Visits & medical services prices at Van Diest Medical Center
Webster City, IA · every code in this section with a posted price and a Medicare benchmark.
136 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Advncd Care Plan 30 Min (99497) | $112 | $140 | 1.1× |
| Airway Inhalation Treatment (94640) | $179.20 | $224 | 0.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $79.20 | $99 | 5.5× |
| Assessment of aphasia per hr (96105) | $285.60 | $357 | 2.9× |
| Behavral qualit analys voice (92524) | $184 | $230 | 1.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $266.40 | $333 | 0.7× |
| Canalith repositioning proc (95992) | $92.80 | $116 | 2.3× |
| Cardiac Stress Tst,Tracing Only (93017) range across 3 matching MRF lines |
$340–$590.40 | $425–$738 | varies |
| Cardiopulmonary resuscitation (92950) | $592.80 | $741 | 2.9× |
| Cardioversion (92960) | $761.60 | $952 | 1.2× |
| Cbt 1st hour (94644) | $208 | $260 | 1.6× |
| Chemo Anti-Neopl Sq/Im (96401) | $117.60 | $147 | 1.7× |
| Chemo IV infusion addl hr (96415) | $348 | $435 | 5.0× |
| Chemo IV push addl drug (96411) | $277.60 | $347 | 4.0× |
| Chemotherapy Into Cns (96450) | $348 | $435 | 1.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $277.60 | $347 | 4.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $463.20 | $579 | 1.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $463.20 | $579 | 1.5× |
| Chest Wall Manipulation (94668) | $87.20 | $109 | 0.7× |
| Color/duplex Doppler, complete (93975) | $406.40 | $508 | 1.8× |
| Color/duplex Doppler, limited (93976) | $288.80 | $361 | 2.9× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $112 | $140 | 2.0× |
| Continuous Pulse Ox (94762) | $208 | $260 | 1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $416.80 | $521 | 2.0× |
| Cpt initial (94667) | $123.20 | $154 | 1.0× |
| Critical care first hour (99291) | $1,173.60 | $1,467 | 1.5× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$31.20–$212.80 | $39–$266 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $512.80 | $641 | 2.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $416.80 | $521 | 4.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $512.80 | $641 | 2.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $414.40 | $518 | 4.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $660.80 | $826 | 2.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $465.60 | $582 | 4.6× |
| Duplex up extrem art bilat (93930) | $511.20 | $639 | 2.2× |
| Duplex up extrem art unilat/ltd (93931) | $416.80 | $521 | 4.1× |
| Echo Heart Xthoracic,Limited (93308) | $414.40 | $518 | 1.8× |
| Electrical Stimulation Ea 15 Min (97032) | $96.80 | $121 | 6.6× |
| Electrocardiogram Tracing (93005) | $128.80 | $161 | 2.3× |
| Emergency Dept Visit Level 2 (99282) | $199.20 | $249 | 1.3× |
| Emergency Dept Visit Level 3 (99283) | $350.40 | $438 | 1.3× |
| Emergency Dept Visit Level 4 (99284) | $568.80 | $711 | 1.4× |
| Er level 1 (99281) | $143.20 | $179 | 1.8× |
| Er level v (99285) | $833.60 | $1,042 | 1.5× |
| Evaluate pt use of inhaler (94664) | $132 | $165 | 0.6× |
| Evaluate Speech Production (92522) | $184 | $230 | 1.6× |
| Evaluate Swallowing Function (92610) | $184 | $230 | 2.2× |
| Evoked Auditory Test,Limited (92587) | $848 | $1,060 | 4.1× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$200–$244 | $250–$305 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $200 | $250 | 1.6× |
| External ECG rec>7d<15d recording (93246) range across 2 matching MRF lines |
$200–$244 | $250–$305 | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) | $200 | $250 | 1.6× |
| External Ecg Scanning Analysis Report (93226) | $304 | $380 | 5.4× |
| Extracranial Bilat Study (93880) | $572.80 | $716 | 2.5× |
| Extracranial Uni/Ltd Study (93882) | $400 | $500 | 4.0× |
| Group Therapeutic Procedures (97150) | $59.20 | $74 | 3.3× |
| Holter monitor recording (93225) | $200 | $250 | 1.6× |
| Icd Device Interrogate (93289) | $140 | $175 | 3.9× |
| Icd device progr eval dual (93283) | $200 | $250 | 5.6× |
| Icd Device Progr Eval Mult (93284) | $220 | $275 | 6.1× |
| Ilr Device Eval Progr (93285) | $100 | $125 | 2.8× |
| Ilr Device Interrogate (93291) | $100 | $125 | 3.6× |
| Immunization administration (90471) | $24 | $30 | 0.3× |
| Interrogate Subq Defib (93261) | $140 | $175 | 3.9× |
| Iontophoresis 15 min (97033) | $107.20 | $134 | 5.6× |
| Irrig Drug Delivery Device (96523) | $125.60 | $157 | 2.2× |
| IV infusion hydration each additional hour (96361) | $121.60 | $152 | 2.7× |
| IV infusion hydration initial 31 min-1 hour (96360) | $275.20 | $344 | 1.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $184 | $230 | 2.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $128.80 | $161 | 2.9× |
