Visits & medical services prices at Sidney Regional Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $296 $296 1.3×
Analyze neurostim no prog (95970) $178 $178 1.3×
Appl on-body injector for timed subq injection (96377) $200 $200 4.1×
Assessment of aphasia (96105) $479 $479 4.9×
Assmt & care planning pt w/cognitive impairment (99483) $89 $89 0.8×
Behav assmt w/score & docd/stand instrument (96127) $9 $9 0.2×
Behavioral and qualitative analysis of voice and resonance (92524) $392 $392 3.6×
Biofeedback training any modality (90901) $273 $273 6.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $931 $931 2.4×
C motor evoked uppr limbs (95928) $1,056 $1,056 1.2×
C motor evoked upr&lwr limbs (95939) $1,309 $1,309 1.5×
Canalith Repositioning (95992) $167 $167 4.1×
Cardiac Stress Tst,Tracing Only (93017) $1,597 $1,597 7.1×
Cardioversion (92960) $2,443 $2,443 3.6×
Caregiver training 1st 30 min (97550) $130 $130 2.5×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $65 $65 2.5×
Cbt 1st hour (94644) $418 $418 3.0×
Chemo Hormon Antineopl Sq/Im (96402) $380 $380 5.1×
Chemo IV push addl drug (96411) $333 $333 4.5×
Chemo Iv Push Sngl Drug (96409) $694 $694 2.0×
Chemo prolong 8+ hrs infuse w/pump (96416) $832 $832 2.4×
Chemother, IV infusion, 1 hr (96413) $1,024 $1,024 3.0×
Chemother, IV infusion, ea add hr (96415) $335 $335 4.5×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $384 $384 5.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $389 $389 5.2×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $89 $89 0.8×
Color/duplex Doppler, complete (93975) $1,463 $1,463 5.9×
Color/duplex Doppler, limited (93976) $1,236 $1,236 11.4×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $160 $160 0.9×
Comprehensive Hearing Test (92557) $163 $163 1.2×
Cont Gluc Monitoring Patient Provided Equipment (95249) $169 $169 2.8×
Cpap initiation and management (94660) $1,170 $1,170 5.1×
Cpt initial (94667) $297 $297 2.1×
Critical care (99291) $3,612 $3,612 4.2×
Debridement Open Wound 20 Sq Cm< (97597) $396.50 $396.50 1.9×
Demo &/or eval,pt use,aerosol device (94664) $217 $217 1.0×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,132 $1,132 4.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $936 $936 8.6×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $110 $110 1.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,675 $1,675 6.8×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,244 $1,244 11.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,644 $1,644 6.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,115 $1,115 10.3×
Dup-scan xtr veins unilateral/limited study (93971) $1,382 $1,382 12.7×
Duplex scan extracranial art compl bi study (93880) $1,923 $1,923 7.8×
Echo Heart Xthoracic,Limited (93308) $1,211 $1,211 4.9×
Echo transesophageal (93312) $3,491 $3,491 6.2×
Echo Transthoracic - Congenital Tte Complete (93303) $2,608 $2,608 4.6×
Echo Transthoracic - Congenital Tte Limited (93304) $1,750 $1,750 3.1×
EEG awake asleep (95819) $1,317 $1,317 5.9×
EEG awake drowsy (95816) $760 $760 3.4×
Eeg Extended Monitoring 61-119 Minutes (95813) $1,010 $1,010 4.5×
EKG (93005) $449 $449 7.3×
EKG rhythm strip (93041) $380 $380 6.2×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $111 $111 1.1×
Elec alys implt cplx cn npgt prgrmg (95977) $1,710 $1,710 17.3×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $1,710 $1,710 44.1×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $594 $594 2.6×
EMG two extremities (95861) $691 $691 5.0×
Er level 1 (99281) $281 $281 3.2×
Er level ii (99282) $566 $566 3.5×
Er level iii (99283) $808 $808 2.9×
Er level IV (99284) $1,438 $1,438 3.3×
Er level v (99285) $2,198 $2,198 3.6×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $241 $241 1.8×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $165 $165 2.3×
Evaluation of speech fluency (92521) $400 $400 3.0×
Evaluation of speech sound production (92522) $420 $420 3.8×
Evaluation of swallowing function (92610) $447 $447 5.3×
Evaluation with prescription of speech-generating alternative (92607) $553 $553 4.5×
External ECG rec>48hr<7d recording (93242) $745 $745 19.2×
External ECG rec>48hr<7d scanning alys w/report (93243) $1,111 $1,111 8.0×
External ECG rec>7d<15d recording (93246) $755 $755 19.5×
External ECG rec>7d<15d scanning alys w/report (93247) $1,225 $1,225 8.9×
External Ecg Scanning Analysis Report (93226) $1,228 $1,228 20.0×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $645 $645 3.2×
Hemodialysis (90935) $862 $862 1.2×
Holter Monitor Recording (93225) $660 $660 4.8×
Icd Device Interrogate (93289) $242 $242 6.2×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $79 $79 1.9×
Immunization Admin (90471) $73 $73 1.0×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $200 $200 3.3×
IV infusion hydration each additional hour (96361) $253 $253 5.2×
IV infusion hydration initial 31 min-1 hour (96360) $543 $543 2.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $253 $253 3.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $595 $595 2.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $345 $345 7.1×
IV push initial (96374) $454 $454 2.1×
Manual therapy 15 min (97140) $150 $150 5.4×
Massage 15 min (97124) $115 $115 3.9×
Mechanical chest wall oscillation (94669) $282 $282 1.2×
Mechanical traction (97012) $115 $115 8.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $111 $111 3.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $106 $106 2.9×
Mnt Group Ea 30 Min (97804) $55 $55 3.2×
Motility study esophagus (91010) $1,278 $1,278 3.3×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $634 $634 6.9×
