Visits & medical services prices at Sheridan County Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $184 $184 0.9×
Assessment of aphasia (96105) $134 $134 1.4×
Behavioral and qualitative analysis of voice and resonance (92524) $232 $232 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $553 $553 1.6×
Canalith Repositioning (95992) $92 $92 2.3×
Cardiac Stress Tst,Tracing Only (93017) $662 $662 3.3×
Cardiopulmonary resuscitation (92950) $506 $506 2.5×
Cardioversion (92960) $1,068 $1,068 1.8×
Cbt 1st hour (94644) $262 $262 2.1×
Chemo Hormon Antineopl Sq/Im (96402) $88 $88 1.3×
Chemother, IV infusion, 1 hr (96413) $432.50 $432.50 1.4×
Chemother, IV infusion, ea add hr (96415) $334 $334 5.0×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $65 $65 1.0×
Color/duplex Doppler, complete (93975) $958 $958 4.4×
Color/duplex Doppler, limited (93976) $958 $958 10.0×
Cpap initiation and management (94660) $504 $504 2.5×
Cpt initial (94667) $191 $191 1.6×
Critical care (99291) $2,206 $2,206 2.9×
Debridement Open Wound 20 Sq Cm< (97597) $552 $552 3.0×
Demo &/or eval,pt use,aerosol device (94664) $392 $392 1.9×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,028 $1,028 4.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $958 $958 10.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $782 $782 3.6×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $958 $958 10.0×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,028 $1,028 4.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $958 $958 10.0×
Dup-scan xtr veins unilateral/limited study (93971) $958 $958 10.0×
Duplex hemodialysis access (93990) $782 $782 8.1×
Duplex scan extracranial art compl bi study (93880) $782 $782 3.6×
Echo Heart Xthoracic,Limited (93308) $1,149 $1,149 5.2×
EKG (93005) $207.50 $207.50 3.8×
Er level 1 (99281) $315 $315 4.1×
Er level ii (99282) $493 $493 3.5×
Er level iii (99283) $758 $758 3.0×
Er level IV (99284) $1,292 $1,292 3.4×
Er level v (99285) $2,073.50 $2,073.50 3.8×
Evaluation of speech fluency (92521) $232 $232 1.7×
Evaluation of speech sound production (92522) $232 $232 2.1×
Evaluation of swallowing function (92610) $240 $240 2.8×
External ECG rec>48hr<7d recording (93242) $390 $390 11.4×
External ECG rec>7d<15d recording (93246) $390 $390 11.4×
Flow volume loop (94375) $158 $158 0.8×
Holter Monitor Recording (93225) $362 $362 3.0×
Icd Device Interrogate (93289) $54 $54 1.6×
Immunization Admin (90471) $73 $73 1.1×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $91 $91 1.7×
IV infusion hydration each additional hour (96361) $213 $213 4.9×
IV infusion hydration initial 31 min-1 hour (96360) $269 $269 1.4×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $227 $227 3.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $269 $269 1.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $217 $217 5.0×
IV push initial (96374) $428 $428 2.2×
Manual therapy 15 min (97140) $100 $100 3.6×
Massage 15 min (97124) $87 $87 2.9×
Maximum voluntary ventilation (94200) $115 $115 2.1×
Mechanical chest wall oscillation (94669) $184 $184 0.9×
Mechanical traction (97012) $76.50 $76.50 5.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $384 $384 2.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $519 $519 1.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $782 $782 6.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $199 $199 1.7×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $88 $88 1.9×
Ot Contrast Bath Ea 15 Min (97034) $61 $61 4.3×
Ot eval high complex 60 min (97167) $234 $234 2.3×
Ot eval low complex 30 min (97165) $234 $234 2.3×
Ot eval mod complex 45 min (97166) $234 $234 2.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $69 $69 1.4×
Ot Prosthetic Training, Each 15 Min (97761) $94 $94 2.3×
Ot re-eval est plan care (97168) $131 $131 1.9×
Paraffin bath (97018) $48 $48 8.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $184 $184 0.9×
Plethysmography (94726) $553 $553 1.6×
Pm device eval in person (93288) $60 $60 1.7×
Pm device progr eval dual (93280) $49 $49 1.4×
Pm device progr eval multi (93281) $54 $54 1.6×
Pm device progr eval sngl (93279) $46 $46 1.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,318 $2,318 2.9×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $72 $72 2.1×
Programming of dual lead implantable defibrillator system (93283) $64 $64 1.9×
Programming of single lead implantable defibrillator system (93282) $56 $56 1.6×
Pt Electric Current Therapy (97033) $77 $77 4.0×
Pt eval high complex 45 min (97163) $228 $228 2.3×
Pt eval low complex 20 min (97161) $228 $228 2.3×
Pt Gait Training Therapy (97116) $93 $93 3.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $100 $100 3.1×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $228 $228 2.3×
Pt re-evaluation (97164) $151 $151 2.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $108 $108 3.3×
Pt Ultrasound Therapy (97035) $59 $59 4.1×
Pt Whirlpool Therapy (97022) $68 $68 4.3×
Pulm function test by gas (94727) $175 $175 0.9×
Pulmonary stress testing (94618) $222 $222 1.8×
Rt Chest Wall Manipulation,Subsequent (94668) $122 $122 1.0×
Sleep study unattended (95806) $383 $383 1.9×
Smoking cessation > 10 min (99407) $32 $32 0.9×
Speech sound lang comprehen (92523) $232 $232 1.0×
Spirometry (94010) $579.50 $579.50 2.9×
Stress echo (93350) $1,158 $1,158 2.3×
Surfactant Admin Thru Tube (94610) $214 $214 1.1×
Ther/Proph/Diag Inj Sc/Im (96372) $88 $88 1.3×
Therapeutic Activities (97530) $98 $98 2.8×
Therapeutic phlebotomy (99195) $338 $338 2.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $29 $29 0.8×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $3,056 $3,056 6.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $157 $157 2.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $134 $134 1.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $74 $74 1.7×
Unlisted pulmonary service/procedure (94799) $50 $50 0.4×
Vasc Duplex Extrem Venous,Bilat (93970) $958 $958 4.4×
Vasc Duplex Scan Extracranial,Limited (93882) $782 $782 8.1×
Vasopneumatic device (97016) $68 $68 5.7×
Ventilation assist & mgmt inpatient 1st day (94002) $819 $819 1.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,299 $1,299 2.3×
Vital capacity total (94150) $64 $64 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $69 $69 2.2×