Visits & medical services prices at Logan County Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $33 $165 0.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines		 $12–$15 $60–$75 varies
Behavral qualit analys voice (92524) $63 $315 0.6×
Biofeedback training any modality (90901) $16 $80 0.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $160 $800 0.5×
Canalith repositioning proc (95992) $20 $100 0.5×
Cardiopulmonary resuscitation (92950) $175 $875 0.9×
Cardioversion (92960) — $250 —
Cbt 1st hour (94644) $48.40 $242 0.4×
Chemo Hormon Antineopl Sq/Im (96402) $20 $100 0.3×
Chemo IV infusion addl hr (96415) $84 $420 1.3×
Chemo IV push addl drug (96411) $60 $300 0.9×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $70 $350 0.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $40 $200 0.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $155 $775 0.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $60 $300 0.2×
Chest Wall Manipulation (94668) $25 $125 0.2×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines		 $300–$312.50 $1,200–$1,250 varies
Color/duplex Doppler, limited (93976) $200 $1,000 2.1×
Community/Work Reintegration Trainj Ea 15 Min (97537) $16 $80 0.5×
Cont gluc mntr physician/qhp provided equiptment (95250) — $288 —
Continuous Pulse Ox (94762) $70 $350 0.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $125 $625 0.6×
Cpt initial (94667) $50 $250 0.4×
Critical care first hour (99291) — $550 —
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines		 $30–$125 $100–$625 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $300 $1,200 1.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $195 $975 2.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $200 $1,000 0.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $150 $750 1.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $300 $1,200 1.4×
Dup-scan xtr veins unilateral/limited study (93971) $200 $1,000 2.1×
Duplex Scan Hemodialysis Access (93990) $200 $1,000 2.1×
Duplex up extrem art bilat (93930) $200 $1,000 0.9×
Duplex up extrem art unilat/ltd (93931) $150 $750 1.6×
Echo Heart Xthoracic,Limited (93308) $325 $1,300 1.5×
Electrical Stimulation Ea 15 Min (97032) $16 $80 1.1×
Electrocardiogram Tracing (93005) $75 $375 1.4×
Emergency Dept Visit Level 2 (99282) — $200 —
Emergency Dept Visit Level 3 (99283) — $300 —
Emergency Dept Visit Level 4 (99284) — $500 —
Er level 1 (99281) — $150 —
Er level v (99285) — $700 —
Evaluate pt use of inhaler (94664) $90 $450 0.4×
Evaluate Speech Production (92522) $63 $315 0.6×
Evaluate Swallowing Function (92610) $64 $320 0.8×
Evaluation of speech fluency (92521) $63 $315 0.5×
External Ecg Scanning Analysis Report (93226) $85 $425 1.6×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines		 $200–$256.25 $1,000–$1,025 varies
Flexible endoscopic eval swallow c/v rec (92612) $80 $400 0.4×
Holter monitor recording (93225) $85 $425 0.7×
Immunization administration (90471)
range across 2 matching MRF lines		 $20–$30 $100–$150 varies
Insert/Place Heart Catheter (93503) $3,920 $11,200 2.7×
Iontophoresis 15 min (97033) $18 $90 0.9×
Irrig Drug Delivery Device (96523) $24 $120 0.4×
IV infusion hydration each additional hour (96361) $49 $245 1.1×
IV infusion hydration initial 31 min-1 hour (96360) $65 $325 0.3×
IV infusion ther proph addl sequential to 1 hr (96367) $57 $285 0.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $55 $275 1.3×
IV push initial (96374) $30 $150 0.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $10 $50 0.3×
Motility study esophagus (91010)
range across 2 matching MRF lines		 $137 $330–$685 0.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $95 $475 0.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $140 $700 0.4×
Neuromuscular Reeducation (97112) $20 $100 0.6×
Oral Function Therapy (92526) $44 $220 0.5×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 2 matching MRF lines		 $14–$15 $70–$75 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $23 $115 0.5×
Ot Contrast Bath Ea 15 Min (97034) $18 $90 1.3×
Ot eval high complexity (97167) $60 $300 0.6×
Ot Eval Low Complex (97165) $52 $260 0.5×
Ot Eval Moderate Complexity (97166) $56 $280 0.6×
Ot manual therapy 15 min (97140) $20 $100 0.7×
Ot paraffin bath (97018)
range across 2 matching MRF lines		 $10–$10.80 $50–$54 varies
Ot Prosthetic Training, Each 15 Min (97761) $50 $250 1.2×
Ot Re-Eval Est Plan Care (97168) $30 $150 0.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $55 $275 0.5×
Phlebotomy therapeutic (99195) $53 $265 0.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $86 $430 1.6×
Physical Performance Test (97750)
range across 2 matching MRF lines		 $20–$22 $100–$110 varies
Pt Eval High Complex (97163) $56 $280 0.6×
Pt eval low complex 20 min (97161) $48 $240 0.5×
Pt Eval Mod Complex (97162) $52 $260 0.5×
Pt gait training 15 min (97116)
range across 2 matching MRF lines		 $17–$20 $85–$100 varies
Pt mechanical traction (97012) $16 $80 1.1×
Pt Re-Eval Est Plan Care (97164) $30 $150 0.4×
Respiratory flow volume loop (94375) $40 $200 0.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $50 $250 0.3×
Self Care Mngment Training (97535)
range across 2 matching MRF lines		 $20–$30 $100–$150 varies
Sensory Integration Ea 15 Min (97533) $25 $125 0.4×
Speech sound lang comprehen (92523) $63 $315 0.3×
Spirometry (94010) $130 $650 0.7×
Standardized Cognitive Performance Testing (96125) $50 $250 0.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $25 $125 1.1×
Ther Ivntj Ea Addl 15 Min (97130) $23 $115 1.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $20 $100 0.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $25 $125 0.2×
Ther/Proph/Diag Inj Sc/Im (96372) $36 $180 0.5×
Ther/Proph/Diag Iv Inf Init (96365) $80 $400 0.4×
Therapeutic Activities (97530) $22 $110 0.6×
Tte w/doppler, complete (93306) $787.50 $3,150 1.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $40 $200 0.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $20 $100 0.5×
Unlisted cardiovascular service/procedure (93799) $400 $1,600 3.4×
Upr/L Xtremity Art 2 Levels (93922) $195 $975 1.6×
Vasopneumatic device (97016) $20 $100 1.7×
Vent Mgmt Inpat Init Day (94002) $422 $1,688 0.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $365.75 $1,463 0.6×
Wheelchair Mgmt Ea 15 Min (97542) $17 $85 0.5×
Whirlpool Therapy (97022) $15 $75 1.0×

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.