Visits & medical services prices at Alton Memorial Hospital
Alton, 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 |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $32.40 | $54 | 0.7× |
| Airway Inhalation Treatment (94640) | $240 | $400 | 1.0× |
| Analyze neurostim complex (95972) | $40,862.04 | $68,103.40 | 401.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $139.80 | $233 | 9.7× |
| Application on-body injector (96377) | $141 | $235 | 2.8× |
| Assessment of aphasia per hr (96105) | $150.60 | $251 | 1.5× |
| Behavral qualit analys voice (92524) range across 5 matching MRF lines |
$155.40–$379.80 | $259–$633 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $1,042.20 | $1,737 | 2.6× |
| Canalith repositioning proc (95992) | $69 | $115 | 1.7× |
| Cardiac Stress Tst,Tracing Only (93017) | $921 | $1,535 | 4.0× |
| Cardiopulmonary resuscitation (92950) | $30,282.41 | $50,470.68 | 130.9× |
| Cardioversion (92960) range across 4 matching MRF lines |
$2,897.88–$79,422.49 | $4,829.80–$132,370.81 | varies |
| Cardioversion elective internal (92961) | $4,176.59 | $6,960.99 | 5.9× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) range across 3 matching MRF lines |
$12,502.78–$32,633.96 | $20,837.96–$54,389.93 | varies |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 3 matching MRF lines |
$9,197.48–$32,964.33 | $15,329.13–$54,940.55 | varies |
| Cbt 1st hour (94644) | $148.80 | $248 | 1.0× |
| Chemo Anti-Neopl Sq/Im (96401) | $301.80 | $503 | 3.9× |
| Chemo Hormon Antineopl Sq/Im (96402) | $270 | $450 | 3.5× |
| Chemo IV infusion addl hr (96415) | $435 | $725 | 5.6× |
| Chemo IV push addl drug (96411) | $377.40 | $629 | 4.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $394.20 | $657 | 5.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $799.20 | $1,332 | 2.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $481.20 | $802 | 1.4× |
| Chest Wall Manipulation (94668) | $120 | $200 | 0.8× |
| Color/duplex Doppler, complete (93975) | $1,449 | $2,415 | 5.7× |
| Color/duplex Doppler, limited (93976) | $987 | $1,645 | 8.8× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $231 | $385 | 1.6× |
| Continuous Pulse Ox (94762) | $180 | $300 | 1.3× |
| Coronary Art/Grft Angio S&I (93455) | $9,374.57 | $15,624.29 | 2.7× |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$11,843.21–$37,932.88 | $19,738.68–$63,221.46 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $677.40 | $1,129 | 2.9× |
| Cpt initial (94667) | $148.20 | $247 | 1.0× |
| Critical care first hour (99291) | $4,111.80 | $6,853 | 4.6× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 10 matching MRF lines |
$492.54–$5,164.89 | $820.90–$8,608.15 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $281.40 | $469 | 2.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,222.80 | $2,038 | 4.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,537.80 | $2,563 | 6.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $923.40 | $1,539 | 8.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,361.40 | $2,269 | 5.3× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,020.60 | $1,701 | 9.1× |
| Duplex Scan Hemodialysis Access (93990) | $479.40 | $799 | 4.3× |
| Duplex up extrem art bilat (93930) | $2,119.80 | $3,533 | 8.3× |
| Duplex up extrem art unilat/ltd (93931) | $951 | $1,585 | 8.5× |
| Echo Congenital Complete (93303) | $1,436.40 | $2,394 | 2.5× |
| Echo Heart Xthoracic,Limited (93308) | $423.60 | $706 | 1.7× |
| Echo transesophageal (93312) | $2,887.20 | $4,812 | 4.9× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $1,108.20 | $1,847 | 1.9× |
| EEG awake and asleep (95819) | $1,303.80 | $2,173 | 5.6× |
| EEG awake drowsy (95816) | $1,093.80 | $1,823 | 4.7× |
