Visits & medical services prices at Roseland Community Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $72.29 $508 0.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $38.04 $74 2.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$129.52 $748–$779 0.3×
Cardiopulmonary exercise testing (94621) $129.52 $779 0.3×
Cardiopulmonary resuscitation (92950) $882.12 $748 3.8×
Cbt 1st hour (94644)
range across 3 matching MRF lines
$72.29 $239–$489 0.5×
Chest Wall Manipulation (94668) $72.29 $304 0.5×
Community/Work Reintegration Trainj Ea 15 Min (97537) $45.25 $79 1.4×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$72.29 $145–$372 0.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $166.92 $508 0.7×
Cpt initial (94667) $72.29 $304 0.5×
Critical care first hour (99291) — $1,963 —
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$211.36 $587–$597 0.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$137.18 $273–$587 1.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $211.36 $597 0.8×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$137.18 $273–$280 1.2×
Duplex up extrem art bilat (93930) $137.18 $597 0.5×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$137.18 $273–$587 1.2×
Echo Heart Xthoracic,Limited (93308) $543.50 $600 2.1×
Echo transesophageal (93312)
range across 2 matching MRF lines
$543.50 $1,314–$1,362 0.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $543.50 $1,314 0.9×
EEG awake and asleep (95819) $415.87 $748 1.8×
EEG awake drowsy (95816) $415.87 $748 1.8×
Electrical Stimulation Ea 15 Min (97032) $38.04 $74 2.6×
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines
$32.27 $146–$168 0.5×
Emergency Dept Visit Level 2 (99282) — $357 —
Emergency Dept Visit Level 3 (99283) — $627 —
Emergency Dept Visit Level 4 (99284) — $976 —
Emg 3 Extremities (95863) $166.38 $665 1.2×
Emg 4 Extremities (95864) $166.38 $889 1.2×
Er level 1 (99281) — $192 —
Er level v (99285) — $1,402 —
Evaluate pt use of inhaler (94664) $72.29 $508 0.3×
Evaluate Swallowing Function (92610) $285.90 $79 3.4×
Exercise test for bronchospasm (94617) $72.29 $304 0.5×
External Ecg Scanning Analysis Report (93226) $77.51 $294 1.2×
Extracranial Bilat Study (93880) $211.36 $597 0.8×
Extracranial Uni/Ltd Study (93882) $137.18 $273 1.2×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $975.32 $1,400 1.3×
Holter monitor recording (93225)
range across 2 matching MRF lines
$77.51 $320–$784 0.5×
Immunization administration (90471) $48.76 $115 0.6×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $58.23 $1,327 0.1×
Iontophoresis 15 min (97033) $38.04 $79 2.0×
IV infusion hydration each additional hour (96361) $579.19 $109 11.5×
IV infusion hydration initial 31 min-1 hour (96360) $369.72 $490 1.6×
IV infusion ther proph addl sequential to 1 hr (96367) $369.72 $109 4.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $579.19 $109 11.5×
IV push initial (96374) $58.14 $223 0.3×
Lung Function Test (Mbc/Mvv) (94200)
range across 2 matching MRF lines
$72.29 $149–$299 1.1×
Mechanical chest wall oscillation per session (94669) $72.29 $508 0.3×
Methacholine challenge (94070) $129.52 $779 0.3×
Muscle Test 2 Limbs (95861) $166.38 $532 1.2×
Muscle Test One Limb (95860)
range across 2 matching MRF lines
$166.38 $304–$333 1.2×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $166.38 $372 1.2×
Neuromuscular Reeducation (97112) $45.25 $74 1.4×
Oral Function Therapy (92526) $45.25 $63 0.5×
Ot manual therapy 15 min (97140) $45.25 $74 1.6×
Ot paraffin bath (97018) $38.04 $72 6.3×
Plethysmography (94726)
range across 2 matching MRF lines
$129.52 $748–$779 0.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $992.08 $2,490 1.1×
Pt Eval High Complex (97163) $237.86 $180 2.4×
Pt eval low complex 20 min (97161) $237.86 $79 2.4×
Pt Eval Mod Complex (97162) $237.86 $120 2.4×
Pt gait training 15 min (97116) $38.04 $74 1.3×
Pt mechanical traction (97012) $38.04 $74 2.6×
Pt Re-Eval Est Plan Care (97164) $237.86 $75 3.5×
Pulm function test by gas (94727)
range across 2 matching MRF lines
$72.29 $372–$391 0.3×
Pulmonary Stress Testing (94618) $72.29 $304 0.5×
Respiratory flow volume loop (94375)
range across 2 matching MRF lines
$129.52 $748–$779 0.6×
Self Care Mngment Training (97535) $38.04 $72 1.2×
Sensory Integration Ea 15 Min (97533) $45.25 $72 0.7×
Short-latency somatosens ep std upr limbs (95925) $166.38 $748 0.7×
Spirometry (94010)
range across 2 matching MRF lines
$72.29 $372–$391 0.3×
Stress Tte Only (93350) $543.50 $1,362 0.9×
Subcutaneous Infusion Each Additional Hour (96370) $579.19 $490 11.5×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $369.72 $490 1.6×
Subq Infusion Additional Pump Infusion Site (96371) $369.72 $490 4.8×
Testing Autonomic Nervous System Function (95923) $166.38 $220 1.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $38.04 $74 1.3×
Ther/Proph/Diag Inj Sc/Im (96372) $58.14 $35 0.8×
Ther/Proph/Diag Iv Inf Init (96365) $369.72 $490 1.6×
Therapeutic Activities (97530) $45.25 $74 1.3×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $166.38 $220 1.2×
Tte w/doppler, complete (93306) $543.50 $1,314 0.9×
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines
$543.50 $601–$707 2.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $285.90 $58 3.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $58.14 $223 1.2×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$137.18 $220–$357 1.0×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$1,327.19 $716–$1,493 2.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,327.19 $1,493 2.0×
Visual Evoked Potential Test (95930) $166.38 $748 0.7×
Vital capacity, total (94150)
range across 3 matching MRF lines
$72.29 $160–$391 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $45.25 $74 1.5×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $72.29 $146 1.1×

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.