Visits & medical services prices at Northwest Health- Starke

Knox, 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.

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 9 matching MRF lines
$41.44–$1,343.98 $153.48–$4,977.69 varies
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $145.18 $537.71 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 18 matching MRF lines
$45.79–$63.15 $169.60–$233.88 varies
Application on-body injector (96377) $46.38 $171.79 0.9×
Assessment of aphasia per hr (96105)
range across 3 matching MRF lines
$123.31–$174.81 $456.71–$647.43 varies
Behavral qualit analys voice (92524)
range across 4 matching MRF lines
$107.60–$181.13 $398.52–$670.85 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $216.63 $802.34 0.5×
Canalith repositioning proc (95992) $83.27 $308.41 2.0×
Cardiac Stress Tst,Tracing Only (93017)
range across 3 matching MRF lines
$66.15–$444.31 $245–$1,645.59 varies
Cardiopulmonary resuscitation (92950)
range across 4 matching MRF lines
$976.07–$1,008.58 $3,615.06–$3,735.49 varies
Cardioversion (92960) $1,148.29 $4,252.92 1.6×
Chemo Anti-Neopl Sq/Im (96401) $63.92 $236.74 0.8×
Chemo Hormon Antineopl Sq/Im (96402) $63.92 $236.74 0.8×
Chemo IV infusion addl hr (96415) $28.03 $103.80 0.4×
Chemo IV push addl drug (96411) $85.24 $315.69 1.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $63.92 $236.74 0.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $185.47 $686.91 0.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $74.19 $274.79 0.2×
Chest Wall Manipulation (94668) $32.75 $121.30 0.2×
Color/duplex Doppler, complete (93975) $257.08 $952.15 1.0×
Color/duplex Doppler, limited (93976) $180.34 $667.92 1.6×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 14 matching MRF lines
$39.78–$54.85 $147.34–$203.16 varies
Cont Gluc Mntr Pt Prov Eqp (95249) $61.52 $227.85 1.0×
Continuous Pulse Ox (94762) $208.75 $773.13 1.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $226.10 $837.41 1.0×
Cpt initial (94667) $32.75 $121.30 0.2×
Critical care first hour (99291) $1,100.53 $4,076.02 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $63.92 $236.74 0.3×
Developmental tst admin phys/qhp 1st hour (96112) $182.79 $677 1.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $112.07 $415.07 0.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $97.47 $361 0.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $609.65 $2,257.97 2.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $488.12 $1,807.85 4.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $632.55 $2,342.77 2.5×
Dup-scan xtr veins unilateral/limited study (93971) $563.87 $2,088.42 5.1×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $632.54 $2,342.75 2.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $563.88 $2,088.44 5.1×
Echo Heart Xthoracic,Limited (93308) $422.52 $1,564.89 1.7×
Echo transesophageal (93312) $1,104.13 $4,089.37 1.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $741.46 $2,746.13 1.3×
Eeg 41-60 Minutes (95812) $316.06 $1,170.58 1.4×
EEG cont rec w/video by tech min 8 channels (95700) $1,520.33 $5,630.84 6.7×
EEG wo vid ea 12-26hr unmntr (95708) $811.90 $3,007.03 2.1×
Electrical Stimulation Ea 15 Min (97032)
range across 18 matching MRF lines
$45.79–$63.15 $169.60–$233.88 varies
Electrocardiogram Tracing (93005)
range across 11 matching MRF lines
$15.09–$165.34 $55.90–$612.37 varies
Emergency Dept Visit Level 2 (99282) $149.55 $553.90 0.9×
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$314.49–$532.70 $1,164.78–$1,972.98 varies
Emergency Dept Visit Level 4 (99284) $618.73 $2,291.59 1.4×
Er level 1 (99281) $98.27 $363.95 1.1×
Er level v (99285) $827.07 $3,063.23 1.3×
Evaluate pt use of inhaler (94664) $56.96 $210.98 0.2×
Evaluate Speech Production (92522)
range across 4 matching MRF lines
$110.03–$185.47 $407.51–$686.91 varies
Evaluate Swallowing Function (92610) $237.16 $878.38 2.8×
Evaluation of speech fluency (92521)
