Visits & medical services prices at Illini Community Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $458.60 $764.33 2.0×
Assessment of aphasia per hr (96105) $259.41 $432.34 2.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $663.22 $1,105.36 1.7×
Canalith repositioning proc (95992) $179.30 $298.83 4.4×
Cardiac Stress Tst,Tracing Only (93017) $1,272.98 $2,121.62 5.5×
Cardiopulmonary resuscitation (92950) $1,066.93 $1,778.21 4.6×
Chemo Hormon Antineopl Sq/Im (96402) $197.97 $329.94 2.6×
Chemo IV infusion addl hr (96415) $322.22 $537.03 4.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $416.16 $693.59 1.2×
Chest Wall Manipulation (94668) $123.60 $205.99 0.9×
Color/duplex Doppler, limited (93976) $1,279.46 $2,132.43 11.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $435.29 $725.47 1.9×
Cpt initial (94667) $163.70 $272.83 1.1×
Debridement Open Wound 20 Sq Cm< (97597) $242.26 $403.76 1.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,230.93 $2,051.55 4.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $994.32 $1,657.19 8.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 3 matching MRF lines
$1,577.43–$1,753.16 $2,629.05–$2,921.93 varies
Dup-scan xtr veins unilateral/limited study (93971) $1,185.20 $1,975.32 10.6×
Duplex up extrem art unilat/ltd (93931) $802.84 $1,338.06 7.2×
Echo Congenital Complete (93303) $1,744.11 $2,906.84 3.0×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$977.36–$1,052.04 $1,628.93–$1,753.40 varies
Electrocardiogram Tracing (93005) $312.44 $520.73 4.9×
Emergency Dept Visit Level 2 (99282) $327 $545 2.0×
Emergency Dept Visit Level 3 (99283) $472.83 $788.04 1.6×
Emergency Dept Visit Level 4 (99284) $724.85 $1,208.08 1.6×
Er level 1 (99281) $188.54 $314.22 2.1×
Er level v (99285) $1,060.94 $1,768.22 1.7×
Evaluate pt use of inhaler (94664) $332.40 $553.99 1.4×
Evaluate Swallowing Function (92610)
range across 2 matching MRF lines
$105–$671.87 $175–$1,119.78 varies
External Ecg Scanning Analysis Report (93226) $1,003.55 $1,672.58 15.9×
Extracranial Bilat Study (93880) $1,387.11 $2,311.85 5.4×
Holter monitor recording (93225) $897.76 $1,496.26 6.3×
Immunization administration (90471) $57.57 $95.95 0.7×
Irrig Drug Delivery Device (96523) $129.67 $216.11 2.1×
IV infusion hydration each additional hour (96361) $190.13 $316.87 3.8×
IV infusion hydration initial 31 min-1 hour (96360) $289.13 $481.88 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $187.83 $313.04 2.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $188.70 $314.49 3.8×
IV push initial (96374) $198.18 $330.30 0.9×
Motion Fluoroscopy/Swallow (92611) $358.83 $598.04 3.9×
Neuromuscular Reeducation (97112) $172.84 $288.06 5.3×
Oral Function Therapy (92526) $304.50 $507.49 3.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $167.86 $279.76 3.6×
Ot eval high complexity (97167) $641.94 $1,069.89 6.4×
Ot Eval Low Complex (97165) $410.85 $684.74 4.1×
Ot Eval Moderate Complexity (97166) $513.56 $855.93 5.1×
Ot Re-Eval Est Plan Care (97168) $125.48 $209.12 1.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $207.81 $346.35 1.5×
Phlebotomy therapeutic (99195) $248.82 $414.70 1.7×
Plethysmography (94726) $641.80 $1,069.66 1.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,316.20 $8,860.33 5.8×
Pt eval low complex 20 min (97161) $103.94 $173.23 1.1×
Pt Eval Mod Complex (97162) $519.68 $866.13 5.3×
Pt gait training 15 min (97116) $169.64 $282.73 5.8×
Pt Re-Eval Est Plan Care (97164) $273.57 $455.94 4.1×
Pulmonary Stress Testing (94618) $417.29 $695.48 2.9×
Self Care Mngment Training (97535) $169.77 $282.95 5.2×
Sleep study unattended (95806) $1,158.28 $1,930.46 5.0×
Speech sound lang comprehen (92523)
range across 2 matching MRF lines
$157.14–$628.56 $261.90–$1,047.60 varies
Spirometry (94010) $271.83 $453.05 1.2×
Stress Tte Only (93350) $1,983.58 $3,305.96 3.4×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $493.05 $821.74 2.2×
Temp transcutaneous pacing (92953) $1,858.48 $3,097.46 2.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $55.79 $92.98 2.5×
Ther Ivntj Ea Addl 15 Min (97130) $55.79 $92.98 2.7×
Ther/Proph/Diag Inj Sc/Im (96372) $140.42 $234.02 1.8×
Ther/Proph/Diag Iv Inf Init (96365) $284.93 $474.87 1.3×
Therapeutic Activities (97530) $204.18 $340.29 5.8×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$2,351.94–$2,762.91 $3,919.90–$4,604.84 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines
$83.11–$332.42 $138.51–$554.02 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $200.39 $333.98 4.0×
Upr/L Xtremity Art 2 Levels (93922) $441.34 $735.56 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.