Multiple sleep latency test (95805) $4,398 $4,398 4.9×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $186 $186 1.3×
Neg press wnd tx </=50 sq cm (97607) $668 $668 1.6×
Neg press wound tx >50 cm (97608) $876 $876 2.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $299.50 $299.50 1.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $681 $681 1.6×
Nerve Conduction Studies 3-4 Studies (95908) $1,128 $1,128 5.0×
Nerve Conduction Studies 9-10 Studies (95911) $1,646 $1,646 4.2×
Nerve conduction studies; 1-2 studies (95907) $251 $251 1.1×
Nerve conduction studies; 11-12 studies (95912) $1,534 $1,534 4.0×
Nerve conduction studies; 5-6 studies (95909) $847 $847 3.8×
Nerve conduction studies; 7-8 studies (95910) $1,328 $1,328 3.4×
Neurobehavioral Status Exam (96116) $284 $284 1.3×
Neuromuscular junction test (95937) $748 $748 5.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $667 $667 4.8×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $734 $734 5.5×
Nrpsyc tst eval phys/qhp 1st (96132) $284 $284 0.7×
Ophthalmic biometry (92136) $189 $189 1.4×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $61 $61 1.0×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $61 $61 1.0×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $180 $180 3.9×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $162 $162 5.1×
Ot Contrast Bath Ea 15 Min (97034) $105 $105 7.5×
Ot eval high complex 60 min (97167) $337 $337 3.4×
Ot eval low complex 30 min (97165) $261 $261 2.6×
Ot eval mod complex 45 min (97166) $294 $294 2.9×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $144 $144 2.9×
Ot Prosthetic Training, Each 15 Min (97761) $299 $299 7.4×
Ot re-eval est plan care (97168) $178 $178 2.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $444 $444 3.3×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $287 $287 2.1×
Paraffin bath (97018) $98 $98 16.3×
Phy/qhp op pulm rhb w/mntr (94626) $334 $334 5.5×
Phy/qhp op pulm rhb w/o mntr (94625) $322 $322 5.3×
Plethysmography (94726) $1,059 $1,059 2.7×
Pm device progr eval dual (93280) $205 $205 5.3×
Pm device progr eval multi (93281) $233 $233 6.0×
Pm device progr eval sngl (93279) $174 $174 4.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $6,176 $6,176 6.9×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $312 $312 8.1×
Principal care mgmt svc 1st 30 staff cal mo (99426) $89 $89 0.8×
Programming of dual lead implantable defibrillator system (93283) $269 $269 6.9×
Programming of single lead implantable defibrillator system (93282) $284 $284 7.3×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $315 $315 0.7×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $140 $140 1.0×
Pt Aquatic Therapy/Exercises (97113) $175 $175 4.7×
Pt Electric Current Therapy (97033) $149 $149 7.8×
Pt Electrical Stimulation (97032) $113 $113 7.7×
Pt eval high complex 45 min (97163) $323 $323 3.3×
Pt eval low complex 20 min (97161) $238 $238 2.4×
Pt Gait Training Therapy (97116) $117 $117 4.0×
Pt group caregiver training (97552) $98 $98 4.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $142 $142 4.3×
Pt Physical Performance Test (97750) $183 $183 5.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $261 $261 2.7×
Pt re-evaluation (97164) $177 $177 2.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $183 $183 5.6×
Pt Ultrasound Therapy (97035) $114 $114 7.9×
Pt Whirlpool Therapy (97022) $143 $143 9.1×
Pulmonary stress testing (94618) $654 $654 4.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $442 $442 11.4×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $898 $898 2.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $269 $269 1.3×
Rt Chest Wall Manipulation,Subsequent (94668) $270 $270 2.0×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $234 $234 4.9×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $590 $590 2.6×
Somatosensory testing (95938) $2,041 $2,041 2.3×
Speech group therapy (92508) $324 $324 13.5×
Speech sound lang comprehen (92523) $487 $487 2.2×
Spirometry (94010) $294 $294 1.3×
Standardized Cognitive Performance Testing (96125) $425 $425 4.1×
Stress echo (93350) $2,173 $2,173 3.8×
Stress Tte Complete (93351) $3,865 $3,865 6.8×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $59 $59 1.2×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $741 $741 3.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $169 $169 7.6×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $173 $173 8.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $388 $388 3.8×
Ther/Proph/Diag Inj Sc/Im (96372) $208 $208 2.8×
Therapeutic Activities (97530) $176 $176 5.0×
Therapeutic phlebotomy (99195) $258 $258 1.9×
Trans Care Mgmt 14 Day Disch (99495) $289 $289 2.1×
Trans Care Mgmt 7 Day Disch (99496) $404 $404 2.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $3,163 $3,163 5.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $389 $389 5.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $358 $358 4.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $324 $324 6.7×
Ultraviolet Light Therapy (96900) $58 $58 1.5×
Unlisted noninvasive vascular diagnostic study (93998) $264 $264 8.8×
Vasc Duplex Extrem Venous,Bilat (93970) $2,014 $2,014 8.1×
Vasc Duplex Scan Extracranial,Limited (93882) $941.50 $941.50 8.7×
Vasopneumatic device (97016) $135 $135 11.2×
Ventilation assist & mgmt inpatient 1st day (94002) $3,584 $3,584 5.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $4,068 $4,068 6.3×
Wheelchair Mgmt Ea 15 Min (97542) $188 $188 6.1×
Xtrnl mobile cv telemetry w/technical support (93229) $818 $818 2.1×