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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ProcedureCash priceGross charge× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $701.88 $701.88 5.4×
Airway inhalation treatment (94640) $227.25 $227.25 1.0×
Anorectal manometry (91125) $1,797.93 $1,797.93 4.8×
Application of heat wave therapy (97024) $29.60 $29.60 4.0×
Assessment of aphasia (96105) $361.90 $361.90 3.7×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $176.50 $176.50 4.7×
Auditory Function, 60 Min (92620) $701.88 $701.88 5.4×
Behavioral and qualitative analysis of voice and resonance (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 (95992) $127.60 $127.60 3.1×
Caregiver training 1st 30 min (97550) $165 $165 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 prolong 8+ hrs infuse w/pump (96416) $1,521.76 $1,521.76 4.6×
Chemother, IV infusion, 1 hr (96413) $1,521.76 $1,521.76 4.6×
Chemother, IV infusion, ea add hr (96415) $316.54 $316.54 4.4×
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×
Compre cptr mtn alys video taping 3d kinematics (96000) $2,408.37 $2,408.37 6.4×
Compre cptr mtn alys w/dyn plntr pres meas walkg (96001) $4,697.98 $4,697.98 5.5×
Comprehensive Hearing Test (92557) $701.88 $701.88 5.4×
Conditioning Play Audiometry (92582) $701.88 $701.88 5.4×
Cpap initiation and management (94660) $528.10 $528.10 2.4×
Cpt initial (94667) $181.60 $181.60 1.4×
Debridement Open Wound 20 Sq Cm< (97597) $875.60 $875.60 4.4×
Demo &/or eval,pt use,aerosol device (94664) $151.50 $151.50 0.7×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $858.70 $858.70 3.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $538.70 $538.70 5.1×
Dup-scan xtr veins unilateral/limited study (93971) $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,walking/func act,1-12 mus (96002) $1,410.37 $1,410.37 6.5×
Ear and throat examination (92502) $2,401.62 $2,401.62 4.4×
EKG (93005) $147.10 $147.10 2.5×
EMG cranial nerve bilat (95868) $141.60 $141.60 0.7×
EMG cranial nerve unilat (95867) $661.60 $661.60 3.1×
EMG four extremities (95864) $141.60 $141.60 1.1×
EMG one extremity (95860) $573.98 $573.98 4.3×
EMG thoracic paraspinal (95869) $141.60 $141.60 0.7×
EMG three extremities (95863) $678.10 $678.10 5.3×
EMG two extremities (95861) $520.70 $520.70 3.9×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $546.60 $546.60 7.7×
Evaluation of speech fluency (92521) $294.10 $294.10 2.2×
Evaluation of speech sound production (92522) $238.70 $238.70 2.1×
Evaluation of swallowing function (92610) $575.70 $575.70 6.8×
Evaluation with prescription of speech-generating alternative (92607) $827.60 $827.60 6.8×
Evoked Auditory Test,Comprehsv (92588) $1,410.37 $1,410.37 3.8×
Evoked auditory test,limited (92587) $1,410.37 $1,410.37 6.5×
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×
Flow volume loop (94375) $277.30 $277.30 1.3×
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×
Hydrotherapy (97036) $133.30 $133.30 3.8×
Injection intra arterial (96373) $963.10 $963.10 4.5×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $193.90 $193.90 2.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $702.10 $702.10 3.3×
IV infusion, therap/proph/diagnost,initial,ea add 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×
Laryngoscopic Sensory Test (92614) $229.90 $229.90 1.5×
Low frequency non-thermal us (97610) $899.58 $899.58 4.5×
Manual therapy 15 min (97140) $139.20 $139.20 5.0×
Massage 15 min (97124) $181.35 $181.35 6.1×
Maximum voluntary ventilation (94200) $217.30 $217.30 3.7×
Mechanical traction (97012) $77.50 $77.50 5.4×
Motility study esophagus (91010) $2,502.31 $2,502.31 6.7×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $530.70 $530.70 5.8×
Nasopharyngoscopy (92511) $602.32 $602.32 3.0×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $573.98 $573.98 4.3×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $141.60 $141.60 0.7×
