Visits & medical services prices at Ascension St. Vincent Mercy

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

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $101.40 $169 0.7×
Acoustic Reflex Testing (92568) $78.60 $131 2.0×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 31 matching MRF lines
$91.20–$98.40 $152–$164 varies
Airway Inhalation Treatment (94640) $141.60 $236 0.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $99 $165 6.9×
Application Modality 1/> Areas Infrared (97026) $51.60 $86 7.7×
Application on-body injector (96377) $371.40 $619 7.5×
Assessment of aphasia per hr (96105) $278.40 $464 2.9×
Audiometry Air & Bone (92553) $120 $200 0.9×
Behavral qualit analys voice (92524) $152.40 $254 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $841.80 $1,403 2.1×
Canalith repositioning proc (95992) $93 $155 2.3×
Cardiac Stress Tst,Tracing Only (93017) $1,380.60 $2,301 6.0×
Cardiopulmonary resuscitation (92950) $1,363.20 $2,272 6.0×
Cardioversion (92960)
range across 2 matching MRF lines
$2,610–$2,716.20 $4,350–$4,527 varies
Cbt 1st hour (94644) $226.20 $377 1.6×
Chemo Anti-Neopl Sq/Im (96401) $390.60 $651 5.1×
Chemo Hormon Antineopl Sq/Im (96402) $396 $660 5.2×
Chemo IV infusion addl hr (96415) $475.80 $793 6.2×
Chemo IV push addl drug (96411) $468.60 $781 6.2×
Chemother Prolong Infuse W/Pump (96416) $1,157.40 $1,929 3.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $523.80 $873 6.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $954.60 $1,591 2.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $585.60 $976 1.7×
Chest Wall Manipulation (94668) $151.20 $252 1.1×
Color/duplex Doppler, complete (93975) $1,413.60 $2,356 5.6×
Color/duplex Doppler, limited (93976) $970.20 $1,617 8.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $77.40 $129 2.4×
Comprehensive Hearing Test (92557)
range across 2 matching MRF lines
$140.40–$277.80 $234–$463 varies
Conditioning Play Audiometry (92582) $119.40 $199 0.9×
Continuous Pulse Ox (94762) $582 $970 4.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $891.60 $1,486 3.8×
Cpt initial (94667) $151.20 $252 1.1×
Critical care first hour (99291) $3,266.40 $5,444 3.7×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$260.40–$535.80 $434–$893 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,401 $2,335 5.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,415.40 $2,359 5.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $952.20 $1,587 8.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,510.20 $2,517 6.0×
Dup-scan xtr veins unilateral/limited study (93971) $1,046.40 $1,744 9.5×
Duplex Scan Hemodialysis Access (93990) $802.20 $1,337 7.3×
Duplex up extrem art bilat (93930) $1,363.20 $2,272 5.4×
Duplex up extrem art unilat/ltd (93931) $888 $1,480 8.0×
Echo Congenital Complete (93303) $1,605.60 $2,676 2.8×
Echo Heart Xthoracic,Limited (93308) $786 $1,310 3.1×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,085.60 $3,476 3.6×
Eeg 41-60 Minutes (95812) $1,630.80 $2,718 7.1×
EEG awake and asleep (95819) $1,130.40 $1,884 4.9×
EEG cont rec w/video by tech min 8 channels (95700) $631.20 $1,052 2.8×
EEG extended monitoring 61-119 minutes (95813) $1,806 $3,010 7.9×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $3,587.40 $5,979 9.1×
Electrical Stimulation Ea 15 Min (97032) $103.80 $173 7.1×
Electrocardiogram Tracing (93005) $330.60 $551 5.3×
Emergency Dept Visit Level 2 (99282) $569.40 $949 3.5×
Emergency Dept Visit Level 3 (99283) $875.40 $1,459 3.0×
Emergency Dept Visit Level 4 (99284) $1,751.40 $2,919 4.0×
Emg 3 Extremities (95863) $459.60 $766 3.4×
Emg 4 Extremities (95864) $610.80 $1,018 4.5×
Er level 1 (99281)
range across 3 matching MRF lines
$126.60–$307.20 $211–$512 varies
Er level v (99285) $2,190.60 $3,651 3.5×
Evaluate Speech Production (92522) $148.80 $248 1.3×
Evaluate Swallowing Function (92610) $314.40 $524 3.7×
Evaluation of speech fluency (92521) $181.80 $303 1.4×
External ECG rec>48hr<7d recording (93242) $460.80 $768 11.7×
External ECG rec>7d<15d recording (93246) $922.20 $1,537 23.3×
External Ecg Scanning Analysis Report (93226) $1,060.80 $1,768 17.0×
Extracranial Bilat Study (93880) $1,435.20 $2,392 5.7×
Extracranial Uni/Ltd Study (93882) $658.80 $1,098 6.0×
F-up/limited tthrc echo congenital car anomaly (93304) $1,029 $1,715 1.8×
Group Therapeutic Procedures (97150) $97.20 $162 5.4×
Holter monitor recording (93225) $1,060.80 $1,768 7.5×
Immunization administration (90471)
range across 3 matching MRF lines
$98.40–$124.80 $164–$208 varies
Iontophoresis 15 min (97033) $118.20 $197 6.2×
Irrig Drug Delivery Device (96523) $252.60 $421 4.0×
IV infusion hydration each additional hour (96361) $106.80 $178 2.2×
IV infusion hydration initial 31 min-1 hour (96360) $420 $700 1.9×
