Visits & medical services prices at Ellsworth County Medical Center
Ellsworth, KS · every code in this section with a posted price and a Medicare benchmark.
143 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) range across 3 matching MRF lines |
$54–$61 | $54–$61 | varies |
| Advncd Care Plan 30 Min (99497) | $80 | $80 | 0.9× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$29–$53 | $29–$53 | varies |
| Airway resistance by oscillometry (94728) range across 2 matching MRF lines |
$80–$84 | $80–$84 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$38–$68 | $38–$68 | varies |
| Behavral qualit analys voice (92524) | $165 | $165 | 1.5× |
| Brief Emotional/Behav Assmt (96127) range across 2 matching MRF lines |
$10–$20 | $10–$20 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$108–$236.75 | $108–$236.75 | varies |
| Canalith repositioning proc (95992) | $137.43 | $137.43 | 3.4× |
| Cardiac Stress Tst,Tracing Only (93017) | $442 | $442 | 2.2× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$295–$631 | $295–$631 | varies |
| Cardioversion (92960) | $410 | $410 | 0.7× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $25 | $25 | 0.7× |
| Chemo Anti-Neopl Sq/Im (96401) | $118 | $118 | 1.8× |
| Chemo IV infusion addl hr (96415) range across 2 matching MRF lines |
$243–$258.02 | $243–$258.02 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$244–$258.02 | $244–$258.02 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $160 | $160 | 0.5× |
| Chest Wall Manipulation (94668) | $53 | $53 | 0.4× |
| Chron Care Mgmt Srvc 20 Min (99490) | $143 | $143 | 1.5× |
| Color Vision Xm Extended Anomaloscope/Equiv (92283) | $16 | $16 | 0.3× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$606–$1,338.92 | $606–$1,338.92 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $308 | $308 | 1.9× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $161.23 | $161.23 | 3.0× |
| Continuous Pulse Ox (94762) | $150 | $150 | 1.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$341–$341.52 | $341–$341.52 | varies |
| Cpt initial (94667) | $97 | $97 | 0.8× |
| Critical care first hour (99291) | $358.93 | $358.93 | 0.5× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$284–$420 | $284–$420 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $606 | $606 | 2.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $606 | $606 | 2.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $606 | $606 | 6.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$606–$1,175 | $606–$1,175 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) | $606 | $606 | 6.3× |
| Duplex up extrem art bilat (93930) | $675 | $675 | 3.1× |
| Duplex up extrem art unilat/ltd (93931) | $606 | $606 | 6.3× |
| Electrical Stimulation Ea 15 Min (97032) | $70 | $70 | 4.8× |
| Electrocardiogram Tracing (93005) | $340 | $340 | 6.3× |
| Emergency Dept Visit Level 2 (99282) | $89.69 | $89.69 | 0.6× |
| Emergency Dept Visit Level 3 (99283) | $168.07 | $168.07 | 0.7× |
| Emergency Dept Visit Level 4 (99284) | $249.71 | $249.71 | 0.7× |
| Er level 1 (99281) | $70 | $70 | 0.9× |
| Er level v (99285) | $361.57 | $361.57 | 0.7× |
| Evaluate pt use of inhaler (94664) | $53 | $53 | 0.3× |
| Evaluate Speech Production (92522) | $165 | $165 | 1.5× |
| Evaluate Swallowing Function (92610) | $178 | $178 | 2.1× |
| Evaluation of speech fluency (92521) | $165 | $165 | 1.2× |
| External Ecg Scanning Analysis Report (93226) | $230.25 | $230.25 | 4.2× |
| Extracranial Bilat Study (93880) | $606 | $606 | 2.8× |
| Group Therapeutic Procedures (97150) | $35 | $35 | 1.9× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$189–$328 | $189–$328 | varies |
| Immunization administration (90471) range across 3 matching MRF lines |
$30–$61 | $30–$61 | varies |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$49–$70 | $49–$70 | varies |
| Irrig Drug Delivery Device (96523) | $67.75 | $67.75 | 1.2× |
| IV infusion hydration each additional hour (96361) | $182 | $182 | 4.2× |
| IV infusion hydration initial 31 min-1 hour (96360) | $244 | $244 | 1.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $165.25 | $165.25 | 2.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $182 | $182 | 4.2× |
| IV push initial (96374) | $58 | $58 | 0.3× |
| Mechanical chest wall oscillation per session (94669) | $32 | $32 | 0.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$25–$52 | $25–$52 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$25–$60 | $25–$60 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$18.25–$19 | $18.25–$19 | varies |
| Motion Fluoroscopy/Swallow (92611) | $141 | $141 | 1.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $150.70 | $150.70 | 0.8× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $158 | $158 | 0.4× |
| Neuromuscular Reeducation (97112) | $78 | $78 | 2.4× |
| Oral Function Therapy (92526) | $94 | $94 | 1.1× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $36 | $36 | 0.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $50 | $50 | 1.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$57–$65 | $57–$65 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 3 matching MRF lines |
