Visits & medical services prices at Henry County Memorial Hospital
New Castle, IN · every code in this section with a posted price and a Medicare benchmark.
185 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acupunct W/Stimul 15 Min (97813) | $73.15 | $104.50 | 2.4× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $68.04 | $97.20 | 2.2× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $81.06 | $115.80 | 1.9× |
| Advncd Care Plan 30 Min (99497) | $127.68 | $182.40 | 1.2× |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$28.07–$211.54 | $40.10–$302.20 | varies |
| Analyze neurostim complex (95972) | $289.31 | $413.30 | 2.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$94.92–$107.80 | $135.60–$154 | varies |
| Assmt & care planning pt w/cognitive impairment (99483) | $589.68 | $842.40 | 5.4× |
| Behavral qualit analys voice (92524) | $111.09 | $158.70 | 1.0× |
| Brief Emotional/Behav Assmt (96127) | $8.12 | $11.60 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$90.79–$655.13 | $129.70–$935.90 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $695.38 | $993.40 | 3.0× |
| Cardiopulmonary resuscitation (92950) | $1,127.98 | $1,611.40 | 4.9× |
| Cardioversion (92960) range across 2 matching MRF lines |
$525.84–$603.26 | $751.20–$861.80 | varies |
| Care mgmt services behavioral hlth cond 20 mins (99484) | $68.04 | $97.20 | 1.7× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $2,442.86 | $3,489.80 | 0.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $3,066.49 | $4,380.70 | 0.9× |
| Cbt 1st hour (94644) | $291.69 | $416.70 | 2.0× |
| Chemo Hormon Antineopl Sq/Im (96402) | $59.57 | $85.10 | 0.8× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$205.80–$214.78 | $294–$306.83 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $74.06 | $105.80 | 0.7× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$292.60–$455.42 | $418–$650.60 | varies |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $74.06 | $105.80 | 0.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $257.81 | $368.30 | 1.8× |
| Continuous Pulse Ox (94762) | $260.80 | $372.57 | 1.9× |
| Coronary Art/Grft Angio S&I (93455) | $1,540.07 | $2,200.10 | 0.4× |
| Coronary Artery Angio S&I (93454) | $1,415.82 | $2,022.60 | 0.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$530.81–$551.88 | $758.30–$788.40 | varies |
| Cpt initial (94667) | $253.68 | $362.40 | 1.8× |
| Critical care first hour (99291) | $465.99 | $665.70 | 0.5× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$59.64–$573.72 | $85.20–$819.60 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$132.16–$1,273.12 | $188.80–$1,818.74 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$77–$748.72 | $110–$1,069.60 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$165.27–$1,125.60 | $236.10–$1,608 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$99.75–$652.40 | $142.50–$932 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$104.58–$1,008.91 | $149.40–$1,441.30 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 3 matching MRF lines |
$132.16–$639.38 | $188.80–$913.40 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$138.74–$500.01 | $198.20–$714.30 | varies |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$692.58–$2,578.52 | $989.40–$3,683.60 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$31.43–$226.38 | $44.90–$323.40 | varies |
| Electrophysiology Evaluation (93642) | $715.68 | $1,022.40 | 0.5× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$103.04–$110.60 | $147.20–$158 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$173.53–$209.30 | $247.90–$299 | varies |
| Emergency Dept Visit Level 4 (99284) | $2,008.93 | $2,869.90 | 4.5× |
| Emg 3 Extremities (95863) | $455.28 | $650.40 | 3.3× |
| Emg 4 Extremities (95864) | $621.11 | $887.30 | 4.5× |
| Ep & ablate supravent arrhyt (93653) likely a partial charge, not the full procedure |
$1,364.02 | $1,948.60 | 0.0× |
| Ep & ablate ventric tachy (93654) likely a partial charge, not the full procedure |
$1,819.16 | $2,598.80 | 0.1× |
| Er level 1 (99281) | $182.35 | $260.50 | 2.0× |
| Er level v (99285) | $2,849.14 | $4,070.20 | 4.5× |
| Ergonovine provocation test (93024) | $202.51 | $289.30 | 0.4× |
| Evaluate Speech Production (92522) | $107.80 | $154 | 1.0× |
| Evaluate Swallowing Function (92610) | $346.01 | $494.30 | 4.1× |
| Evoked Auditory Test,Limited (92587) | $56.77 | $81.10 | 0.2× |
| External ECG rec>48hr<7d recording (93242) | $29.75 | $42.50 | 0.7× |
| External ECG rec>7d<15d recording (93246) | $29.75 | $42.50 | 0.7× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$330.61–$1,363.88 | $472.30–$1,948.40 | varies |
| Fundus photography (92250) | $109.83 | $156.90 | 0.8× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 2 matching MRF lines |
$429.66–$821.66 | $613.80–$1,173.80 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $2,996.77 | $4,281.10 | 0.9× |
