Visits & medical services prices at Perry County Memorial Hospital
Tell City, IN · every code in this section with a posted price and a Medicare benchmark.
127 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $105 | $150 | 0.5× |
| Airway Inhalation Treatment (94640) | $394.10 | $563 | 1.7× |
| Analyze neurostim complex (95972) | $144.20 | $206 | 1.4× |
| Analyze neurostim no prog (95970) range across 4 matching MRF lines |
$53.90–$246.40 | $77–$352 | varies |
| Analyze Neurostim Simple (95971) | $175 | $250 | 1.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $93.10 | $133 | 6.5× |
| Assessment of aphasia per hr (96105) | $421.40 | $602 | 4.3× |
| Behavral qualit analys voice (92524) | $172.90 | $247 | 1.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $392.70 | $561 | 1.0× |
| Cardiac Stress Tst,Tracing Only (93017) | $847 | $1,210 | 3.7× |
| Cardiopulmonary resuscitation (92950) | $971.60 | $1,388 | 4.3× |
| Cardioversion (92960) range across 3 matching MRF lines |
$228.90–$751.80 | $327–$1,074 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $756 | $1,080 | 0.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $595.70 | $851 | 0.2× |
| Cbt 1st hour (94644) | $133 | $190 | 0.9× |
| Chemo Anti-Neopl Sq/Im (96401) range across 4 matching MRF lines |
$65.80–$178.50 | $94–$255 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) | $178.50 | $255 | 2.3× |
| Chemo IV infusion addl hr (96415) | $134.40 | $192 | 1.8× |
| Chemo IV push addl drug (96411) | $229.60 | $328 | 3.0× |
| Chemother Prolong Infuse W/Pump (96416) | $343.70 | $491 | 1.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $319.20 | $456 | 4.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $597.80 | $854 | 1.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $281.40 | $402 | 0.8× |
| Chest Wall Manipulation (94668) | $112.70 | $161 | 0.8× |
| Color/duplex Doppler, complete (93975) | $644 | $920 | 2.6× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $77.70 | $111 | 2.4× |
| Continuous Pulse Ox (94762) | $315.70 | $451 | 2.3× |
| Coronary Art/Grft Angio S&I (93455) | $564.20 | $806 | 0.2× |
| Coronary Artery Angio S&I (93454) | $483.70 | $691 | 0.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$609.70–$1,578.50 | $871–$2,255 | varies |
| Cpt initial (94667) | $175.70 | $251 | 1.2× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$1,252.30–$1,399.30 | $1,789–$1,999 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$72.80–$297.50 | $104–$425 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,025.50 | $1,465 | 4.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $1,025.50 | $1,465 | 9.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,025.50 | $1,465 | 4.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $686.70 | $981 | 6.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,096.90 | $1,567 | 4.3× |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$654.50–$686.70 | $935–$981 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 4 matching MRF lines |
$239.40–$686.70 | $342–$981 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$226.80–$1,415.40 | $324–$2,022 | varies |
| EEG awake and asleep (95819) | $770.70 | $1,101 | 3.4× |
| EEG awake drowsy (95816) | $620.20 | $886 | 2.7× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$92.40–$103.60 | $132–$148 | varies |
| Electrocardiogram Tracing (93005) | $214.90 | $307 | 3.4× |
| Emergency Dept Visit Level 2 (99282) range across 4 matching MRF lines |
$268.80–$1,663.90 | $384–$2,377 | varies |
| Emergency Dept Visit Level 3 (99283) range across 4 matching MRF lines |
$217.70–$828.80 | $311–$1,184 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$681.80–$1,299.90 | $974–$1,857 | varies |
| Er level 1 (99281) range across 4 matching MRF lines |
$130.90–$221.20 | $187–$316 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$955.50–$1,811.60 | $1,365–$2,588 | varies |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$47.60–$63 | $68–$90 | varies |
| Evaluate Speech Production (92522) | $157.50 | $225 | 1.4× |
| Evaluate Swallowing Function (92610) | $462 | $660 | 5.4× |
| Evaluation of speech fluency (92521) | $198.10 | $283 | 1.5× |
| External ECG rec>48hr<7d recording (93242) | $425.60 | $608 | 10.8× |
| External ECG rec>7d<15d recording (93246) | $425.60 | $608 | 10.8× |
| Extracranial Bilat Study (93880) | $932.40 | $1,332 | 3.7× |
| Immunization administration (90471) range across 2 matching MRF lines |
$14–$14.70 | $20–$21 | varies |
| Irrig Drug Delivery Device (96523) | $76.30 | $109 | 1.2× |
| IV infusion hydration each additional hour (96361) range across 6 matching MRF lines |
$72.80–$84.70 | $104–$121 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$218.40–$275.10 | $312–$393 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$156.80–$473.90 | $224–$677 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$93.80–$107.10 | $134–$153 | varies |
| IV push initial (96374) range across 4 matching MRF lines |
