Visits & medical services prices at Mercy Specialty Hospital Southeast Kansas

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $180.05 $277 0.8×
Biofeedback training any modality (90901) $150.80 $232 3.7×
Canalith Repositioning (95992) $114.40 $176 2.8×
Capsule endoscopy (91110) $2,817.75 $4,335 3.2×
Color/duplex Doppler, complete (93975) $936.65 $1,441 4.0×
Color/duplex Doppler, limited (93976) $558.35 $859 5.5×
Cpap initiation and management (94660) $598.65 $921 2.8×
Demo &/or eval,pt use,aerosol device (94664) $196.30 $302 0.9×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $672.10 $1,034 2.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $472.55 $727 4.6×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $742.95 $1,143 3.2×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $469.30 $722 4.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $708.50 $1,090 3.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $563.88 $867.50 5.5×
Dup-scan xtr veins unilateral/limited study (93971) $615.55 $947 6.0×
Duplex scan extracranial art compl bi study (93880) $907.40 $1,396 3.9×
EKG (93005) $219.05 $337 3.8×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,430 $2,200 1.7×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $39 $60 1.0×
Immunization Admin (90471) $55.25 $85 0.8×
IV infusion hydration each additional hour (96361) $197.60 $304 4.3×
IV infusion hydration initial 31 min-1 hour (96360) $217.10 $334 1.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $260.65 $401 3.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $260.65 $401 1.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $260.65 $401 5.7×
IV push initial (96374) $168.35 $259 0.8×
Manual therapy 15 min (97140) $72.80 $112 2.6×
Massage 15 min (97124) $65.65 $101 2.2×
Mechanical traction (97012) $59.15 $91 4.1×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $37.05 $57 1.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $45.50 $70 1.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $358.15 $551 2.8×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $599.30 $922 2.8×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $289.25 $445 2.3×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $96.85 $149 2.1×
Ot eval high complex 60 min (97167) $360.10 $554 3.6×
Ot eval low complex 30 min (97165) $307.12 $472.50 3.1×
Ot eval mod complex 45 min (97166) $335.40 $516 3.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $87.10 $134 1.7×
Ot Prosthetic Training, Each 15 Min (97761) $90.35 $139 2.2×
Ot Range Motion Measure,Each Extrem (95851) $65 $100 2.5×
Ot re-eval est plan care (97168) $290.22 $446.50 4.2×
Paraffin bath (97018) $52 $80 8.7×
Pt Aquatic Therapy/Exercises (97113) $73.45 $113 2.0×
Pt Electric Current Therapy (97033) $94.90 $146 5.0×
Pt Electrical Stimulation (97032) $79.30 $122 5.4×
Pt eval high complex 45 min (97163) $275.28 $423.50 2.8×
Pt eval low complex 20 min (97161) $222.62 $342.50 2.3×
Pt Gait Training Therapy (97116) $66.95 $103 2.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $74.75 $115 2.3×
Pt Physical Performance Test (97750) $88.40 $136 2.6×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $250.90 $386 2.6×
Pt re-evaluation (97164) $208.65 $321 3.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $94.25 $145 2.9×
Pt Ultrasound Therapy (97035) $52.65 $81 3.7×
Pt Whirlpool Therapy (97022) $92.30 $142 5.9×
Rom meas&reprt hand w/wo comparison normal sid (95852) $57.85 $89 2.7×
Sc Ther Infusion Reset Pump (96371) $219.05 $337 3.1×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $219.05 $337 4.8×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $219.05 $337 1.1×
Ther/Proph/Diag Inj Sc/Im (96372) $122.85 $189 1.7×
Therapeutic Activities (97530) $91 $140 2.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $168.35 $259 3.7×
Vasc Duplex Extrem Venous,Bilat (93970) $1,078.02 $1,658.50 4.6×
Vasc Duplex Scan Extracranial,Limited (93882) $549.90 $846 5.4×
Vasopneumatic device (97016) $68.25 $105 5.7×
Wheelchair Mgmt Ea 15 Min (97542) $84.50 $130 2.7×