Visits & medical services prices at Elmhurst Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $21,519 $21,519 2.6×
Acupunct W/Stimul 15 Min (97813) $71 $71 2.3×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $71 $71 2.3×
Admn Sarscov2 Vacc 1 Dose (90480) $221 $221 5.1×
Airway Inhalation Treatment (94640) $435 $435 1.9×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $809 $809 5.7×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $281 $281 2.0×
Analyze neurostim complex (95972) $382 $382 3.7×
Analyze neurostim no prog (95970) $384 $384 2.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$121–$140 $121–$140 varies
Application on-body injector (96377) $111 $111 2.2×
Arrhythmia Induction (93618) $4,865 $4,865 3.7×
Behavral qualit analys voice (92524) $262 $262 2.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $930 $930 2.3×
C motor evoked upr&lwr limbs (95939) $5,704 $5,704 6.2×
Canalith repositioning proc (95992) $373 $373 9.2×
Car seat/bed test 60 min (94780) $249 $249 6.2×
Cardiac Stress Tst,Tracing Only (93017) $1,787 $1,787 7.7×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$629–$1,589 $629–$1,589 varies
Cardioversion (92960)
range across 2 matching MRF lines
$1,170–$3,252 $1,170–$3,252 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $22,273 $22,273 6.4×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $21,689 $21,689 6.2×
Cbt 1st hour (94644)
range across 2 matching MRF lines
$392–$393 $392–$393 varies
Chemo Anti-Neopl Sq/Im (96401) $715 $715 9.3×
Chemo Hormon Antineopl Sq/Im (96402) $751 $751 9.7×
Chemo Intralesional Over 7 (96406) $983 $983 4.3×
Chemo intralesional up to 7 (96405) $321 $321 4.2×
Chemo IV infusion addl hr (96415) $729 $729 9.4×
Chemo IV push addl drug (96411) $625 $625 8.1×
Chemother Prolong Infuse W/Pump (96416) $2,214 $2,214 6.3×
Chemotherapy Into Cns (96450) $1,146 $1,146 3.2×
Chemotherapy Unspecified (96549)
range across 2 matching MRF lines
$625–$1,052 $625–$1,052 varies
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $1,132 $1,132 14.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $2,436 $2,436 6.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,661 $1,661 4.7×
Chest Wall Manipulation (94668) $318 $318 2.2×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $2,332 $2,332 5.8×
Color/duplex Doppler, complete (93975) $2,566 $2,566 10.0×
Color/duplex Doppler, limited (93976) $1,430 $1,430 12.8×
Cont gluc mntr physician/qhp provided equiptment (95250) $730 $730 5.1×
Cont Gluc Mntr Pt Prov Eqp (95249) $371 $371 5.9×
Continuous Pulse Ox (94762) $696 $696 5.0×
Coronary Art/Grft Angio S&I (93455) $18,172 $18,172 5.2×
Coronary Artery Angio S&I (93454) $16,243 $16,243 4.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,487 $1,487 6.3×
Cpt initial (94667) $318 $318 2.2×
Critical care first hour (99291)
range across 3 matching MRF lines
$2,406–$6,762 $2,406–$6,762 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$452–$786 $452–$786 varies
Dialysis One Evaluation (90945)
range across 2 matching MRF lines
$3,875–$5,817 $3,875–$5,817 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $2,073 $2,073 8.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $957 $957 8.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $2,230 $2,230 8.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,288 $1,288 11.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,230 $2,230 8.7×
Dup-scan xtr veins unilateral/limited study (93971) $1,678 $1,678 15.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $971 $971 3.8×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $530 $530 4.7×
Duplex Scan Hemodialysis Access (93990) $1,138 $1,138 10.2×
Duplex up extrem art bilat (93930) $1,403 $1,403 5.5×
Duplex up extrem art unilat/ltd (93931) $1,349 $1,349 12.0×
Echo Congenital Complete (93303)
range across 2 matching MRF lines
$512–$2,940 $512–$2,940 varies
