Visits & medical services prices at Northwestern Medicine Valley West Hospital

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $305.90 $437 2.2×
Admn Sarscov2 Vacc 1 Dose (90480) $61.60 $88 1.4×
Aep threshold estimation mlt frequencies i&r (92652) $888.30 $1,269 3.8×
Airway Inhalation Treatment (94640) $158.20 $226 0.7×
Analyze neurostim complex (95972) $211.40 $302 2.1×
Analyze neurostim no prog (95970) $459.90 $657 3.2×
Analyze Neurostim Simple (95971) $494.90 $707 4.9×
Ans parasymp & symp w/tilt (95924) $205.10 $293 0.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $172.20 $246 12.0×
Application Modality 1/> Areas Infrared (97026) $25.20 $36 3.8×
Assessment of aphasia per hr (96105) $322.70 $461 3.3×
Audiometry Air & Bone (92553) $182 $260 1.3×
Behavral qualit analys voice (92524) $769.30 $1,099 7.0×
Bfb training ea addl 15 min (90913) $185.50 $265 5.7×
Blink reflex test (95933) $368.90 $527 5.8×
Breath hydrogen/methane test (91065)
range across 3 matching MRF lines
$424.20–$529.90 $606–$757 varies
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $860.30 $1,229 2.2×
Bundle of his recording (93600) $4,547.90 $6,497 0.5×
Canalith repositioning proc (95992) $192.50 $275 4.7×
Cardiac Stress Tst,Tracing Only (93017) $650.30 $929 2.8×
Cardiopulmonary resuscitation (92950) $1,131.90 $1,617 4.9×
Cardioversion (92960) $1,608.60 $2,298 2.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $81.90 $117 3.1×
Cbt 1st hour (94644) $274.40 $392 1.9×
Chemo Anti-Neopl Sq/Im (96401) $182 $260 2.4×
Chemo Hormon Antineopl Sq/Im (96402) $182 $260 2.4×
Chemo Intralesional Over 7 (96406) $301.70 $431 1.3×
Chemo IV infusion addl hr (96415) $330.40 $472 4.3×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $725.90 $1,037 2.1×
Chemotherapy Intracavitary (96440) $728.70 $1,041 2.1×
Chemotherapy Unspecified (96549) $380.80 $544 7.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $946.40 $1,352 2.7×
Color/duplex Doppler, complete (93975) $1,875.30 $2,679 7.3×
Color/duplex Doppler, limited (93976) $1,165.50 $1,665 10.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $157.50 $225 4.9×
Comprehensive Hearing Test (92557) $256.90 $367 1.9×
Continuous Pulse Ox (94762) $376.60 $538 2.7×
Coronary Artery Angio S&I (93454) $14,802.20 $21,146 4.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$212.80–$240.80 $304–$344 varies
Cpt initial (94667) $272.30 $389 1.9×
Critical care first hour (99291) $3,531.50 $5,045 4.0×
Developmental tst admin phys/qhp 1st hour (96112)
range across 2 matching MRF lines
$20.30–$399 $29–$570 varies
Duodenal motility study (91022) $1,143.10 $1,633 2.9×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,543.50 $2,205 6.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,391.60 $1,988 12.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,736 $2,480 6.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,263.50 $1,805 11.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,626.40 $3,752 10.3×
Dup-scan xtr veins unilateral/limited study (93971) $1,673 $2,390 14.9×
Duplex up extrem art bilat (93930) $1,732.50 $2,475 6.8×
Duplex up extrem art unilat/ltd (93931) $1,094.80 $1,564 9.8×
Echo Congenital Complete (93303) $2,471.70 $3,531 4.2×
Echo Heart Xthoracic,Limited (93308) $1,305.50 $1,865 5.1×
Echo transesophageal (93312) $2,572.50 $3,675 4.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $4,490.50 $6,415 7.7×
Eeg 41-60 Minutes (95812) $1,010.80 $1,444 4.4×
EEG awake and asleep (95819) $1,092 $1,560 4.7×
EEG awake drowsy (95816) $885.50 $1,265 3.8×
EEG cerebral death evaluation (95824) $1,142.40 $1,632 2.9×
EEG cont rec w/video by tech min 8 channels (95700) $555.80 $794 2.4×
EEG extended monitoring 61-119 minutes (95813) $2,022.30 $2,889 8.7×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $3,033.80 $4,334 13.1×
