Visits & medical services prices at Osf Saint Anthony's Health Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $102 $170 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $80.40 $134 5.6×
Application on-body injector (96377) $73.20 $122 1.5×
Assessment of aphasia per hr (96105) $300 $500 3.1×
Behavral qualit analys voice (92524) $358.20 $597 3.3×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $61.80 $103 0.8×
Bfb training ea addl 15 min (90913) $42.60 $71 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$448.80–$1,017 $748–$1,695 varies
Canalith repositioning proc (95992) $118.20 $197 2.9×
Car seat/bed test 60 min (94780) $125.40 $209 3.1×
Cardiac Stress Tst,Tracing Only (93017) $2,060.40 $3,434 8.9×
Cardiopulmonary resuscitation (92950) $531.60 $886 2.3×
Cardioversion (92960)
range across 3 matching MRF lines
$1,968–$2,028 $3,280–$3,380 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $42 $70 1.6×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $16,147.20 $26,912 4.6×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $14,643.60 $24,406 4.2×
Cbt 1st hour (94644) $107.40 $179 0.8×
Chemo Anti-Neopl Sq/Im (96401) $250.20 $417 3.2×
Chemo Hormon Antineopl Sq/Im (96402) $250.20 $417 3.2×
Chemo IV infusion addl hr (96415) $486 $810 6.3×
Chemo IV push addl drug (96411) $373.80 $623 4.8×
Chemother Prolong Infuse W/Pump (96416) $823.20 $1,372 2.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $309.60 $516 4.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $706.80 $1,178 2.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $457.80 $763 1.3×
Chest Wall Manipulation (94668) $102 $170 0.7×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $334.20 $557 0.8×
Color/duplex Doppler, complete (93975) $1,270.80 $2,118 5.0×
Color/duplex Doppler, limited (93976) $618.60 $1,031 5.5×
Community/Work Reintegration Trainj Ea 15 Min (97537) $108 $180 3.4×
Comprehensive Hearing Test (92557) $410.40 $684 3.0×
Continuous Pulse Ox (94762) $267 $445 1.9×
Coronary Art/Grft Angio S&I (93455) $7,821 $13,035 2.3×
Coronary Artery Angio S&I (93454) $6,051 $10,085 1.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $136.80 $228 0.6×
Cpt initial (94667) $102 $170 0.7×
Critical care first hour (99291) $2,350.20 $3,917 2.7×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$187.80–$573 $313–$955 varies
Developmental tst admin phys/qhp 1st hour (96112) $331.80 $553 2.4×
Dialysis One Evaluation (90945) $2,214 $3,690 5.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $834 $1,390 3.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $445.20 $742 4.0×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $751.20 $1,252 6.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,550.40 $2,584 6.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 3 matching MRF lines
$560.40–$598.80 $934–$998 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,573.80 $2,623 6.2×
Dup-scan xtr veins unilateral/limited study (93971)
range across 3 matching MRF lines
$720–$810 $1,200–$1,350 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $1,505.40 $2,509 5.9×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $1,002.60 $1,671 8.9×
Duplex Scan Hemodialysis Access (93990) $676.20 $1,127 6.0×
Duplex up extrem art bilat (93930) $1,002.60 $1,671 3.9×
Duplex up extrem art unilat/ltd (93931)
range across 3 matching MRF lines
$510–$544.80 $850–$908 varies
Echo Heart Xthoracic,Limited (93308) $361.20 $602 1.4×
