Visits & medical services prices at Ascension St. Vincent Kokomo
Kokomo, IN · every code in this section with a posted price and a Medicare benchmark.
201 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $142.20 | $237 | 4.6× |
| Admn Sarscov2 Vacc 1 Dose (90480) range across 31 matching MRF lines |
$69–$73.80 | $115–$123 | varies |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$118.80–$133.20 | $198–$222 | varies |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $115.80 | $193 | 2.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $70.80 | $118 | 4.9× |
| Application Modality 1/> Areas Infrared (97026) | $40.20 | $67 | 6.0× |
| Application on-body injector (96377) | $360.60 | $601 | 7.3× |
| Behavral qualit analys voice (92524) | $102.60 | $171 | 0.9× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $260.40 | $434 | 3.2× |
| Bfb training ea addl 15 min (90913) | $200.40 | $334 | 6.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $836.40 | $1,394 | 2.1× |
| Canalith repositioning proc (95992) | $64.20 | $107 | 1.6× |
| Car seat/bed test 60 min (94780) | $362.40 | $604 | 9.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,414.80 | $2,358 | 6.2× |
| Cardiopulmonary exercise testing (94621) | $1,941 | $3,235 | 4.9× |
| Cardiopulmonary resuscitation (92950) | $1,272 | $2,120 | 5.6× |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,818.60–$2,200.80 | $3,031–$3,668 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $15,432 | $25,720 | 4.5× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $13,647 | $22,745 | 4.0× |
| Cbt 1st hour (94644) | $399 | $665 | 2.8× |
| Cdp-Sot 6 Conditions W/I&R W/Mct & Adt (92549) | $204 | $340 | 1.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $362.40 | $604 | 4.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $362.40 | $604 | 4.8× |
| Chemo IV infusion addl hr (96415) | $210 | $350 | 2.8× |
| Chemo IV push addl drug (96411) | $665.40 | $1,109 | 8.7× |
| Chemother Prolong Infuse W/Pump (96416) | $622.80 | $1,038 | 1.8× |
| Chemotherapy Into Cns (96450) | $665.40 | $1,109 | 1.9× |
| Chemotherapy Intracavitary (96440) | $1,308 | $2,180 | 3.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $250.20 | $417 | 3.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $891.60 | $1,486 | 2.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $831.60 | $1,386 | 2.4× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $658.20 | $1,097 | 1.9× |
| Chest Wall Manipulation (94668) | $142.20 | $237 | 1.0× |
| Color/duplex Doppler, complete (93975) | $1,981.80 | $3,303 | 7.9× |
| Color/duplex Doppler, limited (93976) | $976.20 | $1,627 | 8.8× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $64.80 | $108 | 2.0× |
| Computerized dynamic posturography (92548) range across 2 matching MRF lines |
$240–$265.20 | $400–$442 | varies |
| Continuous Pulse Ox (94762) | $544.20 | $907 | 4.0× |
| Coronary Art/Grft Angio S&I (93455) | $12,113.40 | $20,189 | 3.5× |
| Coronary Artery Angio S&I (93454) | $10,179.60 | $16,966 | 3.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $789 | $1,315 | 3.4× |
| Cpt initial (94667) | $178.80 | $298 | 1.3× |
| Critical care first hour (99291) | $3,891.60 | $6,486 | 4.5× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$150–$358.20 | $250–$597 | varies |
| Dialysis One Evaluation (90945) range across 3 matching MRF lines |
$991.80–$1,119.60 | $1,653–$1,866 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,377 | $2,295 | 5.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $825.60 | $1,376 | 7.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,402.20 | $2,337 | 5.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $942.60 | $1,571 | 8.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,635.60 | $2,726 | 6.5× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,194.60 | $1,991 | 10.8× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $1,201.20 | $2,002 | 4.8× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $600.60 | $1,001 | 5.4× |
| Duplex Scan Hemodialysis Access (93990) | $924.60 | $1,541 | 8.4× |
| Duplex up extrem art bilat (93930) | $1,575 | $2,625 | 6.2× |
| Duplex up extrem art unilat/ltd (93931) | $880.20 | $1,467 | 8.0× |
| Echo Congenital Complete (93303) | $1,657.80 | $2,763 | 2.9× |
| Echo Heart Xthoracic,Limited (93308) | $881.40 | $1,469 | 3.5× |
| Echo transesophageal (93312) | $2,496.60 | $4,161 | 4.3× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $3,744 | $6,240 | 6.5× |
| Eeg 41-60 Minutes (95812) | $1,296 | $2,160 | 5.7× |
| EEG awake drowsy (95816) | $1,001.40 | $1,669 | 4.4× |
| EEG cerebral death evaluation (95824) | $798.60 | $1,331 | 2.0× |
| EEG cont rec w/video by tech min 8 channels (95700) | $625.20 | $1,042 | 2.7× |
