Visits & medical services prices at Parkview Noble Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $135.50 $271 1.0×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $253.50 $507 1.1×
Aep threshold estimation mlt frequencies i&r (92652)
range across 3 matching MRF lines		 $840.50–$2,357.50 $1,681–$4,715 varies
Airway Inhalation Treatment (94640) $122 $244 0.5×
Anrct mano rct sensation&rct balo expulsion test (91125) $1,814.50 $3,629 4.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $62 $124 4.3×
Application on-body injector (96377) $184 $368 3.7×
Assessment of aphasia per hr (96105) $545 $1,090 5.6×
Audiometry Air & Bone (92553) $354 $708 2.6×
Auditory Function, 60 Min (92620) $236.50 $473 1.7×
Behavral qualit analys voice (92524) $207.50 $415 1.9×
Bis Xtracell Fluid Analysis (93702) $219 $438 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $785.50 $1,571 2.0×
Canalith repositioning proc (95992) $136 $272 3.3×
Car seat/bed test 60 min (94780) $422.50 $845 10.7×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines		 $349–$634.50 $698–$1,269 varies
Cardiopulmonary exercise testing (94621) $1,510.50 $3,021 3.8×
Cardiopulmonary resuscitation (92950) $576 $1,152 2.5×
Cardioversion (92960) $2,293 $4,586 3.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551)
range across 3 matching MRF lines		 $49–$51.50 $98–$103 varies
Cbt 1st hour (94644) $49 $98 0.3×
Chemo Admin Peritoneal Cavity (96446) $949.50 $1,899 2.7×
Chemo Anti-Neopl Sq/Im (96401) $295 $590 3.9×
Chemo Hormon Antineopl Sq/Im (96402) $246 $492 3.2×
Chemo IV infusion addl hr (96415) $471 $942 6.2×
Chemo IV push addl drug (96411) $412.50 $825 5.4×
Chemother Prolong Infuse W/Pump (96416) $949.50 $1,899 2.7×
Chemotherapy Into Cns (96450) $631.50 $1,263 1.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $368.50 $737 4.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $951 $1,902 2.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $554 $1,108 1.6×
Chest Wall Manipulation (94668) $140.50 $281 1.0×
Color/duplex Doppler, complete (93975) $681 $1,362 2.7×
Color/duplex Doppler, limited (93976) $440.50 $881 4.0×
Community/Work Reintegration Trainj Ea 15 Min (97537) $90.50 $181 2.8×
Comprehensive Hearing Test (92557) $353 $706 2.6×
Conditioning Play Audiometry (92582) $241.50 $483 1.8×
Cont gluc mntr physician/qhp provided equiptment (95250) $513 $1,026 3.6×
Cont Gluc Mntr Pt Prov Eqp (95249) $261 $522 4.2×
Continuous Pulse Ox (94762) $241 $482 1.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $417.50 $835 1.8×
Cpt initial (94667) $140.50 $281 1.0×
Critical care first hour (99291) $3,711 $7,422 4.2×
Debridement Open Wound 20 Sq Cm< (97597) $175.50 $351 0.8×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $438 $876 1.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979)
range across 2 matching MRF lines		 $15–$438 $30–$876 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925) $945 $1,890 3.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $588 $1,176 5.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $887 $1,774 3.5×
Dup-scan xtr veins unilateral/limited study (93971) $615.50 $1,231 5.6×
Duplex Scan Hemodialysis Access (93990) $265 $530 2.4×
Duplex up extrem art bilat (93930) $926 $1,852 3.7×
Duplex up extrem art unilat/ltd (93931) $601 $1,202 5.4×
ECG/monitoring and analysis (93271) $766 $1,532 7.6×
Echo Congenital Complete (93303) $936.50 $1,873 1.6×
Echo Heart Xthoracic,Limited (93308) $536.50 $1,073 2.1×
Echo r-t 2d w/probe placement only (93313) $973.50 $1,947 1.7×
Echo transesophageal (93312) $1,362.50 $2,725 2.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,743.50 $3,487 3.0×
Eeg 41-60 Minutes (95812) $838.50 $1,677 3.7×
EEG awake drowsy (95816) $697.50 $1,395 3.1×
EEG cerebral death evaluation (95824) $1,031.50 $2,063 2.6×
