Visits & medical services prices at Olympia Fields Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Actinotherapy Ultraviolet Light (96900) $39 $199.10 1.0×
Airway Inhalation Treatment (94640) $233 $1,167.50 1.0×
Analyze neurostim complex (95972) $101 $506.85 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $14 $160 1.0×
Application on-body injector (96377) $49 $264 1.0×
Assessment of aphasia per hr (96105) $99 $495 1.0×
Behavral qualit analys voice (92524) $111 $816 1.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $397 $1,989.60 1.0×
C motor evoked uppr limbs (95928) $915 $4,578.65 1.0×
C motor evoked upr&lwr limbs (95939) $915 $4,578.65 1.0×
Canalith repositioning proc (95992) $30 $238 0.7×
Cardiac Stress Tst,Tracing Only (93017) $230 $2,368 1.0×
Cardiopulmonary exercise testing (94621) $397 $1,989.60 1.0×
Cardiopulmonary resuscitation (92950) $230 $1,579 1.0×
Cardioversion (92960) $704 $3,524.05 1.0×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $3,457 $26,297 1.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $3,457 $19,722 1.0×
Cbt 1st hour (94644) $141 $709.35 1.0×
Chemo Anti-Neopl Sq/Im (96401) $76 $790 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $76 $657 1.0×
Chemo IV infusion addl hr (96415) $76 $790 1.0×
Chemo IV push addl drug (96411) $76 $657 1.0×
Chemother Prolong Infuse W/Pump (96416) $352 $1,972 1.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $76 $790 1.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $352 $1,761.15 1.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $352 $1,761.15 1.0×
Chest Wall Manipulation (94668) $141 $709.35 1.0×
Color/duplex Doppler, complete (93975) $254 $2,631 1.0×
Color/duplex Doppler, limited (93976) $111 $2,236 1.0×
Continuous Pulse Ox (94762) $137 $1,026 1.0×
Coronary Art/Grft Angio S&I (93455) $3,457 $18,409 1.0×
Coronary Artery Angio S&I (93454)
range across 2 matching MRF lines		 $3,457 $17,285.45–$17,285.50 1.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $233 $1,167.50 1.0×
Cpt initial (94667) $141 $709.35 1.0×
Critical care first hour (99291) $880 $5,260 1.0×
Dialysis One Evaluation (90945) $444 $2,224.75 1.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $254 $2,892 1.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $111 $1,579 1.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $254 $2,236 1.0×
Dup-scan xtr veins unilateral/limited study (93971) $111 $1,972 1.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $254 $1,613 1.0×
Duplex Scan Hemodialysis Access (93990) $111 $1,171 1.0×
Duplex up extrem art bilat (93930) $254 $1,289 1.0×
Duplex up extrem art unilat/ltd (93931) $111 $949 1.0×
Echo Heart Xthoracic,Limited (93308) $254 $1,710 1.0×
Echo r-t 2d w/probe placement only (93313) $582 $4,209 1.0×
Echo transesophageal (93312) $582 $4,471 1.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $582 $6,049 1.0×
Eeg 41-60 Minutes (95812) $230 $1,284 1.0×
EEG awake and asleep (95819) $230 $1,842 1.0×
EEG awake drowsy (95816) $230 $1,285 1.0×
EEG extended monitoring 61-119 minutes (95813) $230 $1,251 1.0×
Eeg Sleep Only (95822) $230 $1,278 1.0×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $230 $1,860 1.0×
EEG w/o vid 2-12hr cont mntr (95707) $230 $1,860 1.0×
EEG w/o vid ea 12-26hr intmt (95709) $397 $3,101 1.0×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $397 $2,194 1.0×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $230 $1,860 1.0×
EEG wo vid ea 12-26hr unmntr (95708) $397 $3,288 1.0×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $101 $752 1.0×
Electrical Stimulation Ea 15 Min (97032) $15 $185 1.0×
Electrocardiogram Tracing (93005) $62 $526 1.0×
Emergency Dept Visit Level 2 (99282) $163 $818.65 1.0×
