Visits & medical services prices at Holton Community Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $263.25 $351 1.3×
Behavioral and qualitative analysis of voice and resonance (92524) $157.50 $210 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $387 $516 1.1×
Canalith Repositioning (95992) $42 $56 1.0×
Cardiac Stress Tst,Tracing Only (93017) $401.25 $535 2.0×
Cardiopulmonary resuscitation (92950) $421.69 $562.25 2.1×
Cardioversion (92960) $409.88 $546.50 0.7×
Caregiver training 1st 30 min (97550) $97.50 $130 1.8×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $52.50 $70 2.0×
Chemo Hormon Antineopl Sq/Im (96402) $36.75 $49 0.6×
Chemo Iv Push Sngl Drug (96409) $148.50 $198 0.5×
Chemother, IV infusion, 1 hr (96413) $405 $540 1.3×
Chemother, IV infusion, ea add hr (96415) $220.50 $294 3.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $36.75 $49 0.6×
Color/duplex Doppler, complete (93975) $540.75 $721 2.5×
Color/duplex Doppler, limited (93976) $540.75 $721 5.6×
Cpap initiation and management (94660) $330 $440 1.6×
Critical care (99291) $413.44 $551.25 0.5×
Debridement Open Wound 20 Sq Cm< (97597) $313.50 $418 1.7×
Demo &/or eval,pt use,aerosol device (94664) $237.75 $317 1.2×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $540.75 $721 2.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $540.75 $721 5.6×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $540.75 $721 2.5×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $540.75 $721 5.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $540.75 $721 2.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $555 $740 5.8×
Dup-scan xtr veins unilateral/limited study (93971) $589.88 $786.50 6.1×
Duplex scan extracranial art compl bi study (93880) $540.75 $721 2.5×
Echo Heart Xthoracic,Limited (93308) $648 $864 3.0×
EKG (93005) $186 $248 3.4×
Er level 1 (99281) $44.44 $59.25 0.6×
Er level ii (99282) $98.25 $131 0.7×
Er level iii (99283) $151.12 $201.50 0.6×
Er level IV (99284) $240.75 $321 0.6×
Er level v (99285) $329.25 $439 0.6×
Evaluation of speech fluency (92521) $129.75 $173 1.0×
Evaluation of speech sound production (92522) $129.75 $173 1.2×
Evaluation of swallowing function (92610) $144 $192 1.7×
External ECG rec>48hr<7d recording (93242) $247.50 $330 7.2×
External ECG rec>48hr<7d scanning alys w/report (93243) $247.50 $330 2.0×
External Ecg Scanning Analysis Report (93226) $247.50 $330 4.6×
Holter Monitor Recording (93225) $225 $300 1.8×
Icd Device Interrogate (93289) $45 $60 1.3×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $15 $20 0.4×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $16.60 $22.13 0.3×
Immunization Admin (90471) $15 $20 0.2×
Immunotherapy, 2+ Injections (95117) $24.75 $33 0.6×
Inital newborn e/m (99460) $138 $184 1.1×
Initial normal newborn care, same day discharge (99463) $152.25 $203 1.2×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $58.88 $78.50 1.1×
IV infusion hydration each additional hour (96361) $150 $200 3.5×
IV infusion hydration initial 31 min-1 hour (96360) $171.38 $228.50 0.9×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $258.75 $345 3.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $264.75 $353 1.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $150 $200 3.5×
IV push initial (96374) $264.75 $353 1.4×
Manual therapy 15 min (97140) $54.75 $73 2.0×
Massage 15 min (97124) $50.63 $67.50 1.7×
Mechanical traction (97012) $62.34 $83.12 4.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $13.50 $18 0.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $15 $20 0.4×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $198.75 $265 2.2×
Nasopharyngoscopy (92511) $298.12 $397.50 1.6×
Neg press wnd tx </=50 sq cm (97607) $286.88 $382.50 0.8×
