Dodge City, KS
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Feb 5, 2026 | Aug 16, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Commonspirit Kansas, Inc.’s price for it.
The codes Commonspirit Kansas, Inc. has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Flumazenil IV injectionHCPCS J3490 | $77 | $104 | $328 | 316% | 2,104–21,040 | $1 | $8.7k |
| Complete blood count with automated differentialCPT 85025 | $48 | $36 | $25 | 71% | 3,766–3,793 | $7 | $70 |
| Iodixanol contrast injection, 320 mg/mLHCPCS Q9967 | $104 | $155 | $146 | 94% | 552–3,360 | $6 | $986 |
| Emergency department visitCPT 99283 | $479 | $531 | $391 | 74% | 1,383–1,410 | $65 | $1.1k |
| Propofol intravenous emulsionHCPCS J2704 | $107 | $152 | $127 | 84% | 266–2,354 | $0 | $756 |
| Comprehensive metabolic blood panelCPT 80053 | $104 | $71 | $56 | 79% | 1,107–1,134 | $11 | $142 |
| Dexamethasone sodium phosphate injection, 4 mg per mLHCPCS J1100 | $72 | $87 | $84 | 96% | 200–2,000 | $0 | $550 |
| Therapeutic exercise sessionCPT 97110 | $118 | $98 | $51 | 53% | 858–876 | $30 | $157 |
| Intravenous push injection of therapeutic or diagnostic drugCPT 96374 | $181 | $165 | $113 | 69% | 820–829 | $31 | $443 |
| Normal saline IV solution 0.9%HCPCS J7030 | $69 | $68 | $43 | 64% | 518–1,094 | $3 | $176 |
EIN: 480543721
Last updated: Feb 5, 2026
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Hospital ID: 41b0e734454702caa514d6f7eb83e0e0f3c6a7511c0eebeba6c236c9d1eb0ada