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Stevens County Hospital

Kansas · 1,500 published self-pay prices, from $10.68 to $23,816.

These items are published without a standard CPT or HCPCS code, so they cannot be reliably matched against the same service at another hospital. They are shown exactly as this facility published them, and are excluded from every median, average and comparison elsewhere on this site.

Showing the 300 lowest-priced of 1,500 published items.

ItemCash priceSetting
.GTT-1 Hr$82.00Outpatient
.HIV 1/2 Ab EIA QST$160Outpatient
.HIV 1/2 Ab Western Blot QST$100Outpatient
00409-7984-36 - Sodium Chloride 0.9% Sol 50mL [STVN]$25.00Outpatient
00574-2008-15 - nystatin topical 100000 units/g Pow [STVN]$73.69Outpatient
12090-0006-06 - lanolin topical[STVN]$34.94Outpatient
3D radiographic procedure$536Outpatient
3D radiographic procedure with computerized image postprocessing$500Outpatient
5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT)$28.35Outpatient
5% DEXTROSE/WATER (500 ML = 1 UNIT)$28.35Outpatient
65862-0642-90 - azithromycin 500 mg Tab [STVN]$46.25Outpatient
96360 IV INFUSION-HYDRATION-INITIAL-UP TO 1 Charge$386Both
96361 IV INFUSION-HYDRATION-ADDT�L HR UP-8 Charge$189Both
96365 IV INFUSION-THER/PROP/DIAG-INITIAL Charge$267Both
96366 IV INFUSION-THER/PROP/DIAG-EA ADDL HR SAME DRUG Charge$170Both
96367 THERAPEUTIC INFUSION EA AD NEW DRUG Charge$165Both
96372 IM/SQ INJECTION-THER/PROPHY/DIAG Charge$48.00Both
96374 IV PUSH-SINGLE OR INITIAL SUBSTANCE Charge$265Both
96375 IV PUSH-EA ADDTL NEW DRUG Charge$77.21Both
96376 IV PUSH-EA ADD�T SAME DRUG Charge$76.01Both
99999-9983-99 - THP Cephalexin 500mg [STVN]$20.00Outpatient
99999-9984-99 - THP cyclobenzaprine 10mg tab [STVN]$20.00Outpatient
99999-9986-99 - THP predniSONE 10 mg Tab [STVN]$20.00Outpatient
99999-9987-99 - THP tramadol 50 mg Tab [STVN]$20.00Outpatient
99999-9988-99 - THP ciprofloxacin 500 mg Tab [STVN]$20.00Outpatient
99999-9989-99 - THP clindamycin 150 mg Cap [STVN]$20.00Outpatient
99999-9990-99 - THP albuterol 2.5 mg/3 mL (0.083%) Sol UD [STVN]$25.00Outpatient
99999-9992-99 - THP azithromycin 500 mg Tab [STVN]$20.00Outpatient
99999-9993-99 - THP cefdinir 300 mg Cap [STVN]$20.00Outpatient
99999-9994-99 - THP acetaminophen-oxycodone 325 mg-5 mg Tab [STVN]$20.00Outpatient
99999-9998-99 - THP ondansetron 4 mg DIS [STVN]$20.00Outpatient
99999-9999-74 - GI Cocktail [STVN]$70.00Outpatient
99999-9999-99 - THP acetaminophen-HYDROcodone 325 mg-5 mg Tab 4 tab THP [STVN]$20.00Outpatient
ABG CARTRIDGE$1,872Outpatient
ABG QUALICHECK LEVEL 4$37.98Outpatient
ABORh$108Outpatient
ACAPELLA BLUE$232Outpatient
ACAPELLA GREEN$232Outpatient
ACROMINOCLAVICULAR IMMOB.$186Outpatient
Administration of chemotherapy into vein, 1 hour or less$232Outpatient
Administration of chemotherapy into vein, each additional hour$232Both
Albumin (protein) level$65.00Outpatient
ALBUTEROL SUL 2.5 MG/3 ML SOLN$21.59Outpatient
Alcohols levels$115Outpatient
Aldosterone hormone level$220Outpatient
Alkaloids levels$150Outpatient
Alpha-1-antitrypsin (protein) blood test, total$93.00Outpatient
Alpha-fetoprotein (AFP) level, serum$89.00Outpatient
Ammonia level$88.00Outpatient
AMOX-CLAV 500-125 MG TABLET$15.04Outpatient
AMOXICILLIN 250 MG/5 ML SUSP$25.23Outpatient
Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen$300Outpatient
Amylase (enzyme) level$65.00Outpatient
Anaerobic Cult Final QST$130Outpatient
Analgesics levels, 1 or 2$160Outpatient
Analysis for antibody (IgM) to Cytomegalovirus (CMV)$136Outpatient