IV infusion ther proph addl sequential to 1 hr (96367) $132 $220 1.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $132 $220 2.7×
IV push initial (96374) $271.80 $453 1.2×
Motion Fluoroscopy/Swallow (92611) $370.20 $617 4.0×
Multiple Sleep Latency Test (95805) $3,910.80 $6,518 4.3×
Muscle Test 2 Limbs (95861) $304.20 $507 2.2×
Muscle Test One Limb (95860) $153 $255 1.1×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $153 $255 0.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $473.40 $789 1.1×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $323.40 $539 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $294.60 $491 1.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$277.20–$315.60 $462–$526 varies
Neuromuscular Reeducation (97112) $93 $155 2.8×
Oral Function Therapy (92526) $213.60 $356 2.5×
Oral Speech Device Eval (92597) $294 $490 4.1×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 3 matching MRF lines
$86.40–$221.40 $144–$369 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $102.60 $171 2.2×
Ot Contrast Bath Ea 15 Min (97034) $75.60 $126 5.4×
Ot eval high complexity (97167) $285.60 $476 2.8×
Ot Eval Low Complex (97165) $191.40 $319 1.9×
Ot Eval Moderate Complexity (97166) $236.40 $394 2.4×
Ot manual therapy 15 min (97140) $106.80 $178 3.9×
Ot paraffin bath (97018) $85.80 $143 14.3×
Ot Prosthetic Training, Each 15 Min (97761) $82.80 $138 2.0×
Ot Re-Eval Est Plan Care (97168) $174 $290 2.5×
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×
Phlebotomy therapeutic (99195) $383.40 $639 2.7×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $252 $420 4.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $252 $420 4.0×
Physical Performance Test (97750) $100.20 $167 3.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,991.80 $6,653 4.4×
Polysom <6 yrs 4/> paramtrs (95782) $3,991.80 $6,653 4.4×
Psychiatric diagnostic evaluation (90791) $141.60 $236 0.8×
Pt Eval High Complex (97163) $285.60 $476 2.9×
Pt eval low complex 20 min (97161) $191.40 $319 2.0×
Pt Eval Mod Complex (97162) $236.40 $394 2.4×
Pt gait training 15 min (97116) $92.40 $154 3.2×
Pt mechanical traction (97012) $122.40 $204 8.5×
Pt Re-Eval Est Plan Care (97164) $174 $290 2.6×
Pt ultraviolet (97028) $51.60 $86 6.2×
Pulm function test by gas (94727) $513 $855 2.2×
Pulmonary service/procedure (94799) $233.40 $389 1.7×
Pulmonary Stress Testing (94618) $428.40 $714 3.0×
Pure Tone Audiometry Air (92552) $93 $155 0.7×
Refill/Maint Portable Pump (96521) $1,240.80 $2,068 5.5×
Refill/Maint Pump/Resvr Syst (96522) $557.40 $929 2.5×
Remote 30 Day Ecg Rev/Report (93270) $729.60 $1,216 18.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$135–$243.60 $225–$406 varies
Select picture audiometry (92583) $73.20 $122 1.2×
Self Care Mngment Training (97535) $87 $145 2.7×
Sensory Integration Ea 15 Min (97533) $70.80 $118 1.2×
Slp Stdy Unatnd W/Anal (95801) $771.60 $1,286 12.4×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $771.60 $1,286 3.4×
Speech Audiometry Complete (92556) $153.60 $256 2.5×
Speech audiometry threshold (92555) $77.40 $129 1.2×
Speech sound lang comprehen (92523) $305.40 $509 1.3×
Spirometry (94010) $457.80 $763 2.0×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$1,194.60–$1,302.60 $1,991–$2,171 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) $93.60 $156 2.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $101.40 $169 3.4×
Ther/Proph/Diag Inj Sc/Im (96372) $135.60 $226 1.8×
Ther/Proph/Diag Iv Inf Init (96365) $524.40 $874 2.3×
Therapeutic Activities (97530) $100.20 $167 2.9×
Tobacco Use Cessation Intensive >10 Minutes (99407) $174.60 $291 4.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $34.20 $57 0.9×
Tte w/doppler, complete (93306)
range across 3 matching MRF lines
$1,222.20–$2,727.60 $2,037–$4,546 varies
Tte W/O Doppler Complete (93307) $1,311 $2,185 5.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 8 matching MRF lines
$68.40–$261 $114–$435 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $114.60 $191 4.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $191.40 $319 3.9×
Tympanometry (92567) $86.40 $144 2.2×
Tympanometry and reflex threshold measurements (92550) $88.80 $148 0.4×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$318.60–$637.20 $531–$1,062 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $969.60 $1,616 4.2×
Vasopneumatic device (97016) $110.40 $184 9.2×
Veeg 2-12 Hr Cont Mntr (95713) $1,217.40 $2,029 3.1×
Veeg 2-12 hr intmt mntr (95712) $631.20 $1,052 1.6×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,217.40 $2,029 3.1×
Veeg ea 12-26hr cont mntr (95716) $2,280 $3,800 2.5×
Visual reinforcement audiometry (vra) (92579) $163.20 $272 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $86.40 $144 2.8×
Whirlpool Therapy (97022) $143.40 $239 9.1×

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.