Visits & medical services prices at Ottawa County Health Center

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

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

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $105 $105 1.1×
Airway inhalation treatment (94640) $355 $355 1.8×
Behav assmt w/score & docd/stand instrument (96127) $15 $15 0.4×
Behavioral and qualitative analysis of voice and resonance (92524) $166 $166 1.5×
Canalith Repositioning (95992) $55 $55 1.3×
Capsule endoscopy (91110) $165 $165 0.2×
Cardiopulmonary resuscitation (92950) $489.50 $489.50 2.5×
Cardioversion (92960) $215 $215 0.4×
Cbt 1st hour (94644) $200 $200 1.6×
Chemo Hormon Antineopl Sq/Im (96402) $50 $50 0.8×
Chemother, IV infusion, 1 hr (96413) $500 $500 1.6×
Chemother, IV infusion, ea add hr (96415) $299 $299 4.5×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $112.50 $112.50 1.7×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $65 $65 0.7×
Color/duplex Doppler, complete (93975) $675 $675 3.1×
Color/duplex Doppler, limited (93976) $675 $675 7.0×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $130 $130 0.8×
Cpap initiation and management (94660) $380 $380 1.9×
Cpt initial (94667) $139 $139 1.1×
Critical care (99291) $1,420 $1,420 1.9×
Debridement Open Wound 20 Sq Cm< (97597) $265 $265 1.4×
Demo &/or eval,pt use,aerosol device (94664) $297.50 $297.50 1.5×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $665 $665 3.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $675 $675 3.1×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $675 $675 7.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $675 $675 7.0×
Dup-scan xtr veins unilateral/limited study (93971) $675 $675 7.0×
Duplex scan extracranial art compl bi study (93880) $675 $675 3.1×
EKG (93005) $235 $235 4.3×
EKG rhythm strip (93041) $20 $20 0.4×
Er level 1 (99281) $55 $55 0.7×
Er level ii (99282) $375 $375 2.7×
Er level iii (99283) $570 $570 2.3×
Er level IV (99284) $970 $970 2.5×
Er level v (99285) $1,510 $1,510 2.8×
Evaluation of speech fluency (92521) $166 $166 1.2×
Evaluation of speech sound production (92522) $166 $166 1.5×
Evaluation of swallowing function (92610) $175 $175 2.1×
External ECG rec>48hr<7d recording (93242) $14 $14 0.4×
External ECG rec>7d<15d recording (93246) $16 $16 0.5×
Fluorescein angioscopy (92230) $140 $140 0.4×
Group Therapeutic Procedures (97150) $38 $38 2.1×
Health Behavior Assessment/Re-Assessment (96156) $140 $140 1.5×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $105 $105 3.0×
Health behavior ivntj indiv f2f 1st 30 min (96158) $100 $100 0.6×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $23 $23 0.6×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $30 $30 0.5×
Immunization Admin (90471) $21 $21 0.3×
Immunotherapy, 2+ Injections (95117) $43.50 $43.50 1.0×
Inital newborn e/m (99460) $115 $115 0.9×
Initial normal newborn care, same day discharge (99463) $135 $135 1.1×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $65 $65 1.2×
IV infusion hydration each additional hour (96361) $190 $190 4.4×
IV infusion hydration initial 31 min-1 hour (96360) $207.50 $207.50 1.1×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $129 $129 1.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $227.50 $227.50 1.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $198 $198 4.6×
IV push initial (96374) $355 $355 1.8×
Manual therapy 15 min (97140) $85 $85 3.1×
Massage 15 min (97124) $59 $59 2.0×
Mechanical chest wall oscillation (94669) $370 $370 1.8×
Mechanical traction (97012) $55 $55 3.8×
Neg press wnd tx </=50 sq cm (97607) $400 $400 1.1×
Neg press wound tx >50 cm (97608) $425 $425 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $309 $309 1.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $440 $440 1.2×
