Visits & medical services prices at Franciscan Health Rensselaer, Inc

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $5,433.01 $15,176 0.7×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $64.44 $180 0.5×
Admn Sarscov2 Vacc 1 Dose (90480) $47.26 $132 1.1×
Airway Inhalation Treatment (94640)
range across 13 matching MRF lines
$21.84–$71.24 $61–$199 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $33.29 $93 2.3×
Application Modality 1/> Areas Infrared (97026) $20.76 $58 3.1×
Application on-body injector (96377) $34.73 $97 0.7×
Assessment of aphasia per hr (96105) $271.72 $759 2.8×
Assmt & care planning pt w/cognitive impairment (99483) $97.02 $271 0.9×
Audiometry Air & Bone (92553) $183.30 $512 1.3×
Basic vestibular evaluation (92540) $390.94 $1,092 1.7×
Behavral qualit analys voice (92524) $111.34 $311 1.0×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $153.22 $428 1.9×
Biofeedback training any modality (90901) $60.14 $168 1.5×
Blink reflex test (95933) $592.85 $1,656 9.5×
Brief Emotional/Behav Assmt (96127) $35.08 $98 0.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $119.57 $334 0.3×
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$988.08 $2,760 0.1×
C motor evoked uppr limbs (95928) $459.67 $1,284 0.5×
Canalith repositioning proc (95992) $79.48 $222 2.0×
Cardiac Stress Tst,Tracing Only (93017) $226.61 $633 1.0×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$592.85–$682.71 $1,656–$1,907 varies
Cardioversion (92960) $518.38 $1,448 0.7×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $28.28 $79 1.1×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $10,371.62 $28,971 3.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $8,889.86 $24,832 2.6×
Cbt 1st hour (94644) $113.13 $316 0.8×
Chemo Admin Peritoneal Cavity (96446) $161.82 $452 0.5×
Chemo Anti-Neopl Sq/Im (96401) $119.21 $333 1.6×
Chemo Hormon Antineopl Sq/Im (96402) $119.21 $333 1.6×
Chemo IV infusion addl hr (96415) $267.07 $746 3.5×
Chemo IV push addl drug (96411) $166.47 $465 2.2×
Chemother Prolong Infuse W/Pump (96416) $267.07 $746 0.8×
Chemotherapy Into Cns (96450) $237 $662 0.7×
Chemotherapy Intracavitary (96440) $166.47 $465 0.5×
Chemotherapy Unspecified (96549) $267.07 $746 5.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $267.07 $746 3.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $267.07 $746 0.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $166.47 $465 0.5×
Chest Wall Manipulation (94668) $21.48 $60 0.2×
Color/duplex Doppler, complete (93975) $218.74 $611 0.9×
Color/duplex Doppler, limited (93976) $180.79 $505 1.6×
Community/Work Reintegration Trainj Ea 15 Min (97537) $69.09 $193 2.2×
Comprehensive Hearing Test (92557) $192.96 $539 1.4×
Computerized dynamic posturography (92548) $222.32 $621 1.6×
Conditioning Play Audiometry (92582) $187.95 $525 1.4×
Cont gluc mntr physician/qhp provided equiptment (95250) $151.43 $423 1.1×
Continuous Pulse Ox (94762) $146.06 $408 1.1×
Coronary Art/Grft Angio S&I (93455) $6,420.01 $17,933 1.9×
Coronary Artery Angio S&I (93454) $5,433.01 $15,176 1.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $183.30 $512 0.8×
Cpt initial (94667) $34.37 $96 0.2×
Critical care first hour (99291) $643.33 $1,797 0.7×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $888.91 $2,483 2.3×
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$58.35–$177.57 $163–$496 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $138.55 $387 0.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $475.07 $1,327 1.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $326.50 $912 3.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $278.17 $777 1.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $236.64 $661 2.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $357.64 $999 1.4×
Dup-scan xtr veins unilateral/limited study (93971) $272.80 $762 2.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $752.52 $2,102 3.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $125.30 $350 1.1×
Duplex Scan Hemodialysis Access (93990) $296.78 $829 2.7×
Duplex up extrem art bilat (93930) $278.17 $777 1.1×
Duplex up extrem art unilat/ltd (93931) $236.64 $661 2.1×