Neg press wnd tx </=50 sq cm (97607) $1,775.55 $1,775.55 4.4×
Neg press wound tx >50 cm (97608) $1,676.60 $1,676.60 4.1×
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 3-4 Studies (95908) $1,410.37 $1,410.37 6.5×
Nerve Conduction Studies 9-10 Studies (95911) $2,408.37 $2,408.37 6.4×
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; 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×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $367.50 $367.50 2.9×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $317.20 $317.20 0.8×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $266.10 $266.10 5.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $139.60 $139.60 4.4×
Ot Contrast Bath Ea 15 Min (97034) $75.90 $75.90 5.4×
Ot eval high complex 60 min (97167) $471.20 $471.20 4.7×
Ot eval low complex 30 min (97165) $241.60 $241.60 2.4×
Ot eval mod complex 45 min (97166) $362.20 $362.20 3.6×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $114.20 $114.20 2.3×
Ot Prosthetic Training, Each 15 Min (97761) $232.50 $232.50 5.8×
Ot Range Motion Measure,Each Extrem (95851) $97.20 $97.20 3.7×
Ot re-eval est plan care (97168) $289.90 $289.90 4.2×
Paraffin bath (97018) $42.10 $42.10 7.0×
Plethysmography (94726) $306.60 $306.60 0.8×
Pt Aquatic Therapy/Exercises (97113) $177.20 $177.20 4.8×
Pt Electric Current Therapy (97033) $125.20 $125.20 6.6×
Pt Electrical Stimulation (97032) $87.90 $87.90 6.0×
Pt eval high complex 45 min (97163) $416.90 $416.90 4.3×
Pt eval low complex 20 min (97161) $189.90 $189.90 1.9×
Pt Gait Training Therapy (97116) $129.40 $129.40 4.5×
Pt Infrared Therapy (97026) $27.60 $27.60 4.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $155.90 $155.90 4.8×
Pt Physical Performance Test (97750) $216.40 $216.40 6.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $285 $285 2.9×
Pt re-evaluation (97164) $232.40 $232.40 3.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $160.20 $160.20 4.9×
Pt Ultrasound Therapy (97035) $61.40 $61.40 4.3×
Pt Whirlpool Therapy (97022) $90.70 $90.70 5.8×
Pulm Funct Test Oscillometry (94728) $277.30 $277.30 2.2×
Pulm function test by gas (94727) $284.20 $284.20 1.3×
Pure Tone Audiometry Air & Bone (92553) $701.88 $701.88 5.4×
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×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $1,330.86 $1,330.86 4.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $605.99 $605.99 3.0×
Rom meas&reprt hand w/wo comparison normal sid (95852) $78.70 $78.70 3.7×
Rt Chest Wall Manipulation,Subsequent (94668) $151.50 $151.50 1.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $176 $176 3.7×
Sensory Integration Ea 15 Min (97533) $133.70 $133.70 2.2×
Speech Audiometry Threshold (92555) $274.85 $274.85 4.7×
Speech Audiometry, Complete (92556) $274.85 $274.85 4.7×
Speech group therapy (92508) $160.30 $160.30 6.7×
Speech sound lang comprehen (92523) $496.10 $496.10 2.2×
Spirometry (94010) $317.20 $317.20 1.5×
Standardized Cognitive Performance Testing (96125) $389.30 $389.30 3.8×
Stenger Test, Pure Tone (92565) $274.85 $274.85 4.7×
Stenger Test, Speech (92577) $2,408.37 $2,408.37 6.4×
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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $126.40 $126.40 6.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $440.30 $440.30 4.3×
Ther/Proph/Diag Inj Sc/Im (96372) $207 $207 2.9×
Therapeutic Activities (97530) $158.30 $158.30 4.5×
Tinnitus assessment (92625) $701.88 $701.88 5.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $360.80 $360.80 4.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $451.20 $451.20 5.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $193.90 $193.90 4.1×
Tympanometry (92567) $180.20 $180.20 4.8×
Ultraviolet Therapy (97028) $35.70 $35.70 4.3×
Vasc Duplex Extrem Venous,Bilat (93970) $858.70 $858.70 3.6×
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) $382.25 $382.25 12.3×