Visits & medical services prices at Daviess Community Hospital
Washington, IN · every code in this section with a posted price and a Medicare benchmark.
154 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 6 matching MRF lines |
$72.10–$315 | $103–$450 | varies |
| Analyze neurostim complex (95972) | $57.40 | $82 | 0.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $81.20 | $116 | 5.7× |
| Application on-body injector (96377) | $91.35 | $130.50 | 1.8× |
| Behavral qualit analys voice (92524) | $168 | $240 | 1.5× |
| Bioimpedance Cv Analysis (93701) | $175.70 | $251 | 1.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$416.15–$522.90 | $594.50–$747 | varies |
| Canalith repositioning proc (95992) | $119.35 | $170.50 | 2.9× |
| Car seat/bed test 60 min (94780) | $93.80 | $134 | 2.4× |
| Cardiac Stress Tst,Tracing Only (93017) | $760.90 | $1,087 | 3.3× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$229.95–$668.50 | $328.50–$955 | varies |
| Cardioversion (92960) | $1,169.70 | $1,671 | 1.7× |
| Cbt 1st hour (94644) | $259.70 | $371 | 1.8× |
| Chemo Anti-Neopl Sq/Im (96401) range across 2 matching MRF lines |
$203.70–$250.60 | $291–$358 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 3 matching MRF lines |
$144.20–$173.60 | $206–$248 | varies |
| Chemo IV infusion addl hr (96415) range across 3 matching MRF lines |
$144.20–$199.50 | $206–$285 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$208.25–$234.85 | $297.50–$335.50 | varies |
| Chemother Prolong Infuse W/Pump (96416) | $460.25 | $657.50 | 1.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$126–$144.20 | $180–$206 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$666.40–$753.20 | $952–$1,076 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$395.85–$466.55 | $565.50–$666.50 | varies |
| Chest Wall Manipulation (94668) | $109.55 | $156.50 | 0.8× |
| Chron Care Mgmt Srvc 20 Min (99490) | $113.75 | $162.50 | 1.1× |
| Color/duplex Doppler, complete (93975) | $574.35 | $820.50 | 2.3× |
| Color/duplex Doppler, limited (93976) | $628.60 | $898 | 5.7× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 2 matching MRF lines |
$30.45–$47.60 | $43.50–$68 | varies |
| Continuous Pulse Ox (94762) | $190.05 | $271.50 | 1.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $424.90 | $607 | 1.8× |
| Cpt initial (94667) | $165.20 | $236 | 1.2× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$306.95–$1,793.05 | $438.50–$2,561.50 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$51.45–$436.10 | $73.50–$623 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,181.60 | $1,688 | 4.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $632.45 | $903.50 | 5.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$52.85–$1,238.65 | $75.50–$1,769.50 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $886.55 | $1,266.50 | 8.0× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$51.98–$889.35 | $74.25–$1,270.50 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$33.60–$628.60 | $48–$898 | varies |
| Duplex up extrem art bilat (93930) | $1,039.85 | $1,485.50 | 4.1× |
| Duplex up extrem art unilat/ltd (93931) | $924 | $1,320 | 8.4× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$210–$332.15 | $300–$474.50 | varies |
| Echo transesophageal (93312) | $1,606.15 | $2,294.50 | 2.8× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,009.70 | $2,871 | 3.5× |
| EEG awake and asleep (95819) | $471.10 | $673 | 2.1× |
| EEG awake drowsy (95816) | $569.80 | $814 | 2.5× |
| Electrical Stimulation Ea 15 Min (97032) | $105.70 | $151 | 7.2× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$17.50–$165.20 | $25–$236 | varies |
| Electroconvulsive Therapy (90870) range across 3 matching MRF lines |
$346.50–$1,524.60 | $495–$2,178 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$60.20–$222.95 | $86–$318.50 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$101.85–$520.10 | $145.50–$743 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$172.55–$742.70 | $246.50–$1,061 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$31.15–$111.65 | $44.50–$159.50 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$250.60–$1,299.90 | $358–$1,857 | varies |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$284.55–$293.30 | $406.50–$419 | varies |