Echo Congenital Complete (93303) $888.91 $2,483 1.5×
Echo Heart Xthoracic,Limited (93308) $312.18 $872 1.2×
Echo transesophageal (93312) $1,976.16 $5,520 3.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $4,001.01 $11,176 6.9×
Eeg 41-60 Minutes (95812) $516.95 $1,444 2.3×
EEG awake and asleep (95819) $294.99 $824 1.3×
EEG awake drowsy (95816) $298.93 $835 1.3×
EEG cerebral death evaluation (95824) $368.38 $1,029 0.9×
EEG extended monitoring 61-119 minutes (95813) $294.99 $824 1.3×
Eeg Sleep Only (95822) $368.38 $1,029 1.6×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $289.98 $810 1.3×
EEG w/o vid 2-12hr cont mntr (95707) $289.98 $810 1.3×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $576.38 $1,610 1.5×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $289.98 $810 1.3×
EEG wo vid ea 12-26hr unmntr (95708) $951.92 $2,659 2.4×
Electrical Stimulation Ea 15 Min (97032) $45.47 $127 3.1×
Electrocardiogram Tracing (93005) $109.91 $307 1.8×
Electrophysiology Evaluation (93642) $790.11 $2,207 0.6×
Emergency Dept Visit Level 2 (99282) $108.83 $304 0.7×
Emergency Dept Visit Level 3 (99283) $192.25 $537 0.7×
Emergency Dept Visit Level 4 (99284) $262.77 $734 0.6×
Emg 3 Extremities (95863) $185.09 $517 1.4×
Emg 4 Extremities (95864) $991.30 $2,769 7.3×
Endomyocardial Biopsy (93505) $2,024.85 $5,656 0.6×
Ep & ablate supravent arrhyt (93653)
unusually low: confirm this is the full procedure
$11,853.02 $33,109 0.4×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
unusually low: confirm this is the full procedure
$3,753.27 $10,484 0.5×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $5,927.05 $16,556 0.7×
Er level 1 (99281) $98.45 $275 1.1×
Er level v (99285) $419.93 $1,173 0.7×
Evaluate pt use of inhaler (94664)
range across 5 matching MRF lines
$24.70–$52.27 $69–$146 varies
Evaluate Speech Production (92522) $76.97 $215 0.7×
Evaluate Swallowing Function (92610) $104.18 $291 1.2×
Evaluation of speech fluency (92521) $104.18 $291 0.8×
Evoked Auditory Test,Limited (92587) $35.44 $99 0.2×
External ECG rec>48hr<7d recording (93242) $38.66 $108 1.0×
External ECG rec>48hr<7d scanning alys w/report (93243) $93.80 $262 0.7×
External ECG rec>7d<15d recording (93246) $186.88 $522 4.7×
External Ecg Scanning Analysis Report (93226) $119.57 $334 1.9×
Extracranial Bilat Study (93880) $271.36 $758 1.1×
Extracranial Uni/Ltd Study (93882) $136.40 $381 1.2×
Flexible endoscopic eval swallow c/v rec (92612) $359.43 $1,004 1.8×
Group Therapeutic Procedures (97150) $57.64 $161 3.2×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $11,359.34 $31,730 3.3×
Holter monitor recording (93225) $238.79 $667 1.7×
Immunization administration (90471)
range across 2 matching MRF lines
$21.84–$72.32 $61–$202 varies
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure
$1,580.93 $4,416 0.2×
Intracranial Complete Study (93886) $173.27 $484 0.7×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$1,580.93 $4,416 0.2×
Iontophoresis 15 min (97033) $22.55 $63 1.2×
Irrig Drug Delivery Device (96523)
range across 3 matching MRF lines
$68.02–$73.75 $190–$206 varies
IV infusion hydration each additional hour (96361) $55.49 $155 1.1×
IV infusion hydration initial 31 min-1 hour (96360) $176.49 $493 0.8×
IV infusion ther proph addl sequential to 1 hr (96367) $115.99 $324 1.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $55.49 $155 1.1×
IV push initial (96374) $55.49 $155 0.2×
L Hrt Art/Grft Angio (93459) $9,383.90 $26,212 2.7×
Low frequency non-thermal us (97610)
range across 3 matching MRF lines
$177.57–$197.97 $496–$553 varies
Lwr Xtr Vasc Stdy Bilat (93924) $185.09 $517 0.8×
Mechanical chest wall oscillation per session (94669) $61.22 $171 0.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$18.97–$22.91 $53–$64 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$22.91–$25.06 $64–$70 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $12.53 $35 0.7×
Methacholine challenge (94070) $197.97 $553 0.5×
Motion Fluoroscopy/Swallow (92611) $147.14 $411 1.6×
Multiple Family Group Psychotherapy (90849) $114.20 $319 0.6×
Multiple Sleep Latency Test (95805) $737.12 $2,059 0.8×
