Visits & medical services prices at Franklin Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Advncd Care Plan 30 Min (99497)
range across 2 matching MRF lines
$256.88–$356.25 $342.50–$475 varies
Airway Inhalation Treatment (94640)
range across 11 matching MRF lines
$64.88–$180 $86.50–$240 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 4 matching MRF lines
$53.63–$92.63 $71.50–$123.50 varies
Application Modality 1/> Areas Diathermy (97024) $97.88 $130.50 13.3×
Application Modality 1/> Areas Infrared (97026) $64.88 $86.50 9.7×
Assessment of aphasia per hr (96105) $199.88 $266.50 2.1×
Behavral qualit analys voice (92524) $290.63 $387.50 2.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 3 matching MRF lines
$40.88–$57.38 $54.50–$76.50 varies
Cardiac Stress Tst,Tracing Only (93017) $747.38 $996.50 3.2×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$1,281–$1,303.88 $1,708–$1,738.50 varies
Cardioversion (92960) $942 $1,256 1.3×
Cbt 1st hour (94644) $180.75 $241 1.3×
Chest Wall Manipulation (94668) $141 $188 1.0×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$463.13–$757.13 $617.50–$1,009.50 varies
Color/duplex Doppler, limited (93976) $1,641.75 $2,189 14.7×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 3 matching MRF lines
$92.63–$138.38 $123.50–$184.50 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,606.88 $2,142.50 6.8×
Cpt initial (94667)
range across 2 matching MRF lines
$181.13–$187.13 $241.50–$249.50 varies
Critical care first hour (99291)
range across 6 matching MRF lines
$385.50–$3,068.25 $514–$4,091 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines
$189.75–$441.38 $253–$588.50 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $463.13 $617.50 1.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $721.13 $961.50 6.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $688.13 $917.50 2.7×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$805.88–$1,174.13 $1,074.50–$1,565.50 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $648 $864 2.5×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$573.75–$1,180.13 $765–$1,573.50 varies
Duplex Scan Hemodialysis Access (93990) $731.25 $975 6.5×
Duplex up extrem art bilat (93930) $721.13 $961.50 2.8×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$417–$721.13 $556–$961.50 varies
Echo Heart Xthoracic,Limited (93308) $982.13 $1,309.50 3.8×
Electrical Stimulation Ea 15 Min (97032) $129 $172 8.8×
Electrocardiogram Tracing (93005)
range across 5 matching MRF lines
$33–$263.63 $44–$351.50 varies
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$333–$342 $444–$456 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$399.38–$516.38 $532.50–$688.50 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$467.25–$769.50 $623–$1,026 varies
Er level 1 (99281)
range across 3 matching MRF lines
$253.13–$266.25 $337.50–$355 varies
Er level v (99285)
range across 2 matching MRF lines
$665.63–$1,147.88 $887.50–$1,530.50 varies
Evaluate pt use of inhaler (94664) $42.75 $57 0.2×
Evaluate Speech Production (92522) $290.63 $387.50 2.6×
Evaluate Swallowing Function (92610)
range across 2 matching MRF lines
$366–$395.25 $488–$527 varies
Evaluation of speech fluency (92521) $290.63 $387.50 2.2×
Extracranial Bilat Study (93880) $463.13 $617.50 1.8×
Extracranial Uni/Ltd Study (93882)
range across 2 matching MRF lines
$463.13–$648 $617.50–$864 varies
Fluorescein angiography (92235) $435 $580 1.9×
Group Therapeutic Procedures (97150) $52.13 $69.50 2.9×
Holter monitor recording (93225) $471 $628 3.3×
Im Adm Intransl/Oral 1 Vaccine (90473) $55.88 $74.50 0.7×
Immunization administration (90471) $56.25 $75 0.7×
Iontophoresis 15 min (97033) $190.13 $253.50 10.0×
Irrig Drug Delivery Device (96523) $151.13 $201.50 2.4×
IV infusion hydration each additional hour (96361) $99.38 $132.50 2.0×
IV infusion hydration initial 31 min-1 hour (96360) $454.50 $606 2.0×
IV infusion ther proph addl sequential to 1 hr (96367) $86.25 $115 1.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $86.25 $115 1.7×
IV push initial (96374) $175.13 $233.50 0.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$31.88–$73.17 $42.50–$97.55 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $20.29 $27.05 0.6×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $63.75 $85 3.7×
Motion Fluoroscopy/Swallow (92611) $329.25 $439 3.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$637.88–$850.50 $850.50–$1,134 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$64.50–$637.88 $86–$850.50 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 5 matching MRF lines
$106.13–$331.13 $141.50–$441.50 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 6 matching MRF lines
$123.38–$850.13 $164.50–$1,133.50 varies
Neurobehavioral Status Exam (96116) $199.88 $266.50 0.9×
