Visits & medical services prices at Woodlawn Hospital
Rochester, IN · every code in this section with a posted price and a Medicare benchmark.
136 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) | $152.25 | $203 | 1.4× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$51.75–$552 | $69–$736 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $127.50 | $170 | 8.9× |
| Application on-body injector (96377) | $153.75 | $205 | 3.1× |
| Brief Emotional/Behav Assmt (96127) | $8.25 | $11 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $601.50 | $802 | 1.5× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$79.50–$162 | $106–$216 | varies |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$72–$916.50 | $96–$1,222 | varies |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$890.25–$1,207.50 | $1,187–$1,610 | varies |
| Cbt 1st hour (94644) | $253.50 | $338 | 1.8× |
| Chemo Anti-Neopl Sq/Im (96401) | $278.25 | $371 | 3.7× |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$64.50–$276 | $86–$368 | varies |
| Chemo IV infusion addl hr (96415) | $412.50 | $550 | 5.4× |
| Chemo IV push addl drug (96411) | $303.75 | $405 | 4.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $509.25 | $679 | 6.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,100.25 | $1,467 | 3.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $526.50 | $702 | 1.5× |
| Chest Wall Manipulation (94668) | $114.75 | $153 | 0.8× |
| Chron Care Mgmt Srvc 20 Min (99490) | $58.50 | $78 | 0.5× |
| Color/duplex Doppler, complete (93975) | $885 | $1,180 | 3.5× |
| Color/duplex Doppler, limited (93976) | $660 | $880 | 6.0× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $111.75 | $149 | 1.8× |
| Continuous Pulse Ox (94762) | $455.25 | $607 | 3.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $897 | $1,196 | 3.9× |
| Cpt initial (94667) | $134.25 | $179 | 1.0× |
| Critical care first hour (99291) | $435 | $580 | 0.5× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$162–$396 | $216–$528 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,297.50 | $1,730 | 5.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $717 | $956 | 6.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,305.75 | $1,741 | 5.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $847.50 | $1,130 | 7.7× |
| Duplex up extrem art bilat (93930) | $1,296.75 | $1,729 | 5.1× |
| Duplex up extrem art unilat/ltd (93931) | $761.25 | $1,015 | 6.9× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$51–$870.75 | $68–$1,161 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$664.50–$2,520.75 | $886–$3,361 | varies |
| Eeg 41-60 Minutes (95812) | $1,297.50 | $1,730 | 5.7× |
| EEG awake and asleep (95819) | $1,112.25 | $1,483 | 4.9× |
| EEG awake drowsy (95816) | $1,170.75 | $1,561 | 5.1× |
| EEG cont rec w/video by tech min 8 channels (95700) | $903 | $1,204 | 4.0× |
| EEG extended monitoring 61-119 minutes (95813) | $942 | $1,256 | 4.1× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,737.75 | $2,317 | 4.4× |
| Electrical Stimulation Ea 15 Min (97032) | $120.75 | $161 | 8.2× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$51.75–$257.25 | $69–$343 | varies |
| Emergency Dept Visit Level 2 (99282) | $320.25 | $427 | 2.0× |
| Emergency Dept Visit Level 3 (99283) | $176.25 | $235 | 0.6× |
| Emergency Dept Visit Level 4 (99284) | $217.50 | $290 | 0.5× |
| Er level 1 (99281) | $220.50 | $294 | 2.5× |
| Er level v (99285) | $1,069.50 | $1,426 | 1.7× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$51.75–$176.25 | $69–$235 | varies |
| Evaluate Swallowing Function (92610) | $324 | $432 | 3.8× |
| Evoked Auditory Test,Limited (92587) | $235.50 | $314 | 1.0× |
| External ECG rec>48hr<7d recording (93242) | $853.50 | $1,138 | 21.6× |
| External ECG rec>7d<15d recording (93246) | $1,023 | $1,364 | 25.9× |
| External Ecg Scanning Analysis Report (93226) | $804.75 | $1,073 | 12.9× |
| Extracranial Bilat Study (93880) | $1,320 | $1,760 | 5.2× |
| Group Therapeutic Procedures (97150) | $90.75 | $121 | 5.0× |
| Holter monitor recording (93225) | $850.50 | $1,134 | 6.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $14.25 | $19 | 0.2× |
| Immunization administration (90471) range across 2 matching MRF lines |
$14.25–$72 | $19–$96 | varies |
| Inital newborn e/m (99460) | $138.75 | $185 | 1.0× |
| Iontophoresis 15 min (97033) | $141 | $188 | 7.4× |
| Irrig Drug Delivery Device (96523) | $171 | $228 | 2.7× |
| IV infusion hydration each additional hour (96361) | $180 | $240 | 3.6× |
| IV infusion hydration initial 31 min-1 hour (96360) | $500.25 | $667 | 2.2× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $225.75 | $301 | 3.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $192.75 | $257 | 3.9× |
| IV push initial (96374) range across 2 matching MRF lines |
$49.50–$280.50 | $66–$374 | varies |
