93242) $251 $295 7.3×
External ECG rec>7d<15d recording (93246) $251 $295 7.3×
External Ecg Scanning Analysis Report (93226) $326 $383 6.0×
Flow volume loop (94375) $156 $183 0.8×
Immunization Admin (90471) $31 $36 0.5×
Immunotherapy, 2+ Injections (95117) $77 $90 1.8×
Injection intra arterial (96373) $73 $86 0.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $79 $93 1.5×
IV infusion hydration each additional hour (96361) $197 $232 4.6×
IV infusion hydration initial 31 min-1 hour (96360) $286 $337 1.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $197 $232 3.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $286 $337 1.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $197 $232 4.6×
IV push initial (96374) $286 $337 1.5×
Manual therapy 15 min (97140) $75.50 $88.50 2.7×
Massage 15 min (97124) $65 $77 2.2×
Maximum voluntary ventilation (94200) $134 $158 2.5×
Mechanical chest wall oscillation (94669) $205.50 $242 1.0×
Mechanical traction (97012) $54 $64 3.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $26 $30 0.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $30 $35 0.8×
Methacholine challenge (94070) $451 $531 1.3×
Mnt Group Ea 30 Min (97804) $26 $30 1.5×
Neg press wnd tx </=50 sq cm (97607) $92 $108 0.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $280 $329 1.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $413 $486 1.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $654 $769 5.3×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $700 $824 3.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $82 $96 0.7×
Osteopathic manipulative tx 1-2 body regions (98925) $60 $71 3.0×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $55 $65 1.7×
Ot Contrast Bath Ea 15 Min (97034) $48 $56 3.4×
Ot eval high complex 60 min (97167) $149 $175 1.5×
Ot eval low complex 30 min (97165) $149 $175 1.5×
Ot eval mod complex 45 min (97166) $149 $175 1.5×
Ot Range Motion Measure,Each Extrem (95851) $48 $56.50 1.8×
Ot re-eval est plan care (97168) $97 $114 1.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $163 $192 1.4×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $148 $174 1.2×
Phy/qhp op pulm rhb w/mntr (94626) $561 $660 10.3×
Plethysmography (94726) $570 $670 1.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,686 $3,160 3.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $77 $90 1.8×
Pt Aquatic Therapy/Exercises (97113) $80 $94 2.2×
Pt Electric Current Therapy (97033) $65 $77 3.4×
Pt Electrical Stimulation (97032) $53 $62 3.6×
Pt eval high complex 45 min (97163) $148 $174 1.5×
Pt eval low complex 20 min (97161) $148 $174 1.5×
Pt Gait Training Therapy (97116) $69 $81 2.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $75.50 $88.50 2.3×
Pt Physical Performance Test (97750) $80 $94 2.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $148 $174 1.5×
Pt re-evaluation (97164) $101 $119 1.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $50.50 $59.50 1.6×
Pt Ultrasound Therapy (97035) $48.50 $57.50 3.4×
Pt Whirlpool Therapy (97022) $61 $72 3.9×
Pulm function test by gas (94727) $394 $464 2.0×
Pulmonary stress testing (94618) $170 $200 1.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $250 $294 1.4×
Rt Chest Wall Manipulation,Subsequent (94668) $57 $67 0.5×
Sleep study unattended (95806) $356 $419 1.8×
Smoking cessation > 10 min (99407) $18 $21 0.5×
Speech sound lang comprehen (92523) $210 $247 0.9×
Spirometry (94010) $376 $442 1.9×
Standardized Cognitive Performance Testing (96125) $61 $72 0.6×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $167 $196 3.9×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $167 $196 0.9×
Ther/Proph/Diag Inj Sc/Im (96372) $87 $102 1.3×
Therapeutic Activities (97530) $74 $87 2.1×
Therapeutic phlebotomy (99195) $86 $101 0.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $39 $46 1.1×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,228 $2,621 4.4×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $837 $985 3.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $200 $235 2.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $198 $233 2.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $73 $86 1.7×
Vasc Duplex Extrem Venous,Bilat (93970) $745 $876 3.4×
Ventilation assist & mgmt inpatient 1st day (94002) $175 $206 0.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $127 $149 0.2×
Vital capacity total (94150) $170 $200 1.4×
Wheelchair Mgmt Ea 15 Min (97542) $48 $57 1.5×