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$407–$1,137 $407–$1,137 varies
Echo transesophag montr cardiac pump functj (93318) $2,720 $2,720 4.6×
Echo transesophageal (93312) $3,674 $3,674 6.3×
Echo Transesophageal - Congenital Tee Complete (93315) $2,238 $2,238 3.8×
Eeg 41-60 Minutes (95812) $2,469 $2,469 10.7×
EEG awake and asleep (95819) $2,328 $2,328 10.1×
EEG awake drowsy (95816) $2,075 $2,075 9.0×
EEG cerebral death evaluation (95824) $956 $956 2.4×
EEG cont rec w/video by tech min 8 channels (95700) $944 $944 4.1×
EEG extended monitoring 61-119 minutes (95813) $2,987 $2,987 12.9×
Eeg Sleep Only (95822) $810 $810 3.5×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $1,199 $1,199 5.2×
EEG w/o vid ea 12-26hr intmt (95709) $4,304 $4,304 10.8×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $1,199 $1,199 5.2×
EEG wo vid ea 12-26hr unmntr (95708) $4,304 $4,304 10.8×
Electrical Stimulation Ea 15 Min (97032) $180 $180 12.2×
Electrocardiogram Tracing (93005) $542 $542 8.6×
Electroconvulsive Therapy (90870) $1,800 $1,800 2.0×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $23,171 $23,171 2.8×
Electrophysiology Evaluation (93642) $4,198 $4,198 3.2×
Emergency Dept Visit Level 2 (99282)
range across 4 matching MRF lines
$381–$1,088 $381–$1,088 varies
Emergency Dept Visit Level 3 (99283)
range across 4 matching MRF lines
$551–$1,892 $551–$1,892 varies
Emergency Dept Visit Level 4 (99284)
range across 4 matching MRF lines
$704–$3,059 $704–$3,059 varies
Emg 3 Extremities (95863) $750 $750 5.4×
Emg 4 Extremities (95864) $1,080 $1,080 7.8×
Endomyocardial Biopsy (93505) $9,563 $9,563 2.8×
Ep & ablate supravent arrhyt (93653) $54,234 $54,234 1.9×
Ep & ablate ventric tachy (93654) $55,101 $55,101 2.0×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $26,275 $26,275 3.1×
Er level 1 (99281)
range across 4 matching MRF lines
$178–$593 $178–$593 varies
Er level v (99285)
range across 4 matching MRF lines
$822–$4,457 $822–$4,457 varies
Evaluate pt use of inhaler (94664) $582 $582 2.5×
Evaluate Speech Production (92522) $334 $334 3.0×
Evaluate Swallowing Function (92610) $649 $649 7.6×
Evaluation of speech fluency (92521) $304 $304 2.3×
Evoked Auditory Test,Limited (92587) $559 $559 2.4×
Exercise test for bronchospasm (94617) $541 $541 3.8×
External ECG rec>48hr<7d recording (93242) $1,270 $1,270 31.7×
External ECG rec>48hr<7d scanning alys w/report (93243) $1,990 $1,990 14.0×
External ECG rec>7d<15d recording (93246) $1,588 $1,588 39.7×
External ECG rec>7d<15d scanning alys w/report (93247) $2,011 $2,011 14.1×
External Ecg Scanning Analysis Report (93226) $1,249 $1,249 19.8×
Extracranial Bilat Study (93880) $1,936 $1,936 7.6×
Extracranial Uni/Ltd Study (93882) $980 $980 8.7×
F-up/limited tthrc echo congenital car anomaly (93304) $2,359 $2,359 4.0×
Flexible endoscopic eval swallow c/v rec (92612) $551 $551 2.8×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,027 $1,027 1.1×
Group Therapeutic Procedures (97150)
range across 2 matching MRF lines
$138–$191 $138–$191 varies
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $20,925 $20,925 6.0×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $3,188 $3,188 4.3×
Holter monitor recording (93225) $1,164 $1,164 8.2×
Icd Device Interrogate (93289) $340 $340 8.5×
Icd device progr eval dual (93283) $540 $540 13.5×
Icd Device Progr Eval Mult (93284) $647 $647 16.2×
Ilr Device Interrogate (93291) $186 $186 6.0×
Im Adm Intransl/Oral 1 Vaccine (90473) $70 $70 0.9×
Immunization administration (90471)
range across 4 matching MRF lines
$228–$229 $228–$229 varies
Insert/Place Heart Catheter (93503) $4,574 $4,574 2.7×
Iontophoresis 15 min (97033) $191 $191 10.0×
Irrig Drug Delivery Device (96523) $349 $349 5.5×
IV infusion hydration each additional hour (96361) $357 $357 7.1×
IV infusion hydration initial 31 min-1 hour (96360) $1,373 $1,373 6.0×
