Visits & medical services prices at Sarah Bush Lincoln Fayette County Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Reflex Testing (92568) $174 $174 4.3×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$64.50–$229 $64.50–$229 varies
Analyze Neurostim Simple (95971) $199.50 $199.50 2.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $201 $201 14.0×
Assessment of aphasia per hr (96105) $438 $438 4.5×
Audiometry Air & Bone (92553) $280 $280 2.0×
Behavral qualit analys voice (92524) $334 $334 3.0×
Brief Emotional/Behav Assmt (96127) $15.50 $15.50 0.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $685 $685 1.7×
Canalith repositioning proc (95992) $201 $201 4.9×
Cardiac Stress Tst,Tracing Only (93017) $1,624 $1,624 7.0×
Cardiopulmonary exercise testing (94621) $1,685 $1,685 4.2×
Cardiopulmonary resuscitation (92950) $1,315 $1,315 5.7×
Cardioversion (92960)
range across 2 matching MRF lines
$701.50–$2,419 $701.50–$2,419 varies
Care mgmt services behavioral hlth cond 20 mins (99484) $140 $140 3.5×
Caregiver hlth risk assmt score doc stnd instrm (96161) $18 $18 0.4×
Cbt 1st hour (94644) $362 $362 2.5×
Chest Wall Manipulation (94668) $182 $182 1.3×
Chron Care Mgmt Srvc 20 Min (99490) $254.50 $254.50 2.3×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$484–$2,105 $484–$2,105 varies
Community/Work Reintegration Trainj Ea 15 Min (97537) $152 $152 4.7×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $267 $267 1.4×
Comprehensive Hearing Test (92557)
range across 2 matching MRF lines
$94–$489 $94–$489 varies
Conditioning Play Audiometry (92582) $208 $208 1.5×
Cont gluc mntr physician/qhp provided equiptment (95250) $510 $510 3.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $654 $654 2.8×
Cpt initial (94667) $211 $211 1.5×
Critical care first hour (99291)
range across 3 matching MRF lines
$729–$4,058 $729–$4,058 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$103.50–$753 $103.50–$753 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978)
range across 2 matching MRF lines
$250–$1,525 $250–$1,525 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$214–$2,006 $214–$2,006 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$131–$1,276 $131–$1,276 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$186–$1,899 $186–$1,899 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$123–$1,458 $123–$1,458 varies
Duplex up extrem art bilat (93930)
range across 2 matching MRF lines
$218–$1,653 $218–$1,653 varies
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$133–$1,161 $133–$1,161 varies
Echo Heart Xthoracic,Limited (93308) $1,333 $1,333 5.2×
Electrical Stimulation Ea 15 Min (97032) $193 $193 13.1×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$375–$391 $375–$391 varies
Emergency Dept Visit Level 2 (99282) $334 $334 2.0×
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$215–$524.50 $215–$524.50 varies
Emergency Dept Visit Level 4 (99284) $740.50 $740.50 1.7×
Er level 1 (99281) $255 $255 2.8×
Er level v (99285) $800 $800 1.3×
Evaluate Speech Production (92522) $358 $358 3.2×
Evaluate Swallowing Function (92610) $361 $361 4.3×
Evaluation of speech fluency (92521) $476 $476 3.6×
External ECG rec>48hr<7d recording (93242) $173 $173 4.3×
External ECG rec>48hr<7d scanning alys w/report (93243) $349 $349 2.4×
External ECG rec>7d<15d recording (93246) $173 $173 4.3×
External ECG rec>7d<15d scanning alys w/report (93247) $349 $349 2.4×
External Ecg Scanning Analysis Report (93226) $1,203 $1,203 19.0×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$217–$1,630 $217–$1,630 varies
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,638 $1,638 1.8×
Holter monitor recording (93225) $905 $905 6.3×
Im Adm Intransl/Oral 1 Vaccine (90473) $124.50 $124.50 1.6×
Immunization administration (90471)
range across 2 matching MRF lines
$58–$90 $58–$90 varies
Iontophoresis 15 min (97033) $222 $222 11.7×
Irrig Drug Delivery Device (96523) $291 $291 4.6×
IV infusion hydration each additional hour (96361) $266 $266 5.3×
IV infusion hydration initial 31 min-1 hour (96360) $648 $648 2.8×
IV infusion ther proph addl sequential to 1 hr (96367) $400 $400 5.2×
IV infusion therapy prophylaxis/dx ea hour (96366) $331 $331 6.6×
IV push initial (96374) $525 $525 2.3×
Liver Elastography W/O Imag W/I&R (91200)
range across 2 matching MRF lines
$60–$455 $60–$455 varies
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $51 $51 1.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $93 $93 2.5×
Motion Fluoroscopy/Swallow (92611) $397 $397 4.3×
Multiple Sleep Latency Test (95805)
range across 2 matching MRF lines
