Visits & medical services prices at Pawnee County Memorial Hospital

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

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

Compare against other hospitals interactively →

ProcedureCash priceGross charge× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $45 $56 0.3×
Acoustic reflex testing (92568) $42 $53 1.1×
Advance care planning first 30 mins (99497) $145 $181 1.4×
Airway inhalation treatment (94640) $107.50 $134.50 0.5×
Appl on-body injector for timed subq injection (96377) $128 $160 2.6×
Application of heat wave therapy (97024) $33 $41 4.5×
Assessment of aphasia (96105) $350 $437 3.6×
Assmt & care planning pt w/cognitive impairment (99483) $474 $593 4.5×
Behav assmt w/score & docd/stand instrument (96127) $8 $10 0.2×
Behavioral and qualitative analysis of voice and resonance (92524) $242 $303 2.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $562 $703 1.5×
Canalith Repositioning (95992) $95 $119 2.3×
Chemo Hormon Antineopl Sq/Im (96402) $208 $260 2.8×
Chemo IV push addl drug (96411) $242 $303 3.2×
Chemo Iv Push Sngl Drug (96409) $360 $450 1.0×
Chemo prolong 8+ hrs infuse w/pump (96416) $600 $750 1.7×
Chemother, IV infusion, 1 hr (96413) $520 $650 1.5×
Chemother, IV infusion, ea add hr (96415) $200 $250 2.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $240 $300 3.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $272 $340 3.6×
Color/duplex Doppler, complete (93975) $952 $1,190 3.8×
Color/duplex Doppler, limited (93976) $562 $703 5.2×
Comprehensive Hearing Test (92557) $150 $188 1.1×
Conditioning Play Audiometry (92582) $79 $99 0.6×
Debridement Open Wound 20 Sq Cm< (97597) $209 $261.50 1.0×
Demo &/or eval,pt use,aerosol device (94664) $100 $125 0.4×
Developmental tst admin phys/qhp 1st hour (96112) $108 $135 0.8×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $866 $1,082 3.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $441 $551 4.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $952 $1,190 3.8×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $778 $973 7.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $930 $1,163 3.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $800 $1,000 7.4×
Dup-scan xtr veins unilateral/limited study (93971) $909 $1,136 8.4×
Duplex scan extracranial art compl bi study (93880) $1,120 $1,400 4.5×
Echo Heart Xthoracic,Limited (93308) $634 $792 2.6×
EKG (93005) $229 $286 3.7×
EKG rhythm strip (93041) $137 $171 2.2×
Ekg Signal Averaging (93278) $441 $551 7.2×
Er level 1 (99281) $173 $216 2.0×
Er level ii (99282) $294 $368 1.8×
Er level iii (99283) $458 $573 1.6×
Er level IV (99284) $692 $865 1.6×
Er level v (99285) $1,168 $1,460 1.9×
Evaluation of speech fluency (92521) $249 $311 1.9×
Evaluation of speech sound production (92522) $259 $324 2.3×
Evaluation of swallowing function (92610) $277 $346 3.3×
Evoked auditory test,limited (92587) $118 $147 0.5×
External ECG rec>48hr<7d recording (93242) $268 $335 6.9×
External ECG rec>7d<15d recording (93246) $346 $433 8.9×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $390 $487 2.0×
Group Therapeutic Procedures (97150) $74 $92 4.1×
Holter Monitor Recording (93225) $318 $397 2.3×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $61 $76 1.4×
Immunization Admin (90471) $34 $43 0.5×
Immunotherapy, 2+ Injections (95117) $19 $24 0.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $153 $191 2.5×
IV infusion hydration each additional hour (96361) $128 $160 2.6×
IV infusion hydration initial 31 min-1 hour (96360) $320 $400 1.4×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $160 $200 2.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $320 $400 1.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $144 $180 3.0×
IV push initial (96374) $208 $260 0.9×
Manual therapy 15 min (97140) $86 $108 3.1×
Massage 15 min (97124) $51 $64 1.7×
Mechanical traction (97012) $65 $81 4.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $96 $120 2.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $200 $250 1.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $454 $568 3.3×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $600 $750 2.7×
Nrpsyc tst eval phys/qhp 1st (96132) $231 $289 0.6×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $82 $103 1.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $72 $90 2.2×
Ot Contrast Bath Ea 15 Min (97034) $53 $66 3.8×
Ot eval high complex 60 min (97167) $208 $260 2.1×
Ot eval low complex 30 min (97165) $151 $189 1.5×
Ot eval mod complex 45 min (97166) $178 $222 1.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $90 $113 1.8×
Ot Prosthetic Training, Each 15 Min (97761) $64 $80 1.6×
Ot Range Motion Measure,Each Extrem (95851) $63 $79 2.4×
Ot re-eval est plan care (97168) $122 $152 1.8×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $108 $135 0.8×
Paraffin bath (97018) $57 $71 9.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,912 $3,640 3.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $17 $21 0.3×
Pt Electric Current Therapy (97033) $95 $119 5.0×
Pt Electrical Stimulation (97032) $57 $71 3.9×
Pt eval high complex 45 min (97163) $242 $303 2.5×
Pt eval low complex 20 min (97161) $138 $173 1.4×
Pt Gait Training Therapy (97116) $78 $98 2.7×
Pt Infrared Therapy (97026) $60 $75 9.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $86 $108 2.6×
Pt Physical Performance Test (97750) $78 $98 2.3×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $173 $216 1.8×
Pt re-evaluation (97164) $104 $130 1.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $86 $108 2.7×
Pt Ultrasound Therapy (97035) $65 $81 4.5×
Pt Whirlpool Therapy (97022) $82 $103 5.2×
Pure Tone Audiometry Air & Bone (92553) $82 $102 0.6×
Pure Tone Audiometry, Air (92552) $56 $70 0.4×
Refill/maint, portable pump (96521) $286 $358 1.3×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $242 $302 6.2×
Rom meas&reprt hand w/wo comparison normal sid (95852) $63 $79 2.9×
Select picture audiometry (92583) $110 $137 1.8×
Smoking cessation > 10 min (99407) $48 $60 1.2×
Speech Audiometry Threshold (92555) $42 $53 0.7×
Speech Audiometry, Complete (92556) $71 $89 1.2×
Speech sound lang comprehen (92523) $308 $385 1.4×
Spirometry (94010) $259 $324 1.2×
Standardized Cognitive Performance Testing (96125) $259 $324 2.5×
Stress echo (93350) $1,077 $1,346 1.9×
Test to assess hearing loss using different tone pitches (92575) $34 $42 0.9×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $86 $108 3.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $69 $86 3.3×
Ther/Proph/Diag Inj Sc/Im (96372) $120 $150 1.6×
Therapeutic Activities (97530) $82 $103 2.3×
Therapeutic phlebotomy (99195) $151.50 $189 1.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $26 $32 0.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,638 $2,048 2.9×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $798 $997 3.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $242 $303 3.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $242 $303 2.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $184 $230 3.8×
Tympanometry (92567) $44 $55 1.1×
Ultraviolet Therapy (97028) $49.50 $62 5.9×
Vasc Duplex Extrem Venous,Bilat (93970) $1,125 $1,406 4.5×
Vasc Duplex Scan Extracranial,Limited (93882) $653 $816 6.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $649 $811 2.9×
Vasopneumatic device (97016) $62 $77 5.2×
Wheelchair Mgmt Ea 15 Min (97542) $128 $160.50 4.1×
Xtrnl mobile cv telemetry w/technical support (93229) $630 $788 1.6×