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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ProcedurePosted cashPosted gross× Medicare
Actinotherapy Ultraviolet Light (96900) $58 $58 1.5×
Admn Sarscov2 Vacc 1 Dose (90480) $79 $79 1.9×
Airway Inhalation Treatment (94640) $296 $296 1.3×
Analyze neurostim no prog (95970) $178 $178 1.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $114 $114 7.9×
Application on-body injector (96377) $200 $200 4.1×
Assessment of aphasia per hr (96105) $479 $479 4.9×
Assmt & care planning pt w/cognitive impairment (99483) $89 $89 0.8×
Behavral qualit analys voice (92524) $392 $392 3.6×
Biofeedback training any modality (90901) $273 $273 6.6×
Brief Emotional/Behav Assmt (96127) $9 $9 0.2×
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)
range across 2 matching MRF lines		 $1,056–$1,562 $1,056–$1,562 varies
Canalith repositioning proc (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 Strategies&Tq Ea Addl 15 Min (97551) $65 $65 2.5×
Cbt 1st hour (94644) $418 $418 3.0×
Chemo Anti-Neopl Sq/Im (96401) $384 $384 5.1×
Chemo Hormon Antineopl Sq/Im (96402) $380 $380 5.1×
Chemo IV infusion addl hr (96415) $335 $335 4.5×
Chemo IV push addl drug (96411) $333 $333 4.5×
Chemother Prolong Infuse W/Pump (96416) $832 $832 2.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $389 $389 5.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,024 $1,024 3.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $694 $694 2.0×
Chest Wall Manipulation (94668) $270 $270 2.0×
Chron Care Mgmt Srvc 20 Min (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×
Community/Work Reintegration Trainj Ea 15 Min (97537) $162 $162 5.1×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $160 $160 0.9×
Comprehensive Hearing Test (92557) $163 $163 1.2×
Cont Gluc Mntr Pt Prov Eqp (95249) $169 $169 2.8×
Continuous Pulse Ox (94762) $734 $734 5.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines		 $1,153–$1,170 $1,153–$1,170 varies
Cpt initial (94667) $297 $297 2.1×
Critical care first hour (99291) $3,612 $3,612 4.2×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines		 $314–$479 $314–$479 varies
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 Xtr Veins Complete Bilateral Study (93970) $2,014 $2,014 8.1×
Dup-scan xtr veins unilateral/limited study (93971) $1,382 $1,382 12.7×
Duplex up extrem art bilat (93930) $1,644 $1,644 6.6×
Duplex up extrem art unilat/ltd (93931) $1,115 $1,115 10.3×
Echo Congenital Complete (93303) $2,608 $2,608 4.6×
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines		 $1,211–$1,496 $1,211–$1,496 varies
Echo transesophageal (93312) $3,491 $3,491 6.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $3,865 $3,865 6.8×
Eeg 41-60 Minutes (95812) $594 $594 2.6×
EEG awake and asleep (95819)
range across 2 matching MRF lines		 $812–$1,822 $812–$1,822 varies
EEG awake drowsy (95816) $760 $760 3.4×
EEG extended monitoring 61-119 minutes (95813) $1,010 $1,010 4.5×
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×
Electrical Stimulation Ea 15 Min (97032) $113 $113 7.7×
Electrocardiogram Tracing (93005) $449 $449 7.3×
Emergency Dept Visit Level 2 (99282) $566 $566 3.5×
Emergency Dept Visit Level 3 (99283) $808 $808 2.9×
Emergency Dept Visit Level 4 (99284) $1,438 $1,438 3.3×
Er level 1 (99281) $281 $281 3.2×
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×
Evaluate pt use of inhaler (94664) $217 $217 1.0×
Evaluate Speech Production (92522) $420 $420 3.8×
Evaluate Swallowing Function (92610) $447 $447 5.3×
Evaluation of speech fluency (92521) $400 $400 3.0×
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×
Extracranial Bilat Study (93880) $1,923 $1,923 7.8×
Extracranial Uni/Ltd Study (93882)
range across 2 matching MRF lines		 $941–$942 $941–$942 varies
F-up/limited tthrc echo congenital car anomaly (93304) $1,750 $1,750 3.1×
Flexible endoscopic eval swallow c/v rec (92612) $645 $645 3.2×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $862 $862 1.2×
Holter monitor recording (93225) $660 $660 4.8×
Icd Device Interrogate (93289) $242 $242 6.2×
Icd device progr eval dual (93283) $269 $269 6.9×
Icd Device Progr Eval Mult (93284) $312 $312 8.1×
Immunization administration (90471)
range across 2 matching MRF lines		 $54–$92 $54–$92 varies
Iontophoresis 15 min (97033) $149 $149 7.8×
Irrig Drug Delivery Device (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 ther proph addl sequential to 1 hr (96367) $253 $253 3.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $345 $345 7.1×
IV push initial (96374) $454 $454 2.1×
Mechanical chest wall oscillation per session (94669) $282 $282 1.2×
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×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $55 $55 3.2×
Motility study esophagus (91010) $1,278 $1,278 3.3×
