Visits & medical services prices at Osf Saint Clare Medical Center
Princeton, IL · every code in this section with a posted price and a Medicare benchmark.
152 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) | $116 | $145 | 0.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $107.20 | $134 | 7.5× |
| Application on-body injector (96377) | $74.40 | $93 | 1.5× |
| Assessment of aphasia per hr (96105) | $400 | $500 | 4.1× |
| Behavral qualit analys voice (92524) | $477.60 | $597 | 4.4× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $82.40 | $103 | 1.0× |
| Bfb training ea addl 15 min (90913) | $56.80 | $71 | 1.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $560 | $700 | 1.4× |
| Canalith repositioning proc (95992) | $157.60 | $197 | 3.9× |
| Cardiac Stress Tst,Tracing Only (93017) | $928 | $1,160 | 4.0× |
| Cardiopulmonary resuscitation (92950) | $1,281.60 | $1,602 | 5.5× |
| Cardioversion (92960) range across 3 matching MRF lines |
$892–$914.40 | $1,115–$1,143 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $56 | $70 | 2.1× |
| Cbt 1st hour (94644) | $184.80 | $231 | 1.3× |
| Chemo Anti-Neopl Sq/Im (96401) | $114.40 | $143 | 1.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $225.60 | $282 | 2.9× |
| Chemo IV infusion addl hr (96415) | $237.60 | $297 | 3.1× |
| Chemo IV push addl drug (96411) | $290.40 | $363 | 3.8× |
| Chemother Prolong Infuse W/Pump (96416) | $285.60 | $357 | 0.8× |
| Chemotherapy Intracavitary (96440) | $285.60 | $357 | 0.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $390.40 | $488 | 5.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $633.60 | $792 | 1.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $437.60 | $547 | 1.2× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $290.40 | $363 | 0.8× |
| Chest Wall Manipulation (94668) | $136 | $170 | 1.0× |
| Color/duplex Doppler, complete (93975) | $880 | $1,100 | 3.4× |
| Color/duplex Doppler, limited (93976) | $827.20 | $1,034 | 7.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $144 | $180 | 4.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $412.80 | $516 | 1.8× |
| Cpt initial (94667) | $136 | $170 | 1.0× |
| Critical care first hour (99291) | $2,350.40 | $2,938 | 2.7× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$172–$260.80 | $215–$326 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $442.40 | $553 | 3.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,190.40 | $1,488 | 4.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,201.60 | $1,502 | 4.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $875.20 | $1,094 | 7.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,190.40 | $1,488 | 4.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $892.80 | $1,116 | 8.0× |
| ECG/monitoring and analysis (93271) | $613.60 | $767 | 6.0× |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$900–$1,100.80 | $1,125–$1,376 | varies |
| EEG awake and asleep (95819) | $966.40 | $1,208 | 4.2× |
| Electrical Stimulation Ea 15 Min (97032) | $115.20 | $144 | 7.8× |
| Electrocardiogram Tracing (93005) | $327.20 | $409 | 5.2× |
| Emergency Dept Visit Level 2 (99282) | $380 | $475 | 2.3× |
| Emergency Dept Visit Level 3 (99283) | $648 | $810 | 2.2× |
| Emergency Dept Visit Level 4 (99284) | $1,026.40 | $1,283 | 2.3× |
| Ep & ablate supravent arrhyt (93653) | $20,607.20 | $25,759 | 0.7× |
| Ep & ablate ventric tachy (93654) | $20,607.20 | $25,759 | 0.7× |
| Er level 1 (99281) | $183.20 | $229 | 2.0× |
| Er level v (99285) | $1,707.20 | $2,134 | 2.7× |
| Evaluate pt use of inhaler (94664) | $116 | $145 | 0.5× |
| Evaluate Speech Production (92522) | $391.20 | $489 | 3.5× |
| Evaluate Swallowing Function (92610) | $412.80 | $516 | 4.9× |
| Evaluation of speech fluency (92521) | $483.20 | $604 | 3.6× |
| Evoked Auditory Test,Limited (92587) | $261.60 | $327 | 1.1× |
| External ECG rec>48hr<7d recording (93242) | $216.80 | $271 | 5.4× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $613.60 | $767 | 4.3× |
| External ECG rec>7d<15d recording (93246) | $360.80 | $451 | 9.0× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $613.60 | $767 | 4.3× |
| External Ecg Scanning Analysis Report (93226) | $613.60 | $767 | 9.7× |
| Extracranial Bilat Study (93880) | $1,203.20 | $1,504 | 4.7× |
| Extracranial Uni/Ltd Study (93882) range across 3 matching MRF lines |
$784–$1,176.80 | $980–$1,471 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $500.80 | $626 | 2.5× |
| Gi tract capsule endoscopy (91110) | $1,704 | $2,130 | 1.8× |
| Group Therapeutic Procedures (97150) range across 5 matching MRF lines |
$52.80–$106.40 | $66–$133 | varies |
| Holter monitor recording (93225) | $613.60 | $767 | 4.3× |
| Immunization administration (90471) range across 2 matching MRF lines |
$71.20–$74.40 | $89–$93 | varies |
| Iontophoresis 15 min (97033) | $115.20 | $144 | 6.1× |
| Irrig Drug Delivery Device (96523) | $90.40 | $113 | 1.4× |
| IV infusion hydration each additional hour (96361) | $143.20 | $179 | 2.9× |
| IV infusion hydration initial 31 min-1 hour (96360) | $401.60 | $502 | 1.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $142.40 | $178 | 1.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $164.80 | $206 | 3.3× |
| IV push initial (96374) | $244 | $305 | 1.1× |