| EEG extended monitoring 61-119 minutes (95813) | $1,220.40 | $2,034 | 5.3× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $628.20 | $1,047 | 2.7× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $3,555 | $5,925 | 9.0× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,206.60 | $2,011 | 3.1× |
| Electrical Stimulation Ea 15 Min (97032) | $72.60 | $121 | 4.9× |
| Electrocardiogram Tracing (93005) | $306 | $510 | 4.9× |
| Electroconvulsive Therapy (90870) range across 2 matching MRF lines |
$397.80–$1,300.80 | $663–$2,168 | varies |
| Emergency Dept Visit Level 2 (99282) | $531 | $885 | 3.3× |
| Emergency Dept Visit Level 3 (99283) | $885.60 | $1,476 | 3.1× |
| Emergency Dept Visit Level 4 (99284) | $1,855.80 | $3,093 | 4.2× |
| Endomyocardial Biopsy (93505) | $6,576.60 | $10,961 | 2.0× |
| Er level 1 (99281) | $310.20 | $517 | 3.5× |
| Er level v (99285) | $2,920.20 | $4,867 | 4.6× |
| Evaluate pt use of inhaler (94664) | $100.20 | $167 | 0.4× |
| Evaluate Speech Production (92522) | $99.60 | $166 | 0.9× |
| Evaluate Swallowing Function (92610) | $183 | $305 | 2.2× |
| Evaluation of speech fluency (92521) | $121.80 | $203 | 0.9× |
| Evoked Auditory Test,Limited (92587) | $133.20 | $222 | 0.6× |
| Exercise test for bronchospasm (94617) | $273.60 | $456 | 1.9× |
| External ECG rec>48hr<7d recording (93242) | $429.60 | $716 | 10.9× |
| External ECG rec>7d<15d recording (93246) | $861.60 | $1,436 | 21.8× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$504.60–$1,009.20 | $841–$1,682 | varies |
| Extracranial Bilat Study (93880) | $1,620.60 | $2,701 | 6.4× |
| Extracranial Uni/Ltd Study (93882) | $727.20 | $1,212 | 6.6× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,052.40 | $1,754 | 1.8× |
| Group Therapeutic Procedures (97150) | $55.20 | $92 | 3.1× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $17,371.20 | $28,952 | 5.1× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,977.60 | $3,296 | 2.7× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$459.60–$919.20 | $766–$1,532 | varies |
| Immunization administration (90471) range across 6 matching MRF lines |
$69.60–$78.60 | $116–$131 | varies |
| Iontophoresis 15 min (97033) | $82.20 | $137 | 4.3× |
| Irrig Drug Delivery Device (96523) | $101.40 | $169 | 1.6× |
| IV infusion hydration each additional hour (96361) | $151.80 | $253 | 3.1× |
| IV infusion hydration initial 31 min-1 hour (96360) | $602.40 | $1,004 | 2.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $303.60 | $506 | 4.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $190.20 | $317 | 3.8× |
| IV push initial (96374) | $313.80 | $523 | 1.4× |
| L Hrt Art/Grft Angio (93459) | $15,583.80 | $25,973 | 4.5× |
| Mechanical chest wall oscillation per session (94669) | $172.80 | $288 | 0.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $49.20 | $82 | 1.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $49.20 | $82 | 1.3× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $43.80 | $73 | 2.6× |
| Methacholine challenge (94070) | $1,576.20 | $2,627 | 4.0× |
| Motion Fluoroscopy/Swallow (92611) | $201 | $335 | 2.2× |
| Multiple Sleep Latency Test (95805) | $3,735.60 | $6,226 | 4.1× |
| Muscle Test 2 Limbs (95861) | $1,038 | $1,730 | 7.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $262.80 | $438 | 0.6× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $235.80 | $393 | 0.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $304.20 | $507 | 1.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$374.40–$395.40 | $624–$659 | varies |
| Neuromuscular Reeducation (97112) | $60.60 | $101 | 1.9× |
| Newborn resuscitation (99465) | $723.60 | $1,206 | 1.0× |
| Oral Function Therapy (92526) range across 4 matching MRF lines |
$53.40–$153 | $89–$255 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $69.60 | $116 | 1.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $77.40 | $129 | 1.7× |
| Ot Contrast Bath Ea 15 Min (97034) | $46.20 | $77 | 3.3× |
| Ot eval high complexity (97167) | $216.60 | $361 | 2.2× |
| Ot Eval Low Complex (97165) | $140.40 | $234 | 1.4× |
| Ot Eval Moderate Complexity (97166) | $178.80 | $298 | 1.8× |
| Ot manual therapy 15 min (97140) | $82.20 | $137 | 3.0× |
| Ot paraffin bath (97018) | $58.80 | $98 | 9.8× |
| Ot Prosthetic Training, Each 15 Min (97761) | $70.80 | $118 | 1.8× |
| Ot Re-Eval Est Plan Care (97168) | $109.20 | $182 | 1.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $234.60 | $391 | 1.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $154.20 | $257 | 1.1× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $15,823.80 | $26,373 | 2.6× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $53,458.20 | $89,097 | 4.4× |
| Phlebotomy therapeutic (99195) | $277.20 | $462 | 2.0× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $416.40 | $694 | 6.7× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $416.40 | $694 | 6.7× |
