Visits & medical services prices at Pulaski Memorial Hospital
Winamac, IN · every code in this section with a posted price and a Medicare benchmark.
153 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Advncd Care Plan 30 Min (99497) | $228.34 | $326.20 | 2.1× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$82.67–$101.15 | $118.10–$144.50 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$125.16–$146.86 | $178.80–$209.80 | varies |
| Application on-body injector (96377) | $180.74 | $258.20 | 3.6× |
| Behavral qualit analys voice (92524) | $333.62 | $476.60 | 3.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $398.93 | $569.90 | 1.0× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$109.90–$167.37 | $157–$239.10 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$67.90–$668.43 | $97–$954.90 | varies |
| Cardiopulmonary resuscitation (92950) | $846.02 | $1,208.60 | 3.7× |
| Cardioversion (92960) | $1,282.61 | $1,832.30 | 1.8× |
| Cardioversion elective internal (92961) | $1,566.04 | $2,237.20 | 2.2× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $98.21 | $140.30 | 3.8× |
| Cbt 1st hour (94644) | $228.69 | $326.70 | 1.6× |
| Chemo Anti-Neopl Sq/Im (96401) | $374.08 | $534.40 | 4.9× |
| Chemo Hormon Antineopl Sq/Im (96402) | $374.08 | $534.40 | 4.9× |
| Chemo IV infusion addl hr (96415) | $367.71 | $525.30 | 4.8× |
| Chemo IV push addl drug (96411) | $402.08 | $574.40 | 5.3× |
| Chemother Prolong Infuse W/Pump (96416) | $1,404.76 | $2,006.80 | 4.0× |
| Chemotherapy Intracavitary (96440) | $497.56 | $710.80 | 1.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $586.67 | $838.10 | 7.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,037.05 | $1,481.50 | 3.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $597.59 | $853.70 | 1.7× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $497.56 | $710.80 | 1.4× |
| Chest Wall Manipulation (94668) | $111.09 | $158.70 | 0.8× |
| Cmptr ophth dx img ant segmt (92132) range across 2 matching MRF lines |
$34.30–$136.22 | $49–$194.60 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$76.86–$791.70 | $109.80–$1,131 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $98.35 | $140.50 | 3.1× |
| Computerized Ophthalmic Imaging Optic Nerve (92133) range across 2 matching MRF lines |
$42–$136.22 | $60–$194.60 | varies |
| Computerized Ophthalmic Imaging Retina (92134) range across 2 matching MRF lines |
$42.70–$136.22 | $61–$194.60 | varies |
| Continuous Pulse Ox (94762) | $98.35 | $140.50 | 0.7× |
| Corneal Topography (92025) range across 2 matching MRF lines |
$37.10–$136.22 | $53–$194.60 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $349.65 | $499.50 | 1.5× |
| Cpt initial (94667) | $136.08 | $194.40 | 1.0× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$257.60–$524.65 | $368–$749.50 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$79.80–$445.76 | $114–$636.80 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$75.67–$734.44 | $108.10–$1,049.20 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$46.62–$551.60 | $66.60–$788 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$74.90–$1,563.52 | $107–$2,233.60 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$45.57–$889.91 | $65.10–$1,271.30 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$65.45–$1,448.51 | $93.50–$2,069.30 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$42.35–$889.91 | $60.50–$1,271.30 | varies |
| Duplex up extrem art bilat (93930) range across 3 matching MRF lines |
$75.95–$1,397.55 | $108.50–$1,996.50 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$46.27–$721.70 | $66.10–$1,031 | varies |
| Echo Heart Xthoracic,Limited (93308) | $605.85 | $865.50 | 2.4× |
| Electrical Stimulation Ea 15 Min (97032) | $125.16 | $178.80 | 8.5× |
| Electrocardiogram Tracing (93005) range across 4 matching MRF lines |
$172.69–$206.71 | $246.70–$295.30 | varies |
| Emergency Dept Visit Level 2 (99282) | $46.90 | $67 | 0.3× |
| Emergency Dept Visit Level 3 (99283) | $81.90 | $117 | 0.3× |
