Visits & medical services prices at Ellett Memorial Hospital
Appleton City, MO · every code in this section with a posted price and a Medicare benchmark.
150 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$23.25–$96.94 | $31–$129.25 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $158.62 | $211.50 | 1.2× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $132.19 | $176.25 | 1.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$21–$50.81 | $28–$67.75 | varies |
| Application Modality 1/> Areas Infrared (97026) range across 2 matching MRF lines |
$20.62–$23.06 | $27.50–$30.75 | varies |
| Assessment of aphasia per hr (96105) | $168.56 | $224.75 | 1.7× |
| Behavral qualit analys voice (92524) | $137.44 | $183.25 | 1.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $438.19 | $584.25 | 1.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $600.94 | $801.25 | 2.8× |
| Cardiopulmonary resuscitation (92950) | $434.62 | $579.50 | 2.0× |
| Cardioversion (92960) range across 2 matching MRF lines |
$724.50–$1,364.06 | $966–$1,818.75 | varies |
| Chest Wall Manipulation (94668) | $150 | $200 | 1.1× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$101.25–$487.50 | $135–$650 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$97.88–$98.25 | $130.50–$131 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $51.56 | $68.75 | 1.6× |
| Comprehensive Hearing Test (92557) | $69 | $92 | 0.5× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) | $48.75 | $65 | 0.8× |
| Computerized Ophthalmic Imaging Retina (92134) | $53.25 | $71 | 0.9× |
| Conditioning Play Audiometry (92582) | $86.25 | $115 | 0.7× |
| Continuous Pulse Ox (94762) | $215.81 | $287.75 | 1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $637.50 | $850 | 2.9× |
| Cpt initial (94667) | $187.50 | $250 | 1.4× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$197.25–$1,438.31 | $263–$1,917.75 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$125.06–$450 | $166.75–$600 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$101.06–$101.25 | $134.75–$135 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$70.31–$70.50 | $93.75–$94 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $119.81 | $159.75 | 0.5× |
| Dup-scan xtr veins unilateral/limited study (93971) | $77.62 | $103.50 | 0.7× |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$81.38–$81.75 | $108.50–$109 | varies |
| Duplex up extrem art unilat/ltd (93931) | $55.50 | $74 | 0.5× |
| ECG/monitoring and analysis (93271) | $282.75 | $377 | 3.0× |
| Echo Heart Xthoracic,Limited (93308) | $102.75 | $137 | 0.4× |
| EEG awake and asleep (95819) | $716.25 | $955 | 3.3× |
| EEG awake drowsy (95816) | $398.06 | $530.75 | 1.8× |
| EEG cerebral death evaluation (95824) | $690.38 | $920.50 | 1.8× |
| Electrical Stimulation Ea 15 Min (97032) | $24.38 | $32.50 | 1.7× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$35.25–$202.69 | $47–$270.25 | varies |
| Electroconvulsive Therapy (90870) | $1,196.62 | $1,595.50 | 1.4× |
| Electrophysiology Evaluation (93642) | $1,884.75 | $2,513 | 1.5× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$91.12–$255.38 | $121.50–$340.50 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$224.81–$489.94 | $299.75–$653.25 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$329.81–$768.56 | $439.75–$1,024.75 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$57.75–$143.06 | $77–$190.75 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$420.56–$1,003.50 | $560.75–$1,338 | varies |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$23.25–$162.38 | $31–$216.50 | varies |
| Evaluate Speech Production (92522) | $145.12 | $193.50 | 1.3× |
| Evaluate Swallowing Function (92610) | $133.12 | $177.50 | 1.6× |
| Evaluation of speech fluency (92521) | $251.25 | $335 | 1.9× |
| External Ecg Scanning Analysis Report (93226) | $54.19 | $72.25 | 0.9× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$104.81–$105 | $139.75–$140 | varies |
| Extracranial Uni/Ltd Study (93882) range across 3 matching MRF lines |
$71.62–$841.31 | $95.50–$1,121.75 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $278.06 | $370.75 | 1.4× |
| Gonioscopy (92020) | $44.25 | $59 | 0.3× |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$28.69–$28.88 | $38.25–$38.50 | varies |
| Holter monitor recording (93225) | $295.31 | $393.75 | 2.2× |
| Immunization administration (90471) range across 2 matching MRF lines |
$18–$39.38 | $24–$52.50 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $541.69 | $722.25 | 1.4× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$32.25–$48.94 | $43–$65.25 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$37.50–$113.06 | $50–$150.75 | varies |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$25.50–$198.19 | $34–$264.25 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$87–$352.69 | $116–$470.25 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$141.19–$370.50 | $188.25–$494 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$169.31–$222.38 | $225.75–$296.50 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$158.62–$210.56 | $211.50–$280.75 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $113.25 | $151 | 1.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$61.31–$61.50 | $81.75–$82 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $37.88 | $50.50 | 1.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$27–$43.31 | $36–$57.75 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $22.12 | $29.50 | 1.3× |
| Methacholine challenge (94070) | $455.25 | $607 | 1.2× |
| Motion Fluoroscopy/Swallow (92611) | $286.12 | $381.50 | 3.1× |
