Visits & medical services prices at Ascension St. Vincent Clay
Brazil, IN · every code in this section with a posted price and a Medicare benchmark.
152 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $224.40 | $374 | 1.6× |
| Acoustic Reflex Testing (92568) | $91.20 | $152 | 2.3× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 31 matching MRF lines |
$102–$110.40 | $170–$184 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $202.20 | $337 | 0.9× |
| Aep neurodiagnostic i&r (92653) | $466.20 | $777 | 2.0× |
| Aep threshold estimation mlt frequencies i&r (92652) | $466.20 | $777 | 2.0× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$192–$222.60 | $320–$371 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $84 | $140 | 5.8× |
| Application Modality 1/> Areas Infrared (97026) | $51.60 | $86 | 7.7× |
| Assessment of aphasia per hr (96105) | $352.80 | $588 | 3.6× |
| Audiometry Air & Bone (92553) | $224.40 | $374 | 1.6× |
| Behavral qualit analys voice (92524) | $142.80 | $238 | 1.3× |
| Biofeedback training any modality (90901) | $193.80 | $323 | 4.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $835.80 | $1,393 | 2.1× |
| Canalith repositioning proc (95992) | $81.60 | $136 | 2.0× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,447.20 | $2,412 | 6.3× |
| Cardiopulmonary resuscitation (92950) | $1,297.20 | $2,162 | 5.7× |
| Cardioversion (92960) range across 2 matching MRF lines |
$2,005.20–$2,172 | $3,342–$3,620 | varies |
| Cbt 1st hour (94644) | $226.20 | $377 | 1.6× |
| Chemo Admin Peritoneal Cavity (96446) | $586.20 | $977 | 1.7× |
| Chemo Anti-Neopl Sq/Im (96401) | $369.60 | $616 | 4.9× |
| Chemo Hormon Antineopl Sq/Im (96402) | $369.60 | $616 | 4.9× |
| Chemo IV infusion addl hr (96415) | $408 | $680 | 5.4× |
| Chemo IV push addl drug (96411) | $273 | $455 | 3.6× |
| Chemother Prolong Infuse W/Pump (96416) | $837.60 | $1,396 | 2.4× |
| Chemotherapy Into Cns (96450) | $837.60 | $1,396 | 2.4× |
| Chemotherapy Intracavitary (96440) | $531 | $885 | 1.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $273 | $455 | 3.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,018.20 | $1,697 | 2.9× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $531 | $885 | 1.5× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $273 | $455 | 0.8× |
| Chest Wall Manipulation (94668) | $228 | $380 | 1.6× |
| Color/duplex Doppler, complete (93975) | $1,425.60 | $2,376 | 5.6× |
| Color/duplex Doppler, limited (93976) | $1,170.60 | $1,951 | 10.6× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $81.60 | $136 | 2.5× |
| Comprehensive Hearing Test (92557) | $224.40 | $374 | 1.6× |
| Conditioning Play Audiometry (92582) | $224.40 | $374 | 1.6× |
| Continuous Pulse Ox (94762) | $510 | $850 | 3.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $917.40 | $1,529 | 4.0× |
| Cpt initial (94667) | $304.20 | $507 | 2.2× |
| Critical care first hour (99291) | $2,231.40 | $3,719 | 2.6× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$198–$583.20 | $330–$972 | varies |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $165 | $275 | 0.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,646.40 | $2,744 | 6.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $1,231.20 | $2,052 | 11.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,342.20 | $2,237 | 5.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $836.40 | $1,394 | 7.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,554.60 | $2,591 | 6.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,077.60 | $1,796 | 9.7× |
| Duplex up extrem art bilat (93930) | $1,384.20 | $2,307 | 5.5× |
| Duplex up extrem art unilat/ltd (93931) | $1,072.20 | $1,787 | 9.7× |
| Echo Congenital Complete (93303) | $1,573.80 | $2,623 | 2.7× |
| Echo Heart Xthoracic,Limited (93308) | $866.40 | $1,444 | 3.4× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $3,640.20 | $6,067 | 6.3× |
| EEG awake and asleep (95819) | $1,141.20 | $1,902 | 5.0× |
| EEG awake drowsy (95816) | $859.80 | $1,433 | 3.8× |
| EEG cerebral death evaluation (95824) | $837 | $1,395 | 2.1× |
| Electrical Stimulation Ea 15 Min (97032) | $90 | $150 | 6.1× |
| Electrocardiogram Tracing (93005) | $322.20 | $537 | 5.2× |
| Emergency Dept Visit Level 2 (99282) | $482.40 | $804 | 3.0× |
| Emergency Dept Visit Level 3 (99283) | $898.20 | $1,497 | 3.1× |
| Emergency Dept Visit Level 4 (99284) | $1,615.80 | $2,693 | 3.7× |
| Er level 1 (99281) range across 3 matching MRF lines |
$135–$251.40 | $225–$419 | varies |
| Er level v (99285) | $2,077.80 | $3,463 | 3.3× |
| Evaluate pt use of inhaler (94664) | $147 | $245 | 0.6× |
| Evaluate Speech Production (92522) | $139.20 | $232 | 1.2× |
| Evaluate Swallowing Function (92610) | $168 | $280 | 2.0× |
| Evaluation of speech fluency (92521) | $169.80 | $283 | 1.3× |
| Evoked Auditory Test,Limited (92587) | $176.40 | $294 | 0.8× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$468–$936 | $780–$1,560 | varies |
| Extracranial Bilat Study (93880) | $1,423.20 | $2,372 | 5.6× |
| Extracranial Uni/Ltd Study (93882) | $711 | $1,185 | 6.4× |
| Group Therapeutic Procedures (97150) | $68.40 | $114 | 3.8× |
| Immunization administration (90471) range across 4 matching MRF lines |
$76.80–$110.40 | $128–$184 | varies |
| Insert/Place Heart Catheter (93503) | $3,082.20 | $5,137 | 1.9× |
