Visits & medical services prices at Adams Memorial Hospital
Decatur, IN · every code in this section with a posted price and a Medicare benchmark.
162 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) | $257 | $257 | 2.4× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $33 | $33 | 0.8× |
| Advncd Care Plan 30 Min (99497) | $233 | $233 | 2.2× |
| Airway Inhalation Treatment (94640) | $244 | $244 | 1.1× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $311 | $311 | 2.2× |
| Analyze neurostim complex (95972) | $318 | $318 | 3.2× |
| Analyze Neurostim Simple (95971) | $184 | $184 | 1.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $55 | $55 | 3.8× |
| Behavral qualit analys voice (92524) | $299 | $299 | 2.7× |
| Brief Emotional/Behav Assmt (96127) | $21 | $21 | 0.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$34–$1,119 | $34–$1,119 | varies |
| Canalith repositioning proc (95992) | $125 | $125 | 3.1× |
| Car seat/bed test 60 min (94780) | $300 | $300 | 7.6× |
| Cardiac Stress Tst,Tracing Only (93017) | $905 | $905 | 4.0× |
| Cardiopulmonary resuscitation (92950) | $862 | $862 | 3.8× |
| Cardioversion (92960) | $626 | $626 | 0.9× |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $75 | $75 | 1.9× |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $15 | $15 | 0.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $277 | $277 | 3.6× |
| Chemo Hormon Antineopl Sq/Im (96402) | $80 | $80 | 1.1× |
| Chemo IV infusion addl hr (96415) | $283 | $283 | 3.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $420 | $420 | 1.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $420 | $420 | 1.2× |
| Chest Wall Manipulation (94668) | $133 | $133 | 0.9× |
| Chron Care Mgmt Srvc 20 Min (99490) | $95 | $95 | 0.9× |
| Color/duplex Doppler, complete (93975) | $1,417 | $1,417 | 5.6× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$561–$673 | $561–$673 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $213 | $213 | 1.1× |
| Cont gluc mntr physician/qhp provided equiptment (95250) range across 2 matching MRF lines |
$165–$407 | $165–$407 | varies |
| Continuous Pulse Ox (94762) | $314 | $314 | 2.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $646 | $646 | 2.8× |
| Cpt initial (94667) | $133 | $133 | 0.9× |
| Critical care first hour (99291) | $1,071 | $1,071 | 1.2× |
| Debridement Open Wound 20 Sq Cm< (97597) | $208 | $208 | 1.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $923 | $923 | 3.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,419 | $1,419 | 5.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $673 | $673 | 6.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,419 | $1,419 | 5.6× |
| Dup-scan xtr veins unilateral/limited study (93971) | $673 | $673 | 6.1× |
| Duplex up extrem art bilat (93930) | $1,243 | $1,243 | 4.9× |
| Duplex up extrem art unilat/ltd (93931) | $673 | $673 | 6.1× |
| Echo Heart Xthoracic,Limited (93308) | $1,422 | $1,422 | 5.6× |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$125–$1,065 | $125–$1,065 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$232–$1,368 | $232–$1,368 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$96–$1,277 | $96–$1,277 | varies |
| EEG extended monitoring 61-119 minutes (95813) range across 3 matching MRF lines |
$168–$763 | $168–$763 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $81 | $81 | 5.5× |
| Electrocardiogram Tracing (93005) | $191 | $191 | 3.1× |
| Emergency Dept Visit Level 2 (99282) | $285 | $285 | 1.8× |
| Emergency Dept Visit Level 3 (99283) | $525 | $525 | 1.8× |
| Emergency Dept Visit Level 4 (99284) | $638 | $638 | 1.4× |
| Er level 1 (99281) | $170 | $170 | 1.9× |
| Er level v (99285) | $952 | $952 | 1.5× |
| Esophageal Capsule Endoscopy (91111) range across 3 matching MRF lines |
$265–$2,897 | $265–$2,897 | varies |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$53–$208 | $53–$208 | varies |
| Evaluate Speech Production (92522) | $288 | $288 | 2.6× |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$449–$464 | $449–$464 | varies |
| Evaluation of speech fluency (92521) | $343 | $343 | 2.6× |
| Evoked Auditory Test,Limited (92587) | $321 | $321 | 1.4× |
| External Ecg Scanning Analysis Report (93226) | $383 | $383 | 6.1× |
| Extracranial Bilat Study (93880) | $788 | $788 | 3.1× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $587 | $587 | 0.6× |
| Gi tract capsule endoscopy (91110) range across 3 matching MRF lines |
$539–$3,171 | $539–$3,171 | varies |
| Gi tract imaging intraluminal colon i&r (91113) range across 3 matching MRF lines |
$669–$3,301 | $669–$3,301 | varies |
| Holter monitor recording (93225) | $383 | $383 | 2.7× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$15–$63 | $15–$63 | varies |
| Immunization administration (90471) range across 2 matching MRF lines |
$33–$100 | $33–$100 | varies |
| Inital newborn e/m (99460) | $230 | $230 | 1.6× |
| Iontophoresis 15 min (97033) | $133 | $133 | 7.0× |
| Irrig Drug Delivery Device (96523) | $60 | $60 | 1.0× |
| IV infusion hydration each additional hour (96361) | $112 | $112 | 2.3× |
| IV infusion hydration initial 31 min-1 hour (96360) | $547 | $547 | 2.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $128 | $128 | 1.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $75 | $75 | 1.5× |
| IV push initial (96374) | $375 | $375 | 1.7× |
| Lung Function Test (Mbc/Mvv) (94200) | $12 | $12 | 0.2× |
| Mechanical chest wall oscillation per session (94669) | $229 | $229 | 1.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$47–$54 | $47–$54 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $81 | $81 | 2.2× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$120–$1,026 | $120–$1,026 | varies |
