Visits & medical services prices at OSF St. Francis Hospital

Escanaba, MI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $12,884 $16,105 1.7×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $756.80 $946 3.5×
Aep neurodiagnostic i&r (92653) $1,177.60 $1,472 5.5×
Aep threshold estimation mlt frequencies i&r (92652) $1,177.60 $1,472 5.5×
Airway Inhalation Treatment (94640) $116 $145 0.5×
Airway resistance by oscillometry (94728) $272.80 $341 2.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $107.20 $134 7.5×
Application on-body injector (96377) $86.40 $108 1.9×
Arrhythmia Induction (93618) $5,180.80 $6,476 4.3×
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)
range across 2 matching MRF lines
$125.60–$526.40 $157–$658 varies
Bundle of his recording (93600) $6,374.40 $7,968 0.8×
Canalith repositioning proc (95992) $157.60 $197 3.9×
Cardiac Stress Tst,Tracing Only (93017) $1,663.20 $2,079 7.7×
Cardiopulmonary exercise testing (94621) $1,544.80 $1,931 4.2×
Cardiopulmonary resuscitation (92950) $735.20 $919 3.4×
Cardioversion (92960)
range across 2 matching MRF lines
$1,050.40–$1,091.20 $1,313–$1,364 varies
Cardioversion elective internal (92961) $1,304 $1,630 2.0×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $56 $70 2.1×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $13,943.20 $17,429 4.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $12,860.80 $16,076 4.0×
Cbt 1st hour (94644) $90.40 $113 0.7×
Chemo Anti-Neopl Sq/Im (96401) $333.60 $417 4.7×
Chemo Hormon Antineopl Sq/Im (96402) $212.80 $266 3.0×
Chemo IV infusion addl hr (96415) $333.60 $417 4.7×
Chemo IV push addl drug (96411) $333.60 $417 4.7×
Chemother Prolong Infuse W/Pump (96416) $592.80 $741 1.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $592.80 $741 8.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $592.80 $741 1.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $305.60 $382 0.9×
Chest Wall Manipulation (94668) $136 $170 1.0×
Color/duplex Doppler, complete (93975) $2,726.40 $3,408 11.5×
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines
$2,034.40–$2,232 $2,543–$2,790 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $144 $180 4.5×
Cont gluc mntr physician/qhp provided equiptment (95250) $327.20 $409 2.5×
Continuous Pulse Ox (94762) $328.80 $411 2.6×
Coronary Art/Grft Angio S&I (93455) $2,395.20 $2,994 0.7×
Coronary Artery Angio S&I (93454) $9,453.60 $11,817 2.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $607.20 $759 2.8×
Cpt initial (94667) $136 $170 1.0×
Critical care first hour (99291) $2,663.20 $3,329 3.2×
Debridement Open Wound 20 Sq Cm< (97597) $250.40 $313 1.3×
Developmental tst admin phys/qhp 1st hour (96112) $442.40 $553 3.5×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $2,037.60 $2,547 8.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $931.20 $1,164 8.9×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $588 $735 5.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,973.60 $2,467 8.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 3 matching MRF lines
$1,452–$2,572.80 $1,815–$3,216 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,188 $2,735 9.2×
Dup-scan xtr veins unilateral/limited study (93971)
range across 3 matching MRF lines
$1,602.40–$2,663.20 $2,003–$3,329 varies
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $1,181.60 $1,477 5.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $788 $985 7.6×
Duplex Scan Hemodialysis Access (93990) $439.20 $549 4.2×
Duplex up extrem art bilat (93930) $2,101.60 $2,627 8.8×
Duplex up extrem art unilat/ltd (93931)
range across 3 matching MRF lines
$1,406.40–$2,800.80 $1,758–$3,501 varies
ECG/monitoring and analysis (93271) $613.60 $767 6.5×
Echo Congenital Complete (93303) $1,281.60 $1,602 2.4×
Echo Heart Xthoracic,Limited (93308) $707.20 $884 3.0×
Echo transesophageal (93312) $2,297.60 $2,872 4.2×
Echo Transesophageal - Congenital Tee Complete (93315) $2,928 $3,660 5.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,748.80 $3,436 5.0×
Eeg 41-60 Minutes (95812) $2,288.80 $2,861 10.6×
EEG awake and asleep (95819)
range across 2 matching MRF lines
$1,684–$2,086.40 $2,105–$2,608 varies
EEG awake drowsy (95816) $2,086.40 $2,608 9.7×
EEG cerebral death evaluation (95824) $502.40 $628 1.4×
EEG cont rec w/video by tech min 8 channels (95700) $1,119.20 $1,399 5.2×
EEG extended monitoring 61-119 minutes (95813) $2,514.40 $3,143 11.7×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $433.60 $542 4.6×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $759.20 $949 20.4×
Electrical Stimulation Ea 15 Min (97032) $115.20 $144 7.8×
