Visits & medical services prices at Osf Saint Paul Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $116 $145 0.5×
Analyze neurostim complex (95972) $230.40 $288 2.3×
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) $467.20 $584 1.2×
Canalith repositioning proc (95992) $157.60 $197 3.9×
Cardiac Stress Tst,Tracing Only (93017) $1,000.80 $1,251 4.3×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$562.40–$859.20 $703–$1,074 varies
Cardioversion (92960)
range across 2 matching MRF lines
$724.80–$734.40 $906–$918 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $56 $70 2.1×
Cbt 1st hour (94644) $398.40 $498 2.8×
Chemo Anti-Neopl Sq/Im (96401) $114.40 $143 1.5×
Chemo Hormon Antineopl Sq/Im (96402) $114.40 $143 1.5×
Chemo IV infusion addl hr (96415) $122.40 $153 1.6×
Chemo IV push addl drug (96411) $228.80 $286 3.0×
Chemother Prolong Infuse W/Pump (96416) $504.80 $631 1.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $109.60 $137 1.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $580 $725 1.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $555.20 $694 1.6×
Chest Wall Manipulation (94668) $136 $170 1.0×
Color/duplex Doppler, complete (93975) $1,175.20 $1,469 4.6×
Color/duplex Doppler, limited (93976) $1,016.80 $1,271 9.1×
Community/Work Reintegration Trainj Ea 15 Min (97537) $138.40 $173 4.3×
Continuous Pulse Ox (94762) $329.60 $412 2.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $144 $180 0.6×
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 4 matching MRF lines
$168.80–$385.60 $211–$482 varies
Developmental tst admin phys/qhp 1st hour (96112) $442.40 $553 3.2×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $855.20 $1,069 3.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,033.60 $1,292 9.2×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,373.60 $1,717 5.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,129.60 $1,412 10.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $917.60 $1,147 3.6×
Dup-scan xtr veins unilateral/limited study (93971)
range across 3 matching MRF lines
$807.20–$843.20 $1,009–$1,054 varies
Duplex up extrem art bilat (93930) $1,397.60 $1,747 5.5×
Duplex up extrem art unilat/ltd (93931) $1,149.60 $1,437 10.3×
ECG/monitoring and analysis (93271) $613.60 $767 6.0×
Echo Congenital Complete (93303)
range across 3 matching MRF lines
$1,146.40–$2,012.80 $1,433–$2,516 varies
Echo Heart Xthoracic,Limited (93308)
range across 3 matching MRF lines
$1,146.40–$2,012.80 $1,433–$2,516 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 3 matching MRF lines
$2,644.80–$3,598.40 $3,306–$4,498 varies
EEG awake and asleep (95819)
range across 3 matching MRF lines
$238.40–$1,075.20 $298–$1,344 varies
EEG awake drowsy (95816)
range across 2 matching MRF lines
$238.40–$1,075.20 $298–$1,344 varies
EEG cerebral death evaluation (95824)
range across 2 matching MRF lines
$438.40–$1,044 $548–$1,305 varies
Eeg Sleep Only (95822)
range across 2 matching MRF lines
$238.40–$1,044 $298–$1,305 varies
Electrical Stimulation Ea 15 Min (97032) $115.20 $144 7.8×
Electrocardiogram Tracing (93005) $316 $395 5.0×
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) $19,847.20 $24,809 0.7×
Ep & ablate ventric tachy (93654) $19,847.20 $24,809 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) $84.80 $106 0.4×
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×
Exercise test for bronchospasm (94617) $618.40 $773 4.3×
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) $1,397.60 $1,747 5.5×
Extracranial Uni/Ltd Study (93882) $1,181.60 $1,477 10.5×
F-up/limited tthrc echo congenital car anomaly (93304)
range across 3 matching MRF lines
$1,036–$1,886.40 $1,295–$2,358 varies
Flexible endoscopic eval swallow c/v rec (92612) $500.80 $626 2.5×
Group Therapeutic Procedures (97150) $52.80 $66 2.9×
Holter monitor recording (93225) $613.60 $767 4.3×
Immunization administration (90471)
range across 2 matching MRF lines
$57.60–$60 $72–$75 varies
Iontophoresis 15 min (97033) $115.20 $144 6.1×
Irrig Drug Delivery Device (96523) $194.40 $243 3.1×
IV infusion hydration each additional hour (96361) $215.20 $269 4.3×
