Visits & medical services prices at Trego County Lemke Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$43.35–$204 $51–$240 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $42.50 $50 3.0×
Brief Emotional/Behav Assmt (96127) $5.95 $7 0.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $361.25 $425 1.1×
Cardiac Stress Tst,Tracing Only (93017) $616.25 $725 3.1×
Cardiopulmonary resuscitation (92950) $326.40 $384 1.6×
Chron Care Mgmt Srvc 20 Min (99490) $64.60 $76 0.7×
Color/duplex Doppler, complete (93975) $705.50 $830 3.2×
Continuous Pulse Ox (94762) $255 $300 2.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $425 $500 2.1×
Critical care first hour (99291) $1,496 $1,760 2.0×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$143.65–$403.75 $169–$475 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925) $705.50 $830 3.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $680 $800 7.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $705.50 $830 3.2×
Dup-scan xtr veins unilateral/limited study (93971) $680 $800 7.1×
Duplex up extrem art unilat/ltd (93931) $680 $800 7.1×
EEG awake and asleep (95819) $493 $580 2.5×
EEG awake drowsy (95816) $454.75 $535 2.3×
Electrocardiogram Tracing (93005) $225.25 $265 4.2×
Emergency Dept Visit Level 2 (99282) $395.25 $465 2.8×
Emergency Dept Visit Level 3 (99283) $488.75 $575 1.9×
Emergency Dept Visit Level 4 (99284) $828.75 $975 2.2×
Er level 1 (99281) $289 $340 3.7×
Er level v (99285) $1,211.25 $1,425 2.2×
Evaluate pt use of inhaler (94664) $204 $240 1.0×
Evaluate Swallowing Function (92610) $217.60 $256 2.6×
External ECG rec>48hr<7d recording (93242) $250.75 $295 7.3×
External ECG rec>7d<15d recording (93246) $303.45 $357 8.8×
Extracranial Bilat Study (93880) $705.50 $830 3.2×
Immunization administration (90471) $17 $20 0.3×
Irrig Drug Delivery Device (96523) $80.75 $95 1.5×
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$72.25–$161.50 $85–$190 varies
IV infusion hydration initial 31 min-1 hour (96360) $161.50 $190 0.8×
IV infusion ther proph addl sequential to 1 hr (96367) $161.50 $190 2.4×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$72.25–$161.50 $85–$190 varies
IV push initial (96374) $63.75 $75 0.3×
Mechanical chest wall oscillation per session (94669) $204 $240 1.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $13.60 $16 0.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$14.45–$21.25 $17–$25 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $158.95 $187 0.4×
Neuromuscular Reeducation (97112) $80.75 $95 2.5×
Oral Function Therapy (92526) $127.50 $150 1.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $68 $80 1.5×
Ot Eval Low Complex (97165) $165.75 $195 1.6×
Ot Eval Moderate Complexity (97166) $182.75 $215 1.8×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$73.95–$80.75 $87–$95 varies
Ot paraffin bath (97018) $34 $40 5.7×
Plethysmography (94726) $425 $500 1.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,298 $3,880 4.2×
Psych diag eval w/med srvcs (90792) $212.50 $250 1.3×
Psychological tst eval svc phys/qhp first hour (96130) $131.75 $155 0.7×
Psycl/Nrpsyc Tst Auto Result (96146) $40.80 $48 1.5×
Psytx Crisis Initial 60 Min (90839) $229.50 $270 1.4×
Pt Eval High Complex (97163) $208.25 $245 2.1×
Pt eval low complex 20 min (97161) $148.75 $175 1.5×
Pt Eval Mod Complex (97162) $182.75 $215 1.9×
Pt gait training 15 min (97116) $68 $80 2.3×
Pt mechanical traction (97012) $55.25 $65 3.8×
Pt Re-Eval Est Plan Care (97164) $110.50 $130 1.6×
Self Care Mngment Training (97535) $51 $60 1.6×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$29.75–$63.75 $35–$75 varies
Ther/Proph/Diag Iv Inf Init (96365) $161.50 $190 0.8×
Therapeutic Activities (97530) $76.50 $90 2.2×
Tte w/doppler, complete (93306) $2,422.50 $2,850 4.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $63.75 $75 1.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $705.50 $830 3.6×

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.