Visits & medical services prices at Advocate Good Shepherd Hospital

Barrington, IL · every code in this section with a posted price and a Medicare benchmark.

229 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $6,625 $13,250 0.8×
Acupunct W/Stimul 15 Min (97813) $30 $60 1.0×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $27.50 $55 0.9×
Admn Sarscov2 Vacc 1 Dose (90480) $45 $90 1.0×
Airway Inhalation Treatment (94640) $187.50 $375 0.8×
Analyze neurostim complex (95972) $595 $1,190 5.8×
Analyze Pacemaker System (93724) $1,215 $2,430 3.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $60 $120 4.2×
Application on-body injector (96377) $90 $180 1.8×
Arrhythmia Induction (93618) $2,780 $5,560 2.1×
Behavral qualit analys voice (92524)
range across 2 matching MRF lines
$52.50–$350 $105–$700 varies
Bioimpedance Cv Analysis (93701) $185 $370 1.3×
Bis Xtracell Fluid Analysis (93702) $202.50 $405 1.5×
Blink reflex test (95933) $212.50 $425 3.3×
Breath hydrogen/methane test (91065) $420 $840 1.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $525 $1,050 1.3×
Bundle of his recording (93600)
unusually low: confirm this is the full procedure
$3,975 $7,950 0.5×
Canalith repositioning proc (95992) $115 $230 2.8×
Cardiac Stress Tst,Tracing Only (93017) $490 $980 2.1×
Cardiopulmonary resuscitation (92950) $975 $1,950 4.2×
Cardioversion (92960) $1,145 $2,290 1.6×
Cardioversion elective internal (92961) $1,270 $2,540 1.8×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $4,895 $9,790 1.4×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $4,805 $9,610 1.4×
Cbt 1st hour (94644) $185 $370 1.3×
Chemo Anti-Neopl Sq/Im (96401) $260 $520 3.3×
Chemo Hormon Antineopl Sq/Im (96402) $220 $440 2.8×
Chemo IV infusion addl hr (96415) $390 $780 5.0×
Chemo IV push addl drug (96411) $375 $750 4.8×
Chemother Prolong Infuse W/Pump (96416) $780 $1,560 2.2×
Chemotherapy Into Cns (96450) $945 $1,890 2.7×
Chemotherapy Unspecified (96549) $150 $300 3.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $390 $780 5.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $780 $1,560 2.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $497.50 $995 1.4×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $470 $940 1.3×
Chest Wall Manipulation (94668) $115 $230 0.8×
Color/duplex Doppler, complete (93975) $1,000 $2,000 3.9×
Color/duplex Doppler, limited (93976) $670 $1,340 5.9×
Community/Work Reintegration Trainj Ea 15 Min (97537) $85 $170 2.7×
Cont Gluc Mntr Pt Prov Eqp (95249) $95 $190 1.5×
Continuous Pulse Ox (94762) $282.50 $565 2.0×
Coronary Art/Grft Angio S&I (93455) $4,390 $8,780 1.3×
Coronary Artery Angio S&I (93454) $4,105 $8,210 1.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$320–$447.50 $640–$895 varies
Cpt initial (94667) $115 $230 0.8×
Critical care first hour (99291) $1,405 $2,810 1.6×
Debridement Open Wound 20 Sq Cm< (97597) $307.50 $615 1.4×
Dialysis One Evaluation (90945)
range across 2 matching MRF lines
$710–$835 $1,420–$1,670 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $905 $1,810 3.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $605 $1,210 5.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $990 $1,980 3.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $660 $1,320 5.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $845 $1,690 3.3×
Dup-scan xtr veins unilateral/limited study (93971) $565 $1,130 5.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $750 $1,500 2.9×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $500 $1,000 4.4×
Duplex up extrem art bilat (93930) $780 $1,560 3.0×
Duplex up extrem art unilat/ltd (93931) $520 $1,040 4.6×
Echo Congenital Complete (93303)
range across 3 matching MRF lines
$935–$1,225 $1,870–$2,450 varies