Electrocardiogram Tracing (93005) $221.60 $277 3.8×
Electroconvulsive Therapy (90870) $1,899.20 $2,374 2.2×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $13,284 $16,605 1.7×
Electrophysiology Evaluation (93642) $3,704 $4,630 3.1×
Emergency Dept Visit Level 2 (99282) $431.20 $539 2.8×
Emergency Dept Visit Level 3 (99283) $734.40 $918 2.7×
Emergency Dept Visit Level 4 (99284) $1,164 $1,455 2.8×
Endomyocardial Biopsy (93505) $4,500 $5,625 1.4×
Ep & ablate supravent arrhyt (93653) $20,000.80 $25,001 0.8×
Ep & ablate ventric tachy (93654) $20,000.80 $25,001 0.8×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $13,704.80 $17,131 1.8×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $12,672.80 $15,841 1.6×
Ep Esophageal Recording Atria+Pacing (93616) $2,554.40 $3,193 2.1×
Er level 1 (99281) $208 $260 2.5×
Er level v (99285) $1,933.60 $2,417 3.3×
Esoph Atrial Electrogram (93615) $2,554.40 $3,193 2.1×
Evaluate pt use of inhaler (94664) $136 $170 0.6×
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 1.2×
External ECG rec>48hr<7d recording (93242) $216.80 $271 5.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $613.60 $767 4.6×
External ECG rec>7d<15d recording (93246) $360.80 $451 9.7×
External ECG rec>7d<15d scanning alys w/report (93247) $613.60 $767 4.6×
External Ecg Scanning Analysis Report (93226) $613.60 $767 10.4×
Extracranial Bilat Study (93880) $1,136 $1,420 4.8×
Extracranial Uni/Ltd Study (93882)
range across 3 matching MRF lines
$859.20–$1,672 $1,074–$2,090 varies
F-up/limited tthrc echo congenital car anomaly (93304) $864.80 $1,081 1.6×
Flexible endoscopic eval swallow c/v rec (92612) $500.80 $626 2.5×
Fluorescein angiography (92235)
range across 3 matching MRF lines
$272.80–$344 $341–$430 varies
Fundus photography (92250) $185.60 $232 1.4×
Group Therapeutic Procedures (97150) $52.80 $66 2.9×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $16,943.20 $21,179 5.2×
Holter monitor recording (93225) $613.60 $767 4.6×
Immunization administration (90471)
range across 2 matching MRF lines
$64–$69.60 $80–$87 varies
Insert/Place Heart Catheter (93503) $4,500 $5,625 2.9×
Intra-atrial pacing (93610) $6,374.40 $7,968 0.8×
Intra-atrial recording (93602) $6,374.40 $7,968 0.8×
Intracranial Complete Study (93886) $1,699.20 $2,124 7.1×
Intraventricular pacing (93612) $6,374.40 $7,968 0.8×
Iontophoresis 15 min (97033) $115.20 $144 6.1×
Irrig Drug Delivery Device (96523) $384 $480 6.5×
IV infusion hydration each additional hour (96361) $247.20 $309 5.3×
IV infusion hydration initial 31 min-1 hour (96360) $522.40 $653 2.5×
IV infusion ther proph addl sequential to 1 hr (96367) $276.80 $346 3.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $256 $320 5.5×
IV push initial (96374) $300.80 $376 1.4×
L Hrt Art/Grft Angio (93459) $15,490.40 $19,363 4.8×
Low frequency non-thermal us (97610) $371.20 $464 1.9×
Lung Function Test (Mbc/Mvv) (94200) $113.60 $142 1.9×
Lwr Xtr Vasc Stdy Bilat (93924) $704.80 $881 3.3×
Mchnl sclp cool cap sply head meas fitg&educaj (97007) $1,236 $1,545 0.9×
Mechanical chest wall oscillation per session (94669) $128 $160 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$65.60–$76.80 $82–$96 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$65.60–$78.40 $82–$98 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $64 $80 3.8×
Methacholine challenge (94070) $1,077.60 $1,347 2.9×
Motion Fluoroscopy/Swallow (92611) $547.20 $684 6.0×
Multiple Sleep Latency Test (95805)
range across 2 matching MRF lines
$4,237.60–$7,186.40 $5,297–$8,983 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $725.60 $907 1.8×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $489.60 $612 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$287.20–$292.80 $359–$366 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$497.60–$502.40 $622–$628 varies
Nerve Conduction Studies 1-2 Studies (95907) $367.20 $459 1.7×
Nerve Conduction Studies 11-12 Studies (95912) $912.80 $1,141 2.5×
Nerve conduction studies 13 or more studies (95913) $1,095.20 $1,369 2.9×
Nerve Conduction Studies 3-4 Studies (95908) $440.80 $551 2.0×
Nerve conduction studies 5-6 studies (95909) $528.80 $661 2.5×
Nerve conduction studies 7-8 studies (95910) $634.40 $793 1.7×
Nerve Conduction Studies 9-10 Studies (95911) $760.80 $951 2.0×
Neuromuscular Reeducation (97112) $144 $180 4.4×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $761.60 $952 2.0×
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×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $148 $185 6.9×
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) $309.60 $387 2.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $253.60 $317 2.0×