| EEG extended monitoring 61-119 minutes (95813) | $1,009.80 | $1,683 | 4.4× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $224.40 | $374 | 2.2× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $74.40 | $124 | 1.9× |
| Electrical Stimulation Ea 15 Min (97032) | $91.80 | $153 | 6.2× |
| Electrocardiogram Tracing (93005) | $318 | $530 | 5.0× |
| Emergency Dept Visit Level 2 (99282) | $1,009.80 | $1,683 | 6.1× |
| Emergency Dept Visit Level 3 (99283) | $1,604.40 | $2,674 | 5.5× |
| Emergency Dept Visit Level 4 (99284) | $2,259 | $3,765 | 5.1× |
| Emg 4 Extremities (95864) | $570.60 | $951 | 4.1× |
| Endomyocardial Biopsy (93505) | $19,841.21 | $33,068.68 | 5.9× |
| Ep & ablate supravent arrhyt (93653) | $50,311.29 | $83,852.15 | 1.8× |
| Ep & ablate ventric tachy (93654) | $72,619.73 | $121,032.88 | 2.6× |
| Er level 1 (99281) | $568.80 | $948 | 6.3× |
| Er level v (99285) | $3,330.60 | $5,551 | 5.2× |
| Evaluate pt use of inhaler (94664) | $157.20 | $262 | 0.7× |
| Evaluate Speech Production (92522) range across 15 matching MRF lines |
$37.20–$92.40 | $62–$154 | varies |
| Evaluate Swallowing Function (92610) range across 15 matching MRF lines |
$103.80–$253.80 | $173–$423 | varies |
| Evaluation of speech fluency (92521) range across 3 matching MRF lines |
$171–$267 | $285–$445 | varies |
| Exercise test for bronchospasm (94617) | $148.80 | $248 | 1.0× |
| External ECG rec>48hr<7d recording (93242) | $165 | $275 | 4.1× |
| External Ecg Scanning Analysis Report (93226) | $463.80 | $773 | 7.3× |
| Extracranial Bilat Study (93880) | $2,481 | $4,135 | 9.7× |
| Extracranial Uni/Ltd Study (93882) | $352.80 | $588 | 3.1× |
| Gi tract capsule endoscopy (91110) | $1,648.20 | $2,747 | 1.7× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) range across 2 matching MRF lines |
$12,669.17–$47,406.43 | $21,115.29–$79,010.72 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$674.40–$2,033.40 | $1,124–$3,389 | varies |
| Holter monitor recording (93225) | $1,086 | $1,810 | 7.6× |
| Immunization administration (90471) | $82.20 | $137 | 1.1× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $609 | $1,015 | 1.5× |
| Insert/Place Heart Catheter (93503) | $1,471.20 | $2,452 | 0.9× |
| Iontophoresis 15 min (97033) | $65.40 | $109 | 3.4× |
| Irrig Drug Delivery Device (96523) | $261.60 | $436 | 4.1× |
| IV infusion hydration each additional hour (96361) | $103.20 | $172 | 2.1× |
| IV infusion hydration initial 31 min-1 hour (96360) | $475.20 | $792 | 2.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $212.40 | $354 | 2.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $132 | $220 | 2.6× |
| IV push initial (96374) | $242.40 | $404 | 1.1× |
| L Hrt Art/Grft Angio (93459) range across 2 matching MRF lines |
$9,740.78–$30,515.77 | $16,234.63–$50,859.61 | varies |
| L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj (93595) | $19,841.21 | $33,068.68 | 5.7× |
| Lung Function Test (Mbc/Mvv) (94200) | $182.40 | $304 | 2.9× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $709.20 | $1,182 | 3.1× |
| Mechanical chest wall oscillation per session (94669) | $187.20 | $312 | 0.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $63 | $105 | 2.0× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $69.60 | $116 | 1.9× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $44.40 | $74 | 2.6× |
| Methacholine challenge (94070) | $945.60 | $1,576 | 2.4× |
| Motion Fluoroscopy/Swallow (92611) range across 3 matching MRF lines |
$156–$243.60 | $260–$406 | varies |
| Multiple Sleep Latency Test (95805) | $2,491.80 | $4,153 | 2.7× |
| Muscle Test 2 Limbs (95861) | $321 | $535 | 2.3× |
| Muscle Test One Limb (95860) | $223.80 | $373 | 1.6× |
