Visits & medical services prices at Community Hospital of Staunton

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

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Reflex Testing (92568) $69 $138 1.7×
Airway Inhalation Treatment (94640) $88 $176 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$59.85–$101.60 $119.70–$203.20 varies
Application on-body injector (96377) $28.25 $56.50 0.6×
Audiometry Air & Bone (92553) $128.05 $256.10 0.9×
Behavral qualit analys voice (92524) $158.80 $317.60 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $404.60 $809.20 1.0×
Canalith repositioning proc (95992) $129.70 $259.40 3.2×
Cardiac Stress Tst,Tracing Only (93017) $598.05 $1,196.10 2.6×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$211.05–$625.50 $422.10–$1,251 varies
Cardioversion (92960) $479.85 $959.70 0.7×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $35.10 $70.20 1.3×
Chemo Anti-Neopl Sq/Im (96401) $246.30 $492.60 3.2×
Chemo Hormon Antineopl Sq/Im (96402) $88 $176 1.1×
Chemo IV infusion addl hr (96415) $105.60 $211.20 1.4×
Chemo IV push addl drug (96411) $88 $176 1.1×
Chemother Prolong Infuse W/Pump (96416) $386.95 $773.90 1.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $158.35 $316.70 2.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $381.35 $762.70 1.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $225.05 $450.10 0.6×
Chest Wall Manipulation (94668) $52.75 $105.50 0.4×
Color/duplex Doppler, limited (93976) $281.75 $563.50 2.5×
Community/Work Reintegration Trainj Ea 15 Min (97537) $58.15 $116.30 1.8×
Comprehensive Hearing Test (92557) $250.45 $500.90 1.8×
Conditioning Play Audiometry (92582) $128.05 $256.10 0.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $258.95 $517.90 1.1×
Cpt initial (94667) $54.85 $109.70 0.4×
Critical care first hour (99291) $959.65 $1,919.30 1.1×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$100.55–$236.85 $201.10–$473.70 varies
Dialysis One Evaluation (90945) $1,068.30 $2,136.60 2.4×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $360.20 $720.40 0.9×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $239.45 $478.90 0.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $179.05 $358.10 1.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $544.55 $1,089.10 2.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $422.15 $844.30 3.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $844.30 $1,688.60 3.3×
Dup-scan xtr veins unilateral/limited study (93971) $506.65 $1,013.30 4.5×
Duplex up extrem art bilat (93930) $572.05 $1,144.10 2.2×
Duplex up extrem art unilat/ltd (93931) $422.15 $844.30 3.8×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$562.85–$703.55 $1,125.70–$1,407.10 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines
$387.05–$2,269 $774.10–$4,538 varies
Electrical Stimulation Ea 15 Min (97032) $102.90 $205.80 7.0×
Electrocardiogram Tracing (93005) $177.30 $354.60 2.8×
Emergency Dept Visit Level 2 (99282) $218.10 $436.20 1.3×
Emergency Dept Visit Level 3 (99283) $267.45 $534.90 0.9×
Emergency Dept Visit Level 4 (99284) $418.65 $837.30 0.9×
Er level 1 (99281) $168.85 $337.70 1.9×
Er level v (99285) $562.85 $1,125.70 0.9×
Evaluate pt use of inhaler (94664) $72.90 $145.80 0.3×
Evaluate Speech Production (92522) $164.60 $329.20 1.5×
Evaluate Swallowing Function (92610) $166.75 $333.50 2.0×
Evaluation of speech fluency (92521) $168.85 $337.70 1.3×
Evoked Auditory Test,Limited (92587) $182.95 $365.90 0.8×
External ECG rec>7d<15d recording (93246) $52.65 $105.30 1.3×
External Ecg Scanning Analysis Report (93226) $351.80 $703.60 5.6×
Extracranial Bilat Study (93880) $651.45 $1,302.90 2.5×
Extracranial Uni/Ltd Study (93882) $192.05 $384.10 1.7×
Group Therapeutic Procedures (97150)
range across 2 matching MRF lines
$25.55–$105.80 $51.10–$211.60 varies
Holter monitor recording (93225) $334.20 $668.40 2.3×
Immunization administration (90471)
range across 4 matching MRF lines
$56.55–$88 $113.10–$176 varies
Irrig Drug Delivery Device (96523) $120.60 $241.20 1.9×
IV infusion hydration each additional hour (96361) $59.10 $118.20 1.2×
IV infusion hydration initial 31 min-1 hour (96360) $196.40 $392.80 0.9×
IV infusion ther proph addl sequential to 1 hr (96367) $70.40 $140.80 0.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $55.70 $111.40 1.1×
IV push initial (96374) $140.75 $281.50 0.6×
Lwr Xtr Vasc Stdy Bilat (93924) $402.05 $804.10 1.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $30.20 $60.40 0.8×
Methacholine challenge (94070) $422.15 $844.30 1.1×
Motion Fluoroscopy/Swallow (92611) $161.05 $322.10 1.8×
