Visits & medical services prices at Mc Donough District Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $126.60 $211 0.5×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $448.80 $748 3.1×
Analyze neurostim complex (95972) $201 $335 2.0×
Analyze neurostim no prog (95970) $172.20 $287 1.2×
Analyze Neurostim Simple (95971) $201 $335 2.0×
Assessment of aphasia per hr (96105) $322.20 $537 3.3×
Behavral qualit analys voice (92524) $280.20 $467 2.6×
Breath hydrogen/methane test (91065)
range across 2 matching MRF lines
$271.80–$498.60 $453–$831 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $603.60 $1,006 1.5×
Car seat/bed test 60 min (94780) $154.80 $258 3.9×
Cardiac Stress Tst,Tracing Only (93017) $1,208.40 $2,014 5.2×
Cardiopulmonary resuscitation (92950) $808.20 $1,347 3.5×
Cardioversion (92960)
range across 2 matching MRF lines
$960.60–$2,560.80 $1,601–$4,268 varies
Cbt 1st hour (94644) $75 $125 0.5×
Chemo Anti-Neopl Sq/Im (96401) $168 $280 2.2×
Chemo Hormon Antineopl Sq/Im (96402) $214.20 $357 2.8×
Chemo IV infusion addl hr (96415) $203.40 $339 2.6×
Chemo IV push addl drug (96411) $227.40 $379 2.9×
Chemother Prolong Infuse W/Pump (96416) $507.60 $846 1.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $637.20 $1,062 1.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $331.80 $553 0.9×
Chest Wall Manipulation (94668) $90.60 $151 0.6×
Color/duplex Doppler, limited (93976) $594 $990 5.3×
Community/Work Reintegration Trainj Ea 15 Min (97537) $82.20 $137 2.6×
Cont gluc mntr physician/qhp provided equiptment (95250)
range across 2 matching MRF lines
$121.20–$261 $202–$435 varies
Cont Gluc Mntr Pt Prov Eqp (95249) $169.80 $283 2.7×
Continuous Pulse Ox (94762)
range across 3 matching MRF lines
$287.40–$316.80 $479–$528 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660) $126.60 $211 0.5×
Cpt initial (94667) $124.20 $207 0.9×
Critical care first hour (99291) $2,095.20 $3,492 2.4×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$230.40–$261 $384–$435 varies
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $623.40 $1,039 5.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $959.40 $1,599 3.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $461.40 $769 4.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,128.60 $1,881 4.4×
Dup-scan xtr veins unilateral/limited study (93971) $623.40 $1,039 5.6×
Duplex up extrem art bilat (93930) $1,157.40 $1,929 4.5×
Duplex up extrem art unilat/ltd (93931) $461.40 $769 4.1×
Echo Congenital Complete (93303) $1,257.60 $2,096 2.1×
Echo Heart Xthoracic,Limited (93308) $1,112.40 $1,854 4.4×
Echo transesophageal (93312) $1,604.40 $2,674 2.7×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,299.20 $3,832 3.9×
Eeg 41-60 Minutes (95812) $987.60 $1,646 4.3×
EEG awake and asleep (95819) $704.40 $1,174 3.0×
EEG awake drowsy (95816) $704.40 $1,174 3.0×
EEG cerebral death evaluation (95824) $511.80 $853 1.3×
EEG extended monitoring 61-119 minutes (95813) $1,138.80 $1,898 4.9×
Electrocardiogram Tracing (93005)
range across 8 matching MRF lines
$34.80–$266.40 $58–$444 varies
Emergency Dept Visit Level 2 (99282) $342 $570 2.1×
Emergency Dept Visit Level 3 (99283) $595.20 $992 2.0×
Emergency Dept Visit Level 4 (99284) $885.60 $1,476 2.0×
Er level 1 (99281) $202.80 $338 2.2×
Er level v (99285) $1,296.60 $2,161 2.0×
Evaluate pt use of inhaler (94664) $126.60 $211 0.5×
Evaluate Speech Production (92522) $236.40 $394 2.1×
Evaluate Swallowing Function (92610) $221.40 $369 2.6×
Evaluation of speech fluency (92521)
range across 3 matching MRF lines
$235.20–$252 $392–$420 varies
External Ecg Scanning Analysis Report (93226) $568.20 $947 9.0×
Extracranial Bilat Study (93880) $1,128.60 $1,881 4.4×
Extracranial Uni/Ltd Study (93882)
range across 4 matching MRF lines
$91.20–$588.60 $152–$981 varies
F-up/limited tthrc echo congenital car anomaly (93304) $687 $1,145 1.2×
Group Therapeutic Procedures (97150) $152.40 $254 8.4×
Holter monitor recording (93225) $568.20 $947 4.0×
Immunization administration (90471)
range across 4 matching MRF lines
$19.80–$144 $33–$240 varies
Interrogation eval in person wr defibrillator (93292) $144.60 $241 3.6×
Irrig Drug Delivery Device (96523) $120 $200 1.9×
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$90–$144.60 $150–$241 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$340.20–$380.40 $567–$634 varies
