Visits & medical services prices at Hospital District #1 of Rice County

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $326.27 $435.03 1.6×
Behavioral and qualitative analysis of voice and resonance (92524) $148.10 $197.46 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $478.38 $637.84 1.4×
Cardiac Stress Tst,Tracing Only (93017) $454.37 $605.83 2.3×
Cardiopulmonary resuscitation (92950) $330.75 $441 1.7×
Cardioversion (92960) $492.86 $657.14 0.8×
Cbt 1st hour (94644) $181.04 $241.38 1.5×
Chemo Hormon Antineopl Sq/Im (96402) $45.08 $60.10 0.7×
Chemo IV push addl drug (96411) $147.16 $196.21 2.2×
Chemother, IV infusion, 1 hr (96413) $456.71 $608.94 1.5×
Chemother, IV infusion, ea add hr (96415) $249.83 $333.10 3.8×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $106.97 $142.63 1.6×
Colon Motility 6 Hr Study (91117) $562.50 $750 2.8×
Color/duplex Doppler, complete (93975) $390.86 $521.14 1.8×
Color/duplex Doppler, limited (93976) $612.97 $817.29 6.4×
Cpap initiation and management (94660) $347.48 $463.30 1.7×
Cpt initial (94667) $205.44 $273.92 1.7×
Critical care (99291) $420 $560 0.6×
Debridement Open Wound 20 Sq Cm< (97597) $238.46 $317.94 1.3×
Demo &/or eval,pt use,aerosol device (94664) $271.22 $361.63 1.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $612.97 $817.29 6.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $432.11 $576.14 2.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $168.75 $225 1.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $612.97 $817.29 2.8×
Dup-scan xtr veins unilateral/limited study (93971) $108.75 $145 1.1×
Duplex scan extracranial art compl bi study (93880) $381.48 $508.64 1.7×
EKG (93005) $209.72 $279.62 3.9×
Er level 1 (99281) $157.50 $210 2.0×
Er level ii (99282) $170.25 $227 1.2×
Er level iii (99283) $202.50 $270 0.8×
Er level IV (99284) $258.75 $345 0.7×
Er level v (99285) $352.50 $470 0.6×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $37.50 $50 1.0×
Immunization Admin (90471) $37.50 $50 0.6×
Immunotherapy, 2+ Injections (95117) $20.25 $27 0.5×
Initial normal newborn care, same day discharge (99463) $168 $224 1.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $43.50 $58 0.8×
IV infusion hydration each additional hour (96361) $169.98 $226.64 3.9×
IV infusion hydration initial 31 min-1 hour (96360) $325.49 $433.98 1.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $169.98 $226.64 2.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $325.49 $433.98 1.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $169.98 $226.64 3.9×
IV push initial (96374) $325.47 $433.96 1.7×
Massage 15 min (97124) $54.08 $72.11 1.8×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $227.23 $302.97 2.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $210 $280 1.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $315 $420 0.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $612.97 $817.29 5.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $225 $300 1.9×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $50.54 $67.39 1.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $166.28 $221.70 1.4×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $115.03 $153.37 1.0×
Phy/qhp op pulm rhb w/o mntr (94625) $476.93 $635.90 8.8×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $15 $20 0.3×
Pt Physical Performance Test (97750) $68.25 $91 2.0×
Refill/maint, portable pump (96521) $261.44 $348.59 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $188.38 $251.17 1.0×
Rt Chest Wall Manipulation,Subsequent (94668) $205.44 $273.92 1.7×
Spirometry (94010) $386.57 $515.43 1.9×
Ther/Proph/Diag Inj Sc/Im (96372) $68.48 $91.32 1.0×
Therapeutic phlebotomy (99195) $93.07 $124.09 0.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $39 $52 1.1×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,953.52 $2,604.69 3.9×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $734.02 $978.69 3.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $72.13 $96.17 1.7×
Vasc Duplex Extrem Venous,Bilat (93970) $612.97 $817.29 2.8×
Vasc Duplex Scan Extracranial,Limited (93882) $511.98 $682.64 5.3×
Vital capacity total (94150) $44.12 $58.82 0.4×