Visits & medical services prices at Phillips County Health Systems

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

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

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ProcedureCash priceGross charge× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $153 $180 1.6×
Airway inhalation treatment (94640) $47.18 $55.50 0.2×
Application of heat wave therapy (97024) $45.90 $54 6.2×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $55.25 $65 1.5×
Basic vestibular evaluation (92540) $148.75 $175 0.7×
Behav assmt w/score & docd/stand instrument (96127) $12.75 $15 0.4×
Behavioral and qualitative analysis of voice and resonance (92524) $125.38 $147.50 1.1×
Bfb training 1st 15 min (90912) $56.10 $66 0.7×
Bfb training ea addl 15 min (90913) $28.05 $33 0.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $187.42 $220.50 0.5×
Canalith Repositioning (95992) $46.75 $55 1.1×
Cardiac Stress Tst,Tracing Only (93017) $400.35 $471 2.0×
Cardiopulmonary resuscitation (92950) $510 $600 2.6×
Cardioversion (92960) $765 $900 1.3×
Care mgmt svc bhvl hlth cond (99484) $76.50 $90 2.2×
Caregiver hlth risk assmt score doc stnd instrm (96161) $12.75 $15 0.4×
Cbt 1st hour (94644) $152.15 $179 1.2×
Chemo Hormon Antineopl Sq/Im (96402) $97.75 $115 1.5×
Chemo IV push addl drug (96411) $131.75 $155 2.0×
Chemo Iv Push Sngl Drug (96409) $157.25 $185 0.5×
Chemo prolong 8+ hrs infuse w/pump (96416) $238 $280 0.8×
Chemother, IV infusion, 1 hr (96413) $420.75 $495 1.4×
Chemother, IV infusion, ea add hr (96415) $230.35 $271 3.5×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $78.20 $92 1.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $106.25 $125 1.6×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $85.85 $101 0.9×
Color/duplex Doppler, complete (93975) $567.80 $668 2.6×
Color/duplex Doppler, limited (93976) $567.80 $668 5.9×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $112.20 $132 0.7×
Cont Gluc Monitoring Patient Provided Equipment (95249) $166.60 $196 3.1×
Continuous Glucose Monitoring (95250) $342.55 $403 2.8×
Cpap initiation and management (94660) $317.90 $374 1.6×
Cpt initial (94667) $148.75 $175 1.2×
Critical care (99291) $497.25 $585 0.7×
Debridement Open Wound 20 Sq Cm< (97597) $155.55 $183 0.8×
Demo &/or eval,pt use,aerosol device (94664) $248.20 $292 1.2×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $567.80 $668 2.6×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $567.80 $668 2.6×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $567.80 $668 5.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $567.80 $668 5.9×
Dup-scan xtr veins unilateral/limited study (93971) $567.80 $668 5.9×
Duplex scan extracranial art compl bi study (93880) $567.80 $668 2.6×
Echo Heart Xthoracic,Limited (93308) $677.88 $797.50 3.1×
Echo Transthoracic - Congenital Tte Complete (93303) $624.75 $735 1.2×
EEG awake asleep (95819) $187.85 $221 0.9×
EKG (93005) $83.30 $98 1.5×
EKG rhythm strip (93041) $55.25 $65 1.0×
Er level 1 (99281) $100.30 $118 1.3×
Er level ii (99282) $127.50 $150 0.9×
Er level iii (99283) $233.75 $275 0.9×
Er level IV (99284) $297.50 $350 0.8×
Er level v (99285) $340 $400 0.6×
Evaluation of speech fluency (92521) $125.38 $147.50 0.9×
Evaluation of speech sound production (92522) $136 $160 1.2×
Evaluation of swallowing function (92610) $145.14 $170.75 1.7×
Exercise tst brncspsm (94617) $382.50 $450 3.1×
External ECG rec>48hr<7d recording (93242) $221 $260 6.4×
External ECG rec>7d<15d recording (93246) $221 $260 6.4×
Health Behavior Assessment/Re-Assessment (96156) $59.50 $70 0.6×
Health behavior ivntj indiv f2f 1st 30 min (96158) $45.90 $54 0.3×
Holter Monitor Recording (93225) $212.08 $249.50 1.7×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $25.50 $30 0.7×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $21.25 $25 0.3×
Immunization Admin (90471) $45.05 $53 0.7×
Immunotherapy, 2+ Injections (95117) $39.10 $46 0.9×
Initial normal newborn care, same day discharge (99463) $110.50 $130 0.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $59.50 $70 1.1×
IV infusion hydration each additional hour (96361) $102 $120 2.4×
IV infusion hydration initial 31 min-1 hour (96360) $269.45 $317 1.4×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $155.12 $182.50 2.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $269.45 $317 1.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $153 $180 3.6×
IV push initial (96374) $116.45 $137 0.6×
Manual therapy 15 min (97140) $57.34 $67.45 2.1×
Massage 15 min (97124) $49.72 $58.50 1.7×
Mechanical chest wall oscillation (94669) $170 $200 0.8×
Mechanical traction (97012) $42.50 $50 3.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $16.15 $19 0.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $25.50 $30 0.7×