| Holter monitor recording (93225) | $55.37 | $79.10 | 0.4× |
| Icd Device Interrogate (93289) | $110.60 | $158 | 2.8× |
| Icd device progr eval dual (93283) | $221.27 | $316.10 | 5.5× |
| Icd Device Progr Eval Mult (93284) | $314.79 | $449.70 | 7.9× |
| Ilr Device Eval Progr (93285) | $131.88 | $188.40 | 3.3× |
| Ilr Device Interrogate (93291) | $105.49 | $150.70 | 3.4× |
| Immunization administration (90471) range across 2 matching MRF lines |
$34.02–$145.88 | $48.60–$208.40 | varies |
| Interrogate Subq Defib (93261) | $147.21 | $210.30 | 3.7× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$108.57–$114.31 | $155.10–$163.30 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$61.32–$188.02 | $87.60–$268.60 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$36.68–$192.15 | $52.40–$274.50 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$120.82–$575.33 | $172.60–$821.90 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$169.40–$201.81 | $242–$288.30 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $206.71 | $295.30 | 4.1× |
| IV push initial (96374) range across 2 matching MRF lines |
$425.91–$469.21 | $608.44–$670.30 | varies |
| L Hrt Art/Grft Angio (93459) | $3,620.47 | $5,172.10 | 1.0× |
| Low frequency non-thermal us (97610) | $546.21 | $780.30 | 2.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $36.54 | $52.20 | 1.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $41.37 | $59.10 | 1.1× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$118.37–$1,400.28 | $169.10–$2,000.40 | varies |
| Motility study esophagus (91010) | $393.12 | $561.60 | 1.0× |
| Motion Fluoroscopy/Swallow (92611) | $592.41 | $846.30 | 6.5× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $139.51 | $199.30 | 0.3× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$782.81–$3,608.50 | $1,118.30–$5,155 | varies |
| Muscle Test 2 Limbs (95861) | $484.96 | $692.80 | 3.4× |
| Muscle Test One Limb (95860) | $256.13 | $365.90 | 1.8× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $608.93 | $869.90 | 1.4× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $629.72 | $899.60 | 1.4× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$66.36–$348.46 | $94.80–$497.80 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$73.15–$573.72 | $104.50–$819.60 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $189.77 | $271.10 | 0.8× |
| Nerve Conduction Studies 11-12 Studies (95912) | $397.32 | $567.60 | 1.0× |
| Nerve conduction studies 13 or more studies (95913) | $477.40 | $682 | 1.2× |
| Nerve Conduction Studies 3-4 Studies (95908) | $234.85 | $335.50 | 1.0× |
| Nerve conduction studies 5-6 studies (95909) | $281.75 | $402.50 | 1.2× |
| Nerve conduction studies 7-8 studies (95910) | $369.25 | $527.50 | 0.9× |
| Nerve Conduction Studies 9-10 Studies (95911) | $320.81 | $458.30 | 0.8× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$94.92–$104.58 | $135.60–$149.40 | varies |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $59.64 | $85.20 | 2.4× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $88.48 | $126.40 | 2.5× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $29.75 | $42.50 | 2.2× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $202.51 | $289.30 | 0.5× |
| Oral Function Therapy (92526) | $349.30 | $499 | 4.1× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $147.49 | $210.70 | 2.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $95.62 | $136.60 | 2.1× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $63.77 | $91.10 | 2.8× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $90.16 | $128.80 | 3.9× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $118.37 | $169.10 | 5.1× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $145.53 | $207.90 | 6.3× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $172.83 | $246.90 | 7.5× |
| Ot Eval Low Complex (97165) | $262.57 | $375.10 | 2.6× |
| Ot Eval Moderate Complexity (97166) | $315.21 | $450.30 | 3.1× |
| Ot manual therapy 15 min (97140) | $107.80 | $154 | 3.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $282.80 | $404 | 2.0× |
| Patch/Application Test Specify Number Tests (95044) | $13.58 | $19.40 | 0.0× |
| Percutaneous tests w/allergenic extracts (95004) | $13.58 | $19.40 | 0.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) likely a partial charge, not the full procedure |
$901.11 | $1,287.30 | 0.1× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) likely a partial charge, not the full procedure |
$1,122.38 | $1,603.40 | 0.1× |
| Phlebotomy therapeutic (99195) | $230.16 | $328.80 | 1.6× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $179.13 | $255.90 | 2.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $202.58 | $289.40 | 3.2× |
| Plethysmography (94726) range across 3 matching MRF lines |
$102.97–$524.37 | $147.10–$749.10 | varies |
| Pm device eval in person (93288) range across 3 matching MRF lines |
