Visits & medical services prices at Bothwell Regional Health Center

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

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

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ProcedureCash priceGross charge× Medicare
Actigraphy testing recording analysis i&r (95803) $243.75 $325 4.1×
Administration of prolonged chemotherapy into artery (96425) $931.88 $1,242.50 2.8×
Airway inhalation treatment (94640) $439.12 $585.50 2.0×
Allergy skin tests (95028) $79.50 $106 2.1×
Analyze Neurostim Complex (95972) $405.75 $541 4.3×
Appl on-body injector for timed subq injection (96377) $145.50 $194 3.1×
Application of heat wave therapy (97024) $56.25 $75 7.7×
Assessment of aphasia (96105) $288 $384 3.0×
Behavioral and qualitative analysis of voice and resonance (92524) $288 $384 2.6×
Bfb training 1st 15 min (90912) $364.50 $486 4.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $457.50 $610 1.2×
Canalith Repositioning (95992) $78 $104 1.9×
Capsule endoscopy (91110) $2,303.25 $3,071 2.5×
Car seat/bed test 60 min (94780) $126 $168 3.4×
Cardiac Stress Tst,Tracing Only (93017) $589.12 $785.50 2.7×
Cardiopulmonary resuscitation (92950) $386.25 $515 1.8×
Cardioversion (92960) $822.38 $1,096.50 1.2×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $8,685.38 $11,580.50 2.7×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $14,355 $19,140 4.4×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $18,160.50 $24,214 5.6×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $15,144.75 $20,193 4.7×
Chemo Hormon Antineopl Sq/Im (96402) $191.25 $255 2.7×
Chemo IV push addl drug (96411) $201 $268 2.8×
Chemo Iv Push Sngl Drug (96409) $606.75 $809 1.8×
Chemother, IV infusion, 1 hr (96413) $904.50 $1,206 2.7×
Chemother, IV infusion, ea add hr (96415) $289.50 $386 4.0×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $195 $260 2.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $201 $268 2.8×
Color/duplex Doppler, complete (93975) $1,195.12 $1,593.50 5.0×
Color/duplex Doppler, limited (93976) $681.75 $909 6.5×
Cont Gluc Monitoring Patient Provided Equipment (95249) $75 $100 1.3×
Continuous Glucose Monitoring (95250) $165 $220 1.2×
Coronary artery angio s&i (93454) $13,217.25 $17,623 4.1×
Cpap initiation and management (94660) $181.50 $242 0.8×
Cpt initial (94667) $186 $248 1.4×
Critical care (99291) $4,032 $5,376 4.9×
Debridement Open Wound 20 Sq Cm< (97597) $496.88 $662.50 2.5×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,195.12 $1,593.50 5.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,051.50 $1,402 10.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $792 $1,056 3.3×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $662.25 $883 6.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $815.25 $1,087 3.4×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $662.25 $883 6.3×
Dup-scan xtr veins unilateral/limited study (93971) $876 $1,168 8.4×
Duplex hemodialysis access (93990) $586.50 $782 5.6×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $704.25 $939 2.9×
Duplex scan extracranial art compl bi study (93880) $1,407 $1,876 5.9×
Echo Heart Xthoracic,Limited (93308) $569.62 $759.50 2.4×
Echo transesophageal (93312) $1,206.75 $1,609 2.2×
EEG awake asleep (95819) $709.50 $946 3.3×
EEG awake drowsy (95816) $1,037.62 $1,383.50 4.8×
EEG cerebral death evaluation (95824) $920.25 $1,227 2.5×
EEG coma or sleep only (95822) $849 $1,132 3.9×
Eeg Extended Monitoring 61-119 Minutes (95813) $1,134.75 $1,513 5.2×
EKG (93005) $287.62 $383.50 4.9×
EKG rhythm strip (93041) $122.62 $163.50 2.1×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $213 $284 2.2×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,006.88 $1,342.50 4.7×
EMG four extremities (95864) $295.50 $394 2.3×
EMG one extremity (95860) $170.25 $227 1.3×
EMG thoracic paraspinal (95869) $416.25 $555 1.9×
EMG three extremities (95863) $255.75 $341 2.0×
EMG two extremities (95861) $225.75 $301 1.7×
Er level 1 (99281) $442.88 $590.50 5.2×
Er level ii (99282) $822.38 $1,096.50 5.3×
Er level iii (99283) $1,468.88 $1,958.50 5.4×
