Visits & medical services prices at Goshen Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $14,927.50 $21,325 1.8×
Airway Inhalation Treatment (94640) $424.90 $607 1.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $121.10 $173 8.4×
Application on-body injector (96377) $105 $150 2.1×
Assessment of aphasia per hr (96105) $376.60 $538 3.9×
Behavral qualit analys voice (92524) $419.30 $599 3.8×
Bis Xtracell Fluid Analysis (93702) $409.50 $585 3.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $621.60 $888 1.6×
Canalith repositioning proc (95992) $119 $170 2.9×
Cardiac Stress Tst,Tracing Only (93017) $900.90 $1,287 3.9×
Cardiopulmonary resuscitation (92950) $1,008.70 $1,441 4.4×
Cardioversion (92960) $3,728.90 $5,327 5.3×
Cardioversion elective internal (92961) $1,418.20 $2,026 2.0×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $50.40 $72 1.9×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $17,017.70 $24,311 5.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $14,387.10 $20,553 4.2×
Cbt 1st hour (94644) $256.90 $367 1.8×
Chemo Anti-Neopl Sq/Im (96401) $220.50 $315 2.9×
Chemo Hormon Antineopl Sq/Im (96402) $117.60 $168 1.5×
Chemo Ia Push (96420) $590.80 $844 1.7×
Chemo intralesional up to 7 (96405) $217.70 $311 2.9×
Chemo IV infusion addl hr (96415) $279.30 $399 3.7×
Chemo IV push addl drug (96411) $264.60 $378 3.5×
Chemother Prolong Infuse W/Pump (96416) $767.90 $1,097 2.2×
Chemotherapy Into Cns (96450) $620.20 $886 1.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $420 $600 5.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $676.20 $966 1.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $400.40 $572 1.1×
Chest Wall Manipulation (94668) $256.90 $367 1.8×
Color/duplex Doppler, complete (93975) $698.60 $998 2.8×
Color/duplex Doppler, limited (93976) $562.80 $804 5.1×
Continuous Pulse Ox (94762) $345.80 $494 2.5×
Coronary Art/Grft Angio S&I (93455) $10,854.90 $15,507 3.2×
Coronary Artery Angio S&I (93454) $10,136.70 $14,481 3.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $493.50 $705 2.1×
Cpt initial (94667) $256.90 $367 1.8×
Critical care first hour (99291) $1,647.10 $2,353 1.9×
Debridement Open Wound 20 Sq Cm< (97597) $448.70 $641 2.1×
Dialysis One Evaluation (90945) $1,631 $2,330 3.7×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $702.80 $1,004 2.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $644.70 $921 5.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,319.50 $1,885 5.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 3 matching MRF lines
$791.70–$1,187.90 $1,131–$1,697 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,250.20 $1,786 5.0×
Dup-scan xtr veins unilateral/limited study (93971) $799.40 $1,142 7.2×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $855.40 $1,222 3.4×
Duplex Scan Hemodialysis Access (93990) $495.60 $708 4.5×
Duplex up extrem art bilat (93930) $822.50 $1,175 3.3×
Duplex up extrem art unilat/ltd (93931) $749 $1,070 6.8×
Echo Congenital Complete (93303) $1,670.20 $2,386 2.9×
Echo Heart Xthoracic,Limited (93308) $886.90 $1,267 3.5×
Echo transesophageal (93312) $2,108.40 $3,012 3.6×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,627.80 $3,754 4.5×
Eeg 41-60 Minutes (95812) $1,142.40 $1,632 5.0×
EEG awake and asleep (95819) $1,131.90 $1,617 5.0×
Eeg Sleep Only (95822) $1,085.70 $1,551 4.8×
Electrical Stimulation Ea 15 Min (97032) $112.70 $161 7.7×
Electrocardiogram Tracing (93005) $233.10 $333 3.7×
Emergency Dept Visit Level 2 (99282) $364 $520 2.2×
Emergency Dept Visit Level 3 (99283) $637 $910 2.2×
Emergency Dept Visit Level 4 (99284) $980 $1,400 2.2×
