Visits & medical services prices at Amberwell Hiawatha

Hiawatha, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $66 $66 1.8×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$41–$592 $41–$592 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $83 $83 5.8×
Assessment of aphasia per hr (96105) $433 $433 4.5×
Behavral qualit analys voice (92524) $496 $496 4.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $857 $857 2.5×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$92–$255 $92–$255 varies
Cardiac Stress Tst,Tracing Only (93017) $1,566 $1,566 7.9×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$1,055–$4,988 $1,055–$4,988 varies
Cardioversion (92960)
range across 2 matching MRF lines
$1,975–$2,288 $1,975–$2,288 varies
Caregiver hlth risk assmt score doc stnd instrm (96161) $138 $138 4.0×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $146 $146 5.6×
Cbt 1st hour (94644) $371 $371 3.0×
Chemo Anti-Neopl Sq/Im (96401) $97 $97 1.5×
Chemo IV infusion addl hr (96415) $417 $417 6.3×
Chemo IV push addl drug (96411) $317 $317 4.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $417 $417 6.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $417 $417 1.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $317 $317 1.0×
Chest Wall Manipulation (94668) $193 $193 1.6×
Chron Care Mgmt Srvc 20 Min (99490) $102 $102 1.1×
Color/duplex Doppler, complete (93975) $1,604 $1,604 7.3×
Color/duplex Doppler, limited (93976) $1,325 $1,325 13.8×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 3 matching MRF lines
$168–$431 $168–$431 varies
Continuous Pulse Ox (94762) $410 $410 3.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $592 $592 2.9×
Cpt initial (94667) $592 $592 4.8×
Critical care first hour (99291)
range across 3 matching MRF lines
$522–$1,566 $522–$1,566 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$111–$483 $111–$483 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $836 $836 3.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $766 $766 8.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$1,325–$1,585 $1,325–$1,585 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,073 $1,073 11.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,325 $1,325 6.0×
Dup-scan xtr veins unilateral/limited study (93971) $977 $977 10.2×
Duplex up extrem art bilat (93930) $729 $729 3.3×
Duplex up extrem art unilat/ltd (93931) $1,073 $1,073 11.2×
Echo Congenital Complete (93303) $3,397 $3,397 6.8×
Echo Heart Xthoracic,Limited (93308) $1,325 $1,325 6.0×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$112–$193 $112–$193 varies
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$35–$471 $35–$471 varies
Emergency Dept Visit Level 2 (99282) $266 $266 1.9×
Emergency Dept Visit Level 3 (99283) $399 $399 1.6×
Emergency Dept Visit Level 4 (99284) $687 $687 1.8×
Er level 1 (99281) $122 $122 1.6×
Er level v (99285) $1,024 $1,024 1.9×
Evaluate pt use of inhaler (94664) $592 $592 2.9×
Evaluate Speech Production (92522) $512 $512 4.6×
Evaluate Swallowing Function (92610) $495 $495 5.8×
Evaluation of speech fluency (92521) $612 $612 4.6×
Evoked Auditory Test,Limited (92587) $760 $760 3.8×
External ECG rec>48hr<7d recording (93242) $135 $135 3.9×
External ECG rec>7d<15d recording (93246) $135 $135 3.9×
External Ecg Scanning Analysis Report (93226) $519 $519 9.6×
Extracranial Bilat Study (93880) $1,325 $1,325 6.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035)
range across 2 matching MRF lines
$239–$1,211 $239–$1,211 varies
Group Therapeutic Procedures (97150) $431 $431 23.9×
Holter monitor recording (93225) $519 $519 4.2×
Immunization administration (90471)
range across 5 matching MRF lines
$20.26–$290 $20.26–$290 varies
Inital newborn e/m (99460) $202 $202 1.6×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$83–$206 $83–$206 varies
Irrig Drug Delivery Device (96523) $492 $492 9.1×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$193–$296 $193–$296 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$340–$651 $340–$651 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$326–$327 $326–$327 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$193–$338 $193–$338 varies
IV push initial (96374)
range across 2 matching MRF lines
$227–$651 $227–$651 varies
Lwr Xtr Vasc Stdy Bilat (93924) $999 $999 5.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $111 $111 3.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $122 $122 3.3×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $61 $61 3.6×
Motion Fluoroscopy/Swallow (92611) $508 $508 5.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$42–$706 $42–$706 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$48–$706 $48–$706 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 5 matching MRF lines