| Motion Fluoroscopy/Swallow (92611) | $767 | $767 | 8.4× |
| Multiple Sleep Latency Test (95805) | $2,783 | $2,783 | 3.1× |
| Muscle Test One Limb (95860) | $267 | $267 | 1.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $447 | $447 | 1.0× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $465 | $465 | 1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $91 | $91 | 0.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $127 | $127 | 0.3× |
| Nerve Conduction Studies 1-2 Studies (95907) | $235 | $235 | 1.0× |
| Nerve Conduction Studies 11-12 Studies (95912) | $799 | $799 | 2.0× |
| Nerve conduction studies 13 or more studies (95913) | $962 | $962 | 2.4× |
| Nerve Conduction Studies 3-4 Studies (95908) | $301 | $301 | 1.3× |
| Nerve conduction studies 5-6 studies (95909) | $324 | $324 | 1.4× |
| Nerve conduction studies 7-8 studies (95910) | $525 | $525 | 1.3× |
| Nerve Conduction Studies 9-10 Studies (95911) | $623 | $623 | 1.6× |
| Neuromuscular Reeducation (97112) | $129 | $129 | 3.9× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$674–$1,227 | $674–$1,227 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $89 | $89 | 3.6× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $150 | $150 | 4.3× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $49 | $49 | 3.6× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $369 | $369 | 0.9× |
| Oral Function Therapy (92526) | $257 | $257 | 3.1× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $127 | $127 | 2.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $144 | $144 | 3.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $80 | $80 | 3.5× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $85.32 | $85.32 | 3.7× |
| Ot eval high complexity (97167) | $434 | $434 | 4.3× |
| Ot Eval Low Complex (97165) | $359 | $359 | 3.6× |
| Ot Eval Moderate Complexity (97166) | $407 | $407 | 4.0× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$48–$128 | $48–$128 | varies |
| Ot Re-Eval Est Plan Care (97168) | $168 | $168 | 2.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $361 | $361 | 2.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $361 | $361 | 2.6× |
| Peripheral arterial disease rehab per session (93668) | $191 | $191 | 3.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $169 | $169 | 2.7× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$118–$141 | $118–$141 | varies |
| Plethysmography (94726) range across 2 matching MRF lines |
$32–$906 | $32–$906 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$652–$5,031 | $652–$5,031 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $24 | $24 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $40 | $40 | 0.8× |
| Psych diag eval w/med srvcs (90792) | $337 | $337 | 1.8× |
| Psychiatric diagnostic evaluation (90791) | $238 | $238 | 1.3× |
| Pt Eval High Complex (97163) | $456 | $456 | 4.7× |
| Pt eval low complex 20 min (97161) | $363 | $363 | 3.7× |
| Pt Eval Mod Complex (97162) | $409 | $409 | 4.2× |
| Pt gait training 15 min (97116) | $121 | $121 | 4.2× |
| Pt mechanical traction (97012) | $70 | $70 | 4.9× |
| Pt Re-Eval Est Plan Care (97164) | $230 | $230 | 3.4× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$174–$221 | $174–$221 | varies |
| Pulmonary Stress Testing (94618) | $125 | $125 | 0.9× |
| Remote 30 Day Ecg Rev/Report (93270) | $128 | $128 | 3.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $82 | $82 | 0.4× |
| Same day nb discharge (99463) | $247 | $247 | 1.8× |
| Sbsq Psyc Collab Care Mgmt (99493) | $224 | $224 | 2.1× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$70–$137 | $70–$137 | varies |
| Self-meas bp pt educaj/traing & dev calibration (99473) | $35 | $35 | 1.1× |
| Sensory Integration Ea 15 Min (97533) | $106 | $106 | 1.7× |
| Sleep study attended (95807) | $339 | $339 | 0.9× |
| Sleep study unattended (95806) | $178 | $178 | 0.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$188–$982 | $188–$982 | varies |
| Speech sound lang comprehen (92523) | $528 | $528 | 2.3× |
| Spirometry (94010) range across 3 matching MRF lines |
$21–$592 | $21–$592 | varies |
| Standardized Cognitive Performance Testing (96125) | $529 | $529 | 5.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $100 | $100 | 4.5× |
| Ther Ivntj Ea Addl 15 Min (97130) | $78 | $78 | 3.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $139 | $139 | 3.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $92 | $92 | 3.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$47–$128 | $47–$128 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $420 | $420 | 1.9× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$136–$138 | $136–$138 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $96 | $96 | 2.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $39 | $39 | 1.0× |
| Trans Care Mgmt 14 Day Disch (99495) | $396 | $396 | 2.8× |
| Trans Care Mgmt 7 Day Disch (99496) | $552 | $552 | 3.9× |
| Tte w/doppler, complete (93306) | $3,488 | $3,488 | 6.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $400 | $400 | 5.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $83 | $83 | 1.7× |
| Tympanometry (92567) | $33 | $33 | 0.8× |
| Upr/L Xtremity Art 2 Levels (93922) | $383 | $383 | 2.7× |
| Veeg ea 12-26hr cont mntr (95716) | $4,368 | $4,368 | 4.8× |
| Vent Mgmt Inpat Init Day (94002) | $848 | $848 | 1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $108 | $108 | 3.5× |
| Whirlpool Therapy (97022) | $96 | $96 | 6.1× |
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.