Visits & medical services prices at Ascension Via Christi Hospital Manhattan, Inc

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $114.80 $287 0.6×
Ambulatory Bp Analysis (93788) $164.80 $412 1.3×
Ambulatory Bp Recording (93786) $75.20 $188 0.6×
Analyze Neurostim Complex (95972) $235.20 $588 2.7×
Assessment of aphasia (96105) $181.60 $454 1.9×
Behavioral and qualitative analysis of voice and resonance (92524) $161.20 $403 1.5×
Bis extracellular fluid alys lymphedema assmnt (93702) $108.40 $271 0.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $316.80 $792 0.9×
Canalith Repositioning (95992) $59.20 $148 1.5×
Cardiac Stress Tst,Tracing Only (93017) $403.60 $1,009 2.0×
Cardiopulmonary exercise testing (94621) $833.20 $2,083 2.4×
Cardiopulmonary resuscitation (92950) $408.80 $1,022 2.1×
Cardioversion (92960) $811.60 $2,029 1.3×
Caregiver hlth risk assmt score doc stnd instrm (96161) $125.20 $313 3.6×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $3,774.40 $9,436 1.3×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $4,000 $10,000 1.3×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $4,732.40 $11,831 1.6×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $3,761.20 $9,403 1.3×
Cbt 1st hour (94644) $140.80 $352 1.2×
Chemo Hormon Antineopl Sq/Im (96402) $58 $145 0.9×
Chemo IV push addl drug (96411) $174.80 $437 2.6×
Chemo Iv Push Sngl Drug (96409) $174.80 $437 0.6×
Chemother, IV infusion, 1 hr (96413) $238 $595 0.8×
Chemother, IV infusion, ea add hr (96415) $102.80 $257 1.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $54 $135 0.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $111.60 $279 1.7×
Color/duplex Doppler, complete (93975) $552 $1,380 2.5×
Color/duplex Doppler, limited (93976) $303.60 $759 3.2×
Continuous Glucose Monitoring (95250) $110 $275 0.9×
Coronary artery angio s&i (93454) $4,195.40 $10,488.50 1.4×
Cpap initiation and management (94660) $176 $440 0.9×
Cpt initial (94667) $231.60 $579 1.9×
Critical care (99291) $2,868.80 $7,172 3.8×
Debridement Open Wound 20 Sq Cm< (97597) $188.60 $471.50 1.0×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $716.40 $1,791 1.9×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $276 $690 1.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $264.80 $662 2.8×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $502.80 $1,257 2.3×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $276.40 $691 2.9×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $502.80 $1,257 2.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $400.40 $1,001 4.2×
Dup-scan xtr veins unilateral/limited study (93971) $422 $1,055 4.4×
Duplex hemodialysis access (93990) $209.60 $524 2.2×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $730 $1,825 3.3×
Duplex scan extracranial art compl bi study (93880) $448.80 $1,122 2.0×
Echo Heart Xthoracic,Limited (93308) $250.80 $627 1.1×
Echo transesophageal (93312) $885.60 $2,214 1.8×
Echo Transesophageal - Congenital Tee Complete (93315) $827.60 $2,069 1.6×
Echo Transthoracic - Congenital Tte Complete (93303) $900.40 $2,251 1.8×
Echo Transthoracic - Congenital Tte Limited (93304) $304 $760 0.6×
EEG awake drowsy (95816) $405.20 $1,013 2.0×
Eeg Extended Monitoring 61-119 Minutes (95813) $726 $1,815 3.7×
EKG (93005) $93 $232.50 1.7×
EKG rhythm strip (93041) $65.20 $163 1.2×
Er level 1 (99281) $153.60 $384 2.0×
Er level ii (99282) $316 $790 2.2×
Er level iii (99283) $457.60 $1,144 1.8×
Er level IV (99284) $572.80 $1,432 1.5×
Er level v (99285) $1,585.20 $3,963 2.9×
Evaluation of speech fluency (92521) $211.20 $528 1.6×
Evaluation of speech sound production (92522) $285.20 $713 2.5×
Evaluation of swallowing function (92610) $164.80 $412 1.9×
Evaluation with prescription of speech-generating alternative (92607) $114.80 $287 0.9×
External Ecg Scanning Analysis Report (93226) $372.80 $932 6.9×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $176.40 $441 0.9×
Group Therapeutic Procedures (97150) $42.80 $107 2.4×
Hemodialysis (90935) $859.60 $2,149 1.4×
Holter Monitor Recording (93225) $323.60 $809 2.6×
Immunization Admin (90471) $38 $95 0.6×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $82.40 $206 1.5×
IV infusion hydration each additional hour (96361) $100.20 $250.50 2.3×
IV infusion hydration initial 31 min-1 hour (96360) $164.60 $411.50 0.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $201.20 $503 3.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $227.20 $568 1.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $101.60 $254 2.4×
IV push initial (96374) $143.20 $358 0.7×
Manual therapy 15 min (97140) $31.20 $78 1.1×
Massage 15 min (97124) $29.60 $74 1.0×
Mechanical traction (97012) $54.60 $136.50 3.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $22.40 $56 0.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $22 $55 0.6×
Methacholine challenge (94070) $553.60 $1,384 1.6×
