Visits & medical services prices at Larabida Childrens Hospital I

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 6 matching MRF lines
$47.56–$62.13 $47.56–$62.13 varies
Airway resistance by oscillometry (94728) $99.48 $99.48 0.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $50.54 $50.54 3.5×
Assessment of aphasia per hr (96105) $208.12 $208.12 2.1×
Behavral qualit analys voice (92524)
range across 3 matching MRF lines
$60.21–$155.11 $60.21–$155.11 varies
Brief Emotional/Behav Assmt (96127) $109.11 $109.11 2.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 4 matching MRF lines
$156.97–$393.05 $156.97–$393.05 varies
Cbt 1st hour (94644)
range across 3 matching MRF lines
$58.36–$75.74 $58.36–$75.74 varies
Chest Wall Manipulation (94668) $34.64 $34.64 0.2×
Cont gluc mntr physician/qhp provided equiptment (95250)
range across 2 matching MRF lines
$229.36–$240.04 $229.36–$240.04 varies
Cont Gluc Mntr Pt Prov Eqp (95249) $73.04 $73.04 1.2×
Continuous Pulse Ox (94762) $262.14 $262.14 1.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
$61.10–$568.62 $61.10–$568.62 varies
Cpt initial (94667) $119.71 $119.71 0.8×
Critical care first hour (99291) $310.65 $310.65 0.4×
Developmental tst admin phys/qhp 1st hour (96112)
range across 6 matching MRF lines
$97.98–$243.52 $97.98–$243.52 varies
EEG awake and asleep (95819) $507.78 $507.78 2.2×
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines
$192.06–$523.89 $192.06–$523.89 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines
$229.56–$654.59 $229.56–$654.59 varies
Emergency Dept Visit Level 4 (99284)
range across 3 matching MRF lines
$268.20–$983.02 $268.20–$983.02 varies
Er level 1 (99281)
range across 5 matching MRF lines
$154.55–$523.89 $154.55–$523.89 varies
Er level v (99285)
range across 3 matching MRF lines
$344.33–$983.02 $344.33–$983.02 varies
Eval aud funcj cand/po surg implt dev 1st hr (92626) $100.92 $100.92 0.7×
Evaluate pt use of inhaler (94664)
range across 4 matching MRF lines
$26.83–$86.06 $26.83–$86.06 varies
Evaluate Speech Production (92522)
range across 3 matching MRF lines
$155.84–$303.73 $155.84–$303.73 varies
Evaluate Swallowing Function (92610) $119.09 $119.09 1.4×
Evaluation of speech fluency (92521)
range across 3 matching MRF lines
$181.05–$303.73 $181.05–$303.73 varies
Fluorescein angiography (92235) $23.91 $23.91 0.1×
Group Therapeutic Procedures (97150)
range across 5 matching MRF lines
$26.83–$55.13 $26.83–$55.13 varies
Health Behavior Assessment/Re-Assessment (96156)
range across 5 matching MRF lines
$30.93–$115 $30.93–$115 varies
Health behavior ivntj fam w/pt f2f 1st 30 min (96167)
range across 2 matching MRF lines
$28.18–$28.92 $28.18–$28.92 varies
Health behavior ivntj group f2f 1st 30 min (96164)
range across 4 matching MRF lines
$7.20–$71.77 $7.20–$71.77 varies
Health behavior ivntj indiv f2f 1st 30 min (96158)
range across 4 matching MRF lines
$29.99–$30.93 $29.99–$30.93 varies
Holter monitor recording (93225) $738.38 $738.38 5.2×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines
$24.34–$38.56 $24.34–$38.56 varies
Immunization administration (90471)
range across 4 matching MRF lines
$24.34–$39.63 $24.34–$39.63 varies
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$101.09–$101.76 $101.09–$101.76 varies
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$22.60–$570.49 $22.60–$570.49 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines
$61.41–$570.49 $61.41–$570.49 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$28.18–$285.36 $28.18–$285.36 varies
IV push initial (96374)
range across 5 matching MRF lines
$93.26–$570.49 $93.26–$570.49 varies
Lung Function Test (Mbc/Mvv) (94200) $738.38 $738.38 11.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $35.95 $35.95 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $35.95 $35.95 1.0×
