Visits & medical services prices at Osf Saint Elizabeth Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $459 $765 2.0×
Aep neurodiagnostic i&r (92653) $481.20 $802 2.1×
Aep threshold estimation mlt frequencies i&r (92652) $481.20 $802 2.1×
Airway Inhalation Treatment (94640) $102 $170 0.4×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $421.20 $702 3.0×
Analyze neurostim complex (95972) $361.80 $603 3.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $80.40 $134 5.6×
Application on-body injector (96377) $69.60 $116 1.4×
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		 $196.80–$553.80 $328–$923 varies
C motor evoked uppr limbs (95928) $613.20 $1,022 0.7×
C motor evoked upr&lwr limbs (95939) $1,558.20 $2,597 1.7×
Canalith repositioning proc (95992) $118.20 $197 2.9×
Car seat/bed test 60 min (94780) $280.20 $467 7.0×
Cardiac Stress Tst,Tracing Only (93017) $945 $1,575 4.1×
Cardiopulmonary exercise testing (94621) $706.80 $1,178 1.8×
Cardiopulmonary resuscitation (92950) $393 $655 1.7×
Cardioversion (92960)
range across 2 matching MRF lines		 $699–$699.60 $1,165–$1,166 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $42 $70 1.6×
Cbt 1st hour (94644) $63 $105 0.4×
Chemo Anti-Neopl Sq/Im (96401) $165.60 $276 2.1×
Chemo Hormon Antineopl Sq/Im (96402) $165.60 $276 2.1×
Chemo IV infusion addl hr (96415) $285.60 $476 3.7×
Chemo IV push addl drug (96411) $285.60 $476 3.7×
Chemother Prolong Infuse W/Pump (96416) $984 $1,640 2.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $285.60 $476 3.7×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $850.20 $1,417 2.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $478.80 $798 1.4×
Chest Wall Manipulation (94668) $102 $170 0.7×
Color/duplex Doppler, complete (93975) $2,637 $4,395 10.3×
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines		 $280.20–$1,485 $467–$2,475 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $108 $180 3.4×
Continuous Pulse Ox (94762) $539.40 $899 3.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $316.20 $527 1.3×
Cpt initial (94667) $102 $170 0.7×
Critical care first hour (99291) $2,350.20 $3,917 2.7×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $340.80 $568 0.9×
Debridement Open Wound 20 Sq Cm< (97597) $187.80 $313 0.9×
Developmental tst admin phys/qhp 1st hour (96112) $331.80 $553 2.4×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $811.20 $1,352 3.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $712.80 $1,188 6.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $3,124.20 $5,207 12.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $511.80 $853 4.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,713.60 $2,856 6.7×
Dup-scan xtr veins unilateral/limited study (93971)
range across 3 matching MRF lines		 $862.20–$904.20 $1,437–$1,507 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $451.80 $753 1.8×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $300.60 $501 2.7×
Duplex Scan Hemodialysis Access (93990) $160.80 $268 1.4×
Duplex up extrem art bilat (93930) $2,118.60 $3,531 8.3×
Duplex up extrem art unilat/ltd (93931) $519 $865 4.6×
ECG/monitoring and analysis (93271) $541.20 $902 5.3×
Echo Congenital Complete (93303)
range across 3 matching MRF lines		 $1,285.80–$1,920 $2,143–$3,200 varies
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines		 $399.60–$879 $666–$1,465 varies
Echo transesophageal (93312)
range across 3 matching MRF lines		 $2,415–$2,942.40 $4,025–$4,904 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 3 matching MRF lines		 $2,293.80–$2,716.80 $3,823–$4,528 varies
Eeg 41-60 Minutes (95812) $771.60 $1,286 3.3×
EEG awake and asleep (95819) $612.60 $1,021 2.6×
EEG awake drowsy (95816) $748.20 $1,247 3.2×
EEG cont rec w/video by tech min 8 channels (95700) $776.40 $1,294 3.4×
EEG extended monitoring 61-119 minutes (95813) $870 $1,450 3.8×
