Visits & medical services prices at Wabash General Hospital 1
Mount Carmel, IL · every code in this section with a posted price and a Medicare benchmark.
202 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $391.15 | $391.15 | 2.8× |
| Acoustic Reflex Testing (92568) | $98.13 | $98.13 | 2.5× |
| Actigraphy Testing Recording Analysis I&R (95803) | $400.08 | $400.08 | 6.3× |
| Acupunct W/Stimul 15 Min (97813) range across 2 matching MRF lines |
$132.30–$176.40 | $132.30–$176.40 | varies |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) range across 2 matching MRF lines |
$123.01–$164.01 | $123.01–$164.01 | varies |
| Advncd Care Plan 30 Min (99497) | $143.74 | $143.74 | 1.3× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$41.79–$86.29 | $41.79–$86.29 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $169.05 | $169.05 | 11.8× |
| Application on-body injector (96377) | $106 | $106 | 2.1× |
| Assessment of aphasia per hr (96105) | $366.96 | $366.96 | 3.8× |
| Assmt & care planning pt w/cognitive impairment (99483) | $508.07 | $508.07 | 4.7× |
| Audiometry Air & Bone (92553) | $391.15 | $391.15 | 2.8× |
| Basic vestibular evaluation (92540) | $391.15 | $391.15 | 1.7× |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$54.50–$217.98 | $54.50–$217.98 | varies |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $111.74 | $111.74 | 1.4× |
| Bfb training ea addl 15 min (90913) | $64.29 | $64.29 | 2.0× |
| Biofeedback training any modality (90901) | $49.49 | $49.49 | 1.2× |
| Brief Emotional/Behav Assmt (96127) | $12.82 | $12.82 | 0.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $722.52 | $722.52 | 1.8× |
| Caloric vestibular test w/rec bi monothermal (92538) | $391.15 | $391.15 | 1.7× |
| Caloric Vstblr Test W/Rec (92537) | $391.15 | $391.15 | 2.8× |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$44.44–$138.27 | $44.44–$138.27 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$1,388.96–$1,402.44 | $1,388.96–$1,402.44 | varies |
| Cardiopulmonary resuscitation (92950) | $713.73 | $713.73 | 3.1× |
| Cardioversion (92960) range across 2 matching MRF lines |
$594.78–$1,477 | $594.78–$1,477 | varies |
| Caregiver hlth risk assmt score doc stnd instrm (96161) | $21.84 | $21.84 | 0.5× |
| Cbt 1st hour (94644) | $242.67 | $242.67 | 1.7× |
| Cervical & Ocular Vemp Testing W/I&R (92519) | $778.50 | $778.50 | 3.4× |
| Cervical Vemp Testing W/I&R (92517) | $391.15 | $391.15 | 2.8× |
| Chemo Anti-Neopl Sq/Im (96401) | $108.56 | $108.56 | 1.4× |
| Chemo Hormon Antineopl Sq/Im (96402) | $216.88 | $216.88 | 2.8× |
| Chemo IV infusion addl hr (96415) | $168.66 | $168.66 | 2.2× |
| Chemo IV push addl drug (96411) | $336.56 | $336.56 | 4.4× |
| Chemother Prolong Infuse W/Pump (96416) | $527.67 | $527.67 | 1.5× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$148.10–$645.36 | $148.10–$645.36 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $168.66 | $168.66 | 2.2× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $527.67 | $527.67 | 1.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $336.56 | $336.56 | 1.0× |
| Chest Wall Manipulation (94668) | $87.07 | $87.07 | 0.6× |
| Chiropract manj 3-4 regions (98941) range across 2 matching MRF lines |
$131.91–$175.88 | $131.91–$175.88 | varies |
| Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) range across 2 matching MRF lines |
$85.40–$113.87 | $85.40–$113.87 | varies |
| Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) range across 2 matching MRF lines |
$178.76–$238.35 | $178.76–$238.35 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $98.52 | $98.52 | 0.9× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $603.07 | $603.07 | 1.5× |
| Color/duplex Doppler, complete (93975) | $1,958.43 | $1,958.43 | 7.7× |
| Color/duplex Doppler, limited (93976) | $1,147.20 | $1,147.20 | 10.2× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $228.76 | $228.76 | 1.2× |
| Comprehensive Hearing Test (92557) range across 2 matching MRF lines |
