Visits & medical services prices at Memorial Hospital
Carthage, IL · every code in this section with a posted price and a Medicare benchmark.
134 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actinotherapy Ultraviolet Light (96900) | $200.80 | $251 | 5.0× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $36.80 | $46 | 0.8× |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$47.20–$151.20 | $59–$189 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $78.40 | $98 | 5.5× |
| Assessment of aphasia per hr (96105) | $288 | $360 | 3.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $309.60 | $387 | 0.8× |
| Car seat/bed test 60 min (94780) | $89.60 | $112 | 2.2× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,127.20 | $1,409 | 4.9× |
| Cardiopulmonary exercise testing (94621) | $626.40 | $783 | 1.6× |
| Cardiopulmonary resuscitation (92950) | $1,760 | $2,200 | 7.6× |
| Cardioversion (92960) | $1,440 | $1,800 | 2.0× |
| Cbt 1st hour (94644) | $211.20 | $264 | 1.5× |
| Chemo Anti-Neopl Sq/Im (96401) | $124 | $155 | 1.6× |
| Chemo Hormon Antineopl Sq/Im (96402) | $119.20 | $149 | 1.5× |
| Chemo IV infusion addl hr (96415) | $176.80 | $221 | 2.3× |
| Chemo IV push addl drug (96411) | $117.60 | $147 | 1.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $285.60 | $357 | 3.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $430.40 | $538 | 1.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $117.60 | $147 | 0.3× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$69.60–$84.80 | $87–$106 | varies |
| Color/duplex Doppler, complete (93975) | $998.40 | $1,248 | 3.9× |
| Color/duplex Doppler, limited (93976) | $773.60 | $967 | 6.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $108 | $135 | 3.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $519.20 | $649 | 3.6× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $148 | $185 | 2.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$459.20–$951.20 | $574–$1,189 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$69.60–$113.60 | $87–$142 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$1,088–$1,723.20 | $1,360–$2,154 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$200.80–$219.20 | $251–$274 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $728.80 | $911 | 2.9× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $833.60 | $1,042 | 7.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $903.20 | $1,129 | 3.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $644 | $805 | 5.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $2,234.40 | $2,793 | 8.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,420.80 | $1,776 | 12.7× |
| Duplex Scan Hemodialysis Access (93990) | $577.60 | $722 | 5.2× |
| Duplex up extrem art bilat (93930) | $804 | $1,005 | 3.1× |
| Duplex up extrem art unilat/ltd (93931) | $740.80 | $926 | 6.6× |
| ECG/monitoring and analysis (93271) | $1,160 | $1,450 | 11.4× |
| Echo Heart Xthoracic,Limited (93308) | $1,221.60 | $1,527 | 4.8× |
| Eeg 41-60 Minutes (95812) | $748.80 | $936 | 3.2× |
| EEG awake and asleep (95819) | $796 | $995 | 3.4× |
| EEG awake drowsy (95816) | $732.80 | $916 | 3.2× |
| EEG extended monitoring 61-119 minutes (95813) | $974.40 | $1,218 | 4.2× |
| Electrical Stimulation Ea 15 Min (97032) | $112.80 | $141 | 7.7× |
| Electrocardiogram Tracing (93005) | $236 | $295 | 3.7× |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$32.80–$463.20 | $41–$579 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$32.80–$676.80 | $41–$846 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$32.80–$833.60 | $41–$1,042 | varies |
| Er level 1 (99281) range across 3 matching MRF lines |
$32.80–$340 | $41–$425 | varies |
| Er level v (99285) range across 3 matching MRF lines |
$32.80–$1,043.20 | $41–$1,304 | varies |
| Evaluate pt use of inhaler (94664) | $116.80 | $146 | 0.5× |
| Evaluate Speech Production (92522) | $273.60 | $342 | 2.4× |
| Evaluate Swallowing Function (92610) | $288 | $360 | 3.4× |
| Evoked Auditory Test,Limited (92587) | $208 | $260 | 0.9× |
| Exercise test for bronchospasm (94617) | $626.40 | $783 | 4.4× |
| External ECG rec>48hr<7d recording (93242) | $286.40 | $358 | 7.2× |
| External Ecg Scanning Analysis Report (93226) range across 2 matching MRF lines |
$767.20–$1,531.20 | $959–$1,914 | varies |
| Extracranial Bilat Study (93880) | $1,720 | $2,150 | 6.7× |
| Health Behavior Assessment/Re-Assessment (96156) | $372 | $465 | 3.4× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $253.60 | $317 | 1.3× |
| Holter monitor recording (93225) | $365.60 | $457 | 2.6× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $98.40 | $123 | 1.3× |
| Immunization administration (90471) range across 4 matching MRF lines |
