Visits & medical services prices at Saint John Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $7,348 $19,028.30 1.0×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $121 $246.79 1.0×
Acoustic Reflex Testing (92568) $35 $228.38 1.0×
Airway Inhalation Treatment (94640) $206 $219.78 1.0×
Analyze neurostim complex (95972) $89 $892.59 1.0×
Analyze Neurostim Simple (95971) $89 $772.28 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $13 $305.70 0.9×
Application Modality 1/> Areas Diathermy (97024) $6 $143.94 0.8×
Application Modality 1/> Areas Infrared (97026) $6 $233.28 0.9×
Assessment of aphasia per hr (96105) $92 $290.98 0.9×
Audiometry Air & Bone (92553) $121 $229.60 1.0×
Behavral qualit analys voice (92524) $104 $234.50 0.9×
Biofeedback training any modality (90901) $15 $268.89 0.4×
Breathing response to hypoxia (94450) $121 $316.77 1.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $351 $707.20 1.0×
Bundle of his recording (93600) $7,348 $3,517.61 1.0×
Canalith repositioning proc (95992) $28 $268.89 0.7×
Cardiac Stress Tst,Tracing Only (93017) $203 $2,302.11 1.0×
Cardiopulmonary exercise testing (94621) $351 $2,194.05 1.0×
Cardiopulmonary resuscitation (92950) $203 $2,372.09 1.0×
Cardioversion (92960) $622 $3,425.53 1.0×
Cardioversion elective internal (92961) $622 $3,052.28 1.0×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $3,054 $19,179.30 1.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $3,054 $19,179.30 1.0×
Cbt 1st hour (94644) $125 $509.53 1.0×
Chemo Admin Peritoneal Cavity (96446) $311 $1,262.17 1.0×
Chemo Anti-Neopl Sq/Im (96401) $67 $849.62 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $67 $859.45 1.0×
Chemo Ia Push (96420) $311 $561.09 1.0×
Chemo IV infusion addl hr (96415) $67 $119.10 1.0×
Chemo IV push addl drug (96411) $67 $992.06 1.0×
Chemother Prolong Infuse W/Pump (96416) $311 $1,962.01 1.0×
Chemotherapy Into Cns (96450) $311 $1,626.81 1.0×
Chemotherapy Intracavitary (96440) $311 $939.27 1.0×
Chemotherapy Unspecified (96549) $44 $252.94 1.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $67 $798.07 1.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $311 $859.45 1.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $311 $992.06 1.0×
Chest Wall Manipulation (94668) $125 $213.64 1.0×
Color/duplex Doppler, complete (93975) $224 $1,880.97 1.0×
Color/duplex Doppler, limited (93976) $98 $1,140.62 1.0×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 2 matching MRF lines
$30 $184.77–$189.08 0.9×
Comprehensive Hearing Test (92557) $121 $439.54 1.0×
Conditioning Play Audiometry (92582) $121 $455.50 1.0×
Continuous Pulse Ox (94762) $121 $466.55 1.0×
Coronary Art/Grft Angio S&I (93455) $3,054 $19,179.30 1.0×
Coronary Artery Angio S&I (93454) $3,054 $3,016.68 1.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $206 $914.70 1.0×
Cpt initial (94667) $125 $213.64 1.0×
Critical care first hour (99291) $778 $4,542.93 1.0×
Debridement Open Wound 20 Sq Cm< (97597) $189 $358.50 1.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $224 $1,140.62 1.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $98 $1,948.50 1.0×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $98 $1,948.50 1.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $224 $1,839.23 1.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $98 $1,017.83 1.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $224 $1,047.31 1.0×
Dup-scan xtr veins unilateral/limited study (93971) $98 $659.32 1.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $224 $1,311.63 1.0×
Duplex Scan Hemodialysis Access (93990) $98 $617.58 1.0×