| Intracranial Complete Study (93886) | $1,174.20 | $1,957 | 4.7× |
| Iontophoresis 15 min (97033) | $104.40 | $174 | 5.5× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$105.60–$112.80 | $176–$188 | varies |
| IV infusion hydration each additional hour (96361) | $105.60 | $176 | 2.1× |
| IV infusion hydration initial 31 min-1 hour (96360) | $419.40 | $699 | 1.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $130.80 | $218 | 1.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $130.80 | $218 | 2.6× |
| IV push initial (96374) range across 2 matching MRF lines |
$300.60–$318 | $501–$530 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,521 | $2,535 | 6.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $35.40 | $59 | 1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $35.40 | $59 | 1.0× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $56.40 | $94 | 3.3× |
| Motion Fluoroscopy/Swallow (92611) | $232.80 | $388 | 2.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $199.80 | $333 | 0.5× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $229.20 | $382 | 0.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $282.60 | $471 | 1.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $229.20 | $382 | 0.5× |
| Neuromuscular Reeducation (97112) | $96 | $160 | 2.9× |
| Oral Function Therapy (92526) | $72 | $120 | 0.9× |
| Oral Speech Device Eval (92597) | $265.80 | $443 | 3.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$81.60–$102 | $136–$170 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $102.60 | $171 | 2.2× |
| Ot Contrast Bath Ea 15 Min (97034) | $47.40 | $79 | 3.4× |
| Ot eval high complexity (97167) | $235.20 | $392 | 2.3× |
| Ot Eval Low Complex (97165) | $152.40 | $254 | 1.5× |
| Ot Eval Moderate Complexity (97166) | $193.20 | $322 | 1.9× |
| Ot manual therapy 15 min (97140) | $87.60 | $146 | 3.2× |
| Ot paraffin bath (97018) | $84 | $140 | 14.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $87.60 | $146 | 2.2× |
| Ot Re-Eval Est Plan Care (97168) | $129.60 | $216 | 1.9× |
| Physical Performance Test (97750) | $93.60 | $156 | 2.8× |
| Pt Eval High Complex (97163) | $235.20 | $392 | 2.4× |
| Pt eval low complex 20 min (97161) | $152.40 | $254 | 1.6× |
| Pt Eval Mod Complex (97162) | $193.20 | $322 | 2.0× |
| Pt gait training 15 min (97116) | $74.40 | $124 | 2.6× |
| Pt mechanical traction (97012) | $91.20 | $152 | 6.4× |
| Pt Re-Eval Est Plan Care (97164) | $140.40 | $234 | 2.1× |
| Pulm function test by gas (94727) | $402 | $670 | 1.8× |
| Pure Tone Audiometry Air (92552) | $91.20 | $152 | 0.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $960.60 | $1,601 | 24.3× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $162 | $270 | 2.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$135.60–$340.80 | $226–$568 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $69 | $115 | 2.6× |
| Self Care Mngment Training (97535) | $70.80 | $118 | 2.2× |
| Sensory Integration Ea 15 Min (97533) | $82.20 | $137 | 1.4× |
| Speech Audiometry Complete (92556) range across 2 matching MRF lines |
$45–$90 | $75–$150 | varies |
| Speech audiometry threshold (92555) range across 2 matching MRF lines |
$45–$90 | $75–$150 | varies |
| Speech sound lang comprehen (92523) | $285.60 | $476 | 1.3× |
| Spirometry (94010) | $396.60 | $661 | 1.7× |
| Standardized Cognitive Performance Testing (96125) | $164.40 | $274 | 1.6× |
| Stenger Test Speech (92577) | $297 | $495 | 0.8× |
| Stenger Test, Pure Tone (92565) | $91.20 | $152 | 1.5× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$1,290.60–$1,457.40 | $2,151–$2,429 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $91.80 | $153 | 4.1× |
| Ther Ivntj Ea Addl 15 Min (97130) | $79.80 | $133 | 3.8× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $73.80 | $123 | 2.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$93–$95.40 | $155–$159 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $316.80 | $528 | 1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$151.20–$162 | $252–$270 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$520.80–$523.20 | $868–$872 | varies |
| Therapeutic Activities (97530) | $87.60 | $146 | 2.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $73.80 | $123 | 1.9× |
| Tone Decay Test (92563) | $91.20 | $152 | 2.3× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $863.40 | $1,439 | 7.8× |
| Tte w/doppler, complete (93306) | $2,463.60 | $4,106 | 4.3× |
| Tte W/O Doppler Complete (93307) | $1,876.20 | $3,127 | 7.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 4 matching MRF lines |
$53.40–$202.80 | $89–$338 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $64.20 | $107 | 2.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$211.80–$223.80 | $353–$373 | varies |
| Tympanometry (92567) | $91.20 | $152 | 2.3× |
| Unlisted otorhinolaryngological service (92700) | $91.20 | $152 | 3.0× |
| Upr/L Xtremity Art 2 Levels (93922) | $657.60 | $1,096 | 4.7× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$997.80–$1,238.40 | $1,663–$2,064 | varies |
| Vasopneumatic device (97016) | $111.60 | $186 | 9.3× |
| Visual reinforcement audiometry (vra) (92579) | $224.40 | $374 | 1.0× |
| Wheelchair Mgmt Ea 15 Min (97542) | $61.20 | $102 | 2.0× |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$130.20–$164.40 | $217–$274 | varies |
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.