Visits & medical services prices at St. Anthonys Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $206.64 $287 0.9×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $136.80 $190 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $182.88 $254 12.7×
Behavral qualit analys voice (92524) $338.40 $470 3.1×
Bioimpedance Cv Analysis (93701) $253.44 $352 1.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $437.76 $608 1.1×
C motor evoked uppr limbs (95928) $1,190.16 $1,653 1.3×
Canalith repositioning proc (95992) $82.08 $114 2.0×
Cardiac Stress Tst,Tracing Only (93017) $1,306.80 $1,815 5.6×
Cardiopulmonary resuscitation (92950) $596.16 $828 2.6×
Cardioversion (92960) $1,356.48 $1,884 1.9×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $13,218.48 $18,359 3.8×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $10,246.32 $14,231 2.9×
Cbt 1st hour (94644) $241.92 $336 1.7×
Chemo Anti-Neopl Sq/Im (96401) $145.44 $202 1.9×
Chemo Hormon Antineopl Sq/Im (96402) $145.44 $202 1.9×
Chemo IV infusion addl hr (96415) $246.24 $342 3.2×
Chemo IV push addl drug (96411) $292.32 $406 3.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $219.60 $305 2.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $798.48 $1,109 2.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $337.68 $469 1.0×
Chest Wall Manipulation (94668) $131.04 $182 0.9×
Color/duplex Doppler, complete (93975) $1,797.12 $2,496 7.0×
Color/duplex Doppler, limited (93976) $1,152.72 $1,601 10.3×
Continuous Pulse Ox (94762) $210.24 $292 1.5×
Coronary Art/Grft Angio S&I (93455) $10,141.20 $14,085 2.9×
Coronary Artery Angio S&I (93454) $8,955.36 $12,438 2.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $206.64 $287 0.9×
Cpt initial (94667) $150.48 $209 1.1×
Critical care first hour (99291) $2,249.28 $3,124 2.5×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $620.64 $862 1.6×
Debridement Open Wound 20 Sq Cm< (97597) $462.24 $642 2.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,241.28 $1,724 4.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $905.04 $1,257 8.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $2,172.96 $3,018 8.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $984.96 $1,368 8.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,296.72 $1,801 5.1×
Dup-scan xtr veins unilateral/limited study (93971) $943.92 $1,311 8.4×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $767.52 $1,066 3.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $383.76 $533 3.4×
Duplex Scan Hemodialysis Access (93990) $415.44 $577 3.7×
Duplex up extrem art bilat (93930) $1,177.92 $1,636 4.6×
Duplex up extrem art unilat/ltd (93931) $872.64 $1,212 7.8×
Echo Congenital Complete (93303) $2,329.92 $3,236 4.0×
Echo Heart Xthoracic,Limited (93308) $851.04 $1,182 3.3×
Echo transesophageal (93312) $2,945.52 $4,091 5.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,516.40 $3,495 4.3×
EEG awake and asleep (95819) $1,062.72 $1,476 4.6×
EEG awake drowsy (95816) $923.76 $1,283 4.0×
Electrical Stimulation Ea 15 Min (97032) $131.76 $183 9.0×
Electrocardiogram Tracing (93005) $277.92 $386 4.4×
Emergency Dept Visit Level 2 (99282) $398.88 $554 2.4×
Emergency Dept Visit Level 3 (99283) $738.72 $1,026 2.5×
Emergency Dept Visit Level 4 (99284) $1,144.08 $1,589 2.6×
Emg 3 Extremities (95863) $182.88 $254 1.3×
Emg 4 Extremities (95864) $315.36 $438 2.3×
Er level 1 (99281) $238.32 $331 2.6×
Er level v (99285) $1,476 $2,050 2.3×
Evaluate Speech Production (92522) $364.32 $506 3.3×
Evaluate Swallowing Function (92610) $277.20 $385 3.3×
Evaluation of speech fluency (92521) $393.12 $546 2.9×
Evoked Auditory Test,Limited (92587) $364.32 $506 1.6×
External Ecg Scanning Analysis Report (93226) $738 $1,025 11.7×
Extracranial Bilat Study (93880) $1,080 $1,500 4.2×
Extracranial Uni/Ltd Study (93882) $747.36 $1,038 6.7×