Er level IV (99284) $2,163.75 $2,885 5.2×
Er level v (99285) $3,403.50 $4,538 5.7×
Evaluation of speech fluency (92521) $288 $384 2.2×
Evaluation of speech sound production (92522) $288 $384 2.6×
Evaluation of swallowing function (92610) $288 $384 3.4×
External ECG rec>48hr<7d recording (93242) $99 $132 2.6×
External ECG rec>7d<15d recording (93246) $158.62 $211.50 4.2×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $522.75 $697 2.6×
Group Therapeutic Procedures (97150) $62.25 $83 3.5×
Holter Monitor Recording (93225) $295.88 $394.50 2.2×
Icd Device Interrogate (93289) $93 $124 2.5×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $51 $68 1.3×
Immunization Admin (90471) $193.12 $257.50 2.7×
Interrog dev eval scrms phys/qhp in person (93291) $80.25 $107 2.8×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $165 $220 2.8×
IV infusion hydration each additional hour (96361) $111.75 $149 2.4×
IV infusion hydration initial 31 min-1 hour (96360) $493.50 $658 2.3×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $137.25 $183 1.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $513.75 $685 2.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $111.75 $149 2.4×
IV push initial (96374) $222.75 $297 1.0×
Liver elastography w/o imag w/i&r (91200) $457.50 $610 3.5×
Manual therapy 15 min (97140) $81 $108 2.9×
Massage 15 min (97124) $62.25 $83 2.1×
Mechanical chest wall oscillation (94669) $440.25 $587 2.0×
Mechanical traction (97012) $66 $88 4.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $24 $32 0.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $60 $80 1.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $530.25 $707 5.8×
Multiple sleep latency test (95805) $2,500.88 $3,334.50 2.9×
Neg press wnd tx </=50 sq cm (97607) $1,276.88 $1,702.50 3.1×
Neg press wound tx >50 cm (97608) $1,302 $1,736 3.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $459 $612 2.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $789.38 $1,052.50 1.9×
Nerve conduction studies 13/> studies (95913) $728.25 $971 1.9×
Nerve Conduction Studies 3-4 Studies (95908) $451.50 $602 2.1×
Nerve Conduction Studies 9-10 Studies (95911) $1,453.50 $1,938 3.9×
Nerve conduction studies; 1-2 studies (95907) $331.50 $442 1.5×
Nerve conduction studies; 11-12 studies (95912) $1,453.50 $1,938 3.9×
Nerve conduction studies; 5-6 studies (95909) $819 $1,092 3.8×
Nerve conduction studies; 7-8 studies (95910) $819 $1,092 2.2×
Neuromuscular junction test (95937) $187.12 $249.50 1.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $361.50 $482 2.7×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $692.25 $923 3.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $178.50 $238 1.4×
Nonphysician Telephone Assessment 11-20 Min (98967) $57.38 $76.50 2.3×
Nonphysician Telephone Assessment 21-30 Min (98968) $89.25 $119 2.6×
Nonphysician Telephone Assessment 5-10 Min (98966) $39 $52 2.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $84 $112 1.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $130.88 $174.50 4.1×
Ot Contrast Bath Ea 15 Min (97034) $43.12 $57.50 3.1×
Ot eval high complex 60 min (97167) $162.75 $217 1.6×
Ot eval low complex 30 min (97165) $162.75 $217 1.6×
Ot eval mod complex 45 min (97166) $162.75 $217 1.6×
Ot Prosthetic Training, Each 15 Min (97761) $83.25 $111 2.1×
Ot re-eval est plan care (97168) $96.75 $129 1.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $112.50 $150 0.9×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $112.50 $150 0.9×
Paraffin bath (97018) $49.50 $66 8.2×
Peripheral arterial disease rehab per session (93668) $93.75 $125 1.6×
Phy/qhp op pulm rhb w/o mntr (94625) $150 $200 2.5×
Plethysmography (94726) $622.12 $829.50 1.7×
Pm device eval in person (93288) $94.12 $125.50 2.5×
Pm device progr eval dual (93280) $93 $124 2.5×
Pm device progr eval multi (93281) $78.38 $104.50 2.1×
Pm device progr eval sngl (93279) $71.25 $95 1.9×
Pm/Icd Remote Tech Serv (93296) $93.38 $124.50 2.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,737.25 $4,983 4.3×
