Visits & medical services prices at Midwest Medical Center
Galena, IL · every code in this section with a posted price and a Medicare benchmark.
119 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) | $142.69 | $156.80 | 0.6× |
| Analyze neurostim complex (95972) | $726.91 | $798.80 | 7.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $70.07 | $77 | 4.9× |
| Assessment of aphasia per hr (96105) | $332.15 | $365 | 3.4× |
| Behavral qualit analys voice (92524) | $315.95 | $347.20 | 2.9× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $186.91 | $205.40 | 2.3× |
| Bfb training ea addl 15 min (90913) | $75.80 | $83.30 | 2.3× |
| Biofeedback training any modality (90901) | $122.21 | $134.30 | 3.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$401.76–$592.41 | $441.50–$651 | varies |
| Canalith repositioning proc (95992) | $135.95 | $149.40 | 3.3× |
| Cardiopulmonary resuscitation (92950) | $418.42 | $459.80 | 1.8× |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,313.77–$1,359.81 | $1,443.70–$1,494.30 | varies |
| Cbt 1st hour (94644) | $330.51 | $363.20 | 2.3× |
| Chemo Hormon Antineopl Sq/Im (96402) | $51.96 | $57.10 | 0.7× |
| Chemo IV push addl drug (96411) | $98.19 | $107.90 | 1.3× |
| Chest Wall Manipulation (94668) | $134.77 | $148.10 | 0.9× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $104.01 | $114.30 | 3.2× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $279.73 | $307.40 | 2.0× |
| Continuous Pulse Ox (94762) | $330.33 | $363 | 2.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$263.08–$672.85 | $289.10–$739.40 | varies |
| Cpt initial (94667) | $423.06 | $464.90 | 3.0× |
| Critical care first hour (99291) range across 4 matching MRF lines |
$1,248.34–$2,025.11 | $1,371.80–$2,225.40 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$143.42–$514.06 | $157.60–$564.90 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,501.59 | $1,650.10 | 5.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $995.54 | $1,094 | 8.9× |
| Electrical Stimulation Ea 15 Min (97032) | $114.02 | $125.30 | 7.8× |
| Electrocardiogram Tracing (93005) | $232.69 | $255.70 | 3.7× |
| Emergency Dept Visit Level 2 (99282) | $344.80 | $378.90 | 2.1× |
| Emergency Dept Visit Level 3 (99283) | $481.75 | $529.40 | 1.6× |
| Emergency Dept Visit Level 4 (99284) | $806.35 | $886.10 | 1.8× |
| Er level 1 (99281) range across 3 matching MRF lines |
$223.04–$234.32 | $245.10–$257.50 | varies |
| Er level v (99285) | $1,323.60 | $1,454.50 | 2.1× |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$115.21–$200.66 | $126.60–$220.50 | varies |
| Evaluate Speech Production (92522) | $280.55 | $308.30 | 2.5× |
| Evaluate Swallowing Function (92610) | $280.55 | $308.30 | 3.3× |
| Evaluation of speech fluency (92521) | $280.55 | $308.30 | 2.1× |
| Extracranial Bilat Study (93880) | $1,349.53 | $1,483 | 5.3× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$21.29–$54.14 | $23.40–$59.50 | varies |
| Immunization administration (90471) | $45.32 | $49.80 | 0.6× |
| Iontophoresis 15 min (97033) | $122.21 | $134.30 | 6.4× |
| IV infusion hydration each additional hour (96361) | $109.84 | $120.70 | 2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) | $472.02 | $518.70 | 2.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $46.14 | $50.70 | 0.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $109.84 | $120.70 | 2.2× |
| IV push initial (96374) | $102.92 | $113.10 | 0.5× |
| Laryngeal Function Studies (92520) | $240.15 | $263.90 | 1.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $43.04 | $47.30 | 1.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $50.60 | $55.60 | 1.4× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $62.70 | $68.90 | 3.7× |
| Motion Fluoroscopy/Swallow (92611) | $300.12 | $329.80 | 3.3× |
| Multiple Sleep Latency Test (95805) | $4,371.09 | $4,803.40 | 4.7× |
| Nasopharyngoscopy (92511) | $564.29 | $620.10 | 2.6× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $945.67 | $1,039.20 | 2.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $945.67 | $1,039.20 | 2.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$123.85–$514.06 | $136.10–$564.90 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $945.67 | $1,039.20 | 2.2× |
| Neurobehavioral Status Exam (96116) | $298.66 | $328.20 | 1.3× |
| Neuromuscular Reeducation (97112) | $104.01 | $114.30 | 3.2× |