Motion Fluoroscopy/Swallow (92611) $634 $634 6.9×
Multiple Sleep Latency Test (95805) $4,398 $4,398 4.9×
Muscle Test 2 Limbs (95861) $691 $691 5.0×
Muscle Test Nonparaspinal (95870) $186 $186 1.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 3 matching MRF lines		 $358–$668 $358–$668 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $876 $876 2.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines		 $214–$385 $214–$385 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $681 $681 1.6×
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 3-4 Studies (95908) $1,128 $1,128 5.0×
Nerve conduction studies 5-6 studies (95909)
range across 3 matching MRF lines		 $419–$847 $419–$847 varies
Nerve conduction studies 7-8 studies (95910)
range across 3 matching MRF lines		 $772–$1,328 $772–$1,328 varies
Nerve Conduction Studies 9-10 Studies (95911)
range across 3 matching MRF lines		 $944–$1,646 $944–$1,646 varies
Neurobehavioral Status Exam (96116) $284 $284 1.3×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $748 $748 5.6×
Neuromuscular Reeducation (97112) $142 $142 4.3×
Nrpsyc tst eval phys/qhp 1st (96132) $284 $284 0.7×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (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×
Oral Function Therapy (92526) $358 $358 4.3×
Oral Speech Device Eval (92597) $165 $165 2.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $144 $144 2.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $180 $180 3.9×
Ot Contrast Bath Ea 15 Min (97034) $105 $105 7.5×
Ot eval high complexity (97167) $337 $337 3.4×
Ot Eval Low Complex (97165) $261 $261 2.6×
Ot Eval Moderate Complexity (97166) $294 $294 2.9×
Ot manual therapy 15 min (97140) $150 $150 5.4×
Ot paraffin bath (97018) $98 $98 16.3×
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×
Phlebotomy therapeutic (99195) $258 $258 1.9×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $334 $334 5.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $322 $322 5.3×
Physical Performance Test (97750) $183 $183 5.4×
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×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $284 $284 7.3×
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) $89 $89 0.8×
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 Eval High Complex (97163) $323 $323 3.3×
Pt eval low complex 20 min (97161) $238 $238 2.4×
Pt Eval Mod Complex (97162) $261 $261 2.7×
Pt gait training 15 min (97116) $117 $117 4.0×
Pt group caregiver training (97552) $98 $98 4.4×
Pt mechanical traction (97012) $115 $115 8.0×
Pt Re-Eval Est Plan Care (97164) $177 $177 2.6×
Pulmonary Stress Testing (94618) $654 $654 4.7×
Remote 30 Day Ecg Rev/Report (93270) $442 $442 11.4×
Remote 30 Day Ecg Tech Supp (93229) $818 $818 2.1×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $380 $380 6.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $269 $269 1.3×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $553 $553 4.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $234 $234 4.9×
Self Care Mngment Training (97535) $183 $183 5.6×
Slp caregiver training 1st 30 min (97550) $130 $130 2.5×
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 sound lang comprehen (92523) $487 $487 2.2×
Spin/Brain Pump Refil & Main (95991)
range across 2 matching MRF lines		 $562–$1,234 $562–$1,234 varies
Spirometry (94010)
range across 2 matching MRF lines		 $204–$384 $204–$384 varies
Standardized Cognitive Performance Testing (96125) $425 $425 4.1×
Stress Tte Only (93350) $2,173 $2,173 3.8×
Subcutaneous Infusion Each Additional Hour (96370) $59 $59 1.2×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $741 $741 3.4×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $169 $169 7.6×
Ther Ivntj Ea Addl 15 Min (97130) $173 $173 8.2×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $175 $175 4.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $115 $115 3.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $388 $388 3.8×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines		 $132–$284 $132–$284 varies
Ther/Proph/Diag Iv Inf Init (96365) $595 $595 2.7×
Therapeutic Activities (97530) $176 $176 5.0×
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 (93306) $3,163 $3,163 5.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $389 $389 5.1×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $324 $324 13.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $324 $324 6.7×
Unlisted noninvasive vascular diagnostic study (93998) $264 $264 8.8×
Upr/L Xtremity Art 2 Levels (93922) $667 $667 4.8×
Vasopneumatic device (97016) $135 $135 11.2×
Vent Mgmt Inpat Init 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×
Whirlpool Therapy (97022) $143 $143 9.1×

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.