Visits & medical services prices at Sabetha Community Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Advncd Care Plan 30 Min (99497) $121 $121 1.3×
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$32–$438 $32–$438 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$41–$76 $41–$76 varies
Application Modality 1/> Areas Diathermy (97024) $31.10 $31.10 4.2×
Assessment of aphasia per hr (96105) $126 $126 1.3×
Assessment of tinnitus (92625) $178 $178 1.5×
Basic vestibular evaluation (92540) $178 $178 0.9×
Behavral qualit analys voice (92524) $266 $266 2.4×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $50 $50 0.6×
Bfb training ea addl 15 min (90913) $25 $25 0.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$390–$504.51 $390–$504.51 varies
Canalith repositioning proc (95992) $57.20 $57.20 1.4×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines
$455–$483.77 $455–$483.77 varies
Cardiopulmonary exercise testing (94621) $185 $185 0.5×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$570–$589 $570–$589 varies
Cardioversion (92960) $585 $585 1.0×
Chemo Anti-Neopl Sq/Im (96401) $145 $145 2.2×
Chemo Hormon Antineopl Sq/Im (96402)
range across 3 matching MRF lines
$56–$114 $56–$114 varies
Chemo IV infusion addl hr (96415) $265.99 $265.99 4.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $203.90 $203.90 3.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $486.26 $486.26 1.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $170 $170 0.6×
Chest Wall Manipulation (94668) $185 $185 1.5×
Chron Care Mgmt Srvc 20 Min (99490) $75.29 $75.29 0.8×
Color/duplex Doppler, complete (93975) $717.89 $717.89 3.3×
Color/duplex Doppler, limited (93976) $650 $650 6.8×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 2 matching MRF lines
$49–$60.20 $49–$60.20 varies
Comprehensive Hearing Test (92557) $178 $178 1.5×
Cont gluc mntr physician/qhp provided equiptment (95250) $309 $309 2.5×
Cont Gluc Mntr Pt Prov Eqp (95249) $128 $128 2.4×
Continuous Pulse Ox (94762) $168 $168 1.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $550 $550 2.7×
Cpt initial (94667) $225 $225 1.8×
Critical care first hour (99291) $459 $459 0.6×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$92.70–$529 $92.70–$529 varies
Developmental tst admin phys/qhp 1st hour (96112) $258 $258 2.2×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $727 $727 3.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $717.89 $717.89 7.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $717.89 $717.89 3.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $717.89 $717.89 7.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $655 $655 3.0×
Dup-scan xtr veins unilateral/limited study (93971) $717.89 $717.89 7.5×
Duplex up extrem art bilat (93930) $620 $620 2.8×
Duplex up extrem art unilat/ltd (93931) $717.89 $717.89 7.5×
Echo Heart Xthoracic,Limited (93308) $730 $730 3.3×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$47–$63.80 $47–$63.80 varies
Electrocardiogram Tracing (93005) $245.61 $245.61 4.5×
Emergency Dept Visit Level 2 (99282) $108 $108 0.8×
Emergency Dept Visit Level 3 (99283) $182 $182 0.7×
Emergency Dept Visit Level 4 (99284) $309 $309 0.8×
Er level 1 (99281) $57 $57 0.7×
Er level v (99285)
range across 2 matching MRF lines
$408.85–$448 $408.85–$448 varies
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$85–$364 $85–$364 varies
Evaluate Speech Production (92522) $266 $266 2.4×
Evaluate Swallowing Function (92610) $276 $276 3.3×
Evaluation of speech fluency (92521) $160.50 $160.50 1.2×
Evoked Auditory Test,Limited (92587)
range across 3 matching MRF lines
$96–$338 $96–$338 varies
External ECG rec>48hr<7d recording (93242) $280 $280 8.2×
External Ecg Scanning Analysis Report (93226) $311 $311 5.7×
Extracranial Bilat Study (93880) $675 $675 3.1×
Extracranial Uni/Ltd Study (93882) $630 $630 6.6×
Holter monitor recording (93225)
range across 3 matching MRF lines
$27–$319.47 $27–$319.47 varies
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines
$7–$30 $7–$30 varies
Immunization administration (90471)
range across 4 matching MRF lines
$11–$30 $11–$30 varies
Inital newborn e/m (99460) $186 $186 1.5×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$54–$65 $54–$65 varies
Irrig Drug Delivery Device (96523)
range across 3 matching MRF lines
$72–$75 $72–$75 varies
IV infusion hydration each additional hour (96361) $180.98 $180.98 4.2×
IV infusion hydration initial 31 min-1 hour (96360) $311.98 $311.98 1.6×
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$172–$173 $172–$173 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$170–$180.98 $170–$180.98 varies
IV push initial (96374)
range across 2 matching MRF lines
$59–$311.98 $59–$311.98 varies
Lung Function Test (Mbc/Mvv) (94200) $135 $135 2.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$19–$22 $19–$22 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$21–$22 $21–$22 varies
