Visits & medical services prices at Minneola District Hospital Nbr 2

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

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

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ProcedureCash priceGross charge× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $136.50 $195 1.5×
Airway inhalation treatment (94640) $90.30 $129 0.4×
Behav assmt w/score & docd/stand instrument (96127) $10.50 $15 0.3×
Capsule endoscopy (91110) $210 $300 0.3×
Cardiac Stress Tst,Tracing Only (93017) $336 $480 1.7×
Cardiopulmonary resuscitation (92950) $290.50 $415 1.5×
Cardioversion (92960) $371 $530 0.6×
Care mgmt svc bhvl hlth cond (99484) $17.50 $25 0.5×
Chemo Hormon Antineopl Sq/Im (96402) $35 $50 0.5×
Chemo IV push addl drug (96411) $108.50 $155 1.6×
Chemo Iv Push Sngl Drug (96409) $130.90 $187 0.4×
Chemo prolong 8+ hrs infuse w/pump (96416) $185.50 $265 0.6×
Chemother, IV infusion, 1 hr (96413) $336 $480 1.1×
Chemother, IV infusion, ea add hr (96415) $192.50 $275 2.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $35 $50 0.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $66.50 $95 1.0×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $33.60 $48 0.4×
Color/duplex Doppler, complete (93975) $271.25 $387.50 1.2×
Color/duplex Doppler, limited (93976) $271.25 $387.50 2.8×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $70 $100 0.4×
Cont Gluc Monitoring Patient Provided Equipment (95249) $60.20 $86 1.1×
Continuous Glucose Monitoring (95250) $147 $210 1.2×
Cpap initiation and management (94660) $138.60 $198 0.7×
Critical care (99291) $1,260 $1,800 1.7×
Debridement Open Wound 20 Sq Cm< (97597) $171.50 $245 0.9×
Demo &/or eval,pt use,aerosol device (94664) $199.50 $285 1.0×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $245 $350 1.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $257.25 $367.50 1.2×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $245 $350 2.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $257.25 $367.50 1.2×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $245 $350 2.5×
Dup-scan xtr veins unilateral/limited study (93971) $245 $350 2.5×
Duplex scan extracranial art compl bi study (93880) $451.50 $645 2.1×
Echo Heart Xthoracic,Limited (93308) $542.50 $775 2.5×
EKG (93005) $157.50 $225 2.9×
EKG rhythm strip (93041) $38.50 $55 0.7×
EMG one extremity (95860) $203 $290 1.7×
Er level 1 (99281) $161 $230 2.1×
Er level ii (99282) $152.25 $217.50 1.1×
Er level iii (99283) $385 $550 1.5×
Er level IV (99284) $654.50 $935 1.7×
Er level v (99285) $1,015 $1,450 1.9×
Evaluation of speech sound production (92522) $108.50 $155 1.0×
Evaluation of swallowing function (92610) $122.50 $175 1.4×
External ECG rec>48hr<7d recording (93242) $178.50 $255 5.2×
External Ecg Scanning Analysis Report (93226) $173.25 $247.50 3.2×
Flow volume loop (94375) $80.50 $115 0.4×
Group Therapeutic Procedures (97150) $28 $40 1.6×
Holter Monitor Recording (93225) $178.50 $255 1.5×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $37.80 $54 1.0×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $21 $30 0.3×
Immunization Admin (90471) $17.50 $25 0.3×
Immunotherapy, 2+ Injections (95117) $24.50 $35 0.6×
Inital newborn e/m (99460) $84.70 $121 0.7×
Initial normal newborn care, same day discharge (99463) $142.80 $204 1.2×
Injection intra arterial (96373) $92.05 $131.50 0.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $66.50 $95 1.2×
IV infusion hydration each additional hour (96361) $126 $180 2.9×
IV infusion hydration initial 31 min-1 hour (96360) $157.50 $225 0.8×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $126 $180 1.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $287 $410 1.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $126 $180 2.9×
IV push initial (96374) $141.75 $202.50 0.7×
Manual therapy 15 min (97140) $59.50 $85 2.1×
Massage 15 min (97124) $42.70 $61 1.4×
Mechanical traction (97012) $37.80 $54 2.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $168 $240 1.8×
Neg press wnd tx </=50 sq cm (97607) $210.35 $300.50 0.6×
Neg press wound tx >50 cm (97608) $425.60 $608 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $210 $300 1.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $311.50 $445 0.8×
Newborn resuscitation (99465) $294 $420 0.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $245 $350 2.0×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $451.50 $645 2.3×
Osteopathic manipulative tx 1-2 body regions (98925) $77 $110 3.9×
Osteopathic manipulative tx 3-4 body regions (98926) $112 $160 5.6×
Osteopathic manipulative tx 5-6 body regions (98927) $147 $210 7.4×
Osteopathic manipulative tx 7-8 body regions (98928) $182 $260 9.2×
Osteopathic manipulative tx 9-10 body regions (98929) $217 $310 10.9×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $56 $80 1.7×
Ot Contrast Bath Ea 15 Min (97034) $35 $50 2.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $122.50 $175 1.0×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $87.50 $125 0.7×
Paraffin bath (97018) $30.10 $43 5.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $18.90 $27 0.4×
Psytx crisis initial 60 min (90839) $171.50 $245 1.1×
Pt Electric Current Therapy (97033) $51.10 $73 2.7×
Pt Electrical Stimulation (97032) $51.10 $73 3.5×
Pt eval high complex 45 min (97163) $115.50 $165 1.2×
Pt eval low complex 20 min (97161) $115.50 $165 1.2×
Pt Gait Training Therapy (97116) $51.10 $73 1.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $55.30 $79 1.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $115.50 $165 1.2×
Pt re-evaluation (97164) $87.50 $125 1.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $35 $50 1.1×
Pt Ultrasound Therapy (97035) $31.50 $45 2.2×
Pt Whirlpool Therapy (97022) $47.60 $68 3.0×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $115.50 $165 3.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $152.25 $217.50 0.8×
Sbsq psychiatric collab care mgmt 1st 60 mins (99493) $147 $210 1.6×
Smoking cessation > 10 min (99407) $45.50 $65 1.3×
Speech sound lang comprehen (92523) $112 $160 0.5×
Spirometry (94010) $38.50 $55 0.2×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $126 $180 2.9×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $217 $310 1.1×
Temp transcutaneous pacing (92953) $1,753.50 $2,505 2.9×
Ther/Proph/Diag Inj Sc/Im (96372) $50.40 $72 0.8×
Therapeutic Activities (97530) $58.10 $83 1.7×
Therapeutic phlebotomy (99195) $90.30 $129 0.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $24.50 $35 0.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,564.15 $2,234.50 3.1×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $542.50 $775 2.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $140 $200 1.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $63 $90 0.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $43.05 $61.50 1.0×
Vasc Duplex Extrem Venous,Bilat (93970) $257.25 $367.50 1.2×
Vasc Duplex Scan Extracranial,Limited (93882) $257.25 $367.50 2.7×
Vasopneumatic device (97016) $31.50 $45 2.6×
Vital capacity total (94150) $35 $50 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $25.90 $37 0.8×