Visits & medical services prices at Kiowa District Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $116 $145 1.2×
Airway inhalation treatment (94640) $76.80 $96 0.4×
Behavioral and qualitative analysis of voice and resonance (92524) $360 $450 3.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $299.20 $374 0.9×
Canalith Repositioning (95992) $80 $100 2.0×
Cardiopulmonary resuscitation (92950) $407.60 $509.50 2.1×
Cardioversion (92960) $160 $200 0.3×
Chemother, IV infusion, 1 hr (96413) $279.20 $349 0.9×
Chemother, IV infusion, ea add hr (96415) $200 $250 3.0×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $64 $80 0.7×
Color/duplex Doppler, complete (93975) $508 $635 2.3×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $192 $240 1.2×
Cpap initiation and management (94660) $386.40 $483 1.9×
Critical care (99291) $312.80 $391 0.4×
Debridement Open Wound 20 Sq Cm< (97597) $88 $110 0.5×
Demo &/or eval,pt use,aerosol device (94664) $201.60 $252 1.0×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $500 $625 2.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $500 $625 5.2×
Dup-scan xtr veins unilateral/limited study (93971) $500 $625 5.2×
Duplex scan extracranial art compl bi study (93880) $536 $670 2.4×
EKG (93005) $184 $230 3.4×
Er level 1 (99281) $30.40 $38 0.4×
Er level ii (99282) $72 $90 0.5×
Er level iii (99283) $108 $135 0.4×
Er level IV (99284) $200 $250 0.5×
Er level v (99285) $243.20 $304 0.4×
Evaluation of speech fluency (92521) $180 $225 1.4×
Evaluation of speech sound production (92522) $228 $285 2.0×
Evaluation of swallowing function (92610) $110 $137.50 1.3×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $360 $450 1.8×
Flow volume loop (94375) $133.60 $167 0.7×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $16 $20 0.4×
Immunization Admin (90471) $28 $35 0.4×
Immunotherapy, 2+ Injections (95117) $32 $40 0.7×
Injection intra arterial (96373) $240 $300 1.2×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $77.60 $97 1.4×
IV infusion hydration each additional hour (96361) $104 $130 2.4×
IV infusion hydration initial 31 min-1 hour (96360) $284 $355 1.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $160 $200 2.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $264 $330 1.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $108 $135 2.5×
IV push initial (96374) $284 $355 1.5×
Manual therapy 15 min (97140) $79.20 $99 2.9×
Massage 15 min (97124) $67.20 $84 2.3×
Maximum voluntary ventilation (94200) $96.80 $121 1.8×
Mechanical traction (97012) $57.60 $72 4.0×
Neg press wnd tx </=50 sq cm (97607) $496 $620 1.3×
Neg press wound tx >50 cm (97608) $496 $620 1.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $500 $625 4.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $273.60 $342 2.3×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $59.60 $74.50 1.3×
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 complex 60 min (97167) $224 $280 2.2×
Ot eval low complex 30 min (97165) $192 $240 1.9×
Ot eval mod complex 45 min (97166) $208 $260 2.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $40 $50 0.8×
Ot Range Motion Measure,Each Extrem (95851) $51.20 $64 2.0×
Ot re-eval est plan care (97168) $128 $160 1.9×
Paraffin bath (97018) $36.80 $46 6.1×
Plethysmography (94726) $273.60 $342 0.8×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $16 $20 0.4×
Psych diag eval w/med srvcs (90792) $200 $250 1.2×
Psychiatric diagnostic evaluation (90791) $200 $250 1.2×
Pt Electric Current Therapy (97033) $60.80 $76 3.2×
Pt Electrical Stimulation (97032) $45.20 $56.50 3.1×
Pt eval high complex 45 min (97163) $224 $280 2.3×
Pt eval low complex 20 min (97161) $192 $240 2.0×
Pt Gait Training Therapy (97116) $72.80 $91 2.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $79.20 $99 2.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $216 $270 2.2×
Pt re-evaluation (97164) $128 $160 1.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $100.80 $126 3.1×
Pt Ultrasound Therapy (97035) $46.40 $58 3.2×
Pulm Funct Test Oscillometry (94728) $50.40 $63 0.4×
Pulm function test by gas (94727) $148 $185 0.7×
Pure Tone Audiometry, Air (92552) $56 $70 0.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $221.60 $277 1.2×
Rom meas&reprt hand w/wo comparison normal sid (95852) $51.20 $64 2.4×
Smoking cessation > 10 min (99407) $24 $30 0.7×
Speech sound lang comprehen (92523) $360 $450 1.6×
Ther/Proph/Diag Inj Sc/Im (96372) $56.40 $70.50 0.9×
Therapeutic Activities (97530) $86.40 $108 2.5×
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 Swallowing Dysfunction&/Oral Funcj Feeding (92526) $140 $175 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $120 $150 2.8×
Unlisted Cardiovascular Service/Procedure (93799) $1,164 $1,455 9.8×
Vasc Duplex Extrem Venous,Bilat (93970) $536 $670 2.4×
Ventilation assist & mgmt inpatient 1st 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×