range across 4 matching MRF lines
$134.84–$185.47 $499.41–$686.91 varies
External ECG rec>48hr<7d recording (93242) $37.92 $140.43 1.0×
External ECG rec>7d<15d recording (93246) $37.92 $140.43 1.0×
External Ecg Scanning Analysis Report (93226) $409.19 $1,515.52 6.6×
Extracranial Bilat Study (93880) $482.99 $1,788.86 1.9×
Extracranial Uni/Ltd Study (93882)
range across 4 matching MRF lines
$103.94–$396.97 $384.96–$1,470.25 varies
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $279.78 $1,036.21 1.8×
Flexible endoscopic eval swallow c/v rec (92612) $279.78 $1,036.21 1.4×
Group Therapeutic Procedures (97150) $52.49 $194.41 2.9×
Holter monitor recording (93225) $308.98 $1,144.37 2.2×
Immunization administration (90471) $37.09 $137.36 0.5×
Insert/Place Heart Catheter (93503) $900.09 $3,333.66 0.5×
Iontophoresis 15 min (97033)
range across 11 matching MRF lines
$60.96–$84.06 $225.78–$311.33 varies
Irrig Drug Delivery Device (96523) $47.36 $175.41 0.8×
IV infusion hydration each additional hour (96361) $29.59 $109.59 0.6×
IV infusion hydration initial 31 min-1 hour (96360) $120.74 $447.20 0.5×
IV infusion ther proph addl sequential to 1 hr (96367) $29.99 $111.08 0.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $29.99 $111.08 0.6×
IV push initial (96374) $79.70 $295.20 0.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$29.20–$34.06 $108.16–$126.16 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$29.20–$40.44 $108.16–$149.77 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $18.94 $70.16 1.1×
Methacholine challenge (94070) $370.93 $1,373.80 0.9×
Motion Fluoroscopy/Swallow (92611) $296.74 $1,099.04 3.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$63.92–$136.97 $236.74–$507.28 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$140.48–$147.59 $520.29–$546.63 varies
Neuromuscular Reeducation (97112)
range across 15 matching MRF lines
$41.93–$66.69 $155.28–$247 varies
Newborn resuscitation (99465) $201.25 $745.36 0.3×
Oral Function Therapy (92526)
range across 5 matching MRF lines
$104.38–$163.36 $386.59–$605.02 varies
Oral Speech Device Eval (92597) $244.66 $906.15 3.4×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 9 matching MRF lines
$53.81–$74.19 $199.28–$274.79 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 16 matching MRF lines
$48.37–$66.69 $179.14–$247 varies
Ot Contrast Bath Ea 15 Min (97034)
range across 13 matching MRF lines
$37.49–$51.69 $138.86–$191.46 varies
Ot eval high complexity (97167)
range across 7 matching MRF lines
$107.45–$174.81 $397.98–$647.43 varies
Ot Eval Low Complex (97165)
range across 8 matching MRF lines
$107.86–$174.81 $399.48–$647.43 varies
Ot Eval Moderate Complexity (97166)
range across 7 matching MRF lines
$107.45–$174.81 $397.98–$647.43 varies
Ot manual therapy 15 min (97140)
range across 18 matching MRF lines
$48.37–$66.69 $179.14–$247 varies
Ot paraffin bath (97018)
range across 16 matching MRF lines
$40.64–$56.03 $150.52–$207.52 varies
Ot Prosthetic Training, Each 15 Min (97761)
range across 16 matching MRF lines
$45.79–$63.15 $169.60–$233.88 varies
Ot Re-Eval Est Plan Care (97168)
range across 11 matching MRF lines
$74.21–$119.18 $274.84–$441.39 varies
Ot rom hand (95852)
range across 13 matching MRF lines
$44.07–$60.77 $163.24–$225.09 varies
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $63.95 $236.86 0.3×
Phlebotomy therapeutic (99195) $71.82 $266 0.5×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $86.74 $321.26 1.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $86.74 $321.26 1.4×
Physical Performance Test (97750)
range across 17 matching MRF lines
$31.77–$69.85 $117.67–$258.70 varies
Plethysmography (94726) $110.49 $409.21 0.3×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755)
range across 15 matching MRF lines
$44.07–$60.77 $163.24–$225.09 varies
Pt Eval High Complex (97163)
range across 6 matching MRF lines
$101.84–$174.81 $377.17–$647.43 varies
Pt eval low complex 20 min (97161)