| Nasopharyngoscopy (92511) | $247.80 | $413 | 1.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $459.60 | $766 | 1.1× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $577.80 | $963 | 1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $351.60 | $586 | 1.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $459.60 | $766 | 1.1× |
| Nerve Conduction Studies 1-2 Studies (95907) | $387 | $645 | 1.7× |
| Nerve Conduction Studies 11-12 Studies (95912) | $3,182.40 | $5,304 | 8.0× |
| Nerve conduction studies 13 or more studies (95913) | $3,460.20 | $5,767 | 8.7× |
| Nerve Conduction Studies 3-4 Studies (95908) | $952.80 | $1,588 | 4.1× |
| Nerve conduction studies 5-6 studies (95909) | $1,490.40 | $2,484 | 6.4× |
| Nerve conduction studies 7-8 studies (95910) | $1,940.40 | $3,234 | 4.9× |
| Nerve Conduction Studies 9-10 Studies (95911) | $2,484 | $4,140 | 6.2× |
| Neuromuscular Reeducation (97112) | $100.80 | $168 | 3.1× |
| Newborn resuscitation (99465) | $752.40 | $1,254 | 1.1× |
| Oral Function Therapy (92526) range across 25 matching MRF lines |
$120–$293.40 | $200–$489 | varies |
| Oral Speech Device Eval (92597) | $108 | $180 | 1.5× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $92.40 | $154 | 1.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $84 | $140 | 1.8× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $35.40 | $59 | 1.5× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $52.20 | $87 | 2.3× |
| Osteopathic manipulative tx 5-6 body regions (98927) | $69.60 | $116 | 3.0× |
| Osteopathic manipulative tx 7-8 body regions (98928) | $87.60 | $146 | 3.8× |
| Osteopathic manipulative tx 9-10 body regions (98929) | $105 | $175 | 4.5× |
| Ot eval high complexity (97167) | $232.80 | $388 | 2.3× |
| Ot Eval Low Complex (97165) | $192 | $320 | 1.9× |
| Ot Eval Moderate Complexity (97166) | $196.80 | $328 | 2.0× |
| Ot manual therapy 15 min (97140) | $81 | $135 | 2.9× |
| Ot Prosthetic Training, Each 15 Min (97761) | $66.60 | $111 | 1.6× |
| Ot Re-Eval Est Plan Care (97168) | $102 | $170 | 1.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $217.80 | $363 | 0.9× |
| Perq transcath closure pda (93582) | $31,428.19 | $52,380.32 | 1.6× |
| Perq Transcath Cls Aortic (93591) | $26,514.41 | $44,190.69 | 1.3× |
| Perq Transcath Cls Mitral (93590) | $41,573.06 | $69,288.44 | 2.1× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) range across 6 matching MRF lines |
$23,403.71–$38,283.33 | $39,006.18–$63,805.55 | varies |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 2 matching MRF lines |
$26,645.71–$46,328.19 | $44,409.51–$77,213.65 | varies |
| Phlebotomy therapeutic (99195) | $313.80 | $523 | 2.2× |
| Plethysmography (94726) | $571.80 | $953 | 1.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $5,163 | $8,605 | 5.6× |
| Prq Card Angio/Athrect 1 Art (92924) | $28,322 | $47,203.34 | 2.3× |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 4 matching MRF lines |
$24,442.88–$45,107.30 | $40,738.14–$75,178.83 | varies |
| Prq Card Stent/Ath/Angio (92933) | $12,490.20 | $20,817 | 0.6× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $47,707.19 | $79,511.98 | 3.9× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $50,432.41 | $84,054.02 | 2.6× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $34,961.99 | $58,269.99 | 2.8× |
| Psychiatric diagnostic evaluation (90791) | $259.20 | $432 | 1.4× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $187.20 | $312 | 0.4× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $131.40 | $219 | 0.9× |
| Pt Eval High Complex (97163) | $184.20 | $307 | 1.9× |
| Pt eval low complex 20 min (97161) | $141.60 | $236 | 1.4× |
| Pt Eval Mod Complex (97162) | $162.60 | $271 | 1.7× |
| Pt gait training 15 min (97116) | $90.60 | $151 | 3.1× |
| Pt mechanical traction (97012) | $102 | $170 | 7.1× |
| Pt Re-Eval Est Plan Care (97164) | $109.80 | $183 | 1.6× |
