Visits & medical services prices at Pella Regional Health Center

Pella, 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 →

ProcedurePosted cashPosted gross× Medicare
Actinotherapy Ultraviolet Light (96900) — $87 —
Admn Sarscov2 Vacc 1 Dose (90480) — $31 —
Airway Inhalation Treatment (94640)
range across 7 matching MRF lines
— $115–$331 —
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) — $137 —
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) — $132 —
Analyze neurostim complex (95972) — $159 —
Analyze neurostim no prog (95970)
range across 3 matching MRF lines
— $25–$54 —
Analyze Neurostim Simple (95971)
range across 3 matching MRF lines
— $21–$138 —
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) — $106 —
Application on-body injector (96377) — $61 —
Assessment of aphasia per hr (96105) — $381 —
Behavral qualit analys voice (92524) — $362 —
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) — $151 —
Bfb training ea addl 15 min (90913) — $147 —
Biofeedback training any modality (90901) — $82 —
Brief Emotional/Behav Assmt (96127)
range across 3 matching MRF lines
— $17–$30 —
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
— $34–$489 —
Car seat/bed test 60 min (94780) — $176 —
Cardiac Stress Tst,Tracing Only (93017) — $887 —
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
— $749–$952 —
Cardioversion (92960)
range across 3 matching MRF lines
— $608–$2,301 —
Caregiver hlth risk assmt score doc stnd instrm (96161) — $6 —
Cbt 1st hour (94644) — $279 —
Chemo Anti-Neopl Sq/Im (96401) — $160 —
Chemo Hormon Antineopl Sq/Im (96402)
range across 5 matching MRF lines
— $92–$309 —
Chemo IV infusion addl hr (96415) — $285 —
Chemo IV push addl drug (96411) — $239 —
Chemother Prolong Infuse W/Pump (96416) — $828 —
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) — $309 —
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) — $693 —
Chemotx admn IV push tq 1/1st sbst/drug (96409) — $215 —
Chest Wall Manipulation (94668) — $82 —
Color/duplex Doppler, complete (93975) — $1,094 —
Color/duplex Doppler, limited (93976) — $845 —
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 2 matching MRF lines
— $129–$130 —
Cont gluc mntr physician/qhp provided equiptment (95250) — $359 —
Cont Gluc Mntr Pt Prov Eqp (95249) — $119 —
Continuous Pulse Ox (94762) — $363 —
Cpap Ventilation Cpap Initiation&Mgmt (94660) — $877 —
Cpt initial (94667) — $129 —
Critical care first hour (99291)
range across 4 matching MRF lines
— $502–$2,060 —
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
— $154–$1,151 —
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) — $901 —
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) — $499 —
Dup-scan lxtr art/artl bpgs compl bi study (93925) — $1,209 —
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) — $727 —
Dup-Scan Xtr Veins Complete Bilateral Study (93970) — $1,198 —
Dup-scan xtr veins unilateral/limited study (93971) — $893 —
Duplex up extrem art bilat (93930) — $1,423 —
Duplex up extrem art unilat/ltd (93931) — $725 —
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
— $88–$955 —
EEG awake and asleep (95819) — $727 —
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
— $29–$50 —
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines
— $41–$219 —
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
— $162–$292 —
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
— $172–$586 —
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
— $272–$1,126 —
Er level 1 (99281)
range across 2 matching MRF lines
— $46–$238 —
Er level v (99285)
range across 2 matching MRF lines
— $395–$1,722 —
Esophgl Balo Distension Dx Std W/Provocation (91040) — $133 —
Eval aud funcj cand/po surg implt dev 1st hr (92626) — $400 —
Evaluate pt use of inhaler (94664) — $163 —
Evaluate Speech Production (92522) — $694 —
Evaluate Swallowing Function (92610) — $395 —
Evaluation of speech fluency (92521) — $399 —
External ECG rec>48hr<7d recording (93242) — $590 —
External ECG rec>7d<15d recording (93246) — $590 —
External Ecg Scanning Analysis Report (93226) — $321 —
Extracranial Bilat Study (93880) — $1,152 —
Group Therapeutic Procedures (97150) — $82 —
Holter monitor recording (93225) — $321 —
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 3 matching MRF lines
— $51–$52 —
Immunization administration (90471)
range across 11 matching MRF lines
— $31–$93 —
Inital newborn e/m (99460) — $212 —
Iontophoresis 15 min (97033) — $115 —
Irrig Drug Delivery Device (96523) — $162 —
IV infusion hydration each additional hour (96361)
range across 6 matching MRF lines
— $57–$132 —
IV infusion hydration initial 31 min-1 hour (96360)
range across 7 matching MRF lines
— $323–$359 —
IV infusion ther proph addl sequential to 1 hr (96367) — $236 —
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 6 matching MRF lines
— $57–$175 —
IV push initial (96374)
range across 6 matching MRF lines
— $85–$266 —
Lung Function Test (Mbc/Mvv) (94200) — $125 —
Lwr Xtr Vasc Stdy Bilat (93924) — $662 —
Mechanical chest wall oscillation per session (94669) — $129 —
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 8 matching MRF lines
— $17–$99 —
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 8 matching MRF lines
— $17–$99 —
Methacholine challenge (94070)
range across 2 matching MRF lines
— $64–$841 —
