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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $375 $375 1.9×
Assessment of aphasia (96105) $80 $80 0.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $625 $625 1.8×
Canalith Repositioning (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) $670.40 $670.40 1.1×
Cbt 1st hour (94644) $236 $236 1.9×
Chemother, IV infusion, 1 hr (96413) $232 $232 0.8×
Chemother, IV infusion, ea add hr (96415) $232 $232 3.5×
Color/duplex Doppler, complete (93975) $809.14 $809.14 3.7×
Color/duplex Doppler, limited (93976) $810 $810 8.4×
Cpap initiation and management (94660) $452 $452 2.2×
Cpt initial (94667) $250 $250 2.0×
Critical care (99291) $1,717.88 $1,717.88 2.3×
Demo &/or eval,pt use,aerosol device (94664) $350 $350 1.7×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $808.28 $808.28 3.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $808.28 $808.28 8.4×
Dup-scan xtr veins unilateral/limited study (93971) $808.28 $808.28 8.4×
Duplex scan extracranial art compl bi study (93880) $905 $905 4.1×
Echo Heart Xthoracic,Limited (93308) $967.90 $967.90 4.4×
EKG (93005) $275 $275 5.1×
Er level 1 (99281) $286.33 $286.33 3.7×
Er level ii (99282) $446.05 $446.05 3.2×
Er level iii (99283) $685.60 $685.60 2.7×
Er level IV (99284) $1,168.87 $1,168.87 3.0×
Er level v (99285) $1,816.66 $1,816.66 3.3×
Evaluation of swallowing function (92610) $175 $175 2.1×
External Ecg Scanning Analysis Report (93226) $310.50 $310.50 5.7×
Flow volume loop (94375) $625 $625 3.1×
Holter Monitor Recording (93225) $315 $315 2.6×
Immunization Admin (90471) $10 $10 0.2×
Inital newborn e/m (99460) $232.50 $232.50 1.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $224.14 $224.14 3.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $386.38 $386.38 2.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $224.14 $224.14 5.2×
IV push initial (96374) $234.19 $234.19 1.2×
Manual therapy 15 min (97140) $71.33 $71.33 2.6×
Massage 15 min (97124) $63.15 $63.15 2.1×
Maximum voluntary ventilation (94200) $113.98 $113.98 2.1×
Mechanical chest wall oscillation (94669) $375 $375 1.9×
Mechanical traction (97012) $47.50 $47.50 3.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $44 $44 1.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $51.50 $51.50 1.4×
Mnt Group Ea 30 Min (97804) $15 $15 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $95 $95 0.5×
Newborn resuscitation (99465) $232.50 $232.50 0.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $810 $810 6.6×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $125 $125 1.1×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $625 $625 1.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $89.83 $89.83 1.9×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $47 $47 1.5×
Ot Contrast Bath Ea 15 Min (97034) $42 $42 3.0×
Ot eval high complex 60 min (97167) $135 $135 1.3×
Ot eval low complex 30 min (97165) $135 $135 1.3×
Ot eval mod complex 45 min (97166) $135 $135 1.3×
Ot re-eval est plan care (97168) $43 $43 0.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $350 $350 3.0×
Paraffin bath (97018) $45 $45 7.5×
Patient-initiated spirometric phys/qhp r&i only (94016) $45 $45 1.8×
Phy/qhp op pulm rhb w/mntr (94626) $892.73 $892.73 16.5×
Phy/qhp op pulm rhb w/o mntr (94625) $625.38 $625.38 11.5×
Pt Electric Current Therapy (97033) $112.09 $112.09 5.9×
Pt Electrical Stimulation (97032) $49 $49 3.3×
Pt eval high complex 45 min (97163) $191 $191 2.0×
Pt eval low complex 20 min (97161) $191 $191 2.0×
Pt Gait Training Therapy (97116) $67.82 $67.82 2.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $88 $88 2.7×
Pt Physical Performance Test (97750) $78.53 $78.53 2.3×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $191 $191 2.0×
Pt re-evaluation (97164) $100.03 $100.03 1.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $82.80 $82.80 2.6×
Pt Ultrasound Therapy (97035) $31.50 $31.50 2.2×
Pt Whirlpool Therapy (97022) $45.50 $45.50 2.9×
Pulm Funct Test Oscillometry (94728) $375 $375 3.2×
Pulm function test by gas (94727) $312.50 $312.50 1.6×
Pulmonary stress testing (94618) $207.71 $207.71 1.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $200.49 $200.49 5.8×
Rt Chest Wall Manipulation,Subsequent (94668) $250 $250 2.0×
Smoking cessation > 10 min (99407) $127.50 $127.50 3.7×
Speech group therapy (92508) $38 $38 1.6×
Spirometry (94010) $503.20 $503.20 2.5×
Ther/Proph/Diag Inj Sc/Im (96372) $117 $117 1.8×
Therapeutic Activities (97530) $82.70 $82.70 2.4×
Therapeutic phlebotomy (99195) $165 $165 1.3×
Transcranial Doppler Limited (93888) $500 $500 5.2×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,575.96 $2,575.96 5.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $90 $90 1.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $90 $90 1.1×
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×
Unlisted pulmonary service/procedure (94799) $250 $250 2.1×
Vasc Duplex Extrem Venous,Bilat (93970) $808.28 $808.28 3.7×
Ventilation assist & mgmt inpatient 1st day (94002) $1,943.75 $1,943.75 3.4×
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×