| Pulmonary service/procedure (94799) range across 4 matching MRF lines |
$84–$198.60 | $140–$331 | varies |
| Pulmonary Stress Testing (94618) | $510 | $850 | 3.6× |
| R Hrt Art/Grft Angio (93457) | $11,587.82 | $19,313.04 | 3.3× |
| R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) | $21,050.33 | $35,083.88 | 6.1× |
| R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) | $27,457.91 | $45,763.18 | 7.9× |
| R hrt coronary artery angio (93456) | $10,518.08 | $17,530.13 | 3.0× |
| R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) | $29,958.55 | $49,930.92 | 8.6× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $21,261.34 | $35,435.56 | 6.1× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $10,376.65 | $17,294.41 | 3.0× |
| Remote 30 Day Ecg Rev/Report (93270) | $483 | $805 | 12.1× |
| Right Heart Cath (93451) | $7,081.77 | $11,802.95 | 2.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $378.60 | $631 | 1.8× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$163.20–$217.80 | $272–$363 | varies |
| Self Care Mngment Training (97535) | $111.60 | $186 | 3.4× |
| Sensory Integration Ea 15 Min (97533) | $96.60 | $161 | 1.6× |
| Sleep study unattended (95806) | $870 | $1,450 | 3.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $870 | $1,450 | 3.8× |
| Speech sound lang comprehen (92523) range across 15 matching MRF lines |
$114.60–$280.80 | $191–$468 | varies |
| Spirometry (94010) | $331.20 | $552 | 1.4× |
| Standardized Cognitive Performance Testing (96125) | $153 | $255 | 1.5× |
| Stress Tte Only (93350) | $4,006.20 | $6,677 | 6.8× |
| Subcutaneous Infusion Each Additional Hour (96370) | $152.40 | $254 | 3.0× |
| Surfactant Admin Thru Tube (94610) | $234 | $390 | 1.0× |
| Temp transcutaneous pacing (92953) | $19,150.59 | $31,917.65 | 27.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $47.40 | $79 | 2.1× |
| Ther Ivntj Ea Addl 15 Min (97130) | $31.20 | $52 | 1.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $93 | $155 | 3.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 3 matching MRF lines |
$179.40–$280.80 | $299–$468 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) | $110.40 | $184 | 1.4× |
| Ther/Proph/Diag Iv Inf Init (96365) | $547.20 | $912 | 2.4× |
| Therapeutic Activities (97530) | $112.20 | $187 | 3.2× |
| Transcath Closure of Asd (93580) | $56,845.97 | $94,743.28 | 2.9× |
| Tte w/doppler, complete (93306) | $5,346 | $8,910 | 9.1× |
| Tte W/O Doppler Complete (93307) | $1,483.20 | $2,472 | 5.8× |
| Tx atrial fib pulm vein isol (93656) | $75,584.41 | $125,974.02 | 2.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 20 matching MRF lines |
$181.20–$443.40 | $302–$739 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $218.40 | $364 | 4.4× |
| Unlisted cardiovascular service/procedure (93799) range across 6 matching MRF lines |
$12,502.78–$38,565.57 | $20,837.96–$64,275.95 | varies |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $271.29 | $452.15 | 2.0× |
| Upr/L Xtremity Art 2 Levels (93922) | $782.40 | $1,304 | 5.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,260.60 | $2,101 | 5.4× |
| Valvuloplasty aortic valve (92986) | $39,448.65 | $65,747.75 | 6.5× |
| Valvuloplasty mitral valve (92987) | $31,244.83 | $52,074.71 | 2.5× |
| Valvuloplasty pulmonary valve (92990) | $30,901.61 | $51,502.69 | 2.5× |
| Vent Mgmt Inpat Init Day (94002) | $2,693.40 | $4,489 | 4.1× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,456.20 | $2,427 | 2.2× |
| Visual Evoked Potential Test (95930) | $610.20 | $1,017 | 2.6× |
| Vital capacity, total (94150) | $174 | $290 | 1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $45 | $75 | 1.4× |
| Whirlpool Therapy (97022) | $95.40 | $159 | 6.1× |
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.