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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ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $136.50 $195 1.5×
Admn Sarscov2 Vacc 1 Dose (90480) $37.80 $54 1.0×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$42–$138.60 $60–$198 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$28–$35 $40–$50 varies
Brief Emotional/Behav Assmt (96127) $10.50 $15 0.3×
Cardiac Stress Tst,Tracing Only (93017) $336 $480 1.7×
Cardiopulmonary resuscitation (92950) $290.50 $415 1.5×
Cardioversion (92960)
range across 8 matching MRF lines
$159.60–$808.50 $228–$1,155 varies
Care mgmt services behavioral hlth cond 20 mins (99484) $17.50 $25 0.5×
Chemo Anti-Neopl Sq/Im (96401) $35 $50 0.5×
Chemo Hormon Antineopl Sq/Im (96402) $35 $50 0.5×
Chemo IV infusion addl hr (96415)
range across 2 matching MRF lines
$185.50–$199.50 $265–$285 varies
Chemo IV push addl drug (96411) $108.50 $155 1.6×
Chemother Prolong Infuse W/Pump (96416) $185.50 $265 0.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $66.50 $95 1.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $336 $480 1.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409)
range across 2 matching MRF lines
$126–$135.80 $180–$194 varies
Chron Care Mgmt Srvc 20 Min (99490) $33.60 $48 0.4×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$91–$451.50 $130–$645 varies
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$91–$451.50 $130–$645 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $56 $80 1.7×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $70 $100 0.4×
Cont gluc mntr physician/qhp provided equiptment (95250) $147 $210 1.2×
Cont Gluc Mntr Pt Prov Eqp (95249) $60.20 $86 1.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $138.60 $198 0.7×
Critical care first hour (99291) $1,260 $1,800 1.7×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$80.50–$262.50 $115–$375 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$38.50–$451.50 $55–$645 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$63–$451.50 $90–$645 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$38.50–$451.50 $55–$645 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$63–$451.50 $90–$645 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$38.50–$451.50 $55–$645 varies
Duplex up extrem art bilat (93930)
range across 2 matching MRF lines
$63–$451.50 $90–$645 varies
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$38.50–$451.50 $55–$645 varies
Echo Heart Xthoracic,Limited (93308) $542.50 $775 2.5×
Electrical Stimulation Ea 15 Min (97032) $51.10 $73 3.5×
Electrocardiogram Tracing (93005) $157.50 $225 2.9×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$52.50–$252 $75–$360 varies
Emergency Dept Visit Level 3 (99283) $385 $550 1.5×
Emergency Dept Visit Level 4 (99284) $654.50 $935 1.7×
Er level 1 (99281) $161 $230 2.1×
Er level v (99285) $1,015 $1,450 1.9×
Evaluate pt use of inhaler (94664) $199.50 $285 1.0×
Evaluate Speech Production (92522) $108.50 $155 1.0×
Evaluate 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)
range across 2 matching MRF lines
$171.50–$175 $245–$250 varies
Extracranial Bilat Study (93880)
range across 3 matching MRF lines
$77–$540.40 $110–$772 varies
Extracranial Uni/Ltd Study (93882)
range across 2 matching MRF lines
$63–$451.50 $90–$645 varies
Gi tract capsule endoscopy (91110) $210 $300 0.3×
Group Therapeutic Procedures (97150) $28 $40 1.6×
Holter monitor recording (93225) $178.50 $255 1.5×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 3 matching MRF lines
$17.50–$44.80 $25–$64 varies
Immunization administration (90471)
range across 3 matching MRF lines
$10.50–$44.80 $15–$64 varies
Inital newborn e/m (99460) $84.70 $121 0.7×
Iontophoresis 15 min (97033) $51.10 $73 2.7×
Irrig Drug Delivery Device (96523)
range across 3 matching MRF lines
$52.50–$70 $75–$100 varies
IV infusion hydration each additional hour (96361) $126 $180 2.9×
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$98–$217 $140–$310 varies
IV infusion ther proph addl sequential to 1 hr (96367) $126 $180 1.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $126 $180 2.9×
IV push initial (96374)
range across 2 matching MRF lines
$66.50–$217 $95–$310 varies
Motion Fluoroscopy/Swallow (92611) $168 $240 1.8×
Muscle Test One Limb (95860) $203 $290 1.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$116.20–$304.50 $166–$435 varies
Neg Pressure Wound Therapy Non Dme >50 Sq 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×
Neuromuscular Reeducation (97112) $55.30 $79 1.7×
Newborn resuscitation (99465) $294 $420 0.5×
Oral Function Therapy (92526) $63 $90 0.7×
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 Contrast Bath Ea 15 Min (97034) $35 $50 2.5×
Ot manual therapy 15 min (97140) $59.50 $85 2.1×
Ot paraffin bath (97018) $30.10 $43 5.0×
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×
Phlebotomy therapeutic (99195) $90.30 $129 0.7×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 2 matching MRF lines
$17.50–$20.30 $25–$29 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $24.50 $35 0.6×
Psytx Crisis Initial 60 Min (90839) $171.50 $245 1.1×
Pt Eval High Complex (97163) $115.50 $165 1.2×
Pt eval low complex 20 min (97161) $115.50 $165 1.2×
Pt Eval Mod Complex (97162) $115.50 $165 1.2×
Pt gait training 15 min (97116) $51.10 $73 1.8×
Pt mechanical traction (97012) $37.80 $54 2.6×
Pt Re-Eval Est Plan Care (97164) $87.50 $125 1.3×
Remote 30 Day Ecg Rev/Report (93270) $115.50 $165 3.4×
Respiratory flow volume loop (94375) $80.50 $115 0.4×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)
range across 2 matching MRF lines
$7–$70 $10–$100 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$59.50–$245 $85–$350 varies
Same day nb discharge (99463) $142.80 $204 1.2×
Sbsq Psyc Collab Care Mgmt (99493) $147 $210 1.6×
Self Care Mngment Training (97535) $35 $50 1.1×
Speech sound lang comprehen (92523) $112 $160 0.5×
Spirometry (94010) $38.50 $55 0.2×
Subcutaneous Infusion Each Additional Hour (96370) $126 $180 2.9×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $217 $310 1.1×
Temp transcutaneous pacing (92953) $1,753.50 $2,505 2.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $42.70 $61 1.4×
Ther/Proph/Diag Inj Ia (96373)
range across 2 matching MRF lines
$44.10–$140 $63–$200 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$35–$66.50 $50–$95 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$217–$357 $310–$510 varies
Therapeutic Activities (97530)
range across 2 matching MRF lines
$52.50–$63.70 $75–$91 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $45.50 $65 1.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $24.50 $35 0.7×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$1,438.50–$1,689.80 $2,055–$2,414 varies
Tte W/O Doppler Complete (93307) $542.50 $775 2.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $140 $200 1.8×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$42–$44.10 $60–$63 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$38.50–$451.50 $55–$645 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $451.50 $645 2.3×
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×
Whirlpool Therapy (97022)
range across 2 matching MRF lines
$31.50–$63.70 $45–$91 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.