Eeg Sleep Only (95822) $703.80 $1,173 3.0×
Electrical Stimulation Ea 15 Min (97032) $86.40 $144 5.9×
Electrocardiogram Tracing (93005) $289.20 $482 4.6×
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×
Ep & ablate supravent arrhyt (93653) $15,455.40 $25,759 0.6×
Ep & ablate ventric tachy (93654) $15,455.40 $25,759 0.6×
Er level 1 (99281) $183 $305 2.0×
Er level v (99285) $1,706.40 $2,844 2.7×
Evaluate pt use of inhaler (94664) $63.60 $106 0.3×
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) $441.60 $736 3.1×
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×
External ECG rec>7d<15d scanning alys w/report (93247) $541.20 $902 3.8×
External Ecg Scanning Analysis Report (93226) $541.20 $902 8.6×
Extracranial Bilat Study (93880) $1,383 $2,305 5.4×
Extracranial Uni/Ltd Study (93882) $1,107.60 $1,846 9.9×
F-up/limited tthrc echo congenital car anomaly (93304) $1,096.20 $1,827 1.9×
Flexible endoscopic eval swallow c/v rec (92612) $375.60 $626 1.9×
Group Therapeutic Procedures (97150) $39.60 $66 2.2×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 2 matching MRF lines		 $1,591.80–$1,764.60 $2,653–$2,941 varies
High altitude simulation test (94452) $534.60 $891 3.7×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $691.20 $1,152 4.8×
Holter monitor recording (93225) $541.20 $902 3.8×
Immunization administration (90471)
range across 2 matching MRF lines		 $46.80–$49.20 $78–$82 varies
Inital newborn e/m (99460) $126 $210 0.9×
Iontophoresis 15 min (97033) $86.40 $144 4.5×
Irrig Drug Delivery Device (96523) $288.60 $481 4.6×
IV infusion hydration each additional hour (96361) $194.40 $324 3.9×
IV infusion hydration initial 31 min-1 hour (96360) $412.80 $688 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $219 $365 2.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $201.60 $336 4.0×
IV push initial (96374) $237 $395 1.0×
Laryngeal Function Studies (92520) $225.60 $376 1.6×
Low frequency non-thermal us (97610) $278.40 $464 1.3×
Lung Function Test (Mbc/Mvv) (94200) $57.60 $96 0.9×
Lwr Xtr Vasc Stdy Bilat (93924)
range across 2 matching MRF lines		 $340.20–$678.60 $567–$1,131 varies
Mechanical chest wall oscillation per session (94669) $151.20 $252 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $24.60 $41 0.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $24.60 $41 0.7×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $18.60 $31 1.1×
Methacholine challenge (94070) $706.80 $1,178 1.8×
Motion Fluoroscopy/Swallow (92611) $410.40 $684 4.5×
Multiple Sleep Latency Test (95805) $2,286 $3,810 2.5×
Muscle Test 2 Limbs (95861) $358.80 $598 2.5×
Muscle Test One Limb (95860) $358.80 $598 2.5×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $342.60 $571 1.5×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $231.60 $386 1.0×
Needle electromyography larynx (95865) $241.20 $402 1.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $247.20 $412 0.6×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $510 $850 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $219.60 $366 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $376.80 $628 0.9×
Nerve Conduction Studies 3-4 Studies (95908) $664.20 $1,107 2.9×
Nerve conduction studies 5-6 studies (95909) $952.20 $1,587 4.1×
Neuromuscular Reeducation (97112) $108 $180 3.3×
Newborn resuscitation (99465) $795.60 $1,326 1.1×
Nitric oxide expired gas determination (95012) $104.40 $174 2.6×
Nonphysician Telephone Assessment 11-20 Min (98967) $88.80 $148 3.5×
Nonphysician Telephone Assessment 21-30 Min (98968) $132 $220 3.8×
Nonphysician Telephone Assessment 5-10 Min (98966) $46.20 $77 3.4×
Oral Function Therapy (92526)
range across 2 matching MRF lines		 $108–$216 $180–$360 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $108 $180 2.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $105 $175 2.3×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $83.40 $139 3.6×