Multiple Family Group Psychotherapy (90849) $142.70 $142.70 0.8×
Neurobehavioral Status Exam (96116) $124.78 $124.78 0.5×
Nitric oxide expired gas determination (95012)
range across 2 matching MRF lines
$29.56–$29.99 $29.56–$29.99 varies
Nonphysician Telephone Assessment 11-20 Min (98967)
range across 2 matching MRF lines
$37.99–$40.91 $37.99–$40.91 varies
Nonphysician Telephone Assessment 21-30 Min (98968)
range across 2 matching MRF lines
$58.85–$62.50 $58.85–$62.50 varies
Nonphysician Telephone Assessment 5-10 Min (98966)
range across 3 matching MRF lines
$18.38–$21.59 $18.38–$21.59 varies
Nrpsyc tst eval phys/qhp 1st (96132) $167.40 $167.40 0.4×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $271.34 $271.34 0.7×
Oral Function Therapy (92526) $144.67 $144.67 1.7×
Oral Speech Device Eval (92597) $181.42 $181.42 2.6×
Ot eval high complexity (97167) $97.23 $97.23 1.0×
Ot Eval Low Complex (97165) $97.23 $97.23 1.0×
Ot Eval Moderate Complexity (97166)
range across 2 matching MRF lines
$97.23–$653.67 $97.23–$653.67 varies
Ot Re-Eval Est Plan Care (97168) $97.23 $97.23 1.4×
Patient-initiated spirometric phys/qhp r&i only (94016) $75.38 $75.38 3.0×
Percutaneous tests w/allergenic extracts (95004)
range across 3 matching MRF lines
$10.19–$10.71 $10.19–$10.71 varies
Plethysmography (94726)
range across 2 matching MRF lines
$156.97–$171.74 $156.97–$171.74 varies
Psych diag eval w/med srvcs (90792) $309.71 $309.71 1.6×
Psychiatric diagnostic evaluation (90791) $274.70 $274.70 1.4×
Psychological tst eval svc phys/qhp first hour (96130) $382.06 $382.06 1.7×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $126.63 $126.63 0.9×
Psytx Crisis Initial 60 Min (90839) $126.69 $126.69 0.7×
Pt Eval High Complex (97163) $214.95 $214.95 2.2×
Pt eval low complex 20 min (97161) $410.91 $410.91 4.2×
Pt Eval Mod Complex (97162) $214.95 $214.95 2.2×
Pt Re-Eval Est Plan Care (97164) $214.95 $214.95 3.2×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $52.80 $52.80 1.3×
Pulm function test by gas (94727) $99.48 $99.48 0.4×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$17.01–$71.77 $17.01–$71.77 varies
Respiratory flow volume loop (94375)
range across 2 matching MRF lines
$186.40–$186.89 $186.40–$186.89 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $192.47 $192.47 1.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $79.97 $79.97 1.7×
Speech sound lang comprehen (92523) $312.56 $312.56 1.4×
Spin/Brain Pump Refil & Main (95991) $91.76 $91.76 0.3×
Spirometry (94010)
range across 5 matching MRF lines
$156.89–$157.47 $156.89–$157.47 varies
Standardized Cognitive Performance Testing (96125) $168.03 $168.03 1.6×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 37 matching MRF lines
$5.09–$227.09 $5.09–$227.09 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$102.20–$570.49 $102.20–$570.49 varies
Therapeutic Activities (97530)
range across 2 matching MRF lines
$69.42–$410.91 $69.42–$410.91 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 5 matching MRF lines
$60.35–$312.56 $60.35–$312.56 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $55.13 $55.13 2.3×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$33.79–$570.49 $33.79–$570.49 varies
Tympanometry (92567) $52.17 $52.17 1.3×
Unlisted Psychiatric Service/Procedure (90899)
range across 5 matching MRF lines
$125.79–$190.62 $125.79–$190.62 varies
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$118.83–$1,244.05 $118.83–$1,244.05 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,113.29 $1,113.29 1.7×
Vital capacity, total (94150)
range across 9 matching MRF lines
$39.36–$57.84 $39.36–$57.84 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.