EEG cont rec w/video by tech min 8 channels (95700) $376.50 $753 1.6×
EEG extended monitoring 61-119 minutes (95813) $918 $1,836 4.0×
Eeg Sleep Only (95822) $760 $1,520 3.3×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $752 $1,504 7.5×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $501 $1,002 12.7×
Electrical Stimulation Ea 15 Min (97032) $90.50 $181 6.2×
Electrocardiogram Tracing (93005) $197.50 $395 3.2×
Emergency Dept Visit Level 2 (99282) $550.50 $1,101 3.4×
Emergency Dept Visit Level 3 (99283) $1,151 $2,302 4.0×
Emergency Dept Visit Level 4 (99284) $2,111.50 $4,223 4.8×
Er level 1 (99281) $324.50 $649 3.6×
Er level v (99285) $3,114.50 $6,229 4.9×
Esophgl Balo Distension Dx Std W/Provocation (91040) $5,804 $11,608 14.7×
Evaluate pt use of inhaler (94664) $95 $190 0.4×
Evaluate Speech Production (92522) $284 $568 2.5×
Evaluate Swallowing Function (92610) $208.50 $417 2.5×
Evaluation of speech fluency (92521) $293.50 $587 2.2×
Evoked Auditory Test,Limited (92587) $368.50 $737 1.6×
Exercise test for bronchospasm (94617) $785.50 $1,571 5.6×
External Ecg Scanning Analysis Report (93226) $422.50 $845 6.8×
Extracranial Bilat Study (93880) $875.50 $1,751 3.5×
Extracranial Uni/Ltd Study (93882)
range across 2 matching MRF lines		 $15–$584.50 $30–$1,169 varies
F-up/limited tthrc echo congenital car anomaly (93304) $693 $1,386 1.2×
Flexible endoscopic eval swallow c/v rec (92612) $227 $454 1.1×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $2,401.50 $4,803 6.1×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,543 $3,086 1.7×
Group Therapeutic Procedures (97150) $80.50 $161 4.5×
Holter monitor recording (93225) $842.50 $1,685 6.0×
Immunization administration (90471) $81 $162 1.1×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $707 $1,414 1.8×
Intracranial Complete Study (93886) $1,135.50 $2,271 4.5×
Intracutaneous tests w/allergenic extracts (95024) $50 $100 0.8×
Iontophoresis 15 min (97033) $101 $202 5.3×
Irrig Drug Delivery Device (96523) $186 $372 3.0×
IV infusion hydration each additional hour (96361) $136 $272 2.7×
IV infusion hydration initial 31 min-1 hour (96360) $426 $852 1.9×
IV infusion ther proph addl sequential to 1 hr (96367) $234.50 $469 3.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $175 $350 3.5×
IV push initial (96374) $277 $554 1.2×
Lwr Xtr Vasc Stdy Bilat (93924) $2,010.50 $4,021 8.8×
Mechanical chest wall oscillation per session (94669) $140.50 $281 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $33.50 $67 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $33.50 $67 0.9×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $33.50 $67 2.0×
Methacholine challenge (94070) $1,661.50 $3,323 4.2×
Motility study esophagus (91010) $2,737.50 $5,475 6.9×
Motion Fluoroscopy/Swallow (92611) $359.50 $719 3.9×
Multiple Sleep Latency Test (95805) $2,730.50 $5,461 3.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $413.50 $827 1.0×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $549 $1,098 1.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $330 $660 1.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $549 $1,098 1.3×
Neuromuscular Reeducation (97112) $86.50 $173 2.6×
Newborn resuscitation (99465) $945 $1,890 1.4×
Oral Function Therapy (92526) $220 $440 2.6×
Oral Speech Device Eval (92597) $269 $538 3.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $90.50 $181 1.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $90.50 $181 2.0×
Ot eval high complexity (97167)
range across 2 matching MRF lines		 $228–$272 $456–$544 varies
Ot Eval Low Complex (97165)
range across 2 matching MRF lines		 $158.50–$198.50 $317–$397 varies
Ot Eval Moderate Complexity (97166)
range across 2 matching MRF lines		 $183–$229.50 $366–$459 varies
Ot manual therapy 15 min (97140) $73 $146 2.6×
Ot paraffin bath (97018) $64.50 $129 10.7×