Muscle Test 2 Limbs (95861) $129.95 $363 0.9×
Muscle Test Nonparaspinal (95870) $161.82 $452 1.1×
Muscle Test One Limb (95860) $127.09 $355 0.9×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $419.93 $1,173 1.8×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $257.40 $719 1.1×
Needle electromyography larynx (95865) $2,618.05 $7,313 18.6×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $153.22 $428 0.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $308.60 $862 0.7×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $197.97 $553 0.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 4 matching MRF lines
$80.55–$197.97 $225–$553 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$136.40–$365.88 $381–$1,022 varies
Nerve Conduction Studies 1-2 Studies (95907) $391.65 $1,094 1.7×
Nerve Conduction Studies 11-12 Studies (95912) $1,076.51 $3,007 2.7×
Nerve conduction studies 13 or more studies (95913) $1,213.26 $3,389 3.1×
Nerve Conduction Studies 3-4 Studies (95908) $528.77 $1,477 2.3×
Nerve conduction studies 5-6 studies (95909) $665.52 $1,859 2.9×
Nerve conduction studies 7-8 studies (95910) $802.64 $2,242 2.0×
Nerve Conduction Studies 9-10 Studies (95911) $939.39 $2,624 2.4×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $129.24 $361 0.9×
Neuromuscular Reeducation (97112) $46.54 $130 1.4×
Optokinetic Nystagmus Test (92544) $138.55 $387 1.0×
Oral Function Therapy (92526) $108.12 $302 1.3×
Oral Speech Device Eval (92597) $212.29 $593 3.0×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 2 matching MRF lines
$22.91–$49.76 $64–$139 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $24.70 $69 0.5×
Oscillating Tracking Test (92545) $138.55 $387 0.6×
Ot Contrast Bath Ea 15 Min (97034)
range across 2 matching MRF lines
$35.08–$36.87 $98–$103 varies
Ot eval high complexity (97167) $114.92 $321 1.1×
Ot Eval Low Complex (97165) $57.64 $161 0.6×
Ot Eval Moderate Complexity (97166) $86.99 $243 0.9×
Ot manual therapy 15 min (97140) $56.56 $158 2.0×
Ot paraffin bath (97018)
range across 2 matching MRF lines
$22.91–$24.70 $64–$69 varies
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines
$61.22–$94.51 $171–$264 varies
Ot Re-Eval Est Plan Care (97168) $39.38 $110 0.6×
Ot rom hand (95852) $444.64 $1,242 20.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines
$157.88–$203.34 $441–$568 varies
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797)
range across 2 matching MRF lines
$153.22–$157.88 $428–$441 varies
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $7,408.09 $20,693 1.2×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$9.31–$81.98 $26–$229 varies
Physical Performance Test (97750) $42.24 $118 1.3×
Plethysmography (94726) $269.93 $754 0.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,839.76 $5,139 2.0×
Polysom <6 yrs 4/> paramtrs (95782) $994.88 $2,779 1.1×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $370.53 $1,035 0.4×
Positional nystagmus test (92542) $163.25 $456 1.2×
Prq Card Angio/Athrect 1 Art (92924) $7,902.13 $22,073 0.6×
Psych diag eval w/med srvcs (90792) $251.67 $703 1.3×
Psychiatric diagnostic evaluation (90791) $153.22 $428 0.8×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $74.46 $208 2.0×
Pt Eval High Complex (97163) $114.92 $321 1.2×
Pt eval low complex 20 min (97161) $57.64 $161 0.6×
Pt Eval Mod Complex (97162) $86.99 $243 0.9×
Pt gait training 15 min (97116) $36.16 $101 1.2×
Pt group caregiver training (97552) $24.34 $68 1.1×
Pt mechanical traction (97012) $33.65 $94 2.3×
Pt Re-Eval Est Plan Care (97164) $21.12 $59 0.3×
Pulm function test by gas (94727) $134.61 $376 0.6×
Pulmonary Stress Testing (94618) $137.11 $383 1.0×
Pure Tone Audiometry Air (92552) $74.46 $208 0.5×
R Hrt Art/Grft Angio (93457) $8,889.86 $24,832 2.6×
R hrt coronary artery angio (93456) $7,902.13 $22,073 2.3×
Refill/Maint Portable Pump (96521) $169.69 $474 0.8×
Refill/Maint Pump/Resvr Syst (96522) $157.88 $441 0.7×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $51.19 $143 1.3×
Remote 30 Day Ecg Rev/Report (93270) $99.17 $277 2.5×
