Visits & medical services prices at Stevens County Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 9 matching MRF lines
$135–$640 $135–$640 varies
Airway resistance by oscillometry (94728) $375 $375 3.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$28–$35 $28–$35 varies
Assessment of aphasia per hr (96105) $80 $80 0.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $625 $625 1.8×
Canalith repositioning proc (95992) $102.73 $102.73 2.5×
Cardiac Stress Tst,Tracing Only (93017) $596 $596 3.0×
Cardiopulmonary exercise testing (94621) $687.50 $687.50 2.0×
Cardiopulmonary resuscitation (92950) $518 $518 2.6×
Cardioversion (92960)
range across 2 matching MRF lines
$435–$905.80 $435–$905.80 varies
Cbt 1st hour (94644) $236 $236 1.9×
Chemo IV infusion addl hr (96415) $232 $232 3.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $232 $232 0.8×
Chest Wall Manipulation (94668) $250 $250 2.0×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$808.28–$810 $808.28–$810 varies
Color/duplex Doppler, limited (93976) $810 $810 8.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $47 $47 1.5×
Continuous Pulse Ox (94762) $125 $125 1.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $452 $452 2.2×
Cpt initial (94667) $250 $250 2.0×
Critical care first hour (99291) $1,717.88 $1,717.88 2.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $808.28 $808.28 3.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $808.28 $808.28 8.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $808.28 $808.28 3.7×
Dup-scan xtr veins unilateral/limited study (93971) $808.28 $808.28 8.4×
Duplex up extrem art bilat (93930) $808.28 $808.28 3.7×
Duplex up extrem art unilat/ltd (93931) $808.28 $808.28 8.4×
Echo Heart Xthoracic,Limited (93308) $967.90 $967.90 4.4×
Electrical Stimulation Ea 15 Min (97032)
range across 3 matching MRF lines
$34–$59 $34–$59 varies
Electrocardiogram Tracing (93005) $275 $275 5.1×
Emergency Dept Visit Level 2 (99282) $446.05 $446.05 3.2×
Emergency Dept Visit Level 3 (99283) $685.60 $685.60 2.7×
Emergency Dept Visit Level 4 (99284) $1,168.87 $1,168.87 3.0×
Er level 1 (99281) $286.33 $286.33 3.7×
Er level v (99285) $1,816.66 $1,816.66 3.3×
Evaluate pt use of inhaler (94664) $350 $350 1.7×
Evaluate Swallowing Function (92610) $175 $175 2.1×
External Ecg Scanning Analysis Report (93226) $310.50 $310.50 5.7×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$810–$1,000 $810–$1,000 varies
Holter monitor recording (93225) $315 $315 2.6×
Immunization administration (90471) $10 $10 0.2×
Inital newborn e/m (99460) $232.50 $232.50 1.9×
Iontophoresis 15 min (97033) $112.09 $112.09 5.9×
Irrig Drug Delivery Device (96523) $110 $110 2.0×
IV infusion hydration each additional hour (96361) $224.14 $224.14 5.2×
IV infusion hydration initial 31 min-1 hour (96360) $386.38 $386.38 2.0×
IV infusion ther proph addl sequential to 1 hr (96367) $224.14 $224.14 3.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $224.14 $224.14 5.2×
IV push initial (96374)
range across 2 matching MRF lines
$82–$386.38 $82–$386.38 varies
Lung Function Test (Mbc/Mvv) (94200)
range across 2 matching MRF lines
$102.97–$125 $102.97–$125 varies
Mechanical chest wall oscillation per session (94669) $375 $375 1.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$28–$60 $28–$60 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$33–$70 $33–$70 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $15 $15 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $95 $95 0.5×
Neuromuscular Reeducation (97112) $88 $88 2.7×
Newborn resuscitation (99465) $232.50 $232.50 0.4×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $625 $625 1.8×
Oral Function Therapy (92526) $90 $90 1.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $89.83 $89.83 1.9×
Ot Contrast Bath Ea 15 Min (97034) $42 $42 3.0×
Ot eval high complexity (97167) $135 $135 1.3×
Ot Eval Low Complex (97165) $135 $135 1.3×
Ot Eval Moderate Complexity (97166) $135 $135 1.3×
Ot manual therapy 15 min (97140) $71.33 $71.33 2.6×
Ot paraffin bath (97018) $45 $45 7.5×
Ot Re-Eval Est Plan Care (97168) $43 $43 0.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $350 $350 3.0×
Patient-initiated spirometric phys/qhp r&i only (94016) $45 $45 1.8×
Phlebotomy therapeutic (99195) $165 $165 1.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $892.73 $892.73 16.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $625.38 $625.38 11.5×
Physical Performance Test (97750) $78.53 $78.53 2.3×
Pt Eval High Complex (97163) $191 $191 2.0×
Pt eval low complex 20 min (97161) $191 $191 2.0×
Pt Eval Mod Complex (97162) $191 $191 2.0×
Pt gait training 15 min (97116) $67.82 $67.82 2.3×
Pt mechanical traction (97012)
range across 2 matching MRF lines
$45–$50 $45–$50 varies
Pt Re-Eval Est Plan Care (97164) $100.03 $100.03 1.5×
Pulm function test by gas (94727) $312.50 $312.50 1.6×
Pulmonary service/procedure (94799) $250 $250 2.1×
Pulmonary Stress Testing (94618) $207.71 $207.71 1.7×
Remote 30 Day Ecg Rev/Report (93270) $200.49 $200.49 5.8×
Respiratory flow volume loop (94375) $625 $625 3.1×
Self Care Mngment Training (97535) $82.80 $82.80 2.6×
Spirometry (94010) $503.20 $503.20 2.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $63.15 $63.15 2.1×
Ther/Proph/Diag Inj Sc/Im (96372) $117 $117 1.8×
Ther/Proph/Diag Iv Inf Init (96365) $386.38 $386.38 2.0×
Therapeutic Activities (97530) $82.70 $82.70 2.4×
Tobacco Use Cessation Intensive >10 Minutes (99407) $127.50 $127.50 3.7×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $500 $500 5.2×
Tte w/doppler, complete (93306) $2,575.96 $2,575.96 5.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $90 $90 1.2×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $38 $38 1.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $73.02 $73.02 1.7×
Unlisted cardiovascular service/procedure (93799) $1,248 $1,248 10.5×
Upr/L Xtremity Art 2 Levels (93922) $810 $810 6.6×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$1,300–$2,587.50 $1,300–$2,587.50 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $650 $650 1.1×
Vital capacity, total (94150) $57.43 $57.43 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $32 $32 1.0×
Whirlpool Therapy (97022)
range across 2 matching MRF lines
$43–$48 $43–$48 varies

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.