| Emergency Dept Visit Level 4 (99284) | $154.70 | $221 | 0.4× |
| Er level 1 (99281) | $28 | $40 | 0.3× |
| Er level v (99285) range across 2 matching MRF lines |
$89.32–$212.80 | $127.60–$304 | varies |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$44.52–$105.42 | $63.60–$150.60 | varies |
| Evaluate Speech Production (92522) | $333.62 | $476.60 | 3.0× |
| Evaluate Swallowing Function (92610) | $350.35 | $500.50 | 4.1× |
| Evaluation of speech fluency (92521) | $333.62 | $476.60 | 2.5× |
| External Ecg Scanning Analysis Report (93226) | $577.64 | $825.20 | 9.3× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$76.23–$1,448.51 | $108.90–$2,069.30 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$46.62–$868.98 | $66.60–$1,241.40 | varies |
| Gonioscopy (92020) range across 2 matching MRF lines |
$26.60–$284.48 | $38–$406.40 | varies |
| Holter monitor recording (93225) | $561.19 | $801.70 | 4.0× |
| Immunization administration (90471) range across 2 matching MRF lines |
$29.12–$57.54 | $41.60–$82.20 | varies |
| Intracranial Complete Study (93886) | $91.91 | $131.30 | 0.4× |
| Iontophoresis 15 min (97033) | $142.10 | $203 | 7.5× |
| Irrig Drug Delivery Device (96523) | $208.04 | $297.20 | 3.3× |
| IV infusion hydration each additional hour (96361) | $140.21 | $200.30 | 2.8× |
| IV infusion hydration initial 31 min-1 hour (96360) | $711.34 | $1,016.20 | 3.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $240.73 | $343.90 | 3.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $180.74 | $258.20 | 3.6× |
| IV push initial (96374) | $359.45 | $513.50 | 1.6× |
| Low frequency non-thermal us (97610) range across 2 matching MRF lines |
$487.97–$967.05 | $697.10–$1,381.50 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $47.25 | $67.50 | 0.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $33.95 | $48.50 | 0.9× |
| Motion Fluoroscopy/Swallow (92611) | $436.66 | $623.80 | 4.8× |
| Multiple Family Group Psychotherapy (90849) | $108.50 | $155 | 0.6× |
| Nasopharyngoscopy (92511) | $42 | $60 | 0.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$290.50–$858.13 | $415–$1,225.90 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$287–$858.13 | $410–$1,225.90 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$41.30–$533.12 | $59–$761.60 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$49.70–$858.13 | $71–$1,225.90 | varies |
| Neuromuscular Reeducation (97112) | $125.16 | $178.80 | 3.8× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) range across 2 matching MRF lines |
$84–$284.48 | $120–$406.40 | varies |
| Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) range across 2 matching MRF lines |
$46.20–$294.35 | $66–$420.50 | varies |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 2 matching MRF lines |
$46.20–$294.35 | $66–$420.50 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) range across 2 matching MRF lines |
$46.20–$294.35 | $66–$420.50 | varies |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) range across 2 matching MRF lines |
$46.20–$294.35 | $66–$420.50 | varies |
| Oral Function Therapy (92526) | $196.77 | $281.10 | 2.3× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $139.58 | $199.40 | 2.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $106.61 | $152.30 | 2.3× |
| Ot Contrast Bath Ea 15 Min (97034) | $125.16 | $178.80 | 8.9× |
| Ot eval high complexity (97167) | $378.91 | $541.30 | 3.8× |
| Ot Eval Low Complex (97165) | $227.36 | $324.80 | 2.3× |
| Ot Eval Moderate Complexity (97166) | $303.03 | $432.90 | 3.0× |
| Ot manual therapy 15 min (97140) | $125.16 | $178.80 | 4.5× |
| Ot paraffin bath (97018) | $98.35 | $140.50 | 16.4× |
| Ot Prosthetic Training, Each 15 Min (97761) | $125.16 | $178.80 | 3.1× |
| Ot Re-Eval Est Plan Care (97168) | $250.25 | $357.50 | 3.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $159.74 | $228.20 | 1.2× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $3.50 | $5 | 0.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) range across 2 matching MRF lines |