IV infusion hydration initial 31 min-1 hour (96360) $454.40 $568 2.0×
IV infusion ther proph addl sequential to 1 hr (96367) $240.80 $301 3.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $222.40 $278 4.4×
IV push initial (96374) $262.40 $328 1.2×
Low frequency non-thermal us (97610) $371.20 $464 1.7×
Mchnl sclp cool cap sply head meas fitg&educaj (97007) $1,236 $1,545 0.8×
Mechanical chest wall oscillation per session (94669) $98.40 $123 0.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $51.20 $64 1.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $51.20 $64 1.4×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $67.20 $84 3.9×
Methacholine challenge (94070) $607.20 $759 1.5×
Motion Fluoroscopy/Swallow (92611) $547.20 $684 6.0×
Multiple Sleep Latency Test (95805)
range across 2 matching MRF lines
$2,579.20–$3,221.60 $3,224–$4,027 varies
Nasopharyngoscopy (92511) $495.20 $619 2.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $328.80 $411 0.8×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $668.80 $836 1.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$234.40–$292.80 $293–$366 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$368–$502.40 $460–$628 varies
Nerve Conduction Studies 1-2 Studies (95907) $415.20 $519 1.8×
Nerve Conduction Studies 3-4 Studies (95908) $831.20 $1,039 3.6×
Neuromuscular Reeducation (97112) $144 $180 4.4×
Nonphysician Telephone Assessment 11-20 Min (98967) $122.40 $153 4.9×
Nonphysician Telephone Assessment 21-30 Min (98968) $181.60 $227 5.2×
Nonphysician Telephone Assessment 5-10 Min (98966) $63.20 $79 4.6×
Oral Function Therapy (92526)
range across 2 matching MRF lines
$144–$288 $180–$360 varies
Oral Speech Device Eval (92597) $536 $670 7.5×
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) $223.20 $279 1.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $220.80 $276 1.6×
Percutaneous tests w/allergenic extracts (95004) $52.80 $66 0.1×
Phlebotomy therapeutic (99195) $231.20 $289 1.6×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $260 $325 4.1×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $260 $325 4.1×
Physical Performance Test (97750) $141.60 $177 4.2×
Plethysmography (94726) $339.20 $424 0.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$4,756–$5,572.80 $5,945–$6,966 varies
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) $179.20 $224 1.6×
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) $568.80 $711 4.0×
Refill/Maint Portable Pump (96521) $557.60 $697 2.4×
Refill/Maint Pump/Resvr Syst (96522) $580 $725 2.5×
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×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $187.20 $234 3.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $340.80 $426 1.6×
Self Care Mngment Training (97535) $140 $175 4.3×
Sensory Integration Ea 15 Min (97533) $144 $180 2.4×
Sleep study unattended (95806) $862.40 $1,078 3.7×
Slp caregiver training 1st 30 min (97550) $112 $140 2.1×
Slp Stdy Unatnd W/Anal (95801) $104 $130 1.6×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $939.20 $1,174 4.1×
Speech sound lang comprehen (92523) $541.60 $677 2.4×
Spin/Brain Pump Refil & Main (95991) $450.40 $563 1.4×
Spirometry (94010) $278.40 $348 1.2×
Standardized Cognitive Performance Testing (96125) $373.60 $467 3.6×
Stress Tte Only (93350)
range across 3 matching MRF lines
$2,376.80–$3,070.40 $2,971–$3,838 varies
Temp transcutaneous pacing (92953) $549.60 $687 0.8×
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) $200 $250 0.9×
Ther/Proph/Diag Inj Sc/Im (96372) $160 $200 2.1×
Ther/Proph/Diag Iv Inf Init (96365) $528.80 $661 2.3×
Therapeutic Activities (97530) $140 $175 4.0×
Tte w/doppler, complete (93306)
range across 3 matching MRF lines
$2,748.80–$3,160 $3,436–$3,950 varies
Tte W/O Doppler Complete (93307)
range across 3 matching MRF lines
$1,068.80–$2,456.80 $1,336–$3,071 varies
Tx atrial fib pulm vein isol (93656) $19,847.20 $24,809 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) $232.80 $291 4.6×
Upr/L Xtremity Art 2 Levels (93922) $288.80 $361 2.0×
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) $126.40 $158 0.9×
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.