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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $218 $986.73 1.0×
Assessment of aphasia (96105) $94 $694.16 1.0×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $36 $240.79 1.0×
Behavioral and qualitative analysis of voice and resonance (92524) $106 $617.29 1.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $371 $1,413.55 1.0×
Canalith Repositioning (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 internal (92961) $658 $3,134.65 1.0×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $3,231 $10,266.60 1.0×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $3,231 $15,693.20 1.0×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $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×
Color/duplex Doppler, complete (93975) $237 $2,151.30 1.0×
Color/duplex Doppler, limited (93976) $104 $1,190.97 1.0×
Coronary artery angio s&i (93454) $3,231 $10,266.60 1.0×
Cpap initiation and management (94660) $218 $1,433.05 1.0×
Cpt initial (94667) $132 $7,772.08 1.0×
Critical care (99291) $823 $5,326.06 1.0×
Debridement Open Wound 20 Sq Cm< (97597) $199 $931.67 1.0×
Demo &/or eval,pt use,aerosol device (94664) $218 $250.13 1.0×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $415 $2,029.85 1.0×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $237 $1,143.93 1.0×
Dup-scan artl infl&ven o/f pen vsl f-up/lmtd std (93981) $104 $539.46 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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $237 $1,672.85 1.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $104 $1,171.46 1.0×
Dup-scan xtr veins unilateral/limited study (93971) $104 $1,685.47 1.0×
Duplex scan extracranial art compl bi study (93880) $237 $2,064.11 1.0×
Echo Heart Xthoracic,Limited (93308) $237 $1,669.39 1.0×
Echo transesophageal (93312) $544 $4,036.43 1.0×
EEG awake 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 coma or sleep only (95822) $215 $1,236.87 1.0×
EKG (93005) $58 $681.53 1.0×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $215 $1,540.16 1.0×
Er level 1 (99281) $84 $532.38 1.0×
Er level ii (99282) $153 $850.19 1.0×
Er level iii (99283) $272 $1,839.22 1.0×
Er level IV (99284) $415 $2,671.06 1.0×
Er level v (99285) $593 $4,070.84 1.0×
Evaluation of speech fluency (92521) $129 $712.76 1.0×
Evaluation of swallowing function (92610) $56 $676.95 0.7×
External Ecg Scanning Analysis Report (93226) $58 $1,211.61 1.0×
Flow volume loop (94375) $215 $1,476.76 1.0×
Group Therapeutic Procedures (97150) $17 $531.22 0.9×
Hemodialysis (90935) $684 $3,978.38 1.0×
Holter Monitor Recording (93225) $132 $1,382.58 1.0×
Immunization Admin (90471) $71 $323.55 1.0×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $71 $213.41 1.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $212 $517.46 1.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $46 $213.41 1.0×
IV push initial (96374) $212 $176.70 1.0×
Manual therapy 15 min (97140) $26 $448.63 0.9×
Massage 15 min (97124) $28 $130.80 0.9×
Maximum voluntary ventilation (94200) $58 $200.79 1.0×
Mechanical traction (97012) $13 $209.97 0.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $25 $172.11 0.7×
Methacholine challenge (94070) $371 $943.13 1.0×
Motion Fluor Eval Swlng Funcj C/V Rec (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 press wnd tx </=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×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $132 $1,299.96 1.0×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $215 $1,480.10 1.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $128 $773.32 1.0×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $44 $276.51 1.0×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $31 $146.09 1.0×
Ot eval high complex 60 min (97167) $97 $1,246.04 1.0×
Ot eval low complex 30 min (97165) $97 $555.32 1.0×
Ot eval mod complex 45 min (97166) $97 $830.70 1.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $48 $297.17 1.0×
Ot Prosthetic Training, Each 15 Min (97761) $38 $143.43 0.9×
Ot Range Motion Measure,Each Extrem (95851) $6 $213.09 0.2×
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×
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×
Programming of dual lead implantable defibrillator system (93283) $37 $185.66 1.0×
Prq card revasc chronic 1vsl (92943) $11,506 $56,022.30 1.0×
Prq Card Stent W/Angio 1 Vsl (92928) $11,506 $38,348.30 1.0×
Prq Card Stent/Ath/Angio (92933) $18,271 $37,817.10 1.0×
Prq revasc byp graft 1 vsl (92937) $11,506 $26,127.75 1.0×
Prq trluml coronary angio/atherect one art/brnch (92924) $11,506 $35,279.10 1.0×
Prq trluml coronary angioplasty one art/branch (92920) $5,672 $18,554 1.0×
Pt Electrical Stimulation (97032) $14 $235.21 1.0×
Pt eval high complex 45 min (97163) $95 $1,083.12 1.0×
Pt eval low complex 20 min (97161) $95 $483.04 1.0×
Pt Gait Training Therapy (97116) $28 $349.95 1.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $31 $359.13 0.9×
Pt Physical Performance Test (97750) $32 $214.56 0.9×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $95 $722.84 1.0×
Pt re-evaluation (97164) $65 $483.04 1.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $31 $359.13 1.0×
Pt Ultrasound Therapy (97035) $13 $268.48 0.9×
Pulm Funct Test Oscillometry (94728) $128 $1,476.76 1.0×
Pulm function test by gas (94727) $215 $779.06 1.0×
R & l hrt cath w/njx l ventriculog img s&i (93453) $3,231 $15,989.40 1.0×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $3,231 $10,266.60 1.0×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $3,231 $16,180.70 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×
Rt Chest Wall Manipulation,Subsequent (94668) $132 $332.74 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 group therapy (92508) $23 $462.39 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 echo (93350) $544 $2,422.03 1.0×
Stress Tte Complete (93351) $544 $3,242.45 1.0×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $19 $150.31 0.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $18 $143.43 0.9×
Ther/Proph/Diag Inj Sc/Im (96372) $71 $146.86 1.0×
Therapeutic Activities (97530) $33 $359.13 0.9×
Therapeutic phlebotomy (99195) $132 $554.17 1.0×
Tilt Table Eval (93660) $371 $1,661.38 1.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $37 $146.65 1.0×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $544 $3,982.72 1.0×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $237 $1,952.81 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $74 $977.55 1.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $81 $834.72 1.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $46 $176.70 1.0×
Unlisted pulmonary service/procedure (94799) $128 $800.58 1.0×
Vasc Duplex Extrem Venous,Bilat (93970) $237 $2,388.81 1.0×
Ventilation assist & mgmt inpatient 1st 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×