Visits & medical services prices at Parkview Whitley Hospital

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

190 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) $133 $266 1.0×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $249 $498 1.1×
Aep threshold estimation mlt frequencies i&r (92652)
range across 3 matching MRF lines		 $825–$2,314 $1,650–$4,628 varies
Airway Inhalation Treatment (94640) $120 $240 0.5×
Anrct mano rct sensation&rct balo expulsion test (91125) $1,780.50 $3,561 4.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $61 $122 4.2×
Application on-body injector (96377) $180.50 $361 3.6×
Assessment of aphasia per hr (96105) $535 $1,070 5.5×
Audiometry Air & Bone (92553) $347.50 $695 2.6×
Auditory Function, 60 Min (92620) $232.50 $465 1.7×
Behavral qualit analys voice (92524) $203.50 $407 1.9×
Bis Xtracell Fluid Analysis (93702) $215 $430 1.6×
Brief Emotional/Behav Assmt (96127) $10.50 $21 0.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $771 $1,542 2.0×
Canalith repositioning proc (95992) $133.50 $267 3.3×
Car seat/bed test 60 min (94780) $414.50 $829 10.5×
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines		 $342.50–$622.50 $685–$1,245 varies
Cardiopulmonary exercise testing (94621) $1,482.50 $2,965 3.8×
Cardiopulmonary resuscitation (92950) $565.50 $1,131 2.5×
Cardioversion (92960) $2,250.50 $4,501 3.2×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551)
range across 3 matching MRF lines		 $48–$50.50 $96–$101 varies
Cbt 1st hour (94644) $48 $96 0.3×
Chemo Admin Peritoneal Cavity (96446) $932 $1,864 2.7×
Chemo Anti-Neopl Sq/Im (96401) $289.50 $579 3.8×
Chemo Hormon Antineopl Sq/Im (96402) $241.50 $483 3.2×
Chemo IV infusion addl hr (96415) $462 $924 6.1×
Chemo IV push addl drug (96411) $405 $810 5.3×
Chemother Prolong Infuse W/Pump (96416) $932 $1,864 2.7×
Chemotherapy Into Cns (96450) $620 $1,240 1.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $362 $724 4.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $933.50 $1,867 2.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $543.50 $1,087 1.6×
Chest Wall Manipulation (94668) $138 $276 1.0×
Color/duplex Doppler, complete (93975) $668.50 $1,337 2.6×
Color/duplex Doppler, limited (93976) $432 $864 3.9×
Community/Work Reintegration Trainj Ea 15 Min (97537) $89 $178 2.8×
Comprehensive Hearing Test (92557) $346.50 $693 2.5×
Conditioning Play Audiometry (92582) $237 $474 1.7×
Cont gluc mntr physician/qhp provided equiptment (95250) $503.50 $1,007 3.6×
Cont Gluc Mntr Pt Prov Eqp (95249) $256 $512 4.1×
Continuous Pulse Ox (94762) $236.50 $473 1.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $410 $820 1.8×
Cpt initial (94667) $138 $276 1.0×
Critical care first hour (99291) $3,642.50 $7,285 4.2×
Debridement Open Wound 20 Sq Cm< (97597) $172.50 $345 0.8×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $430 $860 1.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979)
range across 2 matching MRF lines		 $15–$430 $30–$860 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925) $927 $1,854 3.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $577 $1,154 5.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $870.50 $1,741 3.4×
Dup-scan xtr veins unilateral/limited study (93971) $604 $1,208 5.5×
Duplex Scan Hemodialysis Access (93990) $260 $520 2.4×
Duplex up extrem art bilat (93930) $908.50 $1,817 3.6×
Duplex up extrem art unilat/ltd (93931) $590 $1,180 5.3×
ECG/monitoring and analysis (93271) $751.50 $1,503 7.5×
Echo Congenital Complete (93303) $919 $1,838 1.6×
Echo Heart Xthoracic,Limited (93308) $526.50 $1,053 2.1×
Echo r-t 2d w/probe placement only (93313) $955.50 $1,911 1.7×
Echo transesophageal (93312) $1,337 $2,674 2.3×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,711 $3,422 3.0×
Eeg 41-60 Minutes (95812) $823 $1,646 3.6×
EEG awake drowsy (95816) $684.50 $1,369 3.0×
