Visits & medical services prices at Rush County Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$37.80–$103.50 $42–$115 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $81 $90 5.6×
Assessment of aphasia per hr (96105) $153 $170 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$67.50–$229.50 $75–$255 varies
Canalith repositioning proc (95992) $81 $90 2.0×
Cardiopulmonary resuscitation (92950) $315 $350 1.6×
Chemo Anti-Neopl Sq/Im (96401) $58.50 $65 0.9×
Chemo Hormon Antineopl Sq/Im (96402) $58.50 $65 0.9×
Chemo IV infusion addl hr (96415) $229.50 $255 3.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $229.50 $255 0.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $153 $170 0.5×
Color/duplex Doppler, complete (93975) $562.50 $625 2.6×
Color/duplex Doppler, limited (93976) $562.50 $625 5.9×
Community/Work Reintegration Trainj Ea 15 Min (97537) $81 $90 2.5×
Critical care first hour (99291) $693 $770 0.9×
Debridement Open Wound 20 Sq Cm< (97597) $153 $170 0.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $562.50 $625 2.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $562.50 $625 5.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $562.50 $625 2.6×
Dup-scan xtr veins unilateral/limited study (93971) $562.50 $625 5.9×
Duplex up extrem art bilat (93930) $562.50 $625 2.6×
Duplex up extrem art unilat/ltd (93931) $562.50 $625 5.9×
Electrical Stimulation Ea 15 Min (97032) $81 $90 5.5×
Electrocardiogram Tracing (93005) $166.50 $185 3.1×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$80.55–$153 $89.50–$170 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$108.90–$207 $121–$230 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$207.90–$396 $231–$440 varies
Er level 1 (99281)
range across 2 matching MRF lines
$71.10–$135 $79–$150 varies
Er level v (99285) $292.50 $325 0.5×
Evaluate Swallowing Function (92610) $153 $170 1.8×
Extracranial Bilat Study (93880) $562.50 $625 2.6×
Flexible endoscopic eval swallow c/v rec (92612) $711 $790 3.6×
Group Therapeutic Procedures (97150) $81 $90 4.5×
Holter monitor recording (93225)
range across 2 matching MRF lines
$36–$225 $40–$250 varies
Immunization administration (90471)
range across 2 matching MRF lines
$36–$49.50 $40–$55 varies
Iontophoresis 15 min (97033) $81 $90 4.3×
Irrig Drug Delivery Device (96523) $67.50 $75 1.2×
IV infusion hydration each additional hour (96361) $153 $170 3.6×
IV infusion hydration initial 31 min-1 hour (96360) $153 $170 0.8×
IV infusion ther proph addl sequential to 1 hr (96367) $153 $170 2.3×
IV infusion therapy prophylaxis/dx ea hour (96366) $153 $170 3.6×
IV push initial (96374) $67.50 $75 0.3×
Lung Function Test (Mbc/Mvv) (94200) $76.50 $85 1.4×
Multiple Sleep Latency Test (95805) $1,836 $2,040 2.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $171 $190 0.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$49.50–$306 $55–$340 varies
Neuromuscular Reeducation (97112) $81 $90 2.5×
Oral Function Therapy (92526) $108 $120 1.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$81–$126 $90–$140 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $54 $60 2.7×
Ot Contrast Bath Ea 15 Min (97034) $81 $90 5.8×
Ot eval high complexity (97167) $153 $170 1.5×
Ot Eval Low Complex (97165) $153 $170 1.5×
Ot Eval Moderate Complexity (97166) $153 $170 1.5×
Ot manual therapy 15 min (97140) $81 $90 2.9×
Ot paraffin bath (97018) $81 $90 13.5×
Ot Re-Eval Est Plan Care (97168) $108 $120 1.6×
Phlebotomy therapeutic (99195) $127.80 $142 1.0×
Plethysmography (94726)
range across 2 matching MRF lines
$67.50–$211.50 $75–$235 varies
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,836 $2,040 2.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 2 matching MRF lines
$22.50–$49.50 $25–$55 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 3 matching MRF lines
$27–$148.50 $30–$165 varies
Pt Eval High Complex (97163) $153 $170 1.6×
Pt eval low complex 20 min (97161) $153 $170 1.6×
Pt Eval Mod Complex (97162) $153 $170 1.6×
Pt gait training 15 min (97116) $81 $90 2.8×
Pt mechanical traction (97012) $81 $90 5.6×
Pt Re-Eval Est Plan Care (97164) $108 $120 1.6×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$45–$49.50 $50–$55 varies
Self Care Mngment Training (97535) $81 $90 2.5×
Sensory Integration Ea 15 Min (97533) $81 $90 1.3×
Speech sound lang comprehen (92523) $153 $170 0.7×
Spirometry (94010)
range across 2 matching MRF lines
$45–$355.50 $50–$395 varies
Standardized Cognitive Performance Testing (96125) $171 $190 1.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $81 $90 2.7×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$13.50–$67.50 $15–$75 varies
Ther/Proph/Diag Iv Inf Init (96365) $153 $170 0.8×
Therapeutic Activities (97530) $81 $90 2.3×
Tobacco Use Cessation Intensive >10 Minutes (99407) $49.50 $55 1.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $22.50 $25 0.7×
Tte w/doppler, complete (93306) $1,795.50 $1,995 3.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $108 $120 1.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $67.50 $75 1.6×
Upr/L Xtremity Art 2 Levels (93922) $562.50 $625 4.6×
Wheelchair Mgmt Ea 15 Min (97542) $81 $90 2.6×
Whirlpool Therapy (97022) $81 $90 5.2×

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.