Visits & medical services prices at Citizens Medical Center

Colby, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $280.15 $431 2.4×
Admn Sarscov2 Vacc 1 Dose (90480) $13.65 $21 0.4×
Airway Inhalation Treatment (94640) $122.20 $188 0.6×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $565.50 $870 16.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$40.30–$53.30 $62–$82 varies
Assessment of tinnitus (92625) $280.15 $431 2.4×
Behavral qualit analys voice (92524) $98.80 $152 0.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $297.70 $458 0.9×
Canalith repositioning proc (95992) $91 $140 2.2×
Cardiac Stress Tst,Tracing Only (93017)
range across 3 matching MRF lines
$518.70–$622.70 $798–$958 varies
Cardiopulmonary resuscitation (92950) $689 $1,060 3.5×
Cardioversion (92960) $780 $1,200 1.3×
Cbt 1st hour (94644) $286.65 $441 2.3×
Chemo Anti-Neopl Sq/Im (96401) $138.45 $213 2.1×
Chemo Hormon Antineopl Sq/Im (96402)
range across 3 matching MRF lines
$128.70–$257.40 $198–$396 varies
Chemo IV infusion addl hr (96415) $211.90 $326 3.2×
Chemo IV push addl drug (96411) $288.60 $444 4.4×
Chemother Prolong Infuse W/Pump (96416) $600.60 $924 2.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $287.95 $443 4.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $473.20 $728 1.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $143.98 $221.50 0.5×
Chest Wall Manipulation (94668) $169.65 $261 1.4×
Color/duplex Doppler, complete (93975) $800.15 $1,231 3.6×
Color/duplex Doppler, limited (93976) $417.95 $643 4.3×
Comprehensive Hearing Test (92557) $280.15 $431 2.4×
Conditioning Play Audiometry (92582) $280.15 $431 2.4×
Continuous Pulse Ox (94762) $552.50 $850 4.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $800.15 $1,231 4.0×
Cpt initial (94667) $71.50 $110 0.6×
Critical care first hour (99291) $1,093.30 $1,682 1.4×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$79.30–$156 $122–$240 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $557.58 $857.82 1.6×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $635.70 $978 2.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $689 $1,060 3.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $458.25 $705 4.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $845.65 $1,301 3.9×
Dup-scan xtr veins unilateral/limited study (93971) $660.40 $1,016 6.9×
Duplex up extrem art bilat (93930) $673.40 $1,036 3.1×
Duplex up extrem art unilat/ltd (93931) $455 $700 4.7×
Echo Heart Xthoracic,Limited (93308) $1,254.50 $1,930 5.7×
Electrical Stimulation Ea 15 Min (97032) $45.66 $70.25 3.1×
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines
$59.15–$479.70 $91–$738 varies
Emergency Dept Visit Level 2 (99282) $258.70 $398 1.8×
Emergency Dept Visit Level 3 (99283) $397.15 $611 1.6×
Emergency Dept Visit Level 4 (99284) $677.95 $1,043 1.8×
Emg 3 Extremities (95863) $264.55 $407 2.2×
Emg 4 Extremities (95864) $287.30 $442 2.4×
Er level 1 (99281) $148.20 $228 1.9×
Er level v (99285) $1,054.30 $1,622 1.9×
Evaluate pt use of inhaler (94664) $117 $180 0.6×
Evaluate Swallowing Function (92610) $242.45 $373 2.9×
Evoked Auditory Test,Limited (92587) $557.58 $857.82 2.8×
External ECG rec>48hr<7d recording (93242) $137.80 $212 4.0×
External ECG rec>7d<15d recording (93246) $354.25 $545 10.3×
Extracranial Bilat Study (93880) $679.90 $1,046 3.1×
Extracranial Uni/Ltd Study (93882) $449.80 $692 4.7×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $340.60 $524 1.7×
Holter monitor recording (93225) $200.20 $308 1.6×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines
$17.55–$61.75 $27–$95 varies
Immunization administration (90471)
range across 2 matching MRF lines
$13.65–$61.75 $21–$95 varies
Iontophoresis 15 min (97033) $58.50 $90 3.1×
Irrig Drug Delivery Device (96523) $322.40 $496 5.9×
IV infusion hydration each additional hour (96361)
range across 6 matching MRF lines
$31.20–$449.80 $48–$692 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines
$83.20–$209.30 $128–$322 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 3 matching MRF lines
$146.25–$585 $225–$900 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 5 matching MRF lines
$120.90–$2,685.15 $186–$4,131 varies
IV push initial (96374)
range across 6 matching MRF lines
$29.25–$380.25 $45–$585 varies
Low frequency non-thermal us (97610) $308.75 $475 1.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$23.40–$70.20 $36–$108 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$29.25–$117 $45–$180 varies
Motility study esophagus (91010) $1,049.10 $1,614 3.1×
Motion Fluoroscopy/Swallow (92611) $326.30 $502 3.6×
Muscle Test 2 Limbs (95861) $231.40 $356 1.9×
Muscle Test One Limb (95860) $207.35 $319 1.7×
Nasopharyngoscopy (92511) $138.45 $213 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $159.25 $245 0.9×
