Visits & medical services prices at Thayer County Health Services

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $67 $84 1.6×
Advncd Care Plan 30 Min (99497) $161 $201 1.5×
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines		 $189–$197 $236–$246 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 3 matching MRF lines		 $65–$68 $81–$85 varies
Application Modality 1/> Areas Infrared (97026) $33 $41 4.9×
Assessment of aphasia per hr (96105) $192 $240 2.0×
Audiometry Air & Bone (92553) $123 $154 0.9×
Behavral qualit analys voice (92524) $287 $359 2.6×
Breathing response to hypoxia (94450) $323 $404 2.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $555 $694 1.4×
Canalith repositioning proc (95992) $94 $117 2.3×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines		 $730–$946 $913–$1,183 varies
Cardiopulmonary exercise testing (94621) $1,214 $1,518 3.1×
Cardiopulmonary resuscitation (92950) $682 $853 3.0×
Cardioversion (92960) $1,170 $1,463 1.7×
Cbt 1st hour (94644) $99 $124 0.7×
Chemo Anti-Neopl Sq/Im (96401) $308 $308 4.1×
Chemo Hormon Antineopl Sq/Im (96402) $206 $206 2.8×
Chemo IV infusion addl hr (96415) $175 $219 2.3×
Chemo IV push addl drug (96411) $218 $273 2.9×
Chemother Prolong Infuse W/Pump (96416) $598 $747 1.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $270 $338 3.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $740 $925 2.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $396 $495 1.2×
Chest Wall Manipulation (94668) $108 $135 0.8×
Color/duplex Doppler, complete (93975) $930 $1,162 3.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $60 $75 1.9×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $90 $113 0.5×
Cont gluc mntr physician/qhp provided equiptment (95250) $350 $438 2.5×
Continuous Pulse Ox (94762) $350 $438 2.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $688 $860 3.0×
Cpt initial (94667) $146 $182 1.1×
Critical care first hour (99291) $1,616 $2,020 1.9×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines		 $156–$161 $195–$201 varies
Developmental tst admin phys/qhp 1st hour (96112) $286 $357 2.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $966 $1,208 3.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $771 $964 7.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,199 $1,499 4.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $910 $1,138 8.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,146 $1,432 4.6×
Dup-scan xtr veins unilateral/limited study (93971) $1,018 $1,273 9.4×
Duplex Scan Hemodialysis Access (93990) $830 $1,038 7.6×
Duplex up extrem art bilat (93930) $944 $1,180 3.8×
Duplex up extrem art unilat/ltd (93931) $763 $954 7.0×
Echo Heart Xthoracic,Limited (93308) $879 $923 3.5×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines		 $68–$77 $85–$96 varies
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines		 $285 $296–$308 4.7×
Emergency Dept Visit Level 2 (99282) $400 $500 2.5×
Emergency Dept Visit Level 3 (99283) $483 $820 1.7×
Emergency Dept Visit Level 4 (99284) $725 $1,200 1.7×
Er level 1 (99281) $256 $320 2.9×
Er level v (99285) $1,073 $1,780 1.7×
Evaluate pt use of inhaler (94664) $163 $204 0.7×
Evaluate Speech Production (92522) $318 $397 2.8×
Evaluate Swallowing Function (92610) $285 $356 3.4×
Evaluation of speech fluency (92521) $266 $333 2.0×
Exercise test for bronchospasm (94617) $262 $328 1.9×
Exhaled Air Analysis O2 (94680) $245 $306 1.8×
External ECG rec>48hr<7d recording (93242) $366 $457 9.4×
External ECG rec>7d<15d recording (93246) $366 $457 9.4×
External Ecg Scanning Analysis Report (93226) $795 $795 13.0×
Extracranial Bilat Study (93880) $1,224 $1,530 4.9×
Extracranial Uni/Ltd Study (93882) $947 $1,184 8.7×
High altitude simulation test (94452) $208 $260 1.5×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $237 $296 1.7×
Holter monitor recording (93225) $422 $527 3.1×
Icd Device Interrogate (93289) $273 $341 7.0×
Icd device progr eval dual (93283) $402 $502 10.4×
Icd Device Progr Eval Mult (93284) $434 $543 11.2×
Ilr Device Interrogate (93291) $96 $120 3.2×
Im Adm Intransl/Oral 1 Vaccine (90473) $75 $94 1.0×
Immunization administration (90471)
range across 4 matching MRF lines		 $67–$84 $84–$88 varies
Interrogate Subq Defib (93261) $285 $356 7.4×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines		 $93–$98 $116–$122 varies
Irrig Drug Delivery Device (96523) $106 $133 1.7×
IV infusion hydration each additional hour (96361) $97 $359 2.0×
IV infusion hydration initial 31 min-1 hour (96360) $374 $374 1.7×
IV infusion ther proph addl sequential to 1 hr (96367) $181 $226 2.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $189 $236 3.9×
IV push initial (96374)
range across 2 matching MRF lines		 $167–$300 $209–$300 varies
Lung Function Test (Mbc/Mvv) (94200) $155 $194 2.5×
Lwr Xtr Vasc Stdy Bilat (93924)
range across 2 matching MRF lines		 $830–$864 $1,038–$1,080 varies
Mechanical chest wall oscillation per session (94669) $195 $244 0.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $57 $71 1.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $58 $72 1.6×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $69 $69 4.1×
Methacholine challenge (94070) $1,081 $1,351 2.8×