| Physical Performance Test (97750) range across 3 matching MRF lines |
$69.60–$73.80 | $116–$123 | varies |
| Plethysmography (94726) | $408 | $680 | 1.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $5,584.80 | $9,308 | 6.1× |
| Polysom <6 yrs 4/> paramtrs (95782) | $6,244.20 | $10,407 | 6.9× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $6,610.20 | $11,017 | 7.3× |
| Prq Card Angio/Athrect 1 Art (92924) | $18,565.20 | $30,942 | 1.5× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $18,610.20 | $31,017 | 1.5× |
| Prq Card Stent/Ath/Angio (92933) | $53,458.20 | $89,097 | 2.8× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $53,458.20 | $89,097 | 4.4× |
| Psych diag eval w/med srvcs (90792) | $501 | $835 | 2.7× |
| Psychiatric diagnostic evaluation (90791) range across 5 matching MRF lines |
$370.80–$393.60 | $618–$656 | varies |
| Pt Eval High Complex (97163) | $216.60 | $361 | 2.2× |
| Pt eval low complex 20 min (97161) | $140.40 | $234 | 1.4× |
| Pt Eval Mod Complex (97162) | $178.80 | $298 | 1.8× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$58.20–$61.20 | $97–$102 | varies |
| Pt mechanical traction (97012) | $73.20 | $122 | 5.1× |
| Pt Re-Eval Est Plan Care (97164) | $129 | $215 | 1.9× |
| Pulm function test by gas (94727) | $376.80 | $628 | 1.6× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$164.40–$473.40 | $274–$789 | varies |
| Pulmonary Stress Testing (94618) | $273.60 | $456 | 1.9× |
| R Hrt Art/Grft Angio (93457) | $20,158.80 | $33,598 | 5.9× |
| R hrt coronary artery angio (93456) | $18,222.60 | $30,371 | 5.3× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $12,852 | $21,420 | 3.7× |
| Refill/Maint Portable Pump (96521) | $1,344.60 | $2,241 | 6.0× |
| Refill/Maint Pump/Resvr Syst (96522) | $876 | $1,460 | 3.9× |
| Remote 30 Day Ecg Rev/Report (93270) | $999 | $1,665 | 25.3× |
| Right Heart Cath (93451) | $8,043 | $13,405 | 2.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$118.20–$303 | $197–$505 | varies |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$64.20–$67.80 | $107–$113 | varies |
| Sleep study attended (95807) range across 2 matching MRF lines |
$1,362.60–$2,722.80 | $2,271–$4,538 | varies |
| Sleep study unattended (95806) | $585 | $975 | 2.6× |
| Slp Stdy Unatnd W/Anal (95801) | $585 | $975 | 9.4× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $585 | $975 | 2.6× |
| Speech sound lang comprehen (92523) | $204 | $340 | 0.9× |
| Spirometry (94010) | $426 | $710 | 1.9× |
| Standardized Cognitive Performance Testing (96125) | $121.80 | $203 | 1.2× |
| Surfactant Admin Thru Tube (94610) | $127.80 | $213 | 0.6× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$1,272–$1,653.60 | $2,120–$2,756 | 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) | $67.20 | $112 | 1.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $64.20 | $107 | 2.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 4 matching MRF lines |
$82.80–$269.40 | $138–$449 | varies |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $203.40 | $339 | 4.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $172.20 | $287 | 2.3× |
| Ther/Proph/Diag Iv Inf Init (96365) | $753 | $1,255 | 3.3× |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$64.20–$67.80 | $107–$113 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $532.80 | $888 | 1.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $98.40 | $164 | 2.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $27 | $45 | 0.7× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $1,031.40 | $1,719 | 9.3× |
| Tte w/doppler, complete (93306) | $2,425.80 | $4,043 | 4.2× |
| Tte W/O Doppler Complete (93307) | $1,048.20 | $1,747 | 4.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 8 matching MRF lines |
$49.20–$209.40 | $82–$349 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $114 | $190 | 4.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $220.80 | $368 | 4.5× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $3,231 | $5,385 | 23.7× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$393–$786 | $655–$1,310 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$1,062.60–$1,308.60 | $1,771–$2,181 | varies |
| Vasopneumatic device (97016) | $84.60 | $141 | 7.0× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,206.60 | $2,011 | 3.1× |
| Veeg 2-12 hr intmt mntr (95712) | $625.20 | $1,042 | 1.6× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,206.60 | $2,011 | 3.1× |
| Veeg ea 12-26hr cont mntr (95716) | $2,257.80 | $3,763 | 2.5× |
| Vent Mgmt Inpat Init Day (94002) | $1,591.80 | $2,653 | 2.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,591.80 | $2,653 | 2.4× |
| Whirlpool Therapy (97022) | $139.20 | $232 | 8.9× |
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.