Visits & medical services prices at Rooks County Health Center
Plainville, KS · every code in this section with a posted price and a Medicare benchmark.
142 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 3 matching MRF lines |
$30–$142.69 | $40–$190.25 | varies |
| Advncd Care Plan 30 Min (99497) | $108.75 | $145 | 1.2× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$17.25–$285.94 | $23–$381.25 | varies |
| Analyze neurostim no prog (95970) | $90 | $120 | 0.7× |
| Analyze Neurostim Simple (95971) range across 2 matching MRF lines |
$93.75–$138.75 | $125–$185 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $43.69 | $58.25 | 3.0× |
| Assessment of aphasia per hr (96105) | $222.94 | $297.25 | 2.3× |
| Behavral qualit analys voice (92524) | $149.25 | $199 | 1.4× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $77.63 | $103.50 | 0.9× |
| Bfb training ea addl 15 min (90913) | $77.63 | $103.50 | 2.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $321.75 | $429 | 0.9× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$52.50–$57 | $70–$76 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $540.38 | $720.50 | 2.7× |
| Cardiopulmonary resuscitation (92950) | $421.50 | $562 | 2.1× |
| Cardioversion (92960) | $202.50 | $270 | 0.3× |
| Cardioversion elective internal (92961) | $304.50 | $406 | 0.5× |
| Cbt 1st hour (94644) | $248.44 | $331.25 | 2.0× |
| Chemo Anti-Neopl Sq/Im (96401) | $123.94 | $165.25 | 1.9× |
| Chemo IV infusion addl hr (96415) | $226.31 | $301.75 | 3.4× |
| Chemo IV push addl drug (96411) | $157.88 | $210.50 | 2.4× |
| Chemother Prolong Infuse W/Pump (96416) | $461.06 | $614.75 | 1.5× |
| Chemotherapy Unspecified (96549) | $123.94 | $165.25 | 2.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $461.06 | $614.75 | 1.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $157.88 | $210.50 | 0.5× |
| Chest Wall Manipulation (94668) | $60.38 | $80.50 | 0.5× |
| Chron Care Mgmt Srvc 20 Min (99490) | $63.75 | $85 | 0.7× |
| Color/duplex Doppler, complete (93975) | $604.31 | $805.75 | 2.8× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$463.50–$604.31 | $618–$805.75 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $87 | $116 | 2.7× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $138.75 | $185 | 0.8× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $190.50 | $254 | 1.6× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $70.50 | $94 | 1.3× |
| Continuous Pulse Ox (94762) | $162.75 | $217 | 1.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $317.44 | $423.25 | 1.6× |
| Cpt initial (94667) | $63.56 | $84.75 | 0.5× |
| Critical care first hour (99291) | $363.75 | $485 | 0.5× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 6 matching MRF lines |
$127.50–$418.31 | $170–$557.75 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$604.31–$891.56 | $805.75–$1,188.75 | varies |
| 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 Xtr Veins Complete Bilateral Study (93970) | $764.25 | $1,019 | 3.5× |
| Dup-scan xtr veins unilateral/limited study (93971) | $764.25 | $1,019 | 7.9× |
| Duplex Scan Hemodialysis Access (93990) | $557.25 | $743 | 5.8× |
| Duplex up extrem art bilat (93930) | $604.31 | $805.75 | 2.8× |
| Duplex up extrem art unilat/ltd (93931) | $604.31 | $805.75 | 6.3× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$709.13–$778.31 | $945.50–$1,037.75 | varies |
| Echo transesophageal (93312) | $1,510.31 | $2,013.75 | 3.0× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) range across 2 matching MRF lines |
$90–$105.19 | $120–$140.25 | varies |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $79.50 | $106 | 2.3× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$44.81–$52.13 | $59.75–$69.50 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$22.50–$215.25 | $30–$287 | varies |
| Emergency Dept Visit Level 2 (99282) | $61.50 | $82 | 0.4× |
| Emergency Dept Visit Level 3 (99283) | $135 | $180 | 0.5× |
| Emergency Dept Visit Level 4 (99284) | $213.75 | $285 | 0.6× |
| Er level 1 (99281) | $184.88 | $246.50 | 2.4× |
| Er level v (99285) | $240 | $320 | 0.4× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$56.25–$93.94 | $75–$125.25 | varies |
| Evaluate Speech Production (92522) | $149.25 | $199 | 1.3× |
| Evaluate Swallowing Function (92610) | $244.31 | $325.75 | 2.9× |
| Evaluation of speech fluency (92521) | $149.25 | $199 | 1.1× |
| External ECG rec>48hr<7d recording (93242) | $26.25 | $35 | 0.8× |
| External ECG rec>7d<15d recording (93246) | $26.25 | $35 | 0.8× |
| Extracranial Bilat Study (93880) | $891.56 | $1,188.75 | 4.1× |
| Extracranial Uni/Ltd Study (93882) | $606.19 | $808.25 | 6.3× |
| Fluorescein angiography (92235) | $148.50 | $198 | 0.7× |
| Gi tract capsule endoscopy (91110) | $1,175.44 | $1,567.25 | 1.4× |
| Group Therapeutic Procedures (97150) | $41.06 | $54.75 | 2.3× |
| Holter monitor recording (93225) | $24.75 | $33 | 0.2× |
| Immunization administration (90471) range across 2 matching MRF lines |
$26.25–$142.69 | $35–$190.25 | varies |
