Visits & medical services prices at Hodgeman County Health Center

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $305.60 $382 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $482.40 $603 1.4×
Cardiac Stress Tst,Tracing Only (93017) $1,153.60 $1,442 5.8×
Cardiopulmonary exercise testing (94621) $467.20 $584 1.4×
Cardiopulmonary resuscitation (92950) $589.60 $737 3.0×
Chemother, IV infusion, 1 hr (96413) $429.60 $537 1.4×
Chemother, IV infusion, ea add hr (96415) $235.20 $294 3.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $100.80 $126 1.5×
Color/duplex Doppler, complete (93975) $577.60 $722 2.6×
Color/duplex Doppler, limited (93976) $577.60 $722 6.0×
Cpap initiation and management (94660) $324.80 $406 1.6×
Cpt initial (94667) $220 $275 1.8×
Critical care (99291) $551.20 $689 0.7×
Debridement Open Wound 20 Sq Cm< (97597) $330.40 $413 1.8×
Demo &/or eval,pt use,aerosol device (94664) $253.60 $317 1.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $643.20 $804 2.9×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $577.60 $722 6.0×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $618.40 $773 2.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $577.60 $722 6.0×
Dup-scan xtr veins unilateral/limited study (93971) $626.40 $783 6.5×
Duplex scan extracranial art compl bi study (93880) $769.60 $962 3.5×
Echo Heart Xthoracic,Limited (93308) $684 $855 3.1×
EKG (93005) $197.60 $247 3.6×
EKG rhythm strip (93041) $90.40 $113 1.7×
Er level 1 (99281) $157.60 $197 2.0×
Er level ii (99282) $168 $210 1.2×
Er level iii (99283) $216 $270 0.9×
Er level IV (99284) $368 $460 1.0×
Er level v (99285) $1,267.20 $1,584 2.3×
Evaluation of speech sound production (92522) $352 $440 3.1×
Evaluation of swallowing function (92610) $239.20 $299 2.8×
Exercise tst brncspsm (94617) $193.60 $242 1.6×
External ECG rec>48hr<7d recording (93242) $375.20 $469 10.9×
External ECG rec>7d<15d recording (93246) $375.20 $469 10.9×
Flow volume loop (94375) $332.80 $416 1.7×
Holter Monitor Recording (93225) $375.20 $469 3.1×
Immunization Admin (90471) $36 $45 0.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $144.80 $181 2.7×
IV infusion hydration each additional hour (96361) $62 $77.50 1.4×
IV infusion hydration initial 31 min-1 hour (96360) $306.40 $383 1.6×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $164.80 $206 2.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $306.40 $383 1.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $62 $77.50 1.4×
IV push initial (96374) $306.40 $383 1.6×
Manual therapy 15 min (97140) $81.60 $102 2.9×
Massage 15 min (97124) $51.20 $64 1.7×
Maximum voluntary ventilation (94200) $128 $160 2.4×
Mechanical chest wall oscillation (94669) $305.60 $382 1.5×
Mechanical traction (97012) $56 $70 3.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $18.40 $23 0.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $44 $55 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $268.80 $336 1.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $577.60 $722 4.7×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $577.60 $722 2.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $208 $260 1.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $52.80 $66 1.1×
Ot eval low complex 30 min (97165) $140 $175 1.4×
Paraffin bath (97018) $72 $90 12.0×
Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) $252 $315 0.6×
Phy/qhp op pulm rhb w/mntr (94626) $640.80 $801 11.8×
Phy/qhp op pulm rhb w/o mntr (94625) $449.60 $562 8.3×
Pt Electric Current Therapy (97033) $46.40 $58 2.4×
Pt eval high complex 45 min (97163) $160 $200 1.6×
Pt eval low complex 20 min (97161) $167.20 $209 1.7×
Pt Gait Training Therapy (97116) $83.20 $104 2.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $72.80 $91 2.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $152.80 $191 1.6×
Pt re-evaluation (97164) $98.40 $123 1.5×
Pt Ultrasound Therapy (97035) $76.80 $96 5.3×
Pt Whirlpool Therapy (97022) $81.60 $102 5.2×
Pulm Funct Test Oscillometry (94728) $352 $440 3.0×
Pulm function test by gas (94727) $208 $260 1.0×
Pulmonary stress testing (94618) $208 $260 1.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $180.80 $226 5.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $240.40 $300.50 1.3×
Rt Chest Wall Manipulation,Subsequent (94668) $228.80 $286 1.9×
Spirometry (94010) $361.60 $452 1.8×
Ther/Proph/Diag Inj Sc/Im (96372) $120 $150 1.8×
Therapeutic Activities (97530) $78.40 $98 2.2×
Therapeutic phlebotomy (99195) $145.60 $182 1.2×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,893.60 $2,367 3.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $84.80 $106 2.0×
Unlisted pulmonary service/procedure (94799) $180 $225 1.5×
Vasc Duplex Extrem Venous,Bilat (93970) $643.20 $804 2.9×
Vasc Duplex Scan Extracranial,Limited (93882) $577.60 $722 6.0×
Vital capacity total (94150) $172 $215 1.5×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $172 $215 3.2×