Visits & medical services prices at Mercy Walworth Hospital & Medical Center
Lake Geneva, WI · every code in this section with a posted price and a Medicare benchmark.
115 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) | $69.50 | $92.66 | 1.9× |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$68.46–$107.87 | $91.28–$143.83 | varies |
| Analyze Neurostim Simple (95971) | $191.86 | $255.82 | 2.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $111.98 | $149.30 | 7.8× |
| Application Modality 1/> Areas Infrared (97026) | $123.43 | $164.57 | 18.5× |
| Assessment of aphasia per hr (96105) | $498.84 | $665.12 | 5.1× |
| Behavral qualit analys voice (92524) | $374.14 | $498.86 | 3.4× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $223.66 | $298.21 | 2.7× |
| Bfb training ea addl 15 min (90913) | $74.87 | $99.83 | 2.3× |
| Brief Emotional/Behav Assmt (96127) | $98.28 | $131.04 | 2.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $795.56 | $1,060.74 | 2.2× |
| Canalith repositioning proc (95992) | $222.68 | $296.90 | 5.5× |
| Car seat/bed test 60 min (94780) | $324.14 | $432.19 | 8.8× |
| Cardiac Stress Tst,Tracing Only (93017) range across 5 matching MRF lines |
$979.64–$2,094.76 | $1,306.19–$2,793.02 | varies |
| Cardiopulmonary resuscitation (92950) | $581.59 | $775.45 | 2.7× |
| Cardioversion (92960) range across 3 matching MRF lines |
$1,251.94–$1,422.04 | $1,669.26–$1,896.06 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $137.98 | $183.98 | 5.3× |
| Cbt 1st hour (94644) | $345.40 | $460.53 | 2.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $568.89 | $758.52 | 1.7× |
| Chest Wall Manipulation (94668) | $364.46 | $485.95 | 2.8× |
| Color/duplex Doppler, complete (93975) | $2,299.54 | $3,066.05 | 9.7× |
| Color/duplex Doppler, limited (93976) | $344.80 | $459.74 | 3.3× |
| Continuous Pulse Ox (94762) | $406.59 | $542.12 | 3.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 6 matching MRF lines |
$98.17–$693.20 | $130.89–$924.26 | varies |
| Cpt initial (94667) | $364.30 | $485.74 | 2.8× |
| Critical care first hour (99291) | $1,383.92 | $1,845.22 | 1.7× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$277.57–$423.20 | $370.09–$564.26 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,220.47 | $1,627.29 | 5.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,147.42 | $1,529.90 | 4.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $918.58 | $1,224.78 | 8.9× |
| Echo Heart Xthoracic,Limited (93308) | $666.94 | $889.26 | 2.8× |
| Echo transesophageal (93312) | $1,595.27 | $2,127.03 | 3.0× |
| EEG awake drowsy (95816) | $556.43 | $741.91 | 2.6× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$124.72–$125.50 | $166.29–$167.34 | varies |
| Electrocardiogram Tracing (93005) | $212.31 | $283.08 | 3.6× |
| Emergency Dept Visit Level 2 (99282) | $657.36 | $876.48 | 4.3× |
| Emergency Dept Visit Level 3 (99283) | $838.04 | $1,117.38 | 3.1× |
| Emergency Dept Visit Level 4 (99284) | $1,345.47 | $1,793.96 | 3.3× |
| Er level 1 (99281) range across 2 matching MRF lines |
$123.02–$293.70 | $164.02–$391.60 | varies |
| Er level v (99285) | $2,018.20 | $2,690.94 | 3.4× |
| Evaluate Speech Production (92522) | $359.32 | $479.10 | 3.2× |
| Evaluate Swallowing Function (92610) | $424.18 | $565.58 | 5.0× |
| Evaluation of speech fluency (92521) | $442.68 | $590.24 | 3.3× |
| Extracranial Bilat Study (93880) | $894.10 | $1,192.13 | 3.8× |
| Immunization administration (90471) | $80.20 | $106.94 | 1.1× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $610.92 | $814.56 | 1.7× |
| Iontophoresis 15 min (97033) | $158.69 | $211.59 | 8.3× |
| Irrig Drug Delivery Device (96523) | $454.78 | $606.38 | 7.8× |
| IV infusion hydration each additional hour (96361) | $214.99 | $286.65 | 4.6× |
| IV infusion hydration initial 31 min-1 hour (96360) | $426.45 | $568.60 | 2.0× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $332.41 | $443.21 | 4.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $262.34 | $349.79 | 5.7× |
| IV push initial (96374) | $253.85 | $338.47 | 1.2× |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$431.26–$431.49 | $575.02–$575.32 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $57.20 | $76.27 | 1.6× |
| Methacholine challenge (94070) | $511.51 | $682.01 | 1.4× |
| Motion Fluoroscopy/Swallow (92611) | $525.07 | $700.09 | 5.7× |
