Visits & medical services prices at Jackson Park Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $97.17 $121.46 2.2×
Airway Inhalation Treatment (94640)
range across 5 matching MRF lines
$207.70–$378.74 $259.62–$473.42 varies
Airway resistance by oscillometry (94728) $235.75 $294.69 1.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $117.88 $147.35 8.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $879.47 $1,099.34 2.2×
Cardiac Stress Tst,Tracing Only (93017) $1,459.66 $1,824.57 6.3×
Cardiopulmonary exercise testing (94621) $1,991.02 $2,488.78 5.0×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$972.77–$1,414.51 $1,215.96–$1,768.14 varies
Cardioversion (92960) $1,392.45 $1,740.56 2.0×
Cbt 1st hour (94644) $313.90 $392.37 2.2×
Chemo Anti-Neopl Sq/Im (96401) $408.32 $510.40 5.3×
Chemo Hormon Antineopl Sq/Im (96402) $387.20 $484 5.0×
Chemo Ia Push (96420) $1,549.68 $1,937.10 4.4×
Chemo Intralesional Over 7 (96406) $637.12 $796.40 2.8×
Chemo intralesional up to 7 (96405) $1,497.76 $1,872.20 19.4×
Chemo IV infusion addl hr (96415) $456.72 $570.90 5.9×
Chemo IV push addl drug (96411) $495.44 $619.30 6.4×
Chemother Prolong Infuse W/Pump (96416) $1,075.36 $1,344.20 3.0×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $1,353.44 $1,691.80 3.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $547.36 $684.20 7.1×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $968 $1,210 2.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $637.12 $796.40 1.8×
Color/duplex Doppler, complete (93975) $1,356.46 $1,695.57 5.3×
Color/duplex Doppler, limited (93976) $1,112.79 $1,390.99 9.9×
Continuous Pulse Ox (94762) $458.48 $573.10 3.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $804.23 $1,005.29 3.4×
Cpt initial (94667) $266.79 $333.49 1.9×
Critical care first hour (99291) $2,561.09 $3,201.36 2.9×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$365.54–$377.87 $456.92–$472.34 varies
Dialysis One Evaluation (90945) $1,977.36 $2,471.70 4.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,618.97 $2,023.71 6.3×
Dup-scan xtr veins unilateral/limited study (93971) $1,019.26 $1,274.08 9.1×
Duplex up extrem art bilat (93930) $1,223.07 $1,528.84 4.8×
Duplex up extrem art unilat/ltd (93931) $974.96 $1,218.70 8.7×
Echo Congenital Complete (93303) $2,185.04 $2,731.30 3.7×
Echo Heart Xthoracic,Limited (93308) $1,361.01 $1,701.26 5.3×
Echo transesophag montr cardiac pump functj (93318) $1,746.41 $2,183.01 3.0×
Echo transesophageal (93312) $2,347.14 $2,933.93 4.0×
EEG awake and asleep (95819) $1,281.03 $1,601.29 5.5×
EEG awake drowsy (95816) $1,073.54 $1,341.93 4.6×
Electrical Stimulation Ea 15 Min (97032) $161.04 $201.30 11.0×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$188.48–$279.68 $235.60–$349.60 varies
Emergency Dept Visit Level 2 (99282) $532.10 $665.12 3.2×
Emergency Dept Visit Level 3 (99283) $784.26 $980.32 2.7×
Emergency Dept Visit Level 4 (99284) $1,424.81 $1,781.01 3.2×
Er level 1 (99281) $300.50 $375.63 3.3×
Er level v (99285) $2,064.39 $2,580.49 3.2×
Evaluate Speech Production (92522) $556.16 $695.20 5.0×
Evaluate Swallowing Function (92610) $385.54 $481.92 4.5×
Evaluation of speech fluency (92521) $556.16 $695.20 4.2×
Evoked Auditory Test,Limited (92587) $198 $247.50 0.9×
Extracranial Bilat Study (93880) $1,234.30 $1,542.87 4.8×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $2,298.56 $2,873.20 3.1×
Holter monitor recording (93225) $622.82 $778.53 4.4×
Hubbard tank 15 min (97036) $140.45 $175.56 4.0×
Immunization administration (90471) $97.17 $121.46 1.3×
Insert/Place Heart Catheter (93503) $3,031.34 $3,789.17 1.8×
Iontophoresis 15 min (97033) $107.85 $134.81 5.7×
IV infusion hydration each additional hour (96361)
range across 4 matching MRF lines
$228–$263.53 $285–$329.41 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines
