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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) range across 2 matching MRF lines |
$154–$194 | $385–$485 | varies |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$104.40–$114.80 | $261–$287 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $75.20 | $188 | 0.6× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $164.80 | $412 | 1.3× |
| Analyze neurostim complex (95972) | $235.20 | $588 | 2.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 5 matching MRF lines |
$27.60–$56 | $69–$140 | varies |
| Application Modality 1/> Areas Infrared (97026) | $40 | $100 | 6.0× |
| Assessment of aphasia per hr (96105) | $181.60 | $454 | 1.9× |
| Behavral qualit analys voice (92524) range across 5 matching MRF lines |
$140–$226.40 | $350–$566 | varies |
| Bis Xtracell Fluid Analysis (93702) | $108.40 | $271 | 0.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $316.80 | $792 | 0.9× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$39.20–$79.20 | $98–$198 | varies |
| 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) range across 2 matching MRF lines |
$354.80–$462.80 | $887–$1,157 | varies |
| Cardioversion (92960) range across 5 matching MRF lines |
$811.60–$1,180.40 | $2,029–$2,951 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $125.20 | $313 | 3.6× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $6,239.20 | $15,598 | 2.1× |
| 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 Anti-Neopl Sq/Im (96401) | $54 | $135 | 0.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $58 | $145 | 0.9× |
| Chemo IV infusion addl hr (96415) | $102.80 | $257 | 1.6× |
| Chemo IV push addl drug (96411) | $174.80 | $437 | 2.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $111.60 | $279 | 1.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $238 | $595 | 0.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $174.80 | $437 | 0.6× |
| Chest Wall Manipulation (94668) | $68.40 | $171 | 0.6× |
| Color/duplex Doppler, complete (93975) | $552 | $1,380 | 2.5× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$268–$339.20 | $670–$848 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 4 matching MRF lines |
$52.80–$58 | $132–$145 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $110 | $275 | 0.9× |
| Continuous Pulse Ox (94762) | $241.20 | $603 | 2.0× |
| Coronary Art/Grft Angio S&I (93455) | $3,774.40 | $9,436 | 1.3× |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$3,640–$4,750.80 | $9,100–$11,877 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $176 | $440 | 0.9× |
| Cpt initial (94667) | $231.60 | $579 | 1.9× |
| Critical care first hour (99291) | $2,868.80 | $7,172 | 3.8× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$180.40–$196.80 | $451–$492 | varies |
| Dialysis One Evaluation (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 Xtr Veins Complete Bilateral Study (93970) | $485.20 | $1,213 | 2.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $422 | $1,055 | 4.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $730 | $1,825 | 3.3× |
| Duplex Scan Hemodialysis Access (93990) | $209.60 | $524 | 2.2× |
| Duplex up extrem art bilat (93930) | $502.80 | $1,257 | 2.3× |
| Duplex up extrem art unilat/ltd (93931) | $400.40 | $1,001 | 4.2× |
| ECG/monitoring and analysis (93271) | $254.40 | $636 | 2.9× |
| Echo Congenital Complete (93303) | $900.40 | $2,251 | 1.8× |
| Echo Heart Xthoracic,Limited (93308) | $250.80 | $627 | 1.1× |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$885.60–$1,288.40 | $2,214–$3,221 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $827.60 | $2,069 | 1.6× |
| EEG awake drowsy (95816) | $405.20 | $1,013 | 2.0× |
| EEG extended monitoring 61-119 minutes (95813) | $726 | $1,815 | 3.7× |
| Electrical Stimulation Ea 15 Min (97032) range across 6 matching MRF lines |
$30.40–$59.60 | $76–$149 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$34–$152 | $85–$380 | varies |
| Emergency Dept Visit Level 2 (99282) | $316 | $790 | 2.2× |
| Emergency Dept Visit Level 3 (99283) | $457.60 | $1,144 | 1.8× |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$290–$855.60 | $725–$2,139 | varies |
| Er level 1 (99281) | $153.60 | $384 | 2.0× |
| Er level v (99285) | $1,585.20 | $3,963 | 2.9× |
| Evaluate Speech Production (92522) | $285.20 | $713 | 2.5× |
| Evaluate Swallowing Function (92610) range across 6 matching MRF lines |
$116.80–$186.40 | $292–$466 | varies |
| Evaluation of speech fluency (92521) | $211.20 | $528 | 1.6× |
| External Ecg Scanning Analysis Report (93226) | $372.80 | $932 | 6.9× |
| Extracranial Bilat Study (93880) | $448.80 | $1,122 | 2.0× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $304 | $760 | 0.6× |
| Flexible endoscopic eval swallow c/v rec (92612) | $176.40 | $441 | 0.9× |
| Group Therapeutic Procedures (97150) | $42.80 | $107 | 2.4× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $4,659.60 | $11,649 | 1.6× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $859.60 | $2,149 | 1.4× |
| Holter monitor recording (93225) | $323.60 | $809 | 2.6× |
| Immunization administration (90471) range across 7 matching MRF lines |
$34.40–$43.20 | $86–$108 | varies |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$38–$55.20 | $95–$138 | varies |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$40–$84.80 | $100–$212 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$98.40–$102 | $246–$255 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$161.60–$167.60 | $404–$419 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$201.20–$208.40 | $503–$521 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$101.60–$114.80 | $254–$287 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$134.40–$152 | $336–$380 | varies |