Echo transesophageal (93312) $1,373.40 $2,289 2.3×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 3 matching MRF lines
$1,832.40–$2,067.60 $3,054–$3,446 varies
EEG awake and asleep (95819)
range across 2 matching MRF lines
$549.60–$1,099.20 $916–$1,832 varies
EEG awake drowsy (95816) $1,947 $3,245 8.4×
Eeg Sleep Only (95822) $1,948.20 $3,247 8.4×
Electrical Stimulation Ea 15 Min (97032) $86.40 $144 5.9×
Electrocardiogram Tracing (93005) $246 $410 3.9×
Emergency Dept Visit Level 2 (99282) $379.80 $633 2.3×
Emergency Dept Visit Level 3 (99283) $648 $1,080 2.2×
Emergency Dept Visit Level 4 (99284) $1,026.60 $1,711 2.3×
Emg 3 Extremities (95863) $585 $975 4.2×
Emg 4 Extremities (95864) $787.80 $1,313 5.7×
Er level 1 (99281) $183 $305 2.0×
Er level v (99285) $1,706.40 $2,844 2.7×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $280.20 $467 2.0×
Evaluate pt use of inhaler (94664) $102 $170 0.4×
Evaluate Speech Production (92522) $293.40 $489 2.6×
Evaluate Swallowing Function (92610) $309.60 $516 3.6×
Evaluation of speech fluency (92521) $362.40 $604 2.7×
Evoked Auditory Test,Limited (92587) $196.20 $327 0.8×
Exercise test for bronchospasm (94617) $349.20 $582 2.4×
External ECG rec>48hr<7d recording (93242) $190.80 $318 4.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $541.20 $902 3.8×
External ECG rec>7d<15d recording (93246) $318 $530 7.9×
Extracranial Bilat Study (93880) $1,570.20 $2,617 6.1×
Extracranial Uni/Ltd Study (93882) $846 $1,410 7.6×
Flexible endoscopic eval swallow c/v rec (92612) $375.60 $626 1.9×
Group Therapeutic Procedures (97150) $39.60 $66 2.2×
Health Behavior Assessment/Re-Assessment (96156)
range across 2 matching MRF lines
$48.60–$124.20 $81–$207 varies
Health behavior ivntj group f2f 1st 30 min (96164)
range across 2 matching MRF lines
$20.40–$120 $34–$200 varies
Health behavior ivntj indiv f2f 1st 30 min (96158)
range across 2 matching MRF lines
$80.40–$247.20 $134–$412 varies
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $16,789.80 $27,983 4.8×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 2 matching MRF lines
$846.60–$1,605.60 $1,411–$2,676 varies
Holter monitor recording (93225) $541.20 $902 3.8×
Immunization administration (90471)
range across 2 matching MRF lines
$58.80–$62.40 $98–$104 varies
Insert/Place Heart Catheter (93503) $879.60 $1,466 0.5×
Iontophoresis 15 min (97033) $86.40 $144 4.5×
Irrig Drug Delivery Device (96523) $187.80 $313 3.0×
IV infusion hydration each additional hour (96361) $220.80 $368 4.4×
IV infusion hydration initial 31 min-1 hour (96360) $466.80 $778 2.0×
IV infusion ther proph addl sequential to 1 hr (96367) $248.40 $414 3.2×
IV infusion therapy prophylaxis/dx ea hour (96366) $227.40 $379 4.5×
IV push initial (96374) $268.80 $448 1.2×
L Hrt Art/Grft Angio (93459) $12,455.40 $20,759 3.6×
Low frequency non-thermal us (97610) $278.40 $464 1.3×
Lung Function Test (Mbc/Mvv) (94200) $123 $205 1.9×
Lwr Xtr Vasc Stdy Bilat (93924) $672.60 $1,121 2.9×
Mchnl sclp cool cap sply head meas fitg&educaj (97007) $1,236 $2,060 0.8×
Mechanical chest wall oscillation per session (94669) $144 $240 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $66.60 $111 2.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $66.60 $111 1.8×
Motion Fluoroscopy/Swallow (92611) $410.40 $684 4.5×
Multiple Sleep Latency Test (95805)
range across 2 matching MRF lines
$2,267.40–$2,420.40 $3,779–$4,034 varies
Muscle Test 2 Limbs (95861) $337.20 $562 2.4×
