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.

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (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) $108.40 $135.50 0.5×
Assessment of aphasia (96105) $176 $220 1.8×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $83.20 $104 2.2×
Behav assmt w/score & docd/stand instrument (96127) $22 $27.50 0.6×
Behavioral and qualitative analysis of voice and resonance (92524) $170.40 $213 1.6×
Biofeedback training any modality (90901) $84.20 $105.25 2.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $300 $375 0.9×
Canalith Repositioning (95992) $116 $145 2.8×
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) $973.60 $1,217 4.9×
Cardioversion (92960) $1,024.80 $1,281 1.7×
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 Hormon Antineopl Sq/Im (96402) $66.60 $83.25 1.0×
Chemo Iv Push Sngl Drug (96409) $249.20 $311.50 0.8×
Chemother, IV infusion, 1 hr (96413) $337.60 $422 1.1×
Chemother, IV infusion, ea add hr (96415) $198.80 $248.50 3.0×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $139.20 $174 2.1×
Chemotherapy, unspecified procedure (96549) $22 $27.50 0.5×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $92 $115 1.0×
Color/duplex Doppler, complete (93975) $1,177.60 $1,472 5.4×
Color/duplex Doppler, limited (93976) $638.40 $798 6.6×
Cont Gluc Monitoring Patient Provided Equipment (95249) $104.80 $131 1.9×
Continuous Glucose Monitoring (95250) $221.60 $277 1.8×
Cpap initiation and management (94660) $212.80 $266 1.1×
Cpt initial (94667) $137.60 $172 1.1×
Critical care (99291) $642.40 $803 0.8×
Debridement Open Wound 20 Sq Cm< (97597) $289.60 $362 1.6×
Demo &/or eval,pt use,aerosol device (94664) $34.80 $43.50 0.2×
Dup-scan artl infl&ven o/f pen vsl f-up/lmtd std (93981) $117.60 $147 1.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $834.20 $1,042.75 3.8×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $459.20 $574 4.8×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $762 $952.50 3.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $459.60 $574.50 4.8×
Dup-scan xtr veins unilateral/limited study (93971) $493.20 $616.50 5.1×
Duplex hemodialysis access (93990) $90.80 $113.50 0.9×
Duplex scan extracranial art compl bi study (93880) $620.20 $775.25 2.8×
Echo Heart Xthoracic,Limited (93308) $589.60 $737 2.7×
EEG awake asleep (95819) $787.20 $984 4.0×
EEG cerebral death evaluation (95824) $662.40 $828 1.9×
EKG (93005) $280.40 $350.50 5.2×
EKG rhythm strip (93041) $251.20 $314 4.6×
Ekg Signal Averaging (93278) $434.80 $543.50 8.0×
EMG cranial nerve bilat (95868) $213.20 $266.50 1.1×
EMG cranial nerve unilat (95867) $159.20 $199 0.8×
EMG four extremities (95864) $397.20 $496.50 3.4×
EMG one extremity (95860) $196.80 $246 1.6×
EMG thoracic paraspinal (95869) $146.40 $183 0.7×
EMG three extremities (95863) $355.60 $444.50 3.0×
EMG two extremities (95861) $276 $345 2.3×
Er level 1 (99281) $33.20 $41.50 0.4×
Er level ii (99282) $118 $147.50 0.8×
Er level iii (99283) $158.80 $198.50 0.6×
Er level IV (99284) $253.60 $317 0.7×
Er level v (99285) $326 $407.50 0.6×
Evaluation of speech fluency (92521) $202.80 $253.50 1.5×
Evaluation of speech sound production (92522) $180 $225 1.6×
Evaluation of swallowing function (92610) $230 $287.50 2.7×
Evaluation with prescription of speech-generating alternative (92607) $198.80 $248.50 1.6×
Evoked auditory test,limited (92587) $191.40 $239.25 1.0×
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×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $1,587.20 $1,984 8.0×
Group Therapeutic Procedures (97150) $43.60 $54.50 2.4×
Holter Monitor Recording (93225) $361.60 $452 3.0×
Hydrotherapy (97036) $258.80 $323.50 7.4×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $21.20 $26.50 0.3×
Immunization Admin (90471) $143.20 $179 2.2×
Immunotherapy, 2+ Injections (95117) $23.20 $29 0.5×
Inital newborn e/m (99460) $148 $185 1.2×
Initial normal newborn care, same day discharge (99463) $170 $212.50 1.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $72.80 $91 1.3×
IV infusion hydration each additional hour (96361) $154.80 $193.50 3.6×
IV infusion hydration initial 31 min-1 hour (96360) $385.20 $481.50 2.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $154.80 $193.50 2.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $385.20 $481.50 2.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $105.20 $131.50 2.4×
IV push initial (96374) $205.20 $256.50 1.0×
Low frequency non-thermal us (97610) $21.20 $26.50 0.1×
Manual therapy 15 min (97140) $177.80 $222.25 6.4×
Massage 15 min (97124) $176.40 $220.50 5.9×
Maximum voluntary ventilation (94200) $86.20 $107.75 1.6×
