Visits & medical services prices at St. Mary's Medical Center

Blue Springs, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $218 $986.73 1.0×
Airway resistance by oscillometry (94728) $128 $1,476.76 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $13 $268.48 0.9×
Assessment of aphasia per hr (96105) $94 $694.16 1.0×
Behavral qualit analys voice (92524) $106 $617.29 1.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $371 $1,413.55 1.0×
Canalith repositioning proc (95992) $29 $299.18 0.7×
Cardiac Stress Tst,Tracing Only (93017) $215 $2,186.88 1.0×
Cardiopulmonary resuscitation (92950) $215 $2,090.49 1.0×
Cardioversion (92960) $658 $1,871.36 1.0×
Cardioversion elective internal (92961) $658 $3,134.65 1.0×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $3,231 $10,266.60 1.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $3,231 $10,266.60 1.0×
Cbt 1st hour (94644) $132 $615.91 1.0×
Chest Wall Manipulation (94668) $132 $332.74 1.0×
Color/duplex Doppler, complete (93975) $237 $2,151.30 1.0×
Color/duplex Doppler, limited (93976) $104 $1,190.97 1.0×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 2 matching MRF lines
$31 $137.68–$154.50 1.0×
Continuous Pulse Ox (94762) $128 $773.32 1.0×
Coronary Art/Grft Angio S&I (93455) $3,231 $10,266.60 1.0×
Coronary Artery Angio S&I (93454) $3,231 $10,266.60 1.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $218 $1,433.05 1.0×
Cpt initial (94667) $132 $7,772.08 1.0×
Critical care first hour (99291) $823 $5,326.06 1.0×
Debridement Open Wound 20 Sq Cm< (97597) $199 $931.67 1.0×
Dialysis One Evaluation (90945) $415 $2,029.85 1.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $237 $1,143.93 1.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $237 $1,672.85 1.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $104 $1,442.24 1.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $237 $2,388.81 1.0×
Dup-scan xtr veins unilateral/limited study (93971) $104 $1,685.47 1.0×
Duplex up extrem art bilat (93930) $237 $1,672.85 1.0×
Duplex up extrem art unilat/ltd (93931) $104 $1,171.46 1.0×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$237 $1,283.96–$2,054.82 1.0×
Echo transesophageal (93312) $544 $4,036.43 1.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $544 $3,242.45 1.0×
Eeg 41-60 Minutes (95812) $215 $1,540.16 1.0×
EEG awake and asleep (95819) $215 $1,807.09 1.0×
EEG awake drowsy (95816) $215 $1,476.76 1.0×
EEG cerebral death evaluation (95824) $371 $2,564.35 1.0×
Eeg Sleep Only (95822) $215 $1,236.87 1.0×
Electrical Stimulation Ea 15 Min (97032) $14 $235.21 1.0×
Electrocardiogram Tracing (93005) $58 $681.53 1.0×
Emergency Dept Visit Level 2 (99282) $153 $850.19 1.0×
Emergency Dept Visit Level 3 (99283) $272 $1,839.22 1.0×
Emergency Dept Visit Level 4 (99284) $415 $2,671.06 1.0×
Er level 1 (99281) $84 $532.38 1.0×
Er level v (99285) $593 $4,070.84 1.0×
Evaluate pt use of inhaler (94664) $218 $250.13 1.0×
Evaluate Swallowing Function (92610) $56 $676.95 0.7×
Evaluation of speech fluency (92521) $129 $712.76 1.0×
External Ecg Scanning Analysis Report (93226) $58 $1,211.61 1.0×
Extracranial Bilat Study (93880) $237 $2,064.11 1.0×
Group Therapeutic Procedures (97150) $17 $531.22 0.9×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $3,231 $16,180.70 1.0×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 2 matching MRF lines
$684 $2,652.25–$5,304.50 1.0×
Holter monitor recording (93225) $132 $1,382.58 1.0×
Icd device progr eval dual (93283) $37 $185.66 1.0×
Immunization administration (90471) $71 $323.55 1.0×
Irrig Drug Delivery Device (96523) $58 $332.74 1.0×
IV infusion hydration each additional hour (96361) $46 $213.41 1.0×
IV infusion hydration initial 31 min-1 hour (96360) $212 $1,093.44 1.0×
IV infusion ther proph addl sequential to 1 hr (96367) $71 $213.41 1.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $46 $213.41 1.0×
IV push initial (96374) $212 $176.70 1.0×
L Hrt Art/Grft Angio (93459) $3,231 $10,266.60 1.0×
Lung Function Test (Mbc/Mvv) (94200) $58 $200.79 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $25 $172.11 0.7×
Methacholine challenge (94070) $371 $943.13 1.0×
Motion Fluoroscopy/Swallow (92611) $88 $928.22 1.0×
Multiple Sleep Latency Test (95805) $855 $5,258.37 1.0×
