Visits & medical services prices at Carlinville Area Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Advncd Care Plan 30 Min (99497) $75.60 $108 0.7×
Airway Inhalation Treatment (94640)
range across 8 matching MRF lines
$29.40–$195.30 $42–$279 varies
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $143.50 $205 1.0×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $143.50 $205 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 7 matching MRF lines
$48.30–$121.80 $69–$174 varies
Application Modality 1/> Areas Diathermy (97024)
range across 2 matching MRF lines
$43.40–$51.80 $62–$74 varies
Behavral qualit analys voice (92524)
range across 3 matching MRF lines
$396.90–$408.10 $567–$583 varies
Brief Emotional/Behav Assmt (96127)
range across 3 matching MRF lines
$7.70–$8.40 $11–$12 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$263.20–$557.20 $376–$796 varies
Canalith repositioning proc (95992)
range across 5 matching MRF lines
$63.70–$159.60 $91–$228 varies
Cardiac Stress Tst,Tracing Only (93017) $1,180.90 $1,687 5.1×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$892.50–$985.60 $1,275–$1,408 varies
Cardioversion (92960) $1,444.10 $2,063 2.0×
Caregiver hlth risk assmt score doc stnd instrm (96161) $5.60 $8 0.1×
Cbt 1st hour (94644) $297.50 $425 2.1×
Chemo Anti-Neopl Sq/Im (96401) $172.20 $246 2.2×
Chemo IV infusion addl hr (96415) $273 $390 3.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $515.90 $737 1.5×
Chest Wall Manipulation (94668)
range across 2 matching MRF lines
$56.70–$91 $81–$130 varies
Chron Care Mgmt Srvc 20 Min (99490) $74.20 $106 0.7×
Color/duplex Doppler, complete (93975) $1,386 $1,980 5.4×
Color/duplex Doppler, limited (93976) $828.80 $1,184 7.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $88.20 $126 2.8×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $161 $230 0.8×
Continuous Pulse Ox (94762) $191.80 $274 1.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$308–$549.50 $440–$785 varies
Cpt initial (94667)
range across 2 matching MRF lines
$144.20–$151.20 $206–$216 varies
Critical care first hour (99291)
range across 3 matching MRF lines
$892.50–$1,971.20 $1,275–$2,816 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$88.90–$412.30 $127–$589 varies
Developmental tst admin phys/qhp 1st hour (96112)
range across 5 matching MRF lines
$41.30–$71.40 $59–$102 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $849.80 $1,214 3.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$284.20–$1,243.20 $406–$1,776 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$278.60–$690.20 $398–$986 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 4 matching MRF lines
$382.20–$1,398.60 $546–$1,998 varies
Dup-scan xtr veins unilateral/limited study (93971) $980.70 $1,401 8.8×
Duplex up extrem art bilat (93930)
range across 3 matching MRF lines
$256.20–$946.40 $366–$1,352 varies
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$278.60–$612.50 $398–$875 varies
ECG/monitoring and analysis (93271) $347.90 $497 3.4×
Echo Heart Xthoracic,Limited (93308) $578.90 $827 2.3×
Echo transesophageal (93312) $2,116.10 $3,023 3.6×
Eeg 41-60 Minutes (95812) $585.90 $837 2.5×
EEG awake and asleep (95819) $548.80 $784 2.4×
EEG awake drowsy (95816) $397.60 $568 1.7×
EEG cerebral death evaluation (95824) $372.40 $532 0.9×
EEG extended monitoring 61-119 minutes (95813) $844.20 $1,206 3.6×
Eeg Sleep Only (95822) $397.60 $568 1.7×
Electrical Stimulation Ea 15 Min (97032)
range across 7 matching MRF lines
$60.90–$151.90 $87–$217 varies
Electrocardiogram Tracing (93005) $252.70 $361 4.0×
Emergency Dept Visit Level 2 (99282) $409.50 $585 2.5×
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$116.20–$740.60 $166–$1,058 varies
Emergency Dept Visit Level 4 (99284) $1,026.90 $1,467 2.3×
Er level 1 (99281) $296.10 $423 3.3×
Er level v (99285) $1,472.80 $2,104 2.3×
Evaluate pt use of inhaler (94664)
range across 3 matching MRF lines
$50.40–$104.30 $72–$149 varies
Evaluate Speech Production (92522)
range across 3 matching MRF lines
$396.90–$408.10 $567–$583 varies
