Visits & medical services prices at Saint Anthony Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Reflex Testing (92568) $39 $130 1.0×
Admn Sarscov2 Vacc 1 Dose (90480) $39.90 $133 0.9×
Airway Inhalation Treatment (94640) $200.40 $668 0.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $42.60 $142 3.0×
Assessment of aphasia per hr (96105) $625.20 $2,084 6.4×
Behavral qualit analys voice (92524) $220.50 $735 2.0×
Brief Emotional/Behav Assmt (96127) $39 $130 1.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 3 matching MRF lines		 $275.40–$306.90 $918–$1,023 varies
Cardiac Stress Tst,Tracing Only (93017) $308.70 $1,029 1.3×
Cardiopulmonary resuscitation (92950) $477.60 $1,592 2.1×
Cardioversion (92960) $644.70 $2,149 0.9×
Cardioversion elective internal (92961) $644.70 $2,149 0.9×
Caregiver hlth risk assmt score doc stnd instrm (96161) $26.40 $88 0.7×
Cbt 1st hour (94644) $127.20 $424 0.9×
Chemotherapy Unspecified (96549) $45.60 $152 0.9×
Chest Wall Manipulation (94668) $127.20 $424 0.9×
Chiropract manj 3-4 regions (98941) $23.40 $78 1.0×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) $23.40 $78 1.0×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $489 $1,630 1.2×
Color/duplex Doppler, complete (93975) $238.20 $794 0.9×
Color/duplex Doppler, limited (93976)
range across 2 matching MRF lines		 $120.90–$122.10 $403–$407 varies
Comprehensive Hearing Test (92557) $154.20 $514 1.1×
Computerized Ophthalmic Imaging Optic Nerve (92133) $54.90 $183 0.9×
Computerized Ophthalmic Imaging Retina (92134) $55.80 $186 0.9×
Conditioning Play Audiometry (92582) $154.20 $514 1.1×
Cont Gluc Mntr Pt Prov Eqp (95249) $58.80 $196 0.9×
Continuous Pulse Ox (94762) $269.40 $898 2.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $595.80 $1,986 2.5×
Cpt initial (94667) $127.20 $424 0.9×
Critical care first hour (99291) $830.10 $2,767 0.9×
Debridement Open Wound 20 Sq Cm< (97597) $195.90 $653 0.9×
Developmental tst admin phys/qhp 1st hour (96112) $625.20 $2,084 4.5×
Dialysis One Evaluation (90945) $465.60 $1,552 1.0×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $306.90 $1,023 0.8×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $222.30 $741 0.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $105 $350 0.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $238.20 $794 0.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $105 $350 0.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $272.40 $908 1.1×
Dup-scan xtr veins unilateral/limited study (93971) $153.30 $511 1.4×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $225.60 $752 0.9×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $108.60 $362 1.0×
Duplex up extrem art bilat (93930) $238.20 $794 0.9×
Duplex up extrem art unilat/ltd (93931) $105 $350 0.9×
Echo Heart Xthoracic,Limited (93308) $139.80 $466 0.5×
Echo transesophageal (93312) $503.10 $1,677 0.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $965.70 $3,219 1.6×
Eeg 41-60 Minutes (95812) $306.90 $1,023 1.3×
EEG awake and asleep (95819) $306.90 $1,023 1.3×
EEG awake drowsy (95816) $306.90 $1,023 1.3×
EEG cerebral death evaluation (95824) $522.60 $1,742 1.3×
EEG cont rec w/video by tech min 8 channels (95700) $255.30 $851 1.1×
EEG extended monitoring 61-119 minutes (95813) $306.90 $1,023 1.3×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $306.90 $1,023 1.3×
EEG w/o vid 2-12hr cont mntr (95707) $306.90 $1,023 1.3×
EEG w/o vid ea 12-26hr intmt (95709) $522.60 $1,742 1.3×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $522.60 $1,742 1.3×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $306.90 $1,023 1.3×
EEG wo vid ea 12-26hr unmntr (95708) $522.60 $1,742 1.3×
Electrical Stimulation Ea 15 Min (97032) $42.60 $142 2.9×
Electrocardiogram Tracing (93005) $61.80 $206 1.0×
Emergency Dept Visit Level 2 (99282) $156 $520 0.9×
