Visits & medical services prices at Rochelle Community Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $467 $467 2.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $189 $189 13.2×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $104 $104 1.3×
Bfb training ea addl 15 min (90913) $72 $72 2.2×
Breathing response to hypoxia (94450) $547 $547 4.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $826 $826 2.1×
Canalith repositioning proc (95992) $304 $304 7.5×
Cardiac Stress Tst,Tracing Only (93017) $1,274 $1,274 5.5×
Cardiopulmonary exercise testing (94621) $2,776 $2,776 6.9×
Cardiopulmonary resuscitation (92950) $2,278 $2,278 9.8×
Cardioversion (92960) $543 $543 0.8×
Cbt 1st hour (94644) $727 $727 5.1×
Chemo Anti-Neopl Sq/Im (96401) $383 $383 5.0×
Chemo Hormon Antineopl Sq/Im (96402) $383 $383 5.0×
Chemo IV infusion addl hr (96415) $372 $372 4.8×
Chemo IV push addl drug (96411) $523 $523 6.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $543 $543 7.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,104 $1,104 3.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $515 $515 1.5×
Chest Wall Manipulation (94668) $391 $391 2.7×
Color/duplex Doppler, complete (93975) $2,168 $2,168 8.5×
Color/duplex Doppler, limited (93976) $1,385 $1,385 12.4×
Continuous Pulse Ox (94762) $523 $523 3.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,171 $1,171 5.0×
Cpt initial (94667) $523 $523 3.7×
Critical care first hour (99291) $4,072 $4,072 4.6×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,660 $1,660 6.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,340 $1,340 12.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,864 $1,864 7.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines		 $1,187–$1,234 $1,187–$1,234 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,571 $1,571 6.1×
Dup-scan xtr veins unilateral/limited study (93971) $1,336 $1,336 11.9×
Duplex Scan Hemodialysis Access (93990) $1,548 $1,548 13.8×
Duplex up extrem art bilat (93930)
range across 2 matching MRF lines		 $1,445–$1,503 $1,445–$1,503 varies
Duplex up extrem art unilat/ltd (93931)
range across 3 matching MRF lines		 $1,115–$1,234 $1,115–$1,234 varies
Echo Congenital Complete (93303) $3,658 $3,658 6.2×
Echo Heart Xthoracic,Limited (93308) $1,212 $1,212 4.7×
Echo transesophageal (93312) $6,036 $6,036 10.3×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $3,868 $3,868 6.6×
Electrical Stimulation Ea 15 Min (97032) $162 $162 11.0×
Electrocardiogram Tracing (93005) $407 $407 6.4×
Emergency Dept Visit Level 2 (99282) $499 $499 3.0×
Emergency Dept Visit Level 3 (99283) $750 $750 2.6×
Emergency Dept Visit Level 4 (99284) $1,213 $1,213 2.7×
Er level 1 (99281) $245 $245 2.7×
Er level v (99285) $1,709 $1,709 2.7×
Evaluate pt use of inhaler (94664) $381 $381 1.6×
External ECG rec>48hr<7d recording (93242) $655 $655 16.4×
External ECG rec>7d<15d recording (93246) $655 $655 16.4×
External Ecg Scanning Analysis Report (93226) $1,869 $1,869 29.6×
Extracranial Bilat Study (93880) $1,571 $1,571 6.1×
Extracranial Uni/Ltd Study (93882) $1,006 $1,006 9.0×
F-up/limited tthrc echo congenital car anomaly (93304) $1,719 $1,719 2.9×
Group Therapeutic Procedures (97150) $138 $138 7.6×
Holter monitor recording (93225) $655 $655 4.6×
Immunization administration (90471) $153 $153 2.0×
Iontophoresis 15 min (97033) $212 $212 11.1×
Irrig Drug Delivery Device (96523) $107 $107 1.7×
IV infusion hydration each additional hour (96361) $243 $243 4.8×
IV infusion hydration initial 31 min-1 hour (96360) $539 $539 2.4×
IV infusion ther proph addl sequential to 1 hr (96367) $404 $404 5.2×
IV infusion therapy prophylaxis/dx ea hour (96366) $308 $308 6.1×
IV push initial (96374) $362 $362 1.6×
Lwr Xtr Vasc Stdy Bilat (93924) $1,371 $1,371 5.9×
Mechanical chest wall oscillation per session (94669) $586 $586 2.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $35 $35 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $64 $64 1.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $984 $984 2.3×
Neuromuscular Reeducation (97112) $152 $152 4.6×
Newborn resuscitation (99465) $2,391 $2,391 3.4×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 2 matching MRF lines		 $151–$213 $151–$213 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines		 $177–$426 $177–$426 varies
Ot eval high complexity (97167) $406 $406 4.0×
Ot Eval Low Complex (97165) $406 $406 4.0×
Ot Eval Moderate Complexity (97166) $406 $406 4.0×
Ot manual therapy 15 min (97140) $216 $216 7.8×
Ot paraffin bath (97018) $121 $121 20.1×
Ot Prosthetic Training, Each 15 Min (97761) $164 $164 4.1×
Ot Re-Eval Est Plan Care (97168) $284 $284 4.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $332 $332 2.4×
Peripheral arterial disease rehab per session (93668) $402 $402 6.4×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines		 $219–$228 $219–$228 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $396 $396 6.3×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $332 $332 5.3×
Pt Eval High Complex (97163) $406 $406 4.1×
Pt eval low complex 20 min (97161) $406 $406 4.1×
Pt Eval Mod Complex (97162) $406 $406 4.1×
Pt gait training 15 min (97116) $162 $162 5.6×
Pt mechanical traction (97012) $141 $141 9.8×
Pt Re-Eval Est Plan Care (97164) $284 $284 4.2×
Pulm function test by gas (94727) $810 $810 3.5×
Pulmonary Stress Testing (94618) $1,664 $1,664 11.7×
Self Care Mngment Training (97535) $165 $165 5.1×
Sensory Integration Ea 15 Min (97533) $145 $145 2.4×
Spirometry (94010) $368 $368 1.6×
Temp transcutaneous pacing (92953) $1,069 $1,069 1.5×
Ther/Proph/Diag Inj Sc/Im (96372) $166 $166 2.2×
Ther/Proph/Diag Iv Inf Init (96365) $607 $607 2.7×
Therapeutic Activities (97530) $168 $168 4.8×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines		 $3,225–$4,838 $3,225–$4,838 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $291 $291 5.8×
Upr/L Xtremity Art 2 Levels (93922) $1,142 $1,142 8.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,098 $1,098 4.7×
Vent Mgmt Inpat Init Day (94002) $3,400 $3,400 5.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,671 $2,671 4.0×
Wheelchair Mgmt Ea 15 Min (97542) $208 $208 6.7×
Whirlpool Therapy (97022) $141 $141 9.0×

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.