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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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $187.60 $268 0.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$58.80–$59.50 $84–$85 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$20.30–$291.20 $29–$416 varies
Canalith repositioning proc (95992) $137.20 $196 3.4×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines
$551.60–$573.30 $788–$819 varies
Cardiopulmonary resuscitation (92950) $357 $510 1.8×
Cardioversion (92960)
range across 2 matching MRF lines
$186.90–$830.20 $267–$1,186 varies
Chemo Anti-Neopl Sq/Im (96401) $208.60 $298 3.2×
Chemo Hormon Antineopl Sq/Im (96402) $208.60 $298 3.2×
Chemo IV infusion addl hr (96415)
range across 2 matching MRF lines
$186.20–$205.10 $266–$293 varies
Chemo IV push addl drug (96411) $197.40 $282 3.0×
Chemother Prolong Infuse W/Pump (96416) $618.80 $884 2.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $146.30 $209 2.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $752.50 $1,075 2.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $309.40 $442 1.0×
Chest Wall Manipulation (94668) $73.50 $105 0.6×
Color/duplex Doppler, limited (93976) $515.20 $736 5.4×
Continuous Pulse Ox (94762) $161 $230 1.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$242.20–$256.20 $346–$366 varies
Cpt initial (94667) $73.50 $105 0.6×
Critical care first hour (99291)
range across 2 matching MRF lines
$795.20–$1,996.40 $1,136–$2,852 varies
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)
range across 2 matching MRF lines
$738.50–$749.70 $1,055–$1,071 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $651.70 $931 3.0×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$499.80–$501.20 $714–$716 varies
Duplex up extrem art bilat (93930) $1,124.90 $1,607 5.1×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$681.80–$749.70 $974–$1,071 varies
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines
$448–$636.30 $640–$909 varies
Electrocardiogram Tracing (93005)
range across 4 matching MRF lines
$189–$199.50 $270–$285 varies
Emergency Dept Visit Level 2 (99282) $318.50 $455 2.3×
Emergency Dept Visit Level 3 (99283) $560 $800 2.2×
Emergency Dept Visit Level 4 (99284) $927.50 $1,325 2.4×
Er level 1 (99281) $175 $250 2.3×
Er level v (99285) $1,400 $2,000 2.6×
Evaluate pt use of inhaler (94664) $156.10 $223 0.8×
Evaluate Speech Production (92522) $221.20 $316 2.0×
Evaluate 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×
Extracranial Bilat Study (93880) $681.80 $974 3.1×
Holter monitor recording (93225) $254.10 $363 2.1×
Icd Device Interrogate (93289) $67.90 $97 2.0×
Icd device progr eval dual (93283) $48.30 $69 1.4×
Icd Device Progr Eval Mult (93284) $165.90 $237 4.8×
Icm Device Eval (93290) $81.90 $117 2.4×
Ilr Device Interrogate (93291) $15.40 $22 0.6×
Immunization administration (90471)
range across 4 matching MRF lines
$14.70–$32.90 $21–$47 varies
Iontophoresis 15 min (97033) $65.80 $94 3.5×
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$124.60–$135.80 $178–$194 varies
IV infusion hydration each additional hour (96361)
range across 5 matching MRF lines
$104.30–$349.30 $149–$499 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 7 matching MRF lines
$198.80–$393.40 $284–$562 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 3 matching MRF lines
$135.80–$149.10 $194–$213 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 9 matching MRF lines
$82.60–$112 $118–$160 varies
IV push initial (96374)
range across 5 matching MRF lines
$409.50–$507.50 $585–$725 varies
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 Fluoroscopy/Swallow (92611) $201.60 $288 2.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $39.20 $56 0.1×
Neuromuscular Reeducation (97112) $69.30 $99 2.1×
Oral Function Therapy (92526) $168 $240 2.0×
Ot eval high complexity (97167) $193.90 $277 1.9×
Ot Eval Low Complex (97165) $199.50 $285 2.0×
Ot Eval Moderate Complexity (97166) $200.90 $287 2.0×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$65.80–$69.30 $94–$99 varies
Ot paraffin bath (97018)
range across 2 matching MRF lines
$45.50–$46.90 $65–$67 varies
Ot Re-Eval Est Plan Care (97168) $137.90 $197 2.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines
$294.70–$308.70 $421–$441 varies
Peripheral arterial disease rehab per session (93668) $133 $190 2.5×
Phlebotomy therapeutic (99195) $195.30 $279 1.6×
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×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $124.60 $178 3.6×
Pt Eval High Complex (97163) $199.50 $285 2.0×
Pt eval low complex 20 min (97161) $199.50 $285 2.0×
Pt Eval Mod Complex (97162) $199.50 $285 2.0×
Pt gait training 15 min (97116) $65.80 $94 2.3×
Pt mechanical traction (97012) $59.50 $85 4.1×
Pt Re-Eval Est Plan Care (97164) $137.20 $196 2.0×
Pulmonary service/procedure (94799) $21 $30 0.2×
Pulmonary Stress Testing (94618) $275.80 $394 2.3×
Rem interrog icpms <30 d phys/qhp (93297)
range across 2 matching MRF lines
$38.50–$94.50 $55–$135 varies
Rem Interrog Scrms <30 D Phys/Qhp (93298)
range across 2 matching MRF lines
$49–$157.50 $70–$225 varies
Rem Mntr Wrls P-Art Prs Snr (93264) $241.50 $345 7.0×
Remote 30 Day Ecg Tech Supp (93229) $1,383.20 $1,976 4.0×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$66.50–$68.60 $95–$98 varies
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×
Ther/Proph/Diag Iv Inf Init (96365)
range across 9 matching MRF lines
$409.50–$507.50 $585–$725 varies
Therapeutic Activities (97530) $72.10 $103 2.1×
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 (93306)
range across 2 matching MRF lines
$121.80–$1,557.50 $174–$2,225 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $151.90 $217 2.0×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 5 matching MRF lines
$83.30–$111.30 $119–$159 varies
Upr/L Xtremity Art 2 Levels (93922) $504 $720 4.1×
Vasopneumatic device (97016) $46.90 $67 3.9×
Vent Mgmt Inpat Init 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×

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.