Visits & medical services prices at Cheyenne County Hospital
St. Francis, KS · every code in this section with a posted price and a Medicare benchmark.
153 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) | $40.11 | $40.11 | 1.2× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 3 matching MRF lines |
$20–$40 | $20–$40 | varies |
| Advncd Care Plan 30 Min (99497) | $116.40 | $116.40 | 1.2× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$114–$353.69 | $114–$416.10 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $81 | $81 | 5.6× |
| Application Modality 1/> Areas Diathermy (97024) | $33 | $33 | 4.5× |
| Application Modality 1/> Areas Infrared (97026) range across 2 matching MRF lines |
$22.80–$30 | $22.80–$30 | varies |
| Behavral qualit analys voice (92524) | $182.75 | $215 | 1.7× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $90 | $90 | 1.1× |
| Bfb training ea addl 15 min (90913) | $90 | $90 | 2.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$75–$520.63 | $35–$612.50 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $487.99 | $574.11 | 2.5× |
| Cardiopulmonary resuscitation (92950) | $312.80 | $368 | 1.6× |
| Cardioversion (92960) range across 3 matching MRF lines |
$572.90–$573.15 | $179–$674.29 | varies |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$294.02–$383.78 | $345.90–$451.50 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $42 | $42 | 0.6× |
| Chemo Hormon Antineopl Sq/Im (96402) | $49.40 | $49.40 | 0.7× |
| Chemo IV infusion addl hr (96415) | $215.48 | $253.50 | 3.3× |
| Chemo IV push addl drug (96411) | $171.28 | $201.50 | 2.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $215.48 | $253.50 | 3.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $297.50 | $350 | 1.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $171.28 | $201.50 | 0.6× |
| Chest Wall Manipulation (94668) | $224.40 | $264 | 1.8× |
| Color/duplex Doppler, complete (93975) | $627.30 | $738 | 2.9× |
| Color/duplex Doppler, limited (93976) | $688.50 | $810 | 7.2× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $60.20 | $60.20 | 1.9× |
| Continuous Pulse Ox (94762) | $562.32 | $661.55 | 4.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $798.79 | $939.75 | 4.0× |
| Cpt initial (94667) | $224.40 | $264 | 1.8× |
| Critical care first hour (99291) | $423.73 | $498.50 | 0.6× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 6 matching MRF lines |
$140–$399.50 | $93–$470 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $752.25 | $885 | 3.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $667.25 | $785 | 6.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $752.25 | $885 | 3.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $667.25 | $785 | 6.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $752.25 | $885 | 3.4× |
| Dup-scan xtr veins unilateral/limited study (93971) | $667.25 | $785 | 6.9× |
| Duplex up extrem art bilat (93930) | $752.25 | $885 | 3.4× |
| Duplex up extrem art unilat/ltd (93931) | $667.25 | $785 | 6.9× |
| ECG/monitoring and analysis (93271) | $403.75 | $475 | 4.6× |
| Echo Heart Xthoracic,Limited (93308) | $822.80 | $968 | 3.7× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$50–$81 | $50–$81 | varies |
| Electrocardiogram Tracing (93005) | $225.23 | $264.98 | 4.2× |
| Emergency Dept Visit Level 2 (99282) | — | $102 | — |
| Emergency Dept Visit Level 3 (99283) | — | $173 | — |
| Emergency Dept Visit Level 4 (99284) | — | $293 | — |
| Er level 1 (99281) | — | $53 | — |
| Er level v (99285) | — | $426 | — |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$294.02–$301.75 | $345.90–$355 | varies |
| Evaluate Speech Production (92522) | $182.75 | $215 | 1.6× |
| Evaluate Swallowing Function (92610) | $180 | $180 | 2.1× |
| Evaluation of speech fluency (92521) | $182.75 | $215 | 1.4× |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$93.45 | $66.92–$93.45 | 0.5× |
| External ECG rec>48hr<7d recording (93242) | $269.33 | $316.86 | 7.8× |
| External ECG rec>7d<15d recording (93246) | $269.33 | $316.86 | 7.8× |
| External Ecg Scanning Analysis Report (93226) | $265.68 | $312.57 | 4.9× |
| Extracranial Bilat Study (93880) | $752.25 | $885 | 3.4× |
| Extracranial Uni/Ltd Study (93882) | $667.25 | $785 | 6.9× |
| Group Therapeutic Procedures (97150) | $40.80 | $40.80 | 2.3× |
| Holter monitor recording (93225) | $186.41 | $186.41 | 1.5× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $20 | $20 | 0.3× |
| Immunization administration (90471) | $20 | $20 | 0.3× |
| Inital newborn e/m (99460) | — | $147.60 | — |
| Iontophoresis 15 min (97033) | $60 | $60 | 3.2× |
| Irrig Drug Delivery Device (96523) | $143 | $143 | 2.6× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$159–$185.73 | $159–$218.50 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$158.40–$355.51 | $158.40–$418.25 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$171.28–$185.73 | $201.50–$218.50 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$182.75–$185.73 | $215–$218.50 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$147.90–$355.51 | $147.90–$418.25 | varies |
| Low frequency non-thermal us (97610) | $187 | $220 | 1.0× |
| Mechanical chest wall oscillation per session (94669) | $354.03 | $416.50 | 1.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $25 | $25 | 0.8× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $25 | $25 | 0.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $7 | $7 | 0.4× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$472.14 | $75–$555.46 | 1.4× |