Ep & ablate supravent arrhyt (93653) $40,602.10 $58,003 1.5×
Ep & ablate ventric tachy (93654) $31,691.10 $45,273 1.1×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $14,927.50 $21,325 1.8×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $11,501 $16,430 1.4×
Er level 1 (99281) $194.60 $278 2.2×
Er level v (99285) $1,165.50 $1,665 1.8×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,513.40 $2,162 3.8×
Evaluate pt use of inhaler (94664) $424.90 $607 1.8×
Evaluate Speech Production (92522) $338.10 $483 3.0×
Evaluate Swallowing Function (92610) $597.80 $854 7.0×
Evaluation of speech fluency (92521) $310.80 $444 2.3×
External ECG rec>48hr<7d recording (93242) $360.50 $515 9.1×
External ECG rec>7d<15d recording (93246) $360.50 $515 9.1×
Extracranial Bilat Study (93880) $1,079.40 $1,542 4.3×
Extracranial Uni/Ltd Study (93882) $744.80 $1,064 6.7×
Flexible endoscopic eval swallow c/v rec (92612) $497 $710 2.5×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $843.50 $1,205 3.7×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,955.80 $2,794 2.2×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $16,477.30 $23,539 4.8×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,321.60 $1,888 1.8×
Holter monitor recording (93225) $815.50 $1,165 5.8×
Immunization administration (90471) $118.30 $169 1.6×
Insert/Place Heart Catheter (93503) $3,503.50 $5,005 2.1×
Intra-atrial recording (93602) $15,085.70 $21,551 1.8×
Iontophoresis 15 min (97033) $155.40 $222 8.2×
Irrig Drug Delivery Device (96523) $158.90 $227 2.5×
IV infusion hydration each additional hour (96361) $140 $200 2.8×
IV infusion hydration initial 31 min-1 hour (96360) $392.70 $561 1.7×
IV infusion ther proph addl sequential to 1 hr (96367) $192.50 $275 2.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $170.80 $244 3.4×
IV push initial (96374) $388.50 $555 1.7×
L Hrt Art/Grft Angio (93459) $14,564.90 $20,807 4.2×
Laryngeal Function Studies (92520) $256.90 $367 1.8×
Lwr Xtr Vasc Stdy Bilat (93924) $640.50 $915 2.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $35 $50 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $35 $50 1.0×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $25.20 $36 1.5×
Methacholine challenge (94070) $993.30 $1,419 2.5×
Motility study esophagus (91010) $2,227.40 $3,182 5.6×
Motion Fluoroscopy/Swallow (92611) $453.60 $648 5.0×
Multiple Sleep Latency Test (95805) $2,056.60 $2,938 2.3×
Nasopharyngoscopy (92511) $399.70 $571 1.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $864.50 $1,235 2.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $400.40 $572 1.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $827.40 $1,182 1.9×
Neuromuscular Reeducation (97112) $112.70 $161 3.4×
Newborn resuscitation (99465) $1,418.20 $2,026 2.0×
Oral Function Therapy (92526) $306.60 $438 3.6×
Orthc/Prostc Mgmt Sbsq Enc (97763) $112.70 $161 2.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $108.50 $155 2.4×
Ot eval high complexity (97167) $450.10 $643 4.5×
Ot Eval Low Complex (97165) $252 $360 2.5×
Ot Eval Moderate Complexity (97166) $298.90 $427 3.0×
Ot manual therapy 15 min (97140) $105 $150 3.8×
Ot paraffin bath (97018) $93.80 $134 15.6×
Ot Re-Eval Est Plan Care (97168) $158.90 $227 2.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $228.90 $327 1.7×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $228.90 $327 1.7×
Peripheral arterial disease rehab per session (93668) $158.90 $227 2.5×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $40,729.50 $58,185 2.1×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $12,645.50 $18,065 2.1×
