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.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Acoustic reflex testing (92568) | $27.12 | $27.12 | 0.7× |
| Airway inhalation treatment (94640) | $704.52 | $704.52 | 3.2× |
| Appl on-body injector for timed subq injection (96377) | $231.77 | $231.77 | 4.9× |
| Application of heat wave therapy (97024) | $548.10 | $548.10 | 74.6× |
| Assessment of aphasia (96105) | $447.93 | $447.93 | 4.6× |
| Auditory Function, 60 Min (92620) | $98.40 | $98.40 | 0.8× |
| Behavioral and qualitative analysis of voice and resonance (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 (95992) | $252.06 | $252.06 | 6.2× |
| Capsule endoscopy (91110) | $3,239.78 | $3,239.78 | 3.6× |
| Cardiac Stress Tst,Tracing Only (93017) | $6,664.88 | $6,664.88 | 30.8× |
| Cardiopulmonary exercise testing (94621) | $4,645.03 | $4,645.03 | 12.4× |
| Cardioversion (92960) | $3,679.57 | $3,679.57 | 5.6× |
| Cbt 1st hour (94644) | $271.41 | $271.41 | 2.0× |
| Chemo Hormon Antineopl Sq/Im (96402) | $940.73 | $940.73 | 13.0× |
| Chemo IV push addl drug (96411) | $1,877.80 | $1,877.80 | 26.0× |
| Chemo Iv Push Sngl Drug (96409) | $1,877.80 | $1,877.80 | 5.7× |
| Chemo prolong 8+ hrs infuse w/pump (96416) | $2,743.72 | $2,743.72 | 8.3× |
| Chemother, IV infusion, 1 hr (96413) | $2,943.62 | $2,943.62 | 8.9× |
| Chemother, IV infusion, ea add hr (96415) | $940.73 | $940.73 | 13.0× |
| Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) | $940.73 | $940.73 | 13.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $940.73 | $940.73 | 13.0× |
| 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× |
| Cpap initiation and management (94660) | $922.67 | $922.67 | 4.2× |
| Cpt initial (94667) | $316.30 | $316.30 | 2.4× |
| Critical care (99291) | $13,954.72 | $13,954.72 | 16.9× |
| Debridement Open Wound 20 Sq Cm< (97597) | $799.21 | $799.21 | 4.0× |
| Demo &/or eval,pt use,aerosol device (94664) | $205.79 | $205.79 | 0.9× |
| Developmental tst admin phys/qhp 1st hour (96112) | $689.34 | $689.34 | 5.3× |
| 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) | $7,270.98 | $7,270.98 | 30.4× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) | $2,449.76 | $2,449.76 | 23.4× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) | $7,270.98 | $7,270.98 | 30.4× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) | $4,473.78 | $4,473.78 | 42.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $5,182.22 | $5,182.22 | 49.5× |
| Duplex hemodialysis access (93990) | $1,594.58 | $1,594.58 | 15.2× |
| Duplex scan extracranial art compl bi study (93880) | $12,625.34 | $12,625.34 | 52.8× |
| 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 awake 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 (93005) | $2,033.38 | $2,033.38 | 34.4× |
| EKG rhythm strip (93041) | $1,171.24 | $1,171.24 | 19.8× |
| Ekg Signal Averaging (93278) | $3,002.94 | $3,002.94 | 50.8× |
| Electrocochleography (92584) | $545 | $545 | 4.2× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) | $5,430.26 | $5,430.26 | 25.1× |
| EMG cranial nerve bilat (95868) | $1,319.43 | $1,319.43 | 6.1× |
| EMG four extremities (95864) | $1,872.60 | $1,872.60 | 14.5× |
| EMG one extremity (95860) | $929.07 | $929.07 | 7.0× |
| EMG thoracic paraspinal (95869) | $1,121.99 | $1,121.99 | 5.2× |
| EMG three extremities (95863) | $1,771.12 | $1,771.12 | 13.7× |
| EMG two extremities (95861) | $1,848.06 | $1,848.06 | 13.9× |
| Er level 1 (99281) | $820.59 | $820.59 | 9.7× |
| Er level ii (99282) | $1,335.86 | $1,335.86 | 8.7× |
| Er level iii (99283) | $2,298.11 | $2,298.11 | 8.4× |
| Er level IV (99284) | $5,409.49 | $5,409.49 | 12.9× |
| Er level v (99285) | $9,815.85 | $9,815.85 | 16.5× |
| Evaluation of speech fluency (92521) | $653.04 | $653.04 | 4.9× |
| Evaluation of speech sound production (92522) | $530.91 | $530.91 | 4.7× |
| Evaluation of swallowing function (92610) | $744.08 | $744.08 | 8.8× |
| Evaluation with prescription of speech-generating alternative (92607) | $1,723.25 | $1,723.25 | 14.1× |
| Evoked Auditory Test,Comprehsv (92588) | $251.28 | $251.28 | 0.7× |
| Evoked auditory test,limited (92587) | $222.48 | $222.48 | 1.0× |
| Exhaled Air Analysis (94690) | $1,008.51 | $1,008.51 | 17.1× |
| External Ecg Scanning Analysis Report (93226) | $7,468.96 | $7,468.96 | 126.4× |
| Group Therapeutic Procedures (97150) | $585.60 | $585.60 | 32.5× |
| Holter Monitor Recording (93225) | $634.02 | $634.02 | 4.8× |
| Immunization Admin (90471) | $778.96 | $778.96 | 10.8× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) | $459.94 | $459.94 | 7.8× |
| IV infusion hydration each additional hour (96361) | $516.93 | $516.93 | 11.0× |
| IV infusion hydration initial 31 min-1 hour (96360) | $2,068.85 | $2,068.85 | 9.7× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) | $263.46 | $263.46 | 3.7× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) | $2,068.85 | $2,068.85 | 9.7× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) | $516.93 | $516.93 | 11.0× |
| IV push initial (96374) | $931.24 | $931.24 | 4.4× |
| Laryngoscopic Sensory Test (92614) | $566.34 | $566.34 | 3.7× |
