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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $316.50 $316.50 1.6×
Assessment of aphasia (96105) $433 $433 4.5×
Behavioral and qualitative analysis of voice and resonance (92524) $496 $496 4.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $857 $857 2.5×
Canalith Repositioning (95992) $173.50 $173.50 4.3×
Cardiac Stress Tst,Tracing Only (93017) $1,566 $1,566 7.9×
Cardiopulmonary resuscitation (92950) $1,145 $1,145 5.8×
Cardioversion (92960) $2,131.50 $2,131.50 3.5×
Caregiver hlth risk assmt score doc stnd instrm (96161) $138 $138 4.0×
Caregiver training 1st 30 min (97550) $270 $270 5.1×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $146 $146 5.6×
Cbt 1st hour (94644) $371 $371 3.0×
Chemo IV push addl drug (96411) $317 $317 4.8×
Chemo Iv Push Sngl Drug (96409) $317 $317 1.0×
Chemother, IV infusion, 1 hr (96413) $417 $417 1.4×
Chemother, IV infusion, ea add hr (96415) $417 $417 6.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $97 $97 1.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $417 $417 6.3×
Chronic care mgmt svcs staff 1st 20 min cal mo (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×
Cpap initiation and management (94660) $592 $592 2.9×
Cpt initial (94667) $592 $592 4.8×
Critical care (99291) $597 $597 0.8×
Debridement Open Wound 20 Sq Cm< (97597) $161 $161 0.9×
Demo &/or eval,pt use,aerosol device (94664) $592 $592 2.9×
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) $1,455 $1,455 6.6×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,073 $1,073 11.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $729 $729 3.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,073 $1,073 11.2×
Dup-scan xtr veins unilateral/limited study (93971) $977 $977 10.2×
Duplex scan extracranial art compl bi study (93880) $1,325 $1,325 6.0×
Echo Heart Xthoracic,Limited (93308) $1,325 $1,325 6.0×
Echo Transthoracic - Congenital Tte Complete (93303) $3,397 $3,397 6.8×
EKG (93005) $253 $253 4.7×
Er level 1 (99281) $122 $122 1.6×
Er level ii (99282) $266 $266 1.9×
Er level iii (99283) $399 $399 1.6×
Er level IV (99284) $687 $687 1.8×
Er level v (99285) $1,024 $1,024 1.9×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $408 $408 5.7×
Evaluation of speech fluency (92521) $612 $612 4.6×
Evaluation of speech sound production (92522) $512 $512 4.6×
Evaluation of swallowing function (92610) $495 $495 5.8×
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×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $725 $725 0.9×
Group Therapeutic Procedures (97150) $431 $431 23.9×
Holter Monitor Recording (93225) $519 $519 4.2×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $66 $66 1.8×
Immunization Admin (90471) $47 $47 0.7×
Immunotherapy, 2+ Injections (95117) $41 $41 1.0×
Inital newborn e/m (99460) $202 $202 1.6×
Initial normal newborn care, same day discharge (99463) $175 $175 1.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $492 $492 9.1×
IV infusion hydration each additional hour (96361) $244.50 $244.50 5.7×
IV infusion hydration initial 31 min-1 hour (96360) $495.50 $495.50 2.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $326.50 $326.50 4.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $1,048 $1,048 5.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $265.50 $265.50 6.2×
IV push initial (96374) $439 $439 2.2×
Manual therapy 15 min (97140) $193 $193 7.0×
Massage 15 min (97124) $170 $170 5.7×
Mechanical traction (97012) $131.50 $131.50 9.2×
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×
Mnt Group Ea 30 Min (97804) $61 $61 3.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $508 $508 5.6×
Neg press wnd tx </=50 sq cm (97607) $374 $374 1.0×
Neg press wound tx >50 cm (97608) $377 $377 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $86 $86 0.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $148 $148 0.4×
Newborn resuscitation (99465) $1,516.50 $1,516.50 2.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $820 $820 6.7×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $314 $314 1.6×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $410 $410 3.5×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98972) $187 $187 5.4×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98970) $69 $69 5.6×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98971) $121 $121 5.2×
Nrpsyc tst eval phys/qhp 1st (96132) $235 $235 0.7×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $205 $205 4.4×
Osteopathic manipulative tx 3-4 body regions (98926) $109 $109 5.5×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $201 $201 6.3×
Ot Contrast Bath Ea 15 Min (97034) $142 $142 10.1×
Ot eval high complex 60 min (97167) $483 $483 4.8×
Ot eval low complex 30 min (97165) $483 $483 4.8×
Ot eval mod complex 45 min (97166) $483 $483 4.8×
Ot Prosthetic Training, Each 15 Min (97761) $168 $168 4.2×
Ot Range Motion Measure,Each Extrem (95851) $115 $115 4.4×
Ot re-eval est plan care (97168) $255 $255 3.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $375 $375 3.2×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $85 $85 0.7×
Paraffin bath (97018) $109 $109 18.1×
Peripheral arterial disease rehab per session (93668) $147.50 $147.50 2.7×
Phy/qhp op pulm rhb w/o mntr (94625) $400 $400 7.4×
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×
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 Aquatic Therapy/Exercises (97113) $266 $266 7.2×
Pt Electric Current Therapy (97033) $144.50 $144.50 7.6×
Pt Electrical Stimulation (97032) $152.50 $152.50 10.4×
Pt eval high complex 45 min (97163) $483 $483 4.9×
Pt eval low complex 20 min (97161) $483 $483 4.9×
Pt Gait Training Therapy (97116) $180 $180 6.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $193 $193 5.9×
Pt Physical Performance Test (97750) $206 $206 6.1×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $483 $483 4.9×
Pt re-evaluation (97164) $255 $255 3.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $185.50 $185.50 5.7×
Pt Ultrasound Therapy (97035) $83 $83 5.8×
Pt Whirlpool Therapy (97022) $179 $179 11.4×
Pt-focused hlth risk assmt (96160) $138 $138 4.0×
Pulmonary stress testing (94618) $212 $212 1.7×
Rem ther mntr dev sply w/rec muscskel sys ea 30d (98977) $207 $207 6.0×
Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) $163 $163 3.0×
Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) $162 $162 3.9×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $723 $723 5.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $144 $144 0.8×
Rom meas&reprt hand w/wo comparison normal sid (95852) $103 $103 4.8×
Rt Chest Wall Manipulation,Subsequent (94668) $193 $193 1.6×
Sensory Integration Ea 15 Min (97533) $165 $165 2.7×
Speech sound lang comprehen (92523) $495 $495 2.2×
Spirometry (94010) $296 $296 1.5×
Standardized Cognitive Performance Testing (96125) $646 $646 6.3×
Stress echo (93350) $3,372 $3,372 6.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $431 $431 19.3×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $128 $128 6.1×
Ther/Proph/Diag Inj Sc/Im (96372) $173 $173 2.6×
Therapeutic Activities (97530) $206 $206 5.9×
Therapeutic phlebotomy (99195) $256 $256 2.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $105 $105 3.0×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $3,011 $3,011 6.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $508 $508 6.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $423 $423 5.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $193 $193 4.5×
Unlisted pulmonary service/procedure (94799) $67 $67 0.6×
Vasc Duplex Extrem Venous,Bilat (93970) $1,325 $1,325 6.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $999 $999 5.0×
Vasopneumatic device (97016) $168 $168 14.0×
Ventilation assist & mgmt inpatient 1st 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×
Xtrnl mobile cv telemetry w/technical support (93229) $1,030 $1,030 3.0×