Visits & medical services prices at Advocate Trinity Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
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 neurostim no prog (95970) $315 $630 2.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $60 $120 4.2×
Application on-body injector (96377) $90 $180 1.8×
Assessment of aphasia per hr (96105)
range across 2 matching MRF lines
$20–$302.50 $40–$605 varies
Behavral qualit analys voice (92524)
range across 2 matching MRF lines
$45–$350 $90–$700 varies
Breath hydrogen/methane test (91065) $420 $840 1.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $525 $1,050 1.3×
Canalith repositioning proc (95992) $115 $230 2.8×
Cardiac Stress Tst,Tracing Only (93017) $470 $940 2.0×
Cardiopulmonary resuscitation (92950) $975 $1,950 4.2×
Cardioversion (92960) $1,145 $2,290 1.6×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $4,685 $9,370 1.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $4,525 $9,050 1.3×
Cbt 1st hour (94644) $185 $370 1.3×
Chemo Anti-Neopl Sq/Im (96401) $260 $520 3.4×
Chemo Hormon Antineopl Sq/Im (96402) $220 $440 2.9×
Chemo Ia Push (96420) $495 $990 1.4×
Chemo IV infusion addl hr (96415) $307.50 $615 4.0×
Chemo IV push addl drug (96411) $295 $590 3.8×
Chemother Prolong Infuse W/Pump (96416) $615 $1,230 1.7×
Chemotherapy Unspecified (96549) $150 $300 3.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $307.50 $615 4.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $615 $1,230 1.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $392.50 $785 1.1×
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 6.0×
Continuous Pulse Ox (94762) $282.50 $565 2.0×
Coronary Art/Grft Angio S&I (93455) $3,970 $7,940 1.1×
Coronary Artery Angio S&I (93454) $3,770 $7,540 1.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$325–$447.50 $650–$895 varies
Cpt initial (94667) $115 $230 0.8×
Critical care first hour (99291) $2,290 $4,580 2.6×
Debridement Open Wound 20 Sq Cm< (97597) $307.50 $615 1.4×
Developmental tst admin phys/qhp 1st hour (96112)
range across 2 matching MRF lines
$87.50–$290 $175–$580 varies
Dialysis One Evaluation (90945) $580 $1,160 1.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $905 $1,810 3.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $990 $1,980 3.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $660 $1,320 5.9×
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 4.5×
Duplex Scan Hemodialysis Access (93990) $605 $1,210 5.4×
Duplex up extrem art bilat (93930) $780 $1,560 3.1×
Duplex up extrem art unilat/ltd (93931) $520 $1,040 4.6×
Echo Congenital Complete (93303)
range across 2 matching MRF lines
$935–$1,175 $1,870–$2,350 varies
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines
$415–$465 $830–$930 varies
Echo transesophageal (93312)
range across 3 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
$1,325–$1,375 $2,650–$2,750 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 2.7×
EEG cont rec w/video by tech min 8 channels (95700) $445 $890 1.9×
EEG extended monitoring 61-119 minutes (95813) $1,040 $2,080 4.5×
Eeg Sleep Only (95822) $795 $1,590 3.4×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $442.50 $885 1.9×
EEG w/o vid 2-12hr cont mntr (95707) $442.50 $885 1.9×
EEG w/o vid ea 12-26hr intmt (95709) $885 $1,770 2.2×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $885 $1,770 2.2×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $442.50 $885 1.9×
EEG wo vid ea 12-26hr unmntr (95708) $885 $1,770 2.2×
Electrical Stimulation Ea 15 Min (97032) $75 $150 5.1×
Electrocardiogram Tracing (93005) $262.50 $525 4.2×
Emergency Dept Visit Level 2 (99282) $417.50 $835 2.5×
Emergency Dept Visit Level 3 (99283) $715 $1,430 2.4×
Emergency Dept Visit Level 4 (99284) $1,265 $2,530 2.8×
Er level 1 (99281)
range across 4 matching MRF lines
$62.50–$195 $125–$390 varies
Er level v (99285) $1,820 $3,640 2.9×
Esophgl Balo Distension Dx Std W/Provocation (91040) $780 $1,560 2.0×
Evaluate pt use of inhaler (94664) $127.50 $255 0.5×
Evaluate Speech Production (92522)
range across 4 matching MRF lines
$65–$350 $130–$700 varies
Evaluate Swallowing Function (92610)
range across 4 matching MRF lines
$62.50–$200 $125–$400 varies
Evaluation of speech fluency (92521)
range across 4 matching MRF lines
$65–$350 $130–$700 varies
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) $4,835 $9,670 1.4×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 2 matching MRF lines
$920–$1,025 $1,840–$2,050 varies
Icd Device Interrogate (93289) $242.50 $485 6.1×
Ilr Device Interrogate (93291) $152.50 $305 4.9×
Immunization administration (90471) $50 $100 0.6×
Insert/Place Heart Catheter (93503) $1,390 $2,780 0.8×
Irrig Drug Delivery Device (96523) $125 $250 2.0×
IV infusion hydration each additional hour (96361) $95 $190 1.9×
IV infusion hydration initial 31 min-1 hour (96360) $285 $570 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $145 $290 1.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $145 $290 2.9×
IV push initial (96374) $215 $430 0.9×
L Hrt Art/Grft Angio (93459) $4,770 $9,540 1.4×
Low frequency non-thermal us (97610) $137.50 $275 0.6×
Lung Function Test (Mbc/Mvv) (94200) $225 $450 3.6×
