Visits & medical services prices at Belton Regional Medical Center

Belton, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Reflex Testing (92568) $27.12 $27.12 0.7×
Airway Inhalation Treatment (94640) $704.52 $704.52 3.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 3 matching MRF lines
$534.30–$559.44 $534.30–$559.44 varies
Application Modality 1/> Areas Diathermy (97024) $548.10 $548.10 74.6×
Application on-body injector (96377) $231.77 $231.77 4.9×
Assessment of aphasia per hr (96105) $447.93 $447.93 4.6×
Audiometry Air & Bone (92553) $134.16 $134.16 1.0×
Auditory Function, 60 Min (92620) $98.40 $98.40 0.8×
Behavral qualit analys voice (92524) $554.58 $554.58 5.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,079.67 $1,079.67 2.9×
Canalith repositioning proc (95992)
range across 2 matching MRF lines
$250.35–$253.78 $250.35–$253.78 varies
Cardiac Stress Tst,Tracing Only (93017)
range across 4 matching MRF lines
$4,353.88–$12,534.29 $4,353.88–$12,534.29 varies
Cardiopulmonary exercise testing (94621) $4,645.03 $4,645.03 12.4×
Cardioversion (92960)
range across 3 matching MRF lines
$492.24–$4,522.77 $492.24–$4,522.77 varies
Cbt 1st hour (94644) $271.41 $271.41 2.0×
Chemo Anti-Neopl Sq/Im (96401) $940.73 $940.73 13.0×
Chemo Hormon Antineopl Sq/Im (96402) $940.73 $940.73 13.0×
Chemo IV infusion addl hr (96415) $940.73 $940.73 13.0×
Chemo IV push addl drug (96411) $1,877.80 $1,877.80 26.0×
Chemother Prolong Infuse W/Pump (96416) $2,743.72 $2,743.72 8.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $940.73 $940.73 13.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $2,943.62 $2,943.62 8.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,877.80 $1,877.80 5.7×
Chest Wall Manipulation (94668) $223.72 $223.72 1.7×
Color/duplex Doppler, complete (93975) $5,633.43 $5,633.43 23.6×
Color/duplex Doppler, limited (93976) $3,057.09 $3,057.09 29.2×
Comprehensive Hearing Test (92557) $247 $247 1.9×
Conditioning Play Audiometry (92582) $135 $135 1.0×
Continuous Pulse Ox (94762) $2,376.28 $2,376.28 18.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$540.71–$1,304.63 $540.71–$1,304.63 varies
Cpt initial (94667) $316.30 $316.30 2.4×
Critical care first hour (99291) $13,954.72 $13,954.72 16.9×
Debridement Open Wound 20 Sq Cm< (97597) $799.21 $799.21 4.0×
Developmental tst admin phys/qhp 1st hour (96112) $689.34 $689.34 5.3×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $251.28 $251.28 0.7×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $1,810.62 $1,810.62 17.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$3,714.54–$10,827.43 $3,714.54–$10,827.43 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 3 matching MRF lines
$2,449.76–$7,217.16 $2,449.76–$7,217.16 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$6,482.21–$10,827.43 $6,482.21–$10,827.43 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 4 matching MRF lines
$4,577.23–$10,106.96 $4,577.23–$10,106.96 varies
Duplex Scan Hemodialysis Access (93990)
range across 2 matching MRF lines
$739.39–$2,449.76 $739.39–$2,449.76 varies
Duplex up extrem art bilat (93930)
range across 2 matching MRF lines
$3,714.54–$10,827.43 $3,714.54–$10,827.43 varies
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$2,449.76–$6,497.79 $2,449.76–$6,497.79 varies
Echo Heart Xthoracic,Limited (93308) $4,975.28 $4,975.28 20.8×
Echo transesophageal (93312) $12,201.66 $12,201.66 22.3×
Echo Transesophageal - Congenital Tee Complete (93315) $13,253.68 $13,253.68 24.2×
Eeg 41-60 Minutes (95812) $5,430.26 $5,430.26 25.1×
EEG awake and asleep (95819) $4,420.90 $4,420.90 20.4×
EEG awake drowsy (95816) $4,420.90 $4,420.90 20.4×
EEG extended monitoring 61-119 minutes (95813) $5,127.87 $5,127.87 23.7×
EKG signal averaged (93278) $3,002.94 $3,002.94 50.8×
Electrical Stimulation Ea 15 Min (97032)
range across 5 matching MRF lines
$353.24–$658.62 $353.24–$658.62 varies
Electrocardiogram Tracing (93005) $2,033.38 $2,033.38 34.4×
Electrocochleography (92584) $545 $545 4.2×
Emergency Dept Visit Level 2 (99282) $1,335.86 $1,335.86 8.7×
Emergency Dept Visit Level 3 (99283) $2,298.11 $2,298.11 8.4×
