Visits & medical services prices at HSHS Good Shepherd Hospital Inc

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $169.20 $235 0.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $123.12 $171 8.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$584.64–$672.48 $812–$934 varies
Canalith repositioning proc (95992) $125.28 $174 3.1×
Cardiac Stress Tst,Tracing Only (93017) $1,351.44 $1,877 5.8×
Cardiopulmonary resuscitation (92950) $584.64 $812 2.5×
Cardioversion (92960) $1,413.36 $1,963 2.0×
Cbt 1st hour (94644) $278.64 $387 2.0×
Chemo IV infusion addl hr (96415) $154.08 $214 2.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $692.64 $962 2.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $716.40 $995 2.0×
Chest Wall Manipulation (94668) $278.64 $387 2.0×
Color/duplex Doppler, complete (93975) $1,703.52 $2,366 6.7×
Color/duplex Doppler, limited (93976) $267.12 $371 2.4×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$293.76–$337.68 $408–$469 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660) $382.32 $531 1.6×
Cpt initial (94667) $278.64 $387 2.0×
Critical care first hour (99291) $3,058.56 $4,248 3.5×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $668.88 $929 2.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $668.88 $929 6.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,766.88 $2,454 6.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,099.44 $1,527 9.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,550.88 $2,154 6.1×
Dup-scan xtr veins unilateral/limited study (93971) $812.88 $1,129 7.3×
Duplex Scan Hemodialysis Access (93990) $229.68 $319 2.1×
Duplex up extrem art bilat (93930) $1,419.84 $1,972 5.6×
Duplex up extrem art unilat/ltd (93931) $962.64 $1,337 8.6×
Echo Heart Xthoracic,Limited (93308) $522 $725 2.0×
EEG awake and asleep (95819) $1,195.92 $1,661 5.2×
EEG awake drowsy (95816) $819.36 $1,138 3.5×
EEG extended monitoring 61-119 minutes (95813) $1,704.96 $2,368 7.4×
Electrical Stimulation Ea 15 Min (97032) $159.84 $222 10.9×
Electrocardiogram Tracing (93005) $263.52 $366 4.2×
Emergency Dept Visit Level 2 (99282) $297.36 $413 1.8×
Emergency Dept Visit Level 3 (99283) $598.32 $831 2.0×
Emergency Dept Visit Level 4 (99284) $714.24 $992 1.6×
Emg 3 Extremities (95863) $347.04 $482 2.5×
Emg 4 Extremities (95864) $381.60 $530 2.8×
Er level 1 (99281) $207.36 $288 2.3×
Er level v (99285) $1,076.40 $1,495 1.7×
Evaluate Speech Production (92522) $227.52 $316 2.0×
Evaluate Swallowing Function (92610) $144.72 $201 1.7×
Extracranial Bilat Study (93880) $900.72 $1,251 3.5×
Extracranial Uni/Ltd Study (93882) $1,033.92 $1,436 9.2×
Holter monitor recording (93225) $1,416.24 $1,967 9.9×
Immunization administration (90471) $138.96 $193 1.8×
Iontophoresis 15 min (97033) $169.92 $236 8.9×
Irrig Drug Delivery Device (96523) $111.60 $155 1.8×
IV infusion hydration each additional hour (96361) $120.24 $167 2.4×
IV infusion hydration initial 31 min-1 hour (96360) $419.04 $582 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $133.92 $186 1.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $120.24 $167 2.4×
IV push initial (96374) $418.32 $581 1.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $90 $125 2.4×
Methacholine challenge (94070) $672.48 $934 1.7×
Muscle Test 2 Limbs (95861) $278.64 $387 2.0×
Muscle Test One Limb (95860) $278.64 $387 2.0×
Nerve Conduction Studies 1-2 Studies (95907) $730.80 $1,015 3.2×
Nerve Conduction Studies 11-12 Studies (95912) $1,146.24 $1,592 2.9×
Nerve conduction studies 13 or more studies (95913) $1,146.24 $1,592 2.9×
Nerve conduction studies 5-6 studies (95909) $672.48 $934 2.9×
Nerve conduction studies 7-8 studies (95910) $672.48 $934 1.7×
Nerve Conduction Studies 9-10 Studies (95911) $1,146.24 $1,592 2.9×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $337.68 $469 2.4×
Neuromuscular Reeducation (97112) $123.12 $171 3.8×
Oral Function Therapy (92526) $296.64 $412 3.5×
Ot eval high complexity (97167) $305.28 $424 3.0×
Ot Eval Low Complex (97165) $214.56 $298 2.1×
Ot Eval Moderate Complexity (97166) $244.08 $339 2.4×
Ot manual therapy 15 min (97140) $113.76 $158 4.1×
Ot paraffin bath (97018) $156.96 $218 26.1×
Ot Re-Eval Est Plan Care (97168) $145.44 $202 2.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $236.16 $328 1.7×
Phlebotomy therapeutic (99195) $278.64 $387 2.0×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $128.16 $178 2.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $136.08 $189 2.2×
Physical Performance Test (97750) $133.20 $185 3.9×
Plethysmography (94726) $584.64 $812 1.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,595.84 $7,772 6.1×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $99.36 $138 2.0×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $99.36 $138 2.0×
Psychiatric diagnostic evaluation (90791) $347.04 $482 1.8×
Pt Eval High Complex (97163) $321.84 $447 3.3×
Pt eval low complex 20 min (97161) $226.80 $315 2.3×
Pt Eval Mod Complex (97162) $257.76 $358 2.6×
Pt gait training 15 min (97116) $115.92 $161 4.0×
Pt Re-Eval Est Plan Care (97164) $123.12 $171 1.8×
Pulmonary Stress Testing (94618) $241.92 $336 1.7×
Remote 30 Day Ecg Rev/Report (93270) $631.44 $877 15.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $429.12 $596 2.0×
Self Care Mngment Training (97535) $120.24 $167 3.7×
Sleep study unattended (95806) $337.68 $469 1.5×
Speech sound lang comprehen (92523) $469.44 $652 2.1×
Spirometry (94010) $337.68 $469 1.5×
Ther/Proph/Diag Inj Ia (96373) $455.04 $632 2.0×
Ther/Proph/Diag Inj Sc/Im (96372) $133.92 $186 1.7×
Ther/Proph/Diag Iv Inf Init (96365) $396 $550 1.7×
Therapeutic Activities (97530) $123.12 $171 3.5×
Tte w/doppler, complete (93306) $2,625.12 $3,646 4.5×
Tte W/O Doppler Complete (93307) $610.56 $848 2.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $296.64 $412 3.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $302.40 $420 6.0×
Upr/L Xtremity Art 2 Levels (93922) $241.92 $336 1.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $337.68 $469 1.5×
Vasopneumatic device (97016) $131.76 $183 11.0×
Veeg 2-12 Hr Cont Mntr (95713) $2,764.80 $3,840 6.9×
Vital capacity, total (94150) $337.68 $469 2.4×
Wheelchair Mgmt Ea 15 Min (97542) $97.20 $135 3.1×

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.