Visits & medical services prices at Shenandoah Medical Center

Shenandoah, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480)
range across 4 matching MRF lines
$12.79–$33.15 $19.68–$51 varies
Advncd Care Plan 30 Min (99497) $122.20 $188 1.3×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$135.85–$136.50 $209–$210 varies
Analyze neurostim complex (95972)
range across 2 matching MRF lines
$69.55–$243.10 $107–$374 varies
Analyze neurostim no prog (95970)
range across 2 matching MRF lines
$20.80–$97.50 $32–$150 varies
Analyze Neurostim Simple (95971)
range across 2 matching MRF lines
$69.55–$132.60 $107–$204 varies
Anrct mano rct sensation&rct balo expulsion test (91125) $395.20 $608 1.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $54.60 $84 3.8×
Application Modality 1/> Areas Infrared (97026)
range across 2 matching MRF lines
$18.20–$22.75 $28–$35 varies
Application on-body injector (96377) $48.75 $75 1.1×
Assessment of aphasia per hr (96105) $209.30 $322 2.2×
Behavral qualit analys voice (92524) $184.60 $284 1.7×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $52 $80 0.6×
Bfb training ea addl 15 min (90913) $29.25 $45 0.9×
Brief Emotional/Behav Assmt (96127)
range across 2 matching MRF lines
$13–$16.25 $20–$25 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $210.60 $324 0.6×
Canalith repositioning proc (95992) $74.10 $114 1.8×
Cardiac Stress Tst,Tracing Only (93017) $780 $1,200 3.8×
Cardiopulmonary resuscitation (92950)
range across 5 matching MRF lines
$453.05–$975 $697–$1,500 varies
Cardioversion (92960) $178.10 $274 0.3×
Caregiver hlth risk assmt score doc stnd instrm (96161) $13 $20 0.4×
Cbt 1st hour (94644) $157.95 $243 1.2×
Chemo Anti-Neopl Sq/Im (96401) $140.40 $216 2.0×
Chemo Hormon Antineopl Sq/Im (96402) $130 $200 1.9×
Chemo IV infusion addl hr (96415) $143 $220 2.1×
Chemo IV push addl drug (96411) $157.95 $243 2.3×
Chemother Prolong Infuse W/Pump (96416) $334.75 $515 1.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $162.50 $250 2.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $370.50 $570 1.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $218.40 $336 0.7×
Chest Wall Manipulation (94668) $85.15 $131 0.7×
Chron Care Mgmt Srvc 20 Min (99490) $68.25 $105 0.7×
Color/duplex Doppler, complete (93975)
range across 4 matching MRF lines
$453.70–$731.25 $698–$1,125 varies
Color/duplex Doppler, limited (93976) $520 $800 5.2×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 2 matching MRF lines
$39–$39.65 $60–$61 varies
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $149.50 $230 0.9×
Cont gluc mntr physician/qhp provided equiptment (95250) $178.75 $275 1.4×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$52–$319.80 $80–$492 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
$426.40–$975 $656–$1,500 varies
Cpt initial (94667) $120.90 $186 0.9×
Critical care first hour (99291)
range across 2 matching MRF lines
$526.50–$798.20 $810–$1,228 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 6 matching MRF lines
$97.50–$194.35 $150–$299 varies
Developmental tst admin phys/qhp 1st hour (96112) $176.80 $272 1.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 3 matching MRF lines
$542.75–$575.90 $835–$886 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925) $650 $1,000 2.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $378.95 $583 3.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $724.75 $1,115 3.2×
Dup-scan xtr veins unilateral/limited study (93971)
range across 3 matching MRF lines
$378.95–$591.50 $583–$910 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $721.50 $1,110 3.1×
Duplex Scan Hemodialysis Access (93990)
range across 2 matching MRF lines
$417.95–$603.20 $643–$928 varies
Duplex up extrem art bilat (93930) $605.80 $932 2.6×
Duplex up extrem art unilat/ltd (93931) $439.40 $676 4.4×
Echo Heart Xthoracic,Limited (93308) $975 $1,500 4.3×
Echo transesophageal (93312)
range across 2 matching MRF lines
$272.35–$835.25 $419–$1,285 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $936 $1,440 1.8×
EEG awake and asleep (95819) $526.50 $810 2.5×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$16.25–$66.30 $25–$102 varies
Electrocardiogram Tracing (93005) $349.70 $538 6.2×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$109.85–$120.25 $169–$185 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$144.95–$165.75 $223–$255 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$193.70–$246.35 $298–$379 varies
Er level 1 (99281)
range across 2 matching MRF lines
$79.30–$88.40 $122–$136 varies
Er level v (99285)
range across 2 matching MRF lines
$280.80–$367.90 $432–$566 varies
Evaluate pt use of inhaler (94664)