$227.50–$258.30 | $325–$369 | varies |
| Low frequency non-thermal us (97610) | $408.80 | $584 | 1.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 7 matching MRF lines |
$27.30–$173.60 | $39–$248 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 8 matching MRF lines |
$56–$173.60 | $80–$248 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$28–$30.10 | $40–$43 | varies |
| Motion Fluoroscopy/Swallow (92611) | $316.40 | $452 | 3.5× |
| Multiple Sleep Latency Test (95805) | $2,130.10 | $3,043 | 2.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 4 matching MRF lines |
$835.80–$878.50 | $1,194–$1,255 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 4 matching MRF lines |
$835.80–$878.50 | $1,194–$1,255 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $365.40 | $522 | 1.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $365.40 | $522 | 0.8× |
| Neuromuscular Reeducation (97112) range across 6 matching MRF lines |
$102.20–$308 | $146–$440 | varies |
| Oral Function Therapy (92526) | $231.70 | $331 | 2.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $122.50 | $175 | 2.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$84.70–$163.10 | $121–$233 | varies |
| Ot eval high complexity (97167) | $234.50 | $335 | 2.3× |
| Ot Eval Low Complex (97165) | $234.50 | $335 | 2.3× |
| Ot Eval Moderate Complexity (97166) | $234.50 | $335 | 2.3× |
| Ot manual therapy 15 min (97140) range across 6 matching MRF lines |
$113.40–$334.60 | $162–$478 | varies |
| Ot paraffin bath (97018) | $53.20 | $76 | 8.9× |
| Ot Prosthetic Training, Each 15 Min (97761) | $124.60 | $178 | 3.1× |
| Ot Re-Eval Est Plan Care (97168) | $133.70 | $191 | 2.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 6 matching MRF lines |
$20.30–$283.50 | $29–$405 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $487.90 | $697 | 2.1× |
| Phlebotomy therapeutic (99195) | $149.10 | $213 | 1.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $162.40 | $232 | 2.6× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$65.10–$98 | $93–$140 | varies |
| Plethysmography (94726) | $574.70 | $821 | 1.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 4 matching MRF lines |
$2,102.10–$3,551.80 | $3,003–$5,074 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $18.90 | $27 | 0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $21 | $30 | 0.4× |
| Prq Card Stent W/Angio 1 Vsl (92928) likely a partial charge, not the full procedure |
$1,181.60 | $1,688 | 0.1× |
| Prq Revasc Byp Graft 1 Vsl (92937) likely a partial charge, not the full procedure |
$1,180.20 | $1,686 | 0.1× |
| Psych diag eval w/med srvcs (90792) range across 3 matching MRF lines |
$133.70–$905.80 | $191–$1,294 | varies |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$315.70–$563.50 | $451–$805 | varies |
| Pt Eval High Complex (97163) | $238 | $340 | 2.4× |
| Pt eval low complex 20 min (97161) | $238 | $340 | 2.4× |
| Pt Eval Mod Complex (97162) | $238 | $340 | 2.4× |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$125.30–$380.80 | $179–$544 | varies |
| Pt mechanical traction (97012) | $109.20 | $156 | 7.6× |
| Pt Re-Eval Est Plan Care (97164) | $140.70 | $201 | 2.1× |
| Pulmonary Stress Testing (94618) | $74.90 | $107 | 0.5× |
| Refill/Maint Portable Pump (96521) | $424.90 | $607 | 1.9× |
| Remote 30 Day Ecg Rev/Report (93270) | $425.60 | $608 | 10.8× |
| Self Care Mngment Training (97535) range across 7 matching MRF lines |
$100.10–$403.20 | $143–$576 | varies |
| Sleep study unattended (95806) | $540.40 | $772 | 2.4× |
| Speech sound lang comprehen (92523) | $321.30 | $459 | 1.4× |
| Spirometry (94010) | $263.90 | $377 | 1.2× |
| Standardized Cognitive Performance Testing (96125) | $258.30 | $369 | 2.5× |
| Temp transcutaneous pacing (92953) | $2.10 | $3 | 0.0× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $152.60 | $218 | 1.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$77–$126.70 | $110–$181 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$413.70–$473.90 | $591–$677 | varies |
| Therapeutic Activities (97530) range across 6 matching MRF lines |
$108.50–$334.60 | $155–$478 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $51.10 | $73 | 1.3× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,502.90–$2,254 | $2,147–$3,220 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $271.60 | $388 | 3.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$103.60–$119.70 | $148–$171 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 6 matching MRF lines |
$165.90–$239.40 | $237–$342 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 4 matching MRF lines |
$258.30–$364 | $369–$520 | varies |
| Vent Mgmt Inpat Init Day (94002) | $2,184 | $3,120 | 3.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,313.90 | $1,877 | 2.0× |
| Vital capacity, total (94150) | $56 | $80 | 0.4× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$74.90–$117.60 | $107–$168 | 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.