Visits & medical services prices at Pawnee Valley Community Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $4,336 $10,840 0.6×
Airway Inhalation Treatment (94640) $18.40 $46 0.1×
Analyze neurostim complex (95972) $256 $640 2.9×
Analyze Neurostim Simple (95971) $244 $610 2.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 4 matching MRF lines
$44–$52 $110–$130 varies
Audiometry Air & Bone (92553) $35.60 $89 0.3×
Behavral qualit analys voice (92524)
range across 2 matching MRF lines
$160–$176 $400–$440 varies
Brief Emotional/Behav Assmt (96127) $16 $40 0.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$28.80–$316 $72–$790 varies
Canalith repositioning proc (95992)
range across 3 matching MRF lines
$64–$72 $160–$180 varies
Car seat/bed test 60 min (94780) $72 $180 2.1×
Cardiac Stress Tst,Tracing Only (93017) $676 $1,690 3.4×
Cardiopulmonary resuscitation (92950) $428 $1,070 2.2×
Cardioversion (92960) $688 $1,720 1.1×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $7,876 $19,690 2.6×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $7,044 $17,610 2.4×
Cbt 1st hour (94644) $140 $350 1.1×
Chemo Anti-Neopl Sq/Im (96401)
range across 2 matching MRF lines
$128–$144 $320–$360 varies
Chemo Hormon Antineopl Sq/Im (96402)
range across 2 matching MRF lines
$40–$120 $100–$300 varies
Chemo IV infusion addl hr (96415)
range across 2 matching MRF lines
$128–$144 $320–$360 varies
Chemo IV push addl drug (96411) $164 $410 2.5×
Chemother Prolong Infuse W/Pump (96416) $460 $1,150 1.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $176 $440 2.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 2 matching MRF lines
$364–$404 $910–$1,010 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409) $212 $530 0.7×
Color/duplex Doppler, complete (93975) $496 $1,240 2.3×
Color/duplex Doppler, limited (93976) $368 $920 3.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $56 $140 1.7×
Conditioning Play Audiometry (92582) $44.80 $112 0.4×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$152–$208 $380–$520 varies
Coronary Art/Grft Angio S&I (93455) $5,620 $14,050 1.9×
Coronary Artery Angio S&I (93454) $5,260 $13,150 1.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $504 $1,260 2.5×
Critical care first hour (99291) $1,332 $3,330 1.8×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$42.40–$212 $106–$530 varies
Dialysis One Evaluation (90945) $596 $1,490 1.6×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $396 $990 1.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $256 $640 2.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$440–$484 $1,100–$1,210 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$256–$276 $640–$690 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$548–$604 $1,370–$1,510 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 3 matching MRF lines
$360–$460 $900–$1,150 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $448 $1,120 2.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $288 $720 3.0×
Duplex Scan Hemodialysis Access (93990) $292 $730 3.0×
Duplex up extrem art bilat (93930) $464 $1,160 2.1×
Duplex up extrem art unilat/ltd (93931) $288 $720 3.0×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$296–$328 $740–$820 varies
Echo transesophag montr cardiac pump functj (93318) $1,028 $2,570 2.0×
Echo transesophageal (93312) $1,028 $2,570 2.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $996 $2,490 2.0×
EEG awake drowsy (95816) $404 $1,010 2.0×
Electrical Stimulation Ea 15 Min (97032)
range across 3 matching MRF lines
$52–$60 $130–$150 varies
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines
$15.60–$320 $39–$800 varies
Emergency Dept Visit Level 2 (99282) $232 $580 1.6×
Emergency Dept Visit Level 3 (99283) $416 $1,040 1.7×
Emergency Dept Visit Level 4 (99284) $628 $1,570 1.6×
Ep & ablate supravent arrhyt (93653) $13,088 $32,720 0.5×
Ep & ablate ventric tachy (93654) $16,060 $40,150 0.7×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $5,136 $12,840 0.7×
Er level 1 (99281) $132 $330 1.7×
Er level v (99285) $956 $2,390 1.7×
Evaluate pt use of inhaler (94664)
range across 3 matching MRF lines
$84–$120 $210–$300 varies
Evaluate Speech Production (92522)
range across 2 matching MRF lines
$140–$156 $350–$390 varies
Evaluate Swallowing Function (92610) $160 $400 1.9×
Evaluation of speech fluency (92521) $156 $390 1.2×
