Visits & medical services prices at Parkview Wabash Hospital, Inc

Wabash, 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) $137 $274 1.0×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $256.50 $513 1.1×
Aep threshold estimation mlt frequencies i&r (92652)
range across 3 matching MRF lines		 $850–$2,384.50 $1,700–$4,769 varies
Airway Inhalation Treatment (94640) $123.50 $247 0.5×
Anrct mano rct sensation&rct balo expulsion test (91125) $1,835 $3,670 4.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $63 $126 4.4×
Application on-body injector (96377) $186 $372 3.8×
Assessment of aphasia per hr (96105) $551.50 $1,103 5.7×
Audiometry Air & Bone (92553) $358 $716 2.6×
Auditory Function, 60 Min (92620) $239.50 $479 1.8×
Behavral qualit analys voice (92524) $210 $420 1.9×
Bis Xtracell Fluid Analysis (93702) $221.50 $443 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $794.50 $1,589 2.0×
Canalith repositioning proc (95992) $137.50 $275 3.4×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines		 $353–$641.50 $706–$1,283 varies
Cardiopulmonary exercise testing (94621) $1,527.50 $3,055 3.9×
Cardiopulmonary resuscitation (92950) $582.50 $1,165 2.5×
Cardioversion (92960) $2,319 $4,638 3.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551)
range across 3 matching MRF lines		 $49.50–$52 $99–$104 varies
Cbt 1st hour (94644) $49.50 $99 0.4×
Chemo Admin Peritoneal Cavity (96446) $960.50 $1,921 2.7×
Chemo Anti-Neopl Sq/Im (96401) $298 $596 3.9×
Chemo Hormon Antineopl Sq/Im (96402) $248.50 $497 3.3×
Chemo IV infusion addl hr (96415) $476.50 $953 6.3×
Chemo IV push addl drug (96411) $417.50 $835 5.5×
Chemother Prolong Infuse W/Pump (96416) $960.50 $1,921 2.7×
Chemotherapy Into Cns (96450) $638.50 $1,277 1.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $373 $746 4.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $962 $1,924 2.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $560 $1,120 1.6×
Chest Wall Manipulation (94668) $142 $284 1.0×
Color/duplex Doppler, complete (93975) $688.50 $1,377 2.7×
Color/duplex Doppler, limited (93976) $445.50 $891 4.0×
Community/Work Reintegration Trainj Ea 15 Min (97537) $91.50 $183 2.9×
Comprehensive Hearing Test (92557) $357 $714 2.6×
Conditioning Play Audiometry (92582) $244.50 $489 1.8×
Cont gluc mntr physician/qhp provided equiptment (95250) $519 $1,038 3.7×
Cont Gluc Mntr Pt Prov Eqp (95249) $264 $528 4.2×
Continuous Pulse Ox (94762) $244 $488 1.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $422.50 $845 1.8×
Cpt initial (94667) $142 $284 1.0×
Critical care first hour (99291) $3,753.50 $7,507 4.3×
Debridement Open Wound 20 Sq Cm< (97597) $177.50 $355 0.8×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $443 $886 1.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979)
range across 2 matching MRF lines		 $15–$443 $30–$886 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925) $955.50 $1,911 3.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $594.50 $1,189 5.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $897 $1,794 3.6×
Dup-scan xtr veins unilateral/limited study (93971) $622.50 $1,245 5.6×
Duplex Scan Hemodialysis Access (93990) $268 $536 2.4×
Duplex up extrem art bilat (93930) $936.50 $1,873 3.7×
Duplex up extrem art unilat/ltd (93931) $607.50 $1,215 5.5×
ECG/monitoring and analysis (93271) $774.50 $1,549 7.7×
Echo Congenital Complete (93303) $947 $1,894 1.6×
Echo Heart Xthoracic,Limited (93308) $542.50 $1,085 2.1×
Echo r-t 2d w/probe placement only (93313) $984.50 $1,969 1.7×
Echo transesophageal (93312) $1,378 $2,756 2.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,763.50 $3,527 3.1×
Eeg 41-60 Minutes (95812) $848 $1,696 3.7×
EEG awake drowsy (95816) $705.50 $1,411 3.1×
EEG cerebral death evaluation (95824) $1,043.50 $2,087 2.6×
