Visits & medical services prices at South Shore Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Actinotherapy Ultraviolet Light (96900) $127.10 $181.57 3.2×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines
$28–$29.50 $40–$42.14 varies
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$98–$121.37 $140–$173.38 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $85.32 $121.89 5.9×
Brief Emotional/Behav Assmt (96127) $27.08 $38.69 0.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$539.27–$640.97 $770.38–$915.67 varies
Canalith repositioning proc (95992) $150.85 $215.50 3.7×
Cardiac Stress Tst,Tracing Only (93017) $950.44 $1,357.77 4.1×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$901.31–$940.57 $1,287.59–$1,343.67 varies
Cardioversion (92960)
range across 2 matching MRF lines
$1,491.97–$1,816.92 $2,131.38–$2,595.60 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $14,324.47 $20,463.53 4.1×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $11,680.05 $16,685.79 3.4×
Cbt 1st hour (94644)
range across 2 matching MRF lines
$250.03–$263.61 $357.18–$376.59 varies
Chest Wall Manipulation (94668) $86.52 $123.60 0.6×
Color/duplex Doppler, complete (93975) $1,161.55 $1,659.36 4.5×
Comprehensive Hearing Test (92557)
range across 2 matching MRF lines
$63.46–$260.50 $90.66–$372.14 varies
Computerized Ophthalmic Imaging Optic Nerve (92133) $70.19 $100.27 1.1×
Computerized Ophthalmic Imaging Retina (92134) $81.32 $116.17 1.3×
Contact Lens Fit,Corneoscleral Lens (92313) $94.77 $135.39 0.7×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$253.40–$320.85 $362–$458.35 varies
Corneal Topography (92025) $63.32 $90.46 1.0×
Coronary Artery Angio S&I (93454) $7,842.50 $11,203.57 2.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $565.50 $807.85 2.4×
Cpt initial (94667) $144.20 $206 1.0×
Critical care first hour (99291) $2,605.97 $3,722.82 2.9×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$60.20–$349.83 $86–$499.76 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $127.78 $182.54 0.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,267.95 $1,811.36 5.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,198.20 $1,711.71 4.7×
Dup-scan xtr veins unilateral/limited study (93971) $861.18 $1,230.26 7.7×
Duplex Scan Hemodialysis Access (93990) $728.70 $1,041 6.5×
Duplex up extrem art bilat (93930) $940.10 $1,343 3.7×
Duplex up extrem art unilat/ltd (93931) $750.63 $1,072.33 6.7×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $226.18 $323.12 1.6×
Echo Heart Xthoracic,Limited (93308) $718.75 $1,026.78 2.8×
Echo r-t 2d w/probe placement only (93313) $865.92 $1,237.03 1.5×
Echo transesophageal (93312) $1,857.99 $2,654.27 3.2×
Eeg 41-60 Minutes (95812) $1,170.05 $1,671.50 5.1×
EEG awake and asleep (95819) $837.38 $1,196.25 3.6×
EEG awake drowsy (95816) $839.10 $1,198.71 3.6×
EEG cont rec w/video by tech min 8 channels (95700) $3,086.25 $4,408.93 13.3×
EEG extended monitoring 61-119 minutes (95813) $862.06 $1,231.51 3.7×
Electrical Stimulation Ea 15 Min (97032) $106.05 $151.50 7.2×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$26.60–$247 $38–$352.86 varies
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$439.35–$439.60 $627.64–$628 varies
Emergency Dept Visit Level 3 (99283) $801.50 $1,145 2.7×
Emergency Dept Visit Level 4 (99284) $1,318.10 $1,883 2.9×
Ep & ablate supravent arrhyt (93653) $26,379.19 $37,684.55 0.9×
Er level 1 (99281)
range across 2 matching MRF lines
$272.58–$273 $389.40–$390 varies
Er level v (99285) $1,958.57 $2,797.96 3.1×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $155.06 $221.52 1.1×
Evaluate pt use of inhaler (94664) $62.47 $89.24 0.3×
