Visits & medical services prices at Wayne County Hospital
Corydon, IA · every code in this section with a posted price and a Medicare benchmark.
172 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) | $326 | $326 | 9.1× |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $135 | $135 | 4.9× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $60 | $60 | 1.5× |
| Advncd Care Plan 30 Min (99497) | $119 | $119 | 1.2× |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$48–$178 | $48–$178 | varies |
| Airway resistance by oscillometry (94728) | $369 | $369 | 3.0× |
| Allg test perq & ic drug/biol immed react w/ i&r (95018) | $47 | $47 | 1.3× |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) range across 2 matching MRF lines |
$128–$137 | $128–$137 | varies |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) range across 2 matching MRF lines |
$26–$69 | $26–$69 | varies |
| Analyze neurostim complex (95972) | $271 | $271 | 3.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$114–$129 | $114–$129 | varies |
| Application on-body injector (96377) | $99 | $99 | 2.2× |
| Behavral qualit analys voice (92524) | $413 | $413 | 3.8× |
| Brief Emotional/Behav Assmt (96127) | $42 | $42 | 1.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$285–$493 | $285–$493 | varies |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$113–$212 | $113–$212 | varies |
| Car seat/bed test 60 min (94780) | $455 | $455 | 12.7× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,102 | $1,102 | 5.3× |
| Cardiopulmonary exercise testing (94621) | $1,314 | $1,314 | 3.7× |
| Cardiopulmonary resuscitation (92950) range across 5 matching MRF lines |
$603–$1,351 | $603–$1,351 | varies |
| Cardioversion (92960) range across 4 matching MRF lines |
$446–$1,117 | $446–$1,117 | varies |
| Cbt 1st hour (94644) | $272 | $272 | 2.1× |
| Chemo Anti-Neopl Sq/Im (96401) range across 3 matching MRF lines |
$174–$399 | $174–$399 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 3 matching MRF lines |
$153–$174 | $153–$174 | varies |
| Chemo IV infusion addl hr (96415) | $138 | $138 | 2.0× |
| Chemo IV push addl drug (96411) | $304 | $304 | 4.4× |
| Chemother Prolong Infuse W/Pump (96416) | $681 | $681 | 2.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $306 | $306 | 4.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $655 | $655 | 2.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $558 | $558 | 1.8× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$98–$297 | $98–$297 | varies |
| Chron Care Mgmt Srvc 20 Min (99490) | $68 | $68 | 0.7× |
| Color/duplex Doppler, complete (93975) | $1,002 | $1,002 | 4.4× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$530–$761 | $530–$761 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $115 | $115 | 3.6× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $820 | $820 | 6.4× |
| Continuous Pulse Ox (94762) | $215 | $215 | 1.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$74–$540 | $74–$540 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$108–$194 | $108–$194 | varies |
| Critical care first hour (99291) range across 3 matching MRF lines |
$521–$735 | $521–$735 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 6 matching MRF lines |
$83–$383 | $83–$383 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $280 | $280 | 2.3× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $779 | $779 | 3.4× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $491 | $491 | 4.9× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $999 | $999 | 4.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $761 | $761 | 7.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,297 | $1,297 | 5.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $839 | $839 | 8.3× |
| Duplex Scan Hemodialysis Access (93990) | $774 | $774 | 7.7× |
| Duplex up extrem art bilat (93930) | $761 | $761 | 3.3× |
| Duplex up extrem art unilat/ltd (93931) | $761 | $761 | 7.6× |
| Echo Heart Xthoracic,Limited (93308) | $744 | $744 | 3.2× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$131–$147 | $131–$147 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$41–$237 | $41–$237 | varies |
| Emergency Dept Visit Level 2 (99282) | $209 | $209 | 1.4× |
| Emergency Dept Visit Level 3 (99283) | $311 | $311 | 1.2× |
| Emergency Dept Visit Level 4 (99284) | $588 | $588 | 1.5× |
| Er level 1 (99281) | $108 | $108 | 1.3× |
| Er level v (99285) | $864 | $864 | 1.5× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$144–$178 | $144–$178 | varies |
| Evaluate Speech Production (92522) | $537 | $537 | 4.8× |
| Evaluate Swallowing Function (92610) | $537 | $537 | 6.3× |
| Evaluation of speech fluency (92521) | $537 | $537 | 4.0× |
| Exercise test for bronchospasm (94617) | $294 | $294 | 2.3× |
| Exhaled Air Analysis O2 (94680) | $405 | $405 | 3.3× |
| External ECG rec>48hr<7d recording (93242) range across 3 matching MRF lines |
$57–$276 | $57–$276 | varies |
| External ECG rec>48hr<7d scanning alys w/report (93243) range across 2 matching MRF lines |
$490–$2,055 | $490–$2,055 | varies |
| External ECG rec>7d<15d recording (93246) range across 3 matching MRF lines |
$57–$431 | $57–$431 | varies |
| External ECG rec>7d<15d scanning alys w/report (93247) range across 2 matching MRF lines |
$837–$2,131 | $837–$2,131 | varies |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$303–$872 | $303–$872 | varies |
| Extracranial Bilat Study (93880) | $1,112 | $1,112 | 4.8× |
| Extracranial Uni/Ltd Study (93882) | $489 | $489 | 4.9× |
| Flexible endoscopic eval swallow c/v rec (92612) | $820 | $820 | 4.1× |
| Group Therapeutic Procedures (97150) range across 3 matching MRF lines |
$82–$117 | $82–$117 | varies |
| Holter monitor recording (93225) range across 4 matching MRF lines |
$159–$1,033 | $159–$1,033 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$22.50–$45 | $22.50–$45 | varies |
| Immunization administration (90471) range across 4 matching MRF lines |
$19.68–$60 | $19.68–$60 | varies |
| Inital newborn e/m (99460) range across 2 matching MRF lines |
$124–$184 | $124–$184 | varies |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$118–$134 | $118–$134 | varies |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$80–$164 | $80–$164 | varies |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$42–$108 | $42–$108 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$146–$426 | $146–$426 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 4 matching MRF lines |
