Visits & medical services prices at Saunders Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $193.50 $258 0.9×
Application of heat wave therapy (97024) $30 $40 4.1×
Assessment of aphasia (96105) $294.75 $393 3.0×
Behav assmt w/score & docd/stand instrument (96127) $9 $12 0.2×
Behavioral and qualitative analysis of voice and resonance (92524) $288 $384 2.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $327 $436 0.8×
Cardiac Stress Tst,Tracing Only (93017) $1,034.25 $1,379 4.6×
Cardiopulmonary resuscitation (92950) $528 $704 2.4×
Cardioversion (92960) $253.88 $338.50 0.4×
Chemother, IV infusion, 1 hr (96413) $378.75 $505 1.1×
Chemother, IV infusion, ea add hr (96415) $231.75 $309 3.1×
Color/duplex Doppler, complete (93975) $1,045.50 $1,394 4.2×
Color/duplex Doppler, limited (93976) $627.75 $837 5.8×
Comprehensive Hearing Test (92557) $65.25 $87 0.5×
Cont Gluc Monitoring Patient Provided Equipment (95249) $97.50 $130 1.6×
Continuous Glucose Monitoring (95250) $342.38 $456.50 2.5×
Cpap initiation and management (94660) $695.25 $927 3.1×
Cpt initial (94667) $183 $244 1.3×
Critical care (99291) $457.50 $610 0.5×
Debridement Open Wound 20 Sq Cm< (97597) $179.25 $239 0.9×
Demo &/or eval,pt use,aerosol device (94664) $84 $112 0.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $778.50 $1,038 7.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,053 $1,404 4.3×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $966 $1,288 8.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $657.75 $877 6.1×
Dup-scan xtr veins unilateral/limited study (93971) $1,021.50 $1,362 9.4×
Duplex scan extracranial art compl bi study (93880) $1,338.75 $1,785 5.4×
Echo Heart Xthoracic,Limited (93308) $825.75 $1,101 3.3×
Echo transesophageal (93312) $1,846.50 $2,462 3.3×
EKG (93005) $289.50 $386 4.7×
Er level 1 (99281) $108 $144 1.2×
Er level ii (99282) $179.25 $239 1.1×
Er level iii (99283) $108.75 $145 0.4×
Er level IV (99284) $196.50 $262 0.5×
Er level v (99285) $710.62 $947.50 1.1×
Evaluation of speech fluency (92521) $288 $384 2.2×
Evaluation of speech sound production (92522) $288 $384 2.6×
Evaluation of swallowing function (92610) $306.75 $409 3.6×
Evaluation with prescription of speech-generating alternative (92607) $306 $408 2.5×
External ECG rec>48hr<7d recording (93242) $454.50 $606 11.7×
External ECG rec>7d<15d recording (93246) $454.50 $606 11.7×
Group Therapeutic Procedures (97150) $72 $96 4.0×
Holter Monitor Recording (93225) $454.50 $606 3.3×
Icd Device Interrogate (93289) $48 $64 1.2×
Ilr Device Eval Progr (93285) $154.50 $206 4.0×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $57 $76 1.5×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $40.50 $54 1.0×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $17.25 $23 0.2×
Immunization Admin (90471) $74.62 $99.50 1.0×
Immunotherapy, 2+ Injections (95117) $17.25 $23 0.4×
Inital newborn e/m (99460) $160.50 $214 1.2×
Injection intra arterial (96373) $139.50 $186 0.6×
Interrog dev eval scrms phys/qhp in person (93291) $57 $76 1.9×
Interrogate subq defib (93261) $87 $116 2.2×
IV infusion hydration each additional hour (96361) $231.75 $309 4.8×
IV infusion hydration initial 31 min-1 hour (96360) $330 $440 1.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $193.50 $258 2.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $309 $412 1.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $231.75 $309 4.8×
IV push initial (96374) $216.75 $289 1.0×
Maintenance of spinal canal or brain drug infusion pump (95990) $144 $192 0.4×
Manual therapy 15 min (97140) $87.75 $117 3.2×
Massage 15 min (97124) $57 $76 1.9×
Mechanical chest wall oscillation (94669) $108 $144 0.5×
Mechanical traction (97012) $69.75 $93 4.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $55.50 $74 1.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $63.75 $85 1.7×
Mnt Group Ea 30 Min (97804) $30 $40 1.8×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $417.75 $557 4.6×
Nasopharyngoscopy (92511) $63.38 $84.50 0.3×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $173.25 $231 1.3×
Neg press wnd tx </=50 sq cm (97607) $44.25 $59 0.1×
Neg press wound tx >50 cm (97608) $44.25 $59 0.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $44.25 $59 0.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $44.25 $59 0.1×
Neurobehavioral Status Exam (96116) $299.25 $399 1.3×
Nitric oxide expired gas determination (95012) $46.50 $62 1.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $471 $628 3.4×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $774.75 $1,033 3.5×
Nrpsyc tst eval phys/qhp 1st (96132) $226.50 $302 0.6×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $85.50 $114 1.9×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $59.25 $79 1.8×