Emergency Dept Visit Level 4 (99284) $5,409.49 $5,409.49 12.9×
Emg 3 Extremities (95863) $1,771.12 $1,771.12 13.7×
Emg 4 Extremities (95864) $1,872.60 $1,872.60 14.5×
Er level 1 (99281) $820.59 $820.59 9.7×
Er level v (99285) $9,815.85 $9,815.85 16.5×
Evaluate pt use of inhaler (94664) $205.79 $205.79 0.9×
Evaluate Speech Production (92522) $530.91 $530.91 4.7×
Evaluate Swallowing Function (92610)
range across 2 matching MRF lines
$492.62–$995.55 $492.62–$995.55 varies
Evaluation of speech fluency (92521) $653.04 $653.04 4.9×
Evoked Auditory Test,Limited (92587) $222.48 $222.48 1.0×
External Ecg Scanning Analysis Report (93226) $7,468.96 $7,468.96 126.4×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$6,482.21–$18,768.46 $6,482.21–$18,768.46 varies
Extracranial Uni/Ltd Study (93882)
range across 2 matching MRF lines
$2,889.78–$4,643.60 $2,889.78–$4,643.60 varies
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $566.34 $566.34 3.7×
Gi tract capsule endoscopy (91110) $3,239.78 $3,239.78 3.6×
Group Therapeutic Procedures (97150)
range across 6 matching MRF lines
$435.13–$733.10 $435.13–$733.10 varies
Holter monitor recording (93225) $634.02 $634.02 4.8×
Immunization administration (90471)
range across 2 matching MRF lines
$495.23–$1,062.70 $495.23–$1,062.70 varies
Iontophoresis 15 min (97033)
range across 6 matching MRF lines
$591.51–$666.49 $591.51–$666.49 varies
Irrig Drug Delivery Device (96523) $459.94 $459.94 7.8×
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$461.53–$565.36 $461.53–$565.36 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines
$1,847.13–$2,262.70 $1,847.13–$2,262.70 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$189.89–$337.03 $189.89–$337.03 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 3 matching MRF lines
$461.53–$565.36 $461.53–$565.36 varies
IV push initial (96374)
range across 4 matching MRF lines
$893.28–$1,027.60 $893.28–$1,027.60 varies
Lwr Xtr Vasc Stdy Bilat (93924) $1,766.21 $1,766.21 8.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$74.76–$131.79 $74.76–$131.79 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$74.76–$131.79 $74.76–$131.79 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $74.76 $74.76 4.4×
Methacholine challenge (94070) $3,471.01 $3,471.01 9.3×
Motility study esophagus (91010) $2,605.02 $2,605.02 7.0×
Motion Fluoroscopy/Swallow (92611) $2,687.73 $2,687.73 29.4×
Multiple Sleep Latency Test (95805) $10,686.93 $10,686.93 12.4×
Muscle Test 2 Limbs (95861) $1,848.06 $1,848.06 13.9×
Muscle Test Nonparaspinal (95870) $929.07 $929.07 7.0×
Muscle Test One Limb (95860) $929.07 $929.07 7.0×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $1,319.43 $1,319.43 6.1×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $1,121.99 $1,121.99 5.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $532.26 $532.26 2.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $620.65 $620.65 1.5×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $929.07 $929.07 7.2×
Neuromuscular Reeducation (97112)
range across 4 matching MRF lines
$405.05–$448.95 $405.05–$448.95 varies
Oral Function Therapy (92526) $583.63 $583.63 6.9×
Orthc/Prostc Mgmt Sbsq Enc (97763) $226.26 $226.26 4.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$368.03–$389.73 $368.03–$389.73 varies
Ot Contrast Bath Ea 15 Min (97034)
range across 2 matching MRF lines
$688.21–$703.03 $688.21–$703.03 varies
Ot eval high complexity (97167) $435.13 $435.13 4.3×
Ot Eval Low Complex (97165) $435.13 $435.13 4.3×
Ot Eval Moderate Complexity (97166) $435.13 $435.13 4.3×
Ot manual therapy 15 min (97140)
range across 3 matching MRF lines
$389.73–$448.95 $389.73–$448.95 varies
Ot paraffin bath (97018)
range across 3 matching MRF lines
$448.95–$467.68 $448.95–$467.68 varies
Ot Prosthetic Training, Each 15 Min (97761)
range across 3 matching MRF lines
$389.73–$448.95 $389.73–$448.95 varies
Ot Re-Eval Est Plan Care (97168) $268.07 $268.07 3.9×
Oxygen Uptake Rest Indirect (94690) $1,008.51 $1,008.51 17.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $2,041.07 $2,041.07 9.3×
Phlebotomy therapeutic (99195) $574 $574 4.3×