Remote 30 Day Ecg Tech Supp (93229) $1,034.26 $2,889 2.6×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $17.54 $49 0.1×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) $37.59 $105 0.9×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $46.18 $129 0.9×
Right Heart Cath (93451) $2,519.25 $7,037 0.7×
Right ventricular recording (93603) $592.85 $1,656 0.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 4 matching MRF lines
$40.81–$109.55 $114–$306 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $356.21 $995 13.7×
Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) $35.80 $100 0.9×
Rtm tx mgmt 1 r-t ia comunicaj cal mo 1st 10 min (98979) $23.63 $66 0.9×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $218.38 $610 1.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $163.25 $456 3.4×
Select picture audiometry (92583) $69.09 $193 1.1×
Self Care Mngment Training (97535) $44.75 $125 1.4×
Sensory Integration Ea 15 Min (97533)
range across 2 matching MRF lines
$64.44–$69.09 $180–$193 varies
Sleep study unattended (95806) $147.85 $413 0.6×
Slp caregiver training 1st 30 min (97550) $56.92 $159 1.1×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $345.83 $966 1.5×
Speech Audiometry Complete (92556) $74.46 $208 1.2×
Speech sound lang comprehen (92523) $126.73 $354 0.6×
Spirometry (94010) $73.03 $204 0.3×
Spontaneous Nystagmus Test (92541) $138.55 $387 1.0×
Ssep lower limbs (95926) $888.91 $2,483 3.9×
Standardized Cognitive Performance Testing (96125) $173.27 $484 1.7×
Stenger Test Speech (92577) $74.46 $208 0.2×
Stenger Test, Pure Tone (92565) $74.46 $208 1.2×
Stress Tte Only (93350) $386.28 $1,079 0.7×
Synthetic Sentence Identification Test (92576) $69.09 $193 1.7×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$2,124.01–$2,222.82 $5,933–$6,209 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $41.89 $117 1.9×
Ther Ivntj Ea Addl 15 Min (97130) $50.48 $141 2.4×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 2 matching MRF lines
$26.85–$29 $75–$81 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $69.09 $193 2.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $94.15 $263 0.9×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$11.81–$55.49 $33–$155 varies
Ther/Proph/Diag Iv Inf Init (96365) $176.49 $493 0.8×
Therapeutic Activities (97530) $40.81 $114 1.2×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,086.17 $3,034 2.8×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 4 matching MRF lines
$20.05–$61.93 $56–$173 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$12.17–$31.50 $34–$88 varies
Trans Care Mgmt 14 Day Disch (99495) $111.70 $312 0.8×
Trans Care Mgmt 7 Day Disch (99496) $189.38 $529 1.3×
Tte w/doppler, complete (93306) $531.99 $1,486 0.9×
Tte W/O Doppler Complete (93307) $312.18 $872 1.2×
Tx atrial fib pulm vein isol (93656)
unusually low: confirm this is the full procedure
$12,841.10 $35,869 0.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $96.30 $269 1.3×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $212.29 $593 8.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $55.49 $155 1.1×
Tympanometry (92567) $84.49 $236 2.1×
Tympanometry and reflex threshold measurements (92550) $89.14 $249 0.4×
Upr/L Xtremity Art 2 Levels (93922) $129.24 $361 0.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $144.27 $403 0.6×
Vasopneumatic device (97016)
range across 2 matching MRF lines
$31.15–$105.61 $87–$295 varies
Veeg 2-12 Hr Cont Mntr (95713) $555.26 $1,551 1.4×
Veeg 2-12 hr intmt mntr (95712) $289.98 $810 0.7×
Veeg 2-12 hr unmonitored (95711) $289.98 $810 1.3×
Veeg ea 12-26hr cont mntr (95716) $921.13 $2,573 1.0×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$147.14–$415.28 $411–$1,160 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $101.67 $284 0.2×
Visual Evoked Potential Test (95930) $158.95 $444 0.7×
Visual reinforcement audiometry (vra) (92579) $163.25 $456 0.7×
Vital capacity, total (94150)
range across 2 matching MRF lines
$20.05–$60.14 $56–$168 varies
Wheelchair Mgmt Ea 15 Min (97542) $69.09 $193 2.2×
Whirlpool Therapy (97022)
range across 2 matching MRF lines
$38.31–$69.09 $107–$193 varies

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.