Visits & medical services prices at Stormont Vail Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $17,396.53
Actigraphy testing recording analysis i&r (95803) $71.57
Airway inhalation treatment (94640) $202.50
Appl on-body injector for timed subq injection (96377) $318.36
Assessment of aphasia (96105) $530.42
Behavioral and qualitative analysis of voice and resonance (92524) $798.79
Blink reflex test (95933) $153.29
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $981.76
Bundle of his recording (93600) $7,786.33
Canalith Repositioning (95992) $199.29
Car seat/bed test 60 min (94780) $77.02
Cardiac Stress Tst,Tracing Only (93017) $2,012.82
Cardiopulmonary exercise testing (94621) $2,801.52
Cardiopulmonary resuscitation (92950) $1,667.26
Cardioversion (92960) $1,936.83
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $18,136.96
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $26,061.52
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $24,490.70
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $21,133.60
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $18,018.86
Cbt 1st hour (94644) $649.66
Chemo Hormon Antineopl Sq/Im (96402) $388.19
Chemo inj subarach/intravent (96542) $346.94
Chemo IV push addl drug (96411) $928.47
Chemo Iv Push Sngl Drug (96409) $914.20
Chemo prolong 8+ hrs infuse w/pump (96416) $1,448
Chemother, IV infusion, 1 hr (96413) $1,220.24
Chemother, IV infusion, ea add hr (96415) $477.72
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $388.19
Chemotherapy, unspecified procedure (96549) $330.68
Chemotx Admn Cns Req Spinal Puncture (96450) $1,217.36
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $634.84
Color/duplex Doppler, complete (93975) $1,832.08
Color/duplex Doppler, limited (93976) $1,270.34
Coronary artery angio s&i (93454) $14,573.43
Cpap initiation and management (94660) $2,080.56
Cpt initial (94667) $219.77
Critical care (99291) $2,123.73
Debridement Open Wound 20 Sq Cm< (97597) $631.58
Demo &/or eval,pt use,aerosol device (94664) $350.42
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $1,862.84
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,423.68
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $778.43
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,766.35
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $1,004.36
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,703.71
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $888.31
Dup-scan xtr veins unilateral/limited study (93971) $1,138.89
Duplex hemodialysis access (93990) $769.81
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $1,776.44
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $1,071.08
Duplex scan extracranial art compl bi study (93880) $939.66
Echo Heart Xthoracic,Limited (93308) $1,162.51
Echo transesophageal (93312) $3,362.23
Echo Transesophageal - Congenital Tee Complete (93315) $2,993.56
Echo Transthoracic - Congenital Tte Complete (93303) $2,561.07
Echo Transthoracic - Congenital Tte Limited (93304) $1,231.91
EEG awake asleep (95819) $969.44
EEG coma or sleep only (95822) $838.51
EEG cont rec w/video by tech min 8 channels (95700) $420.02
Eeg Extended Monitoring 61-119 Minutes (95813) $717.84
EKG (93005) $509.37
EKG rhythm strip (93041) $216.97
Ekg Signal Averaging (93278) $841.67
Electroconvulsive Therapy (90870) $1,639.01
Electroencephalogram Extend Monitoring 41-60 Min (95812) $499.10
EMG thoracic paraspinal (95869) $229.38
Endomyocardial biopsy (93505) $3,956.93
Ep & ablate supravent arrhyt (93653) $41,078
Ep & ablate ventric tachy (93654) $62,555.63
Ep Analyze Pacer Sys (93724) $1,170.26
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $17,868.47
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $4,842.55
Ep Right Ventricular Recording (93603) $5,429.48
Er level 1 (99281) $204
Er level ii (99282) $445
Er level iii (99283) $749
Er level IV (99284) $989.48
Er level v (99285) $1,690.36
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $415.69
Evaluation of speech fluency (92521) $798.79
Evaluation of speech sound production (92522) $798.79
Evaluation of swallowing function (92610) $968.96
Exercise tst brncspsm (94617) $340.95
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,894.72
Gastroesophag reflx test w/telemtry ph eltrd (91035) $3,688.80
Group Therapeutic Procedures (97150) $180.79
Hemodialysis (90935) $3,116.79
Ilr Device Eval Progr (93285) $189.99
Imm Admn Sarscov2 Vaccine Single Dose (90480) $45.40
Immunization Admin (90471) $146.29
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $697.30
Injection intra arterial (96373) $227.98
Ins swan ganz bedside (93503) $10,641.88
Interrog dev eval scrms phys/qhp in person (93291) $127.34
Interrogate subq defib (93261) $155.07
Intra Atrial Recording (93602) $8,102.11
Intra-atrial pacing (93610) $8,433.16
Intraventricular pacing (93612) $7,385.82
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $269.86
IV infusion hydration each additional hour (96361) $304.12
IV infusion hydration initial 31 min-1 hour (96360) $723.99
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $522.46
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $827.64
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $324.69
IV push initial (96374) $348.14
Manual therapy 15 min (97140) $199.29
Massage 15 min (97124) $167.72
Mechanical traction (97012) $228.99
Methacholine challenge (94070) $1,609.23
Motility study esophagus (91010) $3,747.23
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $1,036.85
Multiple sleep latency test (95805) $3,500.87
Neg press wnd tx </=50 sq cm (97607) $748.96
Neg press wound tx >50 cm (97608) $842.89
