Visits & medical services prices at Goodland Regional Medical Center

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

145 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $99 $110 0.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $29.70 $33 2.1×
Application Modality 1/> Areas Infrared (97026) $13.50 $15 2.0×
Behavral qualit analys voice (92524) $315 $350 2.9×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $225 $250 2.7×
Bfb training ea addl 15 min (90913) $112.50 $125 3.4×
Biofeedback training any modality (90901) $85.50 $95 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$54–$535.50 $60–$595 varies
Canalith repositioning proc (95992) $95.40 $106 2.3×
Cardiac Stress Tst,Tracing Only (93017) $630 $700 3.2×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$783.90–$810 $871–$900 varies
Cardioversion (92960)
range across 4 matching MRF lines
$549–$855 $610–$950 varies
Cbt 1st hour (94644) $455.40 $506 3.7×
Chemo Anti-Neopl Sq/Im (96401) $49.50 $55 0.7×
Chemo Hormon Antineopl Sq/Im (96402) $49.50 $55 0.7×
Chemo IV infusion addl hr (96415) $265.50 $295 4.0×
Chemo IV push addl drug (96411) $168.30 $187 2.5×
Chemother Prolong Infuse W/Pump (96416) $227.70 $253 0.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $49.50 $55 0.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $486 $540 1.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $158.40 $176 0.5×
Chest Wall Manipulation (94668) $89.10 $99 0.7×
Cmptr ophth dx img ant segmt (92132) $176.40 $196 3.3×
Color/duplex Doppler, complete (93975) $1,895.40 $2,106 8.6×
Computerized Ophthalmic Imaging Optic Nerve (92133) $176.40 $196 3.3×
Computerized Ophthalmic Imaging Retina (92134)
range across 2 matching MRF lines
$40.50–$108 $45–$120 varies
Continuous Pulse Ox (94762) $430.20 $478 3.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$587.70–$930.60 $653–$1,034 varies
Cpt initial (94667) $99 $110 0.8×
Critical care first hour (99291)
range across 2 matching MRF lines
$488.70–$2,311.20 $543–$2,568 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$94.50–$532.80 $105–$592 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,282.50 $1,425 5.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,863 $2,070 8.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $936.90 $1,041 9.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,365.30 $1,517 6.2×
Dup-scan xtr veins unilateral/limited study (93971)
range across 5 matching MRF lines
$108–$864 $120–$960 varies
Duplex up extrem art bilat (93930) $1,423.80 $1,582 6.5×
Duplex up extrem art unilat/ltd (93931) $888.30 $987 9.2×
Ear and throat examination (92502) $407.70 $453 0.8×
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines
$378–$778.50 $420–$865 varies
Electrical Stimulation Ea 15 Min (97032) $34.20 $38 2.3×
Electrocardiogram Tracing (93005) $220.50 $245 4.1×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$99–$393.30 $110–$437 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$216–$690.30 $240–$767 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$360–$1,120.50 $400–$1,245 varies
Er level 1 (99281)
range across 2 matching MRF lines
$67.50–$229.50 $75–$255 varies
Er level v (99285)
range across 2 matching MRF lines
$459–$1,640.70 $510–$1,823 varies
Evaluate pt use of inhaler (94664) $283.50 $315 1.4×
Evaluate Speech Production (92522) $315 $350 2.8×
Evaluate Swallowing Function (92610) $346.50 $385 4.1×
Evaluation of speech fluency (92521) $315 $350 2.4×
External ECG rec>48hr<7d recording (93242) $333 $370 9.7×
External ECG rec>7d<15d recording (93246) $333 $370 9.7×
Extracranial Bilat Study (93880) $1,377 $1,530 6.3×
Group Therapeutic Procedures (97150) $40.50 $45 2.2×
Holter monitor recording (93225) $333 $370 2.7×
Immunization administration (90471) $18 $20 0.3×
Ingestion challenge test initial 120 minutes (95076)
range across 2 matching MRF lines
$189–$405 $210–$450 varies
Inital newborn e/m (99460) $234 $260 1.9×
Iontophoresis 15 min (97033) $45.90 $51 2.4×
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$79.20–$158.40 $88–$176 varies
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$158.40–$180 $176–$200 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines
$180–$310.50 $200–$345 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 3 matching MRF lines
$158.40–$180 $176–$200 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 3 matching MRF lines
$158.40–$180 $176–$200 varies
IV push initial (96374)
range across 3 matching MRF lines
$76.50–$310.50 $85–$345 varies
Motion Fluoroscopy/Swallow (92611) $481.50 $535 5.3×
Muscle Test 2 Limbs (95861)
range across 2 matching MRF lines
$211.50–$432 $235–$480 varies
Muscle Test One Limb (95860)
range across 2 matching MRF lines
