Visits & medical services prices at Southwest Medical Center
Liberal, KS · every code in this section with a posted price and a Medicare benchmark.
178 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Advncd Care Plan 30 Min (99497) | $104.80 | $131 | 1.1× |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $396.40 | $495.50 | 2.0× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$43.60–$173.20 | $54.50–$216.50 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 9 matching MRF lines |
$21.20–$309.20 | $26.50–$386.50 | varies |
| Assessment of aphasia per hr (96105) | $176 | $220 | 1.8× |
| Behavral qualit analys voice (92524) | $170.40 | $213 | 1.6× |
| Biofeedback training any modality (90901) range across 2 matching MRF lines |
$78.40–$90 | $98–$112.50 | varies |
| Brief Emotional/Behav Assmt (96127) | $22 | $27.50 | 0.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$124–$476 | $155–$595 | varies |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$79.60–$123.60 | $99.50–$154.50 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $830 | $1,037.50 | 4.2× |
| Cardiopulmonary exercise testing (94621) | $946 | $1,182.50 | 2.8× |
| Cardiopulmonary resuscitation (92950) range across 7 matching MRF lines |
$334.40–$1,808.40 | $418–$2,260.50 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$180–$1,024.80 | $225–$1,281 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $25.20 | $31.50 | 0.7× |
| Cbt 1st hour (94644) | $121.60 | $152 | 1.0× |
| Chemo Anti-Neopl Sq/Im (96401) | $139.20 | $174 | 2.1× |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$53.20–$80 | $66.50–$100 | varies |
| Chemo IV infusion addl hr (96415) | $198.80 | $248.50 | 3.0× |
| Chemotherapy Unspecified (96549) | $22 | $27.50 | 0.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $337.60 | $422 | 1.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $249.20 | $311.50 | 0.8× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$42–$152 | $52.50–$190 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $92 | $115 | 1.0× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$105.60–$2,249.60 | $132–$2,812 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$72.80–$1,204 | $91–$1,505 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $221.60 | $277 | 1.8× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $104.80 | $131 | 1.9× |
| Continuous Pulse Ox (94762) | $478.80 | $598.50 | 4.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$80.40–$779.60 | $100.50–$974.50 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$54.40–$220.80 | $68–$276 | varies |
| Critical care first hour (99291) range across 3 matching MRF lines |
$617.60–$2,756.40 | $772–$3,445.50 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 7 matching MRF lines |
$127.20–$289.60 | $159–$362 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$71.20–$1,597.20 | $89–$1,996.50 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$43.60–$874.80 | $54.50–$1,093.50 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$62.80–$1,887.20 | $78.50–$2,359 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$40.40–$946 | $50.50–$1,182.50 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$43.60–$138 | $54.50–$172.50 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$72.80–$1,451.20 | $91–$1,814 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$44.40–$874.80 | $55.50–$1,093.50 | varies |
| ECG/monitoring and analysis (93271) range across 2 matching MRF lines |
$272–$334 | $340–$417.50 | varies |
| Echo Heart Xthoracic,Limited (93308) | $589.60 | $737 | 2.7× |
| EEG awake and asleep (95819) | $787.20 | $984 | 4.0× |
| EEG cerebral death evaluation (95824) | $662.40 | $828 | 1.9× |
| EKG signal averaged (93278) | $434.80 | $543.50 | 8.0× |
| Electrical Stimulation Ea 15 Min (97032) range across 7 matching MRF lines |
$39.60–$236.40 | $49.50–$295.50 | varies |
| Electrocardiogram Tracing (93005) | $280.40 | $350.50 | 5.2× |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$113.60–$465.60 | $142–$582 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$152.40–$770.40 | $190.50–$963 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$244–$1,262 | $305–$1,577.50 | varies |
| Emg 3 Extremities (95863) | $355.60 | $444.50 | 3.0× |
| Emg 4 Extremities (95864) | $397.20 | $496.50 | 3.4× |
| Er level 1 (99281) range across 3 matching MRF lines |
$32–$340.40 | $40–$425.50 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$313.20–$1,978 | $391.50–$2,472.50 | varies |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$29.60–$40 | $37–$50 | varies |
| Evaluate Speech Production (92522) | $180 | $225 | 1.6× |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$170.40–$289.60 | $213–$362 | varies |
| Evaluation of speech fluency (92521) | $202.80 | $253.50 | 1.5× |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$38–$344.80 | $47.50–$431 | varies |