$106.62–$391.15 | $106.62–$391.15 | varies |
| Conditioning Play Audiometry (92582) | $391.15 | $391.15 | 2.8× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $99.37 | $99.37 | 0.7× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $152.93 | $152.93 | 2.4× |
| Continuous Pulse Ox (94762) | $319.01 | $319.01 | 2.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$469.37–$497.95 | $469.37–$497.95 | varies |
| Cpt initial (94667) | $151 | $151 | 1.1× |
| Critical care first hour (99291) | $1,952.68 | $1,952.68 | 2.2× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$33.57–$311.81 | $33.57–$311.81 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $34.48 | $34.48 | 0.3× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $778.50 | $778.50 | 1.9× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,147.20 | $1,147.20 | 4.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $900.89 | $900.89 | 8.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,194.16 | $1,194.16 | 4.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $942.90 | $942.90 | 8.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,522.46 | $1,522.46 | 6.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,216.41 | $1,216.41 | 10.9× |
| Duplex up extrem art bilat (93930) | $1,194.16 | $1,194.16 | 4.7× |
| Duplex up extrem art unilat/ltd (93931) | $942.90 | $942.90 | 8.4× |
| Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) | $58.06 | $58.06 | 0.4× |
| ECG/monitoring and analysis (93271) | $1,442.33 | $1,442.33 | 14.2× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$617.31–$635.83 | $617.31–$635.83 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$1,402.03–$1,402.77 | $1,402.03–$1,402.77 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$201.90–$1,402.03 | $201.90–$1,402.03 | varies |
| EEG awake and asleep (95819) | $1,251.46 | $1,251.46 | 5.4× |
| EEG awake drowsy (95816) | $1,173.14 | $1,173.14 | 5.1× |
| EEG cerebral death evaluation (95824) | $831.10 | $831.10 | 2.1× |
| Eeg Sleep Only (95822) | $1,251.46 | $1,251.46 | 5.4× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$236.64–$248.48 | $236.64–$248.48 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$75.71–$201.47 | $75.71–$201.47 | varies |
| Electrocochleography (92584) | $391.15 | $391.15 | 2.8× |
| Emergency Dept Visit Level 2 (99282) | $392.61 | $392.61 | 2.4× |
| Emergency Dept Visit Level 3 (99283) | $751.78 | $751.78 | 2.6× |
| Emergency Dept Visit Level 4 (99284) | $954.21 | $954.21 | 2.1× |
| Er level 1 (99281) | $218.77 | $218.77 | 2.4× |
| Er level v (99285) | $1,426.33 | $1,426.33 | 2.2× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$54.08–$66.25 | $54.08–$66.25 | varies |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$52.29–$209.12 | $52.29–$209.12 | varies |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$84.80–$339.21 | $84.80–$339.21 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$64.39–$257.56 | $64.39–$257.56 | varies |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$71.68–$778.50 | $71.68–$778.50 | varies |
| External Ecg Scanning Analysis Report (93226) | $1,442.33 | $1,442.33 | 22.8× |
| Extracranial Bilat Study (93880) | $1,728.54 | $1,728.54 | 6.8× |
| Extracranial Uni/Ltd Study (93882) | $209.50 | $209.50 | 1.9× |
| Flexible endoscopic eval swallow c/v rec (92612) range across 2 matching MRF lines |
$156.95–$470.85 | $156.95–$470.85 | varies |
| Holter monitor recording (93225) | $445.44 | $445.44 | 3.1× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $10.82 | $10.82 | 0.1× |
| Immunization administration (90471) range across 2 matching MRF lines |
$42.50–$155.20 | $42.50–$155.20 | varies |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$162.31–$271.69 | $162.31–$271.69 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$70.61–$109.26 | $70.61–$109.26 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$79.52–$84.37 | $79.52–$84.37 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$198.75–$237.77 | $198.75–$237.77 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $122.46 | $122.46 | 1.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $80.33 | $80.33 | 1.6× |
