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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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $40.50 $54 1.0×
Airway Inhalation Treatment (94640)
range across 6 matching MRF lines
$29.25–$193.50 $39–$258 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $66 $88 4.6×
Application Modality 1/> Areas Diathermy (97024) $30 $40 4.1×
Assessment of aphasia per hr (96105) $294.75 $393 3.0×
Behavral qualit analys voice (92524) $288 $384 2.6×
Brief Emotional/Behav Assmt (96127) $9 $12 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$95.25–$558.75 $127–$745 varies
Cardiac Stress Tst,Tracing Only (93017) $1,034.25 $1,379 4.6×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$528–$1,125 $704–$1,500 varies
Cardioversion (92960)
range across 2 matching MRF lines
$245.25–$262.50 $327–$350 varies
Chemo IV infusion addl hr (96415) $231.75 $309 3.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $378.75 $505 1.1×
Chest Wall Manipulation (94668) $147.75 $197 1.1×
Color/duplex Doppler, complete (93975) $1,045.50 $1,394 4.2×
Color/duplex Doppler, limited (93976) $627.75 $837 5.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $59.25 $79 1.8×
Comprehensive Hearing Test (92557) $65.25 $87 0.5×
Cont gluc mntr physician/qhp provided equiptment (95250)
range across 2 matching MRF lines
$239.25–$445.50 $319–$594 varies
Cont Gluc Mntr Pt Prov Eqp (95249) $97.50 $130 1.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $695.25 $927 3.1×
Cpt initial (94667) $183 $244 1.3×
Critical care first hour (99291)
range across 3 matching MRF lines
$457.50–$1,857 $610–$2,476 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$44.25–$199.50 $59–$266 varies
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 Xtr Veins Complete Bilateral Study (93970) $1,305 $1,740 5.3×
Dup-scan xtr veins unilateral/limited study (93971)
range across 4 matching MRF lines
$1,021.50–$1,022.25 $1,362–$1,363 varies
Duplex up extrem art unilat/ltd (93931) $657.75 $877 6.1×
Echo Heart Xthoracic,Limited (93308) $825.75 $1,101 3.3×
Echo transesophageal (93312) $1,846.50 $2,462 3.3×
Electrical Stimulation Ea 15 Min (97032) $66.75 $89 4.5×
Electrocardiogram Tracing (93005) $289.50 $386 4.7×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$72–$286.50 $96–$382 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines
$108.75–$471.75 $145–$629 varies
Emergency Dept Visit Level 4 (99284)
range across 3 matching MRF lines
$196.50–$743.25 $262–$991 varies
Er level 1 (99281)
range across 2 matching MRF lines
$38.25–$177.75 $51–$237 varies
Er level v (99285)
range across 2 matching MRF lines
$285–$1,136.25 $380–$1,515 varies
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$28.50–$139.50 $38–$186 varies
Evaluate Speech Production (92522) $288 $384 2.6×
Evaluate Swallowing Function (92610) $306.75 $409 3.6×
Evaluation of speech fluency (92521) $288 $384 2.2×
External ECG rec>48hr<7d recording (93242) $454.50 $606 11.7×
External ECG rec>7d<15d recording (93246) $454.50 $606 11.7×
Extracranial Bilat Study (93880) $1,338.75 $1,785 5.4×
Extracranial Uni/Ltd Study (93882) $1,102.50 $1,470 10.2×
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×
Icd device progr eval dual (93283) $96 $128 2.5×
Icd Device Progr Eval Mult (93284) $145.50 $194 3.8×
Ilr Device Eval Progr (93285) $154.50 $206 4.0×
Ilr Device Interrogate (93291) $57 $76 1.9×
Im Adm Intransl/Oral 1 Vaccine (90473) $17.25 $23 0.2×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $57 $76 1.5×
Immunization administration (90471)
range across 2 matching MRF lines
$16.50–$132.75 $22–$177 varies
Inital newborn e/m (99460) $160.50 $214 1.2×
Interrogate Subq Defib (93261) $87 $116 2.2×
Intracranial Complete Study (93886) $859.50 $1,146 3.5×
Iontophoresis 15 min (97033) $96.75 $129 5.1×
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 ther proph addl sequential to 1 hr (96367) $193.50 $258 2.6×
IV infusion therapy prophylaxis/dx ea hour (96366) $231.75 $309 4.8×
IV push initial (96374) $216.75 $289 1.0×
Lwr Xtr Vasc Stdy Bilat (93924) $969.75 $1,293 4.3×
Mechanical chest wall oscillation per session (94669) $108 $144 0.5×
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×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $30 $40 1.8×
