Visits & medical services prices at Memorial Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $14,497 $14,497 1.7×
Aep neurodiagnostic i&r (92653) $1,409 $1,409 6.1×
Aep threshold estimation mlt frequencies i&r (92652) $1,429 $1,429 6.2×
Airway Inhalation Treatment (94640) $715 $715 3.0×
Analyze Pacemaker System (93724) $875 $875 2.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $235 $235 16.4×
Application on-body injector (96377) $180 $180 3.6×
Behavral qualit analys voice (92524) $764 $764 7.0×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $221 $221 2.7×
Bfb training ea addl 15 min (90913) $107 $107 3.3×
Blink reflex test (95933) $151 $151 2.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,129 $1,129 2.8×
Bundle of his recording (93600) $9,102 $9,102 1.1×
C motor evoked upr&lwr limbs (95939) $2,655 $2,655 2.9×
Canalith repositioning proc (95992) $203 $203 5.0×
Cardiac Stress Tst,Tracing Only (93017) $1,905 $1,905 8.2×
Cardiopulmonary exercise testing (94621) $2,232 $2,232 5.6×
Cardiopulmonary resuscitation (92950) $945 $945 4.1×
Cardioversion (92960) $2,541 $2,541 3.6×
Cardioversion elective internal (92961) $2,975 $2,975 4.2×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $16,577 $16,577 4.8×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $14,250 $14,250 4.1×
Cbt 1st hour (94644) $291 $291 2.0×
Chemo Anti-Neopl Sq/Im (96401) $288 $288 3.7×
Chemo Hormon Antineopl Sq/Im (96402) $282 $282 3.7×
Chemo IV infusion addl hr (96415) $229 $229 3.0×
Chemo IV push addl drug (96411) $252 $252 3.3×
Chemother Prolong Infuse W/Pump (96416) $1,298 $1,298 3.7×
Chemotherapy Into Cns (96450) $1,332 $1,332 3.8×
Chemotherapy Unspecified (96549) $296 $296 5.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $375 $375 4.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $866 $866 2.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $411 $411 1.2×
Chest Wall Manipulation (94668) $309 $309 2.2×
Community/Work Reintegration Trainj Ea 15 Min (97537) $157 $157 4.9×
Continuous Pulse Ox (94762) $509 $509 3.7×
Coronary Art/Grft Angio S&I (93455) $13,934 $13,934 4.0×
Coronary Artery Angio S&I (93454) $12,697 $12,697 3.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,267 $1,267 5.4×
Cpt initial (94667) $270 $270 1.9×
Critical care first hour (99291) $3,852 $3,852 4.4×
Debridement Open Wound 20 Sq Cm< (97597) $666 $666 3.1×
Developmental tst admin phys/qhp 1st hour (96112) $505 $505 3.7×
Dialysis One Evaluation (90945)
range across 19 matching MRF lines		 $1,303–$2,005 $1,303–$2,005 varies
Echo Congenital Complete (93303) $1,604 $1,604 2.7×
Echo Heart Xthoracic,Limited (93308) $1,579 $1,579 6.2×
Echo transesophageal (93312) $3,055 $3,055 5.2×
Echo Transesophageal - Congenital Tee Complete (93315) $2,267 $2,267 3.9×
Eeg 41-60 Minutes (95812) $1,642 $1,642 7.1×
EEG awake and asleep (95819) $1,499 $1,499 6.5×
EEG awake drowsy (95816) $1,076 $1,076 4.7×
EEG cerebral death evaluation (95824) $1,108 $1,108 2.8×
EEG cont rec w/video by tech min 8 channels (95700) $846 $846 3.7×
EEG extended monitoring 61-119 minutes (95813) $2,021 $2,021 8.7×
Eeg Sleep Only (95822) $917 $917 4.0×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $2,002 $2,002 8.7×
EEG w/o vid 2-12hr cont mntr (95707) $2,418 $2,418 10.4×
EEG w/o vid ea 12-26hr intmt (95709) $2,752 $2,752 6.9×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $5,101 $5,101 12.8×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $2,347 $2,347 10.1×
EEG wo vid ea 12-26hr unmntr (95708) $2,568 $2,568 6.4×
Electrical Stimulation Ea 15 Min (97032) $241 $241 16.4×
Electrocardiogram Tracing (93005) $522 $522 8.3×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $9,102 $9,102 1.1×
Emergency Dept Visit Level 2 (99282) $791 $791 4.8×
Emergency Dept Visit Level 3 (99283) $1,300 $1,300 4.4×
Emergency Dept Visit Level 4 (99284) $1,904 $1,904 4.3×
Endomyocardial Biopsy (93505) $5,456 $5,456 1.6×
Ep & ablate supravent arrhyt (93653) $49,638 $49,638 1.8×
