Visits & medical services prices at Stanton County Hospital

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

107 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) $76.22 $76.22 0.8×
Airway inhalation treatment (94640) $57.44 $57.44 0.3×
Assessment of aphasia (96105) $351.75 $351.75 3.6×
Behavioral and qualitative analysis of voice and resonance (92524) $236.25 $236.25 2.2×
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 push addl drug (96411) $183.75 $183.75 2.8×
Chemo Iv Push Sngl Drug (96409) $183.75 $183.75 0.6×
Chemother, IV infusion, 1 hr (96413) $246.75 $246.75 0.8×
Chemother, IV infusion, ea add hr (96415) $220.50 $220.50 3.3×
Chronic care mgmt svcs staff 1st 20 min cal mo (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×
Critical care (99291) $581.70 $581.70 0.8×
Debridement Open Wound 20 Sq Cm< (97597) $237.30 $237.30 1.3×
Demo &/or eval,pt use,aerosol device (94664) $63.63 $63.63 0.3×
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) $603.75 $603.75 6.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $840 $840 3.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $588 $588 6.1×
Dup-scan xtr veins unilateral/limited study (93971) $656.25 $656.25 6.8×
Duplex scan extracranial art compl bi study (93880) $918.75 $918.75 4.2×
EKG (93005) $220.50 $220.50 4.1×
EKG rhythm strip (93041) $84 $84 1.5×
Er level 1 (99281) $101.85 $101.85 1.3×
Er level ii (99282) $157.50 $157.50 1.1×
Er level iii (99283) $249.90 $249.90 1.0×
Er level IV (99284) $338.10 $338.10 0.9×
Er level v (99285) $509.78 $509.78 0.9×
Evaluation of speech sound production (92522) $210 $210 1.9×
Evaluation of swallowing function (92610) $273 $273 3.2×
Evaluation with prescription of speech-generating alternative (92607) $265.31 $265.31 2.2×
Evoked auditory test,limited (92587) $199.50 $199.50 1.0×
Group Therapeutic Procedures (97150) $105 $105 5.8×
Holter Monitor Recording (93225) $189 $189 1.5×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $23.80 $23.80 0.6×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $52.50 $52.50 0.8×
Immunization Admin (90471) $52.50 $52.50 0.8×
Immunotherapy, 2+ Injections (95117) $36.75 $36.75 0.9×
Inital newborn e/m (99460) $224.70 $224.70 1.8×
Injection intra arterial (96373) $68.25 $68.25 0.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $127.05 $127.05 2.3×
IV infusion hydration each additional hour (96361) $144.38 $144.38 3.4×
IV infusion hydration initial 31 min-1 hour (96360) $179.55 $179.55 0.9×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $183.75 $183.75 2.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $183.75 $183.75 0.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $144.38 $144.38 3.4×
IV push initial (96374) $68.25 $68.25 0.3×
Manual therapy 15 min (97140) $115.50 $115.50 4.2×
Massage 15 min (97124) $99.75 $99.75 3.4×
Mechanical traction (97012) $42 $42 2.9×
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 Fluor Eval Swlng Funcj C/V Rec (92611) $435.75 $435.75 4.8×
Multiple sleep latency test (95805) $3,990 $3,990 5.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $420 $420 3.4×
Orthotics mgmt & traing 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 Community/Work Reintegration Trainj Ea 15 Min (97537) $94.50 $94.50 2.9×
Ot Contrast Bath Ea 15 Min (97034) $68.25 $68.25 4.9×
Ot eval high complex 60 min (97167) $273 $273 2.7×
Ot eval low complex 30 min (97165) $273 $273 2.7×
Ot eval mod complex 45 min (97166) $273 $273 2.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $126 $126 2.5×
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×
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×
Psych diag eval w/med srvcs (90792) $273 $273 1.7×
Psychiatric diagnostic evaluation (90791) $241.50 $241.50 1.5×
Pt Electric Current Therapy (97033) $115.50 $115.50 6.1×
Pt Electrical Stimulation (97032) $105 $105 7.1×
Pt eval high complex 45 min (97163) $273 $273 2.8×
Pt eval low complex 20 min (97161) $273 $273 2.8×
Pt Gait Training Therapy (97116) $105 $105 3.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $115.50 $115.50 3.5×
Pt Physical Performance Test (97750) $110.25 $110.25 3.3×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $273 $273 2.8×
Pt re-evaluation (97164) $157.50 $157.50 2.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $110.25 $110.25 3.4×
Pt Ultrasound Therapy (97035) $94.50 $94.50 6.6×
Pt Whirlpool Therapy (97022) $120.75 $120.75 7.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $140.18 $140.18 0.8×
Sensory Integration Ea 15 Min (97533) $105 $105 1.7×
Sleep study unattended (95806) $840 $840 4.2×
Smoking cessation > 10 min (99407) $57.62 $57.62 1.7×
Speech group therapy (92508) $53.55 $53.55 2.2×
Speech sound lang comprehen (92523) $248.84 $248.84 1.1×
Spirometry (94010) $285.60 $285.60 1.4×
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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $47.54 $47.54 2.3×
Ther/Proph/Diag Inj Sc/Im (96372) $60.38 $60.38 0.9×
Therapeutic Activities (97530) $115.50 $115.50 3.3×
Therapeutic phlebotomy (99195) $214.48 $214.48 1.8×
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 - Tte Complete W/ Contrast (93306) $1,575 $1,575 3.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $113.92 $113.92 1.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $136.50 $136.50 1.6×
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×
Vasc Duplex Extrem Venous,Bilat (93970) $945 $945 4.3×
Wheelchair Mgmt Ea 15 Min (97542) $99.75 $99.75 3.2×