Visits & medical services prices at Shriners Children’s St. Louis

St. Louis, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $701.88 $701.88 5.4×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$151.50–$303 $151.50–$303 varies
Airway resistance by oscillometry (94728) $277.30 $277.30 2.2×
Anrct mano rct sensation&rct balo expulsion test (91125) $1,797.93 $1,797.93 4.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $61.40 $61.40 4.3×
Application Modality 1/> Areas Diathermy (97024) $29.60 $29.60 4.0×
Application Modality 1/> Areas Infrared (97026) $27.60 $27.60 4.1×
Assessment of aphasia per hr (96105) $361.90 $361.90 3.7×
Assessment of tinnitus (92625) $701.88 $701.88 5.4×
Audiometry Air & Bone (92553) $701.88 $701.88 5.4×
Auditory Function, 60 Min (92620) $701.88 $701.88 5.4×
Behavral qualit analys voice (92524) $250.90 $250.90 2.3×
Biofeedback training any modality (90901) $66.30 $66.30 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $528.10 $528.10 1.4×
Canalith repositioning proc (95992) $127.60 $127.60 3.1×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $82 $82 3.1×
Cbt 1st hour (94644) $573.98 $573.98 4.3×
Chemo IV infusion addl hr (96415) $316.54 $316.54 4.4×
Chemother Prolong Infuse W/Pump (96416) $1,521.76 $1,521.76 4.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,521.76 $1,521.76 4.6×
Chest Wall Manipulation (94668) $151.50 $151.50 1.1×
Colon Motility 6 Hr Study (91117) $1,468.56 $1,468.56 6.8×
Color/duplex Doppler, complete (93975) $1,205.40 $1,205.40 5.0×
Color/duplex Doppler, limited (93976) $649.30 $649.30 6.2×
Community/Work Reintegration Trainj Ea 15 Min (97537) $139.60 $139.60 4.4×
Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) $4,697.98 $4,697.98 5.5×
Comprehensive computer-based motion analysis by video-taping and 3D kinematics; Facility (96000) $2,408.37 $2,408.37 6.4×
Comprehensive Hearing Test (92557) $701.88 $701.88 5.4×
Conditioning Play Audiometry (92582) $701.88 $701.88 5.4×
Continuous Pulse Ox (94762) $367.50 $367.50 2.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $528.10 $528.10 2.4×
Cpt initial (94667) $181.60 $181.60 1.4×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$851.62–$899.58 $851.62–$899.58 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $1,410.37 $1,410.37 3.8×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $858.70 $858.70 3.6×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $538.70 $538.70 5.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $858.70 $858.70 3.6×
Dup-scan xtr veins unilateral/limited study (93971) $538.70 $538.70 5.1×
Duplex up extrem art bilat (93930) $858.70 $858.70 3.6×
Duplex up extrem art unilat/ltd (93931) $538.70 $538.70 5.1×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $737.87 $737.87 5.7×
Dyn surf EMG walkg/funcjal actv 1-12 musc (96002) $1,410.37 $1,410.37 6.5×
Ear and throat examination (92502) $2,401.62 $2,401.62 4.4×
Electrical Stimulation Ea 15 Min (97032)
range across 3 matching MRF lines
$85.80–$87.90 $85.80–$87.90 varies
Electrocardiogram Tracing (93005) $147.10 $147.10 2.5×
Emg 3 Extremities (95863) $678.10 $678.10 5.3×
Emg 4 Extremities (95864) $141.60 $141.60 1.1×
Evaluate pt use of inhaler (94664) $151.50 $151.50 0.7×
Evaluate Speech Production (92522) $238.70 $238.70 2.1×
Evaluate Swallowing Function (92610) $575.70 $575.70 6.8×
Evaluation of speech fluency (92521) $294.10 $294.10 2.2×
Evoked Auditory Test,Limited (92587) $1,410.37 $1,410.37 6.5×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $229.90 $229.90 1.5×
Flexible endoscopic eval swallow c/v rec (92612) $234.50 $234.50 1.2×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $345.30 $345.30 1.5×
Gastric motility studies (91020) $2,502.31 $2,502.31 6.7×
Gi wireless capsule measure (91112) $4,421.53 $4,421.53 4.9×
Group Therapeutic Procedures (97150) $96.30 $96.30 5.3×
Hubbard tank 15 min (97036) $133.30 $133.30 3.8×
Iontophoresis 15 min (97033) $125.20 $125.20 6.6×
Irrig Drug Delivery Device (96523) $274.85 $274.85 4.7×
IV infusion hydration each additional hour (96361) $138.80 $138.80 3.0×
IV infusion hydration initial 31 min-1 hour (96360) $387.40 $387.40 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $193.90 $193.90 2.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $138.80 $138.80 3.0×
IV push initial (96374) $193.90 $193.90 0.9×
Laryngeal Function Studies (92520) $573.98 $573.98 4.3×
Low frequency non-thermal us (97610) $899.58 $899.58 4.5×
Lung Function Test (Mbc/Mvv) (94200) $217.30 $217.30 3.7×
Motility study esophagus (91010) $2,502.31 $2,502.31 6.7×
Motion Fluoroscopy/Swallow (92611) $530.70 $530.70 5.8×
Muscle Test 2 Limbs (95861) $520.70 $520.70 3.9×
Muscle Test Nonparaspinal (95870) $573.98 $573.98 4.3×
Muscle Test One Limb (95860) $573.98 $573.98 4.3×
Nasopharyngoscopy (92511)
range across 2 matching MRF lines
$314.60–$890.05 $314.60–$890.05 varies
Needle Electromyography Cranial Nrv Muscle Bi (95868) $141.60 $141.60 0.7×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $661.60 $661.60 3.1×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $141.60 $141.60 0.7×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $141.60 $141.60 0.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607)