Ep & ablate ventric tachy (93654) $64,742 $64,742 2.3×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $21,576 $21,576 2.6×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $11,738 $11,738 1.4×
Er level 1 (99281) $450 $450 5.0×
Er level v (99285) $2,463 $2,463 3.9×
Evaluate pt use of inhaler (94664) $424 $424 1.8×
Evaluate Speech Production (92522) $693 $693 6.2×
Evaluate Swallowing Function (92610)
range across 8 matching MRF lines		 $499–$796 $499–$796 varies
Evaluation of speech fluency (92521) $734 $734 5.5×
Evoked Auditory Test,Limited (92587) $650 $650 2.8×
External ECG rec>48hr<7d recording (93242) $370 $370 9.2×
External ECG rec>7d<15d recording (93246) $370 $370 9.2×
F-up/limited tthrc echo congenital car anomaly (93304) $1,215 $1,215 2.1×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $2,122 $2,122 2.3×
Gi tract capsule endoscopy (91110) $4,460 $4,460 4.6×
Group Therapeutic Procedures (97150) $155 $155 8.6×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $18,278 $18,278 5.3×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,976 $1,976 2.7×
Holter monitor recording (93225) $1,184 $1,184 8.3×
Immunization administration (90471) $187 $187 2.4×
Insert/Place Heart Catheter (93503) $2,925 $2,925 1.7×
Intra-atrial pacing (93610) $9,102 $9,102 1.1×
Intra-atrial recording (93602) $9,102 $9,102 1.1×
Iontophoresis 15 min (97033) $317 $317 16.6×
Irrig Drug Delivery Device (96523) $212 $212 3.4×
IV infusion hydration each additional hour (96361) $259 $259 5.2×
IV infusion hydration initial 31 min-1 hour (96360) $778 $778 3.4×
IV infusion ther proph addl sequential to 1 hr (96367) $434 $434 5.6×
IV infusion therapy prophylaxis/dx ea hour (96366) $479 $479 9.5×
IV push initial (96374) $611 $611 2.7×
L Hrt Art/Grft Angio (93459) $15,010 $15,010 4.3×
Lung Function Test (Mbc/Mvv) (94200) $232 $232 3.7×
Mechanical chest wall oscillation per session (94669) $424 $424 1.8×
Methacholine challenge (94070) $2,619 $2,619 6.5×
Motion Fluoroscopy/Swallow (92611)
range across 8 matching MRF lines		 $295–$512 $295–$512 varies
Multiple Sleep Latency Test (95805) $3,172 $3,172 3.4×
Nasopharyngoscopy (92511) $406 $406 1.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $855 $855 2.0×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,005 $1,005 2.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $1,235 $1,235 5.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,337 $1,337 3.1×
Neuromuscular Reeducation (97112) $277 $277 8.5×
Newborn resuscitation (99465) $1,550 $1,550 2.2×
Oral Function Therapy (92526)
range across 6 matching MRF lines		 $342–$453 $342–$453 varies
Oral Speech Device Eval (92597) $343 $343 4.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $162 $162 3.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $262 $262 5.7×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $90 $90 3.9×
Ot eval high complexity (97167)
range across 4 matching MRF lines		 $672–$2,283 $672–$2,283 varies
Ot Eval Low Complex (97165)
range across 4 matching MRF lines		 $453–$1,230 $453–$1,230 varies
Ot Eval Moderate Complexity (97166)
range across 4 matching MRF lines		 $539–$1,756 $539–$1,756 varies
Ot manual therapy 15 min (97140) $293 $293 10.6×
Ot Prosthetic Training, Each 15 Min (97761) $113 $113 2.8×
Ot Re-Eval Est Plan Care (97168) $255 $255 3.7×
Oxygen Uptake Rest Indirect (94690) $382 $382 6.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $863 $863 3.7×
Perq transcath closure pda (93582) $17,750 $17,750 0.9×
Perq Transcath Cls Aortic (93591) $21,276 $21,276 1.1×
Perq Transcath Cls Mitral (93590) $28,722 $28,722 1.5×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $11,776 $11,776 1.9×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $34,507 $34,507 2.8×
Physical Performance Test (97750) $169 $169 5.0×
Plethysmography (94726) $864 $864 2.2×
Pm/Icd Remote Tech Serv (93296) $173 $173 4.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $8,382 $8,382 9.1×
Polysom <6 yrs 4/> paramtrs (95782) $8,886 $8,886 9.7×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $9,177 $9,177 10.0×