Evaluate Speech Production (92522) $365.40 $522 3.3×
Evaluate Swallowing Function (92610) $330.94 $472.77 3.9×
Evoked Auditory Test,Limited (92587) $131.33 $187.62 0.6×
External Ecg Scanning Analysis Report (93226) $632.17 $903.10 10.0×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$1,082.90–$1,083.49 $1,547–$1,547.84 varies
Fluorescein angiography (92235) $375.36 $536.23 1.6×
Fundus photography (92250) $163.58 $233.69 1.1×
Gonioscopy (92020) $75.44 $107.77 0.5×
Group Therapeutic Procedures (97150) $113.40 $162 6.3×
Health Behavior Assessment/Re-Assessment (96156) $60.21 $86.01 0.6×
Health behavior ivntj indiv f2f 1st 30 min (96158) $107.68 $153.83 0.6×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 2 matching MRF lines
$119.70–$1,467.96 $171–$2,097.08 varies
Holter monitor recording (93225)
range across 2 matching MRF lines
$607.82–$669.09 $868.31–$955.84 varies
Hubbard tank 15 min (97036) $89.40 $127.72 2.6×
Icd device progr eval dual (93283) $455.93 $651.33 11.4×
Icd Device Progr Eval Mult (93284) $456.40 $652 11.4×
Intracutaneous tests w/allergenic extracts (95024) $45.51 $65.01 0.7×
Io ga n-stim subsq w/reprog (95982) $231.10 $330.14 5.8×
Irrig Drug Delivery Device (96523) $164.85 $235.50 2.6×
IV infusion hydration each additional hour (96361) $197.10 $281.57 3.9×
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$17.50–$534.63 $25–$763.76 varies
IV infusion ther proph addl sequential to 1 hr (96367) $268.58 $383.69 3.5×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$14.70–$251.35 $21–$359.07 varies
IV push initial (96374) $16.80 $24 0.1×
Low frequency non-thermal us (97610) $229.47 $327.82 1.1×
Lung Function Test (Mbc/Mvv) (94200) $147.70 $211 2.3×
Lwr Xtr Vasc Stdy Bilat (93924) $596.40 $852 2.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $67.94 $97.05 2.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $66.38 $94.83 1.8×
Methacholine challenge (94070) $694.39 $991.98 1.7×
Motion Fluoroscopy/Swallow (92611)
range across 2 matching MRF lines
$402.41–$484.51 $574.87–$692.16 varies
Muscle Test 2 Limbs (95861) $2,230.55 $3,186.50 15.6×
Muscle Test One Limb (95860) $298.49 $426.42 2.1×
Nasopharyngoscopy (92511) $138.99 $198.55 0.6×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $222.79 $318.27 1.0×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $222.79 $318.27 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $160.56 $229.37 0.7×
Nerve Conduction Studies 1-2 Studies (95907) $78.59 $112.27 0.3×
Nerve conduction studies 13 or more studies (95913) $127.90 $182.71 0.3×
Nerve Conduction Studies 3-4 Studies (95908)
range across 2 matching MRF lines
$160.93–$783.40 $229.90–$1,119.14 varies
Nerve conduction studies 5-6 studies (95909) $1,403.56 $2,005.08 6.1×
Nerve conduction studies 7-8 studies (95910) $1,872.59 $2,675.13 4.7×
Nerve Conduction Studies 9-10 Studies (95911) $248.41 $354.87 0.6×
Neurobehavioral Status Exam (96116) $212 $302.85 0.9×
Neuromuscular Reeducation (97112) $100.30 $143.29 3.1×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $200.44 $286.34 0.5×
Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) $109.08 $155.83 0.8×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $74.90 $107 0.5×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $81.89 $116.98 0.6×
Ophth medical xm&eval intermediate estab pt (92012) $86.72 $123.89 0.6×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $60.68 $86.69 1.0×
Oral Function Therapy (92526) $273.63 $390.90 3.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $117.44 $167.77 2.5×
Ot Eval Low Complex (97165) $259.76 $371.08 2.6×
Ot Eval Moderate Complexity (97166) $306.50 $437.86 3.0×
