Visits & medical services prices at Smith County Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Administration of prolonged chemotherapy into artery (96425) $165 $165 0.5×
Airway inhalation treatment (94640) $172.50 $172.50 0.9×
Basic vestibular evaluation (92540) $175 $175 0.9×
Behavioral and qualitative analysis of voice and resonance (92524) $178.37 $178.37 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $450 $450 1.3×
Canalith Repositioning (95992) $78 $78 1.9×
Capsule endoscopy (91110) $1,500 $1,500 1.8×
Cardiac Stress Tst,Tracing Only (93017) $511.12 $511.12 2.6×
Cardiopulmonary resuscitation (92950) $650 $650 3.3×
Cardioversion (92960) $645 $645 1.1×
Cbt 1st hour (94644) $350 $350 2.9×
Chemo Hormon Antineopl Sq/Im (96402) $60 $60 0.9×
Chemo IV push addl drug (96411) $150 $150 2.3×
Chemo Iv Push Sngl Drug (96409) $175 $175 0.6×
Chemo prolong 8+ hrs infuse w/pump (96416) $245 $245 0.8×
Chemother, IV infusion, 1 hr (96413) $268.94 $268.94 0.9×
Chemother, IV infusion, ea add hr (96415) $168.94 $168.94 2.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $62 $62 0.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $67 $67 1.0×
Color/duplex Doppler, complete (93975) $738.28 $738.28 3.4×
Color/duplex Doppler, limited (93976) $738.28 $738.28 7.7×
Cpap initiation and management (94660) $482.72 $482.72 2.4×
Cpt initial (94667) $215 $215 1.8×
Critical care (99291) $1,569.10 $1,569.10 2.1×
Debridement Open Wound 20 Sq Cm< (97597) $326.54 $326.54 1.8×
Demo &/or eval,pt use,aerosol device (94664) $115 $115 0.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $738.28 $738.28 3.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $738.28 $738.28 3.4×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $738.28 $738.28 7.7×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $580 $580 2.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $738.28 $738.28 7.7×
Dup-scan xtr veins unilateral/limited study (93971) $738.28 $738.28 7.7×
Duplex scan extracranial art compl bi study (93880) $738.28 $738.28 3.4×
Echo Heart Xthoracic,Limited (93308) $789.04 $789.04 3.6×
EKG (93005) $94.30 $94.30 1.7×
EKG rhythm strip (93041) $100 $100 1.8×
Er level 1 (99281) $261.53 $261.53 3.4×
Er level ii (99282) $407.42 $407.42 2.9×
Er level iii (99283) $626.22 $626.22 2.5×
Er level IV (99284) $1,067.65 $1,067.65 2.8×
Er level v (99285) $1,659.32 $1,659.32 3.0×
Evaluation of speech sound production (92522) $178.37 $178.37 1.6×
Evaluation of swallowing function (92610) $197.66 $197.66 2.3×
Evoked auditory test,limited (92587) $86.50 $86.50 0.4×
Exercise tst brncspsm (94617) $71 $71 0.6×
External ECG rec>48hr<7d recording (93242) $289.12 $289.12 8.4×
External ECG rec>7d<15d recording (93246) $289.12 $289.12 8.4×
Holter Monitor Recording (93225) $269.56 $269.56 2.2×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $25 $25 0.7×
Immunization Admin (90471) $30 $30 0.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $51.88 $51.88 1.0×
IV infusion hydration each additional hour (96361) $204.73 $204.73 4.8×
IV infusion hydration initial 31 min-1 hour (96360) $204.73 $204.73 1.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $204.73 $204.73 3.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $192.36 $192.36 1.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $204.73 $204.73 4.8×
IV push initial (96374) $68.84 $68.84 0.4×
Manual therapy 15 min (97140) $81 $81 2.9×
Massage 15 min (97124) $63 $63 2.1×
Maximum voluntary ventilation (94200) $71 $71 1.3×
Mechanical chest wall oscillation (94669) $132.25 $132.25 0.7×
Mechanical traction (97012) $83 $83 5.8×