| Low frequency non-thermal us (97610) | $371.20 | $464 | 1.7× |
| Lung Function Test (Mbc/Mvv) (94200) | $48 | $60 | 0.8× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $898.40 | $1,123 | 3.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $77.60 | $97 | 2.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $90.40 | $113 | 2.5× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $68.80 | $86 | 4.0× |
| Methacholine challenge (94070) | $844.80 | $1,056 | 2.1× |
| Motion Fluoroscopy/Swallow (92611) | $547.20 | $684 | 6.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $519.20 | $649 | 1.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $532.80 | $666 | 1.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$290.40–$292.80 | $363–$366 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$502.40–$558.40 | $628–$698 | varies |
| Neuromuscular Reeducation (97112) | $144 | $180 | 4.4× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$144–$288 | $180–$360 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $144 | $180 | 2.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $140 | $175 | 3.0× |
| Ot eval high complexity (97167) | $371.20 | $464 | 3.7× |
| Ot Eval Low Complex (97165) | $308.80 | $386 | 3.1× |
| Ot Eval Moderate Complexity (97166) | $329.60 | $412 | 3.3× |
| Ot manual therapy 15 min (97140) | $140 | $175 | 5.1× |
| Ot paraffin bath (97018) | $70.40 | $88 | 11.7× |
| Ot Prosthetic Training, Each 15 Min (97761) | $164 | $205 | 4.1× |
| Ot Re-Eval Est Plan Care (97168) | $214.40 | $268 | 3.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $224.80 | $281 | 1.6× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $112.80 | $141 | 0.5× |
| Percutaneous tests w/allergenic extracts (95004) | $52.80 | $66 | 0.1× |
| Phlebotomy therapeutic (99195) | $188.80 | $236 | 1.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $224.80 | $281 | 3.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $224.80 | $281 | 3.6× |
| Physical Performance Test (97750) | $141.60 | $177 | 4.2× |
| Plethysmography (94726) | $516 | $645 | 1.3× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$1,532.80–$4,708.80 | $1,916–$5,886 | varies |
| Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) | $179.20 | $224 | 1.6× |
| Psychiatric diagnostic evaluation (90791) | $244 | $305 | 1.3× |
| Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) | $335.20 | $419 | 0.7× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $120.80 | $151 | 3.2× |
| Pt Eval High Complex (97163) | $371.20 | $464 | 3.8× |
| Pt eval low complex 20 min (97161) | $308.80 | $386 | 3.2× |
| Pt Eval Mod Complex (97162) | $329.60 | $412 | 3.4× |
| Pt gait training 15 min (97116) | $140 | $175 | 4.8× |
| Pt group caregiver training (97552) | $46.40 | $58 | 2.1× |
| Pt mechanical traction (97012) | $107.20 | $134 | 7.5× |
| Pt Re-Eval Est Plan Care (97164) | $214.40 | $268 | 3.2× |
| Pt ultraviolet (97028) | $36.80 | $46 | 4.4× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$219.20–$370.40 | $274–$463 | varies |
| Refill/Maint Portable Pump (96521) | $424.80 | $531 | 1.9× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $90.40 | $113 | 2.3× |
| Rem ther mntr dev sply resp (98976) | $90.40 | $113 | 2.3× |
| Remote 30 Day Ecg Rev/Report (93270) | $216.80 | $271 | 5.4× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $313.60 | $392 | 2.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $369.60 | $462 | 1.7× |
| Self Care Mngment Training (97535) | $140 | $175 | 4.3× |
| Sensory Integration Ea 15 Min (97533) | $144 | $180 | 2.4× |
| Sleep study unattended (95806) | $706.40 | $883 | 3.1× |
| Slp caregiver training 1st 30 min (97550) | $112 | $140 | 2.1× |
| Slp Stdy Unatnd W/Anal (95801) | $99.20 | $124 | 1.6× |
| Speech sound lang comprehen (92523) | $541.60 | $677 | 2.4× |
| Spirometry (94010) | $338.40 | $423 | 1.5× |
| Standardized Cognitive Performance Testing (96125) | $373.60 | $467 | 3.6× |
| Stress Tte Only (93350) | $1,602.40 | $2,003 | 2.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$144–$334.40 | $180–$418 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $144 | $180 | 6.8× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $144 | $180 | 3.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $120 | $150 | 1.6× |
| Ther/Proph/Diag Iv Inf Init (96365) | $475.20 | $594 | 2.1× |
| Therapeutic Activities (97530) | $140 | $175 | 4.0× |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$2,296–$2,319.20 | $2,870–$2,899 | varies |
| Tx atrial fib pulm vein isol (93656) | $20,607.20 | $25,759 | 0.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$111.20–$342.40 | $139–$428 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $200 | $250 | 4.0× |
| Upr/L Xtremity Art 2 Levels (93922) | $538.40 | $673 | 3.8× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $789.60 | $987 | 3.4× |
| Vasopneumatic device (97016) | $70.40 | $88 | 5.9× |
| Vent Mgmt Inpat Init Day (94002) | $1,258.40 | $1,573 | 1.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,020 | $1,275 | 1.5× |
| Vital capacity, total (94150) | $131.20 | $164 | 1.0× |
| Wheelchair Mgmt Ea 15 Min (97542) | $144 | $180 | 4.6× |
| Whirlpool Therapy (97022) | $83.20 | $104 | 5.3× |
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.