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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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $4,336 $10,840 0.6×
Airway inhalation treatment (94640) $18.40 $46 0.1×
Analyze Neurostim Complex (95972) $256 $640 2.9×
Behav assmt w/score & docd/stand instrument (96127) $16 $40 0.5×
Behavioral and qualitative analysis of voice and resonance (92524) $168 $420 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $172.40 $431 0.5×
Canalith Repositioning (95992) $72 $180 1.8×
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 Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $5,620 $14,050 1.9×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $6,768 $16,920 2.3×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $8,776 $21,940 0.5×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $7,412 $18,530 2.5×
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 Hormon Antineopl Sq/Im (96402) $80 $200 1.2×
Chemo IV push addl drug (96411) $164 $410 2.5×
Chemo Iv Push Sngl Drug (96409) $212 $530 0.7×
Chemo prolong 8+ hrs infuse w/pump (96416) $460 $1,150 1.5×
Chemother, IV infusion, 1 hr (96413) $384 $960 1.3×
Chemother, IV infusion, ea add hr (96415) $136 $340 2.1×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $136 $340 2.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $176 $440 2.7×
Color/duplex Doppler, complete (93975) $496 $1,240 2.3×
Color/duplex Doppler, limited (93976) $368 $920 3.8×
Conditioning Play Audiometry (92582) $44.80 $112 0.4×
Coronary artery angio s&i (93454) $5,260 $13,150 1.8×
Cpap initiation and management (94660) $504 $1,260 2.5×
Critical care (99291) $1,332 $3,330 1.8×
Debridement Open Wound 20 Sq Cm< (97597) $192 $480 1.0×
Demo &/or eval,pt use,aerosol device (94664) $112 $280 0.6×
Dialysis other/than hemodialysis 1 phys/qhp eval (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 artl infl&ven o/f pen vsl f-up/lmtd std (93981) $336 $840 3.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $462 $1,155 2.1×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $266 $665 2.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $464 $1,160 2.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $288 $720 3.0×
Dup-scan xtr veins unilateral/limited study (93971) $368 $920 3.8×
Duplex hemodialysis access (93990) $292 $730 3.0×
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 extracranial art compl bi study (93880) $504 $1,260 2.3×
Echo Heart Xthoracic,Limited (93308) $312 $780 1.4×
Echo transesophageal (93312) $1,028 $2,570 2.0×
EEG awake drowsy (95816) $404 $1,010 2.0×
EKG (93005) $160 $400 2.9×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $244 $610 2.8×
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 ii (99282) $232 $580 1.6×
Er level iii (99283) $416 $1,040 1.7×
Er level IV (99284) $628 $1,570 1.6×
Er level v (99285) $956 $2,390 1.7×
Evaluation of speech fluency (92521) $156 $390 1.2×
Evaluation of speech sound production (92522) $148 $370 1.3×
Evaluation of swallowing function (92610) $160 $400 1.9×
Evaluation with prescription of speech-generating alternative (92607) $172 $430 1.4×
Evoked auditory test,limited (92587) $15.60 $39 0.1×
External ECG rec>48hr<7d recording (93242) $123.60 $309 3.6×
External ECG rec>7d<15d recording (93246) $123.60 $309 3.6×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $202 $505 1.0×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $276 $690 1.2×
Flow volume loop (94375) $228 $570 1.1×
Group Therapeutic Procedures (97150) $56 $140 3.1×
Hemodialysis (90935) $752 $1,880 1.2×
Holter Monitor Recording (93225) $174.80 $437 1.4×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $15.20 $38 0.2×
Immunization Admin (90471) $18 $45 0.3×
Immunotherapy, 2+ Injections (95117) $12.40 $31 0.3×
Ins swan ganz bedside (93503) $964 $2,410 0.7×
Intracutaneous tests w/allergenic xtrcs airborne (95027) $4 $10 0.2×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $80 $200 1.5×
IV infusion hydration each additional hour (96361) $90 $225 2.1×
IV infusion hydration initial 31 min-1 hour (96360) $204 $510 1.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $114 $285 1.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $236 $590 1.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $150 $375 3.5×
IV push initial (96374) $136 $340 0.7×
Manual therapy 15 min (97140) $60 $150 2.2×
Massage 15 min (97124) $52 $130 1.7×
Mechanical chest wall oscillation (94669) $112 $280 0.6×
Mechanical traction (97012) $60 $150 4.2×
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 Fluor Eval Swlng Funcj C/V Rec (92611) $208 $520 2.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $148 $370 0.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $228 $570 0.6×