Mnt Group Ea 30 Min (97804) $24.80 $62 1.5×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $231.60 $579 2.5×
Multiple sleep latency test (95805) $824 $2,060 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $232.80 $582 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $239.60 $599 0.6×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $241.20 $603 2.0×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98972) $32.40 $81 0.9×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98970) $12 $30 1.0×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98971) $20.80 $52 0.9×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $60.60 $151.50 1.3×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $58 $145 1.8×
Ot eval high complex 60 min (97167) $134.40 $336 1.3×
Ot eval low complex 30 min (97165) $70.40 $176 0.7×
Ot eval mod complex 45 min (97166) $112.40 $281 1.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $60.60 $151.50 1.2×
Ot Prosthetic Training, Each 15 Min (97761) $47.20 $118 1.2×
Ot re-eval est plan care (97168) $47.60 $119 0.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $120 $300 1.0×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $120 $300 1.0×
Paraffin bath (97018) $33.20 $83 5.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $124.09 $310.23 0.6×
Peripheral arterial disease rehab per session (93668) $31.20 $78 0.6×
Phy/qhp op pulm rhb w/mntr (94626) $235.20 $588 4.3×
Phy/qhp op pulm rhb w/o mntr (94625) $164.40 $411 3.0×
Plethysmography (94726) $327.60 $819 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,277.20 $3,193 1.6×
Prq card revasc chronic 1vsl (92943)
unusually low: confirm this is the full procedure
$3,458.80 $8,647 0.3×
Prq Card Stent W/Angio 1 Vsl (92928) $7,294.80 $18,237 0.7×
Prq revasc byp graft 1 vsl (92937)
unusually low: confirm this is the full procedure
$5,246 $13,115 0.5×
Prq trluml coronary angioplasty one art/branch (92920) $4,446.80 $11,117 0.8×
Psychiatric diagnostic evaluation (90791) $86.40 $216 0.5×
Psycl tst eval phys/qhp 1st (96130) $83.60 $209 0.4×
Pt Aquatic Therapy/Exercises (97113) $49.40 $123.50 1.3×
Pt Electric Current Therapy (97033) $46.60 $116.50 2.4×
Pt Electrical Stimulation (97032) $30.40 $76 2.1×
Pt eval high complex 45 min (97163) $109.80 $274.50 1.1×
Pt eval low complex 20 min (97161) $76.20 $190.50 0.8×
Pt Gait Training Therapy (97116) $28 $70 1.0×
Pt Infrared Therapy (97026) $40 $100 6.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $33.60 $84 1.0×
Pt Physical Performance Test (97750) $33.20 $83 1.0×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $94 $235 1.0×
Pt re-evaluation (97164) $61.20 $153 0.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $45.20 $113 1.4×
Pt Ultrasound Therapy (97035) $27.60 $69 1.9×
Pt Whirlpool Therapy (97022) $24.40 $61 1.6×
Pulmonary stress testing (94618) $185.60 $464 1.5×
Pure Tone Audiometry, Air (92552) $29.60 $74 0.2×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $6,239.20 $15,598 2.1×
R hrt art/grft angio (93457) $4,594 $11,485 1.5×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $4,659.60 $11,649 1.6×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $160 $400 4.7×
Right heart cath (93451) $2,258 $5,645 0.8×
Rt Chest Wall Manipulation,Subsequent (94668) $68.40 $171 0.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $52.80 $132 1.1×
Sensory Integration Ea 15 Min (97533) $79.60 $199 1.3×
Sleep study unattended (95806) $138.80 $347 0.7×
Speech group therapy (92508) $70 $175 2.9×
Speech sound lang comprehen (92523) $128.40 $321 0.6×
Spirometry (94010) $84.80 $212 0.4×
Standardized Cognitive Performance Testing (96125) $154.40 $386 1.5×
Stress echo (93350) $836.80 $2,092 1.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $36.40 $91 1.6×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $36.40 $91 1.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $114.80 $287 1.1×
Ther/Proph/Diag Inj Sc/Im (96372) $74 $185 1.1×
Therapeutic Activities (97530) $38.40 $96 1.1×
Therapeutic phlebotomy (99195) $65.20 $163 0.5×
Tilt Table Eval (93660) $836.80 $2,092 2.4×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $908.80 $2,272 1.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $92.20 $230.50 1.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $96.80 $242 1.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $106.80 $267 2.5×
Ultraviolet Light Therapy (96900) $174 $435 5.1×
Unlisted pulmonary service/procedure (94799) $723.60 $1,809 6.1×
Vasc Duplex Extrem Venous,Bilat (93970) $485.20 $1,213 2.2×
Vasopneumatic device (97016) $98.80 $247 8.2×
Ventilation assist & mgmt inpatient 1st day (94002) $936.40 $2,341 1.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $602 $1,505 1.1×
Vital capacity total (94150) $78.40 $196 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $51.20 $128 1.6×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $254.40 $636 2.9×