Visits & medical services prices at Memorial Hospital
Chester, IL · every code in this section with a posted price and a Medicare benchmark.
155 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $97.60 | $122 | 0.4× |
| Analyze neurostim no prog (95970) | $152 | $190 | 1.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $120.80 | $151 | 8.4× |
| Application Modality 1/> Areas Diathermy (97024) | $123.20 | $154 | 16.8× |
| Application Modality 1/> Areas Infrared (97026) | $122.40 | $153 | 18.3× |
| Assessment of aphasia per hr (96105) | $179.20 | $224 | 1.8× |
| Audiometry Air & Bone (92553) | $120.80 | $151 | 0.9× |
| Basic vestibular evaluation (92540) | $647.20 | $809 | 2.8× |
| Behavral qualit analys voice (92524) | $284.80 | $356 | 2.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$28.80–$376 | $36–$470 | varies |
| Caloric Vstblr Test W/Rec (92537) | $354.40 | $443 | 2.6× |
| Canalith repositioning proc (95992) | $106.40 | $133 | 2.6× |
| Cardiopulmonary resuscitation (92950) range across 5 matching MRF lines |
$534.40–$951.20 | $668–$1,189 | varies |
| Cardioversion (92960) range across 4 matching MRF lines |
$292–$2,410.93 | $365–$3,013.66 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $200 | $250 | 2.6× |
| Chemo Hormon Antineopl Sq/Im (96402) | $180 | $225 | 2.3× |
| Chemo IV infusion addl hr (96415) | $143.20 | $179 | 1.9× |
| Chemo IV push addl drug (96411) | $119.20 | $149 | 1.5× |
| Chemother Prolong Infuse W/Pump (96416) | $296.80 | $371 | 0.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $141.60 | $177 | 1.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $377.60 | $472 | 1.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $298.40 | $373 | 0.8× |
| Chest Wall Manipulation (94668) | $69.60 | $87 | 0.5× |
| Color/duplex Doppler, complete (93975) | $1,376.80 | $1,721 | 5.4× |
| Color/duplex Doppler, limited (93976) | $817.60 | $1,022 | 7.3× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $74.40 | $93 | 2.3× |
| Comprehensive Hearing Test (92557) | $236.80 | $296 | 1.7× |
| Conditioning Play Audiometry (92582) | $114.40 | $143 | 0.8× |
| Continuous Pulse Ox (94762) | $71.20 | $89 | 0.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$394.40–$488 | $493–$610 | varies |
| Cpt initial (94667) | $116 | $145 | 0.8× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$628–$2,625.60 | $785–$3,282 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 7 matching MRF lines |
$84.80–$245.60 | $106–$307 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,052.80 | $1,316 | 4.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $602.40 | $753 | 2.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $536.80 | $671 | 4.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,084.80 | $1,356 | 4.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $733.60 | $917 | 6.5× |
| Duplex up extrem art bilat (93930) | $602.40 | $753 | 2.4× |
| Duplex up extrem art unilat/ltd (93931) | $364.80 | $456 | 3.3× |
| Echo Heart Xthoracic,Limited (93308) range across 5 matching MRF lines |
$66.40–$3,107.58 | $83–$3,884.47 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$82.40–$236.80 | $103–$296 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $134.40 | $168 | 9.1× |
| Electrocardiogram Tracing (93005) | $92 | $115 | 1.5× |
| Electrophysiology Evaluation (93642) | $52 | $65 | 0.0× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$180–$211.20 | $225–$264 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$212–$286.40 | $265–$358 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$371.20–$398.40 | $464–$498 | varies |
| Er level 1 (99281) range across 3 matching MRF lines |
$106.40–$200 | $133–$250 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$518.40–$681.60 | $648–$852 | varies |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $241.60 | $302 | 1.8× |
| Evaluate Speech Production (92522) | $284.80 | $356 | 2.5× |
| Evaluate Swallowing Function (92610) | $316 | $395 | 3.7× |
| Evaluation of speech fluency (92521) | $284.80 | $356 | 2.1× |
| External Ecg Scanning Analysis Report (93226) | $477.60 | $597 | 7.6× |
| Extracranial Bilat Study (93880) | $950.40 | $1,188 | 3.7× |
| Extracranial Uni/Ltd Study (93882) | $607.20 | $759 | 5.4× |
| Gi tract capsule endoscopy (91110) range across 3 matching MRF lines |
$287.20–$2,680 | $359–$3,350 | varies |
| Group Therapeutic Procedures (97150) | $66.40 | $83 | 3.7× |
| Holter monitor recording (93225) | $254.40 | $318 | 1.8× |
| Icd Device Interrogate (93289) range across 3 matching MRF lines |
$50.40–$59.20 | $63–$74 | varies |
| Icd device progr eval dual (93283) | $52 | $65 | 1.3× |
| Ilr Device Eval Progr (93285) | $52 | $65 | 1.3× |
| Ilr Device Interrogate (93291) | $52 | $65 | 1.7× |
| Immunization administration (90471) | $38.40 | $48 | 0.5× |
| Iontophoresis 15 min (97033) | $141.60 | $177 | 7.4× |
| Irrig Drug Delivery Device (96523) | $60.80 | $76 | 1.0× |
| IV infusion hydration each additional hour (96361) range across 25 matching MRF lines |
$88–$1,066.40 | $110–$1,333 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) | $422.40 | $528 | 1.9× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $80 | $100 | 1.0× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$63.20–$88 | $79–$110 | varies |
| IV push initial (96374) range across 6 matching MRF lines |
$41.60–$298.40 | $52–$373 | varies |
| Liver Elastography W/O Imag W/I&R (91200) | $331.20 | $414 | 2.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $33.60 | $42 | 1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $36 | $45 | 1.0× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $64 | $80 | 3.8× |
