Visits & medical services prices at HSHS St. Elizabeth's Hospital
O Fallon, IL · every code in this section with a posted price and a Medicare benchmark.
222 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $13,161.60 | $18,280 | 1.6× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $519.84 | $722 | 3.8× |
| Acoustic Reflex Testing (92568) | $156.24 | $217 | 3.9× |
| Airway Inhalation Treatment (94640) | $303.12 | $421 | 1.3× |
| Analyze neurostim complex (95972) | $2,619.36 | $3,638 | 25.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $174.96 | $243 | 12.2× |
| Application Modality 1/> Areas Diathermy (97024) | $142.56 | $198 | 19.4× |
| Arrhythmia Induction (93618) | $1,615.68 | $2,244 | 1.2× |
| Assessment of aphasia per hr (96105) | $288.72 | $401 | 3.0× |
| Audiometry Air & Bone (92553) | $317.52 | $441 | 2.3× |
| Behavral qualit analys voice (92524) | $274.32 | $381 | 2.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $643.68 | $894 | 1.6× |
| C motor evoked uppr limbs (95928) | $1,281.60 | $1,780 | 1.4× |
| C motor evoked upr&lwr limbs (95939) | $1,926 | $2,675 | 2.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,448.64 | $2,012 | 6.3× |
| Cardiopulmonary exercise testing (94621) | $1,404.72 | $1,951 | 3.5× |
| Cardiopulmonary resuscitation (92950) | $828 | $1,150 | 3.6× |
| Cardioversion (92960) | $2,416.32 | $3,356 | 3.4× |
| Cardioversion elective internal (92961) range across 2 matching MRF lines |
$1,349.28–$3,143.52 | $1,874–$4,366 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $53.28 | $74 | 2.0× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $8,011.44 | $11,127 | 2.3× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $8,011.44 | $11,127 | 2.3× |
| Cbt 1st hour (94644) | $434.16 | $603 | 3.0× |
| Chemo Anti-Neopl Sq/Im (96401) | $247.68 | $344 | 3.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $247.68 | $344 | 3.2× |
| Chemo IV infusion addl hr (96415) | $218.16 | $303 | 2.8× |
| Chemo IV push addl drug (96411) | $208.80 | $290 | 2.7× |
| Chemotherapy Into Cns (96450) | $1,174.32 | $1,631 | 3.3× |
| Chemotherapy Intracavitary (96440) | $421.92 | $586 | 1.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $374.40 | $520 | 4.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $489.60 | $680 | 1.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $417.60 | $580 | 1.2× |
| Chest Wall Manipulation (94668) | $162.72 | $226 | 1.1× |
| Color/duplex Doppler, complete (93975) | $1,658.16 | $2,303 | 6.5× |
| Color/duplex Doppler, limited (93976) | $1,165.68 | $1,619 | 10.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $103.68 | $144 | 3.2× |
| Comprehensive Hearing Test (92557) | $521.28 | $724 | 3.8× |
| Conditioning Play Audiometry (92582) | $506.88 | $704 | 3.7× |
| Continuous Pulse Ox (94762) | $558.72 | $776 | 4.1× |
| Coronary Art/Grft Angio S&I (93455) | $6,966.72 | $9,676 | 2.0× |
| Coronary Artery Angio S&I (93454) range across 2 matching MRF lines |
$8,011.44–$11,358 | $11,127–$15,775 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 3 matching MRF lines |
$489.60–$1,506.96 | $680–$2,093 | varies |
| Cpt initial (94667) | $162.72 | $226 | 1.1× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$5,948.64–$12,316.32 | $8,262–$17,106 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $995.04 | $1,382 | 2.5× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$89.28–$852.48 | $124–$1,184 | varies |
| Dialysis One Evaluation (90945) | $836.64 | $1,162 | 1.9× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $477.36 | $663 | 1.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,446.48 | $2,009 | 5.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $892.80 | $1,240 | 8.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,645.92 | $2,286 | 6.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,052.64 | $1,462 | 9.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,865.52 | $2,591 | 7.3× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,256.40 | $1,745 | 11.2× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $532.80 | $740 | 2.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $254.88 | $354 | 2.3× |
