Visits & medical services prices at Sparta Community Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $233.50 $233.50 16.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $972.50 $972.50 2.4×
Cardiac Stress Tst,Tracing Only (93017) $1,616.50 $1,616.50 7.0×
Cardiopulmonary resuscitation (92950) $682.50 $682.50 2.9×
Debridement Open Wound 20 Sq Cm< (97597) $1,323 $1,323 6.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $2,145.25 $2,145.25 19.1×
Echo Heart Xthoracic,Limited (93308) $1,193 $1,193 4.7×
Electrocardiogram Tracing (93005) $390 $390 6.2×
Irrig Drug Delivery Device (96523) $291 $291 4.6×
IV infusion hydration each additional hour (96361) $192.75 $192.75 3.8×
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$337.75–$353.75 $337.75–$353.75 varies
IV infusion ther proph addl sequential to 1 hr (96367) $192.75 $192.75 2.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $192.75 $192.75 3.8×
IV push initial (96374)
range across 3 matching MRF lines
$173.25–$181.75 $173.25–$181.75 varies
Ot paraffin bath (97018) $166 $166 27.6×
Plethysmography (94726) $496.75 $496.75 1.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $6,400 $6,400 7.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $1,323 $1,323 6.2×
Spirometry (94010) $563 $563 2.4×
Stress Tte Only (93350) $3,763 $3,763 6.4×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $252 $252 6.8×
Ther/Proph/Diag Inj Sc/Im (96372) $181.75 $181.75 2.4×
Ther/Proph/Diag Iv Inf Init (96365) $427 $427 1.9×
Tte w/doppler, complete (93306) $4,925 $4,925 8.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $173.25 $173.25 3.5×
Upr/L Xtremity Art 2 Levels (93922) $1,283.25 $1,283.25 9.0×

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.