| IV push initial (96374) range across 2 matching MRF lines |
$100.52–$225.53 | $100.52–$225.53 | varies |
| Mechanical chest wall oscillation per session (94669) | $151 | $151 | 0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $44.57 | $44.57 | 1.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $44.57 | $44.57 | 1.2× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $44.57 | $44.57 | 2.6× |
| Methacholine challenge (94070) | $587.55 | $587.55 | 1.5× |
| Motion Fluoroscopy/Swallow (92611) | $424.11 | $424.11 | 4.6× |
| Multiple Sleep Latency Test (95805) | $2,411.29 | $2,411.29 | 2.6× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$47.21–$141.64 | $47.21–$141.64 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $593.69 | $593.69 | 1.4× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $148.75 | $148.75 | 0.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $353.60 | $353.60 | 1.6× |
| Nerve Conduction Studies 1-2 Studies (95907) | $484.52 | $484.52 | 2.1× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,295.74 | $1,295.74 | 3.2× |
| Nerve conduction studies 13 or more studies (95913) | $1,490.06 | $1,490.06 | 3.7× |
| Nerve Conduction Studies 3-4 Studies (95908) | $622.24 | $622.24 | 2.7× |
| Nerve conduction studies 5-6 studies (95909) | $741.38 | $741.38 | 3.2× |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$980.32–$1,009.73 | $980.32–$1,009.73 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$1,169.77–$1,204.86 | $1,169.77–$1,204.86 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $403.66 | $403.66 | 2.9× |
| Neuromuscular Reeducation (97112) | $135.34 | $135.34 | 4.1× |
| Ocular Vemp Testing W/I&R (92518) | $391.15 | $391.15 | 2.8× |
| Oral Function Therapy (92526) | $188.49 | $188.49 | 2.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $91.35 | $91.35 | 1.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $116.20 | $116.20 | 2.5× |
| Ot eval high complexity (97167) | $545.68 | $545.68 | 5.4× |
| Ot Eval Low Complex (97165) | $363.80 | $363.80 | 3.6× |
| Ot Eval Moderate Complexity (97166) | $454.75 | $454.75 | 4.5× |
| Ot manual therapy 15 min (97140) | $140.80 | $140.80 | 5.1× |
| Ot paraffin bath (97018) | $162.31 | $162.31 | 27.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $126.29 | $126.29 | 3.1× |
| Ot Re-Eval Est Plan Care (97168) | $265.64 | $265.64 | 3.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $635.83 | $635.83 | 4.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $385.20 | $385.20 | 2.8× |
| Phlebotomy therapeutic (99195) | $102.46 | $102.46 | 0.7× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $177.85 | $177.85 | 2.8× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $177.85 | $177.85 | 2.8× |
| Physical Performance Test (97750) | $112.05 | $112.05 | 3.3× |
| Plethysmography (94726) | $704.91 | $704.91 | 1.8× |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$237–$244.11 | $237–$244.11 | varies |
| Pm/Icd Remote Tech Serv (93296) | $84.46 | $84.46 | 2.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $5,475.28 | $5,475.28 | 5.9× |
| Polysom <6 yrs 4/> paramtrs (95782) | $4,358.90 | $4,358.90 | 4.7× |
| Positional nystagmus test (92542) | $322.25 | $322.25 | 2.3× |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $185 | $185 | 1.7× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $24.88 | $24.88 | 0.5× |
| Psych diag eval w/med srvcs (90792) range across 3 matching MRF lines |
$208–$223 | $208–$223 | varies |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$182–$260 | $182–$260 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 4 matching MRF lines |
$194–$322.28 | $194–$322.28 | varies |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$188.76–$454.75 | $188.76–$454.75 | varies |
| Pt eval low complex 20 min (97161) | $272.84 | $272.84 | 2.8× |