| Duplex Scan Hemodialysis Access (93990) | $743.04 | $1,032 | 6.6× |
| Duplex up extrem art bilat (93930) | $1,510.56 | $2,098 | 5.9× |
| Duplex up extrem art unilat/ltd (93931) | $1,018.80 | $1,415 | 9.1× |
| Echo Congenital Complete (93303) | $3,986.64 | $5,537 | 6.8× |
| Echo Heart Xthoracic,Limited (93308) | $1,932.48 | $2,684 | 7.6× |
| Echo transesophageal (93312) | $6,022.80 | $8,365 | 10.3× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $5,131.44 | $7,127 | 8.8× |
| EEG awake and asleep (95819) | $804.24 | $1,117 | 3.5× |
| EEG awake drowsy (95816) | $1,119.60 | $1,555 | 4.8× |
| Electrical Stimulation Ea 15 Min (97032) | $156.96 | $218 | 10.7× |
| Electrocardiogram Tracing (93005) | $365.76 | $508 | 5.8× |
| Electroconvulsive Therapy (90870) | $1,542.24 | $2,142 | 1.7× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $12,823.20 | $17,810 | 1.5× |
| Electrophysiology Evaluation (93642) | $2,817.36 | $3,913 | 2.2× |
| Emergency Dept Visit Level 2 (99282) | $912.24 | $1,267 | 5.5× |
| Emergency Dept Visit Level 3 (99283) | $1,372.32 | $1,906 | 4.7× |
| Emergency Dept Visit Level 4 (99284) | $2,049.12 | $2,846 | 4.6× |
| Emg 3 Extremities (95863) | $3,584.16 | $4,978 | 26.0× |
| Emg 4 Extremities (95864) | $4,605.12 | $6,396 | 33.4× |
| Endomyocardial Biopsy (93505) | $6,174.72 | $8,576 | 1.8× |
| Ep & ablate supravent arrhyt (93653) | $62,164.80 | $86,340 | 2.2× |
| Ep & ablate ventric tachy (93654) | $30,911.04 | $42,932 | 1.1× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $12,823.20 | $17,810 | 1.5× |
| Er level 1 (99281) | $498.96 | $693 | 5.5× |
| Er level v (99285) range across 3 matching MRF lines |
$1,707.12–$3,126.24 | $2,371–$4,342 | varies |
| Esophageal Capsule Endoscopy (91111) | $3,087.36 | $4,288 | 3.2× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $1,463.04 | $2,032 | 3.7× |
| Evaluate pt use of inhaler (94664) | $256.32 | $356 | 1.1× |
| Evaluate Speech Production (92522) | $225.36 | $313 | 2.0× |
| Evaluate Swallowing Function (92610) | $294.48 | $409 | 3.5× |
| Evaluation of speech fluency (92521) | $276.48 | $384 | 2.1× |
| Evoked Auditory Test,Limited (92587) | $439.92 | $611 | 1.9× |
| Extracranial Bilat Study (93880) | $3,234.96 | $4,493 | 12.7× |
| Extracranial Uni/Ltd Study (93882) | $2,060.64 | $2,862 | 18.4× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $2,064.24 | $2,867 | 3.5× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $793.44 | $1,102 | 3.4× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $2,625.12 | $3,646 | 2.9× |
| Gi tract capsule endoscopy (91110) | $1,855.44 | $2,577 | 1.9× |
| Gi tract imaging intraluminal colon i&r (91113) | $2,404.08 | $3,339 | 2.4× |
| Gi wireless capsule measure (91112) | $2,515.68 | $3,494 | 2.6× |
| Group Therapeutic Procedures (97150) | $111.60 | $155 | 6.2× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $6,966.72 | $9,676 | 2.0× |
| Immunization administration (90471) | $119.52 | $166 | 1.5× |
| Insert/Place Heart Catheter (93503) | $2,435.04 | $3,382 | 1.4× |
| Intra-atrial pacing (93610) | $13,161.60 | $18,280 | 1.6× |
| Iontophoresis 15 min (97033) | $182.16 | $253 | 9.6× |
| Irrig Drug Delivery Device (96523) | $404.64 | $562 | 6.4× |
| IV infusion hydration each additional hour (96361) | $311.04 | $432 | 6.2× |
| IV infusion hydration initial 31 min-1 hour (96360) | $285.12 | $396 | 1.3× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $302.40 | $420 | 3.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $302.40 | $420 | 6.0× |
| IV push initial (96374) | $343.44 | $477 | 1.5× |
| L Hrt Art/Grft Angio (93459) | $8,011.44 | $11,127 | 2.3× |