Analysis for antibody bacteria$105Outpatient
Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)$300Outpatient
Analysis for antibody to Cytomegalovirus (CMV)$136Outpatient
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen$116Outpatient
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid$116Outpatient
Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria)$95.00Outpatient
Analysis for antibody to Herpes simplex virus, type 1$120Outpatient
Analysis for antibody to Herpes simplex virus, type 2$117Outpatient
Analysis for antibody to Mycoplasma (bacteria)$150Outpatient
Analysis for antibody to parvovirus$150Outpatient
Analysis for antibody to Rubella (German measles virus)$80.00Outpatient
Analysis for antibody to West Nile virus$120Outpatient
Analysis for antibody, Treponema pallidum$100Outpatient
Analysis of substance using immunoassay technique, multiple step method$105Outpatient
Analysis test by nucleic acid for Hepatitis C virus$450Outpatient
Androstenedione (hormone) level$225Outpatient
Anesthesia Admin Per Unit$110Outpatient
ANESTHESIA CIRCUIT ADULT$135Outpatient
ANESTHESIA CIRCUIT PEDIATRIC$15.78Outpatient
ANESTHESIA MASK SZ 2$236Outpatient
ANESTHESIA MASK SZ 3$94.50Outpatient
ANESTHIESIA MASK SZ 4$84.65Outpatient
ANKLE ORTHOSIS, ANKLE GAUNTLET OR SIMILAR, WITH OR WITHOUT JOINTS, PREFABRICATED, OFF-THE-SHELF$26.25Outpatient
ANKLE STIRRUP W/ FOAM PADS (PONY LEFT)$60.00Outpatient
ANKLE STIRRUP W/ FOAM PADS (PONY RIGHT)$43.75Outpatient
ANTI FOG$28.88Outpatient
Antibody identification test for white blood cell antibodies$120Outpatient
Antithrombin III antigen (clotting inhibitor) activity$100Outpatient
Application of elbow to finger cast$727Both
Application of electrical stimulation with therapist present, each 15 minutes$34.00Outpatient
Application of hand and lower forearm cast$727Both
Application of hot and cold baths, each 15 minutes$42.00Outpatient
Application of hot wax bath$45.00Outpatient
Application of long leg cast from thigh to toe$467Both
Application of long leg splint from thigh to ankle or toe$387Both
Application of lower and upper arm splint$387Both
Application of mechanical traction$45.00Outpatient
Application of medication using electrical current, each 15 minutes$112Outpatient
Application of nonmoveable forearm to hand splint$295Both
Application of short leg cast$467Both
Application of short leg splint from calf to foot$387Both
Application of shoulder to hand cast$727Both
Application of stress by physician for joint imaging$100Outpatient
Application of ultrasound, each 15 minutes$28.00Outpatient
Application of walking cast covering foot, ankle, and lower leg$106Outpatient
Application of whirlpool therapy$43.00Outpatient
APPOINTMENT CARDS (PT)$245Outpatient
AQUACEL EXTRA 4 X 5$13.50Outpatient
AQUASONIC 100 TRANSMISSION GEL$62.50Outpatient
ARM SLING-CHILD UNIVERSAL$10.73Outpatient
ARM SLING-XL BUCKLE CLOSURE$17.50Outpatient
ARM SLING-XSM BUCKLE CLOSURE$10.73Outpatient
Artery puncture collection of blood sample$165Outpatient
Aspiration and/or injection of fluid from large joint$701Outpatient
Aspiration and/or injection of fluid from medium joint$611Outpatient
Aspiration and/or injection of fluid from medium joint using ultrasound guidance$960Outpatient
Aspiration and/or injection of fluid from small joint$423Outpatient
Aspiration and/or injection of fluid from small joint using ultrasound guidance$960Outpatient
Aspiration and/or injection of fluid large joint using ultrasound guidance$960Outpatient
Aspiration of fluid from chest cavity$1,253Outpatient