| Exhaled Air Analysis O2 (94680) | $284.80 | $356 | 2.4× |
| External ECG rec>48hr<7d recording (93242) | $469.20 | $586.50 | 13.7× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $460.40 | $575.50 | 3.8× |
| External ECG rec>7d<15d recording (93246) | $685.60 | $857 | 20.0× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $682 | $852.50 | 5.6× |
| External Ecg Scanning Analysis Report (93226) | $359.20 | $449 | 6.6× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$72.80–$1,167.60 | $91–$1,459.50 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$44.40–$685.60 | $55.50–$857 | varies |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $1,587.20 | $1,984 | 8.0× |
| Group Therapeutic Procedures (97150) range across 3 matching MRF lines |
$38–$43.60 | $47.50–$54.50 | varies |
| Holter monitor recording (93225) | $361.60 | $452 | 3.0× |
| Hubbard tank 15 min (97036) | $258.80 | $323.50 | 7.4× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $21.20 | $26.50 | 0.3× |
| Immunization administration (90471) range across 3 matching MRF lines |
$27.60–$143.20 | $34.50–$179 | varies |
| Inital newborn e/m (99460) | $148 | $185 | 1.2× |
| Iontophoresis 15 min (97033) range across 8 matching MRF lines |
$53.60–$320 | $67–$400 | varies |
| Irrig Drug Delivery Device (96523) range across 5 matching MRF lines |
$42–$86 | $52.50–$107.50 | varies |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$62.80–$154.80 | $78.50–$193.50 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$75.60–$385.20 | $94.50–$481.50 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 4 matching MRF lines |
$48.80–$154.80 | $61–$193.50 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 7 matching MRF lines |
$62.80–$154.80 | $78.50–$193.50 | varies |
| IV push initial (96374) range across 5 matching MRF lines |
$75.60–$205.20 | $94.50–$256.50 | varies |
| Low frequency non-thermal us (97610) range across 3 matching MRF lines |
$21.20–$176.40 | $26.50–$220.50 | varies |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$39.60–$132.80 | $49.50–$166 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $80 | $100 | 2.2× |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$195.60–$289.60 | $244.50–$362 | varies |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $113.20 | $141.50 | 0.3× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$4,161.20–$4,348.80 | $5,201.50–$5,436 | varies |
| Muscle Test 2 Limbs (95861) | $276 | $345 | 2.3× |
| Muscle Test Hemidiaphragm (95866) | $213.20 | $266.50 | 1.8× |
| Muscle Test Nonparaspinal (95870) | $146.40 | $183 | 1.2× |
| Muscle Test One Limb (95860) | $196.80 | $246 | 1.6× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $213.20 | $266.50 | 1.1× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $159.20 | $199 | 0.8× |
| Needle electromyography larynx (95865) | $234.40 | $293 | 1.9× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $146.40 | $183 | 0.7× |
| Needle EMG w/1 fiber electrode quan meas jitter (95872) | $318 | $397.50 | 1.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 6 matching MRF lines |
$45.60–$449.20 | $57–$561.50 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 3 matching MRF lines |
$80.40–$476.80 | $100.50–$596 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$47.20–$270.40 | $59–$338 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 5 matching MRF lines |
$80.40–$495.60 | $100.50–$619.50 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $154.80 | $193.50 | 0.8× |
| Nerve Conduction Studies 11-12 Studies (95912) | $423.20 | $529 | 1.2× |
| Nerve conduction studies 13 or more studies (95913) | $489.20 | $611.50 | 1.4× |
| Nerve Conduction Studies 3-4 Studies (95908) | $200.80 | $251 | 1.0× |
| Nerve conduction studies 5-6 studies (95909) | $242.80 | $303.50 | 1.2× |
| Nerve conduction studies 7-8 studies (95910) | $318 | $397.50 | 0.9× |
| Nerve Conduction Studies 9-10 Studies (95911) | $380.80 | $476 | 1.1× |
| Neuromuscular Reeducation (97112) range across 8 matching MRF lines |
$61.20–$366.40 | $76.50–$458 | varies |
| Newborn resuscitation (99465) | $239.20 | $299 | 0.4× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $905.60 | $1,132 | 2.6× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $157.20 | $196.50 | 1.3× |
| Oral Function Therapy (92526) | $145.20 | $181.50 | 1.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $58.40 | $73 | 1.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $70.40 | $88 | 1.5× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $58.40 | $73 | 2.9× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$39.60–$45.20 | $49.50–$56.50 | varies |
| Ot eval high complexity (97167) | $224.40 | $280.50 | 2.2× |
| Ot Eval Low Complex (97165) | $142.40 | $178 | 1.4× |
| Ot Eval Moderate Complexity (97166) | $179.20 | $224 | 1.8× |
| Ot manual therapy 15 min (97140) range across 8 matching MRF lines |