Neuromuscular Reeducation (97112) $112.88 $150.50 3.4×
Oral Function Therapy (92526) $232.13 $309.50 2.8×
Oral Speech Device Eval (92597) $282.38 $376.50 4.0×
Orthc/Prostc Mgmt Sbsq Enc (97763) $190.88 $254.50 3.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $127.88 $170.50 2.8×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $81.38 $108.50 3.5×
Osteopathic manipulative tx 3-4 body regions (98926) $101.25 $135 4.4×
Osteopathic manipulative tx 5-6 body regions (98927) $121.13 $161.50 5.2×
Osteopathic manipulative tx 7-8 body regions (98928) $140.25 $187 6.1×
Osteopathic manipulative tx 9-10 body regions (98929) $159.38 $212.50 6.9×
Ot Contrast Bath Ea 15 Min (97034)
range across 2 matching MRF lines
$92.63–$124.13 $123.50–$165.50 varies
Ot eval high complexity (97167) $546.75 $729 5.4×
Ot Eval Low Complex (97165) $445.50 $594 4.4×
Ot Eval Moderate Complexity (97166)
range across 2 matching MRF lines
$217.88–$492 $290.50–$656 varies
Ot manual therapy 15 min (97140) $121.13 $161.50 4.4×
Ot paraffin bath (97018) $102.75 $137 17.1×
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines
$127.88–$133.50 $170.50–$178 varies
Ot Re-Eval Est Plan Care (97168) $445.50 $594 6.5×
Patient-initiated spirometric phys/qhp r&i only (94016) $81.38 $108.50 3.3×
Phlebotomy therapeutic (99195) $253.13 $337.50 1.8×
Physical Performance Test (97750) $137.25 $183 4.1×
Plethysmography (94726) $33 $44 0.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$477.38–$3,997.88 $636.50–$5,330.50 varies
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 5 matching MRF lines
$33.75–$34.13 $45–$45.50 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $43.50 $58 0.9×
Psych diag eval w/med srvcs (90792)
range across 2 matching MRF lines
$70.50–$167.25 $94–$223 varies
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines
$286.13–$450.75 $381.50–$601 varies
Pt Eval High Complex (97163) $817.50 $1,090 8.4×
Pt eval low complex 20 min (97161) $567 $756 5.8×
Pt Eval Mod Complex (97162) $784.88 $1,046.50 8.0×
Pt gait training 15 min (97116) $107.63 $143.50 3.7×
Pt mechanical traction (97012)
range across 2 matching MRF lines
$100.13–$102.75 $133.50–$137 varies
Pt Re-Eval Est Plan Care (97164) $567 $756 8.4×
Pulm function test by gas (94727)
range across 2 matching MRF lines
$45.38–$178.88 $60.50–$238.50 varies
Pulmonary Stress Testing (94618) $115.88 $154.50 0.8×
Refill/Maint Portable Pump (96521) $553.13 $737.50 2.4×
Remote 30 Day Ecg Rev/Report (93270) $471 $628 11.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$331.13–$441.38 $441.50–$588.50 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $313.13 $417.50 2.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $123 $164 2.6×
Self Care Mngment Training (97535) $92.63 $123.50 2.9×
Sensory Integration Ea 15 Min (97533) $92.63 $123.50 1.5×
Speech sound lang comprehen (92523) $290.63 $387.50 1.3×
Spirometry (94010) $30.75 $41 0.1×
Standardized Cognitive Performance Testing (96125) $409.88 $546.50 4.0×
Stress Tte Only (93350)
range across 2 matching MRF lines
$768.38–$2,325 $1,024.50–$3,100 varies
Temp transcutaneous pacing (92953) $816 $1,088 1.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $93.38 $124.50 4.2×
Ther Ivntj Ea Addl 15 Min (97130) $90.38 $120.50 4.3×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $97.88 $130.50 3.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $114 $152 1.1×
Ther/Proph/Diag Inj Sc/Im (96372) $56.25 $75 0.7×
Ther/Proph/Diag Iv Inf Init (96365) $298.13 $397.50 1.3×
Therapeutic Activities (97530) $109.50 $146 3.1×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 5 matching MRF lines
$48.38–$4,217.25 $64.50–$5,623 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 8 matching MRF lines
$34.13–$64.50 $45.50–$86 varies
Trans Care Mgmt 14 Day Disch (99495)
range across 3 matching MRF lines
$154.13–$613.50 $205.50–$818 varies
Trans Care Mgmt 7 Day Disch (99496)
range across 3 matching MRF lines
$228.38–$868.50 $304.50–$1,158 varies
Tte w/doppler, complete (93306) $232.13 $309.50 0.4×
Tte W/O Doppler Complete (93307) $3,194.25 $4,259 12.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $229.13 $305.50 3.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $221.25 $295 9.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $175.13 $233.50 3.5×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$193.50–$335.25 $258–$447 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$251.25–$441.38 $335–$588.50 varies
Vent Mgmt Inpat Init Day (94002) $2,592.75 $3,457 3.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,119.13 $2,825.50 3.2×
Vital capacity, total (94150) $127.88 $170.50 0.9×
Wheelchair Mgmt Ea 15 Min (97542) $116.63 $155.50 3.8×
Whirlpool Therapy (97022) $107.63 $143.50 6.9×

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.