Visits & medical services prices at Community Hospital, Onaga and St. Marys Campus

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

125 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) $75 $199 0.8×
Airway inhalation treatment (94640) $73.22 $91.52 0.4×
Assessment of aphasia (96105) $240.80 $301 2.5×
Behavioral and qualitative analysis of voice and resonance (92524) $240.80 $301 2.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $327.81 $409.76 1.0×
Canalith Repositioning (95992) $69.60 $87 1.7×
Cardiac Stress Tst,Tracing Only (93017) $586.56 $733.20 3.0×
Cardiopulmonary resuscitation (92950) $337.60 $422 1.7×
Cardioversion (92960) $99.20 $124 0.2×
Cbt 1st hour (94644) $120 $150 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $73.60 $92 1.1×
Chemo IV push addl drug (96411) $209.60 $262 3.2×
Chemo Iv Push Sngl Drug (96409) $209.60 $262 0.7×
Chemother, IV infusion, 1 hr (96413) $340.40 $425.50 1.1×
Chemother, IV infusion, ea add hr (96415) $241.60 $302 3.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $70.40 $88 1.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $241.60 $302 3.6×
Color/duplex Doppler, complete (93975) $703.20 $879 3.2×
Cpap initiation and management (94660) $321.60 $402 1.6×
Cpt initial (94667) $110.40 $138 0.9×
Critical care (99291) $75 $404 0.1×
Debridement Open Wound 20 Sq Cm< (97597) $87.60 $109.50 0.5×
Demo &/or eval,pt use,aerosol device (94664) $56.80 $71 0.3×
Developmental tst admin phys/qhp 1st hour (96112) $128 $160 1.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $768.80 $961 3.5×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $597.60 $747 6.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $672.80 $841 3.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $539.60 $674.50 5.6×
Dup-scan xtr veins unilateral/limited study (93971) $702.40 $878 7.3×
Duplex scan extracranial art compl bi study (93880) $913.60 $1,142 4.2×
Echo Heart Xthoracic,Limited (93308) $684 $855 3.1×
EKG (93005) $202.40 $253 3.7×
Er level 1 (99281) $75 $62 1.0×
Er level ii (99282) $75 $73 0.5×
Er level iii (99283) $75 $200 0.3×
Er level IV (99284) $75 $302 0.2×
Er level v (99285) $75 $439 0.1×
Evaluation of speech fluency (92521) $240.80 $301 1.8×
Evaluation of speech sound production (92522) $240.80 $301 2.2×
Evaluation of swallowing function (92610) $390.40 $488 4.6×
Evoked auditory test,limited (92587) $96.80 $121 0.5×
External Ecg Scanning Analysis Report (93226) $335.30 $419.12 6.2×
Flow volume loop (94375) $120 $150 0.6×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $758.80 $948.50 1.0×
Holter Monitor Recording (93225) $514.40 $643 4.2×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $101.10 $126.38 1.5×
Immunization Admin (90471) $8 $10 0.1×
Immunotherapy, 2+ Injections (95117) $28.80 $36 0.7×
Inital newborn e/m (99460) $75 $184 0.6×
Initial normal newborn care, same day discharge (99463) $75 $195 0.6×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $64.80 $81 1.2×
IV infusion hydration each additional hour (96361) $112.80 $141 2.6×
IV infusion hydration initial 31 min-1 hour (96360) $139.20 $174 0.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $216 $270 3.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $139.20 $174 0.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $112.80 $141 2.6×
IV push initial (96374) $98.80 $123.50 0.5×
Manual therapy 15 min (97140) $86.40 $108 3.1×
Massage 15 min (97124) $91.20 $114 3.1×
Mechanical traction (97012) $106.40 $133 7.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $33.60 $42 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $35.20 $44 1.0×
Mnt Group Ea 30 Min (97804) $60.80 $76 3.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $390.40 $488 4.3×
Neg press wnd tx </=50 sq cm (97607) $48 $60 0.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $45.60 $57 0.2×
Newborn resuscitation (99465) $75 $449 0.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $571.20 $714 4.7×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $545.20 $681.50 2.7×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $211.33 $264.16 1.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $80.80 $101 1.8×
Osteopathic manipulative tx 3-4 body regions (98926) $48.80 $61 2.5×
Ot Contrast Bath Ea 15 Min (97034) $90.40 $113 6.4×
Ot eval high complex 60 min (97167) $169.60 $212 1.7×
Ot eval low complex 30 min (97165) $169.60 $212 1.7×
Ot eval mod complex 45 min (97166) $169.60 $212 1.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $60 $75 1.2×
Ot Prosthetic Training, Each 15 Min (97761) $80.80 $101 2.0×
Ot re-eval est plan care (97168) $143.20 $179 2.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $201.60 $252 1.7×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $201.60 $252 1.7×
Paraffin bath (97018) $68.80 $86 11.4×
Peripheral arterial disease rehab per session (93668) $88 $110 1.6×
Phy/qhp op pulm rhb w/mntr (94626) $534.40 $668 9.9×
Phy/qhp op pulm rhb w/o mntr (94625) $374.40 $468 6.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $15.20 $19 0.4×
Psychiatric diagnostic evaluation (90791) $215.20 $269 1.3×
Pt Electric Current Therapy (97033) $100.80 $126 5.3×
Pt Electrical Stimulation (97032) $95.20 $119 6.5×
Pt eval high complex 45 min (97163) $155.20 $194 1.6×
Pt eval low complex 20 min (97161) $155.20 $194 1.6×
Pt Gait Training Therapy (97116) $70.40 $88 2.4×
Pt Infrared Therapy (97026) $44.80 $56 6.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $75.20 $94 2.3×
Pt Physical Performance Test (97750) $83.60 $104.50 2.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $155.20 $194 1.6×
Pt re-evaluation (97164) $140.80 $176 2.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $71.20 $89 2.2×
Pt Ultrasound Therapy (97035) $73.60 $92 5.1×
Pt Whirlpool Therapy (97022) $96 $120 6.1×
Pulm function test by gas (94727) $251.26 $314.08 1.3×
Pulmonary stress testing (94618) $172 $215 1.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $36 $45 0.2×
Rt Chest Wall Manipulation,Subsequent (94668) $73.60 $92 0.6×
Sleep study unattended (95806) $244.80 $306 1.2×
Smoking cessation > 10 min (99407) $75 $95 2.2×
Speech sound lang comprehen (92523) $247.20 $309 1.1×
Spirometry (94010) $357.60 $447 1.8×
Standardized Cognitive Performance Testing (96125) $240.80 $301 2.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $64.80 $81 2.9×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $64.80 $81 3.1×
Ther/Proph/Diag Inj Sc/Im (96372) $45.60 $57 0.7×
Therapeutic Activities (97530) $65.60 $82 1.9×
Therapeutic phlebotomy (99195) $75 $78.75 0.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $75 $59 2.2×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,820.80 $2,276 3.6×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $695.20 $869 3.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $196 $245 2.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $188 $235 2.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $59.20 $74 1.4×
Vasc Duplex Extrem Venous,Bilat (93970) $936 $1,170 4.3×
Ventilation assist & mgmt inpatient 1st day (94002) $87.20 $109 0.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $62.40 $78 0.1×
Wheelchair Mgmt Ea 15 Min (97542) $57.20 $71.50 1.8×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $452 $565 8.3×