Visits & medical services prices at Kiowa District Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $16 $20 0.4×
Advncd Care Plan 30 Min (99497) $116 $145 1.2×
Airway Inhalation Treatment (94640) $76.80 $96 0.4×
Airway resistance by oscillometry (94728) $50.40 $63 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $46.40 $58 3.2×
Behavral qualit analys voice (92524) $360 $450 3.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $299.20 $374 0.9×
Canalith repositioning proc (95992) $80 $100 2.0×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines		 $335.20–$480 $419–$600 varies
Cardioversion (92960) $160 $200 0.3×
Chemo IV infusion addl hr (96415) $200 $250 3.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $279.20 $349 0.9×
Chron Care Mgmt Srvc 20 Min (99490) $64 $80 0.7×
Color/duplex Doppler, complete (93975) $508 $635 2.3×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $192 $240 1.2×
Continuous Pulse Ox (94762) $273.60 $342 2.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $386.40 $483 1.9×
Critical care first hour (99291) $312.80 $391 0.4×
Debridement Open Wound 20 Sq Cm< (97597) $88 $110 0.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $500 $625 2.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $500 $625 5.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $536 $670 2.4×
Dup-scan xtr veins unilateral/limited study (93971) $500 $625 5.2×
Duplex up extrem art bilat (93930) $500 $625 2.3×
Duplex up extrem art unilat/ltd (93931) $500 $625 5.2×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines		 $36.80–$53.60 $46–$67 varies
Electrocardiogram Tracing (93005) $184 $230 3.4×
Emergency Dept Visit Level 2 (99282) $72 $90 0.5×
Emergency Dept Visit Level 3 (99283) $108 $135 0.4×
Emergency Dept Visit Level 4 (99284) $200 $250 0.5×
Er level 1 (99281) $30.40 $38 0.4×
Er level v (99285) $243.20 $304 0.4×
Evaluate pt use of inhaler (94664) $201.60 $252 1.0×
Evaluate Speech Production (92522) $228 $285 2.0×
Evaluate Swallowing Function (92610)
range across 2 matching MRF lines		 $100–$120 $125–$150 varies
Evaluation of speech fluency (92521) $180 $225 1.4×
Extracranial Bilat Study (93880) $536 $670 2.4×
Flexible endoscopic eval swallow c/v rec (92612) $360 $450 1.8×
Immunization administration (90471)
range across 3 matching MRF lines		 $24–$32 $30–$40 varies
Iontophoresis 15 min (97033) $60.80 $76 3.2×
Irrig Drug Delivery Device (96523) $77.60 $97 1.4×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines		 $48–$160 $60–$200 varies
IV infusion hydration initial 31 min-1 hour (96360) $284 $355 1.5×
IV infusion ther proph addl sequential to 1 hr (96367) $160 $200 2.4×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines		 $56–$160 $70–$200 varies
IV push initial (96374) $284 $355 1.5×
Lung Function Test (Mbc/Mvv) (94200) $96.80 $121 1.8×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $496 $620 1.3×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $496 $620 1.3×
Neuromuscular Reeducation (97112) $79.20 $99 2.4×
Oral Function Therapy (92526) $140 $175 1.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $40 $50 0.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines		 $56.80–$62.40 $71–$78 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $48 $60 2.4×
Osteopathic manipulative tx 3-4 body regions (98926) $72 $90 3.6×
Osteopathic manipulative tx 5-6 body regions (98927) $64 $80 3.2×
Osteopathic manipulative tx 7-8 body regions (98928) $73.60 $92 3.7×
Osteopathic manipulative tx 9-10 body regions (98929) $88 $110 4.4×
Ot eval high complexity (97167) $224 $280 2.2×
Ot Eval Low Complex (97165) $192 $240 1.9×
Ot Eval Moderate Complexity (97166) $208 $260 2.1×
Ot manual therapy 15 min (97140) $79.20 $99 2.9×
Ot paraffin bath (97018) $36.80 $46 6.1×
Ot Re-Eval Est Plan Care (97168) $128 $160 1.9×
Ot rom hand (95852) $51.20 $64 2.4×
Plethysmography (94726) $273.60 $342 0.8×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $16 $20 0.4×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $32 $40 0.7×
Psych diag eval w/med srvcs (90792) $200 $250 1.2×
Psychiatric diagnostic evaluation (90791) $200 $250 1.2×
Pt Eval High Complex (97163) $224 $280 2.3×
Pt eval low complex 20 min (97161) $192 $240 2.0×
Pt Eval Mod Complex (97162) $216 $270 2.2×
Pt gait training 15 min (97116) $72.80 $91 2.5×
Pt mechanical traction (97012) $57.60 $72 4.0×
Pt Re-Eval Est Plan Care (97164) $128 $160 1.9×
Pulm function test by gas (94727) $148 $185 0.7×
Pure Tone Audiometry Air (92552)
range across 2 matching MRF lines		 $52–$60 $65–$75 varies
Respiratory flow volume loop (94375) $133.60 $167 0.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $221.60 $277 1.2×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $51.20 $64 2.0×
Self Care Mngment Training (97535)
range across 2 matching MRF lines		 $53.60–$148 $67–$185 varies
Speech sound lang comprehen (92523) $360 $450 1.6×
Subcutaneous Infusion Each Additional Hour (96370) $148 $185 3.4×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $148 $185 0.8×
Subq Infusion Additional Pump Infusion Site (96371) $148 $185 2.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $67.20 $84 2.3×
Ther/Proph/Diag Inj Ia (96373) $240 $300 1.2×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines		 $32–$80.80 $40–$101 varies
Ther/Proph/Diag Iv Inf Init (96365) $264 $330 1.3×
Therapeutic Activities (97530) $86.40 $108 2.5×
Tobacco Use Cessation Intensive >10 Minutes (99407) $24 $30 0.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $16 $20 0.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $148 $185 1.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $120 $150 2.8×
Unlisted cardiovascular service/procedure (93799) $1,164 $1,455 9.8×
Upr/L Xtremity Art 2 Levels (93922) $500 $625 4.1×
Vent Mgmt Inpat Init Day (94002) $612 $765 1.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $612 $765 1.1×
Vital capacity, total (94150) $54.40 $68 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $48.40 $60.50 1.6×

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.