Duplex up extrem art bilat (93930) $224 $1,765.56 1.0×
Duplex up extrem art unilat/ltd (93931) $98 $1,017.83 1.0×
ECG/monitoring and analysis (93271) $89 $666.69 1.0×
Echo Congenital Complete (93303) $514 $4,102.04 1.0×
Echo Heart Xthoracic,Limited (93308) $224 $1,139.39 1.0×
Echo transesophageal (93312) $514 $3,100.16 1.0×
EEG awake and asleep (95819) $203 $4,106.95 1.0×
EEG awake drowsy (95816) $203 $4,106.95 1.0×
EEG cerebral death evaluation (95824) $351 $3,655.12 1.0×
EEG extended monitoring 61-119 minutes (95813) $203 $3,203.31 1.0×
Eeg Sleep Only (95822) $203 $1,356.70 1.0×
EKG signal averaged (93278) $55 $446.93 1.0×
Electrical Stimulation Ea 15 Min (97032) $13 $267.66 0.9×
Electrocardiogram Tracing (93005) $55 $773.51 1.0×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $7,348 $19,028.30 1.0×
Electrophysiology Evaluation (93642) $1,147 $3,517.61 1.0×
Emergency Dept Visit Level 2 (99282) $144 $957.68 1.0×
Emergency Dept Visit Level 3 (99283) $257 $1,435.28 1.0×
Emergency Dept Visit Level 4 (99284) $393 $2,152.31 1.0×
Emg 3 Extremities (95863) $121 $223.45 1.0×
Emg 4 Extremities (95864) $121 $223.45 1.0×
Endomyocardial Biopsy (93505) $2,974 $5,812.35 1.0×
Ep & ablate supravent arrhyt (93653) $24,624 $69,107.30 1.0×
Ep & ablate ventric tachy (93654) $24,624 $69,107.30 1.0×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $7,348 $19,028.30 1.0×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $7,348 $19,028.30 1.0×
Ep Esophageal Recording Atria+Pacing (93616) $1,147 $3,517.61 1.0×
Er level 1 (99281) $79 $480.06 1.0×
Er level v (99285) $561 $3,224.79 1.0×
Ergonovine provocation test (93024) $420 $798.07 1.0×
Esoph Atrial Electrogram (93615) $1,147 $3,517.61 1.0×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $121 $849.86 1.0×
Evaluate pt use of inhaler (94664) $206 $67.53 1.0×
Evaluate Speech Production (92522) $106 $234.50 0.9×
Evaluate Swallowing Function (92610) $56 $493.57 0.7×
Evaluation of speech fluency (92521) $127 $234.50 1.0×
Evoked Auditory Test,Limited (92587) $203 $435.87 1.0×
External Ecg Scanning Analysis Report (93226) $55 $1,055.89 1.0×
Extracranial Bilat Study (93880) $224 $1,915.35 1.0×
Extracranial Uni/Ltd Study (93882) $98 $1,382.48 1.0×
F-up/limited tthrc echo congenital car anomaly (93304) $514 $1,139.39 1.0×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $52 $956 0.3×
Flexible endoscopic eval swallow c/v rec (92612) $52 $934.20 0.3×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $77 $2,034.80 0.3×
Group Therapeutic Procedures (97150) $17 $252.94 0.9×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $3,054 $19,179.30 1.0×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $646 $2,467.85 1.0×
Holter monitor recording (93225) $125 $1,569.11 1.0×
Immunization administration (90471) $67 $182.93 1.0×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $351 $1,210.60 1.0×
Insert/Place Heart Catheter (93503) $1,483 $8,541.72 1.0×
Interrogation vad in person (93750) $89 $569.70 1.0×
Intra-atrial pacing (93610) $7,348 $3,517.61 1.0×
Intra-atrial recording (93602) $7,348 $3,517.61 1.0×
Intracranial Complete Study (93886) $224 $1,915.35 1.0×
Intraventricular pacing (93612) $7,348 $3,517.61 1.0×
Iontophoresis 15 min (97033) $17 $335.19 0.9×
Irrig Drug Delivery Device (96523) $55 $305.70 1.0×
IV infusion hydration each additional hour (96361) $44 $193.99 1.0×
IV infusion hydration initial 31 min-1 hour (96360) $200 $572.15 1.0×
IV infusion ther proph addl sequential to 1 hr (96367) $67 $257.83 1.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $44 $193.99 1.0×
IV push initial (96374) $200 $257.83 1.0×
L Hrt Art/Grft Angio (93459) $3,054 $19,179.30 1.0×