Evoked Auditory Test,Limited (92587) $15.60 $39 0.1×
External ECG rec>48hr<7d recording (93242)
range across 2 matching MRF lines
$27.20–$220 $68–$550 varies
External ECG rec>7d<15d recording (93246)
range across 2 matching MRF lines
$27.20–$220 $68–$550 varies
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$500–$508 $1,250–$1,270 varies
Extracranial Uni/Ltd Study (93882) $300 $750 3.1×
Flexible endoscopic eval swallow c/v rec (92612)
range across 2 matching MRF lines
$192–$212 $480–$530 varies
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $276 $690 1.2×
Group Therapeutic Procedures (97150) $56 $140 3.1×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $6,140 $15,350 2.1×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $752 $1,880 1.2×
Holter monitor recording (93225)
range across 2 matching MRF lines
$73.60–$276 $184–$690 varies
Icd device progr eval dual (93283) $26 $65 0.8×
Icd Device Progr Eval Mult (93284) $30 $75 0.9×
Im Adm Intransl/Oral 1 Vaccine (90473) $15.20 $38 0.2×
Immunization administration (90471)
range across 3 matching MRF lines
$14–$36 $35–$90 varies
Insert/Place Heart Catheter (93503) $964 $2,410 0.7×
Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) $4 $10 0.2×
Iontophoresis 15 min (97033) $60 $150 3.2×
Irrig Drug Delivery Device (96523) $80 $200 1.5×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$84–$96 $210–$240 varies
IV infusion hydration initial 31 min-1 hour (96360) $204 $510 1.0×
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$108–$120 $270–$300 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 4 matching MRF lines
$96–$480 $240–$1,200 varies
IV push initial (96374)
range across 3 matching MRF lines
$124–$144 $310–$360 varies
L Hrt Art/Grft Angio (93459) $7,412 $18,530 2.5×
Mechanical chest wall oscillation per session (94669) $112 $280 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $20 $50 0.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $28 $70 0.8×
Methacholine challenge (94070) $412 $1,030 1.2×
Motion Fluoroscopy/Swallow (92611) $208 $520 2.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$26–$164 $65–$410 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$40–$252 $100–$630 varies
Neuromuscular Reeducation (97112)
range across 5 matching MRF lines
$48–$144 $120–$360 varies
Oral Function Therapy (92526)
range across 2 matching MRF lines
$116–$128 $290–$320 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $64 $160 1.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$64–$72 $160–$180 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $17.20 $43 0.9×
Osteopathic manipulative tx 3-4 body regions (98926) $24.40 $61 1.2×
Osteopathic manipulative tx 5-6 body regions (98927) $32 $80 1.6×
Osteopathic manipulative tx 7-8 body regions (98928) $41.20 $103 2.1×
Osteopathic manipulative tx 9-10 body regions (98929) $52.80 $132 2.7×
Ot eval high complexity (97167) $176 $440 1.8×
Ot Eval Low Complex (97165) $68 $170 0.7×
Ot Eval Moderate Complexity (97166) $128 $320 1.3×
Ot manual therapy 15 min (97140)
range across 3 matching MRF lines
$52–$60 $130–$150 varies
Ot paraffin bath (97018)
range across 2 matching MRF lines
$40–$44 $100–$110 varies
Ot Re-Eval Est Plan Care (97168) $104 $260 1.5×
Ot rom hand (95852) $52 $130 2.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines
$108–$120 $270–$300 varies
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $16 $40 0.1×
Penile Vascular Study,Ltd or F/U (93981) $336 $840 3.5×
Percutaneous tests w/allergenic extracts (95004) $2.40 $6 0.0×
Peripheral arterial disease rehab per session (93668) $72 $180 1.3×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930)
unusually low: confirm this is the full procedure
$6,792 $16,980 0.4×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
range across 2 matching MRF lines
$3,656–$5,000 $9,140–$12,500 varies
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $6,208 $15,520 0.6×
Phlebotomy therapeutic (99195) $112 $280 0.9×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626)
range across 2 matching MRF lines
$112–$124 $280–$310 varies
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $120 $300 2.2×
Physical Performance Test (97750)
range across 2 matching MRF lines
$16–$64 $40–$160 varies
Plethysmography (94726)
range across 2 matching MRF lines
$228–$252 $570–$630 varies