Muscle Test One Limb (95860) $232.20 $387 1.6×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $4,313.40 $7,189 9.9×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $252 $420 0.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$218.40–$219.60 $364–$366 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$333.60–$376.80 $556–$628 varies
Nerve Conduction Studies 1-2 Studies (95907) $685.80 $1,143 3.0×
Nerve Conduction Studies 11-12 Studies (95912) $3,258 $5,430 8.1×
Nerve conduction studies 13 or more studies (95913) $3,258 $5,430 8.1×
Nerve Conduction Studies 3-4 Studies (95908) $1,370.40 $2,284 5.9×
Nerve conduction studies 5-6 studies (95909) $1,458 $2,430 6.3×
Nerve conduction studies 7-8 studies (95910) $1,887.60 $3,146 4.7×
Nerve Conduction Studies 9-10 Studies (95911) $2,428.20 $4,047 6.1×
Neuromuscular Reeducation (97112) $108 $180 3.3×
Newborn resuscitation (99465) $779.40 $1,299 1.1×
Nonphysician Telephone Assessment 11-20 Min (98967) $91.80 $153 3.7×
Nonphysician Telephone Assessment 21-30 Min (98968) $136.20 $227 3.9×
Nonphysician Telephone Assessment 5-10 Min (98966) $47.40 $79 3.5×
Nrpsyc tst eval phys/qhp 1st (96132)
range across 2 matching MRF lines
$183.60–$376.20 $306–$627 varies
Oral Function Therapy (92526)
range across 2 matching MRF lines
$108–$216 $180–$360 varies
Oral Speech Device Eval (92597) $402 $670 5.7×
Orthc/Prostc Mgmt Sbsq Enc (97763) $108 $180 2.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $105 $175 2.3×
Ot eval high complexity (97167) $278.40 $464 2.8×
Ot Eval Low Complex (97165) $231.60 $386 2.3×
Ot Eval Moderate Complexity (97166) $247.20 $412 2.5×
Ot manual therapy 15 min (97140) $105 $175 3.8×
Ot paraffin bath (97018) $52.80 $88 8.8×
Ot Prosthetic Training, Each 15 Min (97761) $123 $205 3.0×
Ot Re-Eval Est Plan Care (97168) $160.80 $268 2.3×
Percutaneous tests w/allergenic extracts (95004) $47.40 $79 0.1×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $28,655.40 $47,759 1.5×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $6,652.80 $11,088 1.1×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $8,527.80 $14,213 0.7×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$130.20–$378.60 $217–$631 varies
Physical Performance Test (97750) $106.20 $177 3.1×
Plethysmography (94726) $504 $840 1.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,935.20 $9,892 6.4×
Polysom <6 yrs 4/> paramtrs (95782) $4,776.60 $7,961 5.2×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $4,681.20 $7,802 5.1×
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) $160.80 $268 1.5×
Prq Card Angio/Athrect 1 Art (92924) $16,808.40 $28,014 1.4×
Prq Card Stent W/Angio 1 Vsl (92928)
range across 11 matching MRF lines
$17,811–$18,440.40 $29,685–$30,734 varies
Prq Card Stent/Ath/Angio (92933) $28,655.40 $47,759 1.5×
Prq Revasc Byp Graft 1 Vsl (92937) $18,045 $30,075 1.5×
Prq trl rvs ch occ ant&rtrgr (92945) $18,045 $30,075 1.5×
Psychiatric diagnostic evaluation (90791)
range across 6 matching MRF lines
$92.40–$292.80 $154–$488 varies
Psychological tst eval svc phys/qhp first hour (96130)
range across 2 matching MRF lines
$183.60–$360 $306–$600 varies
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138)
range across 2 matching MRF lines
$235.20–$251.40 $392–$419 varies
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136)
range across 2 matching MRF lines
$85.20–$206.40 $142–$344 varies
Psytx Crisis Initial 60 Min (90839)
range across 2 matching MRF lines
$155.40–$319.80 $259–$533 varies
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $90.60 $151 2.4×