$71.20–$426 | $89–$532.50 | varies |
| Ot paraffin bath (97018) range across 3 matching MRF lines |
$39.60–$45.20 | $49.50–$56.50 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 3 matching MRF lines |
$51.60–$59.20 | $64.50–$74 | varies |
| Ot Re-Eval Est Plan Care (97168) | $99.20 | $124 | 1.4× |
| Ot rom hand (95852) range across 3 matching MRF lines |
$54–$57.60 | $67.50–$72 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $297.20 | $371.50 | 2.5× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $297.20 | $371.50 | 2.5× |
| Penile Vascular Study,Ltd or F/U (93981) | $117.60 | $147 | 1.2× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$154.80–$219.20 | $193.50–$274 | varies |
| Physical Performance Test (97750) range across 19 matching MRF lines |
$68.40–$1,160.80 | $85.50–$1,451 | varies |
| Plethysmography (94726) | $415.20 | $519 | 1.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $5,936.40 | $7,420.50 | 7.5× |
| Positional nystagmus test (92542) | $156.40 | $195.50 | 1.3× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $16 | $20 | 0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $23.20 | $29 | 0.5× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $83.20 | $104 | 2.2× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$194.80–$224.40 | $243.50–$280.50 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$124–$142.40 | $155–$178 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$155.60–$179.20 | $194.50–$224 | varies |
| Pt gait training 15 min (97116) range across 7 matching MRF lines |
$47.60–$284.80 | $59.50–$356 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$50–$57.60 | $62.50–$72 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$86.40–$99.20 | $108–$124 | varies |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $25.20 | $31.50 | 0.7× |
| Pulm function test by gas (94727) | $415.60 | $519.50 | 2.1× |
| Pulmonary Stress Testing (94618) | $528.40 | $660.50 | 4.3× |
| Remote 30 Day Ecg Rev/Report (93270) | $334.40 | $418 | 9.7× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$228.80–$273.60 | $286–$342 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$449.20–$516.40 | $561.50–$645.50 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 3 matching MRF lines |
$53.60–$57.20 | $67–$71.50 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $198.80 | $248.50 | 1.6× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $98.40 | $123 | 2.1× |
| Same day nb discharge (99463) | $170 | $212.50 | 1.4× |
| Self Care Mngment Training (97535) range across 8 matching MRF lines |
$52.40–$312.40 | $65.50–$390.50 | varies |
| Sensory Integration Ea 15 Min (97533) range across 8 matching MRF lines |
$54.40–$326 | $68–$407.50 | varies |
| Sleep study attended (95807) | $4,716 | $5,895 | 13.7× |
| Speech sound lang comprehen (92523) | $334.40 | $418 | 1.5× |
| Spirometry (94010) range across 3 matching MRF lines |
$74–$304.80 | $92.50–$381 | varies |
| Standardized Cognitive Performance Testing (96125) | $196.80 | $246 | 1.9× |
| Temp transcutaneous pacing (92953) | $487.20 | $609 | 0.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $62.80 | $78.50 | 2.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $62.80 | $78.50 | 3.0× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$54.40–$62.80 | $68–$78.50 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 7 matching MRF lines |
$58.80–$352.40 | $73.50–$440.50 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $151.20 | $189 | 1.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$36–$160.40 | $45–$200.50 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$117.20–$385.20 | $146.50–$481.50 | varies |
| Therapeutic Activities (97530) range across 9 matching MRF lines |
$54–$355.60 | $67.50–$444.50 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$23.20–$24 | $29–$30 | varies |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$477.20–$2,488.80 | $596.50–$3,111 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$352.80–$1,201.20 | $441–$1,501.50 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $124.40 | $155.50 | 1.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$29.60–$145.20 | $37–$181.50 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$22.80–$414 | $28.50–$517.50 | varies |
| Vasopneumatic device (97016) | $58.40 | $73 | 4.9× |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$156.80–$1,759.20 | $196–$2,199 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 3 matching MRF lines |
$122.40–$1,434.40 | $153–$1,793 | varies |
| Vital capacity, total (94150) | $135.60 | $169.50 | 1.1× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 3 matching MRF lines |
$51.60–$59.20 | $64.50–$74 | varies |
| Whirlpool Therapy (97022) range across 3 matching MRF lines |
$101.20–$122 | $126.50–$152.50 | varies |
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.