Automated urinalysis test$98.00Outpatient
AZITHROMYCIN 200 MG/5 ML SUSP$122Outpatient
Bacterial blood culture$90.00Outpatient
Bacterial colony count, urine$65.00Outpatient
Bacterial culture for aerobic isolates$65.00Outpatient
Bacterial culture, any other source except urine, blood or stool, aerobic$65.00Outpatient
Bacterial culture, any source, except blood, anaerobic$65.00Outpatient
Bacterial urine culture$65.00Outpatient
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm$2,463Outpatient
Banding of hemorrhoids using a flexible endoscope (colonoscope)$2,288Outpatient
Beta 2 glycoprotein 1 antibody (autoantibody) measurement$60.00Outpatient
Beta-2 microglobulin (protein) level$108Outpatient
BI PAP CIRCUITS$37.50Outpatient
BI PAP MASK (LG) AIRGEL$130Outpatient
BI PAP MASK (MD) AIRGEL$130Outpatient
BI PAP MASK (SM) AIRGEL$37.50Outpatient
Bilirubin level, direct$68.00Outpatient
Bilirubin level, total$65.00Outpatient
Bill Hep Panel$180Outpatient
Biochemical assays for evaluation of chronic Hepatitis C virus infection$890Outpatient
BIOFREEZE 16 OZ PUMP$51.18Outpatient
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope$1,813Outpatient
Biopsy of large bowel using a flexible endoscope$2,143Outpatient
BIOPSY SKIN LESION$344Outpatient
BLANKET (HUGGER) ADULT$42.50Outpatient
BLANKET (HUGGER) PEDIATRIC$52.50Outpatient
Bleeding time$80.00Outpatient
Blood chloride level$43.00Outpatient
Blood count, hemoglobin$40.00Outpatient
Blood creatinine level$65.00Outpatient
Blood gases measurement$232Outpatient
Blood glucose (sugar) level$65.00Outpatient
Blood glucose (sugar) test performed by hand-held instrument$30.00Both
Blood glucose (sugar) tolerance test, 3 specimens$82.00Outpatient
Blood glucose (sugar) tolerance test, each additional beyond 3 specimens$82.00Outpatient
Blood group typing (ABO)$108Outpatient
BLOOD PLUMSET Y-SITE$30.00Outpatient
Blood potassium level$43.00Outpatient
Blood smear interpretation by physician with written report$130Outpatient
Blood sodium level$43.00Outpatient
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)$65.00Outpatient
Blood test, basic group of blood chemicals (Calcium, total)$116Outpatient
Blood test, clotting time$70.00Outpatient
Blood test, comprehensive group of blood chemicals$50.00Outpatient
Blood test, lipids (cholesterol and triglycerides)$180Outpatient
Blood test, thyroid stimulating hormone (TSH)$86.00Outpatient
Blood typing for Rh (D) antigen$90.00Outpatient
Blood unit compatibility test, antiglobulin technique$95.00Outpatient
Blood unit compatibility test, immediate spin technique$95.00Outpatient
Blood unit compatibility test, incubation technique$90.00Outpatient
BLOOD Y-TYPE SET$36.01Outpatient
BONE MARROW TRAY$133Outpatient
BUDESONIDE 0.5 MG/2 ML SUSP$24.55Outpatient
Butterfly 21G$17.00Outpatient
Butterfly 25G$14.00Outpatient
C V DRESSING TRAY$12.40Outpatient
C-peptide (protein) level$75.00Outpatient
CALCIUM ALGINATE AG 4X4$14.00Outpatient
Calcium level, total$65.00Outpatient
CANNULA INFANT$15.00Outpatient
Carbamazepine level, total$173Outpatient
Carbon dioxide (bicarbonate) level$65.00Outpatient
Carboxyhemoglobin (protein) level$155Outpatient
Carcinoembryonic antigen (CEA) protein level$135Outpatient
Cardiac Rehab Phase 3 CHARGE$35.00Outpatient
Cardiolipin Ab (IgA, IgG, IgM) QST$60.00Outpatient
CAST PADDING 6 (SYNTHETIC)$11.05Outpatient
Catecholamines (organic nitrogen) level$220Outpatient
CATHETER -PERITONEAL LAVAGE DIAL {ADULT}$55.90Outpatient
CATHETER TRAY 16FR$16.80Outpatient
CATHETER TRAY 18FR$20.23Outpatient
