Visits & medical services prices at Jewell County Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480)
range across 4 matching MRF lines
$18.75–$30 $25–$40 varies
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$11.25–$39.75 $15–$53 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$30–$69 $40–$92 varies
Application Modality 1/> Areas Diathermy (97024) $21.75 $29 3.0×
Application Modality 1/> Areas Infrared (97026)
range across 2 matching MRF lines
$20.25–$39.75 $27–$53 varies
Behavral qualit analys voice (92524) $179.25 $239 1.6×
Canalith repositioning proc (95992) $68.25 $91 1.7×
Cardiac Stress Tst,Tracing Only (93017)
range across 3 matching MRF lines
$283.50–$450 $378–$600 varies
Cardiopulmonary resuscitation (92950) $175.50 $234 0.9×
Cardioversion (92960) $170.25 $227 0.3×
Chemo Anti-Neopl Sq/Im (96401) $51.75 $69 0.8×
Chemo IV infusion addl hr (96415) $286.50 $382 4.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $286.50 $382 0.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $195 $260 0.6×
Color/duplex Doppler, complete (93975) $594 $792 2.7×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 2 matching MRF lines
$63.75–$68.25 $85–$91 varies
Critical care first hour (99291) $318.75 $425 0.4×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$71.25–$285 $95–$380 varies
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 Xtr Veins Complete Bilateral Study (93970) $594 $792 2.7×
Dup-scan xtr veins unilateral/limited study (93971) $594 $792 6.2×
Duplex up extrem art unilat/ltd (93931) $594 $792 6.2×
Echo Heart Xthoracic,Limited (93308) $742.50 $990 3.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $745.50 $994 1.5×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$35.25–$69 $47–$92 varies
Electrocardiogram Tracing (93005) $112.50 $150 2.1×
Emergency Dept Visit Level 2 (99282) $54.75 $73 0.4×
Emergency Dept Visit Level 3 (99283) $108.75 $145 0.4×
Emergency Dept Visit Level 4 (99284) $165 $220 0.4×
Er level 1 (99281) $41.25 $55 0.5×
Er level v (99285) $247.50 $330 0.5×
Evaluate Speech Production (92522) $179.25 $239 1.6×
Evaluate Swallowing Function (92610) $231.75 $309 2.7×
Evaluation of speech fluency (92521) $179.25 $239 1.3×
External Ecg Scanning Analysis Report (93226) $112.50 $150 2.1×
Extracranial Bilat Study (93880) $594 $792 2.7×
Group Therapeutic Procedures (97150) $27.75 $37 1.5×
Holter monitor recording (93225) $37.50 $50 0.3×
Immunization administration (90471)
range across 5 matching MRF lines
$18.75–$35.25 $25–$47 varies
Iontophoresis 15 min (97033)
range across 3 matching MRF lines
$39.75–$74.25 $53–$99 varies
Irrig Drug Delivery Device (96523)
range across 3 matching MRF lines
$22.50–$52.50 $30–$70 varies
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$35.25–$195 $47–$260 varies
IV infusion hydration initial 31 min-1 hour (96360) $195 $260 1.0×
IV infusion ther proph addl sequential to 1 hr (96367) $195 $260 2.9×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$81.75–$195 $109–$260 varies
IV push initial (96374) $62.25 $83 0.3×
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 Fluoroscopy/Swallow (92611) $216.75 $289 2.4×
Neg Pressure Wound Therapy Non Dme </= 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×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$52.50–$78 $70–$104 varies
Oral Function Therapy (92526) $126.75 $169 1.5×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 2 matching MRF lines
$30–$43.50 $40–$58 varies
Ot Contrast Bath Ea 15 Min (97034)
range across 2 matching MRF lines
$31.50–$69 $42–$92 varies
Ot eval high complexity (97167) $216.75 $289 2.2×
Ot Eval Low Complex (97165) $161.25 $215 1.6×
Ot Eval Moderate Complexity (97166) $180.75 $241 1.8×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$59.25–$78 $79–$104 varies
Ot paraffin bath (97018)
range across 2 matching MRF lines
$24–$64.50 $32–$86 varies
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines
$51.75–$80.25 $69–$107 varies
Ot Re-Eval Est Plan Care (97168) $216.75 $289 3.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines
$68.23–$82.50 $90.97–$110 varies
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$34.13–$126.75 $45.50–$169 varies
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×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $15 $20 0.3×
Pt Eval High Complex (97163) $123.75 $165 1.3×
Pt eval low complex 20 min (97161) $142.50 $190 1.5×
Pt Eval Mod Complex (97162) $123.75 $165 1.3×
Pt gait training 15 min (97116) $48 $64 1.7×
Pt mechanical traction (97012) $37.50 $50 2.6×
Pt Re-Eval Est Plan Care (97164) $84 $112 1.2×
Pulmonary Stress Testing (94618) $112.50 $150 0.9×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $75 $100 1.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $87.75 $117 0.5×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $37.50 $50 1.4×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$35.25–$68.25 $47–$91 varies
Sensory Integration Ea 15 Min (97533)
range across 2 matching MRF lines
$54.75–$80.25 $73–$107 varies
Speech sound lang comprehen (92523) $231.75 $309 1.0×
Stress Tte Only (93350) $745.50 $994 1.5×
Subcutaneous Infusion Each Additional Hour (96370) $195 $260 4.5×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $195 $260 1.0×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $55.50 $74 1.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 2 matching MRF lines
$43.50–$69 $58–$92 varies
Ther/Proph/Diag Inj Ia (96373) $62.25 $83 0.3×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$18.75–$62.25 $25–$83 varies
Ther/Proph/Diag Iv Inf Init (96365) $195 $260 1.0×
Therapeutic Activities (97530)
range across 2 matching MRF lines
$58.50–$76.50 $78–$102 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $57.75 $77 1.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $41.25 $55 1.2×
Trans Care Mgmt 14 Day Disch (99495) $150 $200 1.2×
Trans Care Mgmt 7 Day Disch (99496) $202.50 $270 1.7×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$1,969.50–$1,971 $2,626–$2,628 varies
Tte W/O Doppler Complete (93307) $742.50 $990 3.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $136.50 $182 1.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $62.25 $83 1.4×
Unlisted cardiovascular service/procedure (93799) $773.25 $1,031 6.5×
Upr/L Xtremity Art 2 Levels (93922) $594 $792 4.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $594 $792 3.0×
Vasopneumatic device (97016) $34.50 $46 2.9×
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines
$50.25–$74.25 $67–$99 varies
Whirlpool Therapy (97022) $34.50 $46 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.