| Lung Function Test (Mbc/Mvv) (94200) | $166.32 | $231 | 2.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,050.48 | $1,459 | 4.5× |
| Mechanical chest wall oscillation per session (94669) | $804.96 | $1,118 | 3.4× |
| Methacholine challenge (94070) | $1,077.12 | $1,496 | 2.7× |
| Motility study esophagus (91010) | $1,189.44 | $1,652 | 3.0× |
| Motion Fluoroscopy/Swallow (92611) | $645.12 | $896 | 7.0× |
| Multiple Sleep Latency Test (95805) | $3,153.60 | $4,380 | 3.4× |
| Muscle Test 2 Limbs (95861) | $1,527.12 | $2,121 | 10.7× |
| Muscle Test One Limb (95860) | $1,728.72 | $2,401 | 12.1× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $1,194.48 | $1,659 | 2.7× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $927.36 | $1,288 | 2.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$61.92–$721.44 | $86–$1,002 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$66.24–$1,025.28 | $92–$1,424 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $644.40 | $895 | 2.8× |
| Nerve Conduction Studies 11-12 Studies (95912) | $3,864.96 | $5,368 | 9.7× |
| Nerve conduction studies 13 or more studies (95913) | $4,509.36 | $6,263 | 11.3× |
| Nerve Conduction Studies 3-4 Studies (95908) | $1,288.08 | $1,789 | 5.6× |
| Nerve conduction studies 5-6 studies (95909) | $1,932.48 | $2,684 | 8.4× |
| Nerve conduction studies 7-8 studies (95910) | $2,576.88 | $3,579 | 6.4× |
| Nerve Conduction Studies 9-10 Studies (95911) | $3,221.28 | $4,474 | 8.1× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $496.80 | $690 | 3.6× |
| Neuromuscular Reeducation (97112) | $174.24 | $242 | 5.3× |
| Oral Function Therapy (92526) | $360.72 | $501 | 4.3× |
| Oral Speech Device Eval (92597) | $668.88 | $929 | 9.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $87.84 | $122 | 1.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $120.24 | $167 | 2.6× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $69.84 | $97 | 3.0× |
| Ot eval high complexity (97167) | $488.88 | $679 | 4.9× |
| Ot Eval Low Complex (97165) | $290.88 | $404 | 2.9× |
| Ot Eval Moderate Complexity (97166) | $388.08 | $539 | 3.9× |
| Ot manual therapy 15 min (97140) | $151.20 | $210 | 5.5× |
| Ot paraffin bath (97018) | $81.36 | $113 | 13.5× |
| Ot Prosthetic Training, Each 15 Min (97761) | $159.84 | $222 | 4.0× |
| Ot Re-Eval Est Plan Care (97168) | $180 | $250 | 2.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $288 | $400 | 2.1× |
| Oxygen Uptake Rest Indirect (94690) | $395.28 | $549 | 6.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $804.96 | $1,118 | 3.4× |
| Peripheral arterial disease rehab per session (93668) | $120.24 | $167 | 1.9× |
| Perq Transcath Cls Aortic (93591) | $39,679.20 | $55,110 | 2.0× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $12,592.80 | $17,490 | 2.1× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $26,032.32 | $36,156 | 2.1× |
| Phlebotomy therapeutic (99195) | $430.56 | $598 | 3.0× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $141.12 | $196 | 2.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $141.12 | $196 | 2.2× |
| Physical Performance Test (97750) | $121.68 | $169 | 3.6× |
| Plethysmography (94726) | $771.84 | $1,072 | 1.9× |
| Pm device eval in person (93288) | $119.52 | $166 | 3.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $6,444 | $8,950 | 7.0× |
| Prq Card Angio/Athrect 1 Art (92924) | $26,032.32 | $36,156 | 2.1× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $26,032.32 | $36,156 | 2.1× |
| Prq Card Stent/Ath/Angio (92933) | $39,679.20 | $55,110 | 2.0× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $26,032.32 | $36,156 | 2.1× |
| Pt Eval High Complex (97163) | $485.28 | $674 | 5.0× |
| Pt eval low complex 20 min (97161) | $303.84 | $422 | 3.1× |
| Pt Eval Mod Complex (97162) | $366.48 | $509 | 3.7× |
| Pt gait training 15 min (97116) | $159.12 | $221 | 5.5× |
| Pt group caregiver training (97552) | $45.36 | $63 | 2.1× |