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines
$375–$425 $750–$850 varies
Echo transesophageal (93312)
range across 2 matching MRF lines
$1,200–$1,250 $2,400–$2,500 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines
$1,435–$1,485 $2,870–$2,970 varies
Eeg 41-60 Minutes (95812) $795 $1,590 3.4×
EEG awake and asleep (95819) $905 $1,810 3.9×
EEG awake drowsy (95816) $835 $1,670 3.6×
EEG cerebral death evaluation (95824) $1,060 $2,120 2.6×
EEG extended monitoring 61-119 minutes (95813) $1,040 $2,080 4.5×
Eeg Sleep Only (95822) $795 $1,590 3.4×
Electrical Stimulation Ea 15 Min (97032) $75 $150 5.1×
Electrocardiogram Tracing (93005) $185 $370 2.9×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
unusually low: confirm this is the full procedure
$3,550 $7,100 0.4×
Electrophysiology Evaluation (93642) $2,620 $5,240 2.0×
Emergency Dept Visit Level 2 (99282) $237.50 $475 1.4×
Emergency Dept Visit Level 3 (99283) $465 $930 1.6×
Emergency Dept Visit Level 4 (99284) $805 $1,610 1.8×
Emg 3 Extremities (95863) $515 $1,030 3.7×
Emg 4 Extremities (95864) $590 $1,180 4.2×
Endomyocardial Biopsy (93505) $3,120 $6,240 0.9×
Ep & ablate supravent arrhyt (93653) $20,100 $40,200 0.7×
Ep & ablate ventric tachy (93654) $32,665 $65,330 1.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $7,950 $15,900 0.9×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
unusually low: confirm this is the full procedure
$3,855 $7,710 0.5×
Er level 1 (99281)
range across 3 matching MRF lines
$62.50–$195 $125–$390 varies
Er level v (99285) $1,230 $2,460 1.9×
Esophgl Balo Distension Dx Std W/Provocation (91040) $780 $1,560 1.9×
Evaluate pt use of inhaler (94664) $127.50 $255 0.5×
Evaluate Speech Production (92522)
range across 2 matching MRF lines
$52.50–$350 $105–$700 varies
Evaluate Swallowing Function (92610)
range across 2 matching MRF lines
$55–$200 $110–$400 varies
Evaluation of speech fluency (92521)
range across 2 matching MRF lines
$52.50–$350 $105–$700 varies
External Ecg Scanning Analysis Report (93226) $580 $1,160 9.1×
Extracranial Bilat Study (93880) $905 $1,810 3.5×
Extracranial Uni/Ltd Study (93882) $605 $1,210 5.4×
F-up/limited tthrc echo congenital car anomaly (93304)
range across 2 matching MRF lines
$665–$765 $1,330–$1,530 varies
Gastroesophag reflx test w/telemtry ph eltrd (91035) $780 $1,560 0.8×
Group Therapeutic Procedures (97150) $65 $130 3.6×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $5,045 $10,090 1.4×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 2 matching MRF lines
$1,025–$1,145 $2,050–$2,290 varies
Holter monitor recording (93225) $415 $830 2.9×
Icd Device Progr Eval Mult (93284) $370 $740 9.2×
Immunization administration (90471) $50 $100 0.6×
Intra-atrial pacing (93610) $7,360 $14,720 0.9×
Intra-atrial recording (93602) $7,360 $14,720 0.9×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure
$2,845 $5,690 0.3×
Iontophoresis 15 min (97033) $72.50 $145 3.8×
Irrig Drug Delivery Device (96523) $125 $250 2.0×
IV infusion hydration each additional hour (96361) $87.50 $175 1.7×
IV infusion hydration initial 31 min-1 hour (96360) $265 $530 1.2×
IV infusion ther proph addl sequential to 1 hr (96367) $130 $260 1.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $130 $260 2.6×
IV push initial (96374) $192.50 $385 0.8×
L Hrt Art/Grft Angio (93459) $5,045 $10,090 1.4×
Liver Elastography W/O Imag W/I&R (91200) $427.50 $855 3.1×
Low frequency non-thermal us (97610) $137.50 $275 0.6×
Lwr Xtr Vasc Stdy Bilat (93924) $740 $1,480 3.2×
Mechanical chest wall oscillation per session (94669) $187.50 $375 0.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $47.50 $95 1.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $55 $110 1.5×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $20 $40 1.2×