EEG cont rec w/video by tech min 8 channels (95700) $380.50 $761 1.7×
EEG extended monitoring 61-119 minutes (95813) $928.50 $1,857 4.1×
Eeg Sleep Only (95822) $768.50 $1,537 3.4×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $761 $1,522 7.6×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $506.50 $1,013 12.8×
Electrical Stimulation Ea 15 Min (97032) $91.50 $183 6.2×
Electrocardiogram Tracing (93005) $199.50 $399 3.2×
Emergency Dept Visit Level 2 (99282) $556.50 $1,113 3.4×
Emergency Dept Visit Level 3 (99283) $1,164 $2,328 4.0×
Emergency Dept Visit Level 4 (99284) $2,135.50 $4,271 4.8×
Er level 1 (99281) $328 $656 3.7×
Er level v (99285) $3,150 $6,300 5.0×
Esophgl Balo Distension Dx Std W/Provocation (91040) $5,870 $11,740 14.9×
Evaluate pt use of inhaler (94664) $96 $192 0.4×
Evaluate Speech Production (92522) $287.50 $575 2.6×
Evaluate Swallowing Function (92610) $211 $422 2.5×
Evaluation of speech fluency (92521) $297 $594 2.2×
Evoked Auditory Test,Limited (92587) $373 $746 1.6×
Exercise test for bronchospasm (94617) $794.50 $1,589 5.6×
External Ecg Scanning Analysis Report (93226) $427 $854 6.8×
Extracranial Bilat Study (93880) $885.50 $1,771 3.5×
Extracranial Uni/Ltd Study (93882)
range across 2 matching MRF lines		 $15–$591 $30–$1,182 varies
F-up/limited tthrc echo congenital car anomaly (93304) $701 $1,402 1.2×
Flexible endoscopic eval swallow c/v rec (92612) $229.50 $459 1.1×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $2,429 $4,858 6.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,560.50 $3,121 1.7×
Group Therapeutic Procedures (97150) $81.50 $163 4.5×
Holter monitor recording (93225) $852 $1,704 6.1×
Immunization administration (90471) $82 $164 1.1×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $715 $1,430 1.8×
Intracranial Complete Study (93886) $1,148.50 $2,297 4.5×
Intracutaneous tests w/allergenic extracts (95024) $50.50 $101 0.8×
Iontophoresis 15 min (97033) $102 $204 5.4×
Irrig Drug Delivery Device (96523) $188 $376 3.0×
IV infusion hydration each additional hour (96361) $137.50 $275 2.8×
IV infusion hydration initial 31 min-1 hour (96360) $430.50 $861 1.9×
IV infusion ther proph addl sequential to 1 hr (96367) $237 $474 3.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $177 $354 3.6×
IV push initial (96374) $280 $560 1.2×
Lwr Xtr Vasc Stdy Bilat (93924) $2,033 $4,066 8.9×
Mechanical chest wall oscillation per session (94669) $142 $284 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $34 $68 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $34 $68 0.9×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $34 $68 2.0×
Methacholine challenge (94070) $1,680.50 $3,361 4.3×
Motility study esophagus (91010) $2,768.50 $5,537 7.0×
Motion Fluoroscopy/Swallow (92611) $363.50 $727 4.0×
Multiple Sleep Latency Test (95805) $2,761.50 $5,523 3.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $418.50 $837 1.0×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $555 $1,110 1.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $333.50 $667 1.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $555 $1,110 1.3×
Neuromuscular Reeducation (97112) $87.50 $175 2.7×
Newborn resuscitation (99465) $955.50 $1,911 1.4×
Oral Function Therapy (92526) $222.50 $445 2.6×
Oral Speech Device Eval (92597) $272 $544 3.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $91.50 $183 1.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $91.50 $183 2.0×
Ot eval high complexity (97167)
range across 2 matching MRF lines		 $230.50–$275 $461–$550 varies
Ot Eval Low Complex (97165)
range across 2 matching MRF lines		 $160.50–$200.50 $321–$401 varies
Ot Eval Moderate Complexity (97166)
range across 2 matching MRF lines		 $185–$232 $370–$464 varies
Ot manual therapy 15 min (97140) $74 $148 2.7×
Ot paraffin bath (97018) $65 $130 10.8×