range across 4 matching MRF lines
$27.30–$162.50 $42–$250 varies
Evaluate Speech Production (92522) $221 $340 2.0×
Evaluate Swallowing Function (92610) $177.45 $273 2.1×
Evaluation of speech fluency (92521) $176.80 $272 1.3×
External ECG rec>48hr<7d recording (93242) $325 $500 9.1×
External ECG rec>48hr<7d scanning alys w/report (93243) $370.50 $570 2.9×
External ECG rec>7d<15d recording (93246) $325 $500 9.1×
External ECG rec>7d<15d scanning alys w/report (93247) $334.10 $514 2.6×
External Ecg Scanning Analysis Report (93226) $438.10 $674 7.7×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$516.75–$939.90 $795–$1,446 varies
Flexible endoscopic eval swallow c/v rec (92612) $243.75 $375 1.2×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $324.35 $499 1.6×
Group Therapeutic Procedures (97150) $45.50 $70 2.5×
Holter monitor recording (93225) $455 $700 3.6×
Icd Device Interrogate (93289) $81.90 $126 2.3×
Im Adm Intransl/Oral 1 Vaccine (90473) $18.20 $28 0.3×
Immunization administration (90471)
range across 3 matching MRF lines
$17.55–$32.50 $27–$50 varies
Inital newborn e/m (99460)
range across 2 matching MRF lines
$160.55–$162.50 $247–$250 varies
Insert/Place Heart Catheter (93503) $544.70 $838 0.4×
Iontophoresis 15 min (97033) $72.15 $111 3.8×
Irrig Drug Delivery Device (96523) $65.65 $101 1.2×
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$63.70–$83.20 $98–$128 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines
$141.05–$220.35 $217–$339 varies
IV infusion ther proph addl sequential to 1 hr (96367) $96.85 $149 1.4×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 3 matching MRF lines
$83.20–$120.90 $128–$186 varies
IV push initial (96374) $141.05 $217 0.7×
Lung Function Test (Mbc/Mvv) (94200) $83.20 $128 1.5×
Lwr Xtr Vasc Stdy Bilat (93924) $368.55 $567 1.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $32.50 $50 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$34.45–$37.70 $53–$58 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $14.30 $22 0.8×
Motility study esophagus (91010) $375.05 $577 1.0×
Motion Fluoroscopy/Swallow (92611) $191.75 $295 2.1×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $267.15 $411 0.6×
Multiple Family Group Psychotherapy (90849) $107.25 $165 0.6×
Multiple Sleep Latency Test (95805) $1,456 $2,240 1.8×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $536.25 $825 1.4×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $429 $660 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$117–$153.40 $180–$236 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$137.15–$267.80 $211–$412 varies
Nerve Conduction Studies 1-2 Studies (95907) $158.60 $244 0.8×
Nerve Conduction Studies 11-12 Studies (95912) $526.50 $810 1.5×
Nerve conduction studies 13 or more studies (95913) $494.65 $761 1.4×
Nerve Conduction Studies 3-4 Studies (95908) $208.65 $321 1.0×
Nerve conduction studies 5-6 studies (95909) $299.65 $461 1.4×
Nerve conduction studies 7-8 studies (95910) $319.80 $492 0.9×
Nerve Conduction Studies 9-10 Studies (95911) $487.50 $750 1.4×
Neurobehavioral Status Exam (96116) $137.15 $211 0.7×
Neuromuscular Reeducation (97112) $65 $100 2.0×
Newborn resuscitation (99465)
range across 2 matching MRF lines
$327.60–$330.85 $504–$509 varies
Nonphysician Telephone Assessment 11-20 Min (98967) $31.20 $48 1.2×
Nonphysician Telephone Assessment 21-30 Min (98968) $49.67 $76.42 1.4×
Nonphysician Telephone Assessment 5-10 Min (98966) $15.18 $23.36 1.1×
Oral Function Therapy (92526) $165.10 $254 2.0×
Orthc/Prostc Mgmt Sbsq Enc (97763) $47.45 $73 0.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $75.40 $116 1.6×
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 2 matching MRF lines
$39.65–$40.30 $61–$62 varies
Osteopathic manipulative tx 3-4 body regions (98926)
range across 2 matching MRF lines
$43.55–$44.20 $67–$68 varies
Osteopathic manipulative tx 5-6 body regions (98927)
range across 2 matching MRF lines
$68.90–$70.20 $106–$108 varies
Osteopathic manipulative tx 7-8 body regions (98928)
range across 2 matching MRF lines
$77.35–$78.65 $119–$121 varies
Osteopathic manipulative tx 9-10 body regions (98929) $86.45 $133 4.2×
Ot Contrast Bath Ea 15 Min (97034) $66.30 $102 4.7×
Ot eval high complexity (97167) $157.95 $243 1.6×
Ot Eval Low Complex (97165) $126.10 $194 1.3×
Ot Eval Moderate Complexity (97166) $139.75 $215 1.4×
Ot manual therapy 15 min (97140) $68.90 $106 2.5×
Ot paraffin bath (97018) $44.20 $68 7.4×
Ot Prosthetic Training, Each 15 Min (97761) $57.85 $89 1.4×
Ot Re-Eval Est Plan Care (97168)
range across 2 matching MRF lines
$54.60–$86.45 $84–$133 varies
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $178.75 $275 1.4×