Motion Fluoroscopy/Swallow (92611) $443 $554 4.8×
Multiple Family Group Psychotherapy (90849) $285 $356 1.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $190 $237 0.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $303 $379 0.7×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines		 $88–$94 $110–$118 varies
Newborn resuscitation (99465) $645 $806 0.9×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $400 $500 1.0×
Oral Function Therapy (92526) $235 $294 2.8×
Oral Speech Device Eval (92597) $134 $167 1.9×
Orthc/Prostc Mgmt Sbsq Enc (97763) $86 $108 1.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines		 $85–$89 $106–$111 varies
Osteopathic manipulative tx 3-4 body regions (98926) $206 $258 9.2×
Ot Contrast Bath Ea 15 Min (97034) $67 $84 4.8×
Ot eval high complexity (97167) $201 $251 2.0×
Ot Eval Low Complex (97165) $214 $214 2.1×
Ot Eval Moderate Complexity (97166) $190 $238 1.9×
Ot manual therapy 15 min (97140) $86 $108 3.1×
Ot paraffin bath (97018)
range across 3 matching MRF lines		 $59–$62 $74–$77 varies
Ot Prosthetic Training, Each 15 Min (97761) $75 $94 1.9×
Ot Re-Eval Est Plan Care (97168) $150 $188 2.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $232 $290 1.7×
Oxygen Uptake Rest Indirect (94690) $324 $405 5.3×
Patient-initiated spirometric phys/qhp r&i only (94016) $69 $86 2.8×
Patient-initiated spirometric recording (94015) $240 $300 1.1×
Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) $304 $380 0.7×
Peripheral arterial disease rehab per session (93668) $167 $209 2.7×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines		 $170–$198 $213–$248 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $262 $328 4.3×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $250 $312 4.1×
Plethysmography (94726) $390 $487 1.0×
Pm device eval in person (93288) $198 $248 5.1×
Pm device progr eval dual (93280) $306 $382 7.9×
Pm device progr eval multi (93281) $330 $412 8.5×
Pm Device Progr Eval Sngl (93279) $250 $313 6.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,610 $4,512 4.0×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $311 $389 8.0×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $306 $382 7.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $29 $36 0.6×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $34 $43 0.7×
Psych diag eval w/med srvcs (90792) $720 $900 3.9×
Psychiatric diagnostic evaluation (90791) $301 $376 1.6×
Psychoanalysis (90845) $275 $344 1.5×
Psytx Crisis Initial 60 Min (90839) $246 $308 1.3×
Pt Eval High Complex (97163) $203 $254 2.1×
Pt eval low complex 20 min (97161) $152 $190 1.6×
Pt Eval Mod Complex (97162) $178 $223 1.8×
Pt gait training 15 min (97116)
range across 2 matching MRF lines		 $76–$79 $95–$99 varies
Pt mechanical traction (97012) $71 $89 4.9×
Pt Re-Eval Est Plan Care (97164) $125 $130 1.9×
Pulm function test by gas (94727) $377 $471 1.7×
Pulmonary Stress Testing (94618) $297 $371 2.1×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $162 $202 0.5×
Remote 30 Day Ecg Rev/Report (93270) $300 $375 7.7×
Respiratory flow volume loop (94375) $290 $300 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $202 $253 1.0×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $239 $299 2.0×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $96 $120 2.0×
Self Care Mngment Training (97535) $90 $113 2.8×
Sensory Integration Ea 15 Min (97533) $194 $243 3.2×
Sleep study unattended (95806) $414 $517 1.8×
Speech sound lang comprehen (92523) $354 $443 1.6×
Spin/Brain Pump Refil & Main (95991) $198 $248 0.6×
Spirometry (94010) $303 $379 1.4×
Standardized Cognitive Performance Testing (96125) $344 $430 3.3×
Stress Tte Only (93350) $1,266 $1,582 2.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines		 $98–$102 $123–$128 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 2 matching MRF lines		 $78–$81 $97–$101 varies
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 2 matching MRF lines		 $111–$116 $139–$145 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $200 $250 2.0×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines		 $93–$116 $116–$163 varies
Ther/Proph/Diag Iv Inf Init (96365) $480 $480 2.2×
Therapeutic Activities (97530) $130 $163 3.7×
Tobacco Use Cessation Intensive >10 Minutes (99407) $54 $67 1.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $27 $34 0.7×
Trans Care Mgmt 14 Day Disch (99495) $431 $431 3.1×
Trans Care Mgmt 7 Day Disch (99496) $569 $569 4.1×
Tte w/doppler, complete (93306) $2,160 $2,700 3.8×
Tte W/O Doppler Complete (93307) $1,434 $1,793 5.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $258 $322 3.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $162 $176 3.3×
Tympanometry (92567) $33 $41 0.9×
Unlisted Psychiatric Service/Procedure (90899) $285 $356 7.3×
Unlisted Special Dermatological Service/Px (96999) $154 $193 0.7×
Upr/L Xtremity Art 2 Levels (93922) $534 $667 3.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $704 $880 3.1×
Vasopneumatic device (97016) $89 $111 7.4×
Vital capacity, total (94150) $123 $154 0.9×
Wheelchair Mgmt Ea 15 Min (97542) $115 $115 3.7×
Whirlpool Therapy (97022) $90 $113 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.