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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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $57 $60 1.4×
Airway Inhalation Treatment (94640) $288 $303 1.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $67 $71 4.7×
Behavral qualit analys voice (92524) $270 $284 2.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $705 $742 1.8×
Canalith repositioning proc (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 Anti-Neopl Sq/Im (96401) $623 $656 8.3×
Chemo Hormon Antineopl Sq/Im (96402) $207 $218 2.8×
Chemo IV infusion addl hr (96415) $43 $45 0.6×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $411 $433 1.2×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $232 $244 4.8×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $421 $443 1.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $321 $338 0.9×
Chest Wall Manipulation (94668) $247 $260 1.8×
Chron Care Mgmt Srvc 20 Min (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×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines		 $405–$406 $426–$427 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660) $828 $872 3.6×
Cpt initial (94667) $247 $260 1.8×
Critical care first hour (99291) $1,557 $1,639 1.8×
Debridement Open Wound 20 Sq Cm< (97597) $313 $329 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 Xtr Veins Complete Bilateral Study (93970) $1,525 $1,605 6.2×
Dup-scan xtr veins unilateral/limited study (93971) $1,134 $1,194 10.4×
Duplex up extrem art bilat (93930) $1,139 $1,199 4.6×
Duplex up extrem art unilat/ltd (93931) $929 $978 8.6×
Echo Heart Xthoracic,Limited (93308) $939 $988 3.8×
Electrical Stimulation Ea 15 Min (97032) $70 $74 4.8×
Electrocardiogram Tracing (93005) $306 $322 5.0×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines		 $202–$331 $213–$348 varies
Emergency Dept Visit Level 3 (99283) $525 $553 1.9×
Emergency Dept Visit Level 4 (99284) $843 $887 1.9×
Er level 1 (99281) $198 $208 2.3×
Er level v (99285) $1,287 $1,355 2.1×
Evaluate pt use of inhaler (94664) $332 $349 1.5×
Evaluate Speech Production (92522) $358 $377 3.2×
Evaluate 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×
Extracranial Bilat Study (93880) $1,520 $1,600 6.1×
Holter monitor recording (93225) $504 $530 3.6×
Immunization administration (90471)
range across 2 matching MRF lines		 $57–$65 $60–$68 varies
Iontophoresis 15 min (97033) $109 $115 5.7×
Irrig Drug Delivery Device (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 ther proph addl sequential to 1 hr (96367) $259 $273 3.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $452 $476 9.3×
IV push initial (96374) $261 $275 1.2×
Mechanical chest wall oscillation per session (94669) $321 $338 1.4×
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×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $222 $234 13.0×
Neuromuscular Reeducation (97112) $98 $103 3.0×
Oral Function Therapy (92526) $316 $333 3.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $93 $98 2.0×
Ot eval high complexity (97167) $232 $244 2.3×
Ot Eval Low Complex (97165) $172 $181 1.7×
Ot Eval Moderate Complexity (97166) $195 $205 1.9×
Ot manual therapy 15 min (97140) $96 $101 3.5×
Ot paraffin bath (97018) $64 $67 10.6×
Ot Re-Eval Est Plan Care (97168) $135 $142 2.0×
Ot rom hand (95852) $68 $72 3.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines		 $245–$268 $258–$282 varies
Peripheral arterial disease rehab per session (93668) $227 $239 3.7×
Phlebotomy therapeutic (99195) $181 $190 1.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $298 $314 4.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $241 $254 3.9×
Physical Performance Test (97750) $106 $112 3.1×
Plethysmography (94726)
range across 2 matching MRF lines		 $622–$627 $655–$660 varies
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×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $33 $35 0.7×
Psych diag eval w/med srvcs (90792) $276 $290 1.5×
Pt Eval High Complex (97163) $255 $268 2.6×
Pt eval low complex 20 min (97161) $158 $166 1.6×
Pt Eval Mod Complex (97162) $194 $204 2.0×
Pt gait training 15 min (97116) $84 $88 2.9×
Pt mechanical traction (97012) $69 $73 4.8×
Pt Re-Eval Est Plan Care (97164) $110 $116 1.6×
Pulmonary service/procedure (94799) $200 $210 1.5×
Pulmonary Stress Testing (94618)
range across 4 matching MRF lines		 $406–$561 $427–$590 varies
Remote 30 Day Ecg Rev/Report (93270) $333 $350 8.6×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $23 $24 0.9×
Self Care Mngment Training (97535) $126 $133 3.9×
Speech sound lang comprehen (92523) $323 $340 1.4×
Spirometry (94010)
range across 3 matching MRF lines		 $334–$357 $352–$376 varies
Stress Tte Only (93350) $1,707 $1,797 3.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $66 $69 2.2×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines		 $57–$184 $60–$194 varies
Ther/Proph/Diag Iv Inf Init (96365) $429 $452 1.9×
Therapeutic Activities (97530)
range across 3 matching MRF lines		 $100–$164 $105–$173 varies
Tte w/doppler, complete (93306)
range across 2 matching MRF lines		 $2,255–$2,375 $2,374–$2,500 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $272 $286 3.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $323 $340 6.6×
Upr/L Xtremity Art 2 Levels (93922)
range across 4 matching MRF lines		 $586–$1,064 $617–$1,120 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $943 $993 4.2×
Vent Mgmt Inpat Init 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×
Whirlpool Therapy (97022) $92 $97 5.9×

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.