Patch/Application Test Specify Number Tests (95044) $8.45 $13 0.0×
Peripheral arterial disease rehab per session (93668) $157.95 $243 2.8×
Phlebotomy therapeutic (99195) $86.45 $133 0.7×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $157.95 $243 2.8×
Physical Performance Test (97750) $93.60 $144 2.8×
Plethysmography (94726)
range across 2 matching MRF lines
$319.80–$334.75 $492–$515 varies
Pm device eval in person (93288) $65.65 $101 1.8×
Pm device progr eval dual (93280) $92.30 $142 2.6×
Pm device progr eval multi (93281) $98.15 $151 2.7×
Pm Device Progr Eval Sngl (93279) $78.65 $121 2.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,804.75 $4,315 3.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $19.50 $30 0.4×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $23.40 $36 0.5×
Psych diag eval w/med srvcs (90792)
range across 2 matching MRF lines
$165.75–$181.35 $255–$279 varies
Psychiatric diagnostic evaluation (90791)
range across 3 matching MRF lines
$140.40–$207.35 $216–$319 varies
Psychoanalysis (90845) $136.50 $210 0.8×
Psytx Crisis Initial 60 Min (90839) $249.60 $384 1.5×
Pt Eval High Complex (97163) $143 $220 1.5×
Pt eval low complex 20 min (97161)
range across 2 matching MRF lines
$97.50–$123.50 $150–$190 varies
Pt Eval Mod Complex (97162) $137.15 $211 1.4×
Pt gait training 15 min (97116) $61.75 $95 2.1×
Pt mechanical traction (97012) $58.50 $90 4.1×
Pt Re-Eval Est Plan Care (97164)
range across 2 matching MRF lines
$78–$83.20 $120–$128 varies
Pt-focused hlth risk assmt score doc stnd instrm (96160) $13 $20 0.4×
Pulm function test by gas (94727) $227.50 $350 1.1×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$129.35–$152.75 $199–$235 varies
Rectal sensation tone&compliance study (91124) $874.25 $1,345 4.2×
Refill/Maint Portable Pump (96521) $141.05 $217 0.7×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $55.25 $85 1.5×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $22.75 $35 0.2×
Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) $59.80 $92 1.7×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $212.55 $327 3.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 4 matching MRF lines
$66.95–$133.25 $103–$205 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $45.50 $70 1.7×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $250.25 $385 2.0×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $208.65 $321 4.4×
Same day nb discharge (99463)
range across 2 matching MRF lines
$191.75–$194.35 $295–$299 varies
Self Care Mngment Training (97535) $58.50 $90 1.8×
Sensory Integration Ea 15 Min (97533) $55.25 $85 0.9×
Sleep study unattended (95806) $607.75 $935 2.9×
Speech sound lang comprehen (92523) $294.45 $453 1.3×
Standardized Cognitive Performance Testing (96125) $232.70 $358 2.3×
Stress Tte Only (93350) $942.50 $1,450 1.8×
Subcutaneous Infusion Each Additional Hour (96370) $18.03 $27.74 0.4×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $152.70 $234.92 0.7×
Subq Infusion Additional Pump Infusion Site (96371) $63.29 $97.37 0.9×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $37.70 $58 1.7×
Ther Ivntj Ea Addl 15 Min (97130) $36.40 $56 1.7×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $68.25 $105 1.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $59.15 $91 2.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $107.90 $166 1.1×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 6 matching MRF lines
$12.79–$81.25 $19.68–$125 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 4 matching MRF lines
$159.90–$236.60 $246–$364 varies
Therapeutic Activities (97530)
range across 2 matching MRF lines
$68.25–$68.90 $105–$106 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $48.10 $74 1.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$17.55–$26 $27–$40 varies
Trans Care Mgmt 14 Day Disch (99495)
range across 2 matching MRF lines
$159.25–$235.30 $245–$362 varies
Trans Care Mgmt 7 Day Disch (99496)
range across 2 matching MRF lines
$224.25–$318.50 $345–$490 varies
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$226.20–$1,391 $348–$2,140 varies
Tte W/O Doppler Complete (93307) $325 $500 1.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $200.85 $309 2.6×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$59.15–$83.20 $91–$128 varies
Tympanometry (92567) $29.25 $45 0.8×
Upr/L Xtremity Art 2 Levels (93922) $322.40 $496 2.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $575.90 $886 2.8×
Vasopneumatic device (97016) $46.15 $71 3.8×
Vital capacity, total (94150) $104.65 $161 0.8×
Wheelchair Mgmt Ea 15 Min (97542) $46.15 $71 1.5×
Whirlpool Therapy (97022) $55.90 $86 3.6×

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.