Nasopharyngoscopy (92511) $198 $838.73 1.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $405 $763 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $199 $931.67 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $405 $1,779.56 1.0×
Neuromuscular Reeducation (97112) $31 $359.13 0.9×
Oral Function Therapy (92526)
range across 4 matching MRF lines
$81 $814.64–$854.79 1.0×
Orthc/Prostc Mgmt Sbsq Enc (97763) $48 $297.17 1.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $44 $276.51 1.0×
Ot eval high complexity (97167) $97 $1,246.04 1.0×
Ot Eval Low Complex (97165) $97 $555.32 1.0×
Ot Eval Moderate Complexity (97166) $97 $830.70 1.0×
Ot manual therapy 15 min (97140) $26 $448.63 0.9×
Ot Prosthetic Training, Each 15 Min (97761) $38 $143.43 0.9×
Ot Re-Eval Est Plan Care (97168) $66 $555.32 1.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $128 $671.21 1.0×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $128 $16.06 1.0×
Penile Vascular Study,Ltd or F/U (93981) $104 $539.46 1.0×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $5,672 $18,554 1.0×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $11,506 $56,022.30 1.0×
Phlebotomy therapeutic (99195) $132 $554.17 1.0×
Physical Performance Test (97750) $32 $214.56 0.9×
Plethysmography (94726) $371 $1,413.55 1.0×
Pm Device Progr Eval Sngl (93279) $37 $207.78 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $855 $9,846.67 1.0×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $855 $5,133.68 1.0×
Prq Card Angio/Athrect 1 Art (92924) $11,506 $35,279.10 1.0×
Prq Card Stent W/Angio 1 Vsl (92928) $11,506 $38,348.30 1.0×
Prq Card Stent/Ath/Angio (92933)
range across 2 matching MRF lines
$18,271 $19,611.90–$56,022.30 1.0×
Prq Revasc Byp Graft 1 Vsl (92937)
range across 2 matching MRF lines
$11,506 $16,976.40–$35,279.10 1.0×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $36 $240.79 1.0×
Pt Eval High Complex (97163) $95 $1,083.12 1.0×
Pt eval low complex 20 min (97161) $95 $483.04 1.0×
Pt Eval Mod Complex (97162) $95 $722.84 1.0×
Pt gait training 15 min (97116) $28 $349.95 1.0×
Pt mechanical traction (97012) $13 $209.97 0.9×
Pt Re-Eval Est Plan Care (97164) $65 $483.04 1.0×
Pulm function test by gas (94727) $215 $779.06 1.0×
Pulmonary service/procedure (94799) $128 $800.58 1.0×
R hrt coronary artery angio (93456) $3,231 $15,693.20 1.0×
R&L Hrt Cath W/Ventriclgrphy (93453) $3,231 $15,989.40 1.0×
Respiratory flow volume loop (94375) $215 $1,476.76 1.0×
Right Heart Cath (93451) $3,231 $10,266.60 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $199 $763 1.0×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $6 $213.09 0.2×
Self Care Mngment Training (97535) $31 $359.13 1.0×
Sensory Integration Ea 15 Min (97533) $58 $216.79 1.0×
Sleep study unattended (95806) $215 $1,091.15 1.0×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $215 $1,091.15 1.0×
Speech sound lang comprehen (92523) $220 $863.96 1.0×
Spirometry (94010) $215 $979.85 1.0×
Standardized Cognitive Performance Testing (96125) $100 $631.05 1.0×
Stress Tte Only (93350)
range across 2 matching MRF lines
$544 $2,147.87–$2,696.19 1.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $19 $150.31 0.8×
Ther Ivntj Ea Addl 15 Min (97130) $18 $143.43 0.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $28 $130.80 0.9×
Ther/Proph/Diag Inj Sc/Im (96372) $71 $146.86 1.0×
Ther/Proph/Diag Iv Inf Init (96365) $212 $517.46 1.0×
Therapeutic Activities (97530)
range across 3 matching MRF lines
$33 $173.26–$448.63 0.9×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $371 $1,661.38 1.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $37 $146.65 1.0×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$544 $3,973.32–$3,992.12 1.0×
Tte W/O Doppler Complete (93307) $237 $1,952.81 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 6 matching MRF lines
$74 $782.50–$1,173.75 1.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $23 $462.39 1.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $46 $176.70 1.0×
Upr/L Xtremity Art 2 Levels (93922) $132 $1,299.96 1.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $215 $1,480.10 1.0×
Vent Mgmt Inpat Init Day (94002) $615 $3,159.83 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $615 $3,572.88 1.0×
Vital capacity, total (94150) $128 $215.70 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $30 $203.09 1.0×

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.