Visits & medical services prices at Pratt Regional Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Acoustic reflex testing (92568) $25 $36 0.7×
Advance care planning first 30 mins (99497) $151 $216 1.6×
Aep threshold estimation mlt frequencies i&r (92652) $225 $322 1.1×
Airway inhalation treatment (94640) $251 $358 1.2×
Analyze Neurostim Complex (95972) $92.50 $132 1.1×
Assessment of aphasia (96105) $218 $311.50 2.2×
Auditory Function, 60 Min (92620) $68 $97 0.6×
Behav assmt w/score & docd/stand instrument (96127) $11 $15 0.3×
Behavioral and qualitative analysis of voice and resonance (92524) $235 $336 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $336 $480 1.0×
Canalith Repositioning (95992) $63 $90 1.5×
Cardiac Stress Tst,Tracing Only (93017) $671 $959 3.4×
Cardiopulmonary resuscitation (92950) $522 $746 2.6×
Cardioversion (92960) $580.50 $829.50 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $55 $79 0.8×
Chemother, IV infusion, 1 hr (96413) $465 $665 1.5×
Chemother, IV infusion, ea add hr (96415) $137 $196 2.1×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $140 $200 2.1×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $109 $156 1.2×
Color/duplex Doppler, complete (93975) $689.50 $985 3.1×
Color/duplex Doppler, limited (93976) $564 $805 5.9×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $195 $279 1.2×
Comprehensive Hearing Test (92557) $68 $97 0.6×
Conditioning Play Audiometry (92582) $68 $97 0.6×
Cont Gluc Monitoring Patient Provided Equipment (95249) $101 $144 1.9×
Cpap initiation and management (94660) $251 $358 1.2×
Cpt initial (94667) $40 $57 0.3×
Critical care (99291) $543 $775 0.7×
Debridement Open Wound 20 Sq Cm< (97597) $139 $198 0.8×
Demo &/or eval,pt use,aerosol device (94664) $126 $179.50 0.6×
Developmental tst admin phys/qhp 1st hour (96112) $169 $241.50 1.4×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $387 $553 1.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $280 $400 2.9×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $587.50 $839 2.7×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $624 $891 6.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $883 $1,261 4.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $531 $759 5.5×
Dup-scan xtr veins unilateral/limited study (93971) $621 $887 6.5×
Duplex scan extracranial art compl bi study (93880) $292 $417 1.3×
Echo Heart Xthoracic,Limited (93308) $406.50 $581 1.9×
Echo transesophageal (93312) $3 $4 0.0×
EEG awake asleep (95819) $526 $752 2.6×
EKG (93005) $25 $35 0.5×
EKG rhythm strip (93041) $59 $84 1.1×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $103 $147 1.2×
Er level 1 (99281) $186 $266 2.4×
Er level ii (99282) $246.50 $352 1.7×
Er level iii (99283) $410 $585.50 1.6×
Er level IV (99284) $327 $467 0.9×
Er level v (99285) $528 $754 1.0×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $240 $343 3.4×
Evaluation of speech fluency (92521) $204 $292 1.5×
Evaluation of speech sound production (92522) $235 $336 2.1×
Evaluation of swallowing function (92610) $265 $378 3.1×
External Ecg Scanning Analysis Report (93226) $277 $396 5.1×
Flow volume loop (94375) $56 $80 0.3×
Group Therapeutic Procedures (97150) $43 $61 2.4×
Holter Monitor Recording (93225) $390 $557 3.2×
Hydrotherapy (97036) $45 $64 1.3×
Immunization Admin (90471) $63.50 $91 1.0×
Immunotherapy, 2+ Injections (95117) $22 $32 0.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $67 $95.50 1.2×
IV infusion hydration each additional hour (96361) $103 $147 2.4×
IV infusion hydration initial 31 min-1 hour (96360) $185 $264 0.9×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $85.50 $122.50 1.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $260 $371 1.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $53 $75 1.2×
IV push initial (96374) $185 $264 0.9×
Loudness balance binaural/monaural (92562) $25 $36 0.1×
Manual therapy 15 min (97140) $89 $127 3.2×
Massage 15 min (97124) $67 $96 2.3×
Mechanical traction (97012) $71 $101 4.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $17 $24 0.5×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $299 $427 3.3×
Multiple Family Group Psychotherapy (90849) $74 $106 0.5×
Multiple sleep latency test (95805) $767 $1,095 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $98 $140 0.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $81 $115 0.2×