Phlebotomy therapeutic (99195) $228.90 $327 1.6×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $181.30 $259 2.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $148.40 $212 2.4×
Physical Performance Test (97750) $97.30 $139 2.9×
Plethysmography (94726) $620.90 $887 1.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,113.20 $5,876 4.5×
Prq Card Angio/Athrect 1 Art (92924) $25,649.40 $36,642 2.1×
Prq Card Stent W/Angio 1 Vsl (92928) $25,649.40 $36,642 2.1×
Prq Card Stent/Ath/Angio (92933) $38,084.20 $54,406 2.0×
Prq Revasc Byp Graft 1 Vsl (92937) $7,992.60 $11,418 0.7×
Prq trl rvs ch occ ant&rtrgr (92945) $25,649.40 $36,642 2.1×
Psychiatric diagnostic evaluation (90791) $381.50 $545 2.0×
Pt Eval High Complex (97163) $319.20 $456 3.3×
Pt eval low complex 20 min (97161) $217.70 $311 2.2×
Pt Eval Mod Complex (97162) $268.10 $383 2.7×
Pt gait training 15 min (97116) $101.50 $145 3.5×
Pt group caregiver training (97552) $21.70 $31 1.0×
Pt mechanical traction (97012) $117.60 $168 8.2×
Pt Re-Eval Est Plan Care (97164) $179.20 $256 2.7×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $40.60 $58 1.0×
Pulm function test by gas (94727) $198.10 $283 0.9×
Pulmonary service/procedure (94799) $353.50 $505 2.6×
Pulmonary Stress Testing (94618) $331.10 $473 2.4×
R Hrt Art/Grft Angio (93457) $11,942 $17,060 3.5×
R hrt coronary artery angio (93456) $13,303.50 $19,005 3.9×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $18,702.60 $26,718 5.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $13,797.70 $19,711 4.0×
Refill/Maint Portable Pump (96521) $372.40 $532 1.7×
Remote 30 Day Ecg Rev/Report (93270) $282.80 $404 7.2×
Right Heart Cath (93451) $9,157.40 $13,082 2.7×
Right ventricular recording (93603) $3,597.30 $5,139 2.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $448.70 $641 2.1×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $350 $500 2.9×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $85.40 $122 1.8×
Self Care Mngment Training (97535) $101.50 $145 3.1×
Sleep study unattended (95806) $583.10 $833 2.6×
Slp caregiver training 1st 30 min (97550) $93.80 $134 1.8×
Speech sound lang comprehen (92523) $539.70 $771 2.4×
Spirometry (94010) $335.30 $479 1.5×
Standardized Cognitive Performance Testing (96125) $338.10 $483 3.3×
Temp transcutaneous pacing (92953) $1,304.10 $1,863 1.9×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $124.60 $178 5.6×
Ther Ivntj Ea Addl 15 Min (97130) $85.40 $122 4.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $241.50 $345 2.4×
Ther/Proph/Diag Inj Sc/Im (96372) $118.30 $169 1.6×
Ther/Proph/Diag Iv Inf Init (96365) $400.40 $572 1.8×
Therapeutic Activities (97530) $93.10 $133 2.7×
Tobacco Use Cessation Intensive >10 Minutes (99407) $124.60 $178 3.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $50.40 $72 1.3×
Transcath Closure of Asd (93580) $18,018 $25,740 0.9×
Tte w/doppler, complete (93306) $2,332.40 $3,332 4.0×
Tx atrial fib pulm vein isol (93656) $52,059.70 $74,371 1.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $345.80 $494 4.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $132.30 $189 2.7×
Unlisted cardiovascular service/procedure (93799) $943.60 $1,348 6.9×
Upr/L Xtremity Art 2 Levels (93922) $532 $760 3.8×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $543.20 $776 2.4×
Vasopneumatic device (97016) $132.30 $189 11.0×
Vent Mgmt Inpat Init Day (94002) $1,397.20 $1,996 2.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,397.20 $1,996 2.1×
Whirlpool Therapy (97022) $108.50 $155 6.9×

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.