Visits & medical services prices at Grisell Memorial Hospital
Ransom, KS · every code in this section with a posted price and a Medicare benchmark.
76 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) | $21.85 | $23 | 0.6× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$65.84–$68.47 | $69.30–$72.07 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$34.58–$96.03 | $36.40–$101.08 | varies |
| Application Modality 1/> Areas Diathermy (97024) | $139.90 | $147.26 | 19.0× |
| Canalith repositioning proc (95992) | $170.72 | $179.71 | 4.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $734.16 | $772.80 | 3.7× |
| Cardiopulmonary resuscitation (92950) | $507.28 | $533.98 | 2.6× |
| Cardioversion (92960) | $166.62 | $175.39 | 0.3× |
| Chemo Anti-Neopl Sq/Im (96401) | $72.90 | $76.74 | 1.1× |
| Chemo Hormon Antineopl Sq/Im (96402) | $67.26 | $70.80 | 1.0× |
| Chest Wall Manipulation (94668) | $45.05 | $47.42 | 0.4× |
| Color/duplex Doppler, complete (93975) | $993.51 | $1,045.80 | 4.5× |
| Color/duplex Doppler, limited (93976) | $575.20 | $605.47 | 6.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $87.73 | $92.35 | 2.7× |
| Critical care first hour (99291) | $598.50 | $630 | 0.8× |
| Debridement Open Wound 20 Sq Cm< (97597) | $584.19 | $614.94 | 3.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $993.51 | $1,045.80 | 4.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $897.75 | $945 | 4.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $718.20 | $756 | 7.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $897.75 | $945 | 4.1× |
| Dup-scan xtr veins unilateral/limited study (93971) | $795.58 | $837.45 | 8.3× |
| Duplex up extrem art unilat/ltd (93931) | $795.58 | $837.45 | 8.3× |
| Echo Heart Xthoracic,Limited (93308) | $952.70 | $1,002.84 | 4.3× |
| Electrical Stimulation Ea 15 Min (97032) | $87.73 | $92.35 | 6.0× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$269.59–$272.18 | $283.78–$286.51 | varies |
| Emergency Dept Visit Level 2 (99282) | $193.80 | $204 | 1.4× |
| Emergency Dept Visit Level 3 (99283) | $262.20 | $276 | 1.0× |
| Emergency Dept Visit Level 4 (99284) | $319.20 | $336 | 0.8× |
| Er level 1 (99281) | $279.15 | $293.84 | 3.6× |
| Er level v (99285) | $456 | $480 | 0.8× |
| Evaluate pt use of inhaler (94664) | $346.12 | $364.34 | 1.7× |
| Extracranial Bilat Study (93880) | $795.58 | $837.45 | 3.6× |
| Extracranial Uni/Ltd Study (93882) | $788.01 | $829.48 | 8.2× |
| Holter monitor recording (93225) | $308.59 | $324.83 | 2.5× |
| Immunization administration (90471) range across 5 matching MRF lines |
$22.47–$112.10 | $23.65–$118 | varies |
| Iontophoresis 15 min (97033) | $96.03 | $101.08 | 5.0× |
| Irrig Drug Delivery Device (96523) | $108.30 | $114 | 2.0× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$210.12–$305.52 | $221.18–$321.60 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$362.21–$376.69 | $381.27–$396.52 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$218.53–$305.52 | $230.03–$321.60 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$210.12–$218.53 | $221.18–$230.03 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$362.21–$376.69 | $381.27–$396.52 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $1,183.66 | $1,245.96 | 3.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,183.66 | $1,245.96 | 3.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $584.19 | $614.94 | 3.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $1,183.66 | $1,245.96 | 3.2× |
| Neuromuscular Reeducation (97112) | $87.73 | $92.35 | 2.7× |
| Ot Contrast Bath Ea 15 Min (97034) | $87.73 | $92.35 | 6.3× |
| Ot manual therapy 15 min (97140) | $87.73 | $92.35 | 3.2× |
| Ot paraffin bath (97018) | $139.90 | $147.26 | 23.3× |
| Physical Performance Test (97750) | $87.74 | $92.36 | 2.6× |
| Pt Eval High Complex (97163) | $234.75 | $247.10 | 2.4× |
| Pt eval low complex 20 min (97161) | $197.68 | $208.08 | 2.0× |
| Pt Eval Mod Complex (97162) | $208.66 | $219.64 | 2.1× |
| Pt gait training 15 min (97116) | $136.34 | $143.52 | 4.7× |
| Pt mechanical traction (97012) | $96.03 | $101.08 | 6.7× |
| Pt Re-Eval Est Plan Care (97164) | $133.31 | $140.33 | 2.0× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $119.81 | $126.12 | 2.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$307.80–$584.19 | $324–$614.94 | varies |
| Self Care Mngment Training (97535) | $136.34 | $143.52 | 4.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $42.82 | $45.07 | 1.9× |
| Ther Ivntj Ea Addl 15 Min (97130) | $40.90 | $43.05 | 1.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $96.03 | $101.08 | 3.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$18.60–$114.16 | $19.57–$120.17 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$362.21–$376.69 | $381.27–$396.52 | varies |
| Therapeutic Activities (97530) | $96.03 | $101.08 | 2.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $109.10 | $114.84 | 3.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $109.10 | $114.84 | 3.2× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$2,511.36–$2,535.51 | $2,643.54–$2,668.96 | varies |
| Tte W/O Doppler Complete (93307) | $952.70 | $1,002.84 | 4.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$69.54–$71.18 | $73.20–$74.93 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $993.51 | $1,045.80 | 8.1× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $897.75 | $945 | 4.5× |
| Vasopneumatic device (97016) | $128.04 | $134.78 | 10.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $87.73 | $92.35 | 2.8× |
| Whirlpool Therapy (97022) | $139.90 | $147.26 | 8.9× |
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.