$400–$4,694 $400–$4,694 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$117–$726 $117–$726 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$131.50–$994 $131.50–$994 varies
Neurobehavioral Status Exam (96116) $592 $592 2.6×
Neuromuscular Reeducation (97112) $252 $252 7.7×
Nonphysician Telephone Assessment 11-20 Min (98967) $190.50 $190.50 7.6×
Nonphysician Telephone Assessment 21-30 Min (98968) $380.50 $380.50 11.0×
Nonphysician Telephone Assessment 5-10 Min (98966) $127 $127 9.3×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $242 $242 1.7×
Oral Function Therapy (92526) $348 $348 4.1×
Oral Speech Device Eval (92597) $437 $437 6.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $118 $118 2.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $224 $224 4.9×
Ot eval high complexity (97167) $500 $500 5.0×
Ot Eval Low Complex (97165) $438 $438 4.4×
Ot Eval Moderate Complexity (97166) $469 $469 4.7×
Ot manual therapy 15 min (97140) $208 $208 7.5×
Ot paraffin bath (97018) $138 $138 23.0×
Ot Prosthetic Training, Each 15 Min (97761) $145 $145 3.6×
Ot Re-Eval Est Plan Care (97168) $291 $291 4.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $340 $340 2.5×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $278 $278 2.0×
Patient-initiated spirometric phys/qhp r&i only (94016) $44.90 $44.90 1.8×
Phlebotomy therapeutic (99195) $353 $353 2.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $275 $275 4.3×
Physical Performance Test (97750) $154 $154 4.6×
Plethysmography (94726) $669 $669 1.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$1,366–$7,223 $1,366–$7,223 varies
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $64.50 $64.50 1.3×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $107 $107 2.1×
Psych diag eval w/med srvcs (90792)
range across 3 matching MRF lines
$360–$588 $360–$588 varies
Pt Eval High Complex (97163) $500 $500 5.1×
Pt eval low complex 20 min (97161) $438 $438 4.5×
Pt Eval Mod Complex (97162) $469 $469 4.8×
Pt gait training 15 min (97116) $181 $181 6.2×
Pt mechanical traction (97012) $186 $186 13.0×
Pt Re-Eval Est Plan Care (97164) $290 $290 4.3×
Pulm function test by gas (94727) $480 $480 2.1×
Pulmonary Stress Testing (94618) $414 $414 2.9×
Pure Tone Audiometry Air (92552)
range across 2 matching MRF lines
$42.40–$79.10 $42.40–$79.10 varies
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $226.50 $226.50 0.6×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)
range across 2 matching MRF lines
$175–$250 $175–$250 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$126.50–$509 $126.50–$509 varies
Self Care Mngment Training (97535) $202 $202 6.2×
Sensory Integration Ea 15 Min (97533) $142 $142 2.3×
Sleep study unattended (95806)
range across 2 matching MRF lines
$393–$1,424 $393–$1,424 varies
Speech audiometry threshold (92555) $149 $149 2.4×
Speech sound lang comprehen (92523) $418 $418 1.8×
Spin/Brain Pump Refil & Main (95991) $312.50 $312.50 1.0×
Spirometry (94010)
range across 3 matching MRF lines
$80.50–$199 $80.50–$199 varies
Stenger Test Speech (92577) $555 $555 1.4×
Stenger Test, Pure Tone (92565) $189 $189 3.0×
Temp transcutaneous pacing (92953) $1,366 $1,366 1.9×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $158 $158 7.1×
Ther Ivntj Ea Addl 15 Min (97130) $116 $116 5.5×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$53.50–$237 $53.50–$237 varies
Ther/Proph/Diag Iv Inf Init (96365) $697 $697 3.1×
Therapeutic Activities (97530) $201 $201 5.7×
Tobacco Use Cessation Intensive >10 Minutes (99407) $98.50 $98.50 2.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $72.50 $72.50 1.8×
Trans Care Mgmt 14 Day Disch (99495) $331 $331 2.3×
Trans Care Mgmt 7 Day Disch (99496) $416 $416 2.9×
Tte w/doppler, complete (93306)
range across 3 matching MRF lines
$398–$3,492 $398–$3,492 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $255 $255 3.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $369 $369 7.4×
Tympanometry (92567)
range across 2 matching MRF lines
$36–$185 $36–$185 varies
Tympanometry and reflex threshold measurements (92550) $338 $338 1.5×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$69–$856 $69–$856 varies
Vasopneumatic device (97016) $175 $175 14.6×
Vent Mgmt Inpat Init Day (94002) $1,442 $1,442 2.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $906 $906 1.4×
Visual reinforcement audiometry (vra) (92579)
range across 2 matching MRF lines
$109–$280 $109–$280 varies
Vital capacity, total (94150) $156 $156 1.1×
Wheelchair Mgmt Ea 15 Min (97542) $148 $148 4.8×
Whirlpool Therapy (97022) $219 $219 13.9×

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.