Ot Prosthetic Training, Each 15 Min (97761) $90.50 $181 2.2×
Ot Re-Eval Est Plan Care (97168) $238.50 $477 3.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $250.50 $501 1.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $234.50 $469 1.0×
Peripheral arterial disease rehab per session (93668) $250.50 $501 4.0×
Phlebotomy therapeutic (99195) $424.50 $849 3.0×
Physical Performance Test (97750) $71 $142 2.1×
Plethysmography (94726) $980.50 $1,961 2.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines		 $2,981–$3,409 $5,962–$6,818 varies
Polysom <6 yrs 4/> paramtrs (95782) $3,258.50 $6,517 3.6×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $3,409 $6,818 3.8×
Pt Eval High Complex (97163) $256 $512 2.6×
Pt eval low complex 20 min (97161) $157.50 $315 1.6×
Pt Eval Mod Complex (97162) $216 $432 2.2×
Pt gait training 15 min (97116) $81 $162 2.8×
Pt mechanical traction (97012) $76.50 $153 5.3×
Pt Re-Eval Est Plan Care (97164) $143 $286 2.1×
Pulm function test by gas (94727) $1,225.50 $2,451 5.4×
Pulmonary service/procedure (94799) $164 $328 1.2×
Pulmonary Stress Testing (94618) $135.50 $271 1.0×
Pure Tone Audiometry Air (92552) $249.50 $499 1.8×
Remote 30 Day Ecg Rev/Report (93270) $249 $498 6.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)
range across 5 matching MRF lines		 $38–$159 $76–$318 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $310.50 $621 1.5×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $365.50 $731 3.0×
Select picture audiometry (92583) $173 $346 2.8×
Self Care Mngment Training (97535) $79.50 $159 2.5×
Sensory Integration Ea 15 Min (97533) $90.50 $181 1.5×
Slp caregiver training 1st 30 min (97550) $98 $196 1.9×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $731.50 $1,463 3.2×
Speech Audiometry Complete (92556) $198.50 $397 3.2×
Speech audiometry threshold (92555) $135 $270 2.2×
Speech sound lang comprehen (92523) $261 $522 1.2×
Spirometry (94010) $424 $848 1.9×
Standardized Cognitive Performance Testing (96125) $365.50 $731 3.6×
Surfactant Admin Thru Tube (94610) $115 $230 0.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $99 $198 4.4×
Ther Ivntj Ea Addl 15 Min (97130) $99 $198 4.7×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $89 $178 2.4×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $47 $94 1.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $255 $510 2.5×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines		 $122–$140.50 $244–$281 varies
Ther/Proph/Diag Iv Inf Init (96365) $489.50 $979 2.2×
Therapeutic Activities (97530) $82 $164 2.3×
Transcranial Doppler Intracran Art Emboli Detect (93892) $591 $1,182 5.3×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $910.50 $1,821 8.2×
Tte w/doppler, complete (93306) $1,683 $3,366 2.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $218.50 $437 2.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $106.50 $213 2.1×
Tympanometry (92567) $144.50 $289 3.7×
Tympanometry and reflex threshold measurements (92550) $354 $708 1.5×
Unlisted noninvasive vascular diagnostic study (93998)
range across 4 matching MRF lines		 $816–$1,354.50 $1,632–$2,709 varies
Unlisted otorhinolaryngological service (92700) $396 $792 12.9×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines		 $15–$581 $30–$1,162 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $877 $1,754 3.8×
Veeg 2-12 hr unmonitored (95711) $1,546.50 $3,093 6.8×
Veeg Ea 12-26 Hr Unmntr (95714) $2,088.50 $4,177 5.3×
Vent Mgmt Inpat Init Day (94002) $674.50 $1,349 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $674.50 $1,349 1.0×
Visual reinforcement audiometry (vra) (92579) $279.50 $559 1.2×
Vital capacity, total (94150) $115 $230 0.8×
Wheelchair Mgmt Ea 15 Min (97542) $80.50 $161 2.6×
Whirlpool Therapy (97022) $76.50 $153 4.9×

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.