| IV push initial (96374) range across 4 matching MRF lines |
$45.60–$86.40 | $57–$108 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $208 | $260 | 3.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $71.20 | $89 | 2.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $71.20 | $89 | 1.9× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $71.20 | $89 | 4.2× |
| Motion Fluoroscopy/Swallow (92611) | $360 | $450 | 3.9× |
| Multiple Sleep Latency Test (95805) | $2,500.80 | $3,126 | 3.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $164.80 | $206 | 0.9× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $212.80 | $266 | 0.5× |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$91.20–$144.80 | $114–$181 | varies |
| Oral Function Therapy (92526) | $136 | $170 | 1.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $104.80 | $131 | 2.3× |
| Ot Contrast Bath Ea 15 Min (97034) | $65.60 | $82 | 4.7× |
| Ot eval high complexity (97167) | $126.40 | $158 | 1.3× |
| Ot Eval Low Complex (97165) | $126.40 | $158 | 1.3× |
| Ot Eval Moderate Complexity (97166) | $126.40 | $158 | 1.3× |
| Ot manual therapy 15 min (97140) | $88.80 | $111 | 3.2× |
| Ot paraffin bath (97018) | $58.40 | $73 | 9.7× |
| Ot Prosthetic Training, Each 15 Min (97761) | $83.20 | $104 | 2.1× |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$122.40–$124.80 | $153–$156 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $176 | $220 | 1.4× |
| Peripheral arterial disease rehab per session (93668) | $114.40 | $143 | 2.0× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$165.60–$177.60 | $207–$222 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $263.20 | $329 | 4.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $191.20 | $239 | 3.4× |
| Pm device eval in person (93288) | $140 | $175 | 3.9× |
| Pm device progr eval dual (93280) | $180 | $225 | 5.0× |
| Pm device progr eval multi (93281) | $200 | $250 | 5.6× |
| Pm Device Progr Eval Sngl (93279) | $160 | $200 | 4.5× |
| Pm/Icd Remote Tech Serv (93296) | $100 | $125 | 2.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,700.80 | $3,376 | 3.3× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $160 | $200 | 4.5× |
| Pt Eval High Complex (97163) | $144.80 | $181 | 1.5× |
| Pt eval low complex 20 min (97161) | $144.80 | $181 | 1.5× |
| Pt Eval Mod Complex (97162) | $144.80 | $181 | 1.5× |
| Pt gait training 15 min (97116) | $91.20 | $114 | 3.1× |
| Pt Re-Eval Est Plan Care (97164) | $109.60 | $137 | 1.6× |
| Pulm function test by gas (94727) | $208 | $260 | 1.0× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $180 | $225 | 5.0× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $83.20 | $104 | 1.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$68–$243.20 | $85–$304 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $40 | $50 | 1.5× |
| Self Care Mngment Training (97535) | $86.40 | $108 | 2.7× |
| Sensory Integration Ea 15 Min (97533) | $122.40 | $153 | 2.0× |
| Sleep study unattended (95806) | $525.60 | $657 | 2.5× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $280 | $350 | 1.3× |
| Speech sound lang comprehen (92523) | $184 | $230 | 0.8× |
| Spirometry (94010) | $208 | $260 | 1.0× |
| Standardized Cognitive Performance Testing (96125) | $276.80 | $346 | 2.7× |
| Temp transcutaneous pacing (92953) | $404 | $505 | 0.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $68 | $85 | 3.0× |
| Ther Ivntj Ea Addl 15 Min (97130) | $68 | $85 | 3.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $184 | $230 | 1.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$51.20–$52.80 | $64–$66 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $305.60 | $382 | 1.5× |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$87.20–$144.80 | $109–$181 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $24 | $30 | 0.7× |
| Tte w/doppler, complete (93306) | $1,070.40 | $1,338 | 2.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $184 | $230 | 2.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $51.20 | $64 | 1.1× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$191.20–$304 | $239–$380 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$191.20–$304 | $239–$380 | varies |
| Vent Mgmt Inpat Init Day (94002) | $862.40 | $1,078 | 1.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $862.40 | $1,078 | 1.5× |
| Vital capacity, total (94150) | $208 | $260 | 1.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $68 | $85 | 2.2× |
| Whirlpool Therapy (97022) | $144.80 | $181 | 9.2× |
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.