CAUTERY PENCIL LOOP$26.25Outpatient
CEFDINIR 250 MG/5 ML SUSP$99.48Outpatient
CEFDINIR 300 MG CAPSULE$23.05Outpatient
Cell examination of body fluid, smears$237Outpatient
Cell examination of specimen, selective cellular enhancement technique$150Outpatient
CENTRAL VENOUS P TRAY$112Outpatient
Ceruloplasmin (protein) level$85.00Outpatient
CERVICAL TRACTION SET$98.13Outpatient
CERVICAL, COLLAR, SEMI-RIGID THERMOPLASTIC FOAM, TWO-PIECE, PREFABRICATED, OFF-THE-SHELF$27.50Outpatient
CERVICAL, FLEXIBLE, NON-ADJUSTABLE, PREFABRICATED, OFF-THE-SHELF (FOAM COLLAR)$20.00Outpatient
Chain of Custody Form$14.00Outpatient
CHECKOUT FOR ORTHOTIC/PROSTHETIC USE, ESTABLISHED PATIENT, EACH 15 MINUTES$111Outpatient
CHLORA/DURA PREP$17.63Outpatient
CHLORAPREP 26ML$18.00Outpatient
Cholesterol level$65.00Outpatient
Chromosome analysis for genetic defects, count 15-20 cells$725Outpatient
CIPROFLOXACIN 0.3% EYE DROP$87.65Outpatient
Citrate level$188Outpatient
CLAMP-CORD CLAMP$262Outpatient
CLOPIDOGREL 75 MG TABLET$27.18Outpatient
Closed treatment of broken collar bone$1,360Both
Closed treatment of broken collar bone with manipulation$1,360Both
Closed treatment of broken end of finger or thumb$727Both
Closed treatment of broken end of finger or thumb with manipulation$910Both
Closed treatment of broken finger or thumb at midportion or part near hand$1,360Both
Closed treatment of broken foot with manipulation$436Outpatient
Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation$2,445Both
Closed treatment of broken forearm bone on small finger side at elbow$2,445Both
Closed treatment of broken forearm bone on small finger side at elbow with manipulation$2,445Both
Closed treatment of broken forearm bone on thumb side at elbow$1,360Both
Closed treatment of broken forearm bone on thumb side at elbow with manipulation$1,878Both
Closed treatment of broken great toe$2,445Both
Closed treatment of broken great toe with manipulation$2,719Both
Closed treatment of broken hand bone$520Both
Closed treatment of broken hand bone with manipulation$552Outpatient
Closed treatment of broken middle part of shin bone$2,445Both
Closed treatment of broken middle part of upper arm bone$2,445Both
Closed treatment of broken middle part of upper arm bone with manipulation$2,445Both
Closed treatment of broken midpart of both forearm bones$474Both
Closed treatment of broken midpart of both forearm bones with manipulation$1,950Both
Closed treatment of broken midpart of forearm bone on small finger side$2,445Both
Closed treatment of broken midpart of forearm bone on small finger side with manipulation$2,445Both
Closed treatment of broken midpart of forearm bone on thumb side$2,445Both
Closed treatment of broken midpart of forearm bone on thumb side with manipulation$2,445Both
Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation$2,411Both
Closed treatment of broken toe$727Both
Closed treatment of broken toe with manipulation$727Both
Closed treatment of broken top of upper arm bone$2,445Both
Closed treatment of broken wrist bone near base of thumb$2,445Both
Closed treatment of broken wrist bone near base of thumb with manipulation$2,445Both
Closed treatment of dislocated ankle$1,360Both
Closed treatment of dislocated finger joint with manipulation$1,360Both
Closed treatment of dislocated forearm bone on thumb side at elbow with manipulation, child$1,360Both
Closed treatment of dislocated jaw joint$80.00Both
Closed treatment of dislocated joint in toe$183Both
Closed treatment of dislocated kneecap$1,360Both
