Visits & medical services prices at Republic County Hospital
Belleville, KS · every code in this section with a posted price and a Medicare benchmark.
147 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$15.75–$24 | $21–$32 | varies |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$34.50–$36.75 | $46–$49 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$57–$57.75 | $76–$77 | varies |
| Application Modality 1/> Areas Infrared (97026) | $21.75 | $29 | 3.3× |
| Behavral qualit analys voice (92524) | $179.25 | $239 | 1.6× |
| Brief Emotional/Behav Assmt (96127) | $7.50 | $10 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $189 | $252 | 0.6× |
| Canalith repositioning proc (95992) | $54 | $72 | 1.3× |
| Car seat/bed test 60 min (94780) | $37.50 | $50 | 1.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $236.25 | $315 | 1.2× |
| Cardiopulmonary exercise testing (94621) | $255.75 | $341 | 0.7× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$213–$298.50 | $284–$398 | varies |
| Cardioversion (92960) range across 4 matching MRF lines |
$131.25–$738.75 | $175–$985 | varies |
| Cbt 1st hour (94644) | $78.75 | $105 | 0.6× |
| Chemo Anti-Neopl Sq/Im (96401) | $39 | $52 | 0.6× |
| Chemo Hormon Antineopl Sq/Im (96402) | $39.75 | $53 | 0.6× |
| Chemo IV infusion addl hr (96415) | $231 | $308 | 3.5× |
| Chemother Prolong Infuse W/Pump (96416) | $231 | $308 | 0.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $39 | $52 | 0.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $231 | $308 | 0.8× |
| Chest Wall Manipulation (94668) | $37.50 | $50 | 0.3× |
| Color/duplex Doppler, complete (93975) | $472.50 | $630 | 2.2× |
| Continuous Pulse Ox (94762) | $80.25 | $107 | 0.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $51 | $68 | 0.3× |
| Cpt initial (94667) | $48 | $64 | 0.4× |
| Critical care first hour (99291) | $252 | $336 | 0.3× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 6 matching MRF lines |
$27.75–$273.75 | $37–$365 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $472.50 | $630 | 2.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $630 | $840 | 2.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $472.50 | $630 | 4.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $630 | $840 | 2.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $472.50 | $630 | 4.9× |
| Duplex up extrem art bilat (93930) | $472.50 | $630 | 2.2× |
| Duplex up extrem art unilat/ltd (93931) | $472.50 | $630 | 4.9× |
| ECG/monitoring and analysis (93271) | $197.25 | $263 | 2.3× |
| Echo Congenital Complete (93303) | $468.75 | $625 | 0.9× |
| Echo Heart Xthoracic,Limited (93308) | $708.75 | $945 | 3.2× |
| Echo transesophageal (93312) | $449.25 | $599 | 0.9× |
| EEG awake and asleep (95819) | $292.50 | $390 | 1.5× |
| EEG awake drowsy (95816) | $329.25 | $439 | 1.7× |
| Electrical Stimulation Ea 15 Min (97032) | $88.50 | $118 | 6.0× |
| Electrocardiogram Tracing (93005) | $118.50 | $158 | 2.2× |
| Emergency Dept Visit Level 2 (99282) | $51 | $68 | 0.4× |
| Emergency Dept Visit Level 3 (99283) | $110.25 | $147 | 0.4× |
| Emergency Dept Visit Level 4 (99284) | $157.50 | $210 | 0.4× |
| Er level 1 (99281) | $27.75 | $37 | 0.4× |
| Er level v (99285) | $197.25 | $263 | 0.4× |
| Evaluate pt use of inhaler (94664) | $51 | $68 | 0.3× |
| Evaluate Speech Production (92522) | $179.25 | $239 | 1.6× |
| Evaluate Swallowing Function (92610) | $172.50 | $230 | 2.0× |
| Evaluation of speech fluency (92521) | $179.25 | $239 | 1.3× |
| Evoked Auditory Test,Limited (92587) | $47.25 | $63 | 0.2× |
| Exercise test for bronchospasm (94617) | $330.75 | $441 | 2.7× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$47.25–$165 | $63–$220 | varies |
| External ECG rec>7d<15d recording (93246) | $165 | $220 | 4.8× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $165 | $220 | 1.3× |
| External Ecg Scanning Analysis Report (93226) | $165 | $220 | 3.0× |
| Extracranial Bilat Study (93880) | $472.50 | $630 | 2.2× |
| Extracranial Uni/Ltd Study (93882) | $472.50 | $630 | 4.9× |
| Eye exam w anesth; limited (92019) | $443.25 | $591 | 0.2× |
| Group Therapeutic Procedures (97150) | $35.25 | $47 | 2.0× |
| Holter monitor recording (93225) | $165 | $220 | 1.3× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $26.25 | $35 | 0.4× |
| Immunization administration (90471) range across 4 matching MRF lines |
$12–$33 | $16–$44 | varies |
| Inital newborn e/m (99460) | $112.50 | $150 | 0.9× |
| Iontophoresis 15 min (97033) | $81.75 | $109 | 4.3× |
| Irrig Drug Delivery Device (96523) | $76.50 | $102 | 1.4× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$33–$157.50 | $44–$210 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$157.50–$183.75 | $210–$245 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$157.50–$183.75 | $210–$245 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$75–$157.50 | $100–$210 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$47.25–$60 | $63–$80 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $80.25 | $107 | 1.5× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $472.50 | $630 | 2.4× |