Multiple Family Group Psychotherapy (90849) $107.20 $214.40 0.6×
Multiple Sleep Latency Test (95805) $1,407.15 $2,814.30 1.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 3 matching MRF lines
$206.65–$316.20 $413.30–$632.40 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $201.75 $403.50 0.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $259.30 $518.60 0.6×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$70.40–$99 $140.80–$198 varies
Nitric oxide expired gas determination (95012) $73.90 $147.80 1.8×
Oral Function Therapy (92526) $123.15 $246.30 1.5×
Oral Speech Device Eval (92597) $130.50 $261 1.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $92.80 $185.60 1.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $77.90 $155.80 1.7×
Ot eval high complexity (97167) $140.75 $281.50 1.4×
Ot Eval Low Complex (97165) $163.20 $326.40 1.6×
Ot Eval Moderate Complexity (97166) $140.75 $281.50 1.4×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$88–$243.15 $176–$486.30 varies
Ot Prosthetic Training, Each 15 Min (97761) $100.70 $201.40 2.5×
Ot Re-Eval Est Plan Care (97168) $112.55 $225.10 1.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $103.45 $206.90 0.7×
Peripheral arterial disease rehab per session (93668) $103.45 $206.90 1.6×
Phlebotomy therapeutic (99195) $112 $224 0.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $105.60 $211.20 1.7×
Physical Performance Test (97750)
range across 2 matching MRF lines
$48–$128.05 $96–$256.10 varies
Plethysmography (94726) $221.60 $443.20 0.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$3,175.35–$4,232.65 $6,350.70–$8,465.30 varies
Psych diag eval w/med srvcs (90792) $234.55 $469.10 1.2×
Psychiatric diagnostic evaluation (90791) $210.40 $420.80 1.1×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $67.75 $135.50 1.8×
Pt Eval High Complex (97163) $342.50 $685 3.5×
Pt eval low complex 20 min (97161) $342.50 $685 3.5×
Pt Eval Mod Complex (97162) $342.50 $685 3.5×
Pt gait training 15 min (97116) $95.85 $191.70 3.3×
Pt mechanical traction (97012) $88.05 $176.10 6.1×
Pt Re-Eval Est Plan Care (97164) $342.50 $685 5.1×
Pulm function test by gas (94727) $83.80 $167.60 0.4×
Pulmonary Stress Testing (94618) $105.60 $211.20 0.7×
Pure Tone Audiometry Air (92552) $116.15 $232.30 0.8×
Remote 30 Day Ecg Rev/Report (93270) $301.45 $602.90 7.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $177.75 $355.50 0.8×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $230.20 $460.40 1.9×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $91.15 $182.30 1.9×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$67.05–$88 $134.10–$176 varies
Sensory Integration Ea 15 Min (97533)
range across 2 matching MRF lines
$74.90–$88.65 $149.80–$177.30 varies
Sleep study attended (95807) $1,557.40 $3,114.80 3.9×
Sleep study unattended (95806)
range across 2 matching MRF lines
$227.95–$1,234.95 $455.90–$2,469.90 varies
Slp caregiver training 1st 30 min (97550) $70.70 $141.40 1.3×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $735.70 $1,471.40 3.2×
Speech Audiometry Complete (92556) $132.30 $264.60 2.1×
Speech audiometry threshold (92555) $80.90 $161.80 1.3×
Speech sound lang comprehen (92523) $346.85 $693.70 1.5×
Spirometry (94010) $167.55 $335.10 0.7×
Standardized Cognitive Performance Testing (96125) $195.75 $391.50 1.9×
Temp transcutaneous pacing (92953) $211.05 $422.10 0.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $88 $176 3.9×
Ther Ivntj Ea Addl 15 Min (97130) $41.20 $82.40 2.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $159.35 $318.70 1.6×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$67.05–$70.40 $134.10–$140.80 varies
Ther/Proph/Diag Iv Inf Init (96365) $193.50 $387 0.8×
Therapeutic Activities (97530)
range across 2 matching MRF lines
$88–$115.25 $176–$230.50 varies
Tte w/doppler, complete (93306) $1,547.80 $3,095.60 2.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $130.15 $260.30 1.7×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $41.70 $83.40 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$78.85–$140.75 $157.70–$281.50 varies
Tympanometry (92567) $110.45 $220.90 2.8×
Tympanometry and reflex threshold measurements (92550) $148.45 $296.90 0.6×
Upr/L Xtremity Art 2 Levels (93922) $409.50 $819 2.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $422.15 $844.30 1.8×
Vasopneumatic device (97016) $124.10 $248.20 10.3×
Vent Mgmt Inpat Init Day (94002) $847.10 $1,694.20 1.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $246.30 $492.60 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $92.65 $185.30 3.0×

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.