Polysom <6 yrs 4/> paramtrs (95782) $3,093.75 $4,125 3.6×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $3,224.62 $4,299.50 3.7×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $3,660 $4,880 4.3×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $92.62 $123.50 2.5×
Programming of dual lead implantable defibrillator system (93283) $116.25 $155 3.1×
Programming of single lead implantable defibrillator system (93282) $102.75 $137 2.7×
Prq Card Stent W/Angio 1 Vsl (92928) $28,571.25 $38,095 2.5×
Prq trluml coronary angioplasty one art/branch (92920) $8,119.69 $10,826.25 1.4×
Pt Aquatic Therapy/Exercises (97113) $78.75 $105 2.1×
Pt Electric Current Therapy (97033) $75.75 $101 4.0×
Pt Electrical Stimulation (97032) $70.88 $94.50 4.8×
Pt eval high complex 45 min (97163) $158.62 $211.50 1.6×
Pt eval low complex 20 min (97161) $98.25 $131 1.0×
Pt Gait Training Therapy (97116) $111.38 $148.50 3.8×
Pt Infrared Therapy (97026) $41.25 $55 6.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $84 $112 2.6×
Pt Physical Performance Test (97750) $71.25 $95 2.1×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $158.62 $211.50 1.6×
Pt re-evaluation (97164) $95.25 $127 1.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $78.38 $104.50 2.4×
Pt Ultrasound Therapy (97035) $56.62 $75.50 3.9×
Pt Whirlpool Therapy (97022) $60.75 $81 3.9×
Pulm function test by gas (94727) $195 $260 0.9×
Pulmonary stress testing (94618) $114.75 $153 0.9×
R & l hrt cath w/njx l ventriculog img s&i (93453) $15,447.75 $20,597 4.8×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $7,967.25 $10,623 2.5×
R hrt art/grft angio (93457) $16,769.25 $22,359 5.2×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $18,160.50 $24,214 5.6×
Refill/Maint Pump/Resvr Syst (96522) $328.50 $438 1.5×
Refill/maint, portable pump (96521) $449.25 $599 2.1×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $57.75 $77 1.5×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $213.75 $285 5.7×
Right heart cath (93451) $12,495.75 $16,661 3.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $655.50 $874 3.3×
Rt Chest Wall Manipulation,Subsequent (94668) $80.62 $107.50 0.6×
Sensory Integration Ea 15 Min (97533) $84 $112 1.4×
Sleep study attended (95807) $1,352.25 $1,803 3.6×
Sleep study unattended (95806) $806.25 $1,075 3.7×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $394.88 $526.50 1.8×
Somatosensory testing (95938) $1,118.25 $1,491 1.3×
Speech group therapy (92508) $150.75 $201 6.3×
Speech sound lang comprehen (92523) $288 $384 1.3×
Spirometry (94010) $43.12 $57.50 0.2×
Stress Tte Complete (93351) $1,830.75 $2,441 3.3×
Temp transcutaneous pacing (92953) $1,315.50 $1,754 2.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $129.38 $172.50 5.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $146.25 $195 7.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $208.50 $278 2.0×
Ther/Proph/Diag Inj Sc/Im (96372) $158.62 $211.50 2.2×
Therapeutic Activities (97530) $78 $104 2.2×
Therapeutic phlebotomy (99195) $178.50 $238 1.3×
Tilt Table Eval (93660) $992.25 $1,323 2.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,618.50 $2,158 3.0×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $594.75 $793 2.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $228 $304 3.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $249 $332 3.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $210.75 $281 4.5×
Unlisted pulmonary service/procedure (94799) $153.75 $205 1.2×
Vasc Duplex Extrem Venous,Bilat (93970) $1,230.75 $1,641 5.1×
Vasc Duplex Scan Extracranial,Limited (93882) $929.25 $1,239 8.9×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,014 $1,352 4.7×
Vasopneumatic device (97016) $60.38 $80.50 5.0×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $1,254 $1,672 3.4×
Ventilation assist & mgmt inpatient 1st day (94002) $673.50 $898 1.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $323.62 $431.50 0.5×
Vital capacity total (94150) $95.62 $127.50 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $77.25 $103 2.5×
Xtrnl mobile cv telemetry w/technical support (93229) $415.50 $554 1.1×