Ot Contrast Bath Ea 15 Min (97034) $52.50 $70 3.7×
Ot eval high complex 60 min (97167) $193.50 $258 1.9×
Ot eval low complex 30 min (97165) $162 $216 1.6×
Ot eval mod complex 45 min (97166) $176.25 $235 1.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $81 $108 1.6×
Ot Prosthetic Training, Each 15 Min (97761) $67.50 $90 1.7×
Ot Range Motion Measure,Each Extrem (95851) $43.50 $58 1.7×
Ot re-eval est plan care (97168) $116.25 $155 1.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $217.50 $290 1.6×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $217.50 $290 1.6×
Paraffin bath (97018) $59.62 $79.50 9.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $189.75 $253 0.8×
Phy/qhp op pulm rhb w/mntr (94626) $223.50 $298 3.6×
Phy/qhp op pulm rhb w/o mntr (94625) $213.75 $285 3.5×
Plethysmography (94726) $495.75 $661 1.3×
Pm device eval in person (93288) $32.25 $43 0.8×
Pm device progr eval dual (93280) $66 $88 1.7×
Pm device progr eval multi (93281) $71.25 $95 1.8×
Pm device progr eval sngl (93279) $60 $80 1.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,915 $5,220 4.4×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $88.50 $118 2.3×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $145.50 $194 3.8×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $15.75 $21 0.3×
Programming of dual lead implantable defibrillator system (93283) $96 $128 2.5×
Programming of single lead implantable defibrillator system (93282) $73.50 $98 1.9×
Psychiatric diagnostic evaluation (90791) $280.50 $374 1.5×
Psycl/Nrpsyc Tst Auto Result (96146) $4.50 $6 0.1×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $61.50 $82 0.1×
Psytx crisis initial 60 min (90839) $225.75 $301 1.2×
Pt Aquatic Therapy/Exercises (97113) $98.25 $131 2.7×
Pt Electric Current Therapy (97033) $96.75 $129 5.1×
Pt Electrical Stimulation (97032) $66.75 $89 4.5×
Pt eval high complex 45 min (97163) $231.75 $309 2.4×
Pt eval low complex 20 min (97161) $144 $192 1.5×
Pt Gait Training Therapy (97116) $81.75 $109 2.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $86.25 $115 2.6×
Pt Physical Performance Test (97750) $93 $124 2.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $169.50 $226 1.7×
Pt re-evaluation (97164) $116.25 $155 1.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $81.75 $109 2.5×
Pt Ultrasound Therapy (97035) $66 $88 4.6×
Pt Whirlpool Therapy (97022) $89.25 $119 5.7×
Pulmonary stress testing (94618) $432.75 $577 3.1×
Rem mntr physiol param 1st dev supply ea 30 days (99454) $81 $108 2.1×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $24 $32 0.2×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $279 $372 7.2×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $141 $188 0.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $147.75 $197 0.7×
Rom meas&reprt hand w/wo comparison normal sid (95852) $43.50 $58 2.0×
Rt Chest Wall Manipulation,Subsequent (94668) $147.75 $197 1.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $63.75 $85 1.3×
Sensory Integration Ea 15 Min (97533) $81.75 $109 1.3×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $386.25 $515 1.7×
Smoking cessation > 10 min (99407) $48 $64 1.2×
Speech sound lang comprehen (92523) $288 $384 1.3×
Spirometry (94010) $162.75 $217 0.7×
Standardized Cognitive Performance Testing (96125) $269.25 $359 2.6×
Stress echo (93350) $1,402.50 $1,870 2.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $81 $108 3.6×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $69.75 $93 3.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $214.50 $286 2.1×
Ther/Proph/Diag Inj Sc/Im (96372) $44.25 $59 0.6×
Therapeutic Activities (97530) $87.75 $117 2.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $27 $36 0.7×
Trans Care Mgmt 14 Day Disch (99495) $303.75 $405 2.2×
Trans Care Mgmt 7 Day Disch (99496) $400.50 $534 2.9×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $859.50 $1,146 3.5×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,003.25 $2,671 3.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $275.25 $367 3.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $246.75 $329 2.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $270.75 $361 5.6×
Tympanometry (92567) $28.50 $38 0.7×
Unlisted pulmonary service/procedure (94799) $137.25 $183 1.0×
Vasc Duplex Extrem Venous,Bilat (93970) $1,305 $1,740 5.3×
Vasc Duplex Scan Extracranial,Limited (93882) $1,102.50 $1,470 10.2×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $969.75 $1,293 4.3×
Vasopneumatic device (97016) $63.75 $85 5.3×
Ventilation assist & mgmt inpatient 1st day (94002) $1,294.50 $1,726 2.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,137 $1,516 1.8×
Vital capacity total (94150) $41.25 $55 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $87.75 $117 2.8×