Visits & medical services prices at Saint Francis Hospital-evanston

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $8,317 $10,709 1.0×
Airway Inhalation Treatment (94640) $233 $443 1.0×
Analyze neurostim complex (95972) $101 $7,030 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $14 $242 1.0×
Application on-body injector (96377) $49 $326 1.0×
Behavral qualit analys voice (92524)
range across 2 matching MRF lines		 $111 $923–$1,003 1.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $397 $1,335 1.0×
C motor evoked upr&lwr limbs (95939) $915 $1,461 1.0×
Canalith repositioning proc (95992) $30 $434 0.7×
Cardiac Stress Tst,Tracing Only (93017) $230 $3,108 1.0×
Cardiopulmonary exercise testing (94621) $397 $1,610 1.0×
Cardiopulmonary resuscitation (92950) $230 $938 1.0×
Cardioversion (92960) $704 $2,491 1.0×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $3,457 $30,046 1.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $3,457 $26,001 1.0×
Cbt 1st hour (94644) $141 $335 1.0×
Chemo Anti-Neopl Sq/Im (96401) $76 $617 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $76 $356 1.0×
Chemo IV infusion addl hr (96415) $76 $906 1.0×
Chemo IV push addl drug (96411) $76 $535 1.0×
Chemother Prolong Infuse W/Pump (96416) $352 $1,783 1.0×
Chemotherapy Into Cns (96450) $352 $560 1.0×
Chemotherapy Unspecified (96549) $49 $231 1.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $76 $906 1.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $352 $1,659 1.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $352 $895 1.0×
Chest Wall Manipulation (94668) $141 $205 1.0×
Color/duplex Doppler, complete (93975) $254 $3,081 1.0×
Color/duplex Doppler, limited (93976) $111 $1,585 1.0×
Cont gluc mntr physician/qhp provided equiptment (95250) $141 $470 1.0×
Cont Gluc Mntr Pt Prov Eqp (95249) $62 $220 1.0×
Continuous Pulse Ox (94762) $137 $1,236 1.0×
Coronary Art/Grft Angio S&I (93455) $3,457 $25,503 1.0×
Coronary Artery Angio S&I (93454) $3,457 $15,904 1.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $233 $631 1.0×
Cpt initial (94667) $141 $232 1.0×
Critical care first hour (99291) $880 $5,389 1.0×
Dialysis One Evaluation (90945) $444 $2,119 1.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $254 $999 1.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $111 $767 1.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $254 $2,113 1.0×
Dup-scan xtr veins unilateral/limited study (93971) $111 $1,924 1.0×
Duplex Scan Hemodialysis Access (93990) $111 $535 1.0×
Duplex up extrem art bilat (93930) $254 $2,802 1.0×
Duplex up extrem art unilat/ltd (93931) $111 $707 1.0×
Echo Heart Xthoracic,Limited (93308) $254 $683 1.0×
Echo transesophageal (93312) $582 $1,930 1.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $582 $4,148 1.0×
Eeg 41-60 Minutes (95812) $230 $833 1.0×
EEG awake and asleep (95819) $230 $763 1.0×
EEG awake drowsy (95816) $230 $569 1.0×
Eeg Sleep Only (95822) $230 $695 1.0×
EKG signal averaged (93278) $62 $242 1.0×
Electrical Stimulation Ea 15 Min (97032) $15 $239 1.0×
Electrocardiogram Tracing (93005) $62 $598 1.0×
Emergency Dept Visit Level 2 (99282) $163 $923 1.0×
Emergency Dept Visit Level 3 (99283) $291 $1,381 1.0×
Emergency Dept Visit Level 4 (99284) $444 $2,598 1.0×
Ep & ablate supravent arrhyt (93653) $27,872 $44,521 1.0×
Ep & ablate ventric tachy (93654) $27,872 $48,974 1.0×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $8,317 $22,400 1.0×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $8,317 $9,192 1.0×
Er level 1 (99281) $89 $473 1.0×
Er level v (99285) $635 $4,023 1.0×
Esophageal Capsule Endoscopy (91111) $967 $5,034 1.0×
Evaluate pt use of inhaler (94664) $233 $362 1.0×
Evaluate Speech Production (92522) $114 $268 1.0×
Evaluate Swallowing Function (92610) $58 $270 0.7×
External ECG rec>48hr<7d recording (93242) $39 $142 1.0×
External ECG rec>48hr<7d scanning alys w/report (93243) $141 $233 1.0×
External ECG rec>7d<15d recording (93246) $39 $233 1.0×
External ECG rec>7d<15d scanning alys w/report (93247) $141 $469 1.0×
External Ecg Scanning Analysis Report (93226) $62 $2,916 1.0×
Extracranial Bilat Study (93880) $254 $931 1.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $915 $3,625 1.0×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $731 $4,796 1.0×
