Visits & medical services prices at Rooks County Health Center

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $111.38 $148.50 0.6×
Assessment of aphasia (96105) $222.94 $297.25 2.3×
Behavioral and qualitative analysis of voice and resonance (92524) $149.25 $199 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $321.75 $429 0.9×
Canalith Repositioning (95992) $52.50 $70 1.3×
Capsule endoscopy (91110) $1,175.44 $1,567.25 1.4×
Cardiac Stress Tst,Tracing Only (93017) $540.38 $720.50 2.7×
Cardiopulmonary resuscitation (92950) $498.75 $665 2.5×
Cbt 1st hour (94644) $248.44 $331.25 2.0×
Chemo IV push addl drug (96411) $157.88 $210.50 2.4×
Chemo Iv Push Sngl Drug (96409) $157.88 $210.50 0.5×
Chemo prolong 8+ hrs infuse w/pump (96416) $461.06 $614.75 1.5×
Chemother, IV infusion, 1 hr (96413) $461.06 $614.75 1.5×
Chemother, IV infusion, ea add hr (96415) $226.31 $301.75 3.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $123.94 $165.25 1.9×
Chemotherapy, unspecified procedure (96549) $123.94 $165.25 2.9×
Color/duplex Doppler, complete (93975) $604.31 $805.75 2.8×
Color/duplex Doppler, limited (93976) $533.90 $711.88 5.6×
Cpap initiation and management (94660) $317.44 $423.25 1.6×
Cpt initial (94667) $63.56 $84.75 0.5×
Critical care (99291) $2,473.69 $3,298.25 3.3×
Debridement Open Wound 20 Sq Cm< (97597) $313.13 $417.50 1.7×
Demo &/or eval,pt use,aerosol device (94664) $75.10 $100.12 0.4×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $747.94 $997.25 3.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $638.81 $851.75 6.6×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $604.31 $805.75 2.8×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $604.31 $805.75 6.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $604.31 $805.75 2.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $604.31 $805.75 6.3×
Dup-scan xtr veins unilateral/limited study (93971) $638.81 $851.75 6.6×
Duplex hemodialysis access (93990) $557.25 $743 5.8×
Duplex scan extracranial art compl bi study (93880) $891.56 $1,188.75 4.1×
Echo Heart Xthoracic,Limited (93308) $743.72 $991.62 3.4×
Echo transesophageal (93312) $1,510.31 $2,013.75 3.0×
EEG awake asleep (95819) $511.31 $681.75 2.6×
EKG (93005) $196.13 $261.50 3.6×
EKG rhythm strip (93041) $135.75 $181 2.5×
Er level 1 (99281) $184.88 $246.50 2.4×
Er level ii (99282) $304.88 $406.50 2.2×
Er level iii (99283) $483.19 $644.25 1.9×
Er level IV (99284) $768.75 $1,025 2.0×
Er level v (99285) $1,142.06 $1,522.75 2.1×
Evaluation of speech fluency (92521) $149.25 $199 1.1×
Evaluation of speech sound production (92522) $149.25 $199 1.3×
Evaluation of swallowing function (92610) $244.31 $325.75 2.9×
External ECG rec>7d<15d recording (93246) $26.25 $35 0.8×
Group Therapeutic Procedures (97150) $41.06 $54.75 2.3×
Holter Monitor Recording (93225) $222.38 $296.50 1.8×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $26.25 $35 0.7×
Immunization Admin (90471) $68.81 $91.75 1.0×
Injection intra arterial (96373) $66.10 $88.12 0.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $89.44 $119.25 1.6×
IV infusion hydration each additional hour (96361) $95.62 $127.50 2.2×
IV infusion hydration initial 31 min-1 hour (96360) $139.31 $185.75 0.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $147.19 $196.25 2.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $157.60 $210.12 0.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $106.22 $141.62 2.5×
IV push initial (96374) $68.54 $91.38 0.4×
Manual therapy 15 min (97140) $78.38 $104.50 2.8×
Massage 15 min (97124) $63.75 $85 2.1×
Mechanical traction (97012) $55.88 $74.50 3.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $32.06 $42.75 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $37.13 $49.50 1.0×
