Visits & medical services prices at Pender Community Health

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $65 $76 1.5×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$227–$234 $267–$275 varies
Analyze neurostim no prog (95970) $257 $302 1.9×
Analyze Neurostim Simple (95971) $366 $430 3.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $77 $90 5.4×
Application Modality 1/> Areas Infrared (97026) $37 $44 5.5×
Assessment of aphasia per hr (96105) $288 $339 3.0×
Behavral qualit analys voice (92524) $295 $347 2.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $631 $742 1.6×
Canalith repositioning proc (95992) $113 $133 2.8×
Car seat/bed test 60 min (94780) $168 $198 4.3×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines
$1,071–$1,206 $1,260–$1,419 varies
Cardiopulmonary resuscitation (92950) $1,004 $1,181 4.5×
Cardioversion (92960)
range across 3 matching MRF lines
$1,291–$1,457 $1,519–$1,714 varies
Chemo Anti-Neopl Sq/Im (96401) $289 $340 3.9×
Chemo Hormon Antineopl Sq/Im (96402) $286 $336 3.8×
Chemo IV infusion addl hr (96415) $203 $239 2.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $634 $746 1.8×
Chron Care Mgmt Srvc 20 Min (99490) $112 $132 1.1×
Color/duplex Doppler, complete (93975) $1,151 $1,354 4.6×
Color/duplex Doppler, limited (93976) $613 $721 5.6×
Community/Work Reintegration Trainj Ea 15 Min (97537) $87 $102 2.7×
Comprehensive Hearing Test (92557) $122 $144 0.9×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$275–$427 $323–$502 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660) $894 $1,052 3.9×
Critical care first hour (99291) $1,632 $1,920 1.9×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$251–$348 $295–$409 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $958 $1,127 3.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $644 $758 5.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$1,022–$1,071 $1,202–$1,260 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$723–$876 $851–$1,030 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$995–$1,332 $1,170–$1,567 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 3 matching MRF lines
$683–$1,010 $803–$1,188 varies
Duplex up extrem art bilat (93930) $982 $1,155 4.0×
Duplex up extrem art unilat/ltd (93931) $870 $1,024 8.0×
ECG/monitoring and analysis (93271) $1,800 $2,118 18.2×
Echo Heart Xthoracic,Limited (93308) $869 $1,022 3.5×
Echo transesophageal (93312) $2,231 $2,625 3.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,448 $1,704 2.6×
Eeg 41-60 Minutes (95812) $762 $897 3.4×
EEG awake and asleep (95819) $952 $1,120 4.2×
EEG awake drowsy (95816) $788 $927 3.5×
EEG extended monitoring 61-119 minutes (95813) $900 $1,059 4.0×
Electrical Stimulation Ea 15 Min (97032) $74 $87 5.0×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$85–$238 $100–$280 varies
Emergency Dept Visit Level 2 (99282) $312 $367 2.0×
Emergency Dept Visit Level 3 (99283) $478 $562 1.7×
Emergency Dept Visit Level 4 (99284) $710 $835 1.6×
Er level 1 (99281) $207 $243 2.4×
Er level v (99285) $1,014 $1,193 1.6×
Evaluate Speech Production (92522) $267 $314 2.4×
Evaluate Swallowing Function (92610) $311 $366 3.7×
Evaluation of speech fluency (92521) $262 $308 2.0×
External Ecg Scanning Analysis Report (93226) $719 $846 11.7×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$1,339–$1,376 $1,575–$1,619 varies
Extracranial Uni/Ltd Study (93882) $434 $510 4.0×
Group Therapeutic Procedures (97150)
range across 2 matching MRF lines
$94–$96 $111–$113 varies
Health Behavior Assessment/Re-Assessment (96156) $356 $419 3.4×
Holter monitor recording (93225) $461 $542 3.3×
Icd Device Interrogate (93289) $198 $233 5.1×
Icd device progr eval dual (93283) $145 $171 3.7×
Icd Device Progr Eval Mult (93284) $143 $168 3.7×
Ilr Device Eval Progr (93285) $167 $196 4.3×
Ilr Device Interrogate (93291) $146 $172 4.9×
Im Adm Intransl/Oral 1 Vaccine (90473) $61 $72 0.8×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $77 $90 2.0×
Immunization administration (90471)
range across 5 matching MRF lines
$65–$76 $76–$89 varies
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$107–$111 $126–$131 varies
Irrig Drug Delivery Device (96523) $156 $183 2.5×
IV infusion hydration each additional hour (96361) $131 $154 2.7×
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$342–$344 $402–$405 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$201–$204 $236–$240 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$129–$132 $152–$155 varies
IV push initial (96374)
range across 2 matching MRF lines
$220–$223 $259–$262 varies
Lwr Xtr Vasc Stdy Bilat (93924) $898 $1,056 4.0×
Mechanical chest wall oscillation per session (94669) $370 $435 1.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $61 $72 1.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$78–$81 $92–$95 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $48 $56 2.8×
Motion Fluoroscopy/Swallow (92611) $416 $489 4.5×