$42–$1,052 $42–$1,052 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$93–$2,025 $93–$2,025 varies
Neuromuscular Reeducation (97112) $193 $193 5.9×
Newborn resuscitation (99465)
range across 2 matching MRF lines
$230–$2,803 $230–$2,803 varies
Nrpsyc tst eval phys/qhp 1st (96132) $235 $235 0.7×
Oral Function Therapy (92526) $423 $423 5.0×
Oral Speech Device Eval (92597) $408 $408 5.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$168–$242 $168–$242 varies
Osteopathic manipulative tx 3-4 body regions (98926) $109 $109 5.5×
Ot Contrast Bath Ea 15 Min (97034) $142 $142 10.1×
Ot eval high complexity (97167) $483 $483 4.8×
Ot Eval Low Complex (97165) $483 $483 4.8×
Ot Eval Moderate Complexity (97166) $483 $483 4.8×
Ot manual therapy 15 min (97140) $193 $193 7.0×
Ot paraffin bath (97018)
range across 2 matching MRF lines
$69–$149 $69–$149 varies
Ot Prosthetic Training, Each 15 Min (97761) $168 $168 4.2×
Ot Re-Eval Est Plan Care (97168) $255 $255 3.7×
Ot rom hand (95852) $103 $103 4.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $375 $375 3.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797)
range across 4 matching MRF lines
$12–$375 $12–$375 varies
Peripheral arterial disease rehab per session (93668)
range across 4 matching MRF lines
$67–$197 $67–$197 varies
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$126–$386 $126–$386 varies
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $400 $400 7.4×
Physical Performance Test (97750) $206 $206 6.1×
Plethysmography (94726) $640 $640 1.9×
Pm device eval in person (93288) $114 $114 3.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $35 $35 0.8×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $41 $41 1.0×
Psych diag eval w/med srvcs (90792) $420 $420 2.6×
Psychiatric diagnostic evaluation (90791) $420 $420 2.6×
Psytx Crisis Initial 60 Min (90839) $420 $420 2.6×
Pt Eval High Complex (97163) $483 $483 4.9×
Pt eval low complex 20 min (97161) $483 $483 4.9×
Pt Eval Mod Complex (97162) $483 $483 4.9×
Pt gait training 15 min (97116)
range across 2 matching MRF lines
$170–$190 $170–$190 varies
Pt mechanical traction (97012)
range across 2 matching MRF lines
$104–$159 $104–$159 varies
Pt Re-Eval Est Plan Care (97164) $255 $255 3.8×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $138 $138 4.0×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$12–$103 $12–$103 varies
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$24–$400 $24–$400 varies
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $121 $121 5.2×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $187 $187 5.4×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $69 $69 5.6×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $207 $207 6.0×
Remote 30 Day Ecg Tech Supp (93229) $1,030 $1,030 3.0×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $723 $723 5.9×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $162 $162 3.9×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $163 $163 3.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$140–$148 $140–$148 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $115 $115 4.4×
Same day nb discharge (99463) $175 $175 1.4×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$165–$206 $165–$206 varies
Sensory Integration Ea 15 Min (97533)
range across 3 matching MRF lines
$164–$182 $164–$182 varies
Slp caregiver training 1st 30 min (97550) $270 $270 5.1×
Speech sound lang comprehen (92523) $495 $495 2.2×
Spirometry (94010)
range across 2 matching MRF lines
$21–$571 $21–$571 varies
Standardized Cognitive Performance Testing (96125) $646 $646 6.3×
Stress Tte Only (93350) $3,372 $3,372 6.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $431 $431 19.3×
Ther Ivntj Ea Addl 15 Min (97130) $128 $128 6.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $266 $266 7.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $170 $170 5.7×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$63–$352 $63–$352 varies
Ther/Proph/Diag Iv Inf Init (96365) $1,048 $1,048 5.4×
Therapeutic Activities (97530) $206 $206 5.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $105 $105 3.0×
Tte w/doppler, complete (93306) $3,011 $3,011 6.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $508 $508 6.7×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$158–$227 $158–$227 varies
Upr/L Xtremity Art 2 Levels (93922) $820 $820 6.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $314 $314 1.6×
Vasopneumatic device (97016) $168 $168 14.0×
Vent Mgmt Inpat Init Day (94002) $1,325 $1,325 2.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,325 $1,325 2.3×
Wheelchair Mgmt Ea 15 Min (97542) $165 $165 5.3×
Whirlpool Therapy (97022)
range across 2 matching MRF lines
$134–$224 $134–$224 varies

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.