Visits & medical services prices at Susan B Allen Memorial Hospital
El Dorado, KS · every code in this section with a posted price and a Medicare benchmark.
128 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) | $32.50 | $50 | 0.9× |
| Aep neurodiagnostic i&r (92653) | $260 | $400 | 1.3× |
| Airway Inhalation Treatment (94640) range across 6 matching MRF lines |
$152.10–$539.50 | $234–$830 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $70.20 | $108 | 4.9× |
| Application Modality 1/> Areas Diathermy (97024) | $100.10 | $154 | 13.6× |
| Behavral qualit analys voice (92524) | $197.60 | $304 | 1.8× |
| Blink reflex test (95933) | $78.65 | $121 | 1.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$191.10–$239.20 | $294–$368 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$386.75–$573.95 | $595–$883 | varies |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$330.85–$602.55 | $509–$927 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$839.80–$874.25 | $1,292–$1,345 | varies |
| Cbt 1st hour (94644) | $180.70 | $278 | 1.5× |
| Chemo Anti-Neopl Sq/Im (96401) | $121.55 | $187 | 1.8× |
| Chemo IV infusion addl hr (96415) | $172.25 | $265 | 2.6× |
| Chemo IV push addl drug (96411) | $100.75 | $155 | 1.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $372.45 | $573 | 1.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $303.55 | $467 | 1.0× |
| Chest Wall Manipulation (94668) | $98.15 | $151 | 0.8× |
| Color/duplex Doppler, limited (93976) | $520 | $800 | 5.4× |
| Continuous Pulse Ox (94762) | $202.15 | $311 | 1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $772.85 | $1,189 | 3.8× |
| Cpt initial (94667) range across 3 matching MRF lines |
$144.30–$334.10 | $222–$514 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$1,088.75–$1,121.90 | $1,675–$1,726 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$258.05–$333.45 | $397–$513 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $449.15 | $691 | 2.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $274.95 | $423 | 2.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $675.35 | $1,039 | 3.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $484.25 | $745 | 5.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $659.10 | $1,014 | 3.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $302.90 | $466 | 3.1× |
| Duplex up extrem art bilat (93930) | $671.45 | $1,033 | 3.1× |
| Duplex up extrem art unilat/ltd (93931) | $436.80 | $672 | 4.5× |
| ECG/monitoring and analysis (93271) | $484.25 | $745 | 5.5× |
| Echo Heart Xthoracic,Limited (93308) | $495.95 | $763 | 2.3× |
| EEG awake and asleep (95819) | $449.15 | $691 | 2.3× |
| EEG awake drowsy (95816) | $500.50 | $770 | 2.5× |
| Electrical Stimulation Ea 15 Min (97032) | $153.40 | $236 | 10.4× |
| Electrocardiogram Tracing (93005) range across 5 matching MRF lines |
$73.45–$131.30 | $113–$202 | varies |
| Emergency Dept Visit Level 2 (99282) | $225.55 | $347 | 1.6× |
| Emergency Dept Visit Level 3 (99283) | $359.45 | $553 | 1.4× |
| Emergency Dept Visit Level 4 (99284) | $538.85 | $829 | 1.4× |
| Emg 3 Extremities (95863) | $252.20 | $388 | 2.1× |
| Emg 4 Extremities (95864) | $252.20 | $388 | 2.1× |
| Er level 1 (99281) range across 3 matching MRF lines |
$135.85–$149.50 | $209–$230 | varies |
| Er level v (99285) | $763.10 | $1,174 | 1.4× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$233.35–$291.85 | $359–$449 | varies |
| Evaluate Speech Production (92522) | $198.25 | $305 | 1.8× |
| Evaluate Swallowing Function (92610) | $286.65 | $441 | 3.4× |
| Evaluation of speech fluency (92521) | $189.80 | $292 | 1.4× |
| External ECG rec>48hr<7d recording (93242) | $422.50 | $650 | 12.3× |
| External ECG rec>7d<15d recording (93246) | $567.45 | $873 | 16.5× |
| External Ecg Scanning Analysis Report (93226) | $175.50 | $270 | 3.2× |
| Extracranial Bilat Study (93880) | $633.10 | $974 | 2.9× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$467.35–$585 | $719–$900 | varies |
| Immunization administration (90471) range across 5 matching MRF lines |
$29.25–$94.90 | $45–$146 | varies |
| Iontophoresis 15 min (97033) | $74.75 | $115 | 3.9× |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$99.45–$188.50 | $153–$290 | varies |
| IV infusion hydration each additional hour (96361) range across 5 matching MRF lines |
$111.80–$1,619.80 | $172–$2,492 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$347.10–$358.15 | $534–$551 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$115.70–$139.75 | $178–$215 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 5 matching MRF lines |
$76.05–$462.80 | $117–$712 | varies |
| IV push initial (96374) range across 4 matching MRF lines |