| Motion Fluoroscopy/Swallow (92611) | $199.75 | $235 | 2.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$531.42 | $165–$625.20 | 1.4× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$556.92 | $190–$655.20 | 1.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$311.95 | $35–$367 | 1.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$444.92 | $35–$523.44 | 1.2× |
| Neuromuscular Reeducation (97112) | $83 | $83 | 2.5× |
| Newborn resuscitation (99465) | — | $199.50 | — |
| Nitric oxide expired gas determination (95012) | $130 | $130 | 3.8× |
| Oral Function Therapy (92526) | $110 | $110 | 1.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $44.80 | $44.80 | 0.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $61 | $61 | 1.3× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $50 | $50 | 2.5× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $75 | $75 | 3.8× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $90 | $90 | 4.5× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $115 | $115 | 5.8× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $130 | $130 | 6.5× |
| Ot Contrast Bath Ea 15 Min (97034) | $46.70 | $46.70 | 3.3× |
| Ot eval high complexity (97167) | $180 | $180 | 1.8× |
| Ot Eval Low Complex (97165) | $180 | $180 | 1.8× |
| Ot Eval Moderate Complexity (97166) | $168.29 | $168.29 | 1.7× |
| Ot manual therapy 15 min (97140) | $83 | $83 | 3.0× |
| Ot paraffin bath (97018) | $35.70 | $35.70 | 5.9× |
| Ot Prosthetic Training, Each 15 Min (97761) | $78 | $78 | 1.9× |
| Ot Re-Eval Est Plan Care (97168) | $118 | $118 | 1.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $160 | $160 | 1.3× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $116.05 | $116.05 | 1.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $354.03 | $416.50 | 1.8× |
| Phlebotomy therapeutic (99195) range across 3 matching MRF lines |
$114.49–$134.63 | $114.49–$134.63 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $255 | $300 | 4.7× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$82.20–$136 | $82.20–$136 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$413.95 | $52–$487 | 1.2× |
| Pm device eval in person (93288) | $60 | $60 | 1.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$2,805 | $595.17–$3,300 | 3.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $18 | $18 | 0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $23 | $23 | 0.5× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $63.50 | $63.50 | 1.7× |
| Pt Eval High Complex (97163) | $180 | $180 | 1.8× |
| Pt eval low complex 20 min (97161) | $180 | $180 | 1.8× |
| Pt Eval Mod Complex (97162) | $180 | $180 | 1.8× |
| Pt gait training 15 min (97116) | $76 | $76 | 2.6× |
| Pt mechanical traction (97012) | $62 | $62 | 4.3× |
| Pt Re-Eval Est Plan Care (97164) | $118 | $118 | 1.7× |
| Pulm function test by gas (94727) | $150.61 | $150.61 | 0.8× |
| Pulmonary Stress Testing (94618) | $170 | $200 | 1.4× |
| Remote 30 Day Ecg Rev/Report (93270) | $171.56 | $201.83 | 5.0× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $86.85 | $86.85 | 1.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$202.18–$273.12 | $237.86–$321.32 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $37 | $37 | 1.4× |
| Same day nb discharge (99463) | — | $151 | — |
| Self Care Mngment Training (97535) | $59 | $59 | 1.8× |
| Sensory Integration Ea 15 Min (97533) | $82.20 | $82.20 | 1.4× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$361.25 | $86–$425 | 1.8× |
| Speech sound lang comprehen (92523) | $182.75 | $215 | 0.8× |
| Spirometry (94010) | $392.87 | $462.20 | 2.0× |
| Standardized Cognitive Performance Testing (96125) | $150 | $150 | 1.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $78 | $78 | 3.5× |
| Ther Ivntj Ea Addl 15 Min (97130) | $78 | $78 | 3.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $89 | $89 | 2.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $69 | $69 | 2.3× |
| Ther/Proph/Diag Inj Ia (96373) | $71.10 | $71.10 | 0.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$40–$135 | $40–$135 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$201.03–$352.75 | $236.50–$415 | varies |
| Therapeutic Activities (97530) | $81 | $81 | 2.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $120 | $120 | 3.5× |
| Tte w/doppler, complete (93306) | $2,191.30 | $2,578 | 4.4× |
| Tte W/O Doppler Complete (93307) | $822.80 | $968 | 3.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $101.65 | $101.65 | 1.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$70–$92.75 | $70–$92.75 | varies |
| Unlisted cardiovascular service/procedure (93799) | $749.70 | $882 | 6.3× |
| Upr/L Xtremity Art 2 Levels (93922) | $688.50 | $810 | 5.6× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$688.50 | $30–$810 | 3.5× |
| Vasopneumatic device (97016) | $67 | $67 | 5.6× |
| Vent Mgmt Inpat Init Day (94002) | $1,348.10 | $1,586 | 2.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,150.48 | $1,353.50 | 2.0× |
| Vital capacity, total (94150) | $90.18 | $90.18 | 0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) | $40 | $40 | 1.3× |
| Whirlpool Therapy (97022) | $15.20 | $15.20 | 1.0× |
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.