range across 6 matching MRF lines
$101.84–$174.81 $377.17–$647.43 varies
Pt Eval Mod Complex (97162)
range across 6 matching MRF lines
$101.84–$174.81 $377.17–$647.43 varies
Pt gait training 15 min (97116)
range across 13 matching MRF lines
$36.07–$66.69 $133.61–$247 varies
Pt mechanical traction (97012)
range across 9 matching MRF lines
$42.93–$59.19 $159–$219.23 varies
Pt Re-Eval Est Plan Care (97164)
range across 7 matching MRF lines
$69.76–$119.18 $258.36–$441.39 varies
Pulm function test by gas (94727) $50.15 $185.73 0.2×
Pulmonary Stress Testing (94618) $134.23 $497.13 1.0×
R&L Hrt Cath W/Ventriclgrphy (93453) $141.75 $525 0.0×
Remote 30 Day Ecg Rev/Report (93270) $267.15 $989.45 6.8×
Respiratory flow volume loop (94375) $91.68 $339.55 0.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 20 matching MRF lines
$66.11–$91.15 $244.86–$337.60 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851)
range across 9 matching MRF lines
$44.07–$60.77 $163.24–$225.09 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $259.65 $961.67 2.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $109.31 $404.86 2.3×
Self Care Mngment Training (97535)
range across 21 matching MRF lines
$40.53–$66.69 $150.10–$247 varies
Sensory Integration Ea 15 Min (97533)
range across 17 matching MRF lines
$45.79–$63.15 $169.60–$233.88 varies
Sleep study unattended (95806) $286.87 $1,062.48 1.3×
Speech sound lang comprehen (92523)
range across 5 matching MRF lines
$110.03–$185.47 $407.51–$686.91 varies
Spirometry (94010) $107.22 $397.11 0.5×
Standardized Cognitive Performance Testing (96125)
range across 17 matching MRF lines
$177.73–$245.05 $658.26–$907.58 varies
Stress Tte Only (93350) $741.46 $2,746.13 1.3×
Subcutaneous Infusion Each Additional Hour (96370) $29.59 $109.59 0.6×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $120.74 $447.20 0.5×
Subq Infusion Additional Pump Infusion Site (96371) $66.69 $247 0.9×
Temp transcutaneous pacing (92953) $3,879.70 $14,369.26 5.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $62.91 $233.01 2.8×
Ther Ivntj Ea Addl 15 Min (97130) $62.91 $233.01 3.0×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 12 matching MRF lines
$53.81–$74.19 $199.28–$274.79 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 13 matching MRF lines
$48.37–$66.69 $179.14–$247 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $163.36 $605.02 1.6×
Ther/Proph/Diag Inj Sc/Im (96372) $37.09 $137.36 0.5×
Ther/Proph/Diag Iv Inf Init (96365) $120.74 $447.20 0.5×
Therapeutic Activities (97530)
range across 15 matching MRF lines
$46.54–$66.69 $172.36–$247 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $741.46 $2,746.13 1.9×
Tobacco Use Cessation Intensive >10 Minutes (99407) $10.66 $39.48 0.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $10.66 $39.48 0.3×
Tte w/doppler, complete (93306) $866.15 $3,207.95 1.5×
Tte W/O Doppler Complete (93307) $587.56 $2,176.15 2.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 6 matching MRF lines
$94.94–$133.77 $351.63–$495.44 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $79.70 $295.20 1.6×
Upr/L Xtremity Art 2 Levels (93922) $349.61 $1,294.85 2.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $349.61 $1,294.85 1.5×
Vasopneumatic device (97016) $48.53 $179.75 4.0×
Veeg 2-12 Hr Cont Mntr (95713) $823.55 $3,050.20 2.1×
Veeg 2-12 hr intmt mntr (95712) $1,520.33 $5,630.84 3.9×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $811.90 $3,007.03 2.1×
Veeg ea 12-26hr cont mntr (95716) $811.90 $3,007.03 0.9×
Vent Mgmt Inpat Init Day (94002) $546.52 $2,024.16 0.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $546.52 $2,024.16 0.8×
Vital capacity, total (94150) $47.75 $176.84 0.4×
Wheelchair Mgmt Ea 15 Min (97542)
range across 12 matching MRF lines
$48.37–$66.69 $179.14–$247 varies
Whirlpool Therapy (97022)
range across 14 matching MRF lines
$42.93–$59.19 $159–$219.23 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.