| Evaluate Speech Production (92522) | $155.05 | $221.50 | 1.4× |
| Evaluate Swallowing Function (92610) | $261.10 | $373 | 3.1× |
| Evaluation of speech fluency (92521) | $199.50 | $285 | 1.5× |
| Exercise test for bronchospasm (94617) | $564.55 | $806.50 | 4.0× |
| External ECG rec>48hr<7d recording (93242) | $50.40 | $72 | 1.3× |
| External ECG rec>7d<15d recording (93246) | $82.95 | $118.50 | 2.1× |
| External Ecg Scanning Analysis Report (93226) | $446.95 | $638.50 | 7.2× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$60.55–$767.20 | $86.50–$1,096 | varies |
| Extracranial Uni/Ltd Study (93882) | $761.95 | $1,088.50 | 6.9× |
| Group Therapeutic Procedures (97150) | $138.25 | $197.50 | 7.7× |
| Holter monitor recording (93225) | $277.20 | $396 | 2.0× |
| Hubbard tank 15 min (97036) | $25.20 | $36 | 0.7× |
| Hypnotherapy (90880) range across 2 matching MRF lines |
$111.30–$129.85 | $159–$185.50 | varies |
| Immunization administration (90471) range across 3 matching MRF lines |
$62.65–$93.80 | $89.50–$134 | varies |
| Inital newborn e/m (99460) | $118.30 | $169 | 0.8× |
| Irrig Drug Delivery Device (96523) range across 4 matching MRF lines |
$72.80–$179.20 | $104–$256 | varies |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$75.25–$152.25 | $107.50–$217.50 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 5 matching MRF lines |
$215.60–$324.10 | $308–$463 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$101.85–$107.80 | $145.50–$154 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$81.90–$114.10 | $117–$163 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$177.80–$214.20 | $254–$306 | varies |
| Low frequency non-thermal us (97610) range across 2 matching MRF lines |
$31.15–$346.15 | $44.50–$494.50 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $606.90 | $867 | 2.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 4 matching MRF lines |
$39.90–$158.90 | $57–$227 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 4 matching MRF lines |
$46.90–$186.55 | $67–$266.50 | varies |
| Motion Fluoroscopy/Swallow (92611) | $265.30 | $379 | 2.9× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$203.35–$1,930.60 | $290.50–$2,758 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $497.70 | $711 | 1.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $455.35 | $650.50 | 1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$208.25–$220.15 | $297.50–$314.50 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$513.80–$842.80 | $734–$1,204 | varies |
| Neuromuscular Reeducation (97112) | $94.15 | $134.50 | 2.9× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$236.25–$894.25 | $337.50–$1,277.50 | varies |
| Oral Function Therapy (92526) | $202.30 | $289 | 2.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $95.90 | $137 | 1.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $149.45 | $213.50 | 3.2× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$95.20–$98 | $136–$140 | varies |
| Ot eval high complexity (97167) | $334.25 | $477.50 | 3.3× |
| Ot Eval Low Complex (97165) | $221.90 | $317 | 2.2× |
| Ot Eval Moderate Complexity (97166) | $225.05 | $321.50 | 2.2× |
| Ot manual therapy 15 min (97140) | $93.10 | $133 | 3.4× |
| Ot paraffin bath (97018) range across 4 matching MRF lines |
$66.15–$76.65 | $94.50–$109.50 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 4 matching MRF lines |
$27.65–$60.20 | $39.50–$86 | varies |
| Ot Re-Eval Est Plan Care (97168) | $94.50 | $135 | 1.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $192.85 | $275.50 | 1.4× |
| Peripheral arterial disease rehab per session (93668) | $158.20 | $226 | 2.5× |
| Phlebotomy therapeutic (99195) | $118.30 | $169 | 0.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $194.60 | $278 | 3.1× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$64.05–$87.50 | $91.50–$125 | varies |