| Pt Eval Mod Complex (97162) | $363.80 | $363.80 | 3.7× |
| Pt gait training 15 min (97116) | $151.38 | $151.38 | 5.2× |
| Pt mechanical traction (97012) | $241.39 | $241.39 | 16.8× |
| Pt Re-Eval Est Plan Care (97164) | $265.64 | $265.64 | 3.9× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $16.22 | $16.22 | 0.4× |
| Pulmonary service/procedure (94799) | $182.57 | $182.57 | 1.3× |
| Pulmonary Stress Testing (94618) | $233.84 | $233.84 | 1.6× |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$52.63–$322.25 | $52.63–$322.25 | varies |
| Refill/Maint Portable Pump (96521) | $372.97 | $372.97 | 1.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $365.16 | $365.16 | 9.1× |
| Remote 30 Day Ecg Tech Supp (93229) | $2,266 | $2,266 | 5.7× |
| Respiratory flow volume loop (94375) | $587.55 | $587.55 | 2.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $163.65 | $163.65 | 2.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $59.05 | $59.05 | 0.3× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $341.95 | $341.95 | 2.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $141.30 | $141.30 | 3.0× |
| Self Care Mngment Training (97535) | $211.09 | $211.09 | 6.5× |
| Sensory Integration Ea 15 Min (97533) | $173.62 | $173.62 | 2.9× |
| Sleep study attended (95807) range across 2 matching MRF lines |
$1,067.99–$1,167.02 | $1,067.99–$1,167.02 | varies |
| Sleep study unattended (95806) | $1,346.47 | $1,346.47 | 5.8× |
| Speech Audiometry Complete (92556) | $148.50 | $148.50 | 2.3× |
| Speech audiometry threshold (92555) range across 2 matching MRF lines |
$72.20–$148.50 | $72.20–$148.50 | varies |
| Speech sound lang comprehen (92523) range across 3 matching MRF lines |
$108.60–$434.38 | $108.60–$434.38 | varies |
| Spontaneous Nystagmus Test (92541) | $322.25 | $322.25 | 2.3× |
| Standardized Cognitive Performance Testing (96125) | $301.41 | $301.41 | 2.9× |
| Stenger Test, Pure Tone (92565) | $148.50 | $148.50 | 2.3× |
| Temp transcutaneous pacing (92953) | $1,086.50 | $1,086.50 | 1.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$92.75–$98.40 | $92.75–$98.40 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$92.75–$98.40 | $92.75–$98.40 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $137.24 | $137.24 | 3.7× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $10.40 | $10.40 | 0.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$21.63–$111.82 | $21.63–$111.82 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $436.47 | $436.47 | 1.9× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$138.04–$211.09 | $138.04–$211.09 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$47.72–$62.02 | $47.72–$62.02 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$39.31–$62.02 | $39.31–$62.02 | varies |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$206.43–$2,016.43 | $206.43–$2,016.43 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 2 matching MRF lines |
$40.07–$160.30 | $40.07–$160.30 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $182.29 | $182.29 | 3.6× |
| Tympanometry (92567) range across 2 matching MRF lines |
$40.37–$98.13 | $40.37–$98.13 | varies |
| Tympanometry and reflex threshold measurements (92550) range across 2 matching MRF lines |
$57.08–$391.15 | $57.08–$391.15 | varies |
| Unlisted cardiovascular service/procedure (93799) | $538.58 | $538.58 | 3.9× |
| Upr/L Xtremity Art 2 Levels (93922) | $308.41 | $308.41 | 2.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,148.24 | $1,148.24 | 5.0× |
| Vasopneumatic device (97016) | $201.69 | $201.69 | 16.8× |
| Vent Mgmt Inpat Init Day (94002) | $497.95 | $497.95 | 0.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $209.81 | $209.81 | 0.3× |
| Visual reinforcement audiometry (vra) (92579) | $391.15 | $391.15 | 1.7× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$99.38–$100.84 | $99.38–$100.84 | varies |
| Whirlpool Therapy (97022) | $222.83 | $222.83 | 14.2× |
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.