Nerve Conduction Studies 1-2 Studies (95907) $191.75 $295 1.0×
Nerve Conduction Studies 11-12 Studies (95912) $820.30 $1,262 2.4×
Nerve conduction studies 13 or more studies (95913) $1,023.75 $1,575 3.0×
Nerve Conduction Studies 3-4 Studies (95908) $351 $540 1.8×
Nerve conduction studies 5-6 studies (95909) $403 $620 2.0×
Nerve conduction studies 7-8 studies (95910) $455 $700 1.3×
Nerve Conduction Studies 9-10 Studies (95911) $598 $920 1.7×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $227.50 $350 1.9×
Neuromuscular Reeducation (97112)
range across 3 matching MRF lines
$73.45–$293.80 $113–$452 varies
Oral Function Therapy (92526) $154.05 $237 1.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $52 $80 1.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$70.85–$141.70 $109–$218 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $47.45 $73 2.4×
Osteopathic manipulative tx 3-4 body regions (98926) $69.55 $107 3.5×
Osteopathic manipulative tx 5-6 body regions (98927) $83.20 $128 4.2×
Osteopathic manipulative tx 7-8 body regions (98928) $99.45 $153 5.0×
Ot eval high complexity (97167) $180.05 $277 1.8×
Ot Eval Low Complex (97165) $163.80 $252 1.6×
Ot Eval Moderate Complexity (97166) $183.30 $282 1.8×
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines
$59.80–$130 $92–$200 varies
Ot paraffin bath (97018) $39.65 $61 6.6×
Ot Prosthetic Training, Each 15 Min (97761) $90.35 $139 2.2×
Ot Re-Eval Est Plan Care (97168) $92.30 $142 1.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $164.45 $253 1.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797)
range across 2 matching MRF lines
$164.45–$328.90 $253–$506 varies
Patch/Application Test Specify Number Tests (95044) $1,911 $2,940 2.4×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $292.50 $450 1.5×
Percutaneous tests w/allergenic extracts (95004)
range across 2 matching MRF lines
$601.25–$795.60 $925–$1,224 varies
Peripheral arterial disease rehab per session (93668) $91.65 $141 1.7×
Phlebotomy therapeutic (99195) $168.35 $259 1.4×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $218.40 $336 4.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625)
range across 2 matching MRF lines
$192.40–$384.80 $296–$592 varies
Plethysmography (94726) $190.45 $293 0.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 2 matching MRF lines
$16.25–$27.30 $25–$42 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $18.20 $28 0.4×
Pt Eval High Complex (97163) $183.30 $282 1.9×
Pt eval low complex 20 min (97161) $152.75 $235 1.6×
Pt Eval Mod Complex (97162) $170.95 $263 1.7×
Pt gait training 15 min (97116) $66.30 $102 2.3×
Pt mechanical traction (97012) $170.95 $263 11.9×
Pt Re-Eval Est Plan Care (97164) $74.10 $114 1.1×
Pulmonary Stress Testing (94618) $72.80 $112 0.6×
Refill/Maint Portable Pump (96521) $261.95 $403 1.3×
Remote 30 Day Ecg Rev/Report (93270) $183.30 $282 5.3×
Respiratory flow volume loop (94375) $308.75 $475 1.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$75.40–$134.55 $116–$207 varies
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$63.70–$140.24 $98–$215.75 varies
Sleep study unattended (95806)
range across 2 matching MRF lines
$195–$443.30 $300–$682 varies
Speech Audiometry Complete (92556) $106.37 $163.64 2.0×
Speech audiometry threshold (92555) $106.37 $163.64 2.0×
Speech sound lang comprehen (92523) $345.80 $532 1.5×
Spirometry (94010) $234.65 $361 1.2×
Surfactant Admin Thru Tube (94610) $85.80 $132 0.4×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 6 matching MRF lines
$6.50–$249.60 $10–$384 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$68.25–$204.75 $105–$315 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines
$104.65–$497.90 $161–$766 varies
Therapeutic Activities (97530)
range across 4 matching MRF lines
$73.45–$220.35 $113–$339 varies
Tte w/doppler, complete (93306) $1,701.70 $2,618 3.4×
Tte W/O Doppler Complete (93307) $1,168.05 $1,797 5.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $154.70 $238 2.0×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 5 matching MRF lines
$111.15–$444.60 $171–$684 varies
Tympanometry (92567)
range across 3 matching MRF lines
$30.55–$70.28 $47–$108.12 varies
Tympanometry and reflex threshold measurements (92550) $280.15 $431 1.4×
Upr/L Xtremity Art 2 Levels (93922) $445.90 $686 3.6×
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 3 matching MRF lines
$445.90–$690.30 $686–$1,062 varies
Vasopneumatic device (97016) $54.60 $84 4.5×
Vent Mgmt Inpat Init Day (94002) $1,358.50 $2,090 2.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,155.05 $1,777 2.0×
Wheelchair Mgmt Ea 15 Min (97542) $53.30 $82 1.7×

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.