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×
Methacholine challenge (94070) $645 $1,290 1.6×
Motion Fluoroscopy/Swallow (92611)
range across 4 matching MRF lines
$60–$327.50 $120–$655 varies
Nasopharyngoscopy (92511) $525 $1,050 2.5×
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) $265 $530 1.1×
Nerve Conduction Studies 11-12 Studies (95912) $820 $1,640 2.1×
Nerve conduction studies 13 or more studies (95913) $945 $1,890 2.4×
Nerve Conduction Studies 3-4 Studies (95908) $397.50 $795 1.7×
Nerve conduction studies 5-6 studies (95909) $497.50 $995 2.2×
Nerve conduction studies 7-8 studies (95910) $595 $1,190 1.5×
Nerve Conduction Studies 9-10 Studies (95911) $710 $1,420 1.8×
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 4 matching MRF lines
$122.50–$197.50 $245–$395 varies
Oral Speech Device Eval (92597)
range across 4 matching MRF lines
$25–$317.50 $50–$635 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 4 matching MRF lines
$42.50–$230 $85–$460 varies
Ot Eval Low Complex (97165)
range across 4 matching MRF lines
$37.50–$222.50 $75–$445 varies
Ot Eval Moderate Complexity (97166)
range across 4 matching MRF lines
$40–$225 $80–$450 varies
Ot manual therapy 15 min (97140) $85 $170 3.1×
Ot Prosthetic Training, Each 15 Min (97761) $85 $170 2.1×
Ot Re-Eval Est Plan Care (97168)
range across 4 matching MRF lines
$30–$130 $60–$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×
Peripheral arterial disease rehab per session (93668) $67.50 $135 1.1×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $5,975 $11,950 1.0×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $8,755 $17,510 0.7×
Phlebotomy therapeutic (99195) $207.50 $415 1.5×
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×
Plethysmography (94726) $505 $1,010 1.3×
Pm device eval in person (93288) $160 $320 4.0×
Pm/Icd Remote Tech Serv (93296) $135 $270 3.4×
Prq Card Stent W/Angio 1 Vsl (92928) $11,690 $23,380 0.9×
Prq Card Stent/Ath/Angio (92933) $14,430 $28,860 0.7×
Prq Revasc Byp Graft 1 Vsl (92937) $8,755 $17,510 0.7×
Psytx Crisis Initial 60 Min (90839) $220 $440 1.2×
Pt Eval High Complex (97163)
range across 4 matching MRF lines
$42.50–$212.50 $85–$425 varies
Pt eval low complex 20 min (97161)
range across 4 matching MRF lines
$37.50–$207.50 $75–$415 varies
Pt Eval Mod Complex (97162)
range across 4 matching MRF lines
$40–$210 $80–$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 4 matching MRF lines
$30–$120 $60–$240 varies
Pulmonary Stress Testing (94618) $247.50 $495 1.7×
R Hrt Art/Grft Angio (93457) $4,600 $9,200 1.3×
R hrt coronary artery angio (93456) $4,205 $8,410 1.2×
R&L Hrt Cath W/Ventriclgrphy (93453) $3,970 $7,940 1.1×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $427.50 $855 1.2×
Refill/Maint Pump/Resvr Syst (96522) $377.50 $755 1.7×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $177.50 $355 2.8×
Right Heart Cath (93451) $3,760 $7,520 1.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $235 $470 1.1×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $500 $1,000 4.1×
Self Care Mngment Training (97535) $85 $170 2.6×
Sensory Integration Ea 15 Min (97533) $85 $170 1.4×
Speech sound lang comprehen (92523)
range across 8 matching MRF lines
$50–$457.50 $100–$915 varies
Spin/Brain Pump Refil & Main (95991) $427.50 $855 1.3×
Spirometry (94010) $307.50 $615 1.3×
Stress Tte Only (93350)
range across 2 matching MRF lines
$895–$1,030 $1,790–$2,060 varies
Temp transcutaneous pacing (92953) $960 $1,920 1.4×
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 Min Aqua Ther W/Xerss (97113) $100 $200 2.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $67.50 $135 2.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $217.50 $435 2.1×
Ther/Proph/Diag Inj Sc/Im (96372) $107.50 $215 1.4×
Ther/Proph/Diag Iv Inf Init (96365) $360 $720 1.6×
Therapeutic Activities (97530) $85 $170 2.4×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,320 $2,640 3.3×
Tte w/doppler, complete (93306)
range across 3 matching MRF lines
$1,075–$1,160 $2,150–$2,320 varies
Tte W/O Doppler Complete (93307)
range across 3 matching MRF lines
$665–$880 $1,330–$1,760 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 4 matching MRF lines
$110–$220 $220–$440 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $110 $220 4.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $162.50 $325 3.2×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines
$415–$620 $830–$1,240 varies
Upr/L Xtremity Art 2 Levels (93922) $400 $800 2.8×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $600 $1,200 2.6×
Veeg 2-12 Hr Cont Mntr (95713) $885 $1,770 2.2×
Veeg 2-12 hr intmt mntr (95712) $442.50 $885 1.1×
Veeg 2-12 hr unmonitored (95711) $442.50 $885 1.9×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $885 $1,770 2.2×
Veeg Ea 12-26 Hr Unmntr (95714) $885 $1,770 2.2×
Veeg ea 12-26hr cont mntr (95716) $1,545 $3,090 1.7×
Vent Mgmt Inpat Init Day (94002) $780 $1,560 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $580 $1,160 0.9×
Vital capacity, total (94150) $165 $330 1.2×
Wheelchair Mgmt Ea 15 Min (97542) $85 $170 2.7×

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.