Neurobehavioral Status Exam (96116) $188 $268 0.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $524 $748 4.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $133.50 $190.50 1.1×
Nrpsyc tst eval phys/qhp 1st (96132) $262 $374 0.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $71 $101 1.5×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $61 $87 1.9×
Ot eval high complex 60 min (97167) $163.50 $233.50 1.6×
Ot eval low complex 30 min (97165) $141 $201 1.4×
Ot eval mod complex 45 min (97166) $154 $220 1.5×
Ot Prosthetic Training, Each 15 Min (97761) $56 $80 1.4×
Ot re-eval est plan care (97168) $141 $201 2.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $169 $242 1.4×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $169 $242 1.4×
Paraffin bath (97018) $61 $87 10.1×
Plethysmography (94726) $386 $552 1.1×
Pm device eval in person (93288) $86 $122.50 2.5×
Pm device progr eval dual (93280) $158 $225 4.6×
Pm/Icd Remote Tech Serv (93296) $53 $75 1.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,673 $3,819 3.4×
Positional Nystagmus Test (92542) $58 $83 0.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $18 $26 0.4×
Psych diag eval w/med srvcs (90792) $314 $448 1.9×
Psychiatric diagnostic evaluation (90791) $302 $431 1.9×
Psychoanalysis (90845) $193 $275 1.2×
Psycl tst eval phys/qhp 1st (96130) $114.50 $163.50 0.6×
Psycl/Nrpsyc Tst Auto Result (96146) $4 $6 0.2×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $65 $93 0.2×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $85 $121 0.7×
Psytx crisis initial 60 min (90839) $287 $410 1.8×
Pt Electric Current Therapy (97033) $80 $114 4.2×
Pt Electrical Stimulation (97032) $72 $103 4.9×
Pt eval high complex 45 min (97163) $195 $279 2.0×
Pt eval low complex 20 min (97161) $169 $242 1.7×
Pt Gait Training Therapy (97116) $74 $105 2.5×
Pt Infrared Therapy (97026) $27 $39 4.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $94 $134 2.9×
Pt Physical Performance Test (97750) $59 $85 1.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $186 $266 1.9×
Pt re-evaluation (97164) $113 $161 1.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $62 $89 1.9×
Pt Ultrasound Therapy (97035) $66 $94 4.6×
Pt Whirlpool Therapy (97022) $57.50 $82 3.7×
Pt-focused hlth risk assmt (96160) $15 $22 0.4×
Pulmonary stress testing (94618) $55 $78 0.4×
Pure Tone Audiometry Air & Bone (92553) $68 $97 0.6×
Pure Tone Audiometry, Air (92552) $25 $36 0.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $248 $354 1.3×
Rt Chest Wall Manipulation,Subsequent (94668) $40 $57 0.3×
Select picture audiometry (92583) $42 $60 0.8×
Sensory Integration Ea 15 Min (97533) $67 $96 1.1×
Speech Audiometry Threshold (92555) $25 $36 0.5×
Speech Audiometry, Complete (92556) $25 $36 0.5×
Speech group therapy (92508) $99 $142 4.1×
Speech sound lang comprehen (92523) $215 $307 0.9×
Spirometry (94010) $211 $301 1.1×
Standardized Cognitive Performance Testing (96125) $169.50 $241.50 1.6×
Stenger Test, Pure Tone (92565) $25 $36 0.5×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $67 $96 3.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $134 $191 6.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $121 $173 1.2×
Ther/Proph/Diag Inj Sc/Im (96372) $70 $100 1.1×
Therapeutic Activities (97530) $77 $110 2.2×
Therapeutic phlebotomy (99195) $148 $211 1.2×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $25 $35 0.7×
Tone Decay Test (92563) $25 $36 0.7×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $90 $128 2.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,304.50 $1,863.50 2.6×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,200 $1,714 5.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $112 $159.50 1.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $100 $143 1.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $51 $73 1.2×
Tympanometry (92567) $25 $36 0.7×
Vasc Duplex Extrem Venous,Bilat (93970) $1,040 $1,485 4.7×
Vasc Duplex Scan Extracranial,Limited (93882) $637 $910 6.6×
Ventilation assist & mgmt inpatient 1st day (94002) $650 $928 1.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $536 $765 0.9×
Visual reinforcement audiometry (vra) (92579) $68 $97 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $67 $96 2.2×