Emergency Dept Visit Level 3 (99283) $291 $1,842 1.0×
Emergency Dept Visit Level 4 (99284) $444 $2,631 1.0×
Emg 4 Extremities (95864) $137 $1,842 1.0×
Ep & ablate supravent arrhyt (93653)
range across 2 matching MRF lines		 $27,872 $139,362.80–$139,363 1.0×
Ep & ablate ventric tachy (93654)
range across 2 matching MRF lines		 $27,872 $139,362.80–$139,363 1.0×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $8,317 $41,586.50 1.0×
Er level 1 (99281) $89 $449.60 1.0×
Er level v (99285) $635 $3,945 1.0×
Evaluate pt use of inhaler (94664) $233 $1,167.50 1.0×
Evaluate Speech Production (92522) $114 $646 1.0×
Evaluate Swallowing Function (92610) $58 $540 0.7×
Evaluation of speech fluency (92521) $134 $646 1.0×
External ECG rec>7d<15d recording (93246) $39 $275 1.0×
External Ecg Scanning Analysis Report (93226) $62 $1,053 1.0×
Extracranial Bilat Study (93880) $254 $1,972 1.0×
Gi tract capsule endoscopy (91110) $967 $4,835.90 1.0×
Group Therapeutic Procedures (97150) $18 $226 1.0×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $3,457 $18,409 1.0×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $731 $3,659.30 1.0×
Holter monitor recording (93225) $141 $790 1.0×
Icd Device Interrogate (93289) $39 $198.95 1.0×
Icd device progr eval dual (93283) $39 $198.95 1.0×
Icd Device Progr Eval Mult (93284) $39 $198.95 1.0×
Icm Device Eval (93290) $39 $198.95 1.0×
Ilr Device Interrogate (93291) $30 $154.20 1.0×
Immunization administration (90471) $76 $383.85 1.0×
Insert/Place Heart Catheter (93503) $1,678 $8,393.10 1.0×
Interrogate Subq Defib (93261) $39 $198.95 1.0×
Irrig Drug Delivery Device (96523) $62 $344 1.0×
IV infusion hydration each additional hour (96361) $49 $264 1.0×
IV infusion hydration initial 31 min-1 hour (96360) $226 $1,134.05 1.0×
IV infusion ther proph addl sequential to 1 hr (96367) $76 $592 1.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $49 $264 1.0×
IV push initial (96374) $226 $1,134.05 1.0×
L Hrt Art/Grft Angio (93459) $3,457 $22,353 1.0×
Mechanical chest wall oscillation per session (94669) $233 $1,167.50 1.0×
Motility study esophagus (91010) $397 $2,195 1.0×
Motion Fluoroscopy/Swallow (92611) $94 $776 1.0×
Multiple Sleep Latency Test (95805) $915 $5,391 1.0×
Muscle Test 2 Limbs (95861) $141 $830 1.0×
Muscle Test Nonparaspinal (95870) $141 $709.35 1.0×
Muscle Test One Limb (95860) $141 $869 1.0×
Needle electromyography larynx (95865) $141 $709.35 1.0×
Nerve Conduction Studies 1-2 Studies (95907) $230 $1,151.25 1.0×
Nerve Conduction Studies 11-12 Studies (95912) $397 $1,989.60 1.0×
Nerve conduction studies 13 or more studies (95913) $397 $1,989.60 1.0×
Nerve Conduction Studies 3-4 Studies (95908) $230 $1,151.25 1.0×
Nerve conduction studies 5-6 studies (95909) $230 $1,151.25 1.0×
Nerve conduction studies 7-8 studies (95910) $397 $1,989.60 1.0×
Nerve Conduction Studies 9-10 Studies (95911) $397 $1,989.60 1.0×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $137 $686 1.0×
Neuromuscular Reeducation (97112) $33 $238 1.0×
Newborn resuscitation (99465) — $1,666 —
Oral Function Therapy (92526) $85 $435 1.0×
Orthc/Prostc Mgmt Sbsq Enc (97763) $50 $232.35 1.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $46 $290 1.0×
Ot eval high complexity (97167) $101 $657 1.0×
Ot Eval Low Complex (97165) $101 $557.30 1.0×
Ot Eval Moderate Complexity (97166) $101 $592 1.0×
Ot manual therapy 15 min (97140) $28 $238 1.0×
Ot paraffin bath (97018) $6 $160 1.0×
Ot Prosthetic Training, Each 15 Min (97761) $41 $192.10 1.0×
Ot Re-Eval Est Plan Care (97168) $69 $381.40 1.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $137 $687.30 1.0×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $137 $687.30 1.0×