Methacholine challenge (94070) $650 $650 1.9×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $300 $300 3.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $351.80 $351.80 1.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $350 $350 0.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $738.28 $738.28 6.0×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $738.28 $738.28 3.7×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $300 $300 2.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $75 $75 1.6×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $65 $65 2.0×
Ot eval high complex 60 min (97167) $235 $235 2.3×
Ot eval low complex 30 min (97165) $185 $185 1.8×
Ot eval mod complex 45 min (97166) $215 $215 2.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $51 $51 1.0×
Ot Prosthetic Training, Each 15 Min (97761) $63 $63 1.6×
Ot re-eval est plan care (97168) $118.88 $118.88 1.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $183.93 $183.93 1.6×
Paraffin bath (97018) $38 $38 6.3×
Phy/qhp op pulm rhb w/mntr (94626) $327.75 $327.75 6.0×
Phy/qhp op pulm rhb w/o mntr (94625) $316.25 $316.25 5.8×
Plethysmography (94726) $484 $484 1.4×
Pm device progr eval dual (93280) $74.75 $74.75 2.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,465 $1,465 1.9×
Programming of dual lead implantable defibrillator system (93283) $86.25 $86.25 2.5×
Pt Aquatic Therapy/Exercises (97113) $80 $80 2.2×
Pt Electric Current Therapy (97033) $78 $78 4.1×
Pt Electrical Stimulation (97032) $66 $66 4.5×
Pt eval high complex 45 min (97163) $235 $235 2.4×
Pt eval low complex 20 min (97161) $228 $228 2.3×
Pt Gait Training Therapy (97116) $69 $69 2.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $84 $84 2.6×
Pt Physical Performance Test (97750) $100 $100 3.0×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $215 $215 2.2×
Pt re-evaluation (97164) $124.90 $124.90 1.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $60 $60 1.9×
Pt Ultrasound Therapy (97035) $82 $82 5.7×
Pt Whirlpool Therapy (97022) $95.10 $95.10 6.1×
Pulm Funct Test Oscillometry (94728) $172 $172 1.5×
Pulm function test by gas (94727) $375 $375 1.9×
Pulmonary stress testing (94618) $134.38 $134.38 1.1×
Refill/maint, portable pump (96521) $255 $255 1.3×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $158.08 $158.08 4.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $307.44 $307.44 1.7×
Rt Chest Wall Manipulation,Subsequent (94668) $134 $134 1.1×
Sensory Integration Ea 15 Min (97533) $88 $88 1.4×
Sleep study unattended (95806) $365.70 $365.70 1.8×
Smoking cessation > 10 min (99407) $31 $31 0.9×
Speech sound lang comprehen (92523) $178.37 $178.37 0.8×
Spirometry (94010) $250 $250 1.3×
Stress echo (93350) $860 $860 1.7×
Stress Tte Complete (93351) $699 $699 1.4×
Temp transcutaneous pacing (92953) $500 $500 0.8×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $75 $75 3.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $75 $75 3.6×
Ther/Proph/Diag Inj Sc/Im (96372) $59.84 $59.84 0.9×
Therapeutic Activities (97530) $94 $94 2.7×
Therapeutic phlebotomy (99195) $110 $110 0.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $44.80 $44.80 1.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,163.94 $2,163.94 4.3×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $694 $694 3.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $119.43 $119.43 1.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $100.49 $100.49 1.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $68.84 $68.84 1.6×
Unlisted Cardiovascular Service/Procedure (93799) $1,139.99 $1,139.99 9.6×
Unlisted pulmonary service/procedure (94799) $150 $150 1.3×
Vasc Duplex Extrem Venous,Bilat (93970) $738.28 $738.28 3.4×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $580 $580 2.9×
Ventilation assist & mgmt inpatient 1st day (94002) $913.75 $913.75 1.6×
Vital capacity total (94150) $225 $225 1.9×
Wheelchair Mgmt Ea 15 Min (97542) $54.82 $54.82 1.8×