Ot manual therapy 15 min (97140) $108.18 $154.54 3.9×
Ot paraffin bath (97018) $83.64 $119.48 13.9×
Ot Prosthetic Training, Each 15 Min (97761) $229.47 $327.82 5.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $247.54 $353.63 1.8×
Patch/Application Test Specify Number Tests (95044) $33.68 $48.11 0.0×
Patient-initiated spirometric recording (94015) $287.95 $411.35 1.2×
Pdt dstr prmlg les skn illum/activj per day (96567) $247.25 $353.21 1.2×
Percutaneous tests w/allergenic extracts (95004) $45.41 $64.87 0.0×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$62.30–$86.28 $89–$123.25 varies
Physical Performance Test (97750) $110.95 $158.50 3.3×
Plethysmography (94726) $589.31 $841.87 1.5×
Pm device progr eval dual (93280) $291.38 $416.25 7.3×
Pm Device Progr Eval Sngl (93279) $299.36 $427.66 7.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,299.71 $6,142.44 4.7×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $417.90 $597 10.5×
Pt Eval High Complex (97163) $304.38 $434.83 3.1×
Pt eval low complex 20 min (97161) $253.40 $362 2.6×
Pt Eval Mod Complex (97162) $276.56 $395.08 2.8×
Pt gait training 15 min (97116) $131.94 $188.49 4.5×
Pt mechanical traction (97012) $110.31 $157.59 7.7×
Pt Re-Eval Est Plan Care (97164) $164.40 $234.85 2.4×
Pt ultraviolet (97028) $59.84 $85.49 7.2×
Pulmonary service/procedure (94799) $208.37 $297.67 1.5×
Refill/Maint Portable Pump (96521) $425.36 $607.66 1.9×
Remote 30 Day Ecg Rev/Report (93270)
range across 2 matching MRF lines
$424.41–$669.09 $606.30–$955.84 varies
Respiratory flow volume loop (94375) $163.80 $234 0.7×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $240.10 $343 3.8×
Right Heart Cath (93451) $7,352.68 $10,503.83 2.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 4 matching MRF lines
$48.30–$97.38 $69–$139.12 varies
Self Care Mngment Training (97535) $105.11 $150.16 3.2×
Sensormotor xm w/mlt meas ocular devij w/i&r spx (92060) $84.43 $120.62 1.3×
Short-latency somatosens ep std upr limbs (95925) $198.28 $283.25 0.9×
Speech sound lang comprehen (92523) $435.44 $622.06 1.9×
Spirometry (94010) $474.42 $677.74 2.1×
Ssep lower limbs (95926) $160.06 $228.66 0.7×
Stress Tte Only (93350) $2,080.61 $2,972.30 3.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $113.92 $162.74 3.8×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$14.70–$143.12 $21–$204.46 varies
Ther/Proph/Diag Iv Inf Init (96365) $553.02 $790.03 2.4×
Therapeutic Activities (97530)
range across 2 matching MRF lines
$107.02–$113.92 $152.88–$162.74 varies
Tte w/doppler, complete (93306) $1,802.95 $2,575.64 3.1×
Tte W/O Doppler Complete (93307) $1,015.93 $1,451.33 4.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $291.56 $416.52 3.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $16.80 $24 0.3×
Tympanometry (92567) $130.08 $185.83 3.2×
Tympanometry and reflex threshold measurements (92550) $72.70 $103.85 0.3×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$547.20–$610.20 $781.72–$871.72 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$826–$826.62 $1,180–$1,180.88 varies
Vasopneumatic device (97016) $87.33 $124.75 7.3×
Vent Mgmt Inpat Init Day (94002)
range across 2 matching MRF lines
$1,135.68–$1,280.50 $1,622.40–$1,829.28 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 2 matching MRF lines
$423.25–$1,067.80 $604.64–$1,525.43 varies
Visual Field Exam Extended (92083) $213.80 $305.43 1.5×
Visual field xm uni/bi w/interp intermed exam (92082) $114.33 $163.33 1.8×
Vital capacity, total (94150) $139.15 $198.79 1.0×
Whirlpool Therapy (97022) $113.93 $162.75 7.3×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $90.17 $128.82 2.3×

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.