| Motion Fluoroscopy/Swallow (92611) | $316 | $395 | 3.5× |
| Multiple Sleep Latency Test (95805) | $1,322.40 | $1,653 | 1.4× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$111.20–$321.60 | $139–$402 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $116 | $145 | 0.5× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$128–$163.20 | $160–$204 | varies |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$82.40–$121.60 | $103–$152 | varies |
| Oral Function Therapy (92526) | $313.60 | $392 | 3.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$59.20–$120.80 | $74–$151 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $59.20 | $74 | 1.3× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $80 | $100 | 3.5× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $113.60 | $142 | 4.9× |
| Ot Contrast Bath Ea 15 Min (97034) | $124 | $155 | 8.8× |
| Ot eval high complexity (97167) | $296 | $370 | 2.9× |
| Ot Eval Low Complex (97165) | $296 | $370 | 2.9× |
| Ot Eval Moderate Complexity (97166) | $296 | $370 | 2.9× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$82.40–$90.40 | $103–$113 | varies |
| Ot paraffin bath (97018) | $93.60 | $117 | 15.6× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$59.20–$120.80 | $74–$151 | varies |
| Ot Re-Eval Est Plan Care (97168) | $154.40 | $193 | 2.3× |
| Ot rom hand (95852) | $121.60 | $152 | 5.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$261.60–$364.80 | $327–$456 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $236 | $295 | 1.7× |
| Phlebotomy therapeutic (99195) | $175.20 | $219 | 1.2× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) range across 2 matching MRF lines |
$236–$339.20 | $295–$424 | varies |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $214.40 | $268 | 3.4× |
| Physical Performance Test (97750) | $150.40 | $188 | 4.5× |
| Plethysmography (94726) range across 2 matching MRF lines |
$26.40–$254.40 | $33–$318 | varies |
| Pm device eval in person (93288) | $52 | $65 | 1.3× |
| Pm device progr eval dual (93280) | $52 | $65 | 1.3× |
| Pm Device Progr Eval Sngl (93279) | $52 | $65 | 1.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,168.80 | $3,961 | 3.4× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $49.60 | $62 | 1.2× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $20 | $25 | 0.4× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$24–$46.40 | $30–$58 | varies |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $144 | $180 | 3.8× |
| Pt Eval High Complex (97163) | $278.40 | $348 | 2.8× |
| Pt eval low complex 20 min (97161) | $278.40 | $348 | 2.8× |
| Pt Eval Mod Complex (97162) | $278.40 | $348 | 2.8× |
| Pt gait training 15 min (97116) | $113.60 | $142 | 3.9× |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$52–$123.20 | $65–$154 | varies |
| Pt Re-Eval Est Plan Care (97164) | $154.40 | $193 | 2.3× |
| Pulmonary Stress Testing (94618) | $71.20 | $89 | 0.5× |
| Pure Tone Audiometry Air (92552) | $53.60 | $67 | 0.4× |
| Refill/Maint Portable Pump (96521) | $164.80 | $206 | 0.7× |
| Remote 30 Day Ecg Rev/Report (93270) | $452 | $565 | 11.3× |
| Respiratory flow volume loop (94375) | $91.20 | $114 | 0.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $56 | $70 | 0.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 4 matching MRF lines |
$70.40–$341.60 | $88–$427 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $121.60 | $152 | 4.7× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $284.80 | $356 | 2.3× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$66.40–$82.40 | $83–$103 | varies |
| Sensory Integration Ea 15 Min (97533) | $66.40 | $83 | 1.1× |
| Sleep study unattended (95806) | $987.20 | $1,234 | 4.3× |
| Speech Audiometry Complete (92556) | $75.20 | $94 | 1.2× |
| Speech sound lang comprehen (92523) | $284.80 | $356 | 1.3× |
| Spirometry (94010) | $193.60 | $242 | 0.8× |
| Standardized Cognitive Performance Testing (96125) | $231.20 | $289 | 2.2× |
| Stress Tte Only (93350) | $116 | $145 | 0.2× |
| Temp transcutaneous pacing (92953) | $117.60 | $147 | 0.2× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $129.60 | $162 | 5.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $68.80 | $86 | 3.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 2 matching MRF lines |
$82.40–$92.80 | $103–$116 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $90.40 | $113 | 3.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$20–$120.80 | $25–$151 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$243.20–$422.40 | $304–$528 | varies |
| Therapeutic Activities (97530) | $88 | $110 | 2.5× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $40.80 | $51 | 1.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$8–$34.40 | $10–$43 | varies |
| Tte w/doppler, complete (93306) range across 4 matching MRF lines |
$154.40–$2,612.49 | $193–$3,265.61 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $284.80 | $356 | 3.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $51.20 | $64 | 1.0× |
| Tympanometry and reflex threshold measurements (92550) | $166.40 | $208 | 0.7× |
| Upr/L Xtremity Art 2 Levels (93922) | $344 | $430 | 2.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $483.20 | $604 | 2.1× |
| Vasopneumatic device (97016) | $69.60 | $87 | 5.8× |
| Vent Mgmt Inpat Init Day (94002) | $1,307.20 | $1,634 | 2.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,147.20 | $1,434 | 1.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $59.20 | $74 | 1.9× |
| Whirlpool Therapy (97022) | $104.80 | $131 | 6.7× |
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.