$72–$192 | $72–$192 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$98–$117 | $98–$117 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) | $106 | $106 | 5.3× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $124 | $124 | 6.2× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$37–$38 | $37–$38 | varies |
| Ot eval high complexity (97167) | $166 | $166 | 1.7× |
| Ot Eval Low Complex (97165) | $170 | $170 | 1.7× |
| Ot Eval Moderate Complexity (97166) | $156 | $156 | 1.6× |
| Ot manual therapy 15 min (97140) | $78 | $78 | 2.8× |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$29–$32 | $29–$32 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $56 | $56 | 1.4× |
| Ot Re-Eval Est Plan Care (97168) | $110 | $110 | 1.6× |
| Ot rom hand (95852) range across 2 matching MRF lines |
$19–$20 | $19–$20 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $122 | $122 | 1.0× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $122 | $122 | 1.0× |
| Peripheral arterial disease rehab per session (93668) | $50 | $50 | 0.9× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$99–$104 | $99–$104 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $58.27 | $58.27 | 1.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $58.27 | $58.27 | 1.1× |
| Physical Performance Test (97750) | $56 | $56 | 1.7× |
| Plethysmography (94726) | $228 | $228 | 0.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$360.93–$800 | $360.93–$800 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $23 | $23 | 0.5× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $22 | $22 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $27 | $27 | 0.6× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) | $22 | $22 | 0.5× |
| Psych diag eval w/med srvcs (90792) | $215 | $215 | 1.3× |
| Pt Eval High Complex (97163) | $190 | $190 | 1.9× |
| Pt eval low complex 20 min (97161) | $170 | $170 | 1.7× |
| Pt Eval Mod Complex (97162) | $180 | $180 | 1.8× |
| Pt gait training 15 min (97116) | $68 | $68 | 2.3× |
| Pt mechanical traction (97012) | $70 | $70 | 4.9× |
| Pt Re-Eval Est Plan Care (97164) | $115 | $115 | 1.7× |
| Pulmonary service/procedure (94799) | $50 | $50 | 0.4× |
| Pulmonary Stress Testing (94618) | $342 | $342 | 2.8× |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$49–$184 | $49–$184 | varies |
| Respiratory flow volume loop (94375) range across 2 matching MRF lines |
$69–$202 | $69–$202 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $170 | $170 | 3.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$137–$482 | $137–$482 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $23 | $23 | 0.9× |
| Self Care Mngment Training (97535) | $60 | $60 | 1.9× |
| Sensory Integration Ea 15 Min (97533) | $51 | $51 | 0.8× |
| Sleep study attended (95807) | $174.88 | $174.88 | 0.5× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$129.58–$525 | $129.58–$525 | varies |
| Slp Stdy Unatnd W/Anal (95801) | $119.38 | $119.38 | 2.2× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $119.38 | $119.38 | 0.6× |
| Speech sound lang comprehen (92523) | $241 | $241 | 1.1× |
| Spirometry (94010) range across 2 matching MRF lines |
$379–$386 | $379–$386 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $182 | $182 | 4.2× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $139 | $139 | 0.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $84.50 | $84.50 | 3.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $54 | $54 | 2.6× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $109 | $109 | 2.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$55–$72 | $55–$72 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$42–$58 | $42–$58 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $244 | $244 | 1.2× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$62–$69 | $62–$69 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $56 | $56 | 1.6× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $29 | $29 | 0.8× |
| Trans Care Mgmt 14 Day Disch (99495) | $394 | $394 | 3.2× |
| Trans Care Mgmt 7 Day Disch (99496) | $473 | $473 | 3.9× |
| Tte w/doppler, complete (93306) | $1,975 | $1,975 | 3.9× |
| Tte W/O Doppler Complete (93307) | $741 | $741 | 3.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $110 | $110 | 1.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $58 | $58 | 1.3× |
| Tympanometry (92567) | $32 | $32 | 0.9× |
| Unlisted cardiovascular service/procedure (93799) | $1,202 | $1,202 | 10.2× |
| Unlisted Special Dermatological Service/Px (96999) range across 2 matching MRF lines |
$87.60–$198.70 | $87.60–$198.70 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $606 | $606 | 5.0× |
| Vasopneumatic device (97016) | $38 | $38 | 3.2× |
| Vital capacity, total (94150) range across 3 matching MRF lines |
$30–$45 | $30–$45 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $28 | $28 | 0.9× |
| Whirlpool Therapy (97022) | $44 | $44 | 2.8× |
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.