| Newborn resuscitation (99465) | $1,212.48 | $1,332.40 | 1.7× |
| Oral Function Therapy (92526) | $232.41 | $255.40 | 2.8× |
| Oral Speech Device Eval (92597) | $139.41 | $153.20 | 2.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $131.40 | $144.40 | 2.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $125.58 | $138 | 2.7× |
| Ot Contrast Bath Ea 15 Min (97034) | $79.81 | $87.70 | 5.7× |
| Ot eval high complexity (97167) | $279.82 | $307.50 | 2.8× |
| Ot Eval Low Complex (97165) | $223.95 | $246.10 | 2.2× |
| Ot Eval Moderate Complexity (97166) | $251.89 | $276.80 | 2.5× |
| Ot manual therapy 15 min (97140) | $104.01 | $114.30 | 3.8× |
| Ot paraffin bath (97018) | $35.85 | $39.40 | 6.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $110.11 | $121 | 2.7× |
| Ot Re-Eval Est Plan Care (97168) | $102.01 | $112.10 | 1.5× |
| Ot rom hand (95852) | $98.92 | $108.70 | 4.6× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $235.14 | $258.40 | 1.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $220.77 | $242.60 | 1.6× |
| Peripheral arterial disease rehab per session (93668) | $130.68 | $143.60 | 2.1× |
| Phlebotomy therapeutic (99195) | $138.32 | $152 | 1.0× |
| Physical Performance Test (97750) | $122.21 | $134.30 | 3.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$3,271.63–$4,284.46 | $3,595.20–$4,708.20 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $63.24 | $69.50 | 1.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $74.53 | $81.90 | 1.5× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $115.02 | $126.40 | 3.0× |
| Pt Eval High Complex (97163) | $279.82 | $307.50 | 2.9× |
| Pt eval low complex 20 min (97161) | $196.01 | $215.40 | 2.0× |
| Pt Eval Mod Complex (97162) | $223.95 | $246.10 | 2.3× |
| Pt gait training 15 min (97116) | $100.65 | $110.60 | 3.5× |
| Pt mechanical traction (97012) | $89.27 | $98.10 | 6.2× |
| Pt Re-Eval Est Plan Care (97164) | $163.25 | $179.40 | 2.4× |
| Pulm function test by gas (94727) | $324.87 | $357 | 1.4× |
| Respiratory flow volume loop (94375) | $259.53 | $285.20 | 1.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$141.14–$514.06 | $155.10–$564.90 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) range across 5 matching MRF lines |
$75.26–$98.92 | $82.70–$108.70 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $422.51 | $464.30 | 3.5× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $173.72 | $190.90 | 3.6× |
| Self Care Mngment Training (97535) | $91.46 | $100.50 | 2.8× |
| Sensory Integration Ea 15 Min (97533) range across 7 matching MRF lines |
$100.65–$104.01 | $110.60–$114.30 | varies |
| Speech sound lang comprehen (92523) | $398.31 | $437.70 | 1.8× |
| Spirometry (94010) range across 2 matching MRF lines |
$239.24–$318.68 | $262.90–$350.20 | varies |
| Standardized Cognitive Performance Testing (96125) | $269 | $295.60 | 2.6× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $34.76 | $38.20 | 0.2× |
| Temp transcutaneous pacing (92953) | $286.65 | $315 | 0.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $101.74 | $111.80 | 4.5× |
| Ther Ivntj Ea Addl 15 Min (97130) | $101.74 | $111.80 | 4.8× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $124.49 | $136.80 | 3.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $366.82 | $403.10 | 3.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $108.74 | $119.50 | 1.4× |
| Ther/Proph/Diag Iv Inf Init (96365) | $472.02 | $518.70 | 2.1× |
| Therapeutic Activities (97530) | $104.01 | $114.30 | 3.0× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $59.33 | $65.20 | 1.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $36.67 | $40.30 | 0.9× |
| Trans Care Mgmt 14 Day Disch (99495) | $410.86 | $451.50 | 2.9× |
| Tte w/doppler, complete (93306) | $2,663.21 | $2,926.60 | 4.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $263.08 | $289.10 | 3.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $94 | $103.30 | 1.9× |
| Unlisted cardiovascular service/procedure (93799) | $16.74 | $18.40 | 0.1× |
| Upr/L Xtremity Art 2 Levels (93922) | $315.22 | $346.40 | 2.2× |
| Vasopneumatic device (97016) | $94.82 | $104.20 | 7.9× |
| Vital capacity, total (94150) | $167.08 | $183.60 | 1.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $100.65 | $110.60 | 3.2× |
| Whirlpool Therapy (97022) | $94.09 | $103.40 | 6.0× |
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.