Visits & medical services prices at Carle Health Proctor Hospital
Peoria, IL · every code in this section with a posted price and a Medicare benchmark.
222 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $22,418 | $22,418 | 2.7× |
| Actinotherapy Ultraviolet Light (96900) | $190 | $190 | 4.7× |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$588–$641 | $588–$641 | varies |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $536 | $536 | 3.8× |
| Anrct mano rct sensation&rct balo expulsion test (91125) | $1,999 | $1,999 | 5.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$90–$163 | $90–$163 | varies |
| Assessment of aphasia per hr (96105) | $546 | $546 | 5.6× |
| Behavral qualit analys voice (92524) | $546 | $546 | 5.0× |
| Breath hydrogen/methane test (91065) | $518 | $518 | 2.2× |
| Brief Emotional/Behav Assmt (96127) | $147 | $147 | 3.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$599–$1,145 | $599–$1,145 | varies |
| Bundle of his recording (93600) | $22,418 | $22,418 | 2.7× |
| Canalith repositioning proc (95992) range across 3 matching MRF lines |
$173–$263 | $173–$263 | varies |
| Car seat/bed test 60 min (94780) | $147 | $147 | 3.7× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,985 | $1,985 | 8.6× |
| Cardiopulmonary exercise testing (94621) | $1,628 | $1,628 | 4.1× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$1,554–$1,617 | $1,554–$1,617 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$3,066–$3,192 | $3,066–$3,192 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $21,599 | $21,599 | 6.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $18,323 | $18,323 | 5.3× |
| Cbt 1st hour (94644) | $315 | $315 | 2.2× |
| Chemo Anti-Neopl Sq/Im (96401) | $257 | $257 | 3.3× |
| Chemo Hormon Antineopl Sq/Im (96402) | $305 | $305 | 4.0× |
| Chemo IV infusion addl hr (96415) | $257 | $257 | 3.3× |
| Chemotherapy Into Cns (96450) | $1,460 | $1,460 | 4.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $200 | $200 | 2.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $693 | $693 | 2.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $546 | $546 | 1.5× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$194–$200 | $194–$200 | varies |
| Color/duplex Doppler, complete (93975) | $2,247 | $2,247 | 8.8× |
| Color/duplex Doppler, limited (93976) | $1,502 | $1,502 | 13.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $194 | $194 | 6.1× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $672 | $672 | 4.7× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $142 | $142 | 2.2× |
| Coronary Art/Grft Angio S&I (93455) | $13,094 | $13,094 | 3.8× |
| Coronary Artery Angio S&I (93454) | $14,816 | $14,816 | 4.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 6 matching MRF lines |
$462–$1,659 | $462–$1,659 | varies |
| Cpt initial (94667) range across 3 matching MRF lines |
$152–$609 | $152–$609 | varies |
| Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) | $1,029 | $1,029 | 4.4× |
| Critical care first hour (99291) | $4,515 | $4,515 | 5.1× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$236–$520 | $236–$520 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $903 | $903 | 6.5× |
| Dialysis One Evaluation (90945) | $2,195 | $2,195 | 4.9× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,964 | $1,964 | 7.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $1,061 | $1,061 | 9.5× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $1,491 | $1,491 | 13.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $2,132 | $2,132 | 8.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,334 | $1,334 | 11.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $2,562 | $2,562 | 10.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,733 | $1,733 | 15.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $683 | $683 | 2.7× |
| Duplex Scan Hemodialysis Access (93990) | $1,355 | $1,355 | 12.1× |
| Duplex up extrem art bilat (93930) | $2,468 | $2,468 | 9.7× |
| Duplex up extrem art unilat/ltd (93931) | $1,376 | $1,376 | 12.3× |