EEG w/o vid 2-12hr cont mntr (95707) $4,246.90 $6,067 18.4×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $3,370.50 $4,815 14.6×
EEG wo vid ea 12-26hr unmntr (95708) $4,246.90 $6,067 10.6×
Electrical Stimulation Ea 15 Min (97032) $163.80 $234 11.1×
Electrocardiogram Tracing (93005) $216.30 $309 3.4×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $9,277.80 $13,254 1.1×
Emergency Dept Visit Level 2 (99282) $757.40 $1,082 4.6×
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$1,346.80–$1,781.15 $1,924–$2,544.50 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$2,524.90–$4,134.37 $3,607–$5,906.24 varies
Emg 3 Extremities (95863) $553.70 $791 4.0×
Emg 4 Extremities (95864) $1,495.20 $2,136 10.8×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $8,975.40 $12,822 1.1×
Er level 1 (99281)
range across 2 matching MRF lines
$380.80–$399.70 $544–$571 varies
Er level v (99285)
range across 2 matching MRF lines
$3,534.30–$10,081.05 $5,049–$14,401.50 varies
Esophageal Capsule Endoscopy (91111) $2,041.20 $2,916 2.1×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $524.30 $749 3.8×
Evaluate pt use of inhaler (94664) $253.40 $362 1.1×
Evaluate Speech Production (92522) $787.50 $1,125 7.0×
Evaluate Swallowing Function (92610) $709.10 $1,013 8.4×
Evaluation of speech fluency (92521) $252 $360 1.9×
Evoked Auditory Test,Limited (92587) $343 $490 1.5×
External ECG rec>48hr<7d recording (93242) $247.10 $353 6.2×
External ECG rec>7d<15d recording (93246) $247.10 $353 6.2×
External Ecg Scanning Analysis Report (93226) $234.50 $335 3.7×
Extracranial Bilat Study (93880) $2,336.60 $3,338 9.1×
Extracranial Uni/Ltd Study (93882) $1,058.40 $1,512 9.4×
F-up/limited tthrc echo congenital car anomaly (93304) $1,957.90 $2,797 3.3×
Flexible endoscopic eval swallow c/v rec (92612) $804.30 $1,149 4.0×
Gastric motility studies (91020) $2,331.70 $3,331 5.8×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,019.90 $1,457 1.1×
Gi tract imaging intraluminal colon i&r (91113) $2,056.60 $2,938 2.1×
Group Therapeutic Procedures (97150) $103.60 $148 5.7×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,123.50 $1,605 1.5×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $1,220.10 $1,743 8.6×
Holter monitor recording (93225) $624.40 $892 4.4×
Icd device progr eval dual (93283) $1,207.50 $1,725 30.2×
Icd Device Progr Eval Mult (93284) $539 $770 13.5×
Immunization administration (90471) $72.10 $103 0.9×
Ingestion challenge test initial 120 minutes (95076) $822.50 $1,175 2.1×
Interrogate Subq Defib (93261) $157.50 $225 3.9×
Intra-atrial pacing (93610) $16,191 $23,130 1.9×
Intracranial Complete Study (93886) $2,235.10 $3,193 8.7×
Intraventricular pacing (93612) $6,409.90 $9,157 0.8×
Iontophoresis 15 min (97033) $42.70 $61 2.2×
Irrig Drug Delivery Device (96523) $128.80 $184 2.0×
IV infusion hydration each additional hour (96361) $222.60 $318 4.4×
IV infusion hydration initial 31 min-1 hour (96360) $480.20 $686 2.1×
IV infusion ther proph addl sequential to 1 hr (96367) $264.60 $378 3.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $235.90 $337 4.7×
IV push initial (96374) $214.20 $306 0.9×
Liver Elastography W/O Imag W/I&R (91200) $242.20 $346 1.8×
Low frequency non-thermal us (97610) $419.30 $599 2.0×
Mechanical chest wall oscillation per session (94669) $96.60 $138 0.4×
Motion Fluoroscopy/Swallow (92611) $893.90 $1,277 9.8×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $743.40 $1,062 3.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $762.30 $1,089 1.7×
Neurobehavioral Status Exam (96116) $805 $1,150 3.5×
Neuromuscular Reeducation (97112) $168.70 $241 5.2×
Nitric oxide expired gas determination (95012) $217.70 $311 5.4×
