Visits & medical services prices at Wesley Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $24,536 $24,536 3.4×
Acoustic reflex testing (92568) $564 $564 16.4×
Administration of prolonged chemotherapy into artery (96425) $2,938 $2,938 9.7×
Aep threshold estimation mlt frequencies i&r (92652) $3,936 $3,936 19.8×
Airway inhalation treatment (94640) $570 $570 2.8×
Ambulatory Bp Analysis (93788) $733 $733 6.0×
Appl on-body injector for timed subq injection (96377) $252 $252 5.8×
Arrhythmia induction (93618) $2,422 $2,422 2.2×
Assessment of aphasia (96105) $2,118 $2,118 21.8×
Behavioral and qualitative analysis of voice and resonance (92524) $1,154 $1,154 10.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $3,190 $3,190 9.3×
Bundle of his recording (93600) $8,199 $8,199 1.1×
C motor evoked uppr limbs (95928) $5,808 $5,808 7.3×
C motor evoked upr&lwr limbs (95939) $5,808 $5,808 7.3×
Capsule endoscopy (91110) $19,034 $19,034 22.8×
Cardiac Stress Tst,Tracing Only (93017) $4,597 $4,597 23.1×
Cardiopulmonary exercise testing (94621) $4,948 $4,948 14.4×
Cardioversion (92960) $3,065 $3,065 5.0×
Caregiver training 1st 30 min (97550) $121 $121 2.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $77 $77 3.0×
Cbt 1st hour (94644) $788 $788 6.4×
Chemo Admin Peritoneal Cavity (96446) $4,902 $4,902 16.1×
Chemo Hormon Antineopl Sq/Im (96402) $256 $256 3.9×
Chemo inj subarach/intravent (96542) $1,175 $1,175 3.9×
Chemo IV push addl drug (96411) $551 $551 8.3×
Chemo Iv Push Sngl Drug (96409) $1,030 $1,030 3.4×
Chemo prolong 8+ hrs infuse w/pump (96416) $2,938 $2,938 9.7×
Chemother, IV infusion, 1 hr (96413) $1,665 $1,665 5.5×
Chemother, IV infusion, ea add hr (96415) $353 $353 5.3×
Chemother,ia infusn tech,<1 hr (96422) $1,665 $1,665 5.5×
Chemother,Ia Push Technique (96420) $1,665 $1,665 5.5×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $551 $551 8.3×
Chemotherapy admn intraarterial infusion ea hr (96423) $2,247 $2,247 52.1×
Chemotx Admn Cns Req Spinal Puncture (96450) $1,665 $1,665 5.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $256 $256 3.9×
Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) $4,902 $4,902 16.1×
Color/duplex Doppler, complete (93975) $2,653 $2,653 12.1×
Color/duplex Doppler, limited (93976) $2,653 $2,653 27.5×
Comprehensive Hearing Test (92557) $1,850 $1,850 15.6×
Cpap initiation and management (94660) $7,889 $7,889 39.1×
Cpt initial (94667) $721 $721 5.9×
Critical care (99291) $14,101 $14,101 18.5×
Ctr motor ep std transcrnl motor stimj lwr limbs (95929) $5,808 $5,808 16.9×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $18,275 $18,275 47.5×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $2,226 $2,226 23.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $5,139 $5,139 23.4×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $2,937 $2,937 30.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $5,139 $5,139 23.4×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $3,077 $3,077 31.9×
Dup-scan xtr veins unilateral/limited study (93971) $2,226 $2,226 23.1×
Duplex scan extracranial art compl bi study (93880) $7,333 $7,333 33.4×
Echo Heart Xthoracic,Limited (93308) $3,944 $3,944 17.9×
Echo transesophageal (93312) $9,983 $9,983 19.8×
Echo Transesophageal - Congenital Tee Complete (93315) $8,907 $8,907 17.7×
Echo Transthoracic - Congenital Tte Complete (93303) $12,707 $12,707 25.2×
Echo Transthoracic - Congenital Tte Limited (93304) $3,944 $3,944 7.8×
EEG awake asleep (95819) $4,366 $4,366 21.9×
EEG awake drowsy (95816) $4,366 $4,366 21.9×
EEG cerebral death evaluation (95824) $4,366 $4,366 12.7×
EEG coma or sleep only (95822) $4,366 $4,366 21.9×
EEG cont rec w/video by tech min 8 channels (95700) $1,062 $1,062 5.3×
Eeg Extended Monitoring 61-119 Minutes (95813) $4,366 $4,366 21.9×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $5,334 $5,334 26.8×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $10,669 $10,669 31.0×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $10,669 $10,669 31.0×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $5,334 $5,334 26.8×
EKG (93005) $1,922 $1,922 35.4×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $4,366 $4,366 21.9×
EMG cranial nerve bilat (95868) $3,494 $3,494 17.6×
EMG four extremities (95864) $3,494 $3,494 29.5×
EMG one extremity (95860) $3,494 $3,494 28.5×
EMG three extremities (95863) $3,494 $3,494 29.5×
EMG two extremities (95861) $3,494 $3,494 28.5×