| Echo Congenital Complete (93303) | $1,964 | $1,964 | 3.4× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$1,029–$1,481 | $1,029–$1,481 | varies |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$2,898–$3,696 | $2,898–$3,696 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $4,316 | $4,316 | 7.4× |
| Eeg 41-60 Minutes (95812) | $2,268 | $2,268 | 9.8× |
| EEG awake and asleep (95819) | $2,058 | $2,058 | 8.9× |
| EEG awake drowsy (95816) | $2,058 | $2,058 | 8.9× |
| EEG extended monitoring 61-119 minutes (95813) | $2,499 | $2,499 | 10.8× |
| Eeg Sleep Only (95822) | $2,058 | $2,058 | 8.9× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$116–$163 | $116–$163 | varies |
| Electrocardiogram Tracing (93005) | $536 | $536 | 8.5× |
| Electroconvulsive Therapy (90870) | $2,069 | $2,069 | 2.2× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $12,590 | $12,590 | 1.5× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$490–$861 | $490–$861 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$857–$1,512 | $857–$1,512 | varies |
| Emergency Dept Visit Level 4 (99284) | $2,373 | $2,373 | 5.3× |
| Ep & ablate supravent arrhyt (93653) | $45,161 | $45,161 | 1.6× |
| Ep & ablate ventric tachy (93654) | $55,041 | $55,041 | 2.0× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $19,383 | $19,383 | 2.3× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $12,779 | $12,779 | 1.5× |
| Er level 1 (99281) range across 2 matching MRF lines |
$267–$478 | $267–$478 | varies |
| Er level v (99285) | $3,402 | $3,402 | 5.3× |
| Evaluate pt use of inhaler (94664) range across 2 matching MRF lines |
$452–$478 | $452–$478 | varies |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$525–$546 | $525–$546 | varies |
| Evaluate Swallowing Function (92610) range across 5 matching MRF lines |
$341–$546 | $341–$546 | varies |
| Evaluation of speech fluency (92521) | $546 | $546 | 4.1× |
| External ECG rec>48hr<7d recording (93242) | $97 | $97 | 2.4× |
| External ECG rec>7d<15d recording (93246) | $163 | $163 | 4.1× |
| External Ecg Scanning Analysis Report (93226) | $1,082 | $1,082 | 17.1× |
| Extracranial Bilat Study (93880) | $2,163 | $2,163 | 8.5× |
| Extracranial Uni/Ltd Study (93882) | $1,439 | $1,439 | 12.8× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,575 | $1,575 | 2.7× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $2,793 | $2,793 | 7.0× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $3,696 | $3,696 | 16.0× |
| Gi tract capsule endoscopy (91110) | $4,620 | $4,620 | 4.8× |
| Group Therapeutic Procedures (97150) range across 4 matching MRF lines |
$121–$257 | $121–$257 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $17,640 | $17,640 | 5.1× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $4,305 | $4,305 | 5.9× |
| Holter monitor recording (93225) | $520 | $520 | 3.6× |
| Immunization administration (90471) range across 3 matching MRF lines |
$102–$116 | $102–$116 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $861 | $861 | 2.2× |
| Insert/Place Heart Catheter (93503) | $1,659 | $1,659 | 1.0× |
| Interrogation vad in person (93750) | $412 | $412 | 4.0× |
| Intra-atrial pacing (93610) | $16,609 | $16,609 | 2.0× |
| Intraventricular pacing (93612) | $23,436 | $23,436 | 2.8× |
| Iontophoresis 15 min (97033) | $173 | $173 | 9.1× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$336–$347 | $336–$347 | varies |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$341–$357 | $341–$357 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$672–$693 | $672–$693 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $252 | $252 | 3.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$215–$226 | $215–$226 | varies |
| IV push initial (96374) range across 5 matching MRF lines |
$478–$693 | $478–$693 | varies |
| L Hrt Art/Grft Angio (93459) | $18,323 | $18,323 | 5.3× |
| Laryngeal Function Studies (92520) | $504 | $504 | 3.5× |
| Liver Elastography W/O Imag W/I&R (91200) | $662 | $662 | 4.8× |
| Lung Function Test (Mbc/Mvv) (94200) | $252 | $252 | 4.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $578 | $578 | 2.5× |
