Visits & medical services prices at St. Luke Hospital & Living Center

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $81
Application of heat wave therapy (97024) $36
Assessment of aphasia (96105) $182
Behavioral and qualitative analysis of voice and resonance (92524) $162
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $285
Canalith Repositioning (95992) $125
Cardiac Stress Tst,Tracing Only (93017) $774
Cardiopulmonary resuscitation (92950) $525
Cardioversion (92960) $304
Chemo Hormon Antineopl Sq/Im (96402) $53
Chemo IV push addl drug (96411) $86
Chemo Iv Push Sngl Drug (96409) $362
Chemo prolong 8+ hrs infuse w/pump (96416) $222
Chemother, IV infusion, 1 hr (96413) $271
Chemother, IV infusion, ea add hr (96415) $124
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $181
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $101
Color/duplex Doppler, complete (93975) $699
Cpap initiation and management (94660) $782
Cpt initial (94667) $44
Critical care (99291) $1,048
Debridement Open Wound 20 Sq Cm< (97597) $367
Demo &/or eval,pt use,aerosol device (94664) $41
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $641
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $999
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $660
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $579
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $536
Dup-scan xtr veins unilateral/limited study (93971) $598
Duplex scan extracranial art compl bi study (93880) $1,007
EEG awake asleep (95819) $627
EEG awake drowsy (95816) $247
EKG (93005) $265
EMG four extremities (95864) $346.50
EMG one extremity (95860) $422
EMG three extremities (95863) $325.50
EMG two extremities (95861) $515.50
Er level 1 (99281) $128
Er level ii (99282) $218
Er level iii (99283) $325
Er level IV (99284) $480
Er level v (99285) $720
Evaluation of speech fluency (92521) $182.50
Evaluation of speech sound production (92522) $162
Evaluation of swallowing function (92610) $190
External Ecg Scanning Analysis Report (93226) $128
Holter Monitor Recording (93225) $128
Immunization Admin (90471) $80
Immunotherapy, 2+ Injections (95117) $37
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $68
IV infusion hydration each additional hour (96361) $144
IV infusion hydration initial 31 min-1 hour (96360) $192
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $192
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $192
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $161.50
IV push initial (96374) $91
Manual therapy 15 min (97140) $85
Massage 15 min (97124) $58
Mechanical traction (97012) $41
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $176
Multiple sleep latency test (95805) $3,200
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $136
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $136
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $530
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $530
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $39
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98972) $73
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98971) $67
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $54
Ot Contrast Bath Ea 15 Min (97034) $31
Ot eval high complex 60 min (97167) $197
Ot eval low complex 30 min (97165) $197
Ot eval mod complex 45 min (97166) $197
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $51
Ot Prosthetic Training, Each 15 Min (97761) $63
Ot re-eval est plan care (97168) $78
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $174
Outpatient cardiac rehab w/o cont ECG monitor (93797) $174
Paraffin bath (97018) $42
Percutaneous tests w/allergenic extracts (95004) $11
Phy/qhp op pulm rhb w/mntr (94626) $268
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,440
Prepj& allergen immunotherapy 1/mlt antigen (95165) $53
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $28
Pt Aquatic Therapy/Exercises (97113) $76
Pt Electric Current Therapy (97033) $75
Pt Electrical Stimulation (97032) $56
Pt eval high complex 45 min (97163) $197
Pt eval low complex 20 min (97161) $197
Pt Gait Training Therapy (97116) $65
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $71
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $197
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $42
Pt Ultrasound Therapy (97035) $51
Pt Whirlpool Therapy (97022) $41
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $410
Rt Chest Wall Manipulation,Subsequent (94668) $65
Sleep study unattended (95806) $273
Speech sound lang comprehen (92523) $203
Spirometry (94010) $310.50
Standardized Cognitive Performance Testing (96125) $163
Temp transcutaneous pacing (92953) $111
Test for allergy using allergenic extract injected into skin (95024) $10
Test for allergy using combination of methods with drug or biological (95018) $170
Ther/Proph/Diag Inj Sc/Im (96372) $80
Therapeutic Activities (97530) $53.50
Therapeutic phlebotomy (99195) $91
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,240
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $385
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $134
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $134
Tx/Pro/Dx Inj New Drug Addon (96375) $91
Vasc Duplex Extrem Venous,Bilat (93970) $625
Vasc Duplex Scan Extracranial,Limited (93882) $832
Vasopneumatic device (97016) $43
Ventilation assist & mgmt inpatient 1st day (94002) $1,484
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,092.50
Wheelchair Mgmt Ea 15 Min (97542) $40