| Plethysmography (94726) | $257.60 | $368 | 0.7× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$390.25–$2,498.30 | $557.50–$3,569 | varies |
| Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) | $123.90 | $177 | 0.1× |
| Psych diag eval w/med srvcs (90792) range across 3 matching MRF lines |
$123.20–$210.35 | $176–$300.50 | varies |
| Psychiatric diagnostic evaluation (90791) range across 4 matching MRF lines |
$168–$196.18 | $240–$280.25 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 2 matching MRF lines |
$196.35–$212.10 | $280.50–$303 | varies |
| Pt Eval High Complex (97163) | $324.45 | $463.50 | 3.3× |
| Pt eval low complex 20 min (97161) | $215.60 | $308 | 2.2× |
| Pt Eval Mod Complex (97162) | $232.05 | $331.50 | 2.4× |
| Pt gait training 15 min (97116) | $92.05 | $131.50 | 3.2× |
| Pt mechanical traction (97012) | $78.05 | $111.50 | 5.4× |
| Pt Re-Eval Est Plan Care (97164) | $195.65 | $279.50 | 2.9× |
| Pulmonary service/procedure (94799) | $189.35 | $270.50 | 1.4× |
| Pulmonary Stress Testing (94618) | $162.05 | $231.50 | 1.2× |
| Refill/Maint Pump/Resvr Syst (96522) range across 3 matching MRF lines |
$465.85–$479.85 | $665.50–$685.50 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $293.65 | $419.50 | 7.4× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $161.70 | $231 | 1.3× |
| Same day nb discharge (99463) | $162.05 | $231.50 | 1.2× |
| Self Care Mngment Training (97535) | $93.45 | $133.50 | 2.9× |
| Sensory Integration Ea 15 Min (97533) | $61.95 | $88.50 | 1.0× |
| Sleep study attended (95807) | $87.50 | $125 | 0.2× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$191.10–$576.80 | $273–$824 | varies |
| Speech sound lang comprehen (92523) | $248.15 | $354.50 | 1.1× |
| Spirometry (94010) range across 4 matching MRF lines |
$32.73–$295.75 | $15–$422.50 | varies |
| Standardized Cognitive Performance Testing (96125) | $159.95 | $228.50 | 1.6× |
| Temp transcutaneous pacing (92953) | $675.85 | $965.50 | 1.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $113.40 | $162 | 5.1× |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$25.90–$86.45 | $37–$123.50 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $119.35 | $170.50 | 3.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $54.60 | $78 | 1.8× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $115.50 | $165 | 1.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$107.80–$112 | $154–$160 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$354.90–$396.90 | $507–$567 | varies |
| Therapeutic Activities (97530) | $95.20 | $136 | 2.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$51.80–$110.95 | $74–$158.50 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$32.90–$49.35 | $47–$70.50 | varies |
| Trans Care Mgmt 14 Day Disch (99495) range across 2 matching MRF lines |
$179.55–$263.20 | $256.50–$376 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$179.55–$377.30 | $256.50–$539 | varies |
| Tte w/doppler, complete (93306) | $1,553.30 | $2,219 | 2.7× |
| Tte W/O Doppler Complete (93307) | $979.65 | $1,399.50 | 3.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $188.65 | $269.50 | 2.5× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $128.45 | $183.50 | 5.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$99.05–$141.40 | $141.50–$202 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$154.35–$413.35 | $220.50–$590.50 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$371.35–$586.25 | $530.50–$837.50 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $375.90 | $537 | 1.6× |
| Vasopneumatic device (97016) | $122.85 | $175.50 | 10.2× |
| Vent Mgmt Inpat Init Day (94002) | $861 | $1,230 | 1.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $478.45 | $683.50 | 0.7× |
| Vital capacity, total (94150) | $197.40 | $282 | 1.4× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$74.90–$77.35 | $107–$110.50 | varies |
| Whirlpool Therapy (97022) | $106.40 | $152 | 6.8× |
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.