Motion Fluoroscopy/Swallow (92611) — $308 —
Multiple Sleep Latency Test (95805)
range across 2 matching MRF lines
— $215–$2,109 —
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
— $219–$527 —
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 5 matching MRF lines
— $91–$527 —
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
— $158–$423 —
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
— $154–$589 —
Neurobehavioral Status Exam (96116) — $359 —
Neuromuscular Reeducation (97112) — $139 —
Newborn resuscitation (99465) — $324 —
Oral Function Therapy (92526) — $397 —
Orthc/Prostc Mgmt Sbsq Enc (97763) — $87 —
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) — $145 —
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 3 matching MRF lines
— $16–$77 —
Osteopathic manipulative tx 3-4 body regions (98926)
range across 3 matching MRF lines
— $16–$109 —
Osteopathic manipulative tx 5-6 body regions (98927)
range across 3 matching MRF lines
— $16–$131 —
Osteopathic manipulative tx 7-8 body regions (98928)
range across 3 matching MRF lines
— $16–$156 —
Osteopathic manipulative tx 9-10 body regions (98929)
range across 3 matching MRF lines
— $16–$186 —
Ot eval high complexity (97167) — $249 —
Ot Eval Low Complex (97165) — $243 —
Ot Eval Moderate Complexity (97166) — $278 —
Ot manual therapy 15 min (97140) — $131 —
Ot Prosthetic Training, Each 15 Min (97761) — $85 —
Ot Re-Eval Est Plan Care (97168) — $112 —
Ot rom hand (95852) — $98 —
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) — $342 —
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) — $277 —
Peripheral arterial disease rehab per session (93668) — $161 —
Phlebotomy therapeutic (99195) — $225 —
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) — $237 —
Physical Performance Test (97750) — $102 —
Plethysmography (94726)
range across 2 matching MRF lines
— $27–$256 —
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
— $486–$3,899 —
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 4 matching MRF lines
— $27–$37 —
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 4 matching MRF lines
— $29–$30 —
Psychiatric diagnostic evaluation (90791)
range across 3 matching MRF lines
— $28–$183 —
Psytx Crisis Initial 60 Min (90839) — $174 —
Pt Eval High Complex (97163) — $265 —
Pt eval low complex 20 min (97161) — $218 —
Pt Eval Mod Complex (97162) — $244 —
Pt gait training 15 min (97116) — $122 —
Pt mechanical traction (97012) — $92 —
Pt Re-Eval Est Plan Care (97164) — $144 —
Pt-focused hlth risk assmt score doc stnd instrm (96160) — $5 —
Pulmonary service/procedure (94799) — $52 —
Pulmonary Stress Testing (94618) — $310 —
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) — $47 —
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) — $72 —
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) — $26 —
Refill/Maint Portable Pump (96521) — $260 —
Remote 30 Day Ecg Rev/Report (93270) — $307 —
Remote 30 Day Ecg Tech Supp (93229) — $451 —
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) — $241 —
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) — $98 —
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) — $359 —
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) — $185 —
Same day nb discharge (99463) — $246 —
Self Care Mngment Training (97535) — $133 —
Sensory Integration Ea 15 Min (97533) — $138 —
Sleep study unattended (95806)
range across 2 matching MRF lines
— $139–$709 —
Speech sound lang comprehen (92523) — $561 —
Spirometry (94010)
range across 2 matching MRF lines
— $25–$207 —
Standardized Cognitive Performance Testing (96125) — $537 —
Stress Tte Only (93350)
range across 3 matching MRF lines
— $221–$1,842 —
Temp transcutaneous pacing (92953) — $1,591 —
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines
— $138–$223 —
Ther Ivntj Ea Addl 15 Min (97130)
range across 2 matching MRF lines
— $138–$223 —
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) — $151 —
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) — $248 —
Ther/Proph/Diag Inj Sc/Im (96372)
range across 7 matching MRF lines
— $51–$135 —
Ther/Proph/Diag Iv Inf Init (96365)
range across 6 matching MRF lines
— $323–$457 —
Therapeutic Activities (97530) — $131 —
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
— $65–$67 —
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
— $32–$37 —
Trans Care Mgmt 14 Day Disch (99495)
range across 3 matching MRF lines
— $26–$385 —
Trans Care Mgmt 7 Day Disch (99496)
range across 3 matching MRF lines
— $26–$544 —
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
— $233–$2,249 —
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) — $401 —
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) — $195 —
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 6 matching MRF lines
— $85–$161 —
Tympanometry (92567) — $41 —
Upr/L Xtremity Art 2 Levels (93922)
range across 6 matching MRF lines
— $44–$549 —
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 3 matching MRF lines
— $67–$658 —
Vasopneumatic device (97016) — $85 —
Vent Mgmt Inpat Init Day (94002) — $1,019 —
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) — $875 —
Wheelchair Mgmt Ea 15 Min (97542) — $99 —
Whirlpool Therapy (97022) — $97 —
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) — $375 —

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.