Visits & medical services prices at Mercyhealth Hospital & Physician Clinic-crystal La

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 3 matching MRF lines
$72.76–$96.74 $97.02–$128.99 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $99.98 $133.30 7.0×
Assessment of aphasia per hr (96105) $424.18 $565.58 4.4×
Behavral qualit analys voice (92524) $334.06 $445.41 3.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $774.26 $1,032.34 1.9×
Canalith repositioning proc (95992) $202.58 $270.11 5.0×
Cardiac Stress Tst,Tracing Only (93017)
range across 4 matching MRF lines
$1,321.37–$2,231.90 $1,761.83–$2,975.86 varies
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$314.87–$581.59 $419.83–$775.45 varies
Cardioversion (92960)
range across 2 matching MRF lines
$254.68–$1,265.07 $339.57–$1,686.76 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $123.20 $164.27 4.7×
Cbt 1st hour (94644) $336.14 $448.19 2.4×
Chemo Anti-Neopl Sq/Im (96401) $165.72 $220.96 2.1×
Chemo Hormon Antineopl Sq/Im (96402) $118.06 $157.41 1.5×
Chemo IV infusion addl hr (96415) $420.01 $560.01 5.4×
Chemo IV push addl drug (96411) $275.39 $367.19 3.6×
Chemother Prolong Infuse W/Pump (96416) $761.37 $1,015.16 2.2×
Chemotherapy Unspecified (96549) $460.47 $613.96 9.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $501.12 $668.16 6.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $620.09 $826.79 1.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $738.62 $984.82 2.1×
Chest Wall Manipulation (94668) $290.54 $387.39 2.0×
Color/duplex Doppler, complete (93975) $2,517.52 $3,356.70 9.8×
Color/duplex Doppler, limited (93976) $391.97 $522.63 3.5×
Continuous Pulse Ox (94762) $394.70 $526.27 2.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
$271.10–$693.20 $361.46–$924.26 varies
Cpt initial (94667) $290.42 $387.23 2.0×
Critical care first hour (99291) $1,321.37 $1,761.83 1.5×
Debridement Open Wound 20 Sq Cm< (97597) $337.36 $449.82 1.6×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,238.08 $1,650.77 4.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $718.78 $958.37 2.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $488.84 $651.79 4.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,256.20 $1,674.93 4.9×
Dup-scan xtr veins unilateral/limited study (93971) $1,005.66 $1,340.88 9.0×
Duplex up extrem art bilat (93930) $751.37 $1,001.83 2.9×
Duplex up extrem art unilat/ltd (93931) $343.91 $458.55 3.1×
Echo Heart Xthoracic,Limited (93308) $595.48 $793.98 2.3×
Echo transesophageal (93312) $1,595.27 $2,127.03 2.7×
Eeg 41-60 Minutes (95812) $1,231.52 $1,642.03 5.3×
EEG awake and asleep (95819) $1,837.01 $2,449.35 7.9×
EEG awake drowsy (95816) $597.33 $796.44 2.6×
Electrical Stimulation Ea 15 Min (97032) $112.06 $149.41 7.6×
Electrocardiogram Tracing (93005) $232.18 $309.57 3.7×
Emergency Dept Visit Level 2 (99282) $781.32 $1,041.76 4.7×
Emergency Dept Visit Level 3 (99283) $952.92 $1,270.56 3.3×
Emergency Dept Visit Level 4 (99284) $1,537.40 $2,049.86 3.4×
Er level 1 (99281)
range across 2 matching MRF lines
$146.37–$338.17 $195.16–$450.89 varies
Er level v (99285) $2,190.51 $2,920.68 3.4×
Evaluate Speech Production (92522) $320.83 $427.77 2.9×
Evaluate Swallowing Function (92610) $424.18 $565.58 5.0×
Extracranial Bilat Study (93880) $798.30 $1,064.40 3.1×
Immunization administration (90471)
range across 2 matching MRF lines
$80.20–$88.55 $106.94–$118.07 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $594.56 $792.75 1.5×
