Visits & medical services prices at Ascension St. Vincent Warrick

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $72 $120 1.7×
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$106.20–$109.80 $177–$183 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $97.20 $162 6.8×
Assessment of aphasia per hr (96105) $336.60 $561 3.5×
Behavral qualit analys voice (92524) $225.60 $376 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $583.80 $973 1.5×
Canalith repositioning proc (95992) $142.20 $237 3.5×
Cardiac Stress Tst,Tracing Only (93017) $1,312.80 $2,188 5.7×
Cardiopulmonary resuscitation (92950) $851.40 $1,419 3.7×
Cardioversion (92960) $1,825.20 $3,042 2.6×
Chest Wall Manipulation (94668) $123.60 $206 0.9×
Color/duplex Doppler, complete (93975) $1,126.80 $1,878 4.5×
Color/duplex Doppler, limited (93976) $662.40 $1,104 6.0×
Continuous Pulse Ox (94762) $198.60 $331 1.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $421.80 $703 1.8×
Cpt initial (94667) $136.80 $228 1.0×
Critical care first hour (99291) $2,794.80 $4,658 3.2×
Debridement Open Wound 20 Sq Cm< (97597) $367.20 $612 1.7×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $688.80 $1,148 2.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,173.60 $1,956 4.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $662.40 $1,104 6.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,381.20 $2,302 5.5×
Dup-scan xtr veins unilateral/limited study (93971) $662.40 $1,104 6.0×
Duplex up extrem art bilat (93930) $1,204.20 $2,007 4.8×
Duplex up extrem art unilat/ltd (93931) $662.40 $1,104 6.0×
Echo Congenital Complete (93303) $2,461.80 $4,103 4.3×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$734.40–$3,320.40 $1,224–$5,534 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines
$3,549.60–$5,070 $5,916–$8,450 varies
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$99.60–$102 $166–$170 varies
Electrocardiogram Tracing (93005) $274.80 $458 4.4×
Emergency Dept Visit Level 2 (99282) $481.20 $802 3.0×
Emergency Dept Visit Level 3 (99283) $776.40 $1,294 2.7×
Emergency Dept Visit Level 4 (99284) $1,304.40 $2,174 3.0×
Er level 1 (99281) $155.40 $259 1.7×
Er level v (99285) $2,173.80 $3,623 3.5×
Evaluate pt use of inhaler (94664) $159 $265 0.7×
Evaluate Speech Production (92522) $249 $415 2.2×
Evaluate Swallowing Function (92610) $275.40 $459 3.2×
Evaluation of speech fluency (92521) $250.80 $418 1.9×
External ECG rec>48hr<7d recording (93242) $336 $560 8.5×
External ECG rec>7d<15d recording (93246) $672.60 $1,121 17.0×
Extracranial Bilat Study (93880) $1,444.80 $2,408 5.7×
Extracranial Uni/Ltd Study (93882) $804.60 $1,341 7.3×
Group Therapeutic Procedures (97150) $73.80 $123 4.1×
Holter monitor recording (93225)
range across 2 matching MRF lines
$322.20–$643.80 $537–$1,073 varies
Immunization administration (90471)
range across 3 matching MRF lines
$73.80–$87 $123–$145 varies
Iontophoresis 15 min (97033)
range across 2 matching MRF lines
$141.60–$153.60 $236–$256 varies
Irrig Drug Delivery Device (96523) $165 $275 2.6×
IV infusion hydration each additional hour (96361) $181.20 $302 3.7×
IV infusion hydration initial 31 min-1 hour (96360) $415.80 $693 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $214.80 $358 2.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $147 $245 3.0×
IV push initial (96374) $303.60 $506 1.3×
Motion Fluoroscopy/Swallow (92611) $356.40 $594 3.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $145.80 $243 0.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $229.80 $383 0.5×
Neuromuscular Reeducation (97112) $93 $155 2.8×
Oral Function Therapy (92526)
range across 5 matching MRF lines
$204–$224.40 $340–$374 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $93.60 $156 2.0×
Ot eval high complexity (97167) $276.60 $461 2.8×
Ot Eval Low Complex (97165) $187.20 $312 1.9×
Ot Eval Moderate Complexity (97166) $249.60 $416 2.5×
Ot manual therapy 15 min (97140) $105.60 $176 3.8×
Ot Re-Eval Est Plan Care (97168) $114.60 $191 1.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines
$253.80–$286.80 $423–$478 varies
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $252 $420 1.8×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $286.80 $478 4.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $286.80 $478 4.6×
Plethysmography (94726) $342 $570 0.9×
Psychiatric diagnostic evaluation (90791) $426 $710 2.3×
Pt Eval High Complex (97163) $225 $375 2.3×
Pt eval low complex 20 min (97161) $134.40 $224 1.4×
Pt Eval Mod Complex (97162) $180 $300 1.8×
Pt gait training 15 min (97116) $75 $125 2.6×
Pt mechanical traction (97012) $94.80 $158 6.6×
Pt Re-Eval Est Plan Care (97164) $97.80 $163 1.4×
Pulm function test by gas (94727) $182.40 $304 0.8×
Pulmonary Stress Testing (94618) $348.60 $581 2.5×
Remote 30 Day Ecg Rev/Report (93270) $634.80 $1,058 16.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $160.20 $267 0.8×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $51.60 $86 2.0×
Self Care Mngment Training (97535) $93 $155 2.9×
Speech sound lang comprehen (92523) $280.20 $467 1.2×
Spirometry (94010) $330.60 $551 1.4×
Standardized Cognitive Performance Testing (96125) $267 $445 2.6×
Temp transcutaneous pacing (92953) $940.20 $1,567 1.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines
$96.60–$97.80 $161–$163 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 2 matching MRF lines
$84–$84.60 $140–$141 varies
Ther/Proph/Diag Inj Sc/Im (96372) $148.20 $247 1.9×
Ther/Proph/Diag Iv Inf Init (96365) $525 $875 2.3×
Therapeutic Activities (97530) $98.40 $164 2.8×
Tobacco Use Cessation Intensive >10 Minutes (99407) $120.60 $201 3.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $30 $50 0.8×
Tte w/doppler, complete (93306)
range across 4 matching MRF lines
$1,342.20–$3,320.40 $2,237–$5,534 varies
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines
$1,223.40–$1,260 $2,039–$2,100 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 5 matching MRF lines
$232.80–$240 $388–$400 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $211.80 $353 4.3×
Vital capacity, total (94150) $118.20 $197 0.9×
Wheelchair Mgmt Ea 15 Min (97542) $77.40 $129 2.5×

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.