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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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $15 $20 0.4×
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$37.50–$330 $50–$440 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $33 $44 2.3×
Application Modality 1/> Areas Infrared (97026) $20.25 $27 3.0×
Behavral qualit analys voice (92524) $157.50 $210 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $387 $516 1.1×
Canalith repositioning proc (95992) $42 $56 1.0×
Cardiac Stress Tst,Tracing Only (93017) $401.25 $535 2.0×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$405–$438.38 $540–$584.50 varies
Cardioversion (92960)
range across 2 matching MRF lines
$189.75–$630 $253–$840 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $52.50 $70 2.0×
Chemo Anti-Neopl Sq/Im (96401) $36.75 $49 0.6×
Chemo Hormon Antineopl Sq/Im (96402) $36.75 $49 0.6×
Chemo IV infusion addl hr (96415) $220.50 $294 3.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $405 $540 1.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $148.50 $198 0.5×
Color/duplex Doppler, complete (93975) $540.75 $721 2.5×
Color/duplex Doppler, limited (93976) $540.75 $721 5.6×
Continuous Pulse Ox (94762) $131.25 $175 1.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$307.50–$352.50 $410–$470 varies
Critical care first hour (99291)
range across 2 matching MRF lines
$361.13–$465.75 $481.50–$621 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines
$53.44–$367.50 $71.25–$490 varies
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 Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$540.75–$813.75 $721–$1,085 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$540.75–$639 $721–$852 varies
Duplex up extrem art bilat (93930) $540.75 $721 2.5×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$540.75–$569.25 $721–$759 varies
Echo Heart Xthoracic,Limited (93308) $648 $864 3.0×
Electrical Stimulation Ea 15 Min (97032) $39.75 $53 2.7×
Electrocardiogram Tracing (93005)
range across 4 matching MRF lines
$183.75–$217.50 $245–$290 varies
Emergency Dept Visit Level 2 (99282) $98.25 $131 0.7×
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$147.75–$154.50 $197–$206 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$220.50–$261 $294–$348 varies
Er level 1 (99281) $44.44 $59.25 0.6×
Er level v (99285) $329.25 $439 0.6×
Evaluate pt use of inhaler (94664)
range across 3 matching MRF lines
$19.50–$277.50 $26–$370 varies
Evaluate Speech Production (92522) $129.75 $173 1.2×
Evaluate Swallowing Function (92610) $144 $192 1.7×
Evaluation of speech fluency (92521) $129.75 $173 1.0×
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×
Extracranial Bilat Study (93880) $540.75 $721 2.5×
Extracranial Uni/Ltd Study (93882) $540.75 $721 5.6×
Holter monitor recording (93225) $225 $300 1.8×
Icd Device Interrogate (93289) $45 $60 1.3×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines
$15.20–$18 $20.26–$24 varies
Immunization administration (90471)
range across 5 matching MRF lines
$8.63–$54 $11.50–$72 varies
Inital newborn e/m (99460) $138 $184 1.1×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$42.75–$75 $57–$100 varies
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$57–$60.75 $76–$81 varies
IV infusion hydration each additional hour (96361) $150 $200 3.5×
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$78–$264.75 $104–$353 varies
IV infusion ther proph addl sequential to 1 hr (96367) $258.75 $345 3.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $150 $200 3.5×
IV push initial (96374) $264.75 $353 1.4×
Lwr Xtr Vasc Stdy Bilat (93924) $540.75 $721 2.7×
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 Fluoroscopy/Swallow (92611) $198.75 $265 2.2×
Nasopharyngoscopy (92511)
range across 2 matching MRF lines
$225.75–$370.50 $301–$494 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 4 matching MRF lines
$63–$521.25 $84–$695 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 4 matching MRF lines
$63–$671.25 $84–$895 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 4 matching MRF lines
$38.73–$292.50 $51.64–$390 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$63–$435 $84–$580 varies
Neuromuscular Reeducation (97112) $62.44 $83.25 1.9×
Newborn resuscitation (99465) $219.19 $292.25 0.4×
Oral Function Therapy (92526) $73.50 $98 0.9×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 3 matching MRF lines
$33–$51.75 $44–$69 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 3 matching MRF lines
$41.25–$68.25 $55–$91 varies
Ot eval high complexity (97167) $135.75 $181 1.4×
Ot Eval Low Complex (97165) $135.75 $181 1.4×
Ot Eval Moderate Complexity (97166) $135.75 $181 1.4×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$48.75–$60.75 $65–$81 varies
Ot paraffin bath (97018) $29.63 $39.50 4.9×
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×
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×
Phlebotomy therapeutic (99195) $195 $260 1.6×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $507.75 $677 9.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $356.25 $475 6.6×
Physical Performance Test (97750) $62.06 $82.75 1.8×
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×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $24.75 $33 0.6×
Psych diag eval w/med srvcs (90792) $216.75 $289 1.3×
Psychiatric diagnostic evaluation (90791) $191.25 $255 1.2×
Pt Eval High Complex (97163)
range across 2 matching MRF lines
$132–$144 $176–$192 varies
Pt eval low complex 20 min (97161) $144 $192 1.5×
Pt Eval Mod Complex (97162)
range across 2 matching MRF lines
$132–$144 $176–$192 varies
Pt gait training 15 min (97116) $54.56 $72.75 1.9×
Pt mechanical traction (97012)
range across 2 matching MRF lines
$42.19–$82.50 $56.25–$110 varies
Pt Re-Eval Est Plan Care (97164)
range across 2 matching MRF lines
$84.75–$90.75 $113–$121 varies
Pulmonary Stress Testing (94618) $161.25 $215 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 4 matching MRF lines
$53.44–$262.50 $71.25–$350 varies
Same day nb discharge (99463) $152.25 $203 1.2×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$38.25–$45 $51–$60 varies
Sensory Integration Ea 15 Min (97533) $59.63 $79.50 1.0×
Slp caregiver training 1st 30 min (97550) $97.50 $130 1.8×
Speech sound lang comprehen (92523) $129.75 $173 0.6×
Spirometry (94010)
range across 2 matching MRF lines
$30–$339 $40–$452 varies
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 Ea Addl 15 Min (97130) $56.25 $75 2.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $50.63 $67.50 1.7×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$31.50–$87 $42–$116 varies
Ther/Proph/Diag Iv Inf Init (96365) $264.75 $353 1.4×
Therapeutic Activities (97530) $59.25 $79 1.7×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 3 matching MRF lines
$56.25–$94.13 $75–$125.50 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 3 matching MRF lines
$27.19–$75.38 $36.25–$100.50 varies
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 (93306) $1,723.50 $2,298 3.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $152.25 $203 2.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $75 $100 1.7×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$4.50–$41.25 $6–$55 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$27.75–$570.75 $37–$761 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$48.56–$543.75 $64.75–$725 varies
Vasopneumatic device (97016)
range across 2 matching MRF lines
$37.13–$65.25 $49.50–$87 varies
Vent Mgmt Inpat Init 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×
Whirlpool Therapy (97022) $34.88 $46.50 2.2×

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.