Neurological procedure unlisted (95999) $180 $450 1.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $270 $675 2.2×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $384 $960 1.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $180 $450 1.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $68 $170 1.5×
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 Community/Work Reintegration Trainj Ea 15 Min (97537) $56 $140 1.7×
Ot eval high complex 60 min (97167) $176 $440 1.8×
Ot eval low complex 30 min (97165) $68 $170 0.7×
Ot eval mod complex 45 min (97166) $128 $320 1.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $64 $160 1.3×
Ot Range Motion Measure,Each Extrem (95851) $56 $140 2.1×
Ot re-eval est plan care (97168) $104 $260 1.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $114 $285 1.0×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $16 $40 0.1×
Paraffin bath (97018) $42 $105 7.0×
Percutaneous tests w/allergenic extracts (95004) $2.40 $6 0.0×
Peripheral arterial disease rehab per session (93668) $72 $180 1.3×
Phy/qhp op pulm rhb w/mntr (94626) $118 $295 2.2×
Phy/qhp op pulm rhb w/o mntr (94625) $120 $300 2.2×
Plethysmography (94726) $240 $600 0.7×
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) $2,210 $5,525 2.8×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $30 $75 0.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $10.40 $26 0.2×
Programming of dual lead implantable defibrillator system (93283) $26 $65 0.8×
Programming of single lead implantable defibrillator system (93282) $22.80 $57 0.7×
Prq balloon valvuloplasty aortic valve (92986) $4,788 $11,970 0.9×
Prq card revasc chronic 1vsl (92943) $6,208 $15,520 0.6×
Prq Card Stent W/Angio 1 Vsl (92928) $6,034 $15,085 0.6×
Prq revasc byp graft 1 vsl (92937) $5,412 $13,530 0.5×
Prq tcat plmt ntrac st 2+les (92930)
unusually low: confirm this is the full procedure
$6,792 $16,980 0.4×
Prq trluml coronary angio/atherect one art/brnch (92924) $8,364 $20,910 0.8×
Prq trluml coronary angioplasty one art/branch (92920) $4,328 $10,820 0.8×
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 Aquatic Therapy/Exercises (97113) $68 $170 1.8×
Pt Electric Current Therapy (97033) $60 $150 3.2×
Pt Electrical Stimulation (97032) $60 $150 4.1×
Pt eval high complex 45 min (97163) $176 $440 1.8×
Pt eval low complex 20 min (97161) $68 $170 0.7×
Pt Gait Training Therapy (97116) $56 $140 1.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $96 $240 2.9×
Pt Physical Performance Test (97750) $40 $100 1.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $136 $340 1.4×
Pt re-evaluation (97164) $98 $245 1.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $56 $140 1.7×
Pt Ultrasound Therapy (97035) $50 $125 3.5×
Pt Whirlpool Therapy (97022) $64 $160 4.1×
Pulm function test by gas (94727) $140 $350 0.7×
Pulmonary stress testing (94618) $126 $315 1.0×
Pure Tone Audiometry Air & Bone (92553) $35.60 $89 0.3×
R & l hrt cath w/njx l ventriculog img s&i (93453) $4,748 $11,870 1.6×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $7,876 $19,690 2.6×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $6,140 $15,350 2.1×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $24 $60 0.7×
Right heart cath (93451) $3,676 $9,190 1.2×
Rom meas&reprt hand w/wo comparison normal sid (95852) $52 $130 2.4×
Sensory Integration Ea 15 Min (97533) $90 $225 1.5×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $310 $775 1.6×
Smoking cessation > 10 min (99407) $30.20 $75.50 0.9×
Speech Audiometry Threshold (92555) $22.40 $56 0.4×
Speech group therapy (92508) $76 $190 3.2×
Speech sound lang comprehen (92523) $216 $540 1.0×
Spirometry (94010) $94 $235 0.5×
Stress Tte Complete (93351) $996 $2,490 2.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $60 $150 2.7×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $56 $140 2.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $120 $300 1.2×
Ther/Proph/Diag Inj Sc/Im (96372) $76 $190 1.1×
Therapeutic Activities (97530) $74 $185 2.1×
Therapeutic phlebotomy (99195) $112 $280 0.9×
Tilt Table Eval (93660) $792 $1,980 2.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $20 $50 0.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (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) $114 $285 1.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $122 $305 1.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $100 $250 2.3×
Ultrasound of heart with probe in esophagus to assess heart pump function (93318) $1,028 $2,570 2.0×
Unlisted Cardiovascular Service/Procedure (93799) $472 $1,180 4.0×
Unlisted noninvasive vascular diagnostic study (93998) $300 $750 11.3×
Unlisted pulmonary service/procedure (94799) $80 $200 0.7×
Vasc Duplex Extrem Venous,Bilat (93970) $576 $1,440 2.6×
Vasc Duplex Scan Extracranial,Limited (93882) $300 $750 3.1×
Vasopneumatic device (97016) $56 $140 4.7×
Ventilation assist & mgmt inpatient 1st 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×