Ep & ablate supravent arrhyt (93653) $52,855 $52,855 2.2×
Ep & ablate ventric tachy (93654) $45,871 $45,871 1.9×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $25,231 $25,231 3.5×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $22,761 $22,761 3.2×
Ep Electrophysiologic F/U Study (93624) $15,431 $15,431 2.1×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $9,199 $9,199 8.2×
Ep Esophageal Recording Atria+Pacing (93616) $5,138 $5,138 4.6×
Ep Right Ventricular Recording (93603) $7,281 $7,281 6.5×
Er level 1 (99281) $1,219 $1,219 15.7×
Er level ii (99282) $2,179 $2,179 15.4×
Er level iii (99283) $4,486 $4,486 17.8×
Er level IV (99284) $6,537 $6,537 17.0×
Er level v (99285) $9,871 $9,871 18.0×
Esoph imped funct test > 1hr - esophageal ph monitoring 24-hour (91038) $5,454 $5,454 15.9×
Esophageal recording (93615) $5,138 $5,138 4.6×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $910 $910 12.8×
Evaluation of speech fluency (92521) $1,154 $1,154 8.7×
Evaluation of speech sound production (92522) $866 $866 7.7×
Evaluation of swallowing function (92610) $957 $957 11.3×
Evaluation with prescription of speech-generating alternative (92607) $910 $910 7.4×
Evoked Auditory Test,Comprehsv (92588) $1,353 $1,353 3.9×
Evoked auditory test,limited (92587) $1,353 $1,353 6.8×
Exhaled Air Analysis (94690) $2,554 $2,554 47.0×
External Ecg Scanning Analysis Report (93226) $3,568 $3,568 65.6×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $1,815 $1,815 9.1×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $5,145 $5,145 15.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,143 $2,143 2.7×
Group Therapeutic Procedures (97150) $265 $265 14.7×
Hemodialysis (90935) $16,814 $16,814 26.6×
Holter Monitor Recording (93225) $3,568 $3,568 29.1×
Immunization Admin (90471) $125.56 $125.56 1.9×
Injection intra arterial (96373) $621.50 $621.50 3.2×
Intra Atrial Recording (93602) $7,201 $7,201 1.0×
Intra-atrial pacing (93610) $7,201 $7,201 1.0×
Intralesional Chemo Admin,8+ Lesn (96406) $1,529 $1,529 7.8×
Intralesional Chemo Admin,<8 Lesn (96405) $1,067 $1,067 16.1×
Intraventricular pacing (93612) $7,281 $7,281 1.0×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $908 $908 16.7×
IV infusion hydration each additional hour (96361) $265 $265 6.1×
IV infusion hydration initial 31 min-1 hour (96360) $1,010.50 $1,010.50 5.2×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $1,010.50 $1,010.50 15.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $1,161 $1,161 5.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $265 $265 6.1×
IV push initial (96374) $621.50 $621.50 3.2×
Maintenance of spinal canal or brain drug infusion pump (95990) $1,146 $1,146 3.8×
Manual therapy 15 min (97140) $517 $517 18.7×
Massage 15 min (97124) $486 $486 16.3×
Mechanical chest wall oscillation (94669) $666 $666 3.3×
Mechanical traction (97012) $541 $541 37.7×
Motility study esophagus (91010) $5,400 $5,400 15.7×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $831 $831 9.1×
Multiple sleep latency test (95805) $9,963 $9,963 12.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $858 $858 4.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $858 $858 2.3×
Nerve conduction studies 13/> studies (95913) $38,044 $38,044 110.6×
Nerve Conduction Studies 3-4 Studies (95908) $11,707 $11,707 58.8×
Nerve Conduction Studies 9-10 Studies (95911) $29,272 $29,272 85.1×
Nerve conduction studies; 1-2 studies (95907) $5,852 $5,852 29.4×
Nerve conduction studies; 11-12 studies (95912) $35,119 $35,119 102.1×
Nerve conduction studies; 5-6 studies (95909) $17,558 $17,558 88.2×
Nerve conduction studies; 7-8 studies (95910) $23,411 $23,411 68.1×
Newborn resuscitation (99465) $1,437 $1,437 2.4×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $3,366 $3,366 27.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $660 $660 5.6×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $558 $558 12.1×
Ot Contrast Bath Ea 15 Min (97034) $807 $807 57.5×
Ot eval high complex 60 min (97167) $3,087 $3,087 30.7×
Ot eval low complex 30 min (97165) $1,029 $1,029 10.2×
Ot eval mod complex 45 min (97166) $2,057 $2,057 20.5×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $442 $442 8.8×
Ot re-eval est plan care (97168) $1,008 $1,008 14.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $663 $663 5.6×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $663 $663 5.6×
Paraffin bath (97018) $366 $366 60.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $1,180 $1,180 5.8×