IV infusion ther proph addl sequential to 1 hr (96367) $562 $562 7.3×
IV infusion therapy prophylaxis/dx ea hour (96366) $410 $410 8.2×
IV push initial (96374) $993 $993 4.4×
L Hrt Art/Grft Angio (93459) $22,476 $22,476 6.5×
Lwr Xtr Vasc Stdy Bilat (93924) $1,646 $1,646 7.1×
Mechanical chest wall oscillation per session (94669) $475 $475 2.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$128–$223 $128–$223 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$182–$256 $182–$256 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $41 $41 2.4×
Methacholine challenge (94070) $1,488 $1,488 3.7×
Motion Fluoroscopy/Swallow (92611) $738 $738 8.1×
Multiple Sleep Latency Test (95805) $4,671 $4,671 5.1×
Muscle Test 2 Limbs (95861) $724 $724 5.1×
Muscle Test Nonparaspinal (95870) $262 $262 1.8×
Muscle Test One Limb (95860) $548 $548 3.8×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $525 $525 2.3×
Needle electromyography larynx (95865) $495 $495 3.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 3 matching MRF lines
$1,218–$1,435 $1,218–$1,435 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,401 $1,401 3.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$392–$787 $392–$787 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$698–$1,401 $698–$1,401 varies
Nerve Conduction Studies 1-2 Studies (95907) $289 $289 1.2×
Nerve Conduction Studies 11-12 Studies (95912) $5,843 $5,843 14.6×
Nerve conduction studies 13 or more studies (95913) $6,374 $6,374 15.9×
Nerve Conduction Studies 3-4 Studies (95908) $393 $393 1.7×
Nerve conduction studies 5-6 studies (95909) $2,973 $2,973 12.8×
Nerve conduction studies 7-8 studies (95910) $3,081 $3,081 7.7×
Nerve Conduction Studies 9-10 Studies (95911) $4,823 $4,823 12.1×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $444 $444 3.2×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$273–$315 $273–$315 varies
Newborn resuscitation (99465) $2,474 $2,474 3.5×
Nonphysician Telephone Assessment 11-20 Min (98967) $311 $311 12.4×
Nonphysician Telephone Assessment 21-30 Min (98968) $456 $456 13.1×
Nonphysician Telephone Assessment 5-10 Min (98966) $49 $49 3.6×
Oral Function Therapy (92526) $612 $612 7.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $359 $359 7.8×
Ot eval high complexity (97167) $866 $866 8.6×
Ot Eval Low Complex (97165) $684 $684 6.8×
Ot Eval Moderate Complexity (97166) $709 $709 7.1×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$253–$257 $253–$257 varies
Ot paraffin bath (97018) $144 $144 24.0×
Ot Re-Eval Est Plan Care (97168) $468 $468 6.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $634 $634 4.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $401 $401 2.9×
Peripheral arterial disease rehab per session (93668) $195 $195 3.1×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $21,799 $21,799 3.6×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $25,784 $25,784 2.1×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$730–$731 $730–$731 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $349 $349 5.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $305 $305 4.8×
Physical Performance Test (97750) $264 $264 7.8×
Plethysmography (94726) $1,488 $1,488 3.7×
Pm device eval in person (93288) $286 $286 7.2×
Pm device progr eval dual (93280) $346 $346 8.7×
Pm device progr eval multi (93281) $416 $416 10.4×
Pm Device Progr Eval Sngl (93279) $288 $288 7.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $9,365 $9,365 10.2×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $517 $517 12.9×
Prq Card Angio/Athrect 1 Art (92924) $34,892 $34,892 2.8×
Prq Card Stent W/Angio 1 Vsl (92928) $31,704 $31,704 2.6×
Prq Card Stent/Ath/Angio (92933) $28,386 $28,386 1.4×
Prq Revasc Byp Graft 1 Vsl (92937) $31,271 $31,271 2.5×
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines
$160–$335 $160–$335 varies