| L Hrt Art/Grft Angio (93459) | $4,732.40 | $11,831 | 1.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$20–$24.80 | $50–$62 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $22 | $55 | 0.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $24.80 | $62 | 1.5× |
| Methacholine challenge (94070) | $553.60 | $1,384 | 1.6× |
| Motion Fluoroscopy/Swallow (92611) range across 5 matching MRF lines |
$167.60–$237.20 | $419–$593 | varies |
| Multiple Sleep Latency Test (95805) | $824 | $2,060 | 1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$144–$321.60 | $360–$804 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $239.60 | $599 | 0.6× |
| Neuromuscular Reeducation (97112) range across 10 matching MRF lines |
$33.60–$50.40 | $84–$126 | varies |
| Oral Function Therapy (92526) range across 6 matching MRF lines |
$69.60–$140 | $174–$350 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$58.40–$62.80 | $146–$157 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$58.40–$62.80 | $146–$157 | varies |
| Ot eval high complexity (97167) | $134.40 | $336 | 1.3× |
| Ot Eval Low Complex (97165) | $70.40 | $176 | 0.7× |
| Ot Eval Moderate Complexity (97166) | $112.40 | $281 | 1.1× |
| Ot manual therapy 15 min (97140) range across 6 matching MRF lines |
$31.20–$62.40 | $78–$156 | varies |
| Ot paraffin bath (97018) | $33.20 | $83 | 5.5× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$32.40–$62 | $81–$155 | varies |
| 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× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $124.09 | $310.23 | 0.6× |
| Peripheral arterial disease rehab per session (93668) | $31.20 | $78 | 0.6× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $4,446.80 | $11,117 | 0.8× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) unusually low: confirm this is the full procedure |
$3,458.80 | $8,647 | 0.3× |
| Phlebotomy therapeutic (99195) | $65.20 | $163 | 0.5× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $235.20 | $588 | 4.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $164.40 | $411 | 3.0× |
| Physical Performance Test (97750) range across 6 matching MRF lines |
$24.40–$50.40 | $61–$126 | varies |
| 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 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× |
| Psychiatric diagnostic evaluation (90791) | $86.40 | $216 | 0.5× |
| Psychological tst eval svc phys/qhp first hour (96130) | $83.60 | $209 | 0.4× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$97.60–$122 | $244–$305 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$70.40–$82 | $176–$205 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$86–$102 | $215–$255 | varies |
| Pt gait training 15 min (97116) range across 5 matching MRF lines |
$28–$31.60 | $70–$79 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$27.20–$82 | $68–$205 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$47.60–$74.80 | $119–$187 | varies |
| Pulmonary service/procedure (94799) | $723.60 | $1,809 | 6.1× |
| Pulmonary Stress Testing (94618) | $185.60 | $464 | 1.5× |
| Pure Tone Audiometry Air (92552) | $29.60 | $74 | 0.2× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $20.80 | $52 | 0.9× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $32.40 | $81 | 0.9× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $12 | $30 | 1.0× |
| R Hrt Art/Grft Angio (93457) | $4,594 | $11,485 | 1.5× |
| R hrt coronary artery angio (93456) | $4,000 | $10,000 | 1.3× |
| Remote 30 Day Ecg Rev/Report (93270) | $160 | $400 | 4.7× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $65.20 | $163 | 1.2× |
| Right Heart Cath (93451) | $2,258 | $5,645 | 0.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $114.80 | $287 | 0.9× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $52.80 | $132 | 1.1× |
| Self Care Mngment Training (97535) range across 6 matching MRF lines |
$38–$45.20 | $95–$113 | varies |
| Sensory Integration Ea 15 Min (97533) | $79.60 | $199 | 1.3× |
| Sleep study unattended (95806) | $138.80 | $347 | 0.7× |
| Speech sound lang comprehen (92523) range across 9 matching MRF lines |
$116.80–$179.20 | $292–$448 | varies |
| Spirometry (94010) range across 2 matching MRF lines |
$38.40–$131.20 | $96–$328 | varies |
| Standardized Cognitive Performance Testing (96125) | $154.40 | $386 | 1.5× |
| Stress Tte Only (93350) | $836.80 | $2,092 | 1.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $36.40 | $91 | 1.6× |
| Ther Ivntj Ea Addl 15 Min (97130) range across 4 matching MRF lines |
$36.40–$82.40 | $91–$206 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$32.80–$66 | $82–$165 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $29.60 | $74 | 1.0× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $114.80 | $287 | 1.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$58.80–$76.40 | $147–$191 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$227.20–$256.80 | $568–$642 | varies |
| Therapeutic Activities (97530) range across 10 matching MRF lines |
$38.40–$41.20 | $96–$103 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $836.80 | $2,092 | 2.4× |
| Tte w/doppler, complete (93306) | $908.80 | $2,272 | 1.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 4 matching MRF lines |
$80–$140 | $200–$350 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $70 | $175 | 2.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$106.80–$110.80 | $267–$277 | varies |
| Vasopneumatic device (97016) | $98.80 | $247 | 8.2× |
| Vent Mgmt Inpat Init 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) range across 2 matching MRF lines |
$35.60–$66.80 | $89–$167 | varies |
| Whirlpool Therapy (97022) | $24.40 | $61 | 1.6× |
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.