Neg press wound tx >50 cm (97608) $346.88 $462.50 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $156.56 $208.75 0.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $375 $500 1.0×
Newborn resuscitation (99465) $219.19 $292.25 0.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $543.75 $725 4.4×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $296.16 $394.88 1.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $131.25 $175 1.1×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $51.56 $68.75 1.1×
Ot eval high complex 60 min (97167) $135.75 $181 1.4×
Ot eval low complex 30 min (97165) $135.75 $181 1.4×
Ot eval mod complex 45 min (97166) $135.75 $181 1.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $37.50 $50 0.7×
Ot re-eval est plan care (97168) $86.25 $115 1.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $168.75 $225 1.4×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $131.25 $175 1.1×
Paraffin bath (97018) $29.63 $39.50 4.9×
Patient-initiated spirometric phys/qhp r&i only (94016) $34.50 $46 1.4×
Peripheral arterial disease rehab per session (93668) $82.50 $110 1.5×
Phy/qhp op pulm rhb w/mntr (94626) $507.75 $677 9.4×
Phy/qhp op pulm rhb w/o mntr (94625) $356.25 $475 6.6×
Plethysmography (94726) $337.50 $450 1.0×
Pm device eval in person (93288) $33.75 $45 1.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $18.75 $25 0.4×
Psych diag eval w/med srvcs (90792) $216.75 $289 1.3×
Psychiatric diagnostic evaluation (90791) $191.25 $255 1.2×
Pt Electric Current Therapy (97033) $58.88 $78.50 3.1×
Pt Electrical Stimulation (97032) $39.75 $53 2.7×
Pt eval high complex 45 min (97163) $138 $184 1.4×
Pt eval low complex 20 min (97161) $144 $192 1.5×
Pt Gait Training Therapy (97116) $54.56 $72.75 1.9×
Pt Infrared Therapy (97026) $20.25 $27 3.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $62.44 $83.25 1.9×
Pt Physical Performance Test (97750) $62.06 $82.75 1.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $138 $184 1.4×
Pt re-evaluation (97164) $87.75 $117 1.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $41.62 $55.50 1.3×
Pt Ultrasound Therapy (97035) $33 $44 2.3×
Pt Whirlpool Therapy (97022) $34.88 $46.50 2.2×
Pulmonary stress testing (94618) $161.25 $215 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $226.88 $302.50 1.2×
Sensory Integration Ea 15 Min (97533) $59.63 $79.50 1.0×
Smoking cessation > 10 min (99407) $56.63 $75.50 1.6×
Speech sound lang comprehen (92523) $129.75 $173 0.6×
Spirometry (94010) $184.50 $246 0.9×
Standardized Cognitive Performance Testing (96125) $157.50 $210 1.5×
Temp transcutaneous pacing (92953) $1,470 $1,960 2.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $56.25 $75 2.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $56.25 $75 2.7×
Ther/Proph/Diag Inj Sc/Im (96372) $78.75 $105 1.2×
Therapeutic Activities (97530) $59.25 $79 1.7×
Therapeutic phlebotomy (99195) $195 $260 1.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $37.50 $50 1.1×
Trans Care Mgmt 14 Day Disch (99495) $233.25 $311 1.9×
Trans Care Mgmt 7 Day Disch (99496) $277.50 $370 2.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,723.50 $2,298 3.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $152.25 $203 2.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $73.50 $98 0.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $75 $100 1.7×
Unlisted Cardiovascular Service/Procedure (93799) $22.88 $30.50 0.2×
Vasc Duplex Extrem Venous,Bilat (93970) $677.25 $903 3.1×
Vasc Duplex Scan Extracranial,Limited (93882) $540.75 $721 5.6×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $540.75 $721 2.7×
Vasopneumatic device (97016) $51.19 $68.25 4.3×
Ventilation assist & mgmt inpatient 1st day (94002) $937.50 $1,250 1.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $750 $1,000 1.3×
Wheelchair Mgmt Ea 15 Min (97542) $43.69 $58.25 1.4×