Pt Eval High Complex (97163) $278.40 $464 2.8×
Pt eval low complex 20 min (97161) $231.60 $386 2.4×
Pt Eval Mod Complex (97162) $247.20 $412 2.5×
Pt gait training 15 min (97116) $105 $175 3.6×
Pt group caregiver training (97552) $34.80 $58 1.6×
Pt mechanical traction (97012) $80.40 $134 5.6×
Pt Re-Eval Est Plan Care (97164) $160.80 $268 2.4×
Pulm function test by gas (94727) $570.60 $951 2.5×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$327–$349.20 $545–$582 varies
R Hrt Art/Grft Angio (93457) $10,808.40 $18,014 3.1×
R hrt coronary artery angio (93456) $9,149.40 $15,249 2.6×
R&L Hrt Cath W/Ventriclgrphy (93453) $6,391.80 $10,653 1.8×
Refill/Maint Portable Pump (96521) $175.20 $292 0.8×
Refill/Maint Pump/Resvr Syst (96522) $642.60 $1,071 2.8×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $67.80 $113 1.7×
Rem ther mntr dev sply resp (98976) $67.80 $113 1.7×
Remote 30 Day Ecg Rev/Report (93270) $190.80 $318 4.8×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $235.20 $392 1.6×
Respiratory flow volume loop (94375) $562.80 $938 2.4×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $190.20 $317 3.0×
Right Heart Cath (93451) $7,082.40 $11,804 2.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $281.40 $469 1.3×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $393.60 $656 3.2×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $183 $305 3.8×
Self Care Mngment Training (97535) $105 $175 3.2×
Sensory Integration Ea 15 Min (97533) $108 $180 1.8×
Sleep study unattended (95806) $777.60 $1,296 3.4×
Slp caregiver training 1st 30 min (97550) $84 $140 1.6×
Speech sound lang comprehen (92523) $406.20 $677 1.8×
Spirometry (94010) $253.80 $423 1.1×
Standardized Cognitive Performance Testing (96125) $280.20 $467 2.7×
Stress Tte Only (93350)
range across 3 matching MRF lines
$1,275.60–$1,554 $2,126–$2,590 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $108 $180 4.8×
Ther Ivntj Ea Addl 15 Min (97130) $108 $180 5.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $108 $180 2.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $286.80 $478 2.8×
Ther/Proph/Diag Inj Ia (96373) $190.20 $317 0.8×
Ther/Proph/Diag Inj Sc/Im (96372) $163.80 $273 2.1×
Ther/Proph/Diag Iv Inf Init (96365) $544.20 $907 2.4×
Therapeutic Activities (97530) $105 $175 3.0×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 3 matching MRF lines
$53.40–$57 $89–$95 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 3 matching MRF lines
$28.20–$44.40 $47–$74 varies
Trans Care Mgmt 14 Day Disch (99495) $158.40 $264 1.1×
Trans Care Mgmt 7 Day Disch (99496) $171.60 $286 1.2×
Tte w/doppler, complete (93306) $3,390.60 $5,651 5.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $256.80 $428 3.4×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $129.60 $216 5.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $238.80 $398 4.8×
Unlisted cardiovascular service/procedure (93799) $1,253.40 $2,089 9.1×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$351–$374.40 $585–$624 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 3 matching MRF lines
$979.80–$1,459.20 $1,633–$2,432 varies
Vasopneumatic device (97016) $52.80 $88 4.4×
Vent Mgmt Inpat Init Day (94002) $943.80 $1,573 1.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $765 $1,275 1.2×
Vital capacity, total (94150) $495 $825 3.6×
Wheelchair Mgmt Ea 15 Min (97542) $108 $180 3.5×
Whirlpool Therapy (97022) $62.40 $104 4.0×

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.