$434.22–$550.24 $542.77–$687.80 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 3 matching MRF lines
$288.42–$296.40 $360.53–$370.50 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 4 matching MRF lines
$237.22–$292.58 $296.53–$365.73 varies
IV push initial (96374)
range across 6 matching MRF lines
$249.65–$627.84 $312.06–$784.80 varies
Lung Function Test (Mbc/Mvv) (94200)
range across 2 matching MRF lines
$217.36–$312.66 $271.70–$390.83 varies
Motion Fluoroscopy/Swallow (92611) $590.09 $737.61 6.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $827.20 $1,034 1.9×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,311.51 $1,639.39 3.0×
Neuromuscular Reeducation (97112) $127.74 $159.67 3.9×
Oral Function Therapy (92526) $320.90 $401.12 3.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $147.82 $184.78 3.2×
Ot Contrast Bath Ea 15 Min (97034) $90.29 $112.86 6.4×
Ot eval high complexity (97167) $359.92 $449.90 3.6×
Ot Eval Low Complex (97165)
range across 2 matching MRF lines
$267.52–$307.12 $334.40–$383.90 varies
Ot manual therapy 15 min (97140) $119.31 $149.14 4.3×
Ot paraffin bath (97018)
range across 2 matching MRF lines
$75.24–$83.60 $94.05–$104.50 varies
Ot Prosthetic Training, Each 15 Min (97761) $95.30 $119.13 2.4×
Patient-initiated spirometric recording (94015) $378.71 $473.39 1.6×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $10,569.93 $13,212.41 1.7×
Plethysmography (94726) $873.33 $1,091.66 2.2×
Psychiatric diagnostic evaluation (90791) $271.62 $339.52 1.4×
Psytx Crisis Initial 60 Min (90839) $336.16 $420.20 1.8×
Pt Eval High Complex (97163) $318.56 $398.20 3.3×
Pt eval low complex 20 min (97161) $252.56 $315.70 2.6×
Pt Eval Mod Complex (97162) $278.96 $348.70 2.9×
Pt gait training 15 min (97116) $107.35 $134.19 3.7×
Pt mechanical traction (97012) $96.98 $121.22 6.8×
Pt Re-Eval Est Plan Care (97164) $228.80 $286 3.4×
Pulm function test by gas (94727) $431.20 $539 1.9×
Pulmonary service/procedure (94799) $310.64 $388.30 2.3×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$448.10–$1,066.74 $560.12–$1,333.42 varies
Respiratory flow volume loop (94375) $410.52 $513.15 1.8×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $173.06 $216.32 2.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $180.46 $225.57 0.8×
Self Care Mngment Training (97535) $97.80 $122.25 3.0×
Speech sound lang comprehen (92523) $674.19 $842.74 3.0×
Spirometry (94010) $426.54 $533.17 1.8×
Stress Tte Only (93350) $2,175.36 $2,719.20 3.7×
Temp transcutaneous pacing (92953) $1,295.80 $1,619.75 1.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $102.96 $128.70 3.5×
Ther/Prop/Diag Inj/Inf Proc (96379) $239.94 $299.92 4.8×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$194.70–$308.49 $243.38–$385.61 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 5 matching MRF lines
$414.32–$608 $517.90–$760 varies
Therapeutic Activities (97530) $120.38 $150.47 3.4×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$1,103.84–$2,054.62 $1,379.80–$2,568.28 varies
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines
$1,103.84–$1,474.70 $1,379.80–$1,843.38 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $272.95 $341.19 3.6×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 4 matching MRF lines
$195.65–$247 $244.56–$308.75 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $761.62 $952.02 3.3×
Vent Mgmt Inpat Init Day (94002) $1,222.67 $1,528.34 1.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,171.24 $1,464.05 1.8×
Vital capacity, total (94150) $227.83 $284.79 1.7×
Wheelchair Mgmt Ea 15 Min (97542) $90.29 $112.86 2.9×
Whirlpool Therapy (97022)
range across 3 matching MRF lines
$86.94–$124.57 $108.68–$155.71 varies

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.