Evaluate Swallowing Function (92610) $410.20 $586 4.8×
Evaluation of speech fluency (92521) $396.90 $567 3.0×
Exhaled Air Analysis O2 (94680) $352.10 $503 2.6×
External ECG rec>48hr<7d recording (93242) $327.60 $468 8.2×
External ECG rec>7d<15d recording (93246) $347.90 $497 8.7×
External Ecg Scanning Analysis Report (93226) $322 $460 5.1×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$413–$1,222.20 $590–$1,746 varies
Extracranial Uni/Ltd Study (93882)
range across 2 matching MRF lines
$436.80–$884.80 $624–$1,264 varies
Flexible endoscopic eval swallow c/v rec (92612) $386.40 $552 1.9×
Gi tract capsule endoscopy (91110) $1,158.50 $1,655 1.2×
Group Therapeutic Procedures (97150)
range across 4 matching MRF lines
$37.80–$137.90 $54–$197 varies
Holter monitor recording (93225) $294 $420 2.1×
Im Adm Intransl/Oral 1 Vaccine (90473) $28 $40 0.4×
Immunization administration (90471)
range across 4 matching MRF lines
$32.90–$76.30 $47–$109 varies
Iontophoresis 15 min (97033)
range across 7 matching MRF lines
$67.90–$169.40 $97–$242 varies
Irrig Drug Delivery Device (96523) $161 $230 2.5×
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$111.30–$163.10 $159–$233 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 4 matching MRF lines
$275.80–$312.90 $394–$447 varies
IV infusion ther proph addl sequential to 1 hr (96367) $203.70 $291 2.6×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 4 matching MRF lines
$66.50–$171.50 $95–$245 varies
IV push initial (96374)
range across 3 matching MRF lines
$164.50–$228.20 $235–$326 varies
Lung Function Test (Mbc/Mvv) (94200) $167.30 $239 2.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $59.50 $85 1.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$26.60–$70 $38–$100 varies
Methacholine challenge (94070) $1,043.70 $1,491 2.6×
Motion Fluoroscopy/Swallow (92611) $440.30 $629 4.8×
Multiple Sleep Latency Test (95805) $847 $1,210 0.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$225.40–$563.50 $322–$805 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $630 $900 1.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $259 $370 1.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $226.10 $323 0.5×
Neuromuscular Reeducation (97112)
range across 7 matching MRF lines
$41.30–$102.20 $59–$146 varies
Nitric oxide expired gas determination (95012) $40.60 $58 1.0×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $702.80 $1,004 1.8×
Oral Function Therapy (92526)
range across 6 matching MRF lines
$267.40–$306.60 $382–$438 varies
Oral Speech Device Eval (92597) $504.70 $721 7.1×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 7 matching MRF lines
$49–$122.50 $70–$175 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 7 matching MRF lines
$63.70–$160.30 $91–$229 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $101.50 $145 4.4×
Osteopathic manipulative tx 3-4 body regions (98926) $108.50 $155 4.7×
Osteopathic manipulative tx 5-6 body regions (98927) $116.90 $167 5.1×
Osteopathic manipulative tx 7-8 body regions (98928) $125.30 $179 5.4×
Ot Contrast Bath Ea 15 Min (97034) $43.40 $62 3.1×
Ot eval high complexity (97167) $354.20 $506 3.5×
Ot Eval Low Complex (97165) $240.80 $344 2.4×
Ot Eval Moderate Complexity (97166) $282.80 $404 2.8×
Ot manual therapy 15 min (97140)
range across 15 matching MRF lines
$51.80–$163.10 $74–$233 varies
Ot paraffin bath (97018) $115.50 $165 19.2×
Ot Prosthetic Training, Each 15 Min (97761)
range across 5 matching MRF lines
$37.10–$91.70 $53–$131 varies
Ot Re-Eval Est Plan Care (97168) $163.10 $233 2.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines
$122.50–$200.90 $175–$287 varies
Oxygen Uptake Rest Indirect (94690) $490.70 $701 7.8×
Phlebotomy therapeutic (99195) $189 $270 1.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $175 $250 2.8×
Physical Performance Test (97750)
range across 2 matching MRF lines
$35–$120.40 $50–$172 varies
Plethysmography (94726) $340.90 $487 0.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,957.10 $5,653 4.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $20.30 $29 0.4×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $35 $50 0.7×