Mnt Group Ea 30 Min (97804) $18 $24 1.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $282.94 $377.25 3.1×
Multiple sleep latency test (95805) $1,612.50 $2,150 2.0×
Neg press wnd tx </=50 sq cm (97607) $303.10 $404.12 0.8×
Neg press wound tx >50 cm (97608) $314.62 $419.50 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $218.91 $291.88 1.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $230.44 $307.25 0.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $604.31 $805.75 4.9×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $604.31 $805.75 3.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $162.75 $217 1.4×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $78.38 $104.50 1.7×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $87 $116 2.7×
Ot Contrast Bath Ea 15 Min (97034) $48.94 $65.25 3.5×
Ot eval high complex 60 min (97167) $200.06 $266.75 2.0×
Ot eval low complex 30 min (97165) $175.60 $234.12 1.7×
Ot eval mod complex 45 min (97166) $172.88 $230.50 1.7×
Ot Range Motion Measure,Each Extrem (95851) $48 $64 1.8×
Ot re-eval est plan care (97168) $113.72 $151.62 1.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $183.94 $245.25 1.6×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $183.94 $245.25 1.6×
Paraffin bath (97018) $37.13 $49.50 6.2×
Peripheral arterial disease rehab per session (93668) $104.81 $139.75 1.9×
Phy/qhp op pulm rhb w/mntr (94626) $537 $716 9.9×
Phy/qhp op pulm rhb w/o mntr (94625) $376.13 $501.50 6.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,166.38 $2,888.50 2.7×
Pt Aquatic Therapy/Exercises (97113) $60.56 $80.75 1.6×
Pt Electric Current Therapy (97033) $57.47 $76.62 3.0×
Pt Electrical Stimulation (97032) $45.75 $61 3.1×
Pt eval high complex 45 min (97163) $200.06 $266.75 2.0×
Pt eval low complex 20 min (97161) $165.56 $220.75 1.7×
Pt Gait Training Therapy (97116) $72 $96 2.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $78.38 $104.50 2.4×
Pt Physical Performance Test (97750) $122.26 $163 3.6×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $172.88 $230.50 1.8×
Pt re-evaluation (97164) $104.06 $138.75 1.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $77.63 $103.50 2.4×
Pt Ultrasound Therapy (97035) $43.69 $58.25 3.0×
Pt Whirlpool Therapy (97022) $70.50 $94 4.5×
Pulmonary stress testing (94618) $228.75 $305 1.9×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $141 $188 4.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $149.25 $199 0.8×
Rom meas&reprt hand w/wo comparison normal sid (95852) $48 $64 2.2×
Rt Chest Wall Manipulation,Subsequent (94668) $60.38 $80.50 0.5×
Sensory Integration Ea 15 Min (97533) $89.81 $119.75 1.5×
Speech group therapy (92508) $46.50 $62 1.9×
Speech sound lang comprehen (92523) $159.19 $212.25 0.7×
Spirometry (94010) $192.19 $256.25 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $50.06 $66.75 0.8×
Therapeutic Activities (97530) $77.63 $103.50 2.2×
Therapeutic phlebotomy (99195) $282.19 $376.25 2.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,803.75 $2,405 3.6×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $709.13 $945.50 3.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $128.25 $171 1.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $179.44 $239.25 2.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $68.54 $91.38 1.6×
Unlisted pulmonary service/procedure (94799) $142.69 $190.25 1.2×
Vasc Duplex Extrem Venous,Bilat (93970) $764.25 $1,019 3.5×
Vasc Duplex Scan Extracranial,Limited (93882) $606.19 $808.25 6.3×
Vasopneumatic device (97016) $40.31 $53.75 3.4×
Ventilation assist & mgmt inpatient 1st day (94002) $753.75 $1,005 1.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $753.75 $1,005 1.3×
Wheelchair Mgmt Ea 15 Min (97542) $78.38 $104.50 2.5×