Plethysmography (94726) $1,623 $1,623 4.7×
Pm device eval in person (93288) $450 $450 13.1×
Pm device progr eval dual (93280) $1,049 $1,049 30.5×
Pm device progr eval sngl (93279) $1,049 $1,049 30.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $25,107 $25,107 31.7×
Polysom <6 yrs 4/> paramtrs (95782) $20,467 $20,467 25.9×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $23,246 $23,246 29.4×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $1,049 $1,049 30.5×
Programming of dual lead implantable defibrillator system (93283) $1,049 $1,049 30.5×
Programming of single lead implantable defibrillator system (93282) $1,049 $1,049 30.5×
Pt Electric Current Therapy (97033) $670 $670 35.2×
Pt Electrical Stimulation (97032) $644 $644 43.8×
Pt eval high complex 45 min (97163) $3,087 $3,087 31.5×
Pt eval low complex 20 min (97161) $1,029 $1,029 10.5×
Pt Gait Training Therapy (97116) $608 $608 20.9×
Pt group caregiver training (97552) $63 $63 2.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $517 $517 15.8×
Pt Physical Performance Test (97750) $251 $251 7.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $2,057 $2,057 21.0×
Pt re-evaluation (97164) $1,008 $1,008 14.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $443 $443 13.7×
Pt Ultrasound Therapy (97035) $461 $461 32.1×
Pt Whirlpool Therapy (97022) $415 $415 26.4×
Pulm function test by gas (94727) $1,623 $1,623 8.2×
Pulmonary stress testing (94618) $559 $559 4.6×
Pure Tone Audiometry, Air (92552) $737 $737 6.0×
Refill/Maint Pump/Resvr Syst (96522) $1,293 $1,293 6.6×
Refill/maint, portable pump (96521) $1,293 $1,293 6.6×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $1,240 $1,240 4.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $858 $858 4.6×
Rt Chest Wall Manipulation,Subsequent (94668) $666 $666 5.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $455 $455 9.5×
Sc Ther Infusion Reset Pump (96371) $288 $288 4.3×
Short-latency somatosens ep std lwr limbs (95926) $4,952 $4,952 24.9×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $4,952 $4,952 24.9×
Short-latency somatosens ep std upr limbs (95925) $4,952 $4,952 24.9×
Somatosensory testing (95938) $4,952 $4,952 6.3×
Speech Audiometry Threshold (92555) $439 $439 8.1×
Speech sound lang comprehen (92523) $1,154 $1,154 5.1×
Spirometry (94010) $2,214 $2,214 11.1×
Standardized Cognitive Performance Testing (96125) $1,029 $1,029 10.0×
Stress Tte Complete (93351) $13,647 $13,647 27.1×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $257 $257 6.0×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $1,133 $1,133 5.8×
Surfactant Admin Thru Tube (94610) $1,052 $1,052 5.2×
Tcd Emboli Detect W/O Inj - Us Tc Dplr Ic Art Emb Det Wo Iv Mb Inj (93892) $2,967 $2,967 30.8×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $2,967 $2,967 30.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $878.50 $878.50 8.6×
Ther/Proph/Diag Inj Sc/Im (96372) $285 $285 4.3×
Therapeutic Activities (97530) $443 $443 12.6×
Therapeutic phlebotomy (99195) $1,159 $1,159 9.5×
Tilt Table Eval (93660) $7,218 $7,218 21.0×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $1,897 $1,897 8.6×
Transcranial Doppler Limited (93888) $1,897 $1,897 19.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $9,384 $9,384 18.6×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $7,619 $7,619 34.7×
Tx atrial fib pulm vein isol (93656) $52,855 $52,855 2.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $1,256.50 $1,256.50 16.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $807.50 $807.50 9.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $351.50 $351.50 8.1×
Tympanometry (92567) $351 $351 10.2×
Unlisted Cardiovascular Service/Procedure (93799) $1,019 $1,019 8.6×
Unlisted Diagnostic Gastroenterology Procedure (91299) $548 $548 4.6×
Vasc Duplex Extrem Venous,Bilat (93970) $3,366 $3,366 15.3×
Vasc Duplex Scan Extracranial,Limited (93882) $5,287 $5,287 54.9×
Veeg by tech 2-12 hours unmonitored (95711) $5,334 $5,334 26.8×
Veeg by tech 2-12 hr intermittent monitoring (95712) $5,334 $5,334 15.5×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $10,669 $10,669 31.0×
Veeg Ea 12-26 Hr Unmntr (95714) $10,669 $10,669 31.0×
Ventilation assist & mgmt inpatient 1st day (94002) $15,587 $15,587 27.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $15,587 $15,587 27.4×
Visual Evoked Potential Test (95930) $4,500 $4,500 22.6×
Vital capacity total (94150) $849 $849 7.2×