Emergency Dept Visit Level 3 (99283) $273 $910 0.9×
Emergency Dept Visit Level 4 (99284) $419.40 $1,398 0.9×
Er level 1 (99281) $86.70 $289 1.0×
Er level v (99285) $603.90 $2,013 0.9×
Esophagus acid perfusion test esophagitis (91030) $522.60 $1,742 1.3×
Evaluate pt use of inhaler (94664) $200.40 $668 0.9×
Evaluate Speech Production (92522) $220.50 $735 2.0×
Evaluate Swallowing Function (92610) $220.50 $735 2.6×
Evaluation of speech fluency (92521) $220.50 $735 1.7×
Evoked Auditory Test,Limited (92587) $306.90 $1,023 1.3×
External ECG rec>48hr<7d recording (93242) $39 $130 1.0×
External ECG rec>7d<15d recording (93246) $55.50 $185 1.4×
External Ecg Scanning Analysis Report (93226) $134.40 $448 2.1×
Extracranial Bilat Study (93880) $312 $1,040 1.2×
Fundus photography (92250) $127.20 $424 0.9×
Gi tract capsule endoscopy (91110) $923.70 $3,079 1.0×
Gonioscopy (92020) $127.20 $424 0.9×
Group Therapeutic Procedures (97150) $126 $420 7.0×
Health Behavior Assessment/Re-Assessment (96156) $91.20 $304 0.8×
Holter monitor recording (93225) $150.90 $503 1.1×
Icd Device Interrogate (93289) $33.90 $113 0.8×
Icd device progr eval dual (93283) $33.90 $113 0.8×
Im Adm Intransl/Oral 1 Vaccine (90473) $70.50 $235 0.9×
Immunization administration (90471) $70.50 $235 0.9×
Ingestion challenge test initial 120 minutes (95076) $522.60 $1,742 1.3×
Iontophoresis 15 min (97033) $47.40 $158 2.5×
Irrig Drug Delivery Device (96523) $58.80 $196 0.9×
IV infusion hydration each additional hour (96361) $56.10 $187 1.1×
IV infusion hydration initial 31 min-1 hour (96360) $207.60 $692 0.9×
IV infusion ther proph addl sequential to 1 hr (96367) $70.50 $235 0.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $56.10 $187 1.1×
IV push initial (96374) $207.60 $692 0.9×
Mechanical chest wall oscillation per session (94669) $200.40 $668 0.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $26.10 $87 0.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines		 $30.30–$34.20 $101–$114 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $14.70 $49 0.9×
Motion Fluoroscopy/Swallow (92611) $172.20 $574 1.9×
Nasal function studies (92512) $306.90 $1,023 1.3×
Nasopharyngoscopy (92511) $191.40 $638 0.9×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $286.50 $955 1.2×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $286.50 $955 1.2×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $286.50 $955 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $187.80 $626 0.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $393.60 $1,312 0.9×
Nerve Conduction Studies 1-2 Studies (95907) $146.40 $488 0.6×
Nerve Conduction Studies 11-12 Studies (95912) $840 $2,800 2.1×
Nerve conduction studies 13 or more studies (95913) $949.20 $3,164 2.4×
Nerve Conduction Studies 3-4 Studies (95908) $292.20 $974 1.3×
Nerve conduction studies 5-6 studies (95909) $438.30 $1,461 1.9×
Nerve conduction studies 7-8 studies (95910) $584.10 $1,947 1.5×
Nerve Conduction Studies 9-10 Studies (95911) $730.20 $2,434 1.8×
Neurobehavioral Status Exam (96116) $306.90 $1,023 1.3×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $154.20 $514 1.1×
Neuromuscular Reeducation (97112) $126 $420 3.8×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $127.20 $424 0.9×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $127.20 $424 0.9×
Ophth medical xm&eval intermediate estab pt (92012) $127.20 $424 0.9×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $127.20 $424 0.9×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $55.80 $186 0.9×
Oral Function Therapy (92526) $133.20 $444 1.6×
Oral Speech Device Eval (92597) $220.50 $735 3.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 3 matching MRF lines		 $47.70–$126 $159–$420 varies
Ot eval high complexity (97167) $189 $630 1.9×
Ot Eval Low Complex (97165) $189 $630 1.9×
Ot Eval Moderate Complexity (97166) $189 $630 1.9×