Laryngeal Function Studies (92520) $125 $686.36 1.0×
Lung Function Test (Mbc/Mvv) (94200) $55 $281.17 1.0×
Lwr Xtr Vasc Stdy Bilat (93924) $203 $1,915.35 1.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $21 $68.75 0.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $25 $68.75 0.7×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $11 $68.75 0.6×
Methacholine challenge (94070) $351 $1,225.33 1.0×
Motility study esophagus (91010) $351 $2,623.78 1.0×
Motion Fluoroscopy/Swallow (92611) $86 $983.46 0.9×
Multiple Sleep Latency Test (95805) $809 $4,036.97 1.0×
Muscle Test 2 Limbs (95861) $125 $223.45 1.0×
Muscle Test One Limb (95860) $125 $223.45 1.0×
Nasal function studies (92512) $203 $1,610.97 1.0×
Nasopharyngoscopy (92511) $188 $511.99 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $189 $357.28 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $382 $407.63 1.0×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$31 $233.65–$319.22 0.9×
Nitric oxide expired gas determination (95012) $35 $143.65 1.0×
Oral Function Therapy (92526) $80 $488.66 1.0×
Oral Speech Device Eval (92597) $67 $547.59 0.9×
Orthc/Prostc Mgmt Sbsq Enc (97763) $46 $195.21 0.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $43 $449.38 0.9×
Oscillating Tracking Test (92545) $203 $437.09 1.0×
Ot Contrast Bath Ea 15 Min (97034) $13 $176.80 0.9×
Ot eval high complexity (97167) $95 $735.44 0.9×
Ot Eval Low Complex (97165) $95 $491.12 0.9×
Ot Eval Moderate Complexity (97166) $95 $491.12 0.9×
Ot manual therapy 15 min (97140) $26 $295.90 0.9×
Ot paraffin bath (97018) $5 $165.75 0.8×
Ot Prosthetic Training, Each 15 Min (97761) $38 $372.02 0.9×
Ot Re-Eval Est Plan Care (97168) $64 $370.79 0.9×
Ot rom hand (95852) $4 $159.61 0.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $121 $396.58 1.0×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $121 $396.58 1.0×
Oxygen Uptake Rest Indirect (94690) $55 $627.39 1.0×
Penile Vascular Study,Ltd or F/U (93981) $98 $1,948.50 1.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $206 $235.73 1.0×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $5,362 $14,760.50 1.0×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $10,875 $27,460.70 1.0×
Phlebotomy therapeutic (99195) $125 $628.63 1.0×
Physical Performance Test (97750) $31 $244.33 0.9×
Plethysmography (94726) $351 $602.84 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $809 $11,169.20 1.0×
Prq Card Angio/Athrect 1 Art (92924) $10,875 $13,396.40 1.0×
Prq Card Stent W/Angio 1 Vsl (92928) $10,875 $14,066.80 1.0×
Prq Card Stent/Ath/Angio (92933) $17,270 $27,460.70 1.0×
Prq Revasc Byp Graft 1 Vsl (92937) $10,875 $58,070.70 1.0×
Psychiatric diagnostic evaluation (90791) $167 $504.62 1.0×
Pt Eval High Complex (97163) $93 $1,114.83 1.0×
Pt eval low complex 20 min (97161) $93 $744.05 1.0×
Pt Eval Mod Complex (97162) $93 $744.05 1.0×
Pt gait training 15 min (97116)
range across 2 matching MRF lines
$27 $214.24–$397.80 0.9×
Pt mechanical traction (97012) $13 $325.36 0.9×
Pt Re-Eval Est Plan Care (97164) $63 $558.64 0.9×
Pt ultraviolet (97028) $7 $114.44 0.8×
Pulm function test by gas (94727) $203 $849.86 1.0×
Pulmonary service/procedure (94799) $121 $466.55 1.0×
Pulmonary Stress Testing (94618) $125 $849.62 1.0×
Pure Tone Audiometry Air (92552)
range across 2 matching MRF lines
$125 $175.58–$437.09 1.0×
R Hrt Art/Grft Angio (93457) $3,054 $19,179.30 1.0×
R hrt coronary artery angio (93456) $3,054 $19,179.30 1.0×
R&L Hrt Cath W/Ventriclgrphy (93453) $3,054 $13,762.30 1.0×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $311 $729.30 1.0×
Refill/Maint Portable Pump (96521) $200 $939.27 1.0×