Holter monitor recording (93225) $141 $1,715 1.0×
Immunization administration (90471) $76 $90 1.0×
Irrig Drug Delivery Device (96523) $62 $561 1.0×
IV infusion hydration each additional hour (96361) $49 $449 1.0×
IV infusion hydration initial 31 min-1 hour (96360) $226 $814 1.0×
IV infusion ther proph addl sequential to 1 hr (96367) $76 $510 1.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $49 $310 1.0×
IV push initial (96374) $226 $488 1.0×
L Hrt Art/Grft Angio (93459) $3,457 $28,477 1.0×
Mechanical chest wall oscillation per session (94669) $233 $603 1.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $22 $105 0.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $26 $175 0.7×
Motion Fluoroscopy/Swallow (92611) $94 $410 1.0×
Multiple Sleep Latency Test (95805) $915 $7,372 1.0×
Muscle Test 2 Limbs (95861) $141 $294 1.0×
Nasopharyngoscopy (92511) $212 $253 1.0×
Nerve Conduction Studies 3-4 Studies (95908) $230 $738 1.0×
Nerve conduction studies 5-6 studies (95909) $230 $917 1.0×
Nerve conduction studies 7-8 studies (95910) $397 $1,207 1.0×
Nerve Conduction Studies 9-10 Studies (95911) $397 $1,394 1.0×
Neuromuscular Reeducation (97112) $33 $125 1.0×
Oral Function Therapy (92526) $85 $187 1.0×
Ot eval high complexity (97167) $101 $450 1.0×
Ot Eval Low Complex (97165) $101 $374 1.0×
Ot Eval Moderate Complexity (97166) $101 $410 1.0×
Ot manual therapy 15 min (97140) $28 $283 1.0×
Ot Re-Eval Est Plan Care (97168) $69 $213 1.0×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $6,069 $15,390 1.0×
Phlebotomy therapeutic (99195) $141 $738 1.0×
Physical Performance Test (97750) $34 $118 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $915 $9,439 1.0×
Prq Card Stent W/Angio 1 Vsl (92928)
range across 2 matching MRF lines		 $12,310 $43,760–$56,703 1.0×
Psych diag eval w/med srvcs (90792) $189 $296 1.0×
Psychiatric diagnostic evaluation (90791) $189 $463 1.0×
Psytx Crisis Initial 60 Min (90839) $189 $604 1.0×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $38 $178 1.0×
Pt Eval High Complex (97163) $98 $441 1.0×
Pt eval low complex 20 min (97161) $98 $365 1.0×
Pt Eval Mod Complex (97162) $98 $402 1.0×
Pt gait training 15 min (97116) $29 $221 1.0×
Pt Re-Eval Est Plan Care (97164) $68 $200 1.0×
Pulm function test by gas (94727) $230 $645 1.0×
Pulmonary service/procedure (94799) $137 $318 1.0×
Pulmonary Stress Testing (94618) $141 $686 1.0×
Refill/Maint Portable Pump (96521) $226 $1,023 1.0×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $123 $574 1.0×
Self Care Mngment Training (97535) $33 $100 1.0×
Sensory Integration Ea 15 Min (97533) $61 $183 1.0×
Sleep study unattended (95806) $230 $586 1.0×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $230 $544 1.0×
Somatosensory Testing (95938) $915 $1,221 1.0×
Speech sound lang comprehen (92523)
range across 3 matching MRF lines		 $228 $329–$2,105 1.0×
Spirometry (94010) $230 $863 1.0×
Stress Tte Only (93350) $582 $3,770 1.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $20 $103 0.9×
Ther Ivntj Ea Addl 15 Min (97130) $18 $99 0.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $37 $256 1.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $30 $144 1.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $103 $303 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $76 $156 1.0×
Ther/Proph/Diag Iv Inf Init (96365) $226 $1,145 1.0×
Therapeutic Activities (97530) $35 $246 1.0×
Tte w/doppler, complete (93306) $582 $4,786 1.0×
Tx atrial fib pulm vein isol (93656) $27,872 $47,058 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 4 matching MRF lines		 $77 $272–$322 1.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $49 $268 1.0×
Unlisted cardiovascular service/procedure (93799) $137 $782 1.0×
Upr/L Xtremity Art 2 Levels (93922) $141 $393 1.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $230 $1,702 1.0×
Vent Mgmt Inpat Init Day (94002) $658 $2,727 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $658 $2,474 1.0×
Vital capacity, total (94150) $137 $265 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $31 $90 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.