Visits & medical services prices at Mitchell County Hospital Health Systems

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

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

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ProcedurePosted cashPosted gross× Medicare
Acupunct W/Stimul 15 Min (97813)
range across 2 matching MRF lines
$66.60–$85.50 $74–$95 varies
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810)
range across 2 matching MRF lines
$56.70–$67.50 $63–$75 varies
Airway Inhalation Treatment (94640) $94.50 $105 0.5×
Airway resistance by oscillometry (94728) $225 $250 1.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $63 $70 4.4×
Behavral qualit analys voice (92524) $225 $250 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$280.80–$396.90 $312–$441 varies
Canalith repositioning proc (95992) $80.10 $89 2.0×
Cardiac Stress Tst,Tracing Only (93017) $786.60 $874 4.0×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$417.60–$638.10 $464–$709 varies
Cardioversion (92960) $863.10 $959 1.4×
Cbt 1st hour (94644) $189.90 $211 1.6×
Chemo Anti-Neopl Sq/Im (96401) $81.90 $91 1.2×
Chemo Hormon Antineopl Sq/Im (96402) $72 $80 1.1×
Chemo IV infusion addl hr (96415) $288.90 $321 4.4×
Chemo IV push addl drug (96411) $228.60 $254 3.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $93.60 $104 1.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $486 $540 1.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $234.90 $261 0.8×
Chest Wall Manipulation (94668) $98.10 $109 0.8×
Color/duplex Doppler, complete (93975) $809.10 $899 3.7×
Community/Work Reintegration Trainj Ea 15 Min (97537) $75.60 $84 2.4×
Continuous Pulse Ox (94762) $67.50 $75 0.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
$94.50–$427.50 $105–$475 varies
Cpt initial (94667) $134.10 $149 1.1×
Critical care first hour (99291) $357.30 $397 0.5×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$29.70–$274.50 $33–$305 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $483.30 $537 5.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,003.50 $1,115 4.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $671.40 $746 7.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $842.40 $936 3.8×
Dup-scan xtr veins unilateral/limited study (93971) $690.30 $767 7.2×
Duplex up extrem art bilat (93930) $842.40 $936 3.8×
Duplex up extrem art unilat/ltd (93931) $578.70 $643 6.0×
Echo Heart Xthoracic,Limited (93308) $648.90 $721 3.0×
Electrical Stimulation Ea 15 Min (97032) $75.60 $84 5.1×
Electrocardiogram Tracing (93005) $238.50 $265 4.4×
Emergency Dept Visit Level 2 (99282) $54.90 $61 0.4×
Emergency Dept Visit Level 3 (99283) $90 $100 0.4×
Emergency Dept Visit Level 4 (99284) $207 $230 0.5×
Er level 1 (99281) $25.20 $28 0.3×
Er level v (99285) $229.50 $255 0.4×
Evaluate Speech Production (92522) $225 $250 2.0×
Evaluate Swallowing Function (92610) $225 $250 2.7×
Evaluation of speech fluency (92521) $225 $250 1.7×
Extracranial Bilat Study (93880) $1,006.20 $1,118 4.6×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $617.40 $686 0.8×
Gi tract capsule endoscopy (91110)
range across 2 matching MRF lines
$155.70–$624.60 $173–$694 varies
Group Therapeutic Procedures (97150) $68.40 $76 3.8×
Immunization administration (90471) $90 $100 1.4×
Iontophoresis 15 min (97033) $85.50 $95 4.5×
Irrig Drug Delivery Device (96523) $108.90 $121 2.0×
IV infusion hydration each additional hour (96361) $172.80 $192 4.0×
IV infusion hydration initial 31 min-1 hour (96360) $345.60 $384 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $181.80 $202 2.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $181.80 $202 4.2×
IV push initial (96374) $345.60 $384 1.8×
Lung Function Test (Mbc/Mvv) (94200) $86.40 $96 1.6×
Lwr Xtr Vasc Stdy Bilat (93924) $747.90 $831 3.8×
Motion Fluoroscopy/Swallow (92611) $270 $300 3.0×