EEG cerebral death evaluation (95824) $1,012.50 $2,025 2.6×
EEG cont rec w/video by tech min 8 channels (95700) $369.50 $739 1.6×
EEG extended monitoring 61-119 minutes (95813) $901 $1,802 3.9×
Eeg Sleep Only (95822) $746 $1,492 3.3×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $738.50 $1,477 7.3×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $491.50 $983 12.4×
Electrical Stimulation Ea 15 Min (97032) $89 $178 6.1×
Electrocardiogram Tracing (93005) $193.50 $387 3.1×
Emergency Dept Visit Level 2 (99282) $540.50 $1,081 3.3×
Emergency Dept Visit Level 3 (99283) $1,129.50 $2,259 3.9×
Emergency Dept Visit Level 4 (99284) $2,072.50 $4,145 4.7×
Er level 1 (99281) $318.50 $637 3.6×
Er level v (99285) $3,057 $6,114 4.9×
Esophgl Balo Distension Dx Std W/Provocation (91040) $5,696.50 $11,393 14.4×
Evaluate pt use of inhaler (94664) $93.50 $187 0.4×
Evaluate Speech Production (92522) $279 $558 2.5×
Evaluate Swallowing Function (92610) $204.50 $409 2.4×
Evaluation of speech fluency (92521) $288 $576 2.2×
Evoked Auditory Test,Limited (92587) $362 $724 1.6×
Exercise test for bronchospasm (94617) $771 $1,542 5.5×
External Ecg Scanning Analysis Report (93226) $414.50 $829 6.6×
Extracranial Bilat Study (93880) $859 $1,718 3.4×
Extracranial Uni/Ltd Study (93882)
range across 2 matching MRF lines		 $15–$573.50 $30–$1,147 varies
F-up/limited tthrc echo congenital car anomaly (93304) $680 $1,360 1.2×
Flexible endoscopic eval swallow c/v rec (92612) $223 $446 1.1×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $2,357 $4,714 6.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,514 $3,028 1.7×
Group Therapeutic Procedures (97150) $79 $158 4.4×
Holter monitor recording (93225) $827 $1,654 5.9×
Immunization administration (90471) $79.50 $159 1.0×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $694 $1,388 1.8×
Intracranial Complete Study (93886) $1,114.50 $2,229 4.4×
Intracutaneous tests w/allergenic extracts (95024) $49 $98 0.8×
Iontophoresis 15 min (97033) $99 $198 5.2×
Irrig Drug Delivery Device (96523) $182.50 $365 2.9×
IV infusion hydration each additional hour (96361) $133.50 $267 2.7×
IV infusion hydration initial 31 min-1 hour (96360) $418 $836 1.9×
IV infusion ther proph addl sequential to 1 hr (96367) $230 $460 3.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $172 $344 3.5×
IV push initial (96374) $272 $544 1.2×
Lwr Xtr Vasc Stdy Bilat (93924) $1,973 $3,946 8.6×
Mechanical chest wall oscillation per session (94669) $138 $276 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $33 $66 1.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $33 $66 0.9×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $33 $66 1.9×
Methacholine challenge (94070) $1,631 $3,262 4.1×
Motility study esophagus (91010) $2,686.50 $5,373 6.8×
Motion Fluoroscopy/Swallow (92611) $352.50 $705 3.9×
Multiple Sleep Latency Test (95805) $2,680 $5,360 2.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $406 $812 0.9×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $539 $1,078 1.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $323.50 $647 1.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $539 $1,078 1.3×
Neuromuscular Reeducation (97112) $84.50 $169 2.6×
Newborn resuscitation (99465) $927 $1,854 1.3×
Oral Function Therapy (92526) $216 $432 2.6×
Oral Speech Device Eval (92597) $264 $528 3.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $89 $178 1.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $89 $178 1.9×
Ot eval high complexity (97167)
range across 2 matching MRF lines		 $223.50–$267 $447–$534 varies
Ot Eval Low Complex (97165)
range across 2 matching MRF lines		 $155.50–$194.50 $311–$389 varies
Ot Eval Moderate Complexity (97166)
range across 2 matching MRF lines		 $179.50–$225 $359–$450 varies
Ot manual therapy 15 min (97140) $72 $144 2.6×
Ot paraffin bath (97018) $63.50 $127 10.6×