Motion Fluoroscopy/Swallow (92611)
range across 2 matching MRF lines
$75–$307.50 $150–$615 varies
Multiple Sleep Latency Test (95805) $2,430 $4,860 2.6×
Muscle Test 2 Limbs (95861) $447.50 $895 3.1×
Muscle Test One Limb (95860) $297.50 $595 2.1×
Nasopharyngoscopy (92511) $525 $1,050 2.4×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $1,060 $2,120 4.5×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $352.50 $705 1.5×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $280 $560 1.2×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $710 $1,420 1.6×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $855 $1,710 1.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $307.50 $615 1.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $370 $740 0.8×
Nerve Conduction Studies 1-2 Studies (95907) $402.50 $805 1.7×
Nerve Conduction Studies 11-12 Studies (95912) $1,255 $2,510 3.1×
Nerve conduction studies 13 or more studies (95913) $1,445 $2,890 3.6×
Nerve Conduction Studies 3-4 Studies (95908) $605 $1,210 2.6×
Nerve conduction studies 5-6 studies (95909) $760 $1,520 3.3×
Nerve conduction studies 7-8 studies (95910) $910 $1,820 2.3×
Nerve Conduction Studies 9-10 Studies (95911) $1,090 $2,180 2.7×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $287.50 $575 2.1×
Neuromuscular Reeducation (97112) $85 $170 2.6×
Nonphysician Telephone Assessment 11-20 Min (98967) $82.50 $165 3.3×
Nonphysician Telephone Assessment 21-30 Min (98968) $110 $220 3.2×
Nonphysician Telephone Assessment 5-10 Min (98966) $50 $100 3.7×
Oral Function Therapy (92526)
range across 3 matching MRF lines
$60–$197.50 $120–$395 varies
Oral Speech Device Eval (92597)
range across 2 matching MRF lines
$50–$240 $100–$480 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $90 $180 1.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $100 $200 2.2×
Ot eval high complexity (97167)
range across 3 matching MRF lines
$112.50–$230 $225–$460 varies
Ot Eval Low Complex (97165)
range across 2 matching MRF lines
$82.50–$222.50 $165–$445 varies
Ot Eval Moderate Complexity (97166)
range across 3 matching MRF lines
$95–$225 $190–$450 varies
Ot manual therapy 15 min (97140) $85 $170 3.1×
Ot paraffin bath (97018) $65 $130 10.8×
Ot Prosthetic Training, Each 15 Min (97761) $85 $170 2.1×
Ot Re-Eval Est Plan Care (97168)
range across 2 matching MRF lines
$70–$130 $140–$260 varies
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $240 $480 1.7×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $220 $440 1.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $275 $550 1.2×
Peripheral arterial disease rehab per session (93668) $105 $210 1.6×
Perq Transcath Cls Mitral (93590) $18,420 $36,840 0.9×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $6,590 $13,180 1.1×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
range across 10 matching MRF lines
$12,900–$19,210 $25,800–$38,420 varies
Phlebotomy therapeutic (99195) $207.50 $415 1.4×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $150 $300 2.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $137.50 $275 2.2×
Physical Performance Test (97750) $85 $170 2.5×
Plethysmography (94726) $505 $1,010 1.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$2,105–$3,235 $4,210–$6,470 varies
Polysom <6 yrs 4/> paramtrs (95782)
range across 2 matching MRF lines
$2,105–$3,235 $4,210–$6,470 varies
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783)
range across 2 matching MRF lines
$2,105–$3,235 $4,210–$6,470 varies
Prq Card Angio/Athrect 1 Art (92924) $13,440 $26,880 1.1×
Prq Card Stent W/Angio 1 Vsl (92928)
range across 10 matching MRF lines
$12,900–$18,930 $25,800–$37,860 varies
