Visits & medical services prices at Ascension St. Vincent Williamsport
Williamsport, IN · every code in this section with a posted price and a Medicare benchmark.
79 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) range across 31 matching MRF lines |
$133.20–$142.80 | $222–$238 | varies |
| Airway Inhalation Treatment (94640) | $226.20 | $377 | 1.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $103.20 | $172 | 7.2× |
| Application Modality 1/> Areas Infrared (97026) | $55.20 | $92 | 8.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $780.60 | $1,301 | 2.0× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,312.20 | $2,187 | 5.7× |
| Cardiopulmonary resuscitation (92950) | $1,543.20 | $2,572 | 6.8× |
| Cardioversion (92960) range across 2 matching MRF lines |
$2,274.60–$2,434.20 | $3,791–$4,057 | varies |
| Chemo IV infusion addl hr (96415) | $192.60 | $321 | 2.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $962.40 | $1,604 | 2.8× |
| Color/duplex Doppler, complete (93975) | $2,212.80 | $3,688 | 8.8× |
| Color/duplex Doppler, limited (93976) | $1,134.60 | $1,891 | 10.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $1,543.80 | $2,573 | 6.7× |
| Critical care first hour (99291) | $2,976.60 | $4,961 | 3.4× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$231.60–$415.80 | $386–$693 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $949.20 | $1,582 | 8.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,778.40 | $2,964 | 7.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,298.40 | $2,164 | 11.7× |
| Echo Heart Xthoracic,Limited (93308) | $1,230.60 | $2,051 | 4.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $3,573 | $5,955 | 6.2× |
| Electrical Stimulation Ea 15 Min (97032) | $102 | $170 | 6.9× |
| Electrocardiogram Tracing (93005) | $294.60 | $491 | 4.7× |
| Emergency Dept Visit Level 2 (99282) | $503.40 | $839 | 3.1× |
| Emergency Dept Visit Level 3 (99283) | $915.60 | $1,526 | 3.2× |
| Emergency Dept Visit Level 4 (99284) | $1,734.60 | $2,891 | 3.9× |
| Er level 1 (99281) range across 3 matching MRF lines |
$91.80–$318.60 | $153–$531 | varies |
| Er level v (99285) | $2,332.80 | $3,888 | 3.7× |
| External ECG rec>48hr<7d recording (93242) | $707.40 | $1,179 | 17.9× |
| External ECG rec>7d<15d recording (93246) | $638.40 | $1,064 | 16.2× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$461.40–$922.80 | $769–$1,538 | varies |
| Extracranial Bilat Study (93880) | $1,656.60 | $2,761 | 6.6× |
| Group Therapeutic Procedures (97150) | $117 | $195 | 6.5× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$754.80–$1,509.60 | $1,258–$2,516 | varies |
| Immunization administration (90471) range across 4 matching MRF lines |
$142.80–$150 | $238–$250 | varies |
| Iontophoresis 15 min (97033) | $121.80 | $203 | 6.4× |
| Irrig Drug Delivery Device (96523) | $355.80 | $593 | 5.7× |
| IV infusion hydration each additional hour (96361) | $135 | $225 | 2.7× |
| IV infusion hydration initial 31 min-1 hour (96360) | $540 | $900 | 2.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $169.20 | $282 | 2.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $185.40 | $309 | 3.7× |
| IV push initial (96374) | $328.80 | $548 | 1.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $34.20 | $57 | 1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $34.20 | $57 | 0.9× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $54.60 | $91 | 3.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $211.80 | $353 | 1.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $211.80 | $353 | 0.5× |
| Neuromuscular Reeducation (97112) | $113.40 | $189 | 3.5× |
| Newborn resuscitation (99465) | $887.40 | $1,479 | 1.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $97.80 | $163 | 2.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $115.20 | $192 | 2.5× |
| Ot Contrast Bath Ea 15 Min (97034) | $70.80 | $118 | 5.0× |
| Ot manual therapy 15 min (97140) | $126 | $210 | 4.5× |
| Ot paraffin bath (97018) | $102 | $170 | 17.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $93 | $155 | 2.3× |
| Physical Performance Test (97750) | $105 | $175 | 3.1× |
| Pt Eval High Complex (97163) | $235.20 | $392 | 2.4× |
| Pt eval low complex 20 min (97161) | $151.80 | $253 | 1.6× |
| Pt Eval Mod Complex (97162) | $193.20 | $322 | 2.0× |
| Pt gait training 15 min (97116) | $89.40 | $149 | 3.1× |
| Pt mechanical traction (97012) | $131.40 | $219 | 9.2× |
| Pt Re-Eval Est Plan Care (97164) | $186.60 | $311 | 2.8× |
| Pulmonary service/procedure (94799) | $228.60 | $381 | 1.7× |
| Refill/Maint Pump/Resvr Syst (96522) | $657.60 | $1,096 | 2.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$130.20–$234 | $217–$390 | varies |
| Self Care Mngment Training (97535) | $108.60 | $181 | 3.4× |
| Spirometry (94010) | $462 | $770 | 2.0× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$1,208.40–$1,368.60 | $2,014–$2,281 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $113.40 | $189 | 3.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $122.40 | $204 | 4.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$128.40–$198.60 | $214–$331 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $676.80 | $1,128 | 3.0× |
| Therapeutic Activities (97530) | $104.40 | $174 | 3.0× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,700.40–$2,632.80 | $2,834–$4,388 | varies |
| Tte W/O Doppler Complete (93307) | $1,352.40 | $2,254 | 5.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $263.40 | $439 | 5.3× |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$317.40–$634.80 | $529–$1,058 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,058.40 | $1,764 | 4.6× |
| Wheelchair Mgmt Ea 15 Min (97542) | $87.60 | $146 | 2.8× |
| Whirlpool Therapy (97022) | $183 | $305 | 11.7× |
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.