Visits & medical services prices at Hanover Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $62
Application of heat wave therapy (97024) $37
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $200
Cardiac Stress Tst,Tracing Only (93017) $636.50
Cardiopulmonary resuscitation (92950) $700
Color/duplex Doppler, complete (93975) $289.53
Cont Gluc Monitoring Patient Provided Equipment (95249) $85
Critical care (99291) $400
Debridement Open Wound 20 Sq Cm< (97597) $120
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $435
Dup-scan artl infl&ven o/f pen vsl compl (93980) $445
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,350
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $625
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $485
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $435
Dup-scan xtr veins unilateral/limited study (93971) $1,043
Duplex scan extracranial art compl bi study (93880) $1,675
EKG (93005) $225
Er level ii (99282) $241
Er level iii (99283) $362.50
Er level IV (99284) $605
Er level v (99285) $950
Evaluation of speech sound production (92522) $175
Evaluation of swallowing function (92610) $327
External ECG rec>48hr<7d recording (93242) $450
Group Therapeutic Procedures (97150) $36
Holter Monitor Recording (93225) $437
Immunization Admin (90471) $30
Inital newborn e/m (99460) $200
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $126
IV infusion hydration initial 31 min-1 hour (96360) $450
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $236
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $326
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $193
IV push initial (96374) $219
Manual therapy 15 min (97140) $71.50
Massage 15 min (97124) $57
Mechanical traction (97012) $82
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $70
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $435
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $450
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $400
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $40
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $48
Ot Contrast Bath Ea 15 Min (97034) $36
Ot eval high complex 60 min (97167) $210
Ot eval low complex 30 min (97165) $187
Ot eval mod complex 45 min (97166) $165.50
Ot re-eval est plan care (97168) $136
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $266
Paraffin bath (97018) $39.50
Phy/qhp op pulm rhb w/o mntr (94625) $425
Pt Electric Current Therapy (97033) $99
Pt Electrical Stimulation (97032) $66
Pt eval high complex 45 min (97163) $180
Pt eval low complex 20 min (97161) $183
Pt Gait Training Therapy (97116) $101
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $84.50
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $193
Pt re-evaluation (97164) $120
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $62.50
Pt Ultrasound Therapy (97035) $61
Pt Whirlpool Therapy (97022) $60
Pulmonary stress testing (94618) $100
Pure Tone Audiometry Air & Bone (92553) $60
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $200
Speech sound lang comprehen (92523) $297
Spirometry (94010) $395.23
Standardized Cognitive Performance Testing (96125) $150
Ther/Proph/Diag Inj Sc/Im (96372) $104
Therapeutic Activities (97530) $85
Therapeutic phlebotomy (99195) $200
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,125
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $2,340
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $200
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $243
Unlisted Cardiovascular Service/Procedure (93799) $265
Vasc Duplex Extrem Venous,Bilat (93970) $1,033
Vasc Duplex Scan Extracranial,Limited (93882) $435
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $435
Wheelchair Mgmt Ea 15 Min (97542) $59