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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $230.50 $271 1.0×
Analyze neurostim no prog (95970) $257 $302 1.9×
Assessment of aphasia (96105) $288 $339 3.0×
Behavioral and qualitative analysis of voice and resonance (92524) $295 $347 2.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $631 $742 1.6×
Canalith Repositioning (95992) $113 $133 2.8×
Car seat/bed test 60 min (94780) $168 $198 4.3×
Cardiac Stress Tst,Tracing Only (93017) $1,138.50 $1,339.50 5.1×
Cardiopulmonary resuscitation (92950) $1,004 $1,181 4.5×
Cardioversion (92960) $1,441 $1,695 2.1×
Chemo Hormon Antineopl Sq/Im (96402) $286 $336 3.8×
Chemother, IV infusion, 1 hr (96413) $634 $746 1.8×
Chemother, IV infusion, ea add hr (96415) $203 $239 2.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $289 $340 3.9×
Chronic care mgmt svcs staff 1st 20 min cal mo (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×
Comprehensive Hearing Test (92557) $122 $144 0.9×
Cpap initiation and management (94660) $894 $1,052 3.9×
Critical care (99291) $1,632 $1,920 1.9×
Debridement Open Wound 20 Sq Cm< (97597) $334 $393 1.6×
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) $1,046.50 $1,231 4.2×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $799.50 $940.50 7.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $982 $1,155 4.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $870 $1,024 8.0×
Dup-scan xtr veins unilateral/limited study (93971) $687 $808 6.3×
Duplex scan extracranial art compl bi study (93880) $1,357.50 $1,597 5.5×
Echo Heart Xthoracic,Limited (93308) $869 $1,022 3.5×
Echo transesophageal (93312) $2,231 $2,625 3.9×
EEG awake 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×
EKG (93005) $161.50 $190 2.6×
EKG rhythm strip (93041) $75 $88 1.2×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $366 $430 3.7×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $762 $897 3.4×
Er level 1 (99281) $207 $243 2.4×
Er level ii (99282) $312 $367 2.0×
Er level iii (99283) $478 $562 1.7×
Er level IV (99284) $710 $835 1.6×
Er level v (99285) $1,014 $1,193 1.6×
Evaluation of speech fluency (92521) $262 $308 2.0×
Evaluation of speech sound production (92522) $267 $314 2.4×
Evaluation of swallowing function (92610) $311 $366 3.7×
External Ecg Scanning Analysis Report (93226) $719 $846 11.7×
Group Therapeutic Procedures (97150) $95 $112 5.3×
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×
Ilr Device Eval Progr (93285) $167 $196 4.3×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $77 $90 2.0×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $65 $76 1.5×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $61 $72 0.8×
Immunization Admin (90471) $65 $76 0.9×
Immunotherapy, 2+ Injections (95117) $51 $60 1.0×
Injection intra arterial (96373) $279.50 $328.50 1.3×
Interrog dev eval scrms phys/qhp in person (93291) $146 $172 4.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (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) $343 $403.50 1.6×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $202.50 $238 2.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $343 $403 1.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $130.50 $153.50 2.7×
IV push initial (96374) $221.50 $260.50 1.0×
Manual therapy 15 min (97140) $96.50 $113.50 3.5×
Massage 15 min (97124) $88 $104 3.0×
Mechanical chest wall oscillation (94669) $370 $435 1.6×
Mechanical traction (97012) $77 $91 5.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $61 $72 1.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $79.50 $93.50 2.2×
Mnt Group Ea 30 Min (97804) $48 $56 2.8×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $416 $489 4.5×
Multiple sleep latency test (95805) $2,010 $2,365 2.3×
Nasopharyngoscopy (92511) $133 $156 0.6×
Neg press wnd tx </=50 sq cm (97607) $494 $581 1.2×
Neg press wound tx >50 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×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $446 $525 3.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $351 $412.50 2.6×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $106 $125 2.3×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $87 $102 2.7×
Ot Contrast Bath Ea 15 Min (97034) $68 $80 4.8×
Ot eval high complex 60 min (97167) $232 $273 2.3×
Ot eval low complex 30 min (97165) $182 $214 1.8×
Ot eval mod complex 45 min (97166) $208 $245 2.1×
Ot Prosthetic Training, Each 15 Min (97761) $82 $97 2.0×
Ot Range Motion Measure,Each Extrem (95851) $60 $70 2.3×
Ot re-eval est plan care (97168) $129 $152 1.9×
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×
Paraffin bath (97018) $66 $78 11.0×
Phy/qhp op pulm rhb w/mntr (94626) $401 $472 6.5×
Phy/qhp op pulm rhb w/o 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×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $143 $168 3.7×
Principal care mgmt svc 1st 30 staff cal mo (99426) $134 $158 1.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $42 $49 0.9×
Programming of dual lead implantable defibrillator system (93283) $145 $171 3.7×
Programming of single lead implantable defibrillator system (93282) $183 $215 4.7×
Psychiatric diagnostic evaluation (90791) $258 $303 1.4×
Pt Electric Current Therapy (97033) $109 $128.50 5.7×
Pt Electrical Stimulation (97032) $74 $87 5.0×
Pt eval high complex 45 min (97163) $251 $295 2.6×
Pt eval low complex 20 min (97161) $174 $205 1.8×
Pt Gait Training Therapy (97116) $92 $108 3.2×
Pt Infrared Therapy (97026) $37 $44 5.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $92 $108 2.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $201 $236 2.1×
Pt re-evaluation (97164) $125 $147 1.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $90 $106 2.8×
Pt Ultrasound Therapy (97035) $77 $90 5.4×
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 days (99454) $99 $116 2.6×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $281 $331 7.3×
Remote Monitoring Of Physiologic Parameter(s) (Eg, Weight, Blood Pressure, Pulse Oximetry, Respiratory Flow Rate);… (99445) $123 $145 3.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $194 $228 0.9×
Rom meas&reprt hand w/wo comparison normal sid (95852) $66 $78 3.1×
Sc Ther Infusion Reset Pump (96371) $151 $178 2.0×
Sensory Integration Ea 15 Min (97533) $132.50 $156 2.2×
Sleep study unattended (95806) $380 $447 1.7×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $354 $416 1.6×
Smoking cessation > 10 min (99407) $97 $114 2.5×
Speech Audiometry Threshold (92555) $64 $75 1.0×
Speech Audiometry, Complete (92556) $77 $91 1.3×
Speech sound lang comprehen (92523) $405 $476 1.8×
Spirometry (94010) $308 $362 1.4×
Standardized Cognitive Performance Testing (96125) $354 $417 3.4×
Stress Tte Complete (93351) $1,448 $1,704 2.6×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $77 $90.50 1.6×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $415.50 $488.50 1.9×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $99 $117 4.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $92 $108 4.4×
Ther/Proph/Diag Inj Sc/Im (96372) $136 $160 1.8×
Therapeutic Activities (97530) $102 $120 2.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $50.50 $59.50 1.3×
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 - Tte Complete W/ Contrast (93306) $2,159 $2,540 3.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $292 $344 3.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $280 $329 3.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $153.50 $180.50 3.2×
Tympanometry (92567) $55 $65 1.4×
Vasc Duplex Extrem Venous,Bilat (93970) $1,163.50 $1,368.50 4.7×
Vasc Duplex Scan Extracranial,Limited (93882) $434 $510 4.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $898 $1,056 4.0×
Vasopneumatic device (97016) $79 $93 6.6×
Ventilation assist & mgmt inpatient 1st 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×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $1,800 $2,118 18.2×