| Mechanical chest wall oscillation per session (94669) | $47.25 | $63 | 0.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $12 | $16 | 0.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $15.75 | $21 | 0.4× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $6 | $8 | 0.4× |
| Methacholine challenge (94070) | $295.50 | $394 | 0.9× |
| Motion Fluoroscopy/Swallow (92611) | $294.75 | $393 | 3.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$30–$79.50 | $40–$106 | varies |
| Neuromuscular Reeducation (97112) | $64.50 | $86 | 2.0× |
| Newborn resuscitation (99465) | $135 | $180 | 0.2× |
| Nitric oxide expired gas determination (95012) | $30 | $40 | 0.9× |
| Oral Function Therapy (92526) | $119.25 | $159 | 1.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $41.25 | $55 | 0.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $60.75 | $81 | 1.3× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$31.50–$39.75 | $42–$53 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$43.50–$59.25 | $58–$79 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$47.25–$59.25 | $63–$79 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 2 matching MRF lines |
$26.25–$56.25 | $35–$75 | varies |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$57.75–$60.75 | $77–$81 | varies |
| Ot eval high complexity (97167) | $174 | $232 | 1.7× |
| Ot Eval Low Complex (97165) | $104.25 | $139 | 1.0× |
| Ot Eval Moderate Complexity (97166) | $134.25 | $179 | 1.3× |
| Ot manual therapy 15 min (97140) | $64.50 | $86 | 2.3× |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$57–$57.75 | $76–$77 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $51.75 | $69 | 1.3× |
| Ot Re-Eval Est Plan Care (97168) | $170.25 | $227 | 2.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $207 | $276 | 1.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $207 | $276 | 1.7× |
| Peripheral arterial disease rehab per session (93668) | $93.75 | $125 | 1.7× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$68.25–$82.50 | $91–$110 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $596.25 | $795 | 11.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $420 | $560 | 7.7× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$67.50–$104.25 | $90–$139 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $1,725 | $2,300 | 2.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $47.25 | $63 | 1.1× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $47.25 | $63 | 1.1× |
| Pt Eval High Complex (97163) | $170.25 | $227 | 1.7× |
| Pt eval low complex 20 min (97161) | $104.25 | $139 | 1.1× |
| Pt Eval Mod Complex (97162) | $134.25 | $179 | 1.4× |
| Pt gait training 15 min (97116) | $57 | $76 | 2.0× |
| Pt mechanical traction (97012) | $57 | $76 | 4.0× |
| Pt Re-Eval Est Plan Care (97164) | $84 | $112 | 1.2× |
| Pulm function test by gas (94727) | $82.50 | $110 | 0.4× |
| Pulmonary service/procedure (94799) | $48 | $64 | 0.4× |
| Pulmonary Stress Testing (94618) | $160.50 | $214 | 1.3× |
| Remote 30 Day Ecg Rev/Report (93270) | $138 | $184 | 4.0× |
| Respiratory flow volume loop (94375) | $30 | $40 | 0.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $31.50 | $42 | 0.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 5 matching MRF lines |
$27.75–$196.50 | $37–$262 | varies |
| Same day nb discharge (99463) | $105 | $140 | 0.9× |
| Self Care Mngment Training (97535) | $57.75 | $77 | 1.8× |
| Sensory Integration Ea 15 Min (97533) | $58.50 | $78 | 1.0× |
| Sleep study unattended (95806) | $450 | $600 | 2.3× |
| Speech sound lang comprehen (92523) | $136.50 | $182 | 0.6× |
| Spirometry (94010) | $283.50 | $378 | 1.4× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$57–$57.75 | $76–$77 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$27.75–$47.25 | $37–$63 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$157.50–$183.75 | $210–$245 | varies |
| Therapeutic Activities (97530) | $59.25 | $79 | 1.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $37.50 | $50 | 1.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$19.50–$22.50 | $26–$30 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $124.88 | $166.50 | 1.0× |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$195–$277.50 | $260–$370 | varies |
| Tte w/doppler, complete (93306) | $1,417.50 | $1,890 | 2.8× |
| Tte W/O Doppler Complete (93307) | $449.25 | $599 | 2.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $119.25 | $159 | 1.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$47.25–$60 | $63–$80 | varies |
| Unlisted cardiovascular service/procedure (93799) | $738.75 | $985 | 6.2× |
| Upr/L Xtremity Art 2 Levels (93922) | $472.50 | $630 | 3.9× |
| Vasopneumatic device (97016) | $57 | $76 | 4.7× |
| Vent Mgmt Inpat Init Day (94002) | $348 | $464 | 0.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $250.50 | $334 | 0.4× |
| Vital capacity, total (94150) | $15 | $20 | 0.1× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$57.75–$59.25 | $77–$79 | varies |
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.