Refill/Maint Pump/Resvr Syst (96522) $200 $939.27 1.0×
Remote 30 Day Ecg Rev/Report (93270) $35 $857 1.0×
Respiratory flow volume loop (94375) $203 $401.49 1.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $55 $446.93 1.0×
Right Heart Cath (93451) $3,054 $8,541.72 1.0×
Right ventricular recording (93603) $1,147 $3,517.61 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $189 $308.18 1.0×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $6 $226.48 0.2×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $116 $1,156.58 0.9×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$30 $192.76–$225.55 0.9×
Sensory Integration Ea 15 Min (97533) $56 $298.35 0.9×
Sleep study unattended (95806) $203 $3,663.72 1.0×
Speech Audiometry Complete (92556) $55 $207.50 1.0×
Speech audiometry threshold (92555) $55 $137.50 1.0×
Speech sound lang comprehen (92523) $216 $510.75 1.0×
Spin/Brain Pump Refil & Main (95991) $289 $939.27 1.0×
Spirometry (94010) $203 $310.63 1.0×
Spontaneous Nystagmus Test (92541) $125 $437.09 1.0×
Standardized Cognitive Performance Testing (96125) $97 $715.80 0.9×
Stress Tte Only (93350) $514 $3,321.16 1.0×
Surfactant Admin Thru Tube (94610) $206 $356.05 1.0×
Temp transcutaneous pacing (92953) $622 $3,516.38 1.0×
Testing Autonomic Nervous System Function (95923) $125 $516.90 1.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $19 $195.21 0.8×
Ther Ivntj Ea Addl 15 Min (97130) $18 $143.65 0.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $34 $293.45 0.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $27 $246.79 0.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $97 $764.92 0.9×
Ther/Prop/Diag Inj/Inf Proc (96379) $44 $190.30 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $67 $376.94 1.0×
Ther/Proph/Diag Iv Inf Init (96365) $200 $909.79 1.0×
Therapeutic Activities (97530)
range across 2 matching MRF lines
$32 $231.86–$283.62 0.9×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $351 $4,787.14 1.0×
Tobacco Use Cessation Intensive >10 Minutes (99407) $35 $157.16 1.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $35 $157.16 1.0×
Tone Decay Test (92563) $35 $137.50 1.0×
Transcath Closure of Asd (93580) $17,270 $68,850.70 1.0×
Transcranial Doppler Intracran Art Emboli Detect (93892) $98 $1,915.35 1.0×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $98 $1,382.48 1.0×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $121 $516.90 1.0×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $125 $516.90 1.0×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$514 $2,911.39–$3,906.81 1.0×
Tte W/O Doppler Complete (93307) $224 $3,370.28 1.0×
Tx atrial fib pulm vein isol (93656) $24,624 $69,107.30 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $72 $529.18 0.9×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $22 $262.24 0.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $44 $271.34 1.0×
Tympanometry (92567) $35 $155.93 1.0×
Upr/L Xtremity Art 2 Levels (93922) $125 $1,474.57 1.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $203 $1,759.42 1.0×
Valvuloplasty aortic valve (92986) $5,362 $23,386.90 1.0×
Valvuloplasty mitral valve (92987) $10,875 $23,386.90 1.0×
Vasopneumatic device (97016) $11 $268.89 0.9×
Vent Mgmt Inpat Init Day (94002) $582 $1,587.52 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $582 $1,425.46 1.0×
Visual reinforcement audiometry (vra) (92579) $203 $455.50 1.0×
Vital capacity, total (94150) $121 $283.62 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $29 $176.80 0.9×
Whirlpool Therapy (97022) $14 $313.09 0.9×

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.