Visits & medical services prices at Stanton County Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines
$17.79–$29.81 $17.79–$29.81 varies
Advncd Care Plan 30 Min (99497) $76.78 $76.78 0.8×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$52.50–$62.37 $52.50–$62.37 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $94.50 $94.50 6.6×
Assessment of aphasia per hr (96105) $351.75 $351.75 3.6×
Behavral qualit analys voice (92524) $348.45 $348.45 3.2×
Cardiac Stress Tst,Tracing Only (93017) $813.75 $813.75 4.1×
Cardiopulmonary resuscitation (92950) $425.50 $425.50 2.1×
Cardioversion (92960) $532.35 $532.35 0.9×
Chemo IV infusion addl hr (96415)
range across 2 matching MRF lines
$210–$231 $210–$231 varies
Chemo IV push addl drug (96411) $183.75 $183.75 2.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 2 matching MRF lines
$231–$262.50 $231–$262.50 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409) $183.75 $183.75 0.6×
Chron Care Mgmt Srvc 20 Min (99490) $123 $123 1.3×
Color/duplex Doppler, complete (93975) $892.50 $892.50 4.1×
Color/duplex Doppler, limited (93976) $656.25 $656.25 6.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $94.50 $94.50 2.9×
Critical care first hour (99291)
range across 2 matching MRF lines
$445.20–$718.20 $445.20–$718.20 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$154.35–$320.25 $154.35–$320.25 varies
Developmental tst admin phys/qhp 1st hour (96112) $278.25 $278.25 2.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $866.25 $866.25 3.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $625 $625 6.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $945 $945 4.3×
Dup-scan xtr veins unilateral/limited study (93971) $656.25 $656.25 6.8×
Duplex up extrem art bilat (93930) $840 $840 3.8×
Duplex up extrem art unilat/ltd (93931) $588 $588 6.1×
Electrical Stimulation Ea 15 Min (97032) $105 $105 7.1×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$210–$300 $210–$300 varies
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines
$154.35–$160.65 $154.35–$160.65 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines
$189–$250.95 $189–$250.95 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$231–$445.20 $231–$445.20 varies
Er level 1 (99281)
range across 2 matching MRF lines
$98.70–$105 $98.70–$105 varies
Er level v (99285)
range across 2 matching MRF lines
$367.50–$652.05 $367.50–$652.05 varies
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$48.51–$78.75 $48.51–$78.75 varies
Evaluate Speech Production (92522) $348.45 $348.45 3.1×
Evaluate Swallowing Function (92610) $386 $386 4.5×
Evoked Auditory Test,Limited (92587) $199.50 $199.50 1.0×
External ECG rec>48hr<7d recording (93242) $564.81 $564.81 16.4×
Extracranial Bilat Study (93880) $918.75 $918.75 4.2×
Group Therapeutic Procedures (97150) $105 $105 5.8×
Holter monitor recording (93225)
range across 3 matching MRF lines
$220–$564.81 $220–$564.81 varies
Im Adm Intransl/Oral 1 Vaccine (90473) $52.50 $52.50 0.8×
Immunization administration (90471) $52.50 $52.50 0.8×
Inital newborn e/m (99460) $224.70 $224.70 1.8×
Iontophoresis 15 min (97033) $115.50 $115.50 6.1×
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$91.35–$162.75 $91.35–$162.75 varies
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$105–$183.75 $105–$183.75 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$175.35–$183.75 $175.35–$183.75 varies
IV infusion ther proph addl sequential to 1 hr (96367) $183.75 $183.75 2.8×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$105–$183.75 $105–$183.75 varies
IV push initial (96374) $68.25 $68.25 0.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $19.95 $19.95 0.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $26.50 $26.50 0.7×
Motion Fluoroscopy/Swallow (92611) $435.75 $435.75 4.8×
Multiple Sleep Latency Test (95805) $3,990 $3,990 5.1×
Neuromuscular Reeducation (97112) $115.50 $115.50 3.5×
Oral Function Therapy (92526) $229 $229 2.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $126 $126 2.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $115.50 $115.50 2.5×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $65.10 $65.10 3.3×
Ot Contrast Bath Ea 15 Min (97034) $68.25 $68.25 4.9×
Ot eval high complexity (97167) $273 $273 2.7×
Ot Eval Low Complex (97165) $273 $273 2.7×
Ot Eval Moderate Complexity (97166) $273 $273 2.7×
Ot manual therapy 15 min (97140) $115.50 $115.50 4.2×
Ot Prosthetic Training, Each 15 Min (97761) $99.75 $99.75 2.5×
Ot Re-Eval Est Plan Care (97168) $157.50 $157.50 2.3×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$195.85–$233.10 $195.85–$233.10 varies
Physical Performance Test (97750)
range across 2 matching MRF lines
$105–$115.50 $105–$115.50 varies
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,200 $4,200 5.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $27.30 $27.30 0.6×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $36.75 $36.75 0.9×
Psych diag eval w/med srvcs (90792) $273 $273 1.7×
Psychiatric diagnostic evaluation (90791) $241.50 $241.50 1.5×
Pt Eval High Complex (97163) $273 $273 2.8×
Pt eval low complex 20 min (97161) $273 $273 2.8×
Pt Eval Mod Complex (97162) $273 $273 2.8×
Pt gait training 15 min (97116) $105 $105 3.6×
Pt mechanical traction (97012) $42 $42 2.9×
Pt Re-Eval Est Plan Care (97164) $157.50 $157.50 2.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $84 $84 1.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$86.10–$194.25 $86.10–$194.25 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $265.31 $265.31 2.2×
Self Care Mngment Training (97535) $110.25 $110.25 3.4×
Sensory Integration Ea 15 Min (97533) $105 $105 1.7×
Sleep study unattended (95806) $840 $840 4.2×
Speech sound lang comprehen (92523) $348.45 $348.45 1.5×
Spirometry (94010)
range across 2 matching MRF lines
$98.70–$472.50 $98.70–$472.50 varies
Standardized Cognitive Performance Testing (96125) $315 $315 3.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $49.06 $49.06 2.2×
Ther Ivntj Ea Addl 15 Min (97130) $47.54 $47.54 2.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $99.75 $99.75 3.4×
Ther/Proph/Diag Inj Ia (96373) $68.25 $68.25 0.3×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$52.50–$68.25 $52.50–$68.25 varies
Ther/Proph/Diag Iv Inf Init (96365) $183.75 $183.75 0.9×
Therapeutic Activities (97530) $115.50 $115.50 3.3×
Tobacco Use Cessation Intensive >10 Minutes (99407) $57.62 $57.62 1.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $30.14 $30.14 0.9×
Trans Care Mgmt 14 Day Disch (99495) $210 $210 1.7×
Trans Care Mgmt 7 Day Disch (99496) $290 $290 2.4×
Tte w/doppler, complete (93306) $2,200 $2,200 4.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines
$80.85–$147 $80.85–$147 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $53.55 $53.55 2.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $68.25 $68.25 1.6×
Tympanometry and reflex threshold measurements (92550) $75.60 $75.60 0.4×
Upr/L Xtremity Art 2 Levels (93922) $625 $625 5.1×
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines
$94.50–$105 $94.50–$105 varies
Whirlpool Therapy (97022) $120.75 $120.75 7.7×

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.