Visits & medical services prices at Clay County Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines		 $180–$210 $180–$210 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $192 $192 13.4×
Biofeedback training any modality (90901) $166 $166 4.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $541 $541 1.4×
Canalith repositioning proc (95992)
range across 2 matching MRF lines		 $173–$175 $173–$175 varies
Cardiac Stress Tst,Tracing Only (93017) $1,204 $1,204 5.2×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines		 $508–$660 $508–$660 varies
Cardioversion (92960)
range across 2 matching MRF lines		 $1,725–$2,512 $1,725–$2,512 varies
Care mgmt services behavioral hlth cond 20 mins (99484) $172 $172 4.3×
Cbt 1st hour (94644) $336 $336 2.4×
Chemo IV infusion addl hr (96415) $167 $167 2.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $570 $570 1.6×
Chest Wall Manipulation (94668) $121 $121 0.8×
Chron Care Mgmt Srvc 20 Min (99490) $172 $172 1.6×
Color/duplex Doppler, complete (93975) $1,376 $1,376 5.4×
Color/duplex Doppler, limited (93976) $1,376 $1,376 12.3×
Community/Work Reintegration Trainj Ea 15 Min (97537) $130 $130 4.1×
Cont gluc mntr physician/qhp provided equiptment (95250) $583 $583 4.1×
Cont Gluc Mntr Pt Prov Eqp (95249) $442 $442 7.0×
Continuous Pulse Ox (94762) $606 $606 4.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $808 $808 3.4×
Cpt initial (94667) $335 $335 2.3×
Critical care first hour (99291) $2,185 $2,185 2.5×
Debridement Open Wound 20 Sq Cm< (97597) $388 $388 1.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,204 $1,204 4.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,283 $1,283 5.0×
Dup-scan xtr veins unilateral/limited study (93971) $886 $886 7.9×
Electrical Stimulation Ea 15 Min (97032)
range across 3 matching MRF lines		 $135–$140 $135–$140 varies
Electrocardiogram Tracing (93005) $385 $385 6.1×
Emergency Dept Visit Level 2 (99282) $393 $393 2.4×
Emergency Dept Visit Level 3 (99283) $852 $852 2.9×
Emergency Dept Visit Level 4 (99284) $1,308 $1,308 2.9×
Er level 1 (99281) $197 $197 2.2×
Er level v (99285) $1,701 $1,701 2.7×
Evaluate Speech Production (92522) $492 $492 4.4×
Evaluate Swallowing Function (92610) $571 $571 6.7×
Evaluation of speech fluency (92521) $445 $445 3.3×
External ECG rec>48hr<7d recording (93242) $1,936 $1,936 48.4×
External ECG rec>48hr<7d scanning alys w/report (93243) $1,350 $1,350 9.5×
Extracranial Bilat Study (93880) $1,471 $1,471 5.8×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $601 $601 2.6×
Holter monitor recording (93225) $1,795 $1,795 12.6×
Immunization administration (90471) $147 $147 1.9×
Iontophoresis 15 min (97033)
range across 2 matching MRF lines		 $230–$242 $230–$242 varies
Irrig Drug Delivery Device (96523) $144 $144 2.3×
IV infusion hydration each additional hour (96361) $151 $151 3.0×
IV infusion hydration initial 31 min-1 hour (96360) $343 $343 1.5×
IV infusion ther proph addl sequential to 1 hr (96367) $234 $234 3.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $128 $128 2.6×
IV push initial (96374) $255 $255 1.1×
Lwr Xtr Vasc Stdy Bilat (93924) $1,345 $1,345 5.8×
Mechanical chest wall oscillation per session (94669)
range across 2 matching MRF lines		 $180–$435 $180–$435 varies
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $63 $63 2.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $99 $99 2.7×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $85 $85 5.0×
Motility study esophagus (91010) $961 $961 2.4×
Motion Fluoroscopy/Swallow (92611) $583 $583 6.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $342 $342 0.8×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $342 $342 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $250 $250 1.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $198 $198 0.5×