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $661.36
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $651.09
Nerve conduction studies 13/> studies (95913) $674.83
Nerve Conduction Studies 3-4 Studies (95908) $365.69
Nerve Conduction Studies 9-10 Studies (95911) $495.94
Nerve conduction studies; 1-2 studies (95907) $210.75
Nerve conduction studies; 11-12 studies (95912) $581.82
Nerve conduction studies; 5-6 studies (95909) $311.31
Nerve conduction studies; 7-8 studies (95910) $409.35
Neuromuscular junction test (95937) $52.60
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $1,064.95
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $1,941.11
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $465.21
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $199.29
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $199.29
Ot Contrast Bath Ea 15 Min (97034) $216.05
Ot eval high complex 60 min (97167) $565.58
Ot eval low complex 30 min (97165) $420.02
Ot eval mod complex 45 min (97166) $456.99
Ot Prosthetic Training, Each 15 Min (97761) $199.29
Ot re-eval est plan care (97168) $241.33
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $252.63
Outpatient cardiac rehab w/o cont ECG monitor (93797) $252.63
Paraffin bath (97018) $146.33
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $913.82
Percutaneous tests w/allergenic extracts (95004) $83.94
Peripheral arterial disease rehab per session (93668) $168.42
Phy/qhp op pulm rhb w/mntr (94626) $267.01
Phy/qhp op pulm rhb w/o mntr (94625) $146.34
Plethysmography (94726) $594.60
Pm device eval in person (93288) $146.60
Pm device progr eval dual (93280) $184.85
Pm device progr eval multi (93281) $185.88
Pm device progr eval sngl (93279) $157.12
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $7,003.80
Pr unlisted procedure psychiatric service/therapy, psychiatric service (90899) $1,037.66
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $159.53
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $490.68
Programming of dual lead implantable defibrillator system (93283) $217.71
Programming of single lead implantable defibrillator system (93282) $215.66
Prq balloon valvuloplasty aortic valve (92986) $13,479.75
Prq card revasc chronic 1vsl (92943) $53,161.07
Prq Card Stent W/Angio 1 Vsl (92928) $42,724.15
Prq Card Stent/Ath/Angio (92933) $69,034.69
Prq revasc byp graft 1 vsl (92937) $65,287.46
Prq trluml coronary angio/atherect one art/brnch (92924) $49,349.63
Prq trluml coronary angioplasty one art/branch (92920) $25,507.54
Psychiatric diagnostic evaluation (90791) $186.90
Pt Electric Current Therapy (97033) $176.02
Pt Electrical Stimulation (97032) $167.72
Pt eval high complex 45 min (97163) $456.99
Pt eval low complex 20 min (97161) $383.05
Pt Gait Training Therapy (97116) $217.71
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $203.34
Pt Physical Performance Test (97750) $146.33
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $420.02
Pt re-evaluation (97164) $236.20
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $192.86
Pt Ultrasound Therapy (97035) $167.72
Pt Whirlpool Therapy (97022) $176.02
Pulmonary stress testing (94618) $340.95
R & l hrt cath w/njx l ventriculog img s&i (93453) $26,374.76
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $20,440.01
R hrt art/grft angio (93457) $28,365.69
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $27,374.38
Rapid Desensitization Procedure Each Hour (95180) $582.28
Refill/Maint Pump/Resvr Syst (96522) $504.64
Refill/maint, portable pump (96521) $819.10
Right heart cath (93451) $11,488.09
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $372.78
Rt Chest Wall Manipulation,Subsequent (94668) $218.74
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $202.56
Sensory Integration Ea 15 Min (97533) $199.29
Short-latency somatosens ep std lwr limbs (95926) $1,196.65
Short-latency somatosens ep std upr limbs (95925) $671.77
Sleep study unattended (95806) $808.21
Smoking cessation > 10 min (99407) $155.51
Speech sound lang comprehen (92523) $798.79
Spirometry (94010) $449.80
Standardized Cognitive Performance Testing (96125) $798.79
Stress echo (93350) $3,267.75
Stress Tte Complete (93351) $2,602.29
Surfactant Admin Thru Tube (94610) $194.48
Temp transcutaneous pacing (92953) $99.61
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $112
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $82.93
Ther/Proph/Diag Inj Sc/Im (96372) $279.37
Therapeutic Activities (97530) $199.29
Therapeutic phlebotomy (99195) $573.31
Tilt Table Eval (93660) $2,148.38
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $124.40
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $970.15
Transcranial Doppler Limited (93888) $781.83
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $3,440.28
Tx atrial fib pulm vein isol (93656) $62,171.16
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $415.69
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $415.69
Tx/Pro/Dx Inj New Drug Addon (96375) $285.32
Ultrasound of heart with probe in esophagus to assess heart pump function (93318) $3,377.64
Unlisted Cardiovascular Service/Procedure (93799) $894.47
Vasc Duplex Extrem Venous,Bilat (93970) $1,610.26
Vasc Duplex Scan Extracranial,Limited (93882) $1,050.57
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,708.84
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $1,994.85
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $2,254.16
Ventilation assist & mgmt inpatient 1st day (94002) $4,310.04
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $4,439.50
Visual Evoked Potential Test (95930) $671.77
Vital capacity total (94150) $202.31