Peripheral arterial disease rehab per session (93668) $62 $314.50 1.0×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $19,548 $97,741.30 1.0×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
range across 2 matching MRF lines		 $6,069 $30,346.45–$30,346.50 1.0×
Phlebotomy therapeutic (99195) $141 $709.35 1.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $62 $372 1.0×
Physical Performance Test (97750) $34 $263 1.0×
Plethysmography (94726) $397 $1,989.60 1.0×
Pm device progr eval dual (93280) $39 $238 1.0×
Pm device progr eval multi (93281) $39 $198.95 1.0×
Pm Device Progr Eval Sngl (93279) $39 $198.95 1.0×
Pm/Icd Remote Tech Serv (93296) $39 $198.95 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $915 $8,153 1.0×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $39 $198.95 1.0×
Pt Eval High Complex (97163) $98 $657 1.0×
Pt eval low complex 20 min (97161) $98 $526 1.0×
Pt Eval Mod Complex (97162) $98 $592 1.0×
Pt gait training 15 min (97116) $29 $185 1.0×
Pt group caregiver training (97552) $9 $79 0.4×
Pt mechanical traction (97012) $14 $212 1.0×
Pt Re-Eval Est Plan Care (97164) $68 $435 1.0×
Pulm function test by gas (94727) $230 $1,151.25 1.0×
Pulmonary Stress Testing (94618) $141 $709.35 1.0×
R Hrt Art/Grft Angio (93457) $3,457 $18,409 1.0×
R hrt coronary artery angio (93456)
range across 2 matching MRF lines		 $3,457 $17,285.45–$17,285.50 1.0×
R&L Hrt Cath W/Ventriclgrphy (93453)
range across 2 matching MRF lines		 $3,457 $17,285.45–$17,285.50 1.0×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $39 $344 1.0×
Remote 30 Day Ecg Rev/Report (93270) $39 $987 1.0×
Respiratory flow volume loop (94375) $230 $1,315 1.0×
Right Heart Cath (93451)
range across 2 matching MRF lines		 $3,457 $17,285.45–$17,285.50 1.0×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $123 $645.40 1.0×
Self Care Mngment Training (97535) $33 $226 1.0×
Sleep study unattended (95806) $230 $1,315 1.0×
Slp caregiver training 1st 30 min (97550) $40 $204.40 0.8×
Somatosensory Testing (95938) $915 $4,578.65 1.0×
Speech sound lang comprehen (92523) $228 $1,246.65 1.0×
Spirometry (94010) $230 $1,151.25 1.0×
Standardized Cognitive Performance Testing (96125) $105 $563.70 1.0×
Surfactant Admin Thru Tube (94610) $233 $1,167.50 1.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $20 $162 0.9×
Ther Ivntj Ea Addl 15 Min (97130) $18 $162 0.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $37 $278 1.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $30 $196 1.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $103 $598 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $76 $383.85 1.0×
Ther/Proph/Diag Iv Inf Init (96365) $226 $1,182 1.0×
Therapeutic Activities (97530) $35 $238 1.0×
Tobacco Use Cessation Intensive >10 Minutes (99407) $39 $199.75 1.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $39 $199.75 1.0×
Tte w/doppler, complete (93306) $582 $3,157 1.0×
Tx atrial fib pulm vein isol (93656)
range across 2 matching MRF lines		 $27,872 $139,362.80–$139,363 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $77 $508 1.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $24 $598 1.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $49 $396 1.0×
Unlisted cardiovascular service/procedure (93799) $137 $776 1.0×
Upr/L Xtremity Art 2 Levels (93922) $141 $1,040 1.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $230 $1,972 1.0×
Vasopneumatic device (97016) $12 $212 1.0×
Vent Mgmt Inpat Init Day (94002) $658 $3,293.95 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $658 $3,293.95 1.0×
Vital capacity, total (94150) $137 $686 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $31 $171.50 1.0×
Whirlpool Therapy (97022) $16 $344 1.0×

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.