Motion Fluoroscopy/Swallow (92611) $417.75 $557 4.6×
Muscle Test Nonparaspinal (95870) $173.25 $231 1.3×
Nasopharyngoscopy (92511)
range across 2 matching MRF lines
$44.25–$82.50 $59–$110 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $44.25 $59 0.1×
Neg Pressure Wound Therapy Non Dme >50 Sq 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×
Neuromuscular Reeducation (97112) $86.25 $115 2.6×
Nitric oxide expired gas determination (95012) $46.50 $62 1.2×
Nrpsyc tst eval phys/qhp 1st (96132) $226.50 $302 0.6×
Oral Function Therapy (92526) $246.75 $329 2.9×
Orthc/Prostc Mgmt Sbsq Enc (97763) $81 $108 1.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $85.50 $114 1.9×
Ot Contrast Bath Ea 15 Min (97034) $52.50 $70 3.7×
Ot eval high complexity (97167) $193.50 $258 1.9×
Ot Eval Low Complex (97165) $162 $216 1.6×
Ot Eval Moderate Complexity (97166) $176.25 $235 1.8×
Ot manual therapy 15 min (97140) $87.75 $117 3.2×
Ot paraffin bath (97018)
range across 2 matching MRF lines
$59.25–$60 $79–$80 varies
Ot Prosthetic Training, Each 15 Min (97761) $67.50 $90 1.7×
Ot Re-Eval Est Plan Care (97168) $116.25 $155 1.7×
Ot rom hand (95852) $43.50 $58 2.0×
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×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $189.75 $253 0.8×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $223.50 $298 3.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $213.75 $285 3.5×
Physical Performance Test (97750) $93 $124 2.8×
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×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $73.50 $98 1.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $15.75 $21 0.3×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $17.25 $23 0.4×
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 Eval High Complex (97163) $231.75 $309 2.4×
Pt eval low complex 20 min (97161) $144 $192 1.5×
Pt Eval Mod Complex (97162) $169.50 $226 1.7×
Pt gait training 15 min (97116) $81.75 $109 2.8×
Pt mechanical traction (97012) $69.75 $93 4.9×
Pt Re-Eval Est Plan Care (97164) $116.25 $155 1.7×
Pulmonary service/procedure (94799) $137.25 $183 1.0×
Pulmonary Stress Testing (94618) $432.75 $577 3.1×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $144 $192 0.4×
Rem mntr physiol param 1st dev supply ea 30 d (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 (93270) $279 $372 7.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $147.75 $197 0.7×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $43.50 $58 1.7×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $306 $408 2.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $63.75 $85 1.3×
Self Care Mngment Training (97535) $81.75 $109 2.5×
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×
Speech sound lang comprehen (92523) $288 $384 1.3×
Spin/Brain Pump Refil & Main (95991)
range across 2 matching MRF lines
$96.75–$185.25 $129–$247 varies
Spirometry (94010)
range across 2 matching MRF lines
$57.75–$267.75 $77–$357 varies
Standardized Cognitive Performance Testing (96125) $269.25 $359 2.6×
Stress Tte Only (93350) $1,402.50 $1,870 2.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $81 $108 3.6×
Ther Ivntj Ea Addl 15 Min (97130) $69.75 $93 3.3×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $98.25 $131 2.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $57 $76 1.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $214.50 $286 2.1×
Ther/Proph/Diag Inj Ia (96373) $139.50 $186 0.6×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$28.50–$132 $38–$176 varies
Ther/Proph/Diag Iv Inf Init (96365) $309 $412 1.4×
Therapeutic Activities (97530) $87.75 $117 2.5×
Tobacco Use Cessation Intensive >10 Minutes (99407) $48 $64 1.2×
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×
Tte w/doppler, complete (93306) $2,003.25 $2,671 3.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $275.25 $367 3.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $270.75 $361 5.6×
Tympanometry (92567) $28.50 $38 0.7×
Upr/L Xtremity Art 2 Levels (93922) $471 $628 3.4×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $774.75 $1,033 3.5×
Vasopneumatic device (97016) $63.75 $85 5.3×
Vent Mgmt Inpat Init 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×
Whirlpool Therapy (97022) $89.25 $119 5.7×

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.