| Mchnl sclp cool cap sply head meas fitg&educaj (97007) | $6,085 | $6,085 | 4.0× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$36–$121 | $36–$121 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$38–$121 | $38–$121 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $69 | $69 | 4.1× |
| Methacholine challenge (94070) | $3,077 | $3,077 | 7.7× |
| Motility study esophagus (91010) | $7,361 | $7,361 | 18.4× |
| Motion Fluoroscopy/Swallow (92611) range across 4 matching MRF lines |
$457–$599 | $457–$599 | varies |
| Multiple Sleep Latency Test (95805) | $5,240 | $5,240 | 5.7× |
| Muscle Test Nonparaspinal (95870) | $441 | $441 | 3.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $1,260 | $1,260 | 2.9× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,260 | $1,260 | 2.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$383–$641 | $383–$641 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$410–$1,260 | $410–$1,260 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $499 | $499 | 2.2× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$184–$194 | $184–$194 | varies |
| Oral Function Therapy (92526) range across 5 matching MRF lines |
$231–$242 | $231–$242 | varies |
| Oral Speech Device Eval (92597) | $215 | $215 | 3.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$152–$273 | $152–$273 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$158–$257 | $158–$257 | varies |
| Ot eval high complexity (97167) | $546 | $546 | 5.4× |
| Ot Eval Low Complex (97165) range across 3 matching MRF lines |
$404–$425 | $404–$425 | varies |
| Ot Eval Moderate Complexity (97166) range across 4 matching MRF lines |
$462–$483 | $462–$483 | varies |
| Ot manual therapy 15 min (97140) | $194 | $194 | 7.0× |
| Ot paraffin bath (97018) | $86 | $86 | 14.3× |
| Ot Prosthetic Training, Each 15 Min (97761) | $163 | $163 | 4.0× |
| Ot Re-Eval Est Plan Care (97168) | $305 | $305 | 4.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $326 | $326 | 2.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $326 | $326 | 2.4× |
| Penile Vascular Study,Ltd or F/U (93981) | $410 | $410 | 3.7× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $662 | $662 | 2.8× |
| Peripheral arterial disease rehab per session (93668) | $257 | $257 | 4.1× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $98,223 | $98,223 | 5.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $18,029 | $18,029 | 3.0× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $26,198 | $26,198 | 2.1× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $278 | $278 | 4.4× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $278 | $278 | 4.4× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$194–$242 | $194–$242 | varies |
| Plethysmography (94726) | $431 | $431 | 1.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$7,119–$9,219 | $7,119–$9,219 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $8,757 | $8,757 | 9.5× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $8,757 | $8,757 | 9.5× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $194 | $194 | 4.9× |
| Prq Card Angio/Athrect 1 Art (92924) | $31,658 | $31,658 | 2.6× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $35,721 | $35,721 | 2.9× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $37,055 | $37,055 | 3.0× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $61,855 | $61,855 | 5.0× |
| Psych diag eval w/med srvcs (90792) | $557 | $557 | 2.9× |
| Psychiatric diagnostic evaluation (90791) | $693 | $693 | 3.6× |
| Pt Eval High Complex (97163) range across 4 matching MRF lines |
$525–$546 | $525–$546 | varies |
| Pt eval low complex 20 min (97161) range across 3 matching MRF lines |
$152–$425 | $152–$425 | varies |
| Pt Eval Mod Complex (97162) range across 4 matching MRF lines |
$462–$483 | $462–$483 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$184–$194 | $184–$194 | varies |
| Pt mechanical traction (97012) | $95 | $95 | 6.6× |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$289–$305 | $289–$305 | varies |
| Pulmonary service/procedure (94799) range across 8 matching MRF lines |
$120–$1,249 | $120–$1,249 | varies |
| Pulmonary Stress Testing (94618) | $431 | $431 | 3.0× |