Prq Card Stent/Ath/Angio (92933)
range across 10 matching MRF lines
$13,830–$23,475 $27,660–$46,950 varies
Prq Revasc Byp Graft 1 Vsl (92937) $12,600 $25,200 1.0×
Psychiatric diagnostic evaluation (90791) $310 $620 1.6×
Psytx Crisis Initial 60 Min (90839) $240 $480 1.3×
Pt Eval High Complex (97163)
range across 2 matching MRF lines
$112.50–$212.50 $225–$425 varies
Pt eval low complex 20 min (97161)
range across 2 matching MRF lines
$82.50–$207.50 $165–$415 varies
Pt Eval Mod Complex (97162)
range across 2 matching MRF lines
$95–$210 $190–$420 varies
Pt gait training 15 min (97116) $85 $170 2.9×
Pt mechanical traction (97012) $60 $120 4.2×
Pt Re-Eval Est Plan Care (97164)
range across 2 matching MRF lines
$70–$120 $140–$240 varies
Pulmonary Stress Testing (94618) $247.50 $495 1.7×
R Hrt Art/Grft Angio (93457) $5,385 $10,770 1.5×
R hrt coronary artery angio (93456) $4,205 $8,410 1.2×
R&L Hrt Cath W/Ventriclgrphy (93453) $4,065 $8,130 1.2×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $50 $100 1.2×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $172.50 $345 1.2×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $177.50 $355 2.8×
Right Heart Cath (93451) $4,580 $9,160 1.3×
Right ventricular recording (93603) $1,145 $2,290 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $235 $470 1.1×
Self Care Mngment Training (97535) $85 $170 2.6×
Sensory Integration Ea 15 Min (97533) $85 $170 1.4×
Short-latency somatosens ep std upr limbs (95925) $795 $1,590 3.4×
Sleep study unattended (95806) $495 $990 2.1×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $495 $990 2.1×
Somatosensory Testing (95938) $1,255 $2,510 1.4×
Speech sound lang comprehen (92523)
range across 4 matching MRF lines
$52.50–$457.50 $105–$915 varies
Spin/Brain Pump Refil & Main (95991) $427.50 $855 1.3×
Spirometry (94010) $307.50 $615 1.3×
Ssep lower limbs (95926) $795 $1,590 3.4×
Standardized Cognitive Performance Testing (96125)
range across 2 matching MRF lines
$67.50–$267.50 $135–$535 varies
Surfactant Admin Thru Tube (94610) $275 $550 1.2×
Temp transcutaneous pacing (92953) $960 $1,920 1.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $90 $180 4.0×
Ther Ivntj Ea Addl 15 Min (97130) $90 $180 4.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $12.50 $25 0.4×
Ther/Proph/Diag Inj Sc/Im (96372) $135 $270 1.7×
Ther/Proph/Diag Iv Inf Init (96365) $322.50 $645 1.4×
Therapeutic Activities (97530) $85 $170 2.4×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,320 $2,640 3.3×
Transcath Closure of Asd (93580) $12,145 $24,290 0.6×
Tte w/doppler, complete (93306)
range across 3 matching MRF lines
$1,000–$1,075 $2,000–$2,150 varies
Tte W/O Doppler Complete (93307)
range across 3 matching MRF lines
$665–$800 $1,330–$1,600 varies
Tx atrial fib pulm vein isol (93656) $27,635 $55,270 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines
$92.50–$220 $185–$440 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $145 $290 2.9×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$320–$620 $640–$1,240 varies
Unlisted noninvasive vascular diagnostic study (93998) $67.50 $135 2.2×
Upr/L Xtremity Art 2 Levels (93922) $400 $800 2.8×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $600 $1,200 2.6×
Valvuloplasty aortic valve (92986) $6,895 $13,790 1.1×
Valvuloplasty mitral valve (92987) $11,760 $23,520 0.9×
Vent Mgmt Inpat Init Day (94002) $810 $1,620 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $615 $1,230 0.9×
Visual Evoked Potential Test (95930) $497.50 $995 2.1×
Vital capacity, total (94150) $165 $330 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $85 $170 2.7×
Whirlpool Therapy (97022) $70 $140 4.5×

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.