Motion Fluoroscopy/Swallow (92611) $276 $276 3.0×
Muscle Test 2 Limbs (95861) $328 $328 2.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$54–$585 $54–$585 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$61–$624 $61–$624 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$65–$425 $65–$425 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 5 matching MRF lines
$61.70–$550 $61.70–$550 varies
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$69–$100 $69–$100 varies
Newborn resuscitation (99465) $295 $295 0.5×
Oral Function Therapy (92526) $155 $155 1.8×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 2 matching MRF lines
$40–$90 $40–$90 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$55–$90 $55–$90 varies
Ot Contrast Bath Ea 15 Min (97034) $63.80 $63.80 4.5×
Ot eval high complexity (97167) $215 $215 2.1×
Ot Eval Low Complex (97165) $180 $180 1.8×
Ot Eval Moderate Complexity (97166) $180 $180 1.8×
Ot manual therapy 15 min (97140)
range across 3 matching MRF lines
$69–$110 $69–$110 varies
Ot paraffin bath (97018)
range across 2 matching MRF lines
$31–$48 $31–$48 varies
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines
$69–$74 $69–$74 varies
Ot Re-Eval Est Plan Care (97168) $103 $103 1.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines
$300–$450 $300–$450 varies
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797)
range across 2 matching MRF lines
$130–$400 $130–$400 varies
Patient-initiated spirometric phys/qhp r&i only (94016) $48 $48 1.9×
Peripheral arterial disease rehab per session (93668) $125 $125 2.3×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$100–$115 $100–$115 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $906.08 $906.08 16.7×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $634.73 $634.73 11.7×
Physical Performance Test (97750)
range across 4 matching MRF lines
$65–$128 $65–$128 varies
Positional nystagmus test (92542) $145 $145 1.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 3 matching MRF lines
$21–$24 $21–$24 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 2 matching MRF lines
$27–$42 $27–$42 varies
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $63.40 $63.40 1.7×
Pt Eval High Complex (97163) $185 $185 1.9×
Pt eval low complex 20 min (97161)
range across 2 matching MRF lines
$161–$164 $161–$164 varies
Pt Eval Mod Complex (97162) $170 $170 1.7×
Pt gait training 15 min (97116) $64 $64 2.2×
Pt mechanical traction (97012) $55.30 $55.30 3.9×
Pt Re-Eval Est Plan Care (97164) $111 $111 1.6×
Pt ultraviolet (97028) $29.30 $29.30 3.5×
Pulm function test by gas (94727) $239 $239 1.2×
Pulmonary Stress Testing (94618) $185 $185 1.5×
Remote 30 Day Ecg Rev/Report (93270) $180 $180 5.2×
Remote 30 Day Ecg Tech Supp (93229) $290 $290 0.8×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $11 $11 0.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$259–$380 $259–$380 varies
Same day nb discharge (99463) $230 $230 1.9×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$47–$85 $47–$85 varies
Sensory Integration Ea 15 Min (97533)
range across 2 matching MRF lines
$70.90–$74 $70.90–$74 varies
Sinusoidal Vertical Axis Rotational Testing (92546) $178 $178 1.5×
Sleep study unattended (95806) $500 $500 2.5×
Speech sound lang comprehen (92523) $266 $266 1.2×
Spirometry (94010)
range across 3 matching MRF lines
$64–$510.73 $64–$510.73 varies
Spontaneous Nystagmus Test (92541) $145 $145 1.2×
Standardized Cognitive Performance Testing (96125) $168.40 $168.40 1.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $85.69 $85.69 3.8×
Ther Ivntj Ea Addl 15 Min (97130) $85.69 $85.69 4.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $73 $73 2.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 2 matching MRF lines
$58–$60 $58–$60 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$21.20–$94.55 $21.20–$94.55 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$172–$311.98 $172–$311.98 varies
Therapeutic Activities (97530)
range across 3 matching MRF lines
$67–$95 $67–$95 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $89 $89 2.6×
Trans Care Mgmt 14 Day Disch (99495) $328 $328 2.7×
Trans Care Mgmt 7 Day Disch (99496) $462 $462 3.8×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$1,999–$2,287.91 $1,999–$2,287.91 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $155 $155 2.0×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$59–$69 $59–$69 varies
Tympanometry (92567) $45 $45 1.3×
Unlisted cardiovascular service/procedure (93799) $1,007.74 $1,007.74 8.5×
Upr/L Xtremity Art 2 Levels (93922) $717.89 $717.89 5.9×
Vasopneumatic device (97016) $45 $45 3.7×
Vent Mgmt Inpat Init Day (94002) $900 $900 1.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $600 $600 1.1×
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines
$37.50–$40 $37.50–$40 varies
Whirlpool Therapy (97022) $50 $50 3.2×

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.