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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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $37.50 $50 1.0×
Airway Inhalation Treatment (94640)
range across 10 matching MRF lines
$23.25–$326.27 $31–$435.03 varies
Behavral qualit analys voice (92524) $148.10 $197.46 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$476.63–$480.14 $635.51–$640.18 varies
Cardiac Stress Tst,Tracing Only (93017) $454.37 $605.83 2.3×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$264–$397.50 $352–$530 varies
Cardioversion (92960)
range across 2 matching MRF lines
$371.25–$614.46 $495–$819.28 varies
Cbt 1st hour (94644) $181.04 $241.38 1.5×
Chemo Anti-Neopl Sq/Im (96401) $106.97 $142.63 1.6×
Chemo Hormon Antineopl Sq/Im (96402)
range across 4 matching MRF lines
$41.25–$45.08 $55–$60.10 varies
Chemo IV infusion addl hr (96415) $249.83 $333.10 3.8×
Chemo IV push addl drug (96411) $147.16 $196.21 2.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $456.71 $608.94 1.5×
Chest Wall Manipulation (94668) $205.44 $273.92 1.7×
Colon Motility 6 Hr Study (91117) $562.50 $750 2.8×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$168.75–$612.97 $225–$817.29 varies
Color/duplex Doppler, limited (93976) $612.97 $817.29 6.4×
Continuous Pulse Ox (94762) $225 $300 1.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $347.48 $463.30 1.7×
Cpt initial (94667) $205.44 $273.92 1.7×
Critical care first hour (99291)
range across 3 matching MRF lines
$270–$1,302.78 $360–$1,737.04 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 6 matching MRF lines
$81.75–$355.42 $109–$473.89 varies
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)
range across 2 matching MRF lines
$251.25–$612.97 $335–$817.29 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $168.75 $225 1.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 3 matching MRF lines
$168.75–$612.97 $225–$817.29 varies
Dup-scan xtr veins unilateral/limited study (93971) $108.75 $145 1.1×
Duplex up extrem art bilat (93930) $612.97 $817.29 2.8×
Electrocardiogram Tracing (93005) $209.72 $279.62 3.9×
Emergency Dept Visit Level 2 (99282)
range across 5 matching MRF lines
$41.25–$338.27 $55–$451.03 varies
Emergency Dept Visit Level 3 (99283)
range across 5 matching MRF lines
$90–$519.93 $120–$693.24 varies
Emergency Dept Visit Level 4 (99284)
range across 5 matching MRF lines
$135–$886.43 $180–$1,181.91 varies
Er level 1 (99281)
range across 7 matching MRF lines
$30–$217.15 $40–$289.53 varies
Er level v (99285)
range across 5 matching MRF lines
$198.75–$1,377.69 $265–$1,836.92 varies
Evaluate pt use of inhaler (94664)
range across 3 matching MRF lines
$269.24–$271.22 $358.99–$361.63 varies
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$150–$612.97 $200–$817.29 varies
Extracranial Uni/Ltd Study (93882)
range across 4 matching MRF lines
$411–$612.97 $548–$817.29 varies
Immunization administration (90471)
range across 4 matching MRF lines
$7.50–$37.50 $10–$50 varies
Irrig Drug Delivery Device (96523)
range across 3 matching MRF lines
$22.50–$69.54 $30–$92.72 varies
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 ther proph addl sequential to 1 hr (96367) $169.98 $226.64 2.6×
IV infusion therapy prophylaxis/dx ea hour (96366) $169.98 $226.64 3.9×
IV push initial (96374) $325.47 $433.96 1.7×
Motion Fluoroscopy/Swallow (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×
Orthotics Mgmt & Trainj 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×
Phlebotomy therapeutic (99195) $93.07 $124.09 0.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $476.93 $635.90 8.8×
Physical Performance Test (97750) $68.25 $91 2.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $15 $20 0.3×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $20.25 $27 0.5×
Refill/Maint Portable Pump (96521) $261.44 $348.59 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 4 matching MRF lines
$45–$255.26 $60–$340.34 varies
Same day nb discharge (99463) $168 $224 1.4×
Spirometry (94010) $386.57 $515.43 1.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $54.08 $72.11 1.8×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 8 matching MRF lines
$10.88–$106.97 $14.50–$142.63 varies
Ther/Proph/Diag Iv Inf Init (96365) $325.49 $433.98 1.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $39 $52 1.1×
Tte w/doppler, complete (93306) $1,953.52 $2,604.69 3.9×
Tte W/O Doppler Complete (93307) $734.02 $978.69 3.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $72.13 $96.17 1.7×
Upr/L Xtremity Art 2 Levels (93922) $612.97 $817.29 5.0×
Vital capacity, total (94150) $44.12 $58.82 0.4×

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.