$80–$98 | $80–$98 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$78–$83 | $78–$83 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$178–$297 | $178–$297 | varies |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$58–$131 | $58–$131 | varies |
| Mechanical chest wall oscillation per session (94669) | $158 | $158 | 0.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $32 | $32 | 1.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $36 | $36 | 1.0× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $23 | $23 | 1.4× |
| Motility study esophagus (91010) | $150 | $150 | 0.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$134–$191 | $134–$191 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 6 matching MRF lines |
$75–$207 | $75–$207 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 4 matching MRF lines |
$83–$383 | $83–$383 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) | $386 | $386 | 1.9× |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$353–$465 | $353–$465 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$470–$591 | $470–$591 | varies |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$118–$134 | $118–$134 | varies |
| Newborn resuscitation (99465) | $318 | $318 | 0.5× |
| Nitric oxide expired gas determination (95012) | $105 | $105 | 2.9× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $405 | $405 | 1.1× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$118–$294 | $118–$294 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $102 | $102 | 2.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$123–$138 | $123–$138 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 3 matching MRF lines |
$67–$152 | $67–$152 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$83–$168 | $83–$168 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 4 matching MRF lines |
$104–$242 | $104–$242 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 2 matching MRF lines |
$218–$268 | $218–$268 | varies |
| Osteopathic manipulative tx 9-10 body regions (98929) | $318 | $318 | 15.3× |
| Ot Contrast Bath Ea 15 Min (97034) range across 2 matching MRF lines |
$101–$114 | $101–$114 | varies |
| Ot eval high complexity (97167) | $287 | $287 | 2.9× |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$287–$351 | $287–$351 | varies |
| Ot Eval Moderate Complexity (97166) | $287 | $287 | 2.9× |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$103–$147 | $103–$147 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$78–$89 | $78–$89 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$113–$128 | $113–$128 | varies |
| Ot Re-Eval Est Plan Care (97168) | $134 | $134 | 2.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 3 matching MRF lines |
$178–$239 | $178–$239 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $206 | $206 | 1.7× |
| Phlebotomy therapeutic (99195) | $176 | $176 | 1.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $621 | $621 | 11.0× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $549 | $549 | 9.7× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$145–$163 | $145–$163 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,629 | $3,629 | 4.4× |
| Prepj& allergen immunotherapy 1/mlt antigen (95165) | $37 | $37 | 0.8× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $27 | $27 | 0.6× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $32 | $32 | 0.7× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) | $26 | $26 | 0.6× |
| Pt Eval High Complex (97163) | $409 | $409 | 4.2× |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$314–$409 | $314–$409 | varies |
| Pt Eval Mod Complex (97162) | $409 | $409 | 4.2× |
| Pt gait training 15 min (97116) | $106 | $106 | 3.6× |
| Pt mechanical traction (97012) | $139 | $139 | 9.7× |
| Pt Re-Eval Est Plan Care (97164) | $118 | $118 | 1.7× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $28 | $28 | 0.8× |
| Pulmonary service/procedure (94799) | $50 | $50 | 0.4× |
| Pulmonary Stress Testing (94618) | $270 | $270 | 2.1× |
| Refill/Maint Portable Pump (96521) | $655 | $655 | 3.2× |
| Respiratory flow volume loop (94375) | $324 | $324 | 1.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 3 matching MRF lines |
$13–$223 | $13–$223 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 6 matching MRF lines |
$91–$248 | $91–$248 | varies |
| Same day nb discharge (99463) | $213 | $213 | 1.7× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$121–$132 | $121–$132 | varies |
| Sensory Integration Ea 15 Min (97533) range across 2 matching MRF lines |
$119–$135 | $119–$135 | varies |
| Speech sound lang comprehen (92523) | $537 | $537 | 2.4× |
| Spirometry (94010) range across 5 matching MRF lines |
$67–$272 | $67–$272 | varies |
| Standardized Cognitive Performance Testing (96125) range across 3 matching MRF lines |
$215–$520 | $215–$520 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $636 | $636 | 3.1× |
| Subq Infusion Additional Pump Infusion Site (96371) | $305 | $305 | 4.4× |
| Temp transcutaneous pacing (92953) | $59 | $59 | 0.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $84 | $84 | 3.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $82 | $82 | 3.9× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $93 | $93 | 2.1× |
| Ther/Proph/Diag Inj Ia (96373) | $63 | $63 | 0.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$67–$118 | $67–$118 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$178–$509 | $178–$509 | varies |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$109–$123 | $109–$123 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$79–$101 | $79–$101 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$32–$54 | $32–$54 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $208 | $208 | 1.6× |
| Trans Care Mgmt 7 Day Disch (99496) | $281 | $281 | 2.2× |
| Tte w/doppler, complete (93306) | $2,386 | $2,386 | 4.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $537 | $537 | 7.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$53–$112 | $53–$112 | varies |
| Tympanometry (92567) | $44 | $44 | 1.2× |
| Unlisted otorhinolaryngological service (92700) | $71 | $71 | 2.6× |
| Upr/L Xtremity Art 2 Levels (93922) | $469 | $469 | 3.7× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $654 | $654 | 3.2× |
| Vital capacity, total (94150) | $216 | $216 | 1.7× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$106–$120 | $106–$120 | varies |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$104–$118 | $104–$118 | varies |
| Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) | $558 | $558 | 9.8× |
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.