Psych diag eval w/med srvcs (90792)
range across 3 matching MRF lines
$276.50–$399 $395–$570 varies
Psychiatric diagnostic evaluation (90791)
range across 3 matching MRF lines
$244.30–$399 $349–$570 varies
Psychological tst eval svc phys/qhp first hour (96130)
range across 2 matching MRF lines
$168.70–$342.30 $241–$489 varies
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136)
range across 2 matching MRF lines
$58.10–$124.60 $83–$178 varies
Psytx Crisis Initial 60 Min (90839) $406.70 $581 2.1×
Pt Eval High Complex (97163)
range across 8 matching MRF lines
$88.20–$310.80 $126–$444 varies
Pt eval low complex 20 min (97161)
range across 8 matching MRF lines
$88.20–$221.90 $126–$317 varies
Pt Eval Mod Complex (97162)
range across 8 matching MRF lines
$88.20–$259 $126–$370 varies
Pt gait training 15 min (97116)
range across 8 matching MRF lines
$42–$127.40 $60–$182 varies
Pt mechanical traction (97012)
range across 6 matching MRF lines
$88.20–$221.20 $126–$316 varies
Pt Re-Eval Est Plan Care (97164)
range across 4 matching MRF lines
$63–$158.20 $90–$226 varies
Pt-focused hlth risk assmt score doc stnd instrm (96160) $4.90 $7 0.1×
Pulm function test by gas (94727) $226.10 $323 1.0×
Pulmonary service/procedure (94799) $32.20 $46 0.2×
Pulmonary Stress Testing (94618) $245.70 $351 1.7×
Remote 30 Day Ecg Rev/Report (93270) $468.30 $669 11.7×
Respiratory flow volume loop (94375) $267.40 $382 1.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$171.50–$266 $245–$380 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $410.20 $586 3.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $206.50 $295 4.3×
Self Care Mngment Training (97535)
range across 8 matching MRF lines
$53.90–$133.70 $77–$191 varies
Sensory Integration Ea 15 Min (97533) $107.80 $154 1.8×
Sleep study attended (95807) $1,119.30 $1,599 2.8×
Sleep study unattended (95806)
range across 2 matching MRF lines
$608.30–$842.10 $869–$1,203 varies
Speech sound lang comprehen (92523)
range across 3 matching MRF lines
$396.90–$432.60 $567–$618 varies
Spirometry (94010)
range across 4 matching MRF lines
$81.20–$288.40 $116–$412 varies
Stress Tte Only (93350) $2,651.60 $3,788 4.5×
Temp transcutaneous pacing (92953) $560.70 $801 0.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $81.20 $116 3.6×
Ther Ivntj Ea Addl 15 Min (97130) $81.20 $116 3.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $120.40 $172 3.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $276.50 $395 2.7×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 8 matching MRF lines
$35–$92.40 $50–$132 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 4 matching MRF lines
$112.70–$354.20 $161–$506 varies
Therapeutic Activities (97530)
range across 10 matching MRF lines
$35–$137.90 $50–$197 varies
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 3 matching MRF lines
$24.50–$47.60 $35–$68 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 3 matching MRF lines
$24.50–$25.20 $35–$36 varies
Trans Care Mgmt 14 Day Disch (99495) $252.70 $361 1.8×
Trans Care Mgmt 7 Day Disch (99496) $359.80 $514 2.5×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$2,331.70–$2,879.80 $3,331–$4,114 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 6 matching MRF lines
$329–$369.60 $470–$528 varies
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$164.50–$182.70 $235–$261 varies
Unlisted Psychiatric Service/Procedure (90899)
range across 2 matching MRF lines
$35–$105.70 $50–$151 varies
Upr/L Xtremity Art 2 Levels (93922) $530.60 $758 3.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $464.80 $664 2.0×
Vasopneumatic device (97016)
range across 7 matching MRF lines
$49.70–$123.90 $71–$177 varies
Vent Mgmt Inpat Init Day (94002) $2,047.50 $2,925 3.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,748.60 $2,498 2.6×
Vital capacity, total (94150)
range across 2 matching MRF lines
$119–$225.40 $170–$322 varies
Wheelchair Mgmt Ea 15 Min (97542)
range across 7 matching MRF lines
$37.10–$119.70 $53–$171 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.