Ot Prosthetic Training, Each 15 Min (97761) $91.50 $183 2.3×
Ot Re-Eval Est Plan Care (97168) $241.50 $483 3.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $253.50 $507 1.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $237.50 $475 1.0×
Peripheral arterial disease rehab per session (93668) $253.50 $507 4.1×
Phlebotomy therapeutic (99195) $429 $858 3.0×
Physical Performance Test (97750) $71.50 $143 2.1×
Plethysmography (94726) $992 $1,984 2.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines		 $3,014.50–$3,447.50 $6,029–$6,895 varies
Polysom <6 yrs 4/> paramtrs (95782) $3,295.50 $6,591 3.6×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $3,447.50 $6,895 3.8×
Psychiatric diagnostic evaluation (90791) $251 $502 1.3×
Pt Eval High Complex (97163) $259 $518 2.6×
Pt eval low complex 20 min (97161) $159.50 $319 1.6×
Pt Eval Mod Complex (97162) $218.50 $437 2.2×
Pt gait training 15 min (97116) $82 $164 2.8×
Pt mechanical traction (97012) $77.50 $155 5.4×
Pt Re-Eval Est Plan Care (97164) $144.50 $289 2.1×
Pulm function test by gas (94727) $1,239.50 $2,479 5.4×
Pulmonary service/procedure (94799) $166 $332 1.2×
Pulmonary Stress Testing (94618) $137 $274 1.0×
Pure Tone Audiometry Air (92552) $252 $504 1.8×
Remote 30 Day Ecg Rev/Report (93270) $251.50 $503 6.4×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)
range across 5 matching MRF lines		 $38.50–$161 $77–$322 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $314 $628 1.5×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $370 $740 3.0×
Select picture audiometry (92583) $175 $350 2.8×
Self Care Mngment Training (97535) $80.50 $161 2.5×
Sensory Integration Ea 15 Min (97533) $91.50 $183 1.5×
Slp caregiver training 1st 30 min (97550) $99 $198 1.9×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $739.50 $1,479 3.2×
Speech Audiometry Complete (92556) $200.50 $401 3.2×
Speech audiometry threshold (92555) $136.50 $273 2.2×
Speech sound lang comprehen (92523) $264 $528 1.2×
Spirometry (94010) $428.50 $857 1.9×
Standardized Cognitive Performance Testing (96125) $370 $740 3.6×
Surfactant Admin Thru Tube (94610) $116 $232 0.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $100 $200 4.5×
Ther Ivntj Ea Addl 15 Min (97130) $100 $200 4.8×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $90 $180 2.4×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $47.50 $95 1.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $258 $516 2.5×
Ther/Proph/Diag Inj Sc/Im (96372) $142 $284 1.9×
Ther/Proph/Diag Iv Inf Init (96365) $495 $990 2.2×
Therapeutic Activities (97530) $83 $166 2.4×
Transcranial Doppler Intracran Art Emboli Detect (93892) $598 $1,196 5.4×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $920.50 $1,841 8.3×
Tte w/doppler, complete (93306) $1,702 $3,404 2.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $220.50 $441 2.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $108 $216 2.2×
Tympanometry (92567) $146 $292 3.7×
Tympanometry and reflex threshold measurements (92550) $358 $716 1.6×
Unlisted noninvasive vascular diagnostic study (93998)
range across 4 matching MRF lines		 $825–$1,370 $1,650–$2,740 varies
Unlisted otorhinolaryngological service (92700) $400.50 $801 13.1×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines		 $15–$587.50 $30–$1,175 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $887 $1,774 3.9×
Veeg 2-12 hr unmonitored (95711) $1,564 $3,128 6.8×
Veeg Ea 12-26 Hr Unmntr (95714) $2,112 $4,224 5.3×
Vent Mgmt Inpat Init Day (94002) $682.50 $1,365 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $682.50 $1,365 1.0×
Visual reinforcement audiometry (vra) (92579) $282.50 $565 1.2×
Vital capacity, total (94150) $116 $232 0.9×
Wheelchair Mgmt Ea 15 Min (97542) $81.50 $163 2.6×
Whirlpool Therapy (97022) $77.50 $155 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.