Multiple Sleep Latency Test (95805) $1,660.50 $1,845 2.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $34.20 $38 0.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 5 matching MRF lines
$12.60–$302.40 $14–$336 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$34.20–$447.30 $38–$497 varies
Neuromuscular Reeducation (97112) $80.10 $89 2.4×
Oral Function Therapy (92526) $243.90 $271 2.9×
Orthc/Prostc Mgmt Sbsq Enc (97763) $51.30 $57 1.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$69.30–$70.20 $77–$78 varies
Ot Contrast Bath Ea 15 Min (97034)
range across 2 matching MRF lines
$65.70–$68.40 $73–$76 varies
Ot eval high complexity (97167) $144.90 $161 1.4×
Ot Eval Low Complex (97165) $144.90 $161 1.4×
Ot Eval Moderate Complexity (97166) $144.90 $161 1.4×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$72.90–$80.10 $81–$89 varies
Ot paraffin bath (97018)
range across 2 matching MRF lines
$56.70–$62.10 $63–$69 varies
Ot Prosthetic Training, Each 15 Min (97761) $68.40 $76 1.7×
Ot Re-Eval Est Plan Care (97168) $91.80 $102 1.3×
Ot rom hand (95852) $56.70 $63 2.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $163.80 $182 1.4×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642)
range across 2 matching MRF lines
$139.50–$147.60 $155–$164 varies
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$97.20–$102.60 $108–$114 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $501.30 $557 9.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $425.70 $473 7.8×
Plethysmography (94726)
range across 2 matching MRF lines
$225–$491.40 $250–$546 varies
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$205.20–$3,601.80 $228–$4,002 varies
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $82.80 $92 2.2×
Pt Eval High Complex (97163) $155.70 $173 1.6×
Pt eval low complex 20 min (97161) $155.70 $173 1.6×
Pt Eval Mod Complex (97162) $155.70 $173 1.6×
Pt gait training 15 min (97116) $71.10 $79 2.4×
Pt mechanical traction (97012) $65.70 $73 4.6×
Pt Re-Eval Est Plan Care (97164) $99 $110 1.5×
Pulmonary Stress Testing (94618) $121.50 $135 1.0×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990)
range across 2 matching MRF lines
$109.80–$502.20 $122–$558 varies
Refill/Maint Portable Pump (96521) $218.70 $243 1.1×
Refill/Maint Pump/Resvr Syst (96522) $256.50 $285 1.3×
Respiratory flow volume loop (94375) $142.20 $158 0.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $203.40 $226 1.1×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$71.10–$75.60 $79–$84 varies
Sleep study unattended (95806)
range across 2 matching MRF lines
$73.80–$456.30 $82–$507 varies
Speech sound lang comprehen (92523) $225 $250 1.0×
Spin/Brain Pump Refil & Main (95991)
range across 2 matching MRF lines
$136.80–$502.20 $152–$558 varies
Spirometry (94010) $307.80 $342 1.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $68.40 $76 3.1×
Ther Ivntj Ea Addl 15 Min (97130) $68.40 $76 3.3×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $100.80 $112 2.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $60.30 $67 2.0×
Ther/Proph/Diag Inj Ia (96373) $65.70 $73 0.3×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$35.10–$108.90 $39–$121 varies
Ther/Proph/Diag Iv Inf Init (96365) $345.60 $384 1.8×
Therapeutic Activities (97530)
range across 2 matching MRF lines
$72.90–$80.10 $81–$89 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $31.50 $35 0.9×
Tte w/doppler, complete (93306) $1,724.40 $1,916 3.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $228.60 $254 3.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $108.90 $121 2.5×
Upr/L Xtremity Art 2 Levels (93922) $543.60 $604 4.4×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $633.60 $704 3.2×
Vasopneumatic device (97016) $73.80 $82 6.1×
Vent Mgmt Inpat Init Day (94002) $249.30 $277 0.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $198 $220 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $65.70 $73 2.1×
Whirlpool Therapy (97022) $79.20 $88 5.0×

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.