Ot Prosthetic Training, Each 15 Min (97761) $89 $178 2.2×
Ot Re-Eval Est Plan Care (97168) $234 $468 3.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $246 $492 1.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $230.50 $461 1.0×
Peripheral arterial disease rehab per session (93668) $246 $492 3.9×
Phlebotomy therapeutic (99195) $416.50 $833 3.0×
Physical Performance Test (97750) $69.50 $139 2.1×
Plethysmography (94726) $962.50 $1,925 2.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines		 $2,925.50–$3,346 $5,851–$6,692 varies
Polysom <6 yrs 4/> paramtrs (95782) $3,198 $6,396 3.5×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $3,346 $6,692 3.7×
Pt Eval High Complex (97163) $251.50 $503 2.6×
Pt eval low complex 20 min (97161) $154.50 $309 1.6×
Pt Eval Mod Complex (97162) $212 $424 2.2×
Pt gait training 15 min (97116) $79.50 $159 2.7×
Pt mechanical traction (97012) $75 $150 5.2×
Pt Re-Eval Est Plan Care (97164) $140.50 $281 2.1×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $7.50 $15 0.2×
Pulm function test by gas (94727) $1,203 $2,406 5.3×
Pulmonary service/procedure (94799) $161 $322 1.2×
Pulmonary Stress Testing (94618) $133 $266 0.9×
Pure Tone Audiometry Air (92552) $244.50 $489 1.7×
Remote 30 Day Ecg Rev/Report (93270) $244 $488 6.2×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)
range across 5 matching MRF lines		 $37–$156 $74–$312 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $304.50 $609 1.4×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $359 $718 2.9×
Select picture audiometry (92583) $170 $340 2.7×
Self Care Mngment Training (97535) $78 $156 2.4×
Sensory Integration Ea 15 Min (97533) $89 $178 1.5×
Slp caregiver training 1st 30 min (97550) $96 $192 1.8×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $718 $1,436 3.1×
Speech Audiometry Complete (92556) $194.50 $389 3.1×
Speech audiometry threshold (92555) $132.50 $265 2.1×
Speech sound lang comprehen (92523) $256 $512 1.1×
Spirometry (94010) $416 $832 1.8×
Standardized Cognitive Performance Testing (96125) $359 $718 3.5×
Surfactant Admin Thru Tube (94610) $113 $226 0.5×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $97 $194 4.3×
Ther Ivntj Ea Addl 15 Min (97130) $97 $194 4.6×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $87 $174 2.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $46 $92 1.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $250.50 $501 2.4×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines		 $122–$138 $244–$276 varies
Ther/Proph/Diag Iv Inf Init (96365) $480.50 $961 2.1×
Therapeutic Activities (97530) $80.50 $161 2.3×
Transcranial Doppler Intracran Art Emboli Detect (93892) $580 $1,160 5.2×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $893.50 $1,787 8.1×
Tte w/doppler, complete (93306) $1,651.50 $3,303 2.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $214 $428 2.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $104.50 $209 2.1×
Tympanometry (92567) $142 $284 3.6×
Tympanometry and reflex threshold measurements (92550) $347.50 $695 1.5×
Unlisted noninvasive vascular diagnostic study (93998)
range across 4 matching MRF lines		 $800.50–$1,329.50 $1,601–$2,659 varies
Unlisted otorhinolaryngological service (92700) $389 $778 12.7×
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines		 $15–$570 $30–$1,140 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $860.50 $1,721 3.8×
Veeg 2-12 hr unmonitored (95711) $1,518 $3,036 6.6×
Veeg Ea 12-26 Hr Unmntr (95714) $2,049.50 $4,099 5.2×
Vent Mgmt Inpat Init Day (94002) $662 $1,324 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $662 $1,324 1.0×
Visual reinforcement audiometry (vra) (92579) $274 $548 1.2×
Vital capacity, total (94150) $113 $226 0.8×
Wheelchair Mgmt Ea 15 Min (97542) $79 $158 2.5×
Whirlpool Therapy (97022) $75 $150 4.8×

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.