Ot manual therapy 15 min (97140) $126 $420 4.5×
Ot paraffin bath (97018) $47.40 $158 7.9×
Ot Re-Eval Est Plan Care (97168) $189 $630 2.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $200.40 $668 0.9×
Phlebotomy therapeutic (99195) $127.20 $424 0.9×
Plethysmography (94726) $306.90 $1,023 0.8×
Pm device eval in person (93288) $33.90 $113 0.8×
Pm device progr eval dual (93280) $33.90 $113 0.8×
Pm Device Progr Eval Sngl (93279) $33.90 $113 0.8×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $33.90 $113 0.8×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $45.60 $152 0.9×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $45.60 $152 0.9×
Psych diag eval w/med srvcs (90792) $158.40 $528 0.8×
Psychiatric diagnostic evaluation (90791) $158.40 $528 0.8×
Psychological tst eval svc phys/qhp first hour (96130) $306.90 $1,023 1.3×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $361.50 $1,205 0.8×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $127.20 $424 0.9×
Psytx Crisis Initial 60 Min (90839) $158.40 $528 0.8×
Pt Eval High Complex (97163) $189 $630 1.9×
Pt eval low complex 20 min (97161) $189 $630 1.9×
Pt Eval Mod Complex (97162) $189 $630 1.9×
Pt gait training 15 min (97116) $51 $170 1.8×
Pt mechanical traction (97012) $42.60 $142 3.0×
Pt Re-Eval Est Plan Care (97164) $189 $630 2.8×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $26.40 $88 0.7×
Pulmonary service/procedure (94799) $154.20 $514 1.1×
Pulmonary Stress Testing (94618) $127.20 $424 0.9×
Remote 30 Day Ecg Rev/Report (93270) $33.90 $113 0.8×
Respiratory flow volume loop (94375) $306.90 $1,023 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $195.90 $653 0.9×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $220.50 $735 1.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $220.50 $735 4.6×
Self Care Mngment Training (97535) $40.80 $136 1.3×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $55.80 $186 0.9×
Speech sound lang comprehen (92523) $220.50 $735 1.0×
Spirometry (94010) $154.20 $514 0.7×
Stenger Test, Pure Tone (92565) $58.80 $196 0.9×
Stress Tte Only (93350) $657.60 $2,192 1.1×
Temp transcutaneous pacing (92953) $644.70 $2,149 0.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $189 $630 1.8×
Ther/Proph/Diag Inj Sc/Im (96372) $70.50 $235 0.9×
Ther/Proph/Diag Iv Inf Init (96365) $207.60 $692 0.9×
Therapeutic Activities (97530) $126 $420 3.6×
Tobacco Use Cessation Intensive >10 Minutes (99407) $29.40 $98 0.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $32.70 $109 0.8×
Tte w/doppler, complete (93306) $590.70 $1,969 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $220.50 $735 2.9×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $51 $170 2.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $56.10 $187 1.1×
Tympanometry (92567) $39 $130 1.0×
Unlisted Special Dermatological Service/Px (96999) $195.90 $653 0.9×
Upr/L Xtremity Art 2 Levels (93922) $334.80 $1,116 2.3×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $272.40 $908 1.2×
Veeg 2-12 Hr Cont Mntr (95713) $522.60 $1,742 1.3×
Veeg 2-12 hr intmt mntr (95712) $306.90 $1,023 0.8×
Veeg 2-12 hr unmonitored (95711) $306.90 $1,023 1.3×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $522.60 $1,742 1.3×
Veeg Ea 12-26 Hr Unmntr (95714) $522.60 $1,742 1.3×
Veeg ea 12-26hr cont mntr (95716) $1,002.30 $3,341 1.1×
Vent Mgmt Inpat Init Day (94002) $651.30 $2,171 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $651.30 $2,171 1.0×
Visual Field Exam Extended (92083) $127.20 $424 0.9×
Visual field xm uni/bi w/interpretj limited exam (92081) $52.20 $174 0.8×
Visual reinforcement audiometry (vra) (92579) $154.20 $514 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $51 $170 1.6×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $39 $130 1.0×

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.