| Multiple Sleep Latency Test (95805) | $1,170.19 | $1,560.25 | 1.4× |
| Nerve Conduction Studies 1-2 Studies (95907) | $160.50 | $214 | 0.7× |
| Nerve Conduction Studies 11-12 Studies (95912) | $442.50 | $590 | 1.2× |
| Nerve Conduction Studies 3-4 Studies (95908) | $198.75 | $265 | 0.9× |
| Nerve conduction studies 5-6 studies (95909) | $240 | $320 | 1.1× |
| Nerve conduction studies 7-8 studies (95910) | $315 | $420 | 0.8× |
| Nerve Conduction Studies 9-10 Studies (95911) | $378.75 | $505 | 1.0× |
| Neuromuscular Reeducation (97112) | $54 | $72 | 1.6× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $136.50 | $182 | 1.0× |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) | $108.75 | $145 | 0.8× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) | $90.75 | $121 | 0.7× |
| Ophth medical xm&eval intermediate estab pt (92012) | $64.50 | $86 | 0.5× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $61.50 | $82 | 0.5× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $33.75 | $45 | 0.6× |
| Oral Function Therapy (92526) | $133.12 | $177.50 | 1.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$77.25–$80.62 | $103–$107.50 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $71.62 | $95.50 | 1.6× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $44.25 | $59 | 2.0× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $66 | $88 | 3.1× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$23.44–$57.56 | $31.25–$76.75 | varies |
| Ot eval high complexity (97167) | $139.69 | $186.25 | 1.4× |
| Ot Eval Low Complex (97165) | $143.06 | $190.75 | 1.4× |
| Ot Eval Moderate Complexity (97166) | $260.62 | $347.50 | 2.6× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$55.50–$91.12 | $74–$121.50 | varies |
| Ot paraffin bath (97018) | $13.50 | $18 | 2.2× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$62.25–$83.81 | $83–$111.75 | varies |
| Ot Re-Eval Est Plan Care (97168) | $94.88 | $126.50 | 1.4× |
| Ot rom hand (95852) | $27.56 | $36.75 | 1.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$272.62–$276 | $363.50–$368 | varies |
| Phlebotomy therapeutic (99195) | $296.62 | $395.50 | 2.2× |
| Physical Performance Test (97750) | $57.94 | $77.25 | 1.7× |
| Plethysmography (94726) | $347.44 | $463.25 | 0.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $281.25 | $375 | 0.3× |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $1,194.94 | $1,593.25 | 1.4× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $18 | $24 | 0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $35.25 | $47 | 0.8× |
| Psytx Crisis Initial 60 Min (90839) | $203.25 | $271 | 1.1× |
| Pt Eval High Complex (97163) | $129.75 | $173 | 1.3× |
| Pt eval low complex 20 min (97161) | $143.06 | $190.75 | 1.5× |
| Pt Eval Mod Complex (97162) | $129.75 | $173 | 1.3× |
| Pt gait training 15 min (97116) | $122.06 | $162.75 | 4.2× |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$24.94–$25.50 | $33.25–$34 | varies |
| Pt Re-Eval Est Plan Care (97164) | $87.56 | $116.75 | 1.3× |
| Pulmonary Stress Testing (94618) | $120.75 | $161 | 0.9× |
| Pure Tone Audiometry Air (92552) | $53.25 | $71 | 0.4× |
| Remote 30 Day Ecg Rev/Report (93270) | $183.75 | $245 | 4.9× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $129.94 | $173.25 | 2.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $375 | $500 | 1.9× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $30.38 | $40.50 | 1.2× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$53.25–$101.81 | $71–$135.75 | varies |
| Sensory Integration Ea 15 Min (97533) | $53.06 | $70.75 | 0.9× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$93.75–$225 | $125–$300 | varies |
| Speech Audiometry Complete (92556) | $69.75 | $93 | 1.2× |
| Speech audiometry threshold (92555) | $46.31 | $61.75 | 0.8× |
| Speech sound lang comprehen (92523) | $302.81 | $403.75 | 1.3× |
| Spirometry (94010) | $218.81 | $291.75 | 1.0× |
| Tensilon Test (95857) | $61.31 | $81.75 | 0.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$57.19–$66.19 | $76.25–$88.25 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$57.19–$66.19 | $76.25–$88.25 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $60.19 | $80.25 | 1.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $46.88 | $62.50 | 1.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$18–$80.06 | $24–$106.75 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $282.38 | $376.50 | 1.3× |
| Therapeutic Activities (97530) | $115.31 | $153.75 | 3.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $71.62 | $95.50 | 1.9× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $104.44 | $139.25 | 2.8× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$225–$1,801.50 | $300–$2,402 | varies |
| Tte W/O Doppler Complete (93307) | $175.50 | $234 | 0.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $121.50 | $162 | 1.6× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $35.44 | $47.25 | 1.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$112.50–$114.56 | $150–$152.75 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$44.62–$45 | $59.50–$60 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$79.31–$79.50 | $105.75–$106 | varies |
| Vasopneumatic device (97016) | $24.56 | $32.75 | 2.0× |
| Vent Mgmt Inpat Init Day (94002) | $183.75 | $245 | 0.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $131.25 | $175 | 0.2× |
| Vital capacity, total (94150) | $74.81 | $99.75 | 0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) | $51.94 | $69.25 | 1.7× |
| Whirlpool Therapy (97022) | $29.06 | $38.75 | 1.9× |
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.