Visits & medical services prices at Ranken Jordan Pediatric Bridge Hospital
Maryland Heights, MO · every code in this section with a posted price and a Medicare benchmark.
93 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) | $22 | $27.50 | 0.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $58.40 | $73 | 4.1× |
| Assessment of aphasia per hr (96105) | $233.60 | $292 | 2.4× |
| Behavral qualit analys voice (92524) | $286.40 | $358 | 2.6× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $429.60 | $537 | 5.2× |
| Bfb training ea addl 15 min (90913) | $172 | $215 | 5.3× |
| Biofeedback training any modality (90901) range across 3 matching MRF lines |
$286.40–$330.88 | $358–$413.60 | varies |
| Brief Emotional/Behav Assmt (96127) | $174.34 | $217.92 | 4.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $30.80 | $38.50 | 0.1× |
| Cbt 1st hour (94644) | $48.40 | $60.50 | 0.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $58.40 | $73 | 1.8× |
| Continuous Pulse Ox (94762) | $211.20 | $264 | 1.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 6 matching MRF lines |
$176–$308 | $220–$385 | varies |
| Cpt initial (94667) range across 9 matching MRF lines |
$17.60–$35.20 | $22–$44 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$220–$286.40 | $275–$358 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $286.40 | $358 | 2.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,160.72 | $1,450.90 | 4.9× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $1,072.72 | $1,340.90 | 10.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $660 | $825 | 2.8× |
| Echo Congenital Complete (93303) | $1,202.08 | $1,502.60 | 2.2× |
| Echo Heart Xthoracic,Limited (93308) | $2,711.28 | $3,389.10 | 11.3× |
| Eeg 41-60 Minutes (95812) | $977.68 | $1,222.10 | 4.5× |
| Electrical Stimulation Ea 15 Min (97032) | $58.40 | $73 | 4.0× |
| Electrocardiogram Tracing (93005) | $176 | $220 | 3.0× |
| Emg 3 Extremities (95863) | $572.88 | $716.10 | 4.4× |
| Emg 4 Extremities (95864) | $716.32 | $895.40 | 5.6× |
| Evaluate pt use of inhaler (94664) range across 5 matching MRF lines |
$17.60–$48.40 | $22–$60.50 | varies |
| Evaluate Speech Production (92522) | $286.40 | $358 | 2.6× |
| Evaluate Swallowing Function (92610) | $286.40 | $358 | 3.4× |
| Evaluation of speech fluency (92521) | $286.40 | $358 | 2.1× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,021.68 | $1,277.10 | 1.9× |
| Group Therapeutic Procedures (97150) | $286.40 | $358 | 15.9× |
| Health Behavior Assessment/Re-Assessment (96156) | $132 | $165 | 1.3× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $132 | $165 | 3.5× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $66 | $82.50 | 1.8× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $88 | $110 | 0.5× |
| Hypnotherapy (90880) | $330.88 | $413.60 | 3.3× |
| Iontophoresis 15 min (97033) range across 2 matching MRF lines |
$52.80–$58.40 | $66–$73 | varies |
| Muscle Test 2 Limbs (95861) | $458.48 | $573.10 | 3.4× |
| Muscle Test One Limb (95860) | $366.96 | $458.70 | 2.8× |
| Nasopharyngoscopy (92511) | $388.96 | $486.20 | 1.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $176.88 | $221.10 | 0.9× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $253.44 | $316.80 | 0.6× |
| Neuromuscular Reeducation (97112) | $58.40 | $73 | 1.8× |
| Oral Function Therapy (92526) | $286.40 | $358 | 3.4× |
| Oral Speech Device Eval (92597) | $286.40 | $358 | 4.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $58.40 | $73 | 1.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $58.40 | $73 | 1.3× |
| Ot Contrast Bath Ea 15 Min (97034) | $58.40 | $73 | 4.2× |
| Ot eval high complexity (97167) | $286.40 | $358 | 2.8× |
| Ot Eval Low Complex (97165) | $286.40 | $358 | 2.8× |
| Ot Eval Moderate Complexity (97166) | $286.40 | $358 | 2.8× |
| Ot manual therapy 15 min (97140) | $58.40 | $73 | 2.1× |
| Ot paraffin bath (97018) | $286.40 | $358 | 47.7× |
| Ot Prosthetic Training, Each 15 Min (97761) | $58.40 | $73 | 1.4× |
| Ot Re-Eval Est Plan Care (97168) | $286.40 | $358 | 4.2× |
| Ot rom hand (95852) | $286.40 | $358 | 13.4× |
| Physical Performance Test (97750) | $58.40 | $73 | 1.7× |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$223.52–$366.08 | $279.40–$457.60 | varies |
| Psytx Crisis Initial 60 Min (90839) | $232.73 | $290.91 | 1.3× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $58.40 | $73 | 1.5× |
| Pt Eval High Complex (97163) | $286.40 | $358 | 2.9× |
| Pt eval low complex 20 min (97161) | $286.40 | $358 | 2.9× |
| Pt Eval Mod Complex (97162) | $286.40 | $358 | 2.9× |
| Pt gait training 15 min (97116) | $58.40 | $73 | 2.0× |
| Pt Re-Eval Est Plan Care (97164) | $286.40 | $358 | 4.2× |
| Pure Tone Audiometry Air (92552) | $176 | $220 | 1.3× |
| Respiratory flow volume loop (94375) | $110 | $137.50 | 0.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$176.88–$286.40 | $221.10–$358 | varies |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $286.40 | $358 | 11.0× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $233.60 | $292 | 1.9× |
| Self Care Mngment Training (97535) | $58.40 | $73 | 1.8× |
| Sensory Integration Ea 15 Min (97533) | $58.40 | $73 | 1.0× |
| Speech sound lang comprehen (92523) | $286.40 | $358 | 1.3× |
| Spin/Brain Pump Refil & Main (95991) | $286 | $357.50 | 0.9× |
| Spirometry (94010) range across 2 matching MRF lines |
$30.80–$120.56 | $38.50–$150.70 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $95.20 | $119 | 4.3× |
| Ther Ivntj Ea Addl 15 Min (97130) | $64 | $80 | 3.0× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $58.40 | $73 | 1.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $58.40 | $73 | 2.0× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) range across 3 matching MRF lines |
$95.20–$286.40 | $119–$358 | varies |
| Therapeutic Activities (97530) | $58.40 | $73 | 1.7× |
| Tte w/doppler, complete (93306) | $3,190 | $3,987.50 | 5.8× |
| Tte W/O Doppler Complete (93307) | $3,667.84 | $4,584.80 | 15.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $286.40 | $358 | 3.8× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $286.40 | $358 | 11.9× |
| Tympanometry and reflex threshold measurements (92550) | $220 | $275 | 1.0× |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$352–$528 | $440–$660 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 4 matching MRF lines |
$352–$704 | $440–$880 | varies |
| Visual Evoked Potential Test (95930) | $777.60 | $972 | 3.6× |
| Vital capacity, total (94150) | $70.40 | $88 | 0.5× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$52.80–$58.40 | $66–$73 | varies |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$260–$286.40 | $325–$358 | varies |
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.