| R Hrt Art/Grft Angio (93457) | $17,966 | $17,966 | 5.2× |
| R hrt coronary artery angio (93456) | $15,089 | $15,089 | 4.3× |
| Rectal sensation tone&compliance study (91124) | $1,157 | $1,157 | 5.0× |
| Rem interrog icpms <30 d phys/qhp (93297) | $121 | $121 | 3.0× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $137 | $137 | 3.4× |
| Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) | $200 | $200 | 5.0× |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$620–$662 | $620–$662 | varies |
| Right Heart Cath (93451) | $13,346 | $13,346 | 3.8× |
| Right ventricular recording (93603) | $3,738 | $3,738 | 2.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $641 | $641 | 3.0× |
| Rtm dev sply data cbt 2-15 days in 30 d pd (98986) | $200 | $200 | 5.0× |
| Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) | $200 | $200 | 5.0× |
| Rtm dev sply data respir sys 2-15 days in 30d pd (98984) | $200 | $200 | 5.0× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) range across 2 matching MRF lines |
$305–$462 | $305–$462 | varies |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $242 | $242 | 5.1× |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$173–$194 | $173–$194 | varies |
| Sensory Integration Ea 15 Min (97533) | $194 | $194 | 3.2× |
| Slp caregiver training 1st 30 min (97550) range across 2 matching MRF lines |
$389–$408 | $389–$408 | varies |
| Speech sound lang comprehen (92523) range across 3 matching MRF lines |
$525–$546 | $525–$546 | varies |
| Spirometry (94010) | $431 | $431 | 1.9× |
| Standardized Cognitive Performance Testing (96125) range across 4 matching MRF lines |
$546–$914 | $546–$914 | varies |
| Surfactant Admin Thru Tube (94610) | $546 | $546 | 2.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $231 | $231 | 10.3× |
| Ther Ivntj Ea Addl 15 Min (97130) | $231 | $231 | 11.0× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$194–$257 | $194–$257 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $378 | $378 | 3.7× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $121 | $121 | 2.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$42–$341 | $42–$341 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$672–$693 | $672–$693 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$163–$194 | $163–$194 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $2,667 | $2,667 | 6.7× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $121 | $121 | 3.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $96 | $96 | 2.4× |
| Transcath Closure of Asd (93580) | $43,533 | $43,533 | 2.2× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$4,589–$4,851 | $4,589–$4,851 | varies |
| Tte W/O Doppler Complete (93307) | $2,111 | $2,111 | 8.3× |
| Tx atrial fib pulm vein isol (93656) | $55,041 | $55,041 | 2.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 6 matching MRF lines |
$362–$378 | $362–$378 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $90 | $90 | 3.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $331 | $331 | 6.6× |
| Unlisted noninvasive vascular diagnostic study (93998) | $215 | $215 | 6.9× |
| Unlisted Psychiatric Service/Procedure (90899) | $1,733 | $1,733 | 43.2× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$567–$819 | $567–$819 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,145 | $1,145 | 4.9× |
| Veeg 2-12 Hr Cont Mntr (95713) | $2,699 | $2,699 | 6.7× |
| Veeg 2-12 hr intmt mntr (95712) | $1,491 | $1,491 | 3.7× |
| Veeg 2-12 hr unmonitored (95711) | $1,491 | $1,491 | 6.4× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $2,846 | $2,846 | 7.1× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $2,846 | $2,846 | 7.1× |
| Veeg ea 12-26hr cont mntr (95716) | $3,728 | $3,728 | 4.1× |
| Vent Mgmt Inpat Init Day (94002) | $3,035 | $3,035 | 4.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $2,058 | $2,058 | 3.1× |
| Visual Evoked Potential Test (95930) | $1,901 | $1,901 | 8.2× |
| Vital capacity, total (94150) | $234 | $234 | 1.7× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 3 matching MRF lines |
$171–$194 | $171–$194 | varies |
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.