Visits & medical services prices at Phelps Memorial Health Center
Holdrege, NE · every code in this section with a posted price and a Medicare benchmark.
154 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $32.40 | $36 | 0.8× |
| Advncd Care Plan 30 Min (99497) | $167.40 | $186 | 1.6× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$35.10–$193.50 | $39–$215 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $95.40 | $106 | 6.6× |
| Application on-body injector (96377) | $155.70 | $173 | 3.2× |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$286.20–$312.30 | $318–$347 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $688.50 | $765 | 1.8× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,278.90 | $1,421 | 5.7× |
| Cardiopulmonary resuscitation (92950) | $626.40 | $696 | 2.8× |
| Cardioversion (92960) range across 2 matching MRF lines |
$279–$1,812.60 | $310–$2,014 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 2 matching MRF lines |
$2,466.90–$34,255.80 | $2,741–$38,062 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$1,749.60–$27,740.70 | $1,944–$30,823 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $308.70 | $343 | 4.1× |
| Chemo Hormon Antineopl Sq/Im (96402) | $255.60 | $284 | 3.4× |
| Chemo IV infusion addl hr (96415) | $230.40 | $256 | 3.1× |
| Chemo IV push addl drug (96411) | $311.40 | $346 | 4.2× |
| Chemother Prolong Infuse W/Pump (96416) | $677.70 | $753 | 2.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $324 | $360 | 4.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$505.80–$681.30 | $562–$757 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $501.30 | $557 | 1.5× |
| Chest Wall Manipulation (94668) | $113.40 | $126 | 0.8× |
| Color/duplex Doppler, complete (93975) | $1,202.40 | $1,336 | 4.9× |
| Color/duplex Doppler, limited (93976) | $1,464.30 | $1,627 | 13.5× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$480.60–$540 | $534–$600 | varies |
| Cont Gluc Mntr Pt Prov Eqp (95249) range across 2 matching MRF lines |
$214.20–$250.20 | $238–$278 | varies |
| Continuous Pulse Ox (94762) | $467.10 | $519 | 3.5× |
| Coronary Art/Grft Angio S&I (93455) range across 2 matching MRF lines |
$1,923.30–$18,599.40 | $2,137–$20,666 | varies |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$1,782.90–$18,368.10 | $1,981–$20,409 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$885.60–$934.20 | $984–$1,038 | varies |
| Cpt initial (94667) | $206.10 | $229 | 1.5× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$486.90–$534.60 | $541–$594 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$169.20–$306.90 | $188–$341 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $936 | $1,040 | 3.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,278.90 | $1,421 | 5.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,023.30 | $1,137 | 9.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,499.40 | $1,666 | 6.1× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,196.10 | $1,329 | 11.0× |
| Duplex up extrem art bilat (93930) | $1,211.40 | $1,346 | 4.9× |
| Duplex up extrem art unilat/ltd (93931) | $1,092.60 | $1,214 | 10.1× |
| Echo Heart Xthoracic,Limited (93308) | $947.70 | $1,053 | 3.8× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$478.80–$3,014.10 | $532–$3,349 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $3,200.40 | $3,556 | 5.6× |
| Electrocardiogram Tracing (93005) | $19.80 | $22 | 0.3× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$75.60–$85.50 | $84–$95 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$133.20–$144 | $148–$160 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$226.80–$243.90 | $252–$271 | varies |
| Er level 1 (99281) | $45 | $50 | 0.5× |
| Er level v (99285) range across 2 matching MRF lines |
$338.40–$456.30 | $376–$507 | varies |
| Evaluate pt use of inhaler (94664) | $174.60 | $194 | 0.8× |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$358.20–$389.70 | $398–$433 | varies |
| Evaluation of speech fluency (92521) | $284.40 | $316 | 2.1× |
| External ECG rec>48hr<7d recording (93242) | $27.90 | $31 | 0.7× |
| External ECG rec>7d<15d recording (93246) | $40.50 | $45 | 1.0× |
| Extracranial Bilat Study (93880) | $1,558.80 | $1,732 | 6.3× |
| Extracranial Uni/Ltd Study (93882) | $1,153.80 | $1,282 | 10.6× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $2,594.70 | $2,883 | 2.9× |
| Gi tract capsule endoscopy (91110) range across 2 matching MRF lines |
$1,626.30–$3,817.80 | $1,807–$4,242 | varies |
| Holter monitor recording (93225) | $613.80 | $682 | 4.4× |
| Icd device progr eval dual (93283) | $238.50 | $265 | 6.2× |
| Icd Device Progr Eval Mult (93284) | $241.20 | $268 | 6.2× |
| Immunization administration (90471) range across 3 matching MRF lines |
$35.10–$204.30 | $39–$227 | varies |
| Inital newborn e/m (99460) | $179.10 | $199 | 1.3× |
| Iontophoresis 15 min (97033) | $132.30 | $147 | 6.9× |
| Irrig Drug Delivery Device (96523) | $178.20 | $198 | 2.9× |
| IV infusion hydration each additional hour (96361) | $109.80 | $122 | 2.3× |
| IV infusion hydration initial 31 min-1 hour (96360) | $400.50 | $445 | 1.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $199.80 | $222 | 2.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $134.10 | $149 | 2.8× |
| IV push initial (96374) | $250.20 | $278 | 1.1× |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$2,223–$30,760.20 | $2,470–$34,178 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,013.40 | $1,126 | 4.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $63.90 | $71 | 2.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $52.20 | $58 | 1.4× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$467.10–$508.50 | $519–$565 | varies |