Closed treatment of dislocated shoulder with manipulation$1,510Both
Closed treatment of middle part of broken shin bone with manipulation$2,445Both
Closed treatment of other broken wrist bone$910Both
Closed treatment of other broken wrist bone with manipulation$910Both
Clotting factor V (AcG or proaccelerin) measurement$165Outpatient
Clotting factor VII (proconvertin, stable factor)$130Outpatient
Clotting factor X assessment test, diluted$135Outpatient
CO2 EASY CAP-ADULT$60.00Outpatient
CO2 EASY CAP-PEDI$60.00Outpatient
CO2 TUBING FILTERLINE SET$131Outpatient
Coagulation assessment blood test, plasma or whole blood$70.00Outpatient
Coagulation function analysis, agglutination slide, semiquantitative$95.00Outpatient
Coagulation function measurement, D-dimer; quantitative$120Outpatient
Coagulation function measurement, qualitative or semiquantitative$110Outpatient
COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK$1,583Outpatient
COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK$1,583Outpatient
COMBITUBE ROLL-UP KIT 37 FR.$568Outpatient
Complete blood cell count (red cells, white blood cell, platelets), automated test$40.00Outpatient
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count$55.00Outpatient
Complete ultrasound of abdomen and pelvis artery and vein blood flow$808Outpatient
Complete ultrasound scan behind abdominal cavity$255Outpatient
Complete ultrasound scan of 1 breast$160Outpatient
Complete ultrasound scan of abdomen$255Outpatient
Complete ultrasound scan of joint$197Outpatient
Complete ultrasound scan of pelvis$207Outpatient
Complete X-ray of body bones$851Outpatient
Complex control of nose bleed$998Both
Complicated drainage of cyst of tailbone$3,310Both
Complicated or multiple drainage of skin abscess$307Outpatient
Concentration of specimen for infectious agents$65.00Outpatient
Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria)$190Outpatient
CONTINOUS IRR SET (TURY)$55.10Outpatient
Copper level$100Outpatient
Cortisol (hormone) measurement, total$130Outpatient
Cortisol, Free and Total, LC/MS/MS QST$260Outpatient
Cortisol, Free, LC/MS/MS QST$130Outpatient
COUNSELING VISIT TO DISCUSS NEED FOR LUNG CANCER SCREENING USING LOW DOSE CT SCAN (LDCT) (SERVICE IS FOR ELIGIBILITY DETERMINATION AND SHARED DECISION MAKING)$60.00Outpatient
Creatine kinase (cardiac enzyme) level, MB fraction only$140Outpatient
Creatine kinase (cardiac enzyme) level, total$65.00Outpatient
Creatinine clearance measurement to test for kidney function$130Outpatient
Creatinine level to test for kidney function or muscle injury$65.00Outpatient
Critical care, each additional 30 minutes$510Both
Critical care, first 30-74 minutes$1,718Both
CT scan head or brain with contrast$862Outpatient
CT scan head or brain without contrast$770Outpatient
CT scan of abdomen and pelvis before and after contrast$955Outpatient
CT scan of abdomen and pelvis with contrast$862Outpatient
CT scan of abdomen and pelvis without contrast$770Outpatient
CT scan of abdomen before and after contrast$955Outpatient
CT scan of abdomen with contrast$862Outpatient
CT scan of abdomen without contrast$770Outpatient
CT scan of abdominal aorta and both leg arteries with contrast$2,101Outpatient
CT scan of arm with contrast$862Outpatient
CT scan of arm without contrast$770Outpatient
CT scan of blood vessels of abdomen with contrast$2,235Outpatient
CT scan of blood vessels of chest with contrast$1,925Outpatient
CT scan of blood vessels of head with contrast$2,182Outpatient

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