Newborn resuscitation (99465) $175 $175 0.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $675 $675 5.5×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $675 $675 3.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $248 $248 2.1×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $54 $54 1.2×
Osteopathic manipulative tx 1-2 body regions (98925) $55 $55 2.8×
Osteopathic manipulative tx 3-4 body regions (98926) $65 $65 3.3×
Osteopathic manipulative tx 5-6 body regions (98927) $90 $90 4.5×
Osteopathic manipulative tx 7-8 body regions (98928) $105 $105 5.3×
Osteopathic manipulative tx 9-10 body regions (98929) $125 $125 6.3×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $51 $51 1.6×
Ot Contrast Bath Ea 15 Min (97034) $40 $40 2.9×
Ot eval high complex 60 min (97167) $248 $248 2.5×
Ot eval low complex 30 min (97165) $166 $166 1.7×
Ot eval mod complex 45 min (97166) $204 $204 2.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $50 $50 1.0×
Ot Prosthetic Training, Each 15 Min (97761) $68 $68 1.7×
Ot re-eval est plan care (97168) $166 $166 2.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $176 $176 1.5×
Paraffin bath (97018) $32 $32 5.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $175 $175 0.2×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $30 $30 0.7×
Prepj& antigen prv allergen immunotherapy 1 do (95144) $30 $30 0.7×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $20 $20 0.5×
Psych diag eval w/med srvcs (90792) $280 $280 1.7×
Psychiatric diagnostic evaluation (90791) $250 $250 1.5×
Psytx crisis initial 60 min (90839) $205 $205 1.3×
Pt Aquatic Therapy/Exercises (97113) $72 $72 1.9×
Pt Electric Current Therapy (97033) $57 $57 3.0×
Pt Electrical Stimulation (97032) $45 $45 3.1×
Pt eval high complex 45 min (97163) $248 $248 2.5×
Pt eval low complex 20 min (97161) $200 $200 2.0×
Pt Gait Training Therapy (97116) $68 $68 2.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $69 $69 2.1×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $204 $204 2.1×
Pt re-evaluation (97164) $166 $166 2.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $46 $46 1.4×
Pt Ultrasound Therapy (97035) $47 $47 3.3×
Pt Whirlpool Therapy (97022) $43 $43 2.7×
Pulm Funct Test Oscillometry (94728) $71 $71 0.6×
Pulmonary stress testing (94618) $176 $176 1.4×
Pure Tone Audiometry, Air (92552) $50 $50 0.4×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $10 $10 0.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $280.50 $280.50 1.5×
Rt Chest Wall Manipulation,Subsequent (94668) $71 $71 0.6×
Sensory Integration Ea 15 Min (97533) $74 $74 1.2×
Sleep study unattended (95806) $70 $70 0.4×
Smoking cessation > 10 min (99407) $50 $50 1.5×
Speech sound lang comprehen (92523) $166 $166 0.7×
Spirometry (94010) $222.50 $222.50 1.1×
Standardized Cognitive Performance Testing (96125) $182 $182 1.8×
Temp transcutaneous pacing (92953) $197 $197 0.3×
Ther/Proph/Diag Inj Sc/Im (96372) $120 $120 1.8×
Therapeutic Activities (97530) $85 $85 2.4×
Therapeutic phlebotomy (99195) $123 $123 1.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $30 $30 0.9×
Trans Care Mgmt 14 Day Disch (99495) $205 $205 1.7×
Trans Care Mgmt 7 Day Disch (99496) $275 $275 2.2×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,120 $2,120 4.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $107 $107 1.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $104 $104 1.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $53 $53 1.2×
Tympanometry (92567) $30 $30 0.9×
Unlisted Cardiovascular Service/Procedure (93799) $1,035 $1,035 8.7×
Unlisted pulmonary service/procedure (94799) $71 $71 0.6×
Vasc Duplex Extrem Venous,Bilat (93970) $675 $675 3.1×
Vasc Duplex Scan Extracranial,Limited (93882) $675 $675 7.0×
Vasopneumatic device (97016) $43 $43 3.6×
Vital capacity total (94150) $71 $71 0.6×
Wheelchair Mgmt Ea 15 Min (97542) $44 $44 1.4×