| Mechanical chest wall oscillation per session (94669) | $287.25 | $383 | 1.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $39 | $52 | 1.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $44.25 | $59 | 1.2× |
| Methacholine challenge (94070) | $732.75 | $977 | 1.9× |
| Multiple Sleep Latency Test (95805) range across 2 matching MRF lines |
$2,206.50–$2,941.50 | $2,942–$3,922 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$390.75–$408 | $521–$544 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$408–$539.25 | $544–$719 | varies |
| Neurobehavioral Status Exam (96116) | $132.75 | $177 | 0.6× |
| Neuromuscular Reeducation (97112) | $128.25 | $171 | 3.9× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$309.75–$342 | $413–$456 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $114.75 | $153 | 2.3× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $156.75 | $209 | 3.4× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $75.75 | $101 | 3.3× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $107.25 | $143 | 4.7× |
| Ot Contrast Bath Ea 15 Min (97034) | $50.25 | $67 | 3.6× |
| Ot eval high complexity (97167) | $390 | $520 | 3.9× |
| Ot Eval Low Complex (97165) | $334.50 | $446 | 3.3× |
| Ot Eval Moderate Complexity (97166) | $358.50 | $478 | 3.6× |
| Ot manual therapy 15 min (97140) | $144 | $192 | 5.2× |
| Ot paraffin bath (97018) | $83.25 | $111 | 13.9× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$119.25–$121.50 | $159–$162 | varies |
| Ot Re-Eval Est Plan Care (97168) | $184.50 | $246 | 2.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $288 | $384 | 2.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $232.50 | $310 | 1.7× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$181.50–$244.50 | $242–$326 | varies |
| Physical Performance Test (97750) | $155.25 | $207 | 4.6× |
| Plethysmography (94726) | $576.75 | $769 | 1.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$3,825–$5,099.25 | $5,100–$6,799 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) range across 2 matching MRF lines |
$3,018–$4,023.75 | $4,024–$5,365 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $29.25 | $39 | 0.6× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $58.50 | $78 | 1.2× |
| Pt Eval High Complex (97163) | $381.75 | $509 | 3.9× |
| Pt eval low complex 20 min (97161) | $319.50 | $426 | 3.3× |
| Pt Eval Mod Complex (97162) | $338.25 | $451 | 3.5× |
| Pt gait training 15 min (97116) | $123.75 | $165 | 4.3× |
| Pt mechanical traction (97012) | $138 | $184 | 9.6× |
| Pt Re-Eval Est Plan Care (97164) | $205.50 | $274 | 3.0× |
| Pt-focused hlth risk assmt score doc stnd instrm (96160) | $6 | $8 | 0.2× |
| Pulm function test by gas (94727) | $511.50 | $682 | 2.2× |
| Pulmonary service/procedure (94799) | $723.75 | $965 | 5.3× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$17.25–$171 | $23–$228 | varies |
| Pure Tone Audiometry Air (92552) | $86.25 | $115 | 0.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $591.75 | $789 | 15.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$83.25–$312.75 | $111–$417 | varies |
| Same day nb discharge (99463) | $138.75 | $185 | 1.0× |
| Self Care Mngment Training (97535) | $139.50 | $186 | 4.3× |
| Sensory Integration Ea 15 Min (97533) | $117.75 | $157 | 1.9× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$178.50–$601.50 | $238–$802 | varies |
| Spirometry (94010) | $287.25 | $383 | 1.3× |
| Standardized Cognitive Performance Testing (96125) | $156 | $208 | 1.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $97.50 | $130 | 3.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$14.25–$130.50 | $19–$174 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $504.75 | $673 | 2.2× |
| Therapeutic Activities (97530) | $138.75 | $185 | 4.0× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $43.50 | $58 | 1.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$27–$66 | $36–$88 | varies |
| Trans Care Mgmt 14 Day Disch (99495) | $317.25 | $423 | 2.3× |
| Trans Care Mgmt 7 Day Disch (99496) | $442.50 | $590 | 3.1× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$398.25–$2,639.25 | $531–$3,519 | varies |
| Tte W/O Doppler Complete (93307) range across 2 matching MRF lines |
$297–$1,247.25 | $396–$1,663 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $213.75 | $285 | 4.3× |
| Upr/L Xtremity Art 2 Levels (93922) | $555 | $740 | 3.9× |
| Veeg 2-12 hr intmt mntr (95712) | $903 | $1,204 | 2.3× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,731.75 | $2,309 | 4.4× |
| Vent Mgmt Inpat Init Day (94002) | $1,621.50 | $2,162 | 2.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,002 | $1,336 | 1.5× |
| Vital capacity, total (94150) | $168.75 | $225 | 1.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $146.25 | $195 | 4.7× |
| Whirlpool Therapy (97022) | $84.75 | $113 | 5.4× |
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.