Visits & medical services prices at Coffey County Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $195
Airway inhalation treatment (94640) $61.20 $124.50 0.3×
Analyze Neurostim Complex (95972) $409.78
Assessment of aphasia (96105) $90 $300 0.9×
Behav assmt w/score & docd/stand instrument (96127) $15
Behavioral and qualitative analysis of voice and resonance (92524) $76.50 $255 0.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $89.40 $168.47 0.3×
Canalith Repositioning (95992) $16.50 $55 0.4×
Cardiac Stress Tst,Tracing Only (93017) $107.10 $357 0.5×
Cardiopulmonary resuscitation (92950) $165.15 $387.45 0.8×
Cardioversion (92960) $271.80 $667 0.4×
Caregiver hlth risk assmt score doc stnd instrm (96161) $6
Caregiver training 1st 30 min (97550) $24 $80 0.5×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $10.50 $35 0.4×
Cbt 1st hour (94644) $34.20 $114 0.3×
Color/duplex Doppler, complete (93975) $315.30 $1,051 1.4×
Cpap initiation and management (94660) $102.60 $342 0.5×
Cpt initial (94667) $36.60 $122 0.3×
Critical care (99291) $420.30 $612.40 0.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $240 $800 1.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $293.10 $977 1.3×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $293.10 $977 3.0×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $293.10 $977 1.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $293.10 $977 3.0×
Dup-scan xtr veins unilateral/limited study (93971) $293.10 $977 3.0×
Duplex scan extracranial art compl bi study (93880) $315.30 $1,051 1.4×
Echo Heart Xthoracic,Limited (93308) $377.40 $1,258 1.7×
EKG (93005) $49.50 $165 0.9×
Er level 1 (99281) $54.90 $136.93 0.7×
Er level ii (99282) $84.90 $238 0.6×
Er level iii (99283) $130.80 $380 0.5×
Er level IV (99284) $208.80 $696 0.5×
Er level v (99285) $324.30 $1,081 0.6×
Evaluation of speech fluency (92521) $76.50 $255 0.6×
Evaluation of speech sound production (92522) $76.50 $255 0.7×
Evaluation of swallowing function (92610) $76.50 $255 0.9×
Evaluation with prescription of speech-generating alternative (92607) $90 $300 0.7×
External Ecg Scanning Analysis Report (93226) $60.30 $201 1.1×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $79.50 $265 0.4×
Holter Monitor Recording (93225) $100.50 $335 0.8×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $50
Immunization Admin (90471) $27 $79 0.4×
Immunotherapy, 2+ Injections (95117) $36.05
Inital newborn e/m (99460) $264.71
Initial normal newborn care, same day discharge (99463) $297.67
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $23.10 $77 0.4×
IV infusion hydration each additional hour (96361) $52.20 $174 1.2×
IV infusion hydration initial 31 min-1 hour (96360) $95.10 $317 0.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $67.20 $224 1.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $107.10 $357 0.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $64.20 $214 1.5×
IV push initial (96374) $72.30 $241 0.4×
Manual therapy 15 min (97140) $34.50 $115 1.2×
Maximum voluntary ventilation (94200) $20.10 $67 0.4×
Mechanical traction (97012) $16.50 $55 1.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $9.90 $33 0.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $11.40 $38 0.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $54 $180 0.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $117 $390 0.3×
Newborn resuscitation (99465) $390.37
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $81 $162.30 0.7×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $34.50 $115 0.7×
Ot eval high complex 60 min (97167) $69 $230 0.7×
Ot eval low complex 30 min (97165) $69 $230 0.7×
Ot eval mod complex 45 min (97166) $69 $230 0.7×
Ot re-eval est plan care (97168) $45 $150 0.7×
Percutaneous tests w/allergenic extracts (95004) $11.33
Plethysmography (94726) $89.40 $298 0.3×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $40
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $29.87
Pt Aquatic Therapy/Exercises (97113) $34.50 $115 0.9×
Pt Electric Current Therapy (97033) $16.50 $55 0.9×
Pt Electrical Stimulation (97032) $15.60 $52 1.1×
Pt eval high complex 45 min (97163) $72.60 $242 0.7×
Pt eval low complex 20 min (97161) $69 $230 0.7×
Pt Gait Training Therapy (97116) $34.50 $115 1.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $34.50 $115 1.1×
Pt Physical Performance Test (97750) $20.40 $68 0.6×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $72.60 $242 0.7×
Pt re-evaluation (97164) $45 $150 0.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $34.50 $115 1.1×
Pt Ultrasound Therapy (97035) $16.50 $55 1.1×
Pt-focused hlth risk assmt (96160) $6
Pulm function test by gas (94727) $30.90 $103 0.2×
Rt Chest Wall Manipulation,Subsequent (94668) $27.30 $91 0.2×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $25.20 $84 0.5×
Smoking cessation > 10 min (99407) $60
Speech sound lang comprehen (92523) $76.50 $255 0.3×
Spirometry (94010) $44.70 $86.98 0.2×
Standardized Cognitive Performance Testing (96125) $88.80 $296 0.9×
Temp transcutaneous pacing (92953) $98.40 $217.82 0.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $22.50 $75 1.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $22.50 $75 1.1×
Ther/Proph/Diag Inj Sc/Im (96372) $32.10 $107 0.5×
Therapeutic Activities (97530) $34.50 $115 1.0×
Therapeutic phlebotomy (99195) $49.80 $166 0.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $42.50
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $672 $2,240 1.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $69 $230 0.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $69 $230 0.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $32.10 $107 0.7×
Vasc Duplex Extrem Venous,Bilat (93970) $293.10 $977 1.3×
Ventilation assist & mgmt inpatient 1st day (94002) $534.90 $1,783 0.9×
Vital capacity total (94150) $20.10 $67 0.2×
Wheelchair Mgmt Ea 15 Min (97542) $34.50 $115 1.1×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $2,200