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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $39 | $60 | 1.0× |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$179.40–$180.05 | $276–$277 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $52.65 | $81 | 3.7× |
| Biofeedback training any modality (90901) | $150.80 | $232 | 3.7× |
| Canalith repositioning proc (95992) | $114.40 | $176 | 2.8× |
| Color/duplex Doppler, complete (93975) | $936.65 | $1,441 | 4.0× |
| Color/duplex Doppler, limited (93976) | $558.35 | $859 | 5.5× |
| Continuous Pulse Ox (94762) | $289.25 | $445 | 2.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $598.65 | $921 | 2.8× |
| 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 Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$1,077.05–$1,079 | $1,657–$1,660 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) | $615.55 | $947 | 6.0× |
| Duplex up extrem art bilat (93930) | $708.50 | $1,090 | 3.0× |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$563.55–$564.20 | $867–$868 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $79.30 | $122 | 5.4× |
| Electrocardiogram Tracing (93005) | $219.05 | $337 | 3.8× |
| Evaluate pt use of inhaler (94664) | $196.30 | $302 | 0.9× |
| Extracranial Bilat Study (93880) | $907.40 | $1,396 | 3.9× |
| Extracranial Uni/Ltd Study (93882) | $549.90 | $846 | 5.4× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,430 | $2,200 | 1.7× |
| Gi tract capsule endoscopy (91110) | $2,817.75 | $4,335 | 3.2× |
| Immunization administration (90471) | $55.25 | $85 | 0.8× |
| Iontophoresis 15 min (97033) | $94.90 | $146 | 5.0× |
| 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 ther proph addl sequential to 1 hr (96367) | $260.65 | $401 | 3.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $260.65 | $401 | 5.7× |
| IV push initial (96374) | $168.35 | $259 | 0.8× |
| 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× |
| Neuromuscular Reeducation (97112) | $74.75 | $115 | 2.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $87.10 | $134 | 1.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $96.85 | $149 | 2.1× |
| Ot eval high complexity (97167) range across 16 matching MRF lines |
$148.20–$571.35 | $228–$879 | varies |
| Ot Eval Low Complex (97165) range across 16 matching MRF lines |
$95.55–$518.05 | $147–$797 | varies |
| Ot Eval Moderate Complexity (97166) range across 16 matching MRF lines |
$124.15–$546.65 | $191–$841 | varies |
| Ot manual therapy 15 min (97140) | $72.80 | $112 | 2.6× |
| Ot paraffin bath (97018) | $52 | $80 | 8.7× |
| Ot Prosthetic Training, Each 15 Min (97761) | $90.35 | $139 | 2.2× |
| Ot Re-Eval Est Plan Care (97168) range across 16 matching MRF lines |
$81.25–$499.20 | $125–$768 | varies |
| Ot rom hand (95852) | $57.85 | $89 | 2.7× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$83.20–$93.60 | $128–$144 | varies |
| Pt Eval High Complex (97163) range across 10 matching MRF lines |
$148.20–$402.35 | $228–$619 | varies |
| Pt eval low complex 20 min (97161) range across 10 matching MRF lines |
$95.55–$349.70 | $147–$538 | varies |
| Pt Eval Mod Complex (97162) range across 10 matching MRF lines |
$124.15–$377.65 | $191–$581 | varies |
| Pt gait training 15 min (97116) | $66.95 | $103 | 2.3× |
| Pt mechanical traction (97012) | $59.15 | $91 | 4.1× |
| Pt Re-Eval Est Plan Care (97164) range across 10 matching MRF lines |
$81.25–$335.40 | $125–$516 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $65 | $100 | 2.5× |
| Self Care Mngment Training (97535) | $94.25 | $145 | 2.9× |
| Subcutaneous Infusion Each Additional Hour (96370) | $219.05 | $337 | 4.8× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $219.05 | $337 | 1.1× |
| Subq Infusion Additional Pump Infusion Site (96371) | $219.05 | $337 | 3.1× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $73.45 | $113 | 2.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $65.65 | $101 | 2.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $122.85 | $189 | 1.7× |
| Ther/Proph/Diag Iv Inf Init (96365) | $260.65 | $401 | 1.3× |
| Therapeutic Activities (97530) | $91 | $140 | 2.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $168.35 | $259 | 3.7× |
| Upr/L Xtremity Art 2 Levels (93922) | $358.15 | $551 | 2.8× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $599.30 | $922 | 2.8× |
| Vasopneumatic device (97016) | $68.25 | $105 | 5.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $84.50 | $130 | 2.7× |
| Whirlpool Therapy (97022) | $92.30 | $142 | 5.9× |
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.