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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ProcedurePosted cashPosted gross× Medicare
Advncd Care Plan 30 Min (99497) $75 $199 0.8×
Airway Inhalation Treatment (94640) $73.22 $91.52 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $73.60 $92 5.1×
Application Modality 1/> Areas Infrared (97026)
range across 2 matching MRF lines
$44–$45.60 $55–$57 varies
Assessment of aphasia per hr (96105) $240.80 $301 2.5×
Behavral qualit analys voice (92524) $240.80 $301 2.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $327.81 $409.76 1.0×
Canalith repositioning proc (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)
range across 3 matching MRF lines
$97.60–$124 $122–$155 varies
Cbt 1st hour (94644) $120 $150 1.0×
Chemo Anti-Neopl Sq/Im (96401) $70.40 $88 1.1×
Chemo Hormon Antineopl Sq/Im (96402) $73.60 $92 1.1×
Chemo IV infusion addl hr (96415) $241.60 $302 3.6×
Chemo IV push addl drug (96411) $209.60 $262 3.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $241.60 $302 3.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 2 matching MRF lines
$290.40–$390.40 $363–$488 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409) $209.60 $262 0.7×
Chest Wall Manipulation (94668) $73.60 $92 0.6×
Color/duplex Doppler, complete (93975) $703.20 $879 3.2×
Continuous Pulse Ox (94762) $211.33 $264.16 1.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $321.60 $402 1.6×
Cpt initial (94667) $110.40 $138 0.9×
Critical care first hour (99291) $75 $404 0.1×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$77.60–$97.60 $97–$122 varies
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 Xtr Veins Complete Bilateral Study (93970)
range across 3 matching MRF lines
$572.80–$936 $716–$1,170 varies
Dup-scan xtr veins unilateral/limited study (93971) $702.40 $878 7.3×
Duplex up extrem art bilat (93930) $672.80 $841 3.1×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$476–$603.20 $595–$754 varies
Echo Heart Xthoracic,Limited (93308) $684 $855 3.1×
Electrical Stimulation Ea 15 Min (97032) $95.20 $119 6.5×
Electrocardiogram Tracing (93005) $202.40 $253 3.7×
Emergency Dept Visit Level 2 (99282) $75 $73 0.5×
Emergency Dept Visit Level 3 (99283) $75 $200 0.3×
Emergency Dept Visit Level 4 (99284) $75 $302 0.2×
Er level 1 (99281) $75 $62 1.0×
Er level v (99285) $75 $439 0.1×
Evaluate pt use of inhaler (94664) $56.80 $71 0.3×
Evaluate Speech Production (92522) $240.80 $301 2.2×
Evaluate Swallowing Function (92610) $390.40 $488 4.6×
Evaluation of speech fluency (92521) $240.80 $301 1.8×
Evoked Auditory Test,Limited (92587) $96.80 $121 0.5×
External Ecg Scanning Analysis Report (93226) $335.30 $419.12 6.2×
Extracranial Bilat Study (93880) $913.60 $1,142 4.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035)
range across 2 matching MRF lines
$674.40–$843.20 $843–$1,054 varies
Holter monitor recording (93225) $514.40 $643 4.2×
Im Adm Intransl/Oral 1 Vaccine (90473) $101.10 $126.38 1.5×
Immunization administration (90471)
range across 3 matching MRF lines
$8–$16 $10–$20 varies
Inital newborn e/m (99460)
range across 4 matching MRF lines
$75 $147–$230 0.6×
Iontophoresis 15 min (97033) $100.80 $126 5.3×
Irrig Drug Delivery Device (96523) $64.80 $81 1.2×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$86.40–$139.20 $108–$174 varies
IV infusion hydration initial 31 min-1 hour (96360) $139.20 $174 0.7×
IV infusion ther proph addl sequential to 1 hr (96367) $216 $270 3.3×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$86.40–$139.20 $108–$174 varies
IV push initial (96374)
range across 2 matching MRF lines
$59.20–$138.40 $74–$173 varies
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×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $60.80 $76 3.6×
Motion Fluoroscopy/Swallow (92611) $390.40 $488 4.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $48 $60 0.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$40.80–$50.40 $51–$63 varies
Neuromuscular Reeducation (97112) $75.20 $94 2.3×
Newborn resuscitation (99465)
range across 4 matching MRF lines
$75 $399–$499 0.1×
Oral Function Therapy (92526) $188 $235 2.2×
Orthc/Prostc Mgmt Sbsq Enc (97763) $60 $75 1.2×
Orthotics Mgmt & Trainj 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 complexity (97167) $169.60 $212 1.7×
Ot Eval Low Complex (97165) $169.60 $212 1.7×
Ot Eval Moderate Complexity (97166) $169.60 $212 1.7×
Ot manual therapy 15 min (97140) $86.40 $108 3.1×
Ot paraffin bath (97018) $68.80 $86 11.4×
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×
Peripheral arterial disease rehab per session (93668) $88 $110 1.6×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$75 $55–$102.50 0.6×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $534.40 $668 9.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $374.40 $468 6.9×
Physical Performance Test (97750)
range across 2 matching MRF lines
$63.20–$104 $79–$130 varies
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $15.20 $19 0.4×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $28.80 $36 0.7×
Psychiatric diagnostic evaluation (90791) $215.20 $269 1.3×
Pt Eval High Complex (97163) $155.20 $194 1.6×
Pt eval low complex 20 min (97161) $155.20 $194 1.6×
Pt Eval Mod Complex (97162) $155.20 $194 1.6×
Pt gait training 15 min (97116) $70.40 $88 2.4×
Pt mechanical traction (97012) $106.40 $133 7.4×
Pt Re-Eval Est Plan Care (97164) $140.80 $176 2.1×
Pulm function test by gas (94727) $251.26 $314.08 1.3×
Pulmonary Stress Testing (94618) $172 $215 1.4×
Respiratory flow volume loop (94375) $120 $150 0.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$32–$40 $40–$50 varies
Same day nb discharge (99463)
range across 3 matching MRF lines
$75 $150–$244 0.6×
Self Care Mngment Training (97535) $71.20 $89 2.2×
Sleep study unattended (95806) $244.80 $306 1.2×
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 Ea Addl 15 Min (97130) $64.80 $81 3.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $91.20 $114 3.1×
Ther/Proph/Diag Inj Sc/Im (96372) $45.60 $57 0.7×
Ther/Proph/Diag Iv Inf Init (96365) $139.20 $174 0.7×
Therapeutic Activities (97530) $65.60 $82 1.9×
Tobacco Use Cessation Intensive >10 Minutes (99407) $75 $95 2.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $75 $59 2.2×
Tte w/doppler, complete (93306) $1,820.80 $2,276 3.6×
Tte W/O Doppler Complete (93307) $695.20 $869 3.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $196 $245 2.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $59.20 $74 1.4×
Upr/L Xtremity Art 2 Levels (93922) $571.20 $714 4.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$542.40–$548 $678–$685 varies
Vent Mgmt Inpat Init 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)
range across 2 matching MRF lines
$50.40–$64 $63–$80 varies
Whirlpool Therapy (97022) $96 $120 6.1×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $452 $565 8.3×

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.