Physical Performance Test (97750)
range across 2 matching MRF lines
$260.97–$389.73 $260.97–$389.73 varies
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $18,790.77 $18,790.77 21.8×
Pt Eval High Complex (97163)
range across 2 matching MRF lines
$386.91–$394.59 $386.91–$394.59 varies
Pt eval low complex 20 min (97161)
range across 2 matching MRF lines
$386.91–$394.59 $386.91–$394.59 varies
Pt Eval Mod Complex (97162)
range across 2 matching MRF lines
$386.91–$394.59 $386.91–$394.59 varies
Pt gait training 15 min (97116) $405.05 $405.05 13.9×
Pt mechanical traction (97012) $642.34 $642.34 44.7×
Pt Re-Eval Est Plan Care (97164)
range across 2 matching MRF lines
$214.81–$266.65 $214.81–$266.65 varies
Pulm function test by gas (94727) $385.27 $385.27 1.8×
Pure Tone Audiometry Air (92552) $70 $70 0.5×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $1,171.24 $1,171.24 19.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $532.26 $532.26 2.6×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607)
range across 2 matching MRF lines
$1,299.47–$2,147.03 $1,299.47–$2,147.03 varies
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $912.18 $912.18 19.1×
Select picture audiometry (92583) $63 $63 1.1×
Self Care Mngment Training (97535)
range across 3 matching MRF lines
$368.03–$389.73 $368.03–$389.73 varies
Sensory Integration Ea 15 Min (97533) $423.30 $423.30 7.0×
Short-latency somatosens ep std upr limbs (95925) $2,240.65 $2,240.65 10.4×
Sleep study attended (95807) $7,246.20 $7,246.20 19.4×
Sleep study unattended (95806) $1,677.42 $1,677.42 7.8×
Speech Audiometry Complete (92556) $114 $114 1.9×
Speech audiometry threshold (92555) $58.32 $58.32 1.0×
Speech sound lang comprehen (92523) $1,101.91 $1,101.91 4.9×
Spirometry (94010) $563.63 $563.63 2.6×
Standardized Cognitive Performance Testing (96125) $492.62 $492.62 4.8×
Stenger Test Speech (92577) $51.12 $51.12 0.1×
Stenger Test, Pure Tone (92565) $51.12 $51.12 0.9×
Stress Tte Only (93350) $12,425.96 $12,425.96 22.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $207.81 $207.81 9.3×
Ther Ivntj Ea Addl 15 Min (97130) $207.81 $207.81 9.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $243.21 $243.21 6.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 3 matching MRF lines
$368.03–$548.10 $368.03–$548.10 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $591.51 $591.51 5.8×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$893.28–$1,027.60 $893.28–$1,027.60 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines
$1,847.13–$2,262.70 $1,847.13–$2,262.70 varies
Therapeutic Activities (97530)
range across 4 matching MRF lines
$368.03–$405.05 $368.03–$405.05 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,494.75 $2,494.75 6.7×
Tone Decay Test (92563) $63 $63 1.7×
Tte w/doppler, complete (93306) $12,248.51 $12,248.51 22.4×
Tte W/O Doppler Complete (93307) $5,676.63 $5,676.63 23.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 3 matching MRF lines
$328.07–$710.91 $328.07–$710.91 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508)
range across 2 matching MRF lines
$85.34–$544.15 $85.34–$544.15 varies
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 4 matching MRF lines
$893.28–$1,027.60 $893.28–$1,027.60 varies
Tympanometry (92567) $64 $64 1.7×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$548.70–$2,164.83 $548.70–$2,164.83 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$5,693.66–$7,217.16 $5,693.66–$7,217.16 varies
Vasopneumatic device (97016)
range across 2 matching MRF lines
$412.44–$456.83 $412.44–$456.83 varies
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$3,061.24–$3,875.05 $3,061.24–$3,875.05 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 2 matching MRF lines
$2,641.85–$3,424.51 $2,641.85–$3,424.51 varies
Visual Evoked Potential Test (95930) $314.52 $314.52 1.5×
Vital capacity, total (94150) $775.98 $775.98 6.0×
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines
$389.73–$405.05 $389.73–$405.05 varies
Whirlpool Therapy (97022)
range across 6 matching MRF lines
$534.30–$703.03 $534.30–$703.03 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.