Psychological tst eval svc phys/qhp first hour (96130) $314 $314 1.4×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $128 $128 0.9×
Psytx Crisis Initial 60 Min (90839) $304 $304 1.6×
Pt Eval High Complex (97163) $757 $757 7.7×
Pt eval low complex 20 min (97161) $636 $636 6.5×
Pt Eval Mod Complex (97162) $709 $709 7.2×
Pt gait training 15 min (97116) $219 $219 7.5×
Pt mechanical traction (97012) $144 $144 10.0×
Pt Re-Eval Est Plan Care (97164) $432 $432 6.4×
Pulmonary Stress Testing (94618) $546 $546 3.8×
R Hrt Art/Grft Angio (93457) $20,988 $20,988 6.0×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $14,871 $14,871 4.3×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $14,871 $14,871 4.3×
R hrt coronary artery angio (93456) $20,231 $20,231 5.8×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $14,871 $14,871 4.3×
R&L Hrt Cath W/Ventriclgrphy (93453) $13,472 $13,472 3.9×
Refill/Maint Portable Pump (96521) $577 $577 2.5×
Refill/Maint Pump/Resvr Syst (96522) $1,282 $1,282 5.6×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $545 $545 3.8×
Rem Mntr Wrls P-Art Prs Snr (93264) $181 $181 4.5×
Remote 30 Day Ecg Tech Supp (93229) $929 $929 2.3×
Right Heart Cath (93451) $12,791 $12,791 3.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$749–$1,264 $749–$1,264 varies
Self Care Mngment Training (97535) $289 $289 8.9×
Sensory Integration Ea 15 Min (97533) $110 $110 1.8×
Sleep study attended (95807) $4,192 $4,192 10.5×
Sleep study unattended (95806) $1,767 $1,767 7.6×
Somatosensory Testing (95938) $5,432 $5,432 5.9×
Speech sound lang comprehen (92523) $1,393 $1,393 6.2×
Spirometry (94010) $800 $800 3.5×
Standardized Cognitive Performance Testing (96125) $410 $410 4.0×
Stress Tte Only (93350)
range across 3 matching MRF lines
$596–$2,706 $596–$2,706 varies
Surfactant Admin Thru Tube (94610) $892 $892 3.8×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines
$1,165–$1,170 $1,165–$1,170 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines
$240–$293 $240–$293 varies
Ther Ivntj Ea Addl 15 Min (97130) $240 $240 11.4×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $73 $73 2.5×
Ther/Proph/Diag Inj Ia (96373) $234 $234 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $243 $243 3.1×
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$1,321–$1,635 $1,321–$1,635 varies
Therapeutic Activities (97530) $302 $302 8.6×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,787 $2,787 7.0×
Tobacco Use Cessation Intensive >10 Minutes (99407) $106 $106 2.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $106 $106 2.6×
Transcath Closure of Asd (93580) $32,436 $32,436 1.7×
Tte w/doppler, complete (93306)
range across 3 matching MRF lines
$696–$3,756 $696–$3,756 varies
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines
$512–$1,275 $512–$1,275 varies
Tx atrial fib pulm vein isol (93656) $42,847 $42,847 1.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $765 $765 10.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $148 $148 6.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $561 $561 11.2×
Unlisted cardiovascular service/procedure (93799) $2,600 $2,600 18.9×
Upr/L Xtremity Art 2 Levels (93922) $1,091 $1,091 7.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,854 $1,854 8.0×
Valvuloplasty aortic valve (92986) $7,583 $7,583 1.2×
Veeg 2-12 hr intmt mntr (95712) $1,199 $1,199 3.0×
Veeg 2-12 hr unmonitored (95711) $1,199 $1,199 5.2×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $8,742 $8,742 21.9×
Veeg Ea 12-26 Hr Unmntr (95714) $7,321 $7,321 18.3×
Vent Mgmt Inpat Init Day (94002) $2,458 $2,458 3.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,618 $1,618 2.4×
Vital capacity, total (94150) $413 $413 3.0×
Wheelchair Mgmt Ea 15 Min (97542) $132 $132 4.2×
Whirlpool Therapy (97022) $124 $124 7.9×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $266 $266 4.2×

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.