Oxygen Uptake Rest Indirect (94690) $459.20 $574 7.8×
Penile Vascular Study,Ltd or F/U (93981) $1,710.40 $2,138 16.4×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $162.40 $203 0.7×
Percutaneous tests w/allergenic extracts (95004) $55.20 $69 0.1×
Peripheral arterial disease rehab per session (93668) $183.20 $229 3.1×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$214.40–$338.40 $268–$423 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $281.60 $352 4.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $281.60 $352 4.8×
Physical Performance Test (97750) $141.60 $177 4.2×
Plethysmography (94726) $261.60 $327 0.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $6,135.20 $7,669 7.2×
Polysom <6 yrs 4/> paramtrs (95782) $5,770.40 $7,213 6.7×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $6,335.20 $7,919 7.4×
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) $186.40 $233 1.8×
Prq trluml pulmonary art balloon angiop 1 vsl (92997) $12,270.40 $15,338 1.1×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $321.60 $402 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×
Pulm function test by gas (94727) $260.80 $326 1.2×
Pulmonary Stress Testing (94618) $985.60 $1,232 7.4×
R Hrt Art/Grft Angio (93457) $16,109.60 $20,137 5.0×
R hrt coronary artery angio (93456) $14,000 $17,500 4.3×
Refill/Maint Portable Pump (96521) $404 $505 1.9×
Refill/Maint Pump/Resvr Syst (96522) $388.80 $486 1.8×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $90.40 $113 2.4×
Rem ther mntr dev sply resp (98976) $90.40 $113 2.4×
Remote 30 Day Ecg Rev/Report (93270) $216.80 $271 5.8×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $313.60 $392 2.4×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $111.20 $139 1.9×
Right Heart Cath (93451) $8,914.40 $11,143 2.8×
Right ventricular recording (93603) $2,487.20 $3,109 2.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $384.80 $481 1.9×
Self Care Mngment Training (97535) $140 $175 4.3×
Sensory Integration Ea 15 Min (97533) $144 $180 2.4×
Short-latency somatosens ep std upr limbs (95925) $1,091.20 $1,364 5.1×
Sleep study attended (95807) $2,531.20 $3,164 6.8×
Sleep study unattended (95806) $619.20 $774 2.9×
Slp caregiver training 1st 30 min (97550) $112 $140 2.1×
Slp Stdy Unatnd W/Anal (95801) $108.80 $136 1.9×
Speech sound lang comprehen (92523) $541.60 $677 2.4×
Spirometry (94010) $289.60 $362 1.3×
Ssep lower limbs (95926) $1,091.20 $1,364 5.1×
Standardized Cognitive Performance Testing (96125) $373.60 $467 3.6×
Stress Tte Only (93350) $605.60 $757 1.1×
Surfactant Admin Thru Tube (94610) $118.40 $148 0.5×
Temp transcutaneous pacing (92953) $852.80 $1,066 1.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $144 $180 6.4×
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 Sp-Genratj Dev Prgrmg&Modificaj (92609) $382.40 $478 3.7×
Ther/Proph/Diag Inj Ia (96373) $228.80 $286 1.1×
Ther/Proph/Diag Inj Sc/Im (96372) $183.20 $229 2.6×
Ther/Proph/Diag Iv Inf Init (96365) $608 $760 2.9×
Therapeutic Activities (97530) $140 $175 4.0×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,345.60 $1,682 3.6×
Transcath Closure of Asd (93580) $82,828.80 $103,536 4.5×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $1,106.40 $1,383 10.6×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$2,774.40–$2,796 $3,468–$3,495 varies
Tte W/O Doppler Complete (93307) $1,312 $1,640 5.5×
Tx atrial fib pulm vein isol (93656) $20,000.80 $25,001 0.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $342.40 $428 4.5×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $172.80 $216 7.2×
Tx/Pro/Dx Inj New Drug Addon (96375) $267.20 $334 5.7×
Unlisted cardiovascular service/procedure (93799) $2,848.80 $3,561 22.2×
Unlisted Psychiatric Service/Procedure (90899)
range across 2 matching MRF lines
$1,588.80–$2,424.80 $1,986–$3,031 varies
Upr/L Xtremity Art 2 Levels (93922) $656.80 $821 5.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $599.20 $749 2.8×
Valvuloplasty aortic valve (92986) $12,898.40 $16,123 2.3×
Valvuloplasty mitral valve (92987) $12,898.40 $16,123 1.1×
Valvuloplasty pulmonary valve (92990) $12,898.40 $16,123 1.1×
Vasopneumatic device (97016) $70.40 $88 5.9×
Vent Mgmt Inpat Init Day (94002) $1,258.40 $1,573 2.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,020 $1,275 1.7×
Visual Evoked Potential Test (95930) $1,229.60 $1,537 5.7×
Visual Field Exam Extended (92083) $135.20 $169 1.0×
Vital capacity, total (94150) $128 $160 1.0×
Wada Activation Test Hemispheric Function W/Eeg (95958) $3,220 $4,025 3.8×
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.