Visits & medical services prices at Coffeyville Regional Medical Center, Inc

Coffeyville, 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
Airway inhalation treatment (94640) $187.60 $268 0.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $155.75 $222.50 0.5×
Canalith Repositioning (95992) $137.20 $196 3.4×
Cardiac Stress Tst,Tracing Only (93017) $562.45 $803.50 2.8×
Cardiopulmonary resuscitation (92950) $357 $510 1.8×
Cardioversion (92960) $508.55 $726.50 0.8×
Chemo Hormon Antineopl Sq/Im (96402) $208.60 $298 3.2×
Chemo IV push addl drug (96411) $197.40 $282 3.0×
Chemo Iv Push Sngl Drug (96409) $309.40 $442 1.0×
Chemo prolong 8+ hrs infuse w/pump (96416) $618.80 $884 2.0×
Chemother, IV infusion, 1 hr (96413) $752.50 $1,075 2.5×
Chemother, IV infusion, ea add hr (96415) $195.65 $279.50 3.0×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $208.60 $298 3.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $146.30 $209 2.2×
Color/duplex Doppler, limited (93976) $515.20 $736 5.4×
Cpap initiation and management (94660) $249.20 $356 1.2×
Cpt initial (94667) $73.50 $105 0.6×
Critical care (99291) $1,395.80 $1,994 1.8×
Demo &/or eval,pt use,aerosol device (94664) $156.10 $223 0.8×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,105.30 $1,579 5.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $744.10 $1,063 7.7×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,124.90 $1,607 5.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $715.75 $1,022.50 7.4×
Dup-scan xtr veins unilateral/limited study (93971) $500.50 $715 5.2×
Duplex scan extracranial art compl bi study (93880) $681.80 $974 3.1×
Echo Heart Xthoracic,Limited (93308) $605.50 $865 2.8×
EKG (93005) $195.65 $279.50 3.6×
Er level 1 (99281) $175 $250 2.3×
Er level ii (99282) $318.50 $455 2.3×
Er level iii (99283) $560 $800 2.2×
Er level IV (99284) $927.50 $1,325 2.4×
Er level v (99285) $1,400 $2,000 2.6×
Evaluation of speech sound production (92522) $221.20 $316 2.0×
Evaluation of swallowing function (92610) $201.60 $288 2.4×
Evoked auditory test,limited (92587) $196 $280 1.0×
External ECG rec>48hr<7d recording (93242) $20.30 $29 0.6×
External ECG rec>7d<15d recording (93246) $119.70 $171 3.5×
External Ecg Scanning Analysis Report (93226) $60.20 $86 1.1×
Holter Monitor Recording (93225) $254.10 $363 2.1×
Icd Device Interrogate (93289) $67.90 $97 2.0×
Immunization Admin (90471) $23.80 $34 0.4×
Interrog dev eval icpms phys/qhp in person (93290) $81.90 $117 2.4×
Interrog dev eval scrms phys/qhp in person (93291) $15.40 $22 0.6×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $130.20 $186 2.4×
IV infusion hydration each additional hour (96361) $230.30 $329 5.3×
IV infusion hydration initial 31 min-1 hour (96360) $268.80 $384 1.4×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $147.70 $211 2.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $507.50 $725 2.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $112 $160 2.6×
IV push initial (96374) $490.70 $701 2.5×
Manual therapy 15 min (97140) $67.55 $96.50 2.4×
Mechanical traction (97012) $59.50 $85 4.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $58.80 $84 1.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $68.60 $98 1.9×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $201.60 $288 2.2×
Neg press wnd tx </=50 sq cm (97607) $39.20 $56 0.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $504 $720 4.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $161 $230 1.4×
Ot eval high complex 60 min (97167) $193.90 $277 1.9×
Ot eval low complex 30 min (97165) $199.50 $285 2.0×
Ot eval mod complex 45 min (97166) $200.90 $287 2.0×
Ot re-eval est plan care (97168) $137.90 $197 2.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $301.70 $431 2.5×
Paraffin bath (97018) $46.20 $66 7.7×
Peripheral arterial disease rehab per session (93668) $133 $190 2.5×
Pm device eval in person (93288) $87.50 $125 2.5×
Pm device progr eval dual (93280) $122.50 $175 3.6×
Pm device progr eval sngl (93279) $105 $150 3.1×
Pm/Icd Remote Tech Serv (93296) $37.80 $54 1.1×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $165.90 $237 4.8×
Programming of dual lead implantable defibrillator system (93283) $48.30 $69 1.4×
Programming of single lead implantable defibrillator system (93282) $124.60 $178 3.6×
Pt Electric Current Therapy (97033) $65.80 $94 3.5×
Pt eval high complex 45 min (97163) $199.50 $285 2.0×
Pt eval low complex 20 min (97161) $199.50 $285 2.0×
Pt Gait Training Therapy (97116) $65.80 $94 2.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $69.30 $99 2.1×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $199.50 $285 2.0×
Pt re-evaluation (97164) $137.20 $196 2.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $67.55 $96.50 2.1×
Pt Ultrasound Therapy (97035) $59.15 $84.50 4.1×
Pulmonary stress testing (94618) $275.80 $394 2.3×
Rem interrog icpms <30 d phys/qhp (93297) $66.50 $95 1.9×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $103.25 $147.50 3.0×
Remote Mntr Wireless P-Art Prs Snr Up to 30 D (93264) $241.50 $345 7.0×
Rt Chest Wall Manipulation,Subsequent (94668) $73.50 $105 0.6×
Speech sound lang comprehen (92523) $453.60 $648 2.0×
Spirometry (94010) $234.50 $335 1.2×
Standardized Cognitive Performance Testing (96125) $203 $290 2.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $68.60 $98 3.1×
Ther/Proph/Diag Inj Sc/Im (96372) $65.80 $94 1.0×
Therapeutic Activities (97530) $72.10 $103 2.1×
Therapeutic phlebotomy (99195) $195.30 $279 1.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $25.20 $36 0.7×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $43.40 $62 1.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $839.65 $1,199.50 1.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $151.90 $217 2.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $168 $240 2.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $111.30 $159 2.6×
Unlisted pulmonary service/procedure (94799) $21 $30 0.2×
Vasc Duplex Extrem Venous,Bilat (93970) $651.70 $931 3.0×
Vasopneumatic device (97016) $46.90 $67 3.9×
Ventilation assist & mgmt inpatient 1st day (94002) $525.70 $751 0.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $525.70 $751 0.9×
Vital capacity total (94150) $128.10 $183 1.1×
Xtrnl mobile cv telemetry w/technical support (93229) $1,383.20 $1,976 4.0×