| Inital newborn e/m (99460) | $146.25 | $195 | 1.2× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$57–$57.94 | $76–$77.25 | varies |
| Irrig Drug Delivery Device (96523) | $89.44 | $119.25 | 1.6× |
| IV infusion hydration each additional hour (96361) | $162.75 | $217 | 3.8× |
| IV infusion hydration initial 31 min-1 hour (96360) | $287.25 | $383 | 1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $183.94 | $245.25 | 2.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$175.50–$183.94 | $234–$245.25 | varies |
| IV push initial (96374) | $287.25 | $383 | 1.5× |
| Motion Fluoroscopy/Swallow (92611) | $282.94 | $377.25 | 3.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$280.13–$326.06 | $373.50–$434.75 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$281.81–$347.44 | $375.75–$463.25 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$50.25–$418.31 | $67–$557.75 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$281.81–$496.88 | $375.75–$662.50 | varies |
| Neuromuscular Reeducation (97112) | $78.38 | $104.50 | 2.4× |
| Oral Function Therapy (92526) | $179.44 | $239.25 | 2.1× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $66 | $88 | 1.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $78.38 | $104.50 | 1.7× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $63.75 | $85 | 3.2× |
| Ot eval high complexity (97167) | $200.06 | $266.75 | 2.0× |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$159–$192.19 | $212–$256.25 | varies |
| Ot Eval Moderate Complexity (97166) | $172.88 | $230.50 | 1.7× |
| Ot manual therapy 15 min (97140) | $78.38 | $104.50 | 2.8× |
| Ot paraffin bath (97018) | $37.13 | $49.50 | 6.2× |
| Ot Prosthetic Training, Each 15 Min (97761) | $78.38 | $104.50 | 1.9× |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$113.63–$113.81 | $151.50–$151.75 | varies |
| Ot rom hand (95852) | $48 | $64 | 2.2× |
| 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× |
| Peripheral arterial disease rehab per session (93668) | $104.81 | $139.75 | 1.9× |
| Phlebotomy therapeutic (99195) | $282.19 | $376.25 | 2.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $537 | $716 | 9.9× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $376.13 | $501.50 | 6.9× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$83.63–$160.88 | $111.50–$214.50 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $18.75 | $25 | 0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $24.75 | $33 | 0.6× |
| Pt Eval High Complex (97163) | $200.06 | $266.75 | 2.0× |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$159–$172.13 | $212–$229.50 | varies |
| Pt Eval Mod Complex (97162) | $172.88 | $230.50 | 1.8× |
| Pt gait training 15 min (97116) | $72 | $96 | 2.5× |
| Pt mechanical traction (97012) | $55.88 | $74.50 | 3.9× |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$94.31–$113.81 | $125.75–$151.75 | varies |
| Pulmonary service/procedure (94799) | $142.69 | $190.25 | 1.2× |
| Pulmonary Stress Testing (94618) | $228.75 | $305 | 1.9× |
| Pure Tone Audiometry Air (92552) | $42.75 | $57 | 0.3× |
| Remote 30 Day Ecg Rev/Report (93270) | $33.75 | $45 | 1.0× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $135.75 | $181 | 2.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$149.25–$326.44 | $199–$435.25 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $48 | $64 | 1.8× |
| Self Care Mngment Training (97535) | $77.63 | $103.50 | 2.4× |
| Sensory Integration Ea 15 Min (97533) | $89.81 | $119.75 | 1.5× |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$149.25–$169.13 | $199–$225.50 | varies |
| Spirometry (94010) | $192.19 | $256.25 | 1.0× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $60.56 | $80.75 | 1.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $63.75 | $85 | 2.1× |
| Ther/Proph/Diag Inj Ia (96373) range across 2 matching MRF lines |
$50.06–$82.13 | $66.75–$109.50 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$38.25–$110.25 | $51–$147 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $335.06 | $446.75 | 1.7× |
| Therapeutic Activities (97530) | $77.63 | $103.50 | 2.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $20.25 | $27 | 0.6× |
| Trans Care Mgmt 14 Day Disch (99495) | $217.50 | $290 | 1.8× |
| Trans Care Mgmt 7 Day Disch (99496) | $354 | $472 | 2.9× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,803.75–$2,011.50 | $2,405–$2,682 | varies |
| Tte W/O Doppler Complete (93307) | $709.13 | $945.50 | 3.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$126.94–$129.56 | $169.25–$172.75 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$64.50–$82.13 | $86–$109.50 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $604.31 | $805.75 | 4.9× |
| Vasopneumatic device (97016) | $40.31 | $53.75 | 3.4× |
| Vent Mgmt Inpat Init Day (94002) | $753.75 | $1,005 | 1.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $753.75 | $1,005 | 1.3× |
| Vital capacity, total (94150) | $31.50 | $42 | 0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $78.38 | $104.50 | 2.5× |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$50.44–$90.56 | $67.25–$120.75 | 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.