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×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $208.20 $347 1.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $73.20 $122 0.3×
Percutaneous tests w/allergenic extracts (95004) $46.80 $78 0.1×
Peripheral arterial disease rehab per session (93668) $134.40 $224 2.1×
Phlebotomy therapeutic (99195) $573.60 $956 4.0×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $448.20 $747 7.1×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $448.20 $747 7.1×
Physical Performance Test (97750) $106.20 $177 3.1×
Plethysmography (94726) $1,185 $1,975 3.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines		 $2,704.20–$3,606.60 $4,507–$6,011 varies
Polysom <6 yrs 4/> paramtrs (95782) $4,303.20 $7,172 4.7×
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) $158.40 $264 1.5×
Psych diag eval w/med srvcs (90792)
range across 2 matching MRF lines		 $201–$231 $335–$385 varies
Psychiatric diagnostic evaluation (90791)
range across 4 matching MRF lines		 $201–$280.80 $335–$468 varies
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $251.40 $419 0.5×
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×
Pt ultraviolet (97028) $27.60 $46 3.3×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $29.40 $49 0.7×
Pulmonary Stress Testing (94618) $221.40 $369 1.6×
Refill/Maint Portable Pump (96521) $417.60 $696 1.8×
Refill/Maint Pump/Resvr Syst (96522) $417.60 $696 1.8×
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×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $95.40 $159 1.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $261 $435 1.2×
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×
Same day nb discharge (99463) $205.80 $343 1.4×
Self Care Mngment Training (97535) $105 $175 3.2×
Sensory Integration Ea 15 Min (97533) $108 $180 1.8×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $781.20 $1,302 3.4×
Short-latency somatosens ep std upr limbs (95925) $781.20 $1,302 3.4×
Sleep study attended (95807)
range across 2 matching MRF lines		 $2,134.80–$2,846.40 $3,558–$4,744 varies
Sleep study unattended (95806) $691.20 $1,152 3.0×
Slp caregiver training 1st 30 min (97550) $84 $140 1.6×
Slp Stdy Unatnd W/Anal (95801) $75 $125 1.2×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $654.60 $1,091 2.8×
Somatosensory Testing (95938) $1,558.20 $2,597 1.7×
Speech Audiometry Complete (92556) $43.20 $72 0.7×
Speech sound lang comprehen (92523) $406.20 $677 1.8×
Spirometry (94010) $216 $360 0.9×
Ssep lower limbs (95926) $781.20 $1,302 3.4×
Standardized Cognitive Performance Testing (96125) $280.20 $467 2.7×
Stress Tte Only (93350) $1,726.20 $2,877 2.9×
Surfactant Admin Thru Tube (94610) $137.40 $229 0.6×
Tensilon Test (95857) $373.20 $622 1.6×
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) $180.60 $301 0.8×
Ther/Proph/Diag Inj Sc/Im (96372) $145.20 $242 1.9×
Ther/Proph/Diag Iv Inf Init (96365) $480 $800 2.1×
Therapeutic Activities (97530) $105 $175 3.0×
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 2 matching MRF lines		 $80.40–$84.60 $134–$141 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines		 $61.80–$64.80 $103–$108 varies
Tte w/doppler, complete (93306) $2,433.60 $4,056 4.2×
Tte W/O Doppler Complete (93307)
range across 3 matching MRF lines		 $653.40–$950.40 $1,089–$1,584 varies
Tx atrial fib pulm vein isol (93656) $15,455.40 $25,759 0.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines		 $83.40–$256.80 $139–$428 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $211.80 $353 4.2×
Upr/L Xtremity Art 2 Levels (93922) $453 $755 3.2×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $432 $720 1.9×
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) $98.40 $164 0.7×
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.