Nrpsyc tst eval phys/qhp 1st (96132) $805 $1,150 2.0×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $1,104.60 $1,578 2.8×
Optokinetic Nystagmus Test (92544) $266 $380 1.9×
Oral Function Therapy (92526) $517.30 $739 6.1×
Oral Speech Device Eval (92597) $447.30 $639 6.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $235.90 $337 4.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $180.60 $258 3.9×
Oscillating Tracking Test (92545) $182 $260 0.8×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $55.30 $79 2.4×
Ot eval high complexity (97167) $550.20 $786 5.5×
Ot Eval Low Complex (97165) $348.60 $498 3.5×
Ot Eval Moderate Complexity (97166) $381.50 $545 3.8×
Ot manual therapy 15 min (97140) $214.20 $306 7.7×
Ot paraffin bath (97018) $123.90 $177 20.6×
Ot Prosthetic Training, Each 15 Min (97761) $179.20 $256 4.4×
Ot Re-Eval Est Plan Care (97168) $328.30 $469 4.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $260.40 $372 1.9×
Oxygen Uptake Rest Indirect (94690) $154 $220 2.4×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $41,253.80 $58,934 2.1×
Perq transcath closure pda (93582) $33,441.80 $47,774 1.7×
Perq Transcath Cls Mitral (93590) $19,471.90 $27,817 1.0×
Phlebotomy therapeutic (99195) $316.40 $452 2.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $114.80 $164 1.8×
Physical Performance Test (97750) $185.50 $265 5.5×
Plethysmography (94726) $683.90 $977 1.7×
Pm device eval in person (93288) $200.20 $286 5.0×
Pm device progr eval dual (93280) $192.50 $275 4.8×
Pm Device Progr Eval Sngl (93279) $1,029.70 $1,471 25.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,717.60 $8,168 6.2×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $5,275.90 $7,537 5.7×
Positional nystagmus test (92542) $196 $280 1.4×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $258.30 $369 6.5×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $1,029.70 $1,471 25.7×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $54.60 $78 1.1×
Prq Card Angio/Athrect 1 Art (92924) $27,445.60 $39,208 2.2×
Prq Card Stent W/Angio 1 Vsl (92928) $22,266.30 $31,809 1.8×
Prq Card Stent/Ath/Angio (92933) $33,800.90 $48,287 1.7×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $39,478.60 $56,398 2.0×
Prq trluml pulmonary art balloon angiop 1 vsl (92997)
unusually low: confirm this is the full procedure
$5,117 $7,310 0.4×
Psych diag eval w/med srvcs (90792) $252.70 $361 1.3×
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines
$104.30–$343 $149–$490 varies
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $920.50 $1,315 1.9×
Pt Eval High Complex (97163) $446.60 $638 4.6×
Pt eval low complex 20 min (97161) $293.30 $419 3.0×
Pt Eval Mod Complex (97162) $352.10 $503 3.6×
Pt gait training 15 min (97116) $170.10 $243 5.9×
Pt group caregiver training (97552) $21 $30 1.0×
Pt mechanical traction (97012) $171.50 $245 11.9×
Pt Re-Eval Est Plan Care (97164) $231 $330 3.4×
Pulm function test by gas (94727) $457.80 $654 2.0×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines
$32.90–$378.70 $47–$541 varies
Pulmonary Stress Testing (94618) $359.80 $514 2.5×
Pure Tone Audiometry Air (92552) $44.80 $64 0.3×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $10,433.50 $14,905 3.0×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $10,433.50 $14,905 3.0×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $12,452.30 $17,789 3.6×
Rectal sensation tone&compliance study (91124) $860.30 $1,229 3.7×
Refill/Maint Portable Pump (96521) $696.50 $995 3.1×
Refill/Maint Pump/Resvr Syst (96522) $591.50 $845 2.6×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $162.40 $232 4.1×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $268.10 $383 1.9×
Rem Ther Mntr Dev Sply Cbt (98978) $84 $120 2.1×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $72.10 $103 1.8×