$135–$381.60 $150–$424 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$139.50–$607.50 $155–$675 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$108–$607.50 $120–$675 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 5 matching MRF lines
$45.90–$476.10 $51–$529 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 4 matching MRF lines
$113.40–$445.50 $126–$495 varies
Nerve Conduction Studies 1-2 Studies (95907)
range across 2 matching MRF lines
$139.50–$226.80 $155–$252 varies
Nerve Conduction Studies 3-4 Studies (95908)
range across 2 matching MRF lines
$126–$453.60 $140–$504 varies
Nerve conduction studies 5-6 studies (95909)
range across 2 matching MRF lines
$207–$680.40 $230–$756 varies
Nerve conduction studies 7-8 studies (95910)
range across 2 matching MRF lines
$279–$907.20 $310–$1,008 varies
Neuromuscular Reeducation (97112) $76.50 $85 2.3×
Newborn resuscitation (99465) $322.20 $358 0.5×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $279 $310 2.3×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $391.50 $435 3.2×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $324 $360 2.6×
Ophth medical xm&eval intermediate estab pt (92012) $229.50 $255 1.9×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $216 $240 1.8×
Oral Function Therapy (92526) $188.10 $209 2.2×
Oral Speech Device Eval (92597) $202.50 $225 2.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $101.70 $113 2.2×
Ot Contrast Bath Ea 15 Min (97034) $33.30 $37 2.4×
Ot eval high complexity (97167) $225 $250 2.2×
Ot Eval Low Complex (97165) $198 $220 2.0×
Ot Eval Moderate Complexity (97166) $211.50 $235 2.1×
Ot manual therapy 15 min (97140) $61.20 $68 2.2×
Ot paraffin bath (97018) $18.90 $21 3.1×
Ot Prosthetic Training, Each 15 Min (97761) $88.20 $98 2.2×
Ot Re-Eval Est Plan Care (97168) $134.10 $149 2.0×
Ot rom hand (95852) $39.60 $44 1.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $175.50 $195 1.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $118.80 $132 0.6×
Phlebotomy therapeutic (99195) $79.20 $88 0.6×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $801 $890 14.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $562.50 $625 10.4×
Physical Performance Test (97750) $81.90 $91 2.4×
Plethysmography (94726)
range across 2 matching MRF lines
$63–$535.50 $70–$595 varies
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,366 $3,740 4.3×
Pt Eval High Complex (97163) $211.50 $235 2.2×
Pt eval low complex 20 min (97161) $183.60 $204 1.9×
Pt Eval Mod Complex (97162) $198 $220 2.0×
Pt gait training 15 min (97116) $66.60 $74 2.3×
Pt mechanical traction (97012) $33.30 $37 2.3×
Pt Re-Eval Est Plan Care (97164) $124.20 $138 1.8×
Pulmonary service/procedure (94799) $59.40 $66 0.5×
Pulmonary Stress Testing (94618) $216 $240 1.8×
Refill/Maint Portable Pump (96521) $237.60 $264 1.2×
Remote 30 Day Ecg Rev/Report (93270) $119.70 $133 3.5×
Respiratory flow volume loop (94375) $435.60 $484 2.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$304.20–$476.10 $338–$529 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $43.20 $48 1.7×
Same day nb discharge (99463) $243.90 $271 2.0×
Self Care Mngment Training (97535) $75.60 $84 2.3×
Sensory Integration Ea 15 Min (97533) $74.70 $83 1.2×
Sleep study unattended (95806) $495 $550 2.5×
Speech sound lang comprehen (92523) $432.90 $481 1.9×
Spirometry (94010)
range across 3 matching MRF lines
$40.50–$540 $45–$600 varies
Standardized Cognitive Performance Testing (96125) $265.50 $295 2.6×
Stress Tte Only (93350)
range across 3 matching MRF lines
$481.50–$1,035 $535–$1,150 varies
Temp transcutaneous pacing (92953) $1,153.80 $1,282 1.9×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $135.45 $150.50 6.1×
Ther Ivntj Ea Addl 15 Min (97130) $135.45 $150.50 6.4×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $85.50 $95 2.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $66.60 $74 2.2×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$94.50–$183.60 $105–$204 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines
$180–$310.50 $200–$345 varies
Therapeutic Activities (97530) $88.20 $98 2.5×
Tobacco Use Cessation Intensive >10 Minutes (99407) $59.40 $66 1.7×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$526.50–$2,070 $585–$2,300 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $211.50 $235 2.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $58.50 $65 1.4×
Upr/L Xtremity Art 2 Levels (93922) $648 $720 5.3×
Vasopneumatic device (97016) $35.10 $39 2.9×
Vent Mgmt Inpat Init Day (94002) $1,451.70 $1,613 2.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,451.70 $1,613 2.6×
Visual Field Exam Extended (92083) $331.20 $368 2.7×
Visual field xm uni/bi w/interpretj limited exam (92081) $176.40 $196 3.3×
Wheelchair Mgmt Ea 15 Min (97542) $73.80 $82 2.4×
Whirlpool Therapy (97022) $41.40 $46 2.6×

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.