| Multiple Sleep Latency Test (95805) | $2,281.60 | $3,042.14 | 2.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $935.60 | $1,247.46 | 2.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,013.38 | $1,351.17 | 2.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $587.08 | $782.77 | 3.0× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $701.17 | $934.89 | 1.7× |
| Neuromuscular Reeducation (97112) | $147.64 | $196.86 | 4.5× |
| Newborn resuscitation (99465) | $610.42 | $813.89 | 0.9× |
| Oral Function Therapy (92526) | $293.54 | $391.39 | 3.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $154.54 | $206.06 | 3.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $154.54 | $206.06 | 3.4× |
| Ot eval high complexity (97167) | $428.79 | $571.72 | 4.3× |
| Ot Eval Low Complex (97165) | $283.41 | $377.88 | 2.8× |
| Ot Eval Moderate Complexity (97166) | $378.77 | $505.03 | 3.8× |
| Ot manual therapy 15 min (97140) | $151.61 | $202.15 | 5.5× |
| Ot Prosthetic Training, Each 15 Min (97761) | $168.03 | $224.04 | 4.2× |
| Ot Re-Eval Est Plan Care (97168) | $237.08 | $316.11 | 3.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $291.72 | $388.96 | 2.3× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $243.10 | $324.14 | 1.9× |
| Peripheral arterial disease rehab per session (93668) | $172.12 | $229.49 | 2.9× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $222.18 | $296.24 | 3.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $211.60 | $282.13 | 3.6× |
| Physical Performance Test (97750) | $132.16 | $176.21 | 3.9× |
| Plethysmography (94726) | $125.50 | $167.34 | 0.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 5 matching MRF lines |
$5,161.36–$7,022.22 | $6,881.81–$9,362.96 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $5,726.99 | $7,635.99 | 6.7× |
| Pt Eval High Complex (97163) | $400.07 | $533.43 | 4.1× |
| Pt eval low complex 20 min (97161) | $324.14 | $432.19 | 3.3× |
| Pt Eval Mod Complex (97162) | $385.47 | $513.96 | 3.9× |
| Pt gait training 15 min (97116) | $137.98 | $183.98 | 4.7× |
| Pt mechanical traction (97012) | $178.41 | $237.88 | 12.4× |
| Pt Re-Eval Est Plan Care (97164) | $237.08 | $316.11 | 3.5× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $68.02 | $90.69 | 1.8× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$52.90–$78.46 | $70.54–$104.62 | varies |
| R hrt coronary artery angio (93456) | $10,251 | $13,668 | 3.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$223.28–$269.68 | $297.70–$359.58 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $400.07 | $533.43 | 3.3× |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$117.20–$168.03 | $156.27–$224.04 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$98.24–$103.40 | $130.98–$137.86 | varies |
| Sleep study unattended (95806) | $511.97 | $682.63 | 2.4× |
| Slp caregiver training 1st 30 min (97550) | $275.97 | $367.96 | 5.2× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $820.36 | $1,093.82 | 3.8× |
| Speech sound lang comprehen (92523) | $666.46 | $888.62 | 2.9× |
| Spirometry (94010) | $309.10 | $412.14 | 1.4× |
| Stress Tte Only (93350) range across 3 matching MRF lines |
$1,672.02–$3,606.46 | $2,229.36–$4,808.61 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $134.84 | $179.79 | 6.0× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $187.28 | $249.70 | 1.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $138.92 | $185.22 | 2.0× |
| Ther/Proph/Diag Iv Inf Init (96365) | $479.34 | $639.12 | 2.3× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$113.06–$153.51 | $150.74–$204.68 | varies |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,808.93–$1,966.59 | $2,411.91–$2,622.12 | varies |
| Tte W/O Doppler Complete (93307) | $936.87 | $1,249.16 | 4.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $314.09 | $418.79 | 4.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $151.84 | $202.46 | 3.3× |
| Upr/L Xtremity Art 2 Levels (93922) | $575.67 | $767.56 | 4.4× |
| Vent Mgmt Inpat Init Day (94002) range across 4 matching MRF lines |
$267.08–$484.01 | $356.11–$645.35 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 4 matching MRF lines |
$289.55–$458.09 | $386.07–$610.79 | varies |
| Vital capacity, total (94150) | $216.78 | $289.04 | 1.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $113.06 | $150.74 | 3.6× |
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.