| Manual therapy 15 min (97140) | $448.95 | $448.95 | 16.2× |
| Massage 15 min (97124) | $389.73 | $389.73 | 13.1× |
| Mechanical traction (97012) | $642.34 | $642.34 | 44.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $103.28 | $103.28 | 3.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $103.28 | $103.28 | 2.8× |
| Methacholine challenge (94070) | $3,471.01 | $3,471.01 | 9.3× |
| Mnt Group Ea 30 Min (97804) | $74.76 | $74.76 | 4.4× |
| Motility study esophagus (91010) | $2,605.02 | $2,605.02 | 7.0× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) | $2,687.73 | $2,687.73 | 29.4× |
| Multiple sleep latency test (95805) | $10,686.93 | $10,686.93 | 12.4× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) | $929.07 | $929.07 | 7.0× |
| 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 junction test (95937) | $929.07 | $929.07 | 7.2× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) | $1,356.76 | $1,356.76 | 10.2× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) | $6,455.41 | $6,455.41 | 29.8× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) | $2,376.28 | $2,376.28 | 18.4× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) | $378.88 | $378.88 | 8.2× |
| Ot Contrast Bath Ea 15 Min (97034) | $695.62 | $695.62 | 49.6× |
| Ot eval high complex 60 min (97167) | $435.13 | $435.13 | 4.3× |
| Ot eval low complex 30 min (97165) | $435.13 | $435.13 | 4.3× |
| Ot eval mod complex 45 min (97166) | $435.13 | $435.13 | 4.3× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) | $226.26 | $226.26 | 4.5× |
| Ot Prosthetic Training, Each 15 Min (97761) | $405.05 | $405.05 | 10.0× |
| Ot re-eval est plan care (97168) | $268.07 | $268.07 | 3.9× |
| Paraffin bath (97018) | $467.68 | $467.68 | 77.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $2,041.07 | $2,041.07 | 9.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $18,790.77 | $18,790.77 | 21.8× |
| Pt Aquatic Therapy/Exercises (97113) | $243.21 | $243.21 | 6.6× |
| Pt Electric Current Therapy (97033) | $632.47 | $632.47 | 33.2× |
| Pt Electrical Stimulation (97032) | $658.62 | $658.62 | 44.8× |
| Pt eval high complex 45 min (97163) | $390.75 | $390.75 | 4.0× |
| Pt eval low complex 20 min (97161) | $390.75 | $390.75 | 4.0× |
| Pt Gait Training Therapy (97116) | $405.05 | $405.05 | 13.9× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) | $436.12 | $436.12 | 13.3× |
| Pt Physical Performance Test (97750) | $325.35 | $325.35 | 9.6× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) | $390.75 | $390.75 | 4.0× |
| Pt re-evaluation (97164) | $240.73 | $240.73 | 3.6× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) | $389.73 | $389.73 | 12.0× |
| Pt Ultrasound Therapy (97035) | $548.10 | $548.10 | 38.2× |
| Pt Whirlpool Therapy (97022) | $639.36 | $639.36 | 40.7× |
| Pulm function test by gas (94727) | $385.27 | $385.27 | 1.8× |
| Pure Tone Audiometry Air & Bone (92553) | $134.16 | $134.16 | 1.0× |
| Pure Tone Audiometry, Air (92552) | $70 | $70 | 0.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $532.26 | $532.26 | 2.6× |
| Rt Chest Wall Manipulation,Subsequent (94668) | $223.72 | $223.72 | 1.7× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $912.18 | $912.18 | 19.1× |
| Select picture audiometry (92583) | $63 | $63 | 1.1× |
| 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 Threshold (92555) | $58.32 | $58.32 | 1.0× |
| Speech Audiometry, Complete (92556) | $114 | $114 | 1.9× |
| Speech group therapy (92508) | $314.74 | $314.74 | 13.1× |
| 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, Pure Tone (92565) | $51.12 | $51.12 | 0.9× |
| Stenger Test, Speech (92577) | $51.12 | $51.12 | 0.1× |
| Stress echo (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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) | $207.81 | $207.81 | 9.9× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $591.51 | $591.51 | 5.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $931.24 | $931.24 | 12.9× |
| Therapeutic Activities (97530) | $397.39 | $397.39 | 11.3× |
| Therapeutic phlebotomy (99195) | $574 | $574 | 4.3× |
| Tilt Table Eval (93660) | $2,494.75 | $2,494.75 | 6.7× |
| Tone Decay Test (92563) | $63 | $63 | 1.7× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) | $12,248.51 | $12,248.51 | 22.4× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) | $5,676.63 | $5,676.63 | 23.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $386.28 | $386.28 | 5.1× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) | $583.63 | $583.63 | 6.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $931.24 | $931.24 | 19.9× |
| Tympanometry (92567) | $64 | $64 | 1.7× |
| Vasc Duplex Extrem Venous,Bilat (93970) | $8,654.82 | $8,654.82 | 36.2× |
| Vasc Duplex Scan Extracranial,Limited (93882) | $3,766.69 | $3,766.69 | 36.0× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) | $1,766.21 | $1,766.21 | 8.2× |
| Vasopneumatic device (97016) | $434.64 | $434.64 | 36.2× |
| Ventilation assist & mgmt inpatient 1st day (94002) | $3,468.14 | $3,468.14 | 5.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $3,033.18 | $3,033.18 | 4.9× |
| 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) | $397.39 | $397.39 | 12.8× |