Visits & medical services prices at Rock County Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Administration of prolonged chemotherapy into artery (96425) $421 $443 1.2×
Airway inhalation treatment (94640) $288 $303 1.3×
Behavioral and qualitative analysis of voice and resonance (92524) $270 $284 2.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $705 $742 1.8×
Canalith Repositioning (95992) $108 $114 2.7×
Cardiopulmonary resuscitation (92950) $893 $940 4.0×
Cardioversion (92960) $1,608 $1,693 2.3×
Cbt 1st hour (94644) $264 $278 1.9×
Chemo Hormon Antineopl Sq/Im (96402) $207 $218 2.8×
Chemother, IV infusion, 1 hr (96413) $321 $338 0.9×
Chemother, IV infusion, ea add hr (96415) $43 $45 0.6×
Chemother,ia infusn tech,<1 hr (96422) $411 $433 1.2×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $623 $656 8.3×
Chemotherapy admn intraarterial infusion ea hr (96423) $232 $244 4.8×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $133 $140 1.3×
Color/duplex Doppler, complete (93975) $1,228 $1,293 5.0×
Color/duplex Doppler, limited (93976) $797 $839 7.3×
Cpap initiation and management (94660) $828 $872 3.6×
Cpt initial (94667) $247 $260 1.8×
Critical care (99291) $1,557 $1,639 1.8×
Debridement Open Wound 20 Sq Cm< (97597) $313 $329 1.5×
Demo &/or eval,pt use,aerosol device (94664) $332 $349 1.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,282 $1,349 5.2×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,027 $1,081 9.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,139 $1,199 4.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $929 $978 8.6×
Dup-scan xtr veins unilateral/limited study (93971) $1,134 $1,194 10.4×
Duplex scan extracranial art compl bi study (93880) $1,520 $1,600 6.1×
Echo Heart Xthoracic,Limited (93308) $939 $988 3.8×
EKG (93005) $306 $322 5.0×
Er level 1 (99281) $198 $208 2.3×
Er level ii (99282) $266.50 $280.50 1.7×
Er level iii (99283) $525 $553 1.9×
Er level IV (99284) $843 $887 1.9×
Er level v (99285) $1,287 $1,355 2.1×
Evaluation of speech sound production (92522) $358 $377 3.2×
Evaluation of swallowing function (92610) $316 $333 3.7×
External ECG rec>48hr<7d recording (93242) $460 $484 11.9×
External ECG rec>48hr<7d scanning alys w/report (93243) $891 $938 6.4×
External ECG rec>7d<15d recording (93246) $642 $676 16.6×
External ECG rec>7d<15d scanning alys w/report (93247) $1,462 $1,539 10.6×
External Ecg Scanning Analysis Report (93226) $676 $712 11.0×
Holter Monitor Recording (93225) $504 $530 3.6×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $57 $60 1.4×
Immunization Admin (90471) $61 $64 0.8×
Immunotherapy, 2+ Injections (95117) $33 $35 0.7×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $185 $195 3.0×
IV infusion hydration each additional hour (96361) $398 $419 8.2×
IV infusion hydration initial 31 min-1 hour (96360) $409 $430 1.9×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $259 $273 3.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $429 $452 1.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $452 $476 9.3×
IV push initial (96374) $261 $275 1.2×
Manual therapy 15 min (97140) $96 $101 3.5×
Massage 15 min (97124) $66 $69 2.2×
Mechanical chest wall oscillation (94669) $321 $338 1.4×
Mechanical traction (97012) $69 $73 4.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $95 $100 3.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $137 $144 3.7×
Mnt Group Ea 30 Min (97804) $222 $234 13.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $586 $617 4.2×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $943 $993 4.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $405.50 $426.50 3.0×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $93 $98 2.0×
Ot eval high complex 60 min (97167) $232 $244 2.3×
Ot eval low complex 30 min (97165) $172 $181 1.7×
Ot eval mod complex 45 min (97166) $195 $205 1.9×
Ot Range Motion Measure,Each Extrem (95851) $23 $24 0.9×
Ot re-eval est plan care (97168) $135 $142 2.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $256.50 $270 1.9×
Paraffin bath (97018) $64 $67 10.6×
Peripheral arterial disease rehab per session (93668) $227 $239 3.7×
Phy/qhp op pulm rhb w/mntr (94626) $298 $314 4.9×
Phy/qhp op pulm rhb w/o mntr (94625) $241 $254 3.9×
Plethysmography (94726) $624.50 $657.50 1.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,035 $4,247 4.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $25 $26 0.5×
Psych diag eval w/med srvcs (90792) $276 $290 1.5×
Pt Electric Current Therapy (97033) $109 $115 5.7×
Pt Electrical Stimulation (97032) $70 $74 4.8×
Pt eval high complex 45 min (97163) $255 $268 2.6×
Pt eval low complex 20 min (97161) $158 $166 1.6×
Pt Gait Training Therapy (97116) $84 $88 2.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $98 $103 3.0×
Pt Physical Performance Test (97750) $106 $112 3.1×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $194 $204 2.0×
Pt re-evaluation (97164) $110 $116 1.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $126 $133 3.9×
Pt Ultrasound Therapy (97035) $67 $71 4.7×
Pt Whirlpool Therapy (97022) $92 $97 5.9×
Pulmonary stress testing (94618) $414.50 $436 3.0×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $333 $350 8.6×
Rom meas&reprt hand w/wo comparison normal sid (95852) $68 $72 3.2×
Rt Chest Wall Manipulation,Subsequent (94668) $247 $260 1.8×
Speech sound lang comprehen (92523) $323 $340 1.4×
Spirometry (94010) $337 $355 1.5×
Stress echo (93350) $1,707 $1,797 3.0×
Ther/Proph/Diag Inj Sc/Im (96372) $184 $194 2.5×
Therapeutic Activities (97530) $101 $106 2.9×
Therapeutic phlebotomy (99195) $181 $190 1.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,315 $2,437 4.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $272 $286 3.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $316 $333 3.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $323 $340 6.6×
Unlisted pulmonary service/procedure (94799) $200 $210 1.5×
Vasc Duplex Extrem Venous,Bilat (93970) $1,525 $1,605 6.2×
Ventilation assist & mgmt inpatient 1st day (94002) $1,382 $1,455 2.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,436 $2,564 3.8×
Vital capacity total (94150) $172 $181 1.3×
Wheelchair Mgmt Ea 15 Min (97542) $183 $193 5.9×