Prq Card Angio/Athrect 1 Art (92924) $18,477 $18,477 1.5×
Prq Card Stent W/Angio 1 Vsl (92928) $17,235 $17,235 1.4×
Prq Card Stent/Ath/Angio (92933) $26,793 $26,793 1.4×
Prq Revasc Byp Graft 1 Vsl (92937) $23,146 $23,146 1.9×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $22,598 $22,598 1.2×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $14,962 $14,962 1.2×
Pt Eval High Complex (97163)
range across 4 matching MRF lines		 $750–$2,283 $750–$2,283 varies
Pt eval low complex 20 min (97161)
range across 4 matching MRF lines		 $494–$1,230 $494–$1,230 varies
Pt Eval Mod Complex (97162)
range across 4 matching MRF lines		 $615–$1,756 $615–$1,756 varies
Pt gait training 15 min (97116) $201 $201 6.9×
Pt Re-Eval Est Plan Care (97164) $198 $198 2.9×
Pulm function test by gas (94727) $563 $563 2.4×
Pulmonary service/procedure (94799) $674 $674 4.9×
Pulmonary Stress Testing (94618) $270 $270 1.9×
R Hrt Art/Grft Angio (93457) $16,745 $16,745 4.8×
R hrt coronary artery angio (93456) $15,528 $15,528 4.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $15,991 $15,991 4.6×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $171 $171 4.3×
Remote 30 Day Ecg Rev/Report (93270) $583 $583 14.6×
Respiratory flow volume loop (94375) $650 $650 2.8×
Right Heart Cath (93451) $14,041 $14,041 4.0×
Right ventricular recording (93603) $3,136 $3,136 2.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $579 $579 2.7×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $330 $330 2.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $198 $198 4.1×
Self Care Mngment Training (97535) $223 $223 6.9×
Sensory Integration Ea 15 Min (97533) $158 $158 2.6×
Sleep study attended (95807) $2,793 $2,793 7.0×
Speech sound lang comprehen (92523)
range across 8 matching MRF lines		 $533–$1,220 $533–$1,220 varies
Spirometry (94010) $327 $327 1.4×
Stress Tte Only (93350) $3,246 $3,246 5.5×
Surfactant Admin Thru Tube (94610) $647 $647 2.8×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $1,127 $1,127 10.1×
Temp transcutaneous pacing (92953) $1,365 $1,365 1.9×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $151 $151 6.7×
Ther Ivntj Ea Addl 15 Min (97130) $82 $82 3.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $223 $223 6.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $295 $295 2.9×
Ther/Proph/Diag Inj Sc/Im (96372) $199 $199 2.6×
Ther/Proph/Diag Iv Inf Init (96365) $853 $853 3.7×
Therapeutic Activities (97530) $222 $222 6.3×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $4,224 $4,224 10.6×
Transcath Closure of Asd (93580) $37,337 $37,337 1.9×
Transcranial Doppler Intracran Art Emboli Detect (93892) $873 $873 7.8×
Tte w/doppler, complete (93306) $4,479 $4,479 7.6×
Tx atrial fib pulm vein isol (93656) $68,879 $68,879 2.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $497 $497 6.5×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $100 $100 4.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $356 $356 7.1×
Unlisted cardiovascular service/procedure (93799)
range across 2 matching MRF lines		 $1,665–$16,776 $1,665–$16,776 varies
Valvuloplasty aortic valve (92986) $17,069 $17,069 2.8×
Valvuloplasty mitral valve (92987) $17,597 $17,597 1.4×
Valvuloplasty pulmonary valve (92990) $16,984 $16,984 1.4×
Vasopneumatic device (97016) $197 $197 16.4×
Veeg 2-12 Hr Cont Mntr (95713) $3,430 $3,430 8.6×
Veeg 2-12 hr intmt mntr (95712) $2,905 $2,905 7.3×
Veeg 2-12 hr unmonitored (95711) $2,107 $2,107 9.1×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $3,058 $3,058 7.6×
Veeg Ea 12-26 Hr Unmntr (95714) $2,828 $2,828 7.1×
Veeg ea 12-26hr cont mntr (95716) $6,068 $6,068 6.6×
Vent Mgmt Inpat Init Day (94002) $3,958 $3,958 6.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $3,565 $3,565 5.4×
Vital capacity, total (94150) $327 $327 2.4×
Wada Activation Test Hemispheric Function W/Eeg (95958) $2,563 $2,563 2.8×
Wheelchair Mgmt Ea 15 Min (97542) $95 $95 3.1×

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.