Mechanical traction (97012) $53.80 $67.25 3.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $80 $100 2.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $242.60 $303.25 2.7×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $113.20 $141.50 0.3×
Multiple sleep latency test (95805) $4,255 $5,318.75 5.4×
Needle electromyography hemidiaphragm (95866) $213.20 $266.50 1.8×
Needle electromyography larynx (95865) $234.40 $293 1.9×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $146.40 $183 1.2×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $318 $397.50 1.6×
Neg press wnd tx </=50 sq cm (97607) $360.20 $450.25 1.0×
Neg press wound tx >50 cm (97608) $80.40 $100.50 0.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $158.80 $198.50 0.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $251.60 $314.50 0.7×
Nerve conduction studies 13/> studies (95913) $489.20 $611.50 1.4×
Nerve Conduction Studies 3-4 Studies (95908) $200.80 $251 1.0×
Nerve Conduction Studies 9-10 Studies (95911) $380.80 $476 1.1×
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; 5-6 studies (95909) $242.80 $303.50 1.2×
Nerve conduction studies; 7-8 studies (95910) $318 $397.50 0.9×
Newborn resuscitation (99465) $239.20 $299 0.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $266 $332.50 2.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $478.80 $598.50 4.0×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $905.60 $1,132 2.6×
Ophthalmic biometry (92136) $157.20 $196.50 1.3×
Orthotics mgmt & traing 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) $42.40 $53 3.0×
Ot eval high complex 60 min (97167) $224.40 $280.50 2.2×
Ot eval low complex 30 min (97165) $142.40 $178 1.4×
Ot eval mod complex 45 min (97166) $179.20 $224 1.8×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $58.40 $73 1.2×
Ot Prosthetic Training, Each 15 Min (97761) $59.20 $74 1.5×
Ot Range Motion Measure,Each Extrem (95851) $57.20 $71.50 2.2×
Ot re-eval est plan care (97168) $99.20 $124 1.4×
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×
Paraffin bath (97018) $45.20 $56.50 7.5×
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×
Pt Aquatic Therapy/Exercises (97113) $58.60 $73.25 1.6×
Pt Electric Current Therapy (97033) $133.60 $167 7.0×
Pt Electrical Stimulation (97032) $118 $147.50 8.0×
Pt eval high complex 45 min (97163) $209.60 $262 2.1×
Pt eval low complex 20 min (97161) $133.20 $166.50 1.4×
Pt Gait Training Therapy (97116) $142.80 $178.50 4.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $152.80 $191 4.7×
Pt Physical Performance Test (97750) $546 $682.50 16.2×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $167.40 $209.25 1.7×
Pt re-evaluation (97164) $92.80 $116 1.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $130.20 $162.75 4.0×
Pt Ultrasound Therapy (97035) $103.20 $129 7.2×
Pt Whirlpool Therapy (97022) $101.20 $126.50 6.4×
Pt-focused hlth risk assmt (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 - Cardiac Event Monitor (93270) $334.40 $418 9.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $516.40 $645.50 2.8×
Rom meas&reprt hand w/wo comparison normal sid (95852) $57.60 $72 2.7×
Rt Chest Wall Manipulation,Subsequent (94668) $97 $121.25 0.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $98.40 $123 2.1×
Sensory Integration Ea 15 Min (97533) $135.80 $169.75 2.2×
Sleep study attended (95807) $4,716 $5,895 13.7×
Speech sound lang comprehen (92523) $334.40 $418 1.5×
Spirometry (94010) $77.20 $96.50 0.4×
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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $62.80 $78.50 3.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $151.20 $189 1.5×
Ther/Proph/Diag Inj Sc/Im (96372) $160.40 $200.50 2.4×
Therapeutic Activities (97530) $127.60 $159.50 3.6×
Therapeutic phlebotomy (99195) $187 $233.75 1.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $23.60 $29.50 0.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,483 $1,853.75 3.0×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $777 $971.25 3.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $124.40 $155.50 1.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $145.20 $181.50 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $145.20 $181.50 3.4×
Vasc Duplex Extrem Venous,Bilat (93970) $975 $1,218.75 4.4×
Vasc Duplex Scan Extracranial,Limited (93882) $365 $456.25 3.8×
Vasopneumatic device (97016) $58.40 $73 4.9×
Ventilation assist & mgmt inpatient 1st day (94002) $163.20 $204 0.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $127.20 $159 0.2×
Vital capacity total (94150) $135.60 $169.50 1.1×
Wheelchair Mgmt Ea 15 Min (97542) $59.20 $74 1.9×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $303 $378.75 3.5×