Iontophoresis 15 min (97033) $174.10 $232.14 9.1×
Irrig Drug Delivery Device (96523) $430.82 $574.43 6.8×
IV infusion hydration each additional hour (96361) $255.42 $340.56 5.1×
IV infusion hydration initial 31 min-1 hour (96360) $454.99 $606.65 2.0×
IV infusion ther proph addl sequential to 1 hr (96367) $359.56 $479.42 4.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $262.50 $350 5.2×
IV push initial (96374) $274.59 $366.12 1.2×
Methacholine challenge (94070) $497.81 $663.75 1.2×
Motion Fluoroscopy/Swallow (92611) $480.41 $640.55 5.2×
Multiple Sleep Latency Test (95805) $2,168.07 $2,890.76 2.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $835.35 $1,113.80 1.9×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $807.86 $1,077.14 1.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $524.18 $698.90 2.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $626.04 $834.72 1.4×
Neuromuscular Reeducation (97112)
range across 3 matching MRF lines
$104.41–$138.02 $139.21–$184.03 varies
Newborn resuscitation (99465) $519.07 $692.09 0.7×
Oral Function Therapy (92526) $293.54 $391.39 3.5×
Ot eval high complexity (97167) $534.16 $712.22 5.3×
Ot Eval Low Complex (97165) $254.81 $339.75 2.5×
Ot Eval Moderate Complexity (97166) $350.60 $467.46 3.5×
Ot manual therapy 15 min (97140) $135.37 $180.49 4.9×
Ot Re-Eval Est Plan Care (97168) $308.72 $411.62 4.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $718.55 $958.07 3.1×
Phlebotomy therapeutic (99195) $476.28 $635.04 3.3×
Plethysmography (94726) $118.10 $157.47 0.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 4 matching MRF lines
$5,161.36–$6,271.40 $6,881.81–$8,361.87 varies
Polysom <6 yrs 4/> paramtrs (95782) $5,701.34 $7,601.79 6.2×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $3,884.70 $5,179.60 4.2×
Pt Eval High Complex (97163) $357.21 $476.28 3.7×
Pt eval low complex 20 min (97161) $289.41 $385.88 3.0×
Pt Eval Mod Complex (97162) $321.65 $428.87 3.3×
Pt gait training 15 min (97116) $123.20 $164.27 4.2×
Pt mechanical traction (97012) $155.02 $206.70 10.8×
Pt Re-Eval Est Plan Care (97164) $212.50 $283.34 3.1×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$52.90–$76.36 $70.54–$101.82 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $611.06 $814.75 2.8×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $357.21 $476.28 2.9×
Self Care Mngment Training (97535)
range across 3 matching MRF lines
$101.84–$137.98 $135.79–$183.98 varies
Slp caregiver training 1st 30 min (97550) $246.40 $328.54 4.7×
Speech sound lang comprehen (92523) $633.14 $844.19 2.8×
Spirometry (94010) $299.80 $399.74 1.3×
Standardized Cognitive Performance Testing (96125) $424.52 $566.02 4.1×
Stress Tte Only (93350) $3,220.05 $4,293.40 5.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $187.28 $249.70 1.8×
Ther/Proph/Diag Inj Sc/Im (96372) $150.26 $200.35 1.9×
Ther/Proph/Diag Iv Inf Init (96365) $454.99 $606.65 2.0×
Therapeutic Activities (97530)
range across 2 matching MRF lines
$107.26–$114.46 $143.01–$152.62 varies
Tte w/doppler, complete (93306) $1,615.12 $2,153.49 2.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $293.54 $391.39 3.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $260.28 $347.04 5.2×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$230.70–$290.57 $307.60–$387.43 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 2 matching MRF lines
$289.55–$328.27 $386.07–$437.69 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.