| Pt mechanical traction (97012) | $99.36 | $138 | 6.9× |
| Pt Re-Eval Est Plan Care (97164) | $180 | $250 | 2.7× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$321.12–$426.96 | $446–$593 | varies |
| Pulmonary Stress Testing (94618) | $541.44 | $752 | 3.8× |
| Pure Tone Audiometry Air (92552) | $272.88 | $379 | 1.9× |
| R Hrt Art/Grft Angio (93457) | $6,966.72 | $9,676 | 2.0× |
| R hrt coronary artery angio (93456) | $6,966.72 | $9,676 | 2.0× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $6,968.16 | $9,678 | 2.0× |
| Right Heart Cath (93451) | $6,966.72 | $9,676 | 2.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$90–$617.04 | $125–$857 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $503.28 | $699 | 4.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $250.56 | $348 | 5.2× |
| Select picture audiometry (92583) | $156.24 | $217 | 2.5× |
| Self Care Mngment Training (97535) | $107.28 | $149 | 3.3× |
| Sensory Integration Ea 15 Min (97533) | $107.28 | $149 | 1.8× |
| Short-latency somatosens ep std upr limbs (95925) | $1,285.92 | $1,786 | 5.6× |
| Sleep study unattended (95806) | $815.76 | $1,133 | 3.5× |
| Slp caregiver training 1st 30 min (97550) | $106.56 | $148 | 2.0× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $890.64 | $1,237 | 3.8× |
| Somatosensory Testing (95938) | $1,491.12 | $2,071 | 1.6× |
| Speech Audiometry Complete (92556) | $217.44 | $302 | 3.4× |
| Speech audiometry threshold (92555) | $180.72 | $251 | 2.9× |
| Speech sound lang comprehen (92523) | $468.72 | $651 | 2.1× |
| Spirometry (94010) | $396 | $550 | 1.7× |
| Ssep lower limbs (95926) | $1,302.48 | $1,809 | 5.6× |
| Standardized Cognitive Performance Testing (96125) | $342.72 | $476 | 3.3× |
| Temp transcutaneous pacing (92953) | $2,570.40 | $3,570 | 3.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $63.36 | $88 | 2.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $63.36 | $88 | 3.0× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $144.72 | $201 | 3.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $136.80 | $190 | 4.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $141.84 | $197 | 1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$33.12–$150.48 | $46–$209 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $693.36 | $963 | 3.0× |
| Therapeutic Activities (97530) | $130.32 | $181 | 3.7× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,100.16 | $1,528 | 2.8× |
| Tone Decay Test (92563) | $156.24 | $217 | 3.9× |
| Transcath Closure of Asd (93580) | $22,625.28 | $31,424 | 1.2× |
| Tte w/doppler, complete (93306) | $5,824.80 | $8,090 | 9.9× |
| Tte W/O Doppler Complete (93307) | $4,239.36 | $5,888 | 16.6× |
| Tx atrial fib pulm vein isol (93656) | $62,164.80 | $86,340 | 2.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $378.72 | $526 | 5.0× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $94.32 | $131 | 3.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $274.32 | $381 | 5.5× |
| Tympanometry (92567) | $180.72 | $251 | 4.5× |
| Tympanometry and reflex threshold measurements (92550) | $347.04 | $482 | 1.5× |
| Unlisted cardiovascular service/procedure (93799) range across 3 matching MRF lines |
$2,275.92–$9,875.52 | $3,161–$13,716 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$31.68–$911.52 | $44–$1,266 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$54–$1,312.56 | $75–$1,823 | varies |
| Valvuloplasty aortic valve (92986) | $12,592.80 | $17,490 | 2.1× |
| Valvuloplasty mitral valve (92987) | $26,032.32 | $36,156 | 2.1× |
| Vasopneumatic device (97016) | $73.44 | $102 | 6.1× |
| Visual reinforcement audiometry (vra) (92579) | $197.28 | $274 | 0.9× |
| Vital capacity, total (94150) | $197.28 | $274 | 1.4× |
| Wheelchair Mgmt Ea 15 Min (97542) | $100.80 | $140 | 3.2× |
| Whirlpool Therapy (97022) | $156.96 | $218 | 10.0× |
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.