Multiple Sleep Latency Test (95805) $2,010 $2,365 2.3×
Nasopharyngoscopy (92511) $133 $156 0.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $494 $581 1.2×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $359 $422 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $302 $355 1.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $394 $464 0.9×
Neurobehavioral Status Exam (96116) $277 $326 1.2×
Neuromuscular Reeducation (97112)
range across 3 matching MRF lines
$83–$93 $98–$109 varies
Oral Function Therapy (92526) $280 $329 3.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$105–$107 $124–$126 varies
Ot Contrast Bath Ea 15 Min (97034) $68 $80 4.8×
Ot eval high complexity (97167) $232 $273 2.3×
Ot Eval Low Complex (97165) $182 $214 1.8×
Ot Eval Moderate Complexity (97166) $208 $245 2.1×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$96–$97 $113–$114 varies
Ot paraffin bath (97018) $66 $78 11.0×
Ot Prosthetic Training, Each 15 Min (97761) $82 $97 2.0×
Ot Re-Eval Est Plan Care (97168) $129 $152 1.9×
Ot rom hand (95852) $66 $78 3.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $280 $329 2.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $199 $234 1.5×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $401 $472 6.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $244 $287 4.0×
Plethysmography (94726) $601 $707 1.6×
Pm device eval in person (93288) $117 $138 3.0×
Pm device progr eval dual (93280) $109 $128 2.8×
Pm device progr eval multi (93281) $113 $133 2.9×
Pm Device Progr Eval Sngl (93279) $76 $89 2.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,155 $4,888 4.7×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $183 $215 4.7×
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) $134 $158 1.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $42 $49 0.9×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $51 $60 1.0×
Psychiatric diagnostic evaluation (90791) $258 $303 1.4×
Pt Eval High Complex (97163) $251 $295 2.6×
Pt eval low complex 20 min (97161) $174 $205 1.8×
Pt Eval Mod Complex (97162) $201 $236 2.1×
Pt gait training 15 min (97116) $92 $108 3.2×
Pt mechanical traction (97012) $77 $91 5.4×
Pt Re-Eval Est Plan Care (97164) $125 $147 1.9×
Pulmonary Stress Testing (94618) $498 $586 3.6×
Pure Tone Audiometry Air (92552) $76 $89 0.6×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $99 $116 2.6×
Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) $123 $145 3.2×
Remote 30 Day Ecg Rev/Report (93270) $281 $331 7.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $75 $88 1.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $194 $228 0.9×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $60 $70 2.3×
Self Care Mngment Training (97535)
range across 3 matching MRF lines
$88–$146 $104–$172 varies
Sensory Integration Ea 15 Min (97533)
range across 2 matching MRF lines
$131–$134 $154–$158 varies
Sleep study unattended (95806) $380 $447 1.7×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $354 $416 1.6×
Speech Audiometry Complete (92556) $77 $91 1.3×
Speech audiometry threshold (92555) $64 $75 1.0×
Speech sound lang comprehen (92523) $405 $476 1.8×
Spirometry (94010) $308 $362 1.4×
Standardized Cognitive Performance Testing (96125) $354 $417 3.4×
Subcutaneous Infusion Each Additional Hour (96370)
range across 2 matching MRF lines
$59–$95 $69–$112 varies
Subcutaneous infusion initial 1 hr w/pump set-up (96369)
range across 2 matching MRF lines
$414–$417 $487–$490 varies
Subq Infusion Additional Pump Infusion Site (96371) $151 $178 2.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $99 $117 4.4×
Ther Ivntj Ea Addl 15 Min (97130) $92 $108 4.4×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $88 $104 3.0×
Ther/Proph/Diag Inj Ia (96373)
range across 2 matching MRF lines
$279–$280 $328–$329 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 9 matching MRF lines
$65–$137 $76–$161 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines
$342–$366 $402–$431 varies
Therapeutic Activities (97530)
range across 2 matching MRF lines
$101–$103 $119–$121 varies
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$89–$105 $105–$123 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$45–$56 $53–$66 varies
Trans Care Mgmt 14 Day Disch (99495) $363 $427 2.6×
Trans Care Mgmt 7 Day Disch (99496) $468 $550 3.4×
Tte w/doppler, complete (93306) $2,159 $2,540 3.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $292 $344 3.8×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$153–$154 $180–$181 varies
Tympanometry (92567) $55 $65 1.4×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$398–$548 $468–$645 varies
Vasopneumatic device (97016) $79 $93 6.6×
Vent Mgmt Inpat Init Day (94002) $1,453 $1,709 2.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,266 $2,666 3.5×
Wheelchair Mgmt Ea 15 Min (97542) $190 $224 6.1×

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.