IV infusion ther proph addl sequential to 1 hr (96367) $124.80 $208 1.6×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$79.20–$176.40 $132–$294 varies
IV push initial (96374)
range across 4 matching MRF lines
$192–$438.60 $320–$731 varies
Liver Elastography W/O Imag W/I&R (91200) $48 $80 0.3×
Lwr Xtr Vasc Stdy Bilat (93924) $569.40 $949 2.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$24.60–$36.60 $41–$61 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$24.60–$42 $41–$70 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $22.80 $38 1.3×
Methacholine challenge (94070) $603.60 $1,006 1.5×
Motility study esophagus (91010) $412.80 $688 1.0×
Motion Fluoroscopy/Swallow (92611) $276.60 $461 3.0×
Multiple Sleep Latency Test (95805)
range across 4 matching MRF lines
$1,428.60–$2,176.20 $2,381–$3,627 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 4 matching MRF lines
$211.80–$219 $353–$365 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$245.40–$253.20 $409–$422 varies
Newborn resuscitation (99465) $556.80 $928 0.8×
Nonphysician Telephone Assessment 5-10 Min (98966) $29.40 $49 2.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $93 $155 1.9×
Ot eval high complexity (97167) $277.20 $462 2.8×
Ot Eval Low Complex (97165)
range across 3 matching MRF lines
$169.20–$278.40 $282–$464 varies
Ot Eval Moderate Complexity (97166)
range across 3 matching MRF lines
$238.80–$277.20 $398–$462 varies
Ot Re-Eval Est Plan Care (97168)
range across 3 matching MRF lines
$129–$162 $215–$270 varies
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $109.20 $182 0.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $228.60 $381 1.0×
Phlebotomy therapeutic (99195) $187.20 $312 1.3×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $190.20 $317 3.0×
Physical Performance Test (97750)
range across 4 matching MRF lines
$37.80–$58.80 $63–$98 varies
Plethysmography (94726) $336 $560 0.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,615.60 $6,026 3.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $24.60 $41 0.5×
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines
$181.20–$193.20 $302–$322 varies
Psytx Crisis Initial 60 Min (90839) $171 $285 0.9×
Pt Eval High Complex (97163)
range across 2 matching MRF lines
$236.40–$302.40 $394–$504 varies
Pt eval low complex 20 min (97161)
range across 2 matching MRF lines
$134.40–$302.40 $224–$504 varies
Pt Eval Mod Complex (97162)
range across 2 matching MRF lines
$205.20–$262.80 $342–$438 varies
Pulm function test by gas (94727)
range across 3 matching MRF lines
$229.20–$330 $382–$550 varies
Pulmonary service/procedure (94799) $93.60 $156 0.7×
Pulmonary Stress Testing (94618) $226.20 $377 1.6×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $529.80 $883 1.5×
Refill/Maint Portable Pump (96521) $286.20 $477 1.3×
Remote 30 Day Ecg Rev/Report (93270) $240 $400 6.0×
Respiratory flow volume loop (94375) $525.60 $876 2.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $226.20 $377 3.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $153.60 $256 0.7×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $214.80 $358 1.8×
Sleep study unattended (95806) $346.80 $578 1.5×
Speech sound lang comprehen (92523) $580.80 $968 2.6×
Spirometry (94010) $168.60 $281 0.7×
Standardized Cognitive Performance Testing (96125) $376.80 $628 3.7×
Stress Tte Only (93350) $2,299.20 $3,832 3.9×
Temp transcutaneous pacing (92953) $595.80 $993 0.8×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $114.60 $191 5.1×
Ther Ivntj Ea Addl 15 Min (97130) $108.60 $181 5.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $136.80 $228 1.3×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$124.80–$132 $208–$220 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$375.60–$380.40 $626–$634 varies
Tte w/doppler, complete (93306) $1,999.20 $3,332 3.4×
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines
$967.80–$1,276.80 $1,613–$2,128 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $238.20 $397 3.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $173.40 $289 3.5×
Upr/L Xtremity Art 2 Levels (93922) $528.60 $881 3.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $714 $1,190 3.1×
Vent Mgmt Inpat Init Day (94002) $990 $1,650 1.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $796.80 $1,328 1.2×
Vital capacity, total (94150) $121.80 $203 0.9×
Whirlpool Therapy (97022) $151.20 $252 9.6×

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.