$104.72–$126 | $149.60–$180 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$138.74–$165.97 | $198.20–$237.10 | varies |
| Pm device progr eval multi (93281) | $226.38 | $323.40 | 5.7× |
| Pm Device Progr Eval Sngl (93279) | $126 | $180 | 3.1× |
| Pm/Icd Remote Tech Serv (93296) | $153.16 | $218.80 | 3.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$1,195.25–$5,350.73 | $1,707.50–$7,643.90 | varies |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $28.07 | $40.10 | 0.6× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $194.04 | $277.20 | 4.8× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $28.07 | $40.10 | 0.6× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $95.34 | $136.20 | 1.9× |
| Prq Card Angio/Athrect 1 Art (92924) likely a partial charge, not the full procedure |
$1,072.12 | $1,531.60 | 0.1× |
| Prq Card Stent W/Angio 1 Vsl (92928) likely a partial charge, not the full procedure |
$1,000.58 | $1,429.40 | 0.1× |
| Prq Card Stent/Ath/Angio (92933) likely a partial charge, not the full procedure |
$1,118.88 | $1,598.40 | 0.1× |
| Prq Revasc Byp Graft 1 Vsl (92937) likely a partial charge, not the full procedure |
$1,000.58 | $1,429.40 | 0.1× |
| Psych diag eval w/med srvcs (90792) | $273.21 | $390.30 | 1.4× |
| Psychiatric diagnostic evaluation (90791) | $326.76 | $466.80 | 1.7× |
| Pt Eval High Complex (97163) | $371.98 | $531.40 | 3.8× |
| Pt eval low complex 20 min (97161) | $258.58 | $369.40 | 2.6× |
| Pt Eval Mod Complex (97162) | $310.38 | $443.40 | 3.2× |
| Pt gait training 15 min (97116) | $98.14 | $140.20 | 3.4× |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$108.57–$112.70 | $155.10–$161 | varies |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$21.21–$270.55 | $30.30–$386.50 | varies |
| R Hrt Art/Grft Angio (93457) | $2,659.72 | $3,799.60 | 0.8× |
| R hrt coronary artery angio (93456) | $2,108.40 | $3,012 | 0.6× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $2,000.39 | $2,857.70 | 0.6× |
| Refill/Maint Pump/Resvr Syst (96522) | $199.08 | $284.40 | 0.9× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $131.88 | $188.40 | 3.3× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $92.40 | $132 | 2.3× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$113.19–$126 | $161.70–$180 | varies |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $34.93 | $49.90 | 0.2× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $75.39 | $107.70 | 1.8× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $94.01 | $134.30 | 1.7× |
| Right Heart Cath (93451) | $328.44 | $469.20 | 0.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $402.50 | $575 | 1.9× |
| Self Care Mngment Training (97535) | $98.84 | $141.20 | 3.1× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$175–$943.25 | $250–$1,347.50 | varies |
| Speech sound lang comprehen (92523) | $223.65 | $319.50 | 1.0× |
| Spirometry (94010) range across 3 matching MRF lines |
$70.56–$280.42 | $100.80–$400.60 | varies |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$418.60–$1,446.48 | $598–$2,066.40 | varies |
| Subcutaneous Infusion Each Additional Hour (96370) | $154 | $220 | 3.1× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $468.37 | $669.10 | 2.1× |
| Temp transcutaneous pacing (92953) | $895.44 | $1,279.20 | 1.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$119.98–$125.58 | $171.40–$179.40 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$98.84–$104.58 | $141.20–$149.40 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$35–$159.67 | $50–$228.10 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$609.38–$713.02 | $870.55–$1,018.60 | varies |
| Therapeutic Activities (97530) | $94.92 | $135.60 | 2.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $60.41 | $86.30 | 1.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $31.43 | $44.90 | 0.8× |
| Trans Care Mgmt 14 Day Disch (99495) | $349.79 | $499.70 | 2.4× |
| Trans Care Mgmt 7 Day Disch (99496) | $494.34 | $706.20 | 3.5× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $110.60 | $158 | 2.8× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$370.93–$2,169.30 | $529.90–$3,099 | varies |
| Tte W/O Doppler Complete (93307) | $334.46 | $477.80 | 1.3× |
| Tx atrial fib pulm vein isol (93656) likely a partial charge, not the full procedure |
$1,820 | $2,600 | 0.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $346.01 | $494.30 | 4.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $260.19 | $371.70 | 5.2× |
| Tympanometry (92567) | $37.38 | $53.40 | 0.9× |
| Upr/L Xtremity Art 2 Levels (93922) | $271.53 | $387.90 | 1.9× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$363.02–$545.37 | $518.60–$779.10 | varies |
| Vent Mgmt Inpat Init Day (94002) | $1,234.94 | $1,764.20 | 1.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,043.70 | $1,491 | 1.6× |
| Vital capacity, total (94150) | $42.56 | $60.80 | 0.3× |
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.