Pm device eval in person (93288) $19.20 $48 0.6×
Pm device progr eval dual (93280) $12 $30 0.3×
Pm device progr eval multi (93281) $15.20 $38 0.4×
Pm Device Progr Eval Sngl (93279) $23.20 $58 0.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$2,104–$2,316 $5,260–$5,790 varies
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $22.80 $57 0.7×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $10.40 $26 0.2×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $12.40 $31 0.3×
Prq Card Angio/Athrect 1 Art (92924) $8,364 $20,910 0.8×
Prq Card Stent W/Angio 1 Vsl (92928)
range across 2 matching MRF lines
$4,620–$7,448 $11,550–$18,620 varies
Prq Revasc Byp Graft 1 Vsl (92937)
range across 2 matching MRF lines
$4,272–$6,552 $10,680–$16,380 varies
Psych diag eval w/med srvcs (90792) $54 $135 0.3×
Psychiatric diagnostic evaluation (90791) $65.20 $163 0.4×
Psytx Crisis Initial 60 Min (90839) $74 $185 0.5×
Pt Eval High Complex (97163) $176 $440 1.8×
Pt eval low complex 20 min (97161)
range across 3 matching MRF lines
$68–$80 $170–$200 varies
Pt Eval Mod Complex (97162)
range across 2 matching MRF lines
$128–$144 $320–$360 varies
Pt gait training 15 min (97116)
range across 2 matching MRF lines
$52–$60 $130–$150 varies
Pt mechanical traction (97012) $60 $150 4.2×
Pt Re-Eval Est Plan Care (97164)
range across 2 matching MRF lines
$92–$104 $230–$260 varies
Pulm function test by gas (94727) $140 $350 0.7×
Pulmonary service/procedure (94799) $80 $200 0.7×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$120–$132 $300–$330 varies
R hrt coronary artery angio (93456) $6,768 $16,920 2.3×
R&L Hrt Cath W/Ventriclgrphy (93453) $4,748 $11,870 1.6×
Remote 30 Day Ecg Rev/Report (93270) $24 $60 0.7×
Respiratory flow volume loop (94375)
range across 2 matching MRF lines
$216–$240 $540–$600 varies
Right Heart Cath (93451) $3,676 $9,190 1.2×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $56 $140 2.1×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $172 $430 1.4×
Self Care Mngment Training (97535) $56 $140 1.7×
Sensory Integration Ea 15 Min (97533)
range across 2 matching MRF lines
$60–$120 $150–$300 varies
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800)
range across 2 matching MRF lines
$292–$328 $730–$820 varies
Speech audiometry threshold (92555) $22.40 $56 0.4×
Speech sound lang comprehen (92523)
range across 2 matching MRF lines
$204–$228 $510–$570 varies
Spirometry (94010)
range across 2 matching MRF lines
$20–$168 $50–$420 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $60 $150 2.7×
Ther Ivntj Ea Addl 15 Min (97130) $56 $140 2.7×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $68 $170 1.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $52 $130 1.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $120 $300 1.2×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$22–$152 $55–$380 varies
Ther/Proph/Diag Iv Inf Init (96365) $236 $590 1.2×
Therapeutic Activities (97530)
range across 4 matching MRF lines
$48–$104 $120–$260 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $792 $1,980 2.3×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines
$16.40–$44 $41–$110 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$8–$32 $20–$80 varies
Transcath Closure of Asd (93580) $8,776 $21,940 0.5×
Tte w/doppler, complete (93306) $1,200 $3,000 2.4×
Tx atrial fib pulm vein isol (93656) $13,700 $34,250 0.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines
$108–$120 $270–$300 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $76 $190 3.2×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$92–$368 $230–$920 varies
Unlis neurological/neuromuscular dx px (95999) $180 $450 1.5×
Unlisted cardiovascular service/procedure (93799) $472 $1,180 4.0×
Unlisted noninvasive vascular diagnostic study (93998) $300 $750 11.3×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$256–$284 $640–$710 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $384 $960 1.9×
Valvuloplasty aortic valve (92986) $4,788 $11,970 0.9×
Vasopneumatic device (97016) $56 $140 4.7×
Vent Mgmt Inpat Init Day (94002) $820 $2,050 1.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $776 $1,940 1.4×
Vital capacity, total (94150) $80 $200 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $60 $150 1.9×
Whirlpool Therapy (97022) $64 $160 4.1×

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.