$117–$358.15 | $180–$551 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $215.80 | $332 | 4.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $15.60 | $24 | 0.5× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $144.30 | $222 | 0.4× |
| Multiple Sleep Latency Test (95805) | $2,018.25 | $3,105 | 2.6× |
| Muscle Test 2 Limbs (95861) | $219.70 | $338 | 1.8× |
| Muscle Test One Limb (95860) | $219.70 | $338 | 1.8× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $252.20 | $388 | 1.3× |
| Nerve Conduction Studies 1-2 Studies (95907) | $183.30 | $282 | 0.9× |
| Nerve Conduction Studies 11-12 Studies (95912) | $612.30 | $942 | 1.8× |
| Nerve conduction studies 13 or more studies (95913) | $721.50 | $1,110 | 2.1× |
| Nerve Conduction Studies 3-4 Studies (95908) | $205.40 | $316 | 1.0× |
| Nerve conduction studies 5-6 studies (95909) | $304.20 | $468 | 1.5× |
| Nerve conduction studies 7-8 studies (95910) | $404.30 | $622 | 1.2× |
| Nerve Conduction Studies 9-10 Studies (95911) | $507.65 | $781 | 1.5× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $189.15 | $291 | 1.6× |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$70.20–$210.60 | $108–$324 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $26 | $40 | 1.0× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $39 | $60 | 1.1× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $13 | $20 | 0.9× |
| Oral Function Therapy (92526) | $150.15 | $231 | 1.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $137.80 | $212 | 3.0× |
| Ot eval high complexity (97167) | $241.15 | $371 | 2.4× |
| Ot Eval Low Complex (97165) | $167.70 | $258 | 1.7× |
| Ot Eval Moderate Complexity (97166) | $204.75 | $315 | 2.0× |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$79.95–$159.90 | $123–$246 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $129.35 | $199 | 3.2× |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$152.10–$304.20 | $234–$468 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $139.75 | $215 | 1.2× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $173.55 | $267 | 1.5× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$118.30–$147.55 | $182–$227 | varies |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$55.25–$56.55 | $85–$87 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$231.40–$288.60 | $356–$444 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,107.95 | $3,243 | 2.7× |
| Pt Eval High Complex (97163) | $241.15 | $371 | 2.5× |
| Pt eval low complex 20 min (97161) | $167.70 | $258 | 1.7× |
| Pt Eval Mod Complex (97162) | $204.75 | $315 | 2.1× |
| Pt gait training 15 min (97116) | $59.80 | $92 | 2.1× |
| Pt mechanical traction (97012) | $55.25 | $85 | 3.8× |
| Pt Re-Eval Est Plan Care (97164) range across 3 matching MRF lines |
$59.15–$152.10 | $91–$234 | varies |
| Refill/Maint Portable Pump (96521) | $707.20 | $1,088 | 3.6× |
| Refill/Maint Pump/Resvr Syst (96522) | $707.20 | $1,088 | 3.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $130.65 | $201 | 3.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $267.80 | $412 | 1.4× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $22.64 | $34.83 | 0.9× |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$68.25–$204.75 | $105–$315 | varies |
| Speech sound lang comprehen (92523) | $247.65 | $381 | 1.1× |
| Spin/Brain Pump Refil & Main (95991) | $279.50 | $430 | 1.0× |
| Spirometry (94010) | $258.70 | $398 | 1.3× |
| Standardized Cognitive Performance Testing (96125) | $141.05 | $217 | 1.4× |
| Subcutaneous Infusion Each Additional Hour (96370) range across 2 matching MRF lines |
$110.50–$115.70 | $170–$178 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) range across 2 matching MRF lines |
$194.35–$321.10 | $299–$494 | varies |
| Subq Infusion Additional Pump Infusion Site (96371) | $460.20 | $708 | 6.9× |
| Temp transcutaneous pacing (92953) | $812.50 | $1,250 | 1.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$141.05–$423.15 | $217–$651 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $303.55 | $467 | 1.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$36.66–$196.30 | $56.40–$302 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$299.65–$358.15 | $461–$551 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$56.55–$113.10 | $87–$174 | varies |
| Tte w/doppler, complete (93306) | $1,660.10 | $2,554 | 3.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $156 | $240 | 2.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 5 matching MRF lines |
$114.40–$473.20 | $176–$728 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $588.90 | $906 | 3.0× |
| Vent Mgmt Inpat Init Day (94002) | $1,226.55 | $1,887 | 2.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,226.55 | $1,887 | 2.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $129.35 | $199 | 4.2× |
| Whirlpool Therapy (97022) | $180.05 | $277 | 11.5× |
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.