$70.35–$71.54 | $100.50–$102.20 | varies |
| Peripheral arterial disease rehab per session (93668) | $161.28 | $230.40 | 2.6× |
| Phlebotomy therapeutic (99195) | $154.77 | $221.10 | 1.1× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $205.59 | $293.70 | 3.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $205.59 | $293.70 | 3.3× |
| Physical Performance Test (97750) | $164.15 | $234.50 | 4.9× |
| Plethysmography (94726) | $492.03 | $702.90 | 1.2× |
| Pm device eval in person (93288) | $78.31 | $111.87 | 2.0× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $22.26 | $31.80 | 0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $37.10 | $53 | 0.7× |
| Psych diag eval w/med srvcs (90792) | $478.73 | $683.90 | 2.5× |
| Psychiatric diagnostic evaluation (90791) | $401.17 | $573.10 | 2.1× |
| Pt Eval High Complex (97163) | $413 | $590 | 4.2× |
| Pt eval low complex 20 min (97161) | $247.94 | $354.20 | 2.5× |
| Pt Eval Mod Complex (97162) | $330.26 | $471.80 | 3.4× |
| Pt gait training 15 min (97116) | $106.61 | $152.30 | 3.7× |
| Pt group caregiver training (97552) | $98.21 | $140.30 | 4.5× |
| Pt mechanical traction (97012) | $125.16 | $178.80 | 8.7× |
| Pt Re-Eval Est Plan Care (97164) | $240.38 | $343.40 | 3.6× |
| Pulmonary Stress Testing (94618) | $737.66 | $1,053.80 | 5.2× |
| Refill/Maint Portable Pump (96521) | $637.35 | $910.50 | 2.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $201.32 | $287.60 | 5.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $181.30 | $259 | 2.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$32.90–$445.76 | $47–$636.80 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $125.30 | $179 | 4.8× |
| Self Care Mngment Training (97535) | $98.35 | $140.50 | 3.0× |
| Sensory Integration Ea 15 Min (97533) | $98.35 | $140.50 | 1.6× |
| Slp caregiver training 1st 30 min (97550) | $98.21 | $140.30 | 1.9× |
| Speech sound lang comprehen (92523) | $333.62 | $476.60 | 1.5× |
| Spirometry (94010) range across 2 matching MRF lines |
$71.96–$238.91 | $102.80–$341.30 | varies |
| Stress Tte Only (93350) | $2,778.23 | $3,968.90 | 4.8× |
| Temp transcutaneous pacing (92953) | $676.69 | $966.70 | 1.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $66.15 | $94.50 | 3.0× |
| Ther Ivntj Ea Addl 15 Min (97130) | $66.15 | $94.50 | 3.1× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $116.97 | $167.10 | 3.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $106.61 | $152.30 | 3.6× |
| Ther/Proph/Diag Inj Ia (96373) | $583.87 | $834.10 | 2.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$25.20–$154 | $36–$220 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$615.51–$1,258.04 | $879.30–$1,797.20 | varies |
| Therapeutic Activities (97530) | $98.35 | $140.50 | 2.8× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$28–$83.09 | $40–$118.70 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$14–$40.67 | $20–$58.10 | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $72.52 | $103.60 | 0.7× |
| Tte w/doppler, complete (93306) | $2,835.70 | $4,051 | 4.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 4 matching MRF lines |
$57.05–$263.97 | $81.50–$377.10 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $215.81 | $308.30 | 4.4× |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$909.02–$930.58 | $1,298.60–$1,329.40 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$23.45–$666.40 | $33.50–$952 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 2 matching MRF lines |
$42.35–$1,001.84 | $60.50–$1,431.20 | varies |
| Vasopneumatic device (97016) | $142.10 | $203 | 11.8× |
| Vent Mgmt Inpat Init Day (94002) | $644.28 | $920.40 | 1.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $450.87 | $644.10 | 0.7× |
| Visual Field Exam Extended (92083) range across 2 matching MRF lines |
$61.60–$284.48 | $88–$406.40 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $106.61 | $152.30 | 3.4× |
| Whirlpool Therapy (97022) | $169.26 | $241.80 | 10.8× |
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.