Visits & medical services prices at Mercy Hospital, Inc

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $147.58 $173.62 0.7×
Application of heat wave therapy (97024) $25.50 $30 3.5×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $37.10 $43.65 1.0×
Behavioral and qualitative analysis of voice and resonance (92524) $85 $100 0.8×
Canalith Repositioning (95992) $40.80 $48 1.0×
Cardiac Stress Tst,Tracing Only (93017) $276.25 $325 1.4×
Cardiopulmonary resuscitation (92950) $395.25 $465 2.0×
Cardioversion (92960) $560.15 $659 0.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $68 $80 1.0×
Color/duplex Doppler, complete (93975) $531.89 $625.75 2.4×
Cpt initial (94667) $133.28 $156.80 1.1×
Critical care (99291) $1,211.25 $1,425 1.6×
Debridement Open Wound 20 Sq Cm< (97597) $331.50 $390 1.8×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $552.50 $650 2.5×
Dup-scan xtr veins unilateral/limited study (93971) $552.50 $650 5.7×
Duplex scan extracranial art compl bi study (93880) $552.50 $650 2.5×
EKG (93005) $60.10 $70.70 1.1×
Er level 1 (99281) $170 $200 2.2×
Er level ii (99282) $314.50 $370 2.2×
Er level iii (99283) $484.50 $570 1.9×
Er level IV (99284) $824.50 $970 2.1×
Er level v (99285) $1,279.25 $1,505 2.3×
Evaluation of speech fluency (92521) $102 $120 0.8×
Evaluation of speech sound production (92522) $85 $100 0.8×
Evaluation of swallowing function (92610) $95.62 $112.50 1.1×
Group Therapeutic Procedures (97150) $56.10 $66 3.1×
Immunization Admin (90471) $56.53 $66.50 0.9×
Immunotherapy, 2+ Injections (95117) $79.56 $93.60 1.8×
Inital newborn e/m (99460) $276.25 $325 2.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $46.75 $55 0.9×
IV infusion hydration each additional hour (96361) $128.35 $151 3.0×
IV infusion hydration initial 31 min-1 hour (96360) $202.73 $238.50 1.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $136 $160 2.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $233.75 $275 1.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $136 $160 3.2×
IV push initial (96374) $148.75 $175 0.8×
Manual therapy 15 min (97140) $59.93 $70.50 2.2×
Massage 15 min (97124) $51 $60 1.7×
Mechanical traction (97012) $44.20 $52 3.1×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $49.30 $58 1.1×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $37.10 $43.65 1.2×
Ot Contrast Bath Ea 15 Min (97034) $38.25 $45 2.7×
Ot eval high complex 60 min (97167) $140.25 $165 1.4×
Ot eval low complex 30 min (97165) $140.25 $165 1.4×
Ot eval mod complex 45 min (97166) $140.25 $165 1.4×
Ot Prosthetic Training, Each 15 Min (97761) $59.93 $70.50 1.5×
Ot re-eval est plan care (97168) $91.80 $108 1.3×
Paraffin bath (97018) $32.98 $38.80 5.5×
Pt Electric Current Therapy (97033) $45.90 $54 2.4×
Pt Electrical Stimulation (97032) $40.80 $48 2.8×
Pt eval high complex 45 min (97163) $142.80 $168 1.5×
Pt eval low complex 20 min (97161) $142.80 $168 1.5×
Pt Gait Training Therapy (97116) $55.25 $65 1.9×
Pt Infrared Therapy (97026) $29.75 $35 4.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $59.93 $70.50 1.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $142.80 $168 1.5×
Pt re-evaluation (97164) $97.75 $115 1.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $41.02 $48.25 1.3×
Pt Ultrasound Therapy (97035) $35.70 $42 2.5×
Pt Whirlpool Therapy (97022) $40.80 $48 2.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $230.35 $271 1.2×
Rt Chest Wall Manipulation,Subsequent (94668) $148.75 $175 1.2×
Speech sound lang comprehen (92523) $170 $200 0.8×
Standardized Cognitive Performance Testing (96125) $142.80 $168 1.4×
Stress echo (93350) $552.50 $650 1.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $55.25 $65 2.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $55.25 $65 2.6×
Ther/Proph/Diag Inj Sc/Im (96372) $78.20 $92 1.2×
Therapeutic Activities (97530) $58.65 $69 1.7×
Therapeutic phlebotomy (99195) $115.08 $135.39 0.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,292 $1,520 2.6×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $654.50 $770 3.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $68 $80 0.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $68 $80 0.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $78.20 $92 1.8×
Vasc Duplex Extrem Venous,Bilat (93970) $552.50 $650 2.5×
Vasopneumatic device (97016) $40.80 $48 3.4×
Wheelchair Mgmt Ea 15 Min (97542) $54.53 $64.15 1.8×