Visits & medical services prices at Jewell County Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $37.50 $50 0.2×
Application of heat wave therapy (97024) $68.25 $91 9.3×
Behavioral and qualitative analysis of voice and resonance (92524) $179.25 $239 1.6×
Canalith Repositioning (95992) $68.25 $91 1.7×
Cardiac Stress Tst,Tracing Only (93017) $309.75 $413 1.6×
Cardiopulmonary resuscitation (92950) $175.50 $234 0.9×
Cardioversion (92960) $170.25 $227 0.3×
Chemo Iv Push Sngl Drug (96409) $195 $260 0.6×
Chemother, IV infusion, 1 hr (96413) $286.50 $382 0.9×
Chemother, IV infusion, ea add hr (96415) $286.50 $382 4.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $51.75 $69 0.8×
Color/duplex Doppler, complete (93975) $594 $792 2.7×
Critical care (99291) $318.75 $425 0.4×
Debridement Open Wound 20 Sq Cm< (97597) $123.38 $164.50 0.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $594 $792 2.7×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $594 $792 2.7×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $594 $792 6.2×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $594 $792 6.2×
Dup-scan xtr veins unilateral/limited study (93971) $594 $792 6.2×
Duplex scan extracranial art compl bi study (93880) $594 $792 2.7×
Echo Heart Xthoracic,Limited (93308) $742.50 $990 3.4×
EKG (93005) $112.50 $150 2.1×
EKG rhythm strip (93041) $75 $100 1.4×
Er level 1 (99281) $41.25 $55 0.5×
Er level ii (99282) $54.75 $73 0.4×
Er level iii (99283) $108.75 $145 0.4×
Er level IV (99284) $165 $220 0.4×
Er level v (99285) $247.50 $330 0.5×
Evaluation of speech fluency (92521) $179.25 $239 1.3×
Evaluation of speech sound production (92522) $179.25 $239 1.6×
Evaluation of swallowing function (92610) $231.75 $309 2.7×
External Ecg Scanning Analysis Report (93226) $112.50 $150 2.1×
Group Therapeutic Procedures (97150) $30 $40 1.7×
Holter Monitor Recording (93225) $37.50 $50 0.3×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $22.88 $30.50 0.6×
Immunization Admin (90471) $26.25 $35 0.4×
Immunotherapy, 2+ Injections (95117) $15 $20 0.3×
Injection intra arterial (96373) $62.25 $83 0.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $30 $40 0.6×
IV infusion hydration each additional hour (96361) $115.12 $153.50 2.7×
IV infusion hydration initial 31 min-1 hour (96360) $195 $260 1.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $195 $260 2.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $195 $260 1.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $138.38 $184.50 3.2×
IV push initial (96374) $62.25 $83 0.3×
Manual therapy 15 min (97140) $78 $104 2.8×
Massage 15 min (97124) $68.62 $91.50 2.3×
Mechanical traction (97012) $68.25 $91 4.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $18.56 $24.75 0.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $18.56 $24.75 0.5×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $216.75 $289 2.4×
Neg press wnd tx </=50 sq cm (97607) $146.25 $195 0.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $129 $172 0.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $204.75 $273 0.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $594 $792 4.9×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $594 $792 3.0×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $66.75 $89 2.1×
Ot Contrast Bath Ea 15 Min (97034) $68.62 $91.50 4.9×
Ot eval high complex 60 min (97167) $216.75 $289 2.2×
Ot eval low complex 30 min (97165) $161.25 $215 1.6×
Ot eval mod complex 45 min (97166) $180.75 $241 1.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $43.50 $58 0.9×
Ot Prosthetic Training, Each 15 Min (97761) $79.12 $105.50 2.0×
Ot Range Motion Measure,Each Extrem (95851) $37.50 $50 1.4×
Ot re-eval est plan care (97168) $216.75 $289 3.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $75.36 $100.48 0.6×
Paraffin bath (97018) $63 $84 10.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,188 $1,584 1.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $11.25 $15 0.3×
Pt Aquatic Therapy/Exercises (97113) $82.50 $110 2.2×
Pt Electric Current Therapy (97033) $73.12 $97.50 3.8×
Pt Electrical Stimulation (97032) $69 $92 4.7×
Pt eval high complex 45 min (97163) $198 $264 2.0×
Pt eval low complex 20 min (97161) $167.25 $223 1.7×
Pt Gait Training Therapy (97116) $72 $96 2.5×
Pt Infrared Therapy (97026) $39.75 $53 6.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $78 $104 2.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $177 $236 1.8×
Pt re-evaluation (97164) $95.25 $127 1.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $68.25 $91 2.1×
Pt Ultrasound Therapy (97035) $68.62 $91.50 4.8×
Pt Whirlpool Therapy (97022) $88.50 $118 5.6×
Pulmonary stress testing (94618) $112.50 $150 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $87.75 $117 0.5×
Sensory Integration Ea 15 Min (97533) $81.38 $108.50 1.3×
Smoking cessation > 10 min (99407) $57.75 $77 1.7×
Speech sound lang comprehen (92523) $231.75 $309 1.0×
Stress echo (93350) $745.50 $994 1.5×
Stress Tte Complete (93351) $745.50 $994 1.5×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $195 $260 4.5×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $195 $260 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $40.50 $54 0.6×
Therapeutic Activities (97530) $76.50 $102 2.2×
Therapeutic phlebotomy (99195) $80.44 $107.25 0.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $41.25 $55 1.2×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,970.25 $2,627 3.9×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $742.50 $990 3.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $136.50 $182 1.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $126.75 $169 1.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $62.25 $83 1.4×
Unlisted Cardiovascular Service/Procedure (93799) $773.25 $1,031 6.5×
Vasc Duplex Extrem Venous,Bilat (93970) $594 $792 2.7×
Wheelchair Mgmt Ea 15 Min (97542) $71.25 $95 2.3×