Visits & medical services prices at Medicine Lodge Memorial Hospital
Medicine Lodge, KS · every code in this section with a posted price and a Medicare benchmark.
102 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) range across 4 matching MRF lines |
$20–$50 | $20–$50 | varies |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$46–$61.64 | $46–$61.64 | varies |
| Analyze neurostim complex (95972) range across 2 matching MRF lines |
$63.83–$141.49 | $63.83–$141.49 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$65.70–$67.50 | $65.70–$67.50 | varies |
| Application Modality 1/> Areas Diathermy (97024) range across 2 matching MRF lines |
$28–$67.30 | $28–$67.30 | varies |
| Brief Emotional/Behav Assmt (96127) | $7.09 | $7.09 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $507 | $507 | 1.5× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$60–$94 | $60–$94 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$288–$583 | $288–$583 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$274.50–$396 | $274.50–$396 | varies |
| Color/duplex Doppler, complete (93975) | $664.65 | $664.65 | 3.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $52 | $52 | 1.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $1,232 | $1,232 | 6.1× |
| Critical care first hour (99291) | $358 | $358 | 0.5× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$44–$376.33 | $44–$376.33 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $664.65 | $664.65 | 3.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $664.65 | $664.65 | 3.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $664.65 | $664.65 | 6.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $664.65 | $664.65 | 3.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $664.65 | $664.65 | 6.9× |
| Duplex up extrem art bilat (93930) | $664.65 | $664.65 | 3.0× |
| Duplex up extrem art unilat/ltd (93931) | $664.65 | $664.65 | 6.9× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$45–$55.90 | $45–$55.90 | varies |
| Electrocardiogram Tracing (93005) | $64.70 | $64.70 | 1.2× |
| Emergency Dept Visit Level 2 (99282) | $100 | $100 | 0.7× |
| Emergency Dept Visit Level 3 (99283) | $150 | $150 | 0.6× |
| Emergency Dept Visit Level 4 (99284) | $200 | $200 | 0.5× |
| Er level 1 (99281) | $100 | $100 | 1.3× |
| Er level v (99285) | $250 | $250 | 0.5× |
| Evaluate Speech Production (92522) | $152 | $152 | 1.4× |
| Evaluate Swallowing Function (92610) | $170 | $170 | 2.0× |
| External Ecg Scanning Analysis Report (93226) | $346.20 | $346.20 | 6.4× |
| Extracranial Bilat Study (93880) | $664.65 | $664.65 | 3.0× |
| Flexible endoscopic eval swallow c/v rec (92612) | $228.80 | $228.80 | 1.1× |
| Gi tract capsule endoscopy (91110) | $43.50 | $43.50 | 0.1× |
| Group Therapeutic Procedures (97150) | $37 | $37 | 2.1× |
| Holter monitor recording (93225) | $346 | $346 | 2.8× |
| Immunization administration (90471) range across 4 matching MRF lines |
$20–$71.02 | $20–$71.02 | varies |
| Iontophoresis 15 min (97033) | $55.90 | $55.90 | 2.9× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$38–$88 | $38–$88 | varies |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$13.20–$306.86 | $13.20–$306.86 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$274.80–$306.86 | $274.80–$306.86 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $201 | $201 | 3.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$13.20–$201 | $13.20–$201 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$75–$360.86 | $75–$360.86 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $20.22 | $20.22 | 0.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $20.22 | $20.22 | 0.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$28.64–$379.92 | $28.64–$379.92 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$32.11–$379.92 | $32.11–$379.92 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 5 matching MRF lines |
$33.58–$650 | $33.58–$650 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 4 matching MRF lines |
$36.82–$774 | $36.82–$774 | varies |
| Neuromuscular Reeducation (97112) | $66 | $66 | 2.0× |
| Oral Function Therapy (92526) | $84.23 | $84.23 | 1.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $35 | $35 | 0.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $70 | $70 | 1.5× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $55 | $55 | 2.8× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $65 | $65 | 3.3× |
| Ot Contrast Bath Ea 15 Min (97034) | $47.50 | $47.50 | 3.4× |
| Ot eval high complexity (97167) | $154 | $154 | 1.5× |
| Ot Eval Low Complex (97165) | $145 | $145 | 1.4× |
| Ot Eval Moderate Complexity (97166) | $154 | $154 | 1.5× |
| Ot manual therapy 15 min (97140) | $67.30 | $67.30 | 2.4× |
| Ot paraffin bath (97018) | $55.90 | $55.90 | 9.3× |
| Ot Re-Eval Est Plan Care (97168) | $102 | $102 | 1.5× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$130–$157 | $130–$157 | varies |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$70–$96.25 | $70–$96.25 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,352.50 | $2,352.50 | 3.0× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $19 | $19 | 0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $28 | $28 | 0.7× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $67 | $67 | 1.8× |
| Pt Eval High Complex (97163) | $285.70 | $285.70 | 2.9× |
| Pt eval low complex 20 min (97161) | $157.62 | $157.62 | 1.6× |
| Pt Eval Mod Complex (97162) | $214.28 | $214.28 | 2.2× |
| Pt gait training 15 min (97116) | $60.72 | $60.72 | 2.1× |
| Pt mechanical traction (97012) | $80.20 | $80.20 | 5.6× |
| Pt Re-Eval Est Plan Care (97164) | $106.30 | $106.30 | 1.6× |
| Pulm function test by gas (94727) | $186 | $186 | 0.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$22–$270.27 | $22–$270.27 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $32 | $32 | 1.2× |
| Self Care Mngment Training (97535) | $67.30 | $67.30 | 2.1× |
| Sensory Integration Ea 15 Min (97533) | $70 | $70 | 1.2× |
| Speech sound lang comprehen (92523) | $149.50 | $149.50 | 0.7× |
| Spirometry (94010) | $358 | $358 | 1.8× |
| Standardized Cognitive Performance Testing (96125) | $149 | $149 | 1.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $73 | $73 | 3.3× |
| Ther Ivntj Ea Addl 15 Min (97130) | $56 | $56 | 2.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $70 | $70 | 1.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $55.44 | $55.44 | 1.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$40–$94 | $40–$94 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$274.80–$306.86 | $274.80–$306.86 | varies |
| Therapeutic Activities (97530) | $67.30 | $67.30 | 1.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $44.79 | $44.79 | 1.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $24.16 | $24.16 | 0.7× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$2,002.44–$2,118.23 | $2,002.44–$2,118.23 | varies |
| Tte W/O Doppler Complete (93307) | $752.40 | $752.40 | 3.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $100.10 | $100.10 | 1.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$59–$75 | $59–$75 | varies |
| Unlisted cardiovascular service/procedure (93799) | $800 | $800 | 6.8× |
| Upr/L Xtremity Art 2 Levels (93922) | $664.65 | $664.65 | 5.4× |
| Vasopneumatic device (97016) | $50.20 | $50.20 | 4.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $65 | $65 | 2.1× |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$44–$134.05 | $44–$134.05 | varies |
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.