Visits & medical services prices at Ascension St. Vincent Jennings

North Vernon, IN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480)
range across 31 matching MRF lines
$96–$104.40 $160–$174 varies
Airway Inhalation Treatment (94640) $96 $160 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $85.20 $142 5.9×
Assessment of aphasia per hr (96105) $284.40 $474 2.9×
Behavral qualit analys voice (92524) $152.40 $254 1.4×
Cardiac Stress Tst,Tracing Only (93017) $1,248 $2,080 5.5×
Cardiopulmonary resuscitation (92950) $1,419.60 $2,366 6.2×
Cardioversion (92960)
range across 2 matching MRF lines
$2,284.20–$2,385.60 $3,807–$3,976 varies
Chemo IV infusion addl hr (96415) $318 $530 4.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $582.60 $971 1.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $264.60 $441 0.8×
Color/duplex Doppler, complete (93975) $1,425.60 $2,376 5.6×
Color/duplex Doppler, limited (93976) $998.40 $1,664 9.0×
Community/Work Reintegration Trainj Ea 15 Min (97537) $78.60 $131 2.5×
Continuous Pulse Ox (94762) $395.40 $659 2.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $691.20 $1,152 3.0×
Critical care first hour (99291) $3,294.60 $5,491 3.8×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$200.40–$583.20 $334–$972 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,480.80 $2,468 5.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $891 $1,485 8.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,456.80 $2,428 5.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $979.20 $1,632 8.9×
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) $1,402.80 $2,338 5.6×
Duplex up extrem art unilat/ltd (93931) $914.40 $1,524 8.3×
Echo Congenital Complete (93303) $1,988.40 $3,314 3.4×
Echo Heart Xthoracic,Limited (93308) $1,087.20 $1,812 4.3×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines
$2,912.40–$2,913 $4,854–$4,855 varies
Electrical Stimulation Ea 15 Min (97032) $84.60 $141 5.8×
Electrocardiogram Tracing (93005) $280.20 $467 4.5×
Emergency Dept Visit Level 2 (99282) $582.60 $971 3.6×
Emergency Dept Visit Level 3 (99283) $1,171.80 $1,953 4.1×
Emergency Dept Visit Level 4 (99284) $1,507.80 $2,513 3.4×
Er level 1 (99281)
range across 4 matching MRF lines
$143.40–$315.60 $239–$526 varies
Er level v (99285) $1,900.20 $3,167 3.0×
Evaluate Speech Production (92522) $148.80 $248 1.3×
Evaluate Swallowing Function (92610) $260.40 $434 3.1×
Evaluation of speech fluency (92521) $181.80 $303 1.4×
External Ecg Scanning Analysis Report (93226) $949.80 $1,583 15.2×
Extracranial Bilat Study (93880) $1,141.20 $1,902 4.5×
F-up/limited tthrc echo congenital car anomaly (93304) $1,288.20 $2,147 2.2×
Holter monitor recording (93225) $633.60 $1,056 4.5×
Immunization administration (90471)
range across 4 matching MRF lines
$104.40–$110.40 $174–$184 varies
Iontophoresis 15 min (97033) $96 $160 5.0×
Irrig Drug Delivery Device (96523) $283.80 $473 4.5×
IV infusion hydration each additional hour (96361) $125.40 $209 2.5×
IV infusion hydration initial 31 min-1 hour (96360) $495 $825 2.2×
IV infusion ther proph addl sequential to 1 hr (96367) $153.60 $256 2.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $153.60 $256 3.1×
IV push initial (96374) $302.40 $504 1.3×
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) $296.40 $494 3.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $240 $400 1.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $178.20 $297 0.4×
Neuromuscular Reeducation (97112) $89.40 $149 2.7×
Oral Function Therapy (92526) $208.80 $348 2.5×
Oral Speech Device Eval (92597) $313.80 $523 4.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $77.40 $129 1.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $90.60 $151 2.0×
Ot Contrast Bath Ea 15 Min (97034) $67.80 $113 4.8×
Ot eval high complexity (97167) $156 $260 1.6×
Ot Eval Low Complex (97165) $121.20 $202 1.2×
Ot Eval Moderate Complexity (97166) $138 $230 1.4×
Ot manual therapy 15 min (97140) $100.20 $167 3.6×
Ot paraffin bath (97018) $79.80 $133 13.3×
Ot Prosthetic Training, Each 15 Min (97761) $90 $150 2.2×
Ot Re-Eval Est Plan Care (97168) $139.20 $232 2.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $318.60 $531 2.3×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $289.80 $483 2.1×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $117 $195 1.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $117 $195 1.9×
Physical Performance Test (97750) $87.60 $146 2.6×
Psychiatric diagnostic evaluation (90791) $246 $410 1.3×
Pt Eval High Complex (97163) $207.60 $346 2.1×
Pt eval low complex 20 min (97161) $172.80 $288 1.8×
Pt Eval Mod Complex (97162) $189.60 $316 1.9×
Pt gait training 15 min (97116) $78 $130 2.7×
Pt mechanical traction (97012) $102.60 $171 7.1×
Pt Re-Eval Est Plan Care (97164) $148.80 $248 2.2×
Pulmonary Stress Testing (94618) $275.40 $459 2.0×
Remote 30 Day Ecg Rev/Report (93270) $437.40 $729 11.1×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $204.60 $341 3.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$104.40–$202.80 $174–$338 varies
Self Care Mngment Training (97535) $85.20 $142 2.6×
Sensory Integration Ea 15 Min (97533) $78.60 $131 1.3×
Speech sound lang comprehen (92523) $305.40 $509 1.3×
Standardized Cognitive Performance Testing (96125) $164.40 $274 1.6×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$1,206–$1,307.40 $2,010–$2,179 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 Minutes Massage (97124) $96.60 $161 3.2×
Ther/Proph/Diag Inj Sc/Im (96372) $152.40 $254 2.0×
Ther/Proph/Diag Iv Inf Init (96365) $618 $1,030 2.7×
Therapeutic Activities (97530) $81.60 $136 2.3×
Tte w/doppler, complete (93306) $2,909.40 $4,849 5.0×
Tte W/O Doppler Complete (93307) $2,004.60 $3,341 7.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 8 matching MRF lines
$62.40–$232.80 $104–$388 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $142.20 $237 5.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $241.80 $403 4.9×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$328.80–$657.60 $548–$1,096 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $997.80 $1,663 4.4×
Wheelchair Mgmt Ea 15 Min (97542) $76.80 $128 2.5×
Whirlpool Therapy (97022) $126.60 $211 8.1×

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.