| Nasopharyngoscopy (92511) | $300.60 | $334 | 1.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 5 matching MRF lines |
$79.20–$1,065.60 | $88–$1,184 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$78.30–$79.20 | $87–$88 | varies |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$108–$114.30 | $120–$127 | varies |
| Newborn resuscitation (99465) | $272.70 | $303 | 0.4× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$280.80–$307.80 | $312–$342 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $89.10 | $99 | 1.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$90.90–$120.60 | $101–$134 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $61.20 | $68 | 2.7× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $89.10 | $99 | 4.0× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $116.10 | $129 | 5.2× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $143.10 | $159 | 6.4× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $165.60 | $184 | 7.4× |
| Ot eval high complexity (97167) | $265.50 | $295 | 2.6× |
| Ot Eval Low Complex (97165) | $220.50 | $245 | 2.2× |
| Ot Eval Moderate Complexity (97166) | $245.70 | $273 | 2.4× |
| Ot manual therapy 15 min (97140) | $123.30 | $137 | 4.4× |
| Ot paraffin bath (97018) | $87.30 | $97 | 14.5× |
| Ot Re-Eval Est Plan Care (97168) | $220.50 | $245 | 3.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $278.10 | $309 | 2.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $245.70 | $273 | 1.8× |
| Peripheral arterial disease rehab per session (93668) | $204.30 | $227 | 3.3× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 3 matching MRF lines |
$897.30–$19,962 | $997–$22,180 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 2 matching MRF lines |
$1,045.80–$26,706.60 | $1,162–$29,674 | varies |
| Phlebotomy therapeutic (99195) | $192.60 | $214 | 1.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $182.70 | $203 | 3.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $172.80 | $192 | 2.8× |
| Physical Performance Test (97750) | $134.10 | $149 | 4.0× |
| Plethysmography (94726) | $578.70 | $643 | 1.5× |
| Pm device progr eval dual (93280) | $172.80 | $192 | 4.5× |
| Pm device progr eval multi (93281) | $112.50 | $125 | 2.9× |
| Pm Device Progr Eval Sngl (93279) | $148.50 | $165 | 3.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $4,647.60 | $5,164 | 5.2× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $140.40 | $156 | 3.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $18 | $20 | 0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $20.70 | $23 | 0.4× |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 2 matching MRF lines |
$998.10–$25,791.30 | $1,109–$28,657 | varies |
| Psych diag eval w/med srvcs (90792) | $333 | $370 | 1.8× |
| Psychiatric diagnostic evaluation (90791) | $298.80 | $332 | 1.6× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $90.90 | $101 | 0.7× |
| Pt Eval High Complex (97163) | $245.70 | $273 | 2.5× |
| Pt eval low complex 20 min (97161) | $207.90 | $231 | 2.1× |
| Pt Eval Mod Complex (97162) | $220.50 | $245 | 2.3× |
| Pt gait training 15 min (97116) | $107.10 | $119 | 3.7× |
| Pt mechanical traction (97012) | $97.20 | $108 | 6.8× |
| Pt Re-Eval Est Plan Care (97164) | $207.90 | $231 | 3.1× |
| Pulm function test by gas (94727) | $545.40 | $606 | 2.4× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$170.10–$419.40 | $189–$466 | varies |
| Pulmonary Stress Testing (94618) | $409.50 | $455 | 3.0× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $15,405.30 | $17,117 | 4.6× |
| Refill/Maint Portable Pump (96521) range across 2 matching MRF lines |
$401.40–$414 | $446–$460 | varies |
| Refill/Maint Pump/Resvr Syst (96522) | $909 | $1,010 | 4.1× |
| Remote 30 Day Ecg Rev/Report (93270) | $524.70 | $583 | 13.5× |
| Respiratory flow volume loop (94375) | $207 | $230 | 0.9× |
| Right Heart Cath (93451) range across 2 matching MRF lines |
$1,668.60–$11,718 | $1,854–$13,020 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$151.20–$239.40 | $168–$266 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $43.20 | $48 | 1.7× |
| Same day nb discharge (99463) | $207 | $230 | 1.5× |
| Self Care Mngment Training (97535) | $123.30 | $137 | 3.8× |
| Sleep study unattended (95806) | $602.10 | $669 | 2.7× |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$307.80–$319.50 | $342–$355 | varies |
| Spirometry (94010) | $343.80 | $382 | 1.5× |
| Stress Tte Only (93350) | $1,859.40 | $2,066 | 3.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $128.70 | $143 | 3.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$35.10–$153.90 | $39–$171 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $419.40 | $466 | 1.9× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$111.60–$253.32 | $124–$281.47 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $49.50 | $55 | 1.3× |
| Trans Care Mgmt 14 Day Disch (99495) | $356.40 | $396 | 2.6× |
| Trans Care Mgmt 7 Day Disch (99496) | $467.10 | $519 | 3.4× |
| Tte w/doppler, complete (93306) | $2,416.50 | $2,685 | 4.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$296.10–$321.30 | $329–$357 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $191.70 | $213 | 3.9× |
| Tympanometry (92567) | $60.30 | $67 | 1.6× |
| Upr/L Xtremity Art 2 Levels (93922) | $574.20 | $638 | 4.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $861.30 | $957 | 3.8× |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$88.20–$113.40 | $98–$126 | varies |
| Vent Mgmt Inpat Init Day (94002) | $1,632.60 | $1,814 | 2.5× |
| Wheelchair Mgmt Ea 15 Min (97542) | $105.30 | $117 | 3.4× |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$113.40–$128.70 | $126–$143 | varies |
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.