$94.40–$98.40 | $118–$123 | varies |
| Inital newborn e/m (99460) | $424 | $530 | 3.0× |
| Irrig Drug Delivery Device (96523) | $335.20 | $419 | 5.3× |
| IV infusion hydration each additional hour (96361) | $147.20 | $184 | 2.9× |
| IV infusion hydration initial 31 min-1 hour (96360) | $340 | $425 | 1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $168.80 | $211 | 2.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $168.80 | $211 | 3.4× |
| IV push initial (96374) | $273.60 | $342 | 1.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $27.20 | $34 | 0.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $32.80 | $41 | 0.9× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $55.20 | $69 | 3.2× |
| Methacholine challenge (94070) | $626.40 | $783 | 1.6× |
| Motion Fluoroscopy/Swallow (92611) | $387.20 | $484 | 4.2× |
| Multiple Sleep Latency Test (95805) | $3,984 | $4,980 | 4.3× |
| Neuromuscular Reeducation (97112) | $108 | $135 | 3.3× |
| Newborn resuscitation (99465) range across 3 matching MRF lines |
$229.60–$1,261.60 | $287–$1,577 | varies |
| Nitric oxide expired gas determination (95012) | $72 | $90 | 1.8× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $68.80 | $86 | 2.7× |
| Nonphysician Telephone Assessment 21-30 Min (98968) | $100.80 | $126 | 2.9× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $34.40 | $43 | 2.5× |
| Oral Function Therapy (92526) | $288 | $360 | 3.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $108 | $135 | 2.3× |
| Ot Contrast Bath Ea 15 Min (97034) | $108 | $135 | 7.7× |
| Ot eval high complexity (97167) | $261.60 | $327 | 2.6× |
| Ot Eval Low Complex (97165) | $216 | $270 | 2.1× |
| Ot Eval Moderate Complexity (97166) | $238.40 | $298 | 2.4× |
| Ot manual therapy 15 min (97140) | $108 | $135 | 3.9× |
| Ot Prosthetic Training, Each 15 Min (97761) | $108 | $135 | 2.7× |
| Ot Re-Eval Est Plan Care (97168) | $216 | $270 | 3.2× |
| Ot rom hand (95852) | $108 | $135 | 5.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $213.60 | $267 | 1.5× |
| Penile Vascular Study,Ltd or F/U (93981) | $652.80 | $816 | 5.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $589.60 | $737 | 2.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $172.80 | $216 | 2.7× |
| Plethysmography (94726) | $423.20 | $529 | 1.1× |
| Pm device eval in person (93288) | $165.60 | $207 | 4.1× |
| Pm device progr eval dual (93280) | $192 | $240 | 4.8× |
| Pm Device Progr Eval Sngl (93279) | $192 | $240 | 4.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $4,533.60 | $5,667 | 4.9× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $53.60 | $67 | 1.1× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $69.60 | $87 | 1.4× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$206.40–$278.40 | $258–$348 | varies |
| Pt Eval High Complex (97163) | $241.60 | $302 | 2.5× |
| Pt eval low complex 20 min (97161) | $218.40 | $273 | 2.2× |
| Pt Eval Mod Complex (97162) | $229.60 | $287 | 2.3× |
| Pt gait training 15 min (97116) | $108 | $135 | 3.7× |
| Pt Re-Eval Est Plan Care (97164) | $218.40 | $273 | 3.2× |
| Pulmonary Stress Testing (94618) | $315.20 | $394 | 2.2× |
| Remote 30 Day Ecg Rev/Report (93270) | $420 | $525 | 10.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $218.40 | $273 | 1.0× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $108 | $135 | 4.1× |
| Same day nb discharge (99463) | $510.40 | $638 | 3.6× |
| Self Care Mngment Training (97535) | $108 | $135 | 3.3× |
| Sensory Integration Ea 15 Min (97533) | $94.40 | $118 | 1.6× |
| Sleep study unattended (95806) | $713.60 | $892 | 3.1× |
| Speech sound lang comprehen (92523) | $416 | $520 | 1.8× |
| Spirometry (94010) | $210.40 | $263 | 0.9× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $122.40 | $153 | 5.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $108 | $135 | 3.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $118.40 | $148 | 1.5× |
| Ther/Proph/Diag Iv Inf Init (96365) | $340 | $425 | 1.5× |
| Therapeutic Activities (97530) | $108 | $135 | 3.1× |
| Tte w/doppler, complete (93306) | $2,499.20 | $3,124 | 4.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $288 | $360 | 3.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $98.40 | $123 | 2.0× |
| Upr/L Xtremity Art 2 Levels (93922) | $337.60 | $422 | 2.4× |
| Vasopneumatic device (97016) | $218.40 | $273 | 18.2× |
| Vent Mgmt Inpat Init Day (94002) | $1,028.80 | $1,286 | 1.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $883.20 | $1,104 | 1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $82.40 | $103 | 2.7× |
| Whirlpool Therapy (97022) | $188.80 | $236 | 12.0× |
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.