Methacholine challenge (94070) $395.25 $465 1.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $200.60 $236 2.2×
Neg press wnd tx </=50 sq cm (97607) $256.70 $302 0.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $276.25 $325 1.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $408 $480 1.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $567.80 $668 4.6×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $567.80 $668 2.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $188.28 $221.50 1.6×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $50.36 $59.25 1.1×
Osteopathic manipulative tx 1-2 body regions (98925) $34 $40 1.7×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $62.90 $74 2.0×
Ot Contrast Bath Ea 15 Min (97034) $40.16 $47.25 2.9×
Ot eval high complex 60 min (97167) $233.75 $275 2.3×
Ot eval low complex 30 min (97165) $157.25 $185 1.6×
Ot eval mod complex 45 min (97166) $191.25 $225 1.9×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $34 $40 0.7×
Ot Prosthetic Training, Each 15 Min (97761) $57.80 $68 1.4×
Ot Range Motion Measure,Each Extrem (95851) $45.90 $54 1.8×
Ot re-eval est plan care (97168) $90.95 $107 1.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $120.70 $142 1.0×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $91.38 $107.50 0.8×
Paraffin bath (97018) $42.29 $49.75 7.0×
Peripheral arterial disease rehab per session (93668) $76.50 $90 1.4×
Phy/qhp op pulm rhb w/mntr (94626) $527.85 $621 9.7×
Phy/qhp op pulm rhb w/o mntr (94625) $345.10 $406 6.4×
Plethysmography (94726) $349.35 $411 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,190 $1,400 1.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $30.60 $36 0.7×
Psych diag eval w/med srvcs (90792) $226.52 $266.50 1.4×
Psychiatric diagnostic evaluation (90791) $195.92 $230.50 1.2×
Psycl tst eval phys/qhp 1st (96130) $124.10 $146 0.6×
Psytx crisis initial 60 min (90839) $195.92 $230.50 1.2×
Pt Aquatic Therapy/Exercises (97113) $62.90 $74 1.7×
Pt Electric Current Therapy (97033) $64.18 $75.50 3.4×
Pt Electrical Stimulation (97032) $55.25 $65 3.8×
Pt eval high complex 45 min (97163) $233.75 $275 2.4×
Pt eval low complex 20 min (97161) $157.25 $185 1.6×
Pt Gait Training Therapy (97116) $54.40 $64 1.9×
Pt Infrared Therapy (97026) $26.69 $31.40 4.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $58.65 $69 1.8×
Pt Physical Performance Test (97750) $57.80 $68 1.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $191.25 $225 2.0×
Pt re-evaluation (97164) $95.20 $112 1.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $39.95 $47 1.2×
Pt Ultrasound Therapy (97035) $34 $40 2.4×
Pt Whirlpool Therapy (97022) $61.62 $72.50 3.9×
Pt-focused hlth risk assmt (96160) $12.75 $15 0.4×
Pulmonary stress testing (94618) $340 $400 2.8×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $129.20 $152 3.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $127.50 $150 0.7×
Rt Chest Wall Manipulation,Subsequent (94668) $97.75 $115 0.8×
Sbsq psychiatric collab care mgmt 1st 60 mins (99493) $136 $160 1.5×
Sensory Integration Ea 15 Min (97533) $60.35 $71 1.0×
Sleep study unattended (95806) $255 $300 1.3×
Smoking cessation > 10 min (99407) $51.42 $60.50 1.5×
Speech sound lang comprehen (92523) $291.55 $343 1.3×
Spirometry (94010) $353.60 $416 1.8×
Standardized Cognitive Performance Testing (96125) $170 $200 1.7×
Stress echo (93350) $685.10 $806 1.4×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $157.25 $185 3.7×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $163.62 $192.50 0.8×
Temp transcutaneous pacing (92953) $527 $620 0.9×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $57.80 $68 2.6×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $57.80 $68 2.7×
Ther/Proph/Diag Inj Sc/Im (96372) $59.08 $69.50 0.9×
Therapeutic Activities (97530) $55.68 $65.50 1.6×
Therapeutic phlebotomy (99195) $102.42 $120.50 0.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $29.32 $34.50 0.9×
Trans Care Mgmt 14 Day Disch (99495) $187 $220 1.5×
Trans Care Mgmt 7 Day Disch (99496) $263.50 $310 2.2×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,676.20 $1,972 3.3×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $680 $800 3.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $90.95 $107 1.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $76.50 $90 0.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $51.42 $60.50 1.2×
Unlisted Cardiovascular Service/Procedure (93799) $879.75 $1,035 7.4×
Vasc Duplex Extrem Venous,Bilat (93970) $567.80 $668 2.6×
Vasc Duplex Scan Extracranial,Limited (93882) $567.80 $668 5.9×
Vasopneumatic device (97016) $36.13 $42.50 3.0×
Ventilation assist & mgmt inpatient 1st day (94002) $1,462 $1,720 2.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,462 $1,720 2.6×
Wheelchair Mgmt Ea 15 Min (97542) $46.75 $55 1.5×