Remote 30 Day Ecg Rev/Report (93270) $368.90 $527 9.2×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $254.10 $363 1.8×
Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) $81.90 $117 1.5×
Right Heart Cath (93451) $12,407.50 $17,725 3.6×
Right ventricular recording (93603) $3,760.40 $5,372 2.9×
Rtm dev sply data cbt 2-15 days in 30 d pd (98986) $84 $120 2.1×
Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) $84 $120 2.1×
Rtm tx mgmt 1 r-t ia comunicaj cal mo 1st 10 min (98979) $81.90 $117 3.1×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $739.20 $1,056 6.0×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $192.50 $275 4.0×
Self Care Mngment Training (97535) $188.30 $269 5.8×
Sensory Integration Ea 15 Min (97533) $154 $220 2.5×
Slp caregiver training 1st 30 min (97550) $91 $130 1.7×
Speech Audiometry Complete (92556) $89.60 $128 1.4×
Speech sound lang comprehen (92523) $564.20 $806 2.5×
Spirometry (94010)
range across 2 matching MRF lines
$405.30–$550.90 $579–$787 varies
Spontaneous Nystagmus Test (92541) $196 $280 1.4×
Standardized Cognitive Performance Testing (96125) $277.20 $396 2.7×
Stress Tte Only (93350) $2,814.70 $4,021 4.8×
Subcutaneous Infusion Each Additional Hour (96370) $65.80 $94 1.3×
Subq Infusion Additional Pump Infusion Site (96371) $93.10 $133 1.2×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $1,429.40 $2,042 12.8×
Temp transcutaneous pacing (92953) $1,703.10 $2,433 2.4×
Temperature Gradient Studies (93740) $614.60 $878 4.5×
Testing Autonomic Nervous System Function (95923) $1,099 $1,570 7.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $163.10 $233 7.3×
Ther Ivntj Ea Addl 15 Min (97130) $135.80 $194 6.5×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $205.80 $294 5.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $20.30 $29 0.7×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $449.40 $642 4.4×
Ther/Proph/Diag Inj Sc/Im (96372) $109.20 $156 1.4×
Ther/Proph/Diag Iv Inf Init (96365) $529.90 $757 2.3×
Therapeutic Activities (97530) $168.70 $241 4.8×
Transcranial Doppler Intracran Art Emboli Detect (93892) $835.10 $1,193 7.5×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $869.40 $1,242 7.8×
Tstg ans funcj vasomotor adrenergic innervaj (95922) $952.70 $1,361 6.7×
Tte w/doppler, complete (93306) $2,950.50 $4,215 5.0×
Tte W/O Doppler Complete (93307) $1,997.10 $2,853 7.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $355.60 $508 4.7×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $167.30 $239 7.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $176.40 $252 3.5×
Tympanometry (92567) $151.20 $216 3.8×
Tympanometry and reflex threshold measurements (92550) $116.90 $167 0.5×
Unlisted cardiovascular service/procedure (93799)
range across 11 matching MRF lines
$115.50–$37,655.10 $165–$53,793 varies
Unlisted Diagnostic Gastroenterology Procedure (91299) $1,908.20 $2,726 13.8×
Upr/L Xtremity Art 2 Levels (93922) $369.60 $528 2.6×
Valvuloplasty mitral valve (92987) $9,664.90 $13,807 0.8×
Valvuloplasty pulmonary valve (92990) $6,469.40 $9,242 0.5×
Vasopneumatic device (97016) $185.50 $265 15.4×
Veeg 2-12 Hr Cont Mntr (95713) $4,044.60 $5,778 10.1×
Veeg 2-12 hr intmt mntr (95712) $3,707.20 $5,296 9.3×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $3,707.20 $5,296 9.3×
Veeg ea 12-26hr cont mntr (95716) $4,044.60 $5,778 4.4×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$510.30–$1,575 $729–$2,250 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $567.70 $811 0.9×
Vital capacity, total (94150) $159.60 $228 1.2×
Wada Activation Test Hemispheric Function W/Eeg (95958) $707.70 $1,011 0.8×
Wheelchair Mgmt Ea 15 Min (97542) $110.60 $158 3.6×
Whirlpool Therapy (97022) $221.90 $317 14.1×

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.