range across 2 matching MRF lines
$1,759.40–$1,791.70 $1,759.40–$1,791.70 varies
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 2 matching MRF lines
$1,561.50–$1,791.70 $1,561.50–$1,791.70 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $1,759.40 $1,759.40 8.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,791.70 $1,791.70 4.4×
Nerve Conduction Studies 1-2 Studies (95907) $701.88 $701.88 3.2×
Nerve Conduction Studies 11-12 Studies (95912) $2,408.37 $2,408.37 6.4×
Nerve Conduction Studies 3-4 Studies (95908) $1,410.37 $1,410.37 6.5×
Nerve conduction studies 5-6 studies (95909) $1,410.37 $1,410.37 6.5×
Nerve conduction studies 7-8 studies (95910) $1,410.37 $1,410.37 3.8×
Nerve Conduction Studies 9-10 Studies (95911) $2,408.37 $2,408.37 6.4×
Neuromuscular Reeducation (97112)
range across 3 matching MRF lines
$155.90–$311.80 $155.90–$311.80 varies
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $317.20 $317.20 0.8×
Oral Function Therapy (92526) $451.20 $451.20 5.4×
Oral Speech Device Eval (92597) $546.60 $546.60 7.7×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 3 matching MRF lines
$114.20–$228.40 $114.20–$228.40 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$177.40–$354.80 $177.40–$354.80 varies
Ot Contrast Bath Ea 15 Min (97034) $75.90 $75.90 5.4×
Ot eval high complexity (97167) $471.20 $471.20 4.7×
Ot Eval Low Complex (97165) $241.60 $241.60 2.4×
Ot Eval Moderate Complexity (97166) $362.20 $362.20 3.6×
Ot manual therapy 15 min (97140)
range across 3 matching MRF lines
$135.80–$139.20 $135.80–$139.20 varies
Ot paraffin bath (97018) $42.10 $42.10 7.0×
Ot Prosthetic Training, Each 15 Min (97761)
range across 4 matching MRF lines
$155–$620 $155–$620 varies
Ot Re-Eval Est Plan Care (97168) $289.90 $289.90 4.2×
Ot rom hand (95852) $78.70 $78.70 3.7×
Physical Performance Test (97750) $216.40 $216.40 6.4×
Plethysmography (94726) $306.60 $306.60 0.8×
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $176.50 $176.50 4.7×
Pt Eval High Complex (97163) $416.90 $416.90 4.3×
Pt eval low complex 20 min (97161) $189.90 $189.90 1.9×
Pt Eval Mod Complex (97162) $285 $285 2.9×
Pt gait training 15 min (97116)
range across 2 matching MRF lines
$127.80–$131 $127.80–$131 varies
Pt mechanical traction (97012) $77.50 $77.50 5.4×
Pt Re-Eval Est Plan Care (97164) $232.40 $232.40 3.4×
Pt ultraviolet (97028) $35.70 $35.70 4.3×
Pulm function test by gas (94727) $284.20 $284.20 1.3×
Pure Tone Audiometry Air (92552) $573.98 $573.98 4.3×
Rectal sensation tone&compliance study (91124) $1,040.35 $1,040.35 4.8×
Respiratory flow volume loop (94375) $277.30 $277.30 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$312.40–$899.58 $312.40–$899.58 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $97.20 $97.20 3.7×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $827.60 $827.60 6.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $176 $176 3.7×
Self Care Mngment Training (97535)
range across 3 matching MRF lines
$160.20–$640.80 $160.20–$640.80 varies
Sensory Integration Ea 15 Min (97533) $133.70 $133.70 2.2×
Slp caregiver training 1st 30 min (97550) $165 $165 3.1×
Speech Audiometry Complete (92556) $274.85 $274.85 4.7×
Speech audiometry threshold (92555) $274.85 $274.85 4.7×
Speech sound lang comprehen (92523) $496.10 $496.10 2.2×
Spin/Brain Pump Refil & Main (95991) $1,330.86 $1,330.86 4.3×
Spirometry (94010) $317.20 $317.20 1.5×
Standardized Cognitive Performance Testing (96125) $389.30 $389.30 3.8×
Stenger Test Speech (92577) $2,408.37 $2,408.37 6.4×
Stenger Test, Pure Tone (92565) $274.85 $274.85 4.7×
Surfactant Admin Thru Tube (94610) $277.30 $277.30 1.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $130.20 $130.20 5.8×
Ther Ivntj Ea Addl 15 Min (97130) $126.40 $126.40 6.0×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $177.20 $177.20 4.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 2 matching MRF lines
$120.90–$241.80 $120.90–$241.80 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $440.30 $440.30 4.3×
Ther/Proph/Diag Inj Ia (96373) $963.10 $963.10 4.5×
Ther/Proph/Diag Inj Sc/Im (96372) $207 $207 2.9×
Ther/Proph/Diag Iv Inf Init (96365) $702.10 $702.10 3.3×
Therapeutic Activities (97530)
range across 3 matching MRF lines
$158.30–$633.20 $158.30–$633.20 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $360.80 $360.80 4.7×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $160.30 $160.30 6.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $193.90 $193.90 4.1×
Tympanometry (92567) $180.20 $180.20 4.8×
Vasopneumatic device (97016) $80.30 $80.30 6.7×
Visual reinforcement audiometry (vra) (92579) $701.88 $701.88 3.2×
Vital capacity, total (94150) $222.70 $222.70 1.7×
Wheelchair Mgmt Ea 15 Min (97542)
range across 4 matching MRF lines
$152.90–$1,223.20 $152.90–$1,223.20 varies
Whirlpool Therapy (97022) $90.70 $90.70 5.8×

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.