Neuromuscular Reeducation (97112) $164 $164 5.0×
Oral Function Therapy (92526) $477 $477 5.7×
Oral Speech Device Eval (92597) $528 $528 7.4×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 2 matching MRF lines		 $142–$171 $142–$171 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines		 $204–$214 $204–$214 varies
Ot Contrast Bath Ea 15 Min (97034) $124 $124 8.8×
Ot eval high complexity (97167)
range across 2 matching MRF lines		 $409–$541 $409–$541 varies
Ot Eval Low Complex (97165) $228 $228 2.3×
Ot Eval Moderate Complexity (97166) $385 $385 3.8×
Ot manual therapy 15 min (97140) $180 $180 6.5×
Ot paraffin bath (97018) $126 $126 21.0×
Ot Prosthetic Training, Each 15 Min (97761) $124 $124 3.1×
Ot Re-Eval Est Plan Care (97168) $173 $173 2.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $239 $239 1.7×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines		 $179–$374 $179–$374 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $198 $198 3.1×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $198 $198 3.1×
Physical Performance Test (97750) $164 $164 4.9×
Plethysmography (94726) $128 $128 0.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines		 $5,338–$6,032 $5,338–$6,032 varies
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $147 $147 2.9×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $147 $147 2.9×
Psych diag eval w/med srvcs (90792) $517 $517 2.7×
Psychiatric diagnostic evaluation (90791) $478 $478 2.5×
Psychoanalysis (90845) $420 $420 2.2×
Psytx Crisis Initial 60 Min (90839) $437 $437 2.3×
Pt Eval High Complex (97163) $457 $457 4.7×
Pt eval low complex 20 min (97161) $240 $240 2.5×
Pt Eval Mod Complex (97162) $336 $336 3.4×
Pt gait training 15 min (97116) $108 $108 3.7×
Pt mechanical traction (97012) $152 $152 10.6×
Pt Re-Eval Est Plan Care (97164) $159 $159 2.4×
Pulmonary service/procedure (94799) $298 $298 2.2×
Pulmonary Stress Testing (94618) $348 $348 2.4×
Pure Tone Audiometry Air (92552) $63 $63 0.4×
Remote 30 Day Ecg Rev/Report (93270) $745 $745 18.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $315 $315 1.5×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $528 $528 4.3×
Self Care Mngment Training (97535) $187 $187 5.8×
Sensory Integration Ea 15 Min (97533) $124 $124 2.0×
Sleep study unattended (95806) $1,248 $1,248 5.4×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $1,352 $1,352 5.8×
Speech sound lang comprehen (92523) $563 $563 2.5×
Spirometry (94010) $384 $384 1.7×
Subq Infusion Additional Pump Infusion Site (96371) $138 $138 1.8×
Temp transcutaneous pacing (92953) $30 $30 0.0×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 2 matching MRF lines		 $172–$182 $172–$182 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $142 $142 4.8×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $285 $285 2.8×
Ther/Proph/Diag Inj Sc/Im (96372) $147 $147 1.9×
Ther/Proph/Diag Iv Inf Init (96365) $461 $461 2.0×
Therapeutic Activities (97530) $167 $167 4.8×
Tobacco Use Cessation Intensive >10 Minutes (99407) $152 $152 3.8×
Trans Care Mgmt 14 Day Disch (99495) $410 $410 2.9×
Tte w/doppler, complete (93306) $3,362 $3,362 5.7×
Tte W/O Doppler Complete (93307) $528 $528 2.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $420 $420 5.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $148 $148 2.9×
Upr/L Xtremity Art 2 Levels (93922) $770 $770 5.4×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $770 $770 3.3×
Vent Mgmt Inpat Init Day (94002) $931 $931 1.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $347 $347 0.5×
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines		 $118–$119 $118–$119 varies
Whirlpool Therapy (97022) $184 $184 11.7×

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.