F-up/limited tthrc echo congenital car anomaly (93304) $935.28 $1,299 1.6×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $14,226.48 $19,759 4.1×
Holter monitor recording (93225) $747.36 $1,038 5.2×
Immunization administration (90471) $100.08 $139 1.3×
Insert/Place Heart Catheter (93503) $3,915.36 $5,438 2.3×
Iontophoresis 15 min (97033) $182.88 $254 9.6×
Irrig Drug Delivery Device (96523) $247.68 $344 3.9×
IV infusion hydration each additional hour (96361) $170.64 $237 3.4×
IV infusion hydration initial 31 min-1 hour (96360) $465.12 $646 2.0×
IV infusion ther proph addl sequential to 1 hr (96367) $72.72 $101 0.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $185.76 $258 3.7×
IV push initial (96374) $214.56 $298 0.9×
L Hrt Art/Grft Angio (93459) $12,233.52 $16,991 3.5×
Lwr Xtr Vasc Stdy Bilat (93924) $1,108.08 $1,539 4.8×
Mechanical chest wall oscillation per session (94669) $295.20 $410 1.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $34.56 $48 1.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $47.52 $66 1.3×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $43.92 $61 2.6×
Methacholine challenge (94070) $1,090.80 $1,515 2.7×
Motion Fluoroscopy/Swallow (92611) $359.28 $499 3.9×
Multiple Sleep Latency Test (95805) $3,800.16 $5,278 4.1×
Muscle Test 2 Limbs (95861) $234.72 $326 1.6×
Muscle Test Nonparaspinal (95870) $197.28 $274 1.4×
Muscle Test One Limb (95860) $214.56 $298 1.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $645.84 $897 1.5×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $1,049.04 $1,457 2.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $288 $400 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $467.28 $649 1.1×
Nerve Conduction Studies 1-2 Studies (95907) $911.52 $1,266 3.9×
Nerve Conduction Studies 11-12 Studies (95912) $5,469.84 $7,597 13.7×
Nerve conduction studies 13 or more studies (95913) $6,380.64 $8,862 16.0×
Nerve Conduction Studies 3-4 Studies (95908) $1,823.04 $2,532 7.9×
Nerve conduction studies 5-6 studies (95909) $2,735.28 $3,799 11.8×
Nerve conduction studies 7-8 studies (95910) $3,646.80 $5,065 9.1×
Nerve Conduction Studies 9-10 Studies (95911) $4,558.32 $6,331 11.4×
Neuromuscular Reeducation (97112) $150.48 $209 4.6×
Oral Function Therapy (92526) $198.72 $276 2.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $100.08 $139 2.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $119.52 $166 2.6×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $57.60 $80 2.5×
Ot Contrast Bath Ea 15 Min (97034) $89.28 $124 6.4×
Ot eval high complexity (97167) $717.12 $996 7.1×
Ot Eval Low Complex (97165) $441.36 $613 4.4×
Ot Eval Moderate Complexity (97166) $590.40 $820 5.9×
Ot manual therapy 15 min (97140) $153.36 $213 5.5×
Ot paraffin bath (97018) $101.52 $141 16.9×
Ot Re-Eval Est Plan Care (97168) $247.68 $344 3.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $169.92 $236 1.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $138.96 $193 1.0×
Peripheral arterial disease rehab per session (93668) $114.48 $159 1.8×
Phlebotomy therapeutic (99195) $131.04 $182 0.9×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $125.28 $174 2.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $125.28 $174 2.0×
Physical Performance Test (97750) $128.88 $179 3.8×
Plethysmography (94726) $316.80 $440 0.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,778 $8,025 6.3×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $51.12 $71 1.0×
Pt Eval High Complex (97163) $717.12 $996 7.3×
Pt eval low complex 20 min (97161) $441.36 $613 4.5×
Pt Eval Mod Complex (97162) $513.36 $713 5.2×
Pt gait training 15 min (97116) $102.96 $143 3.5×
Pt mechanical traction (97012) $150.48 $209 10.5×
Pt Re-Eval Est Plan Care (97164) $247.68 $344 3.7×
Pulmonary Stress Testing (94618) $347.76 $483 2.4×
R Hrt Art/Grft Angio (93457) $10,733.04 $14,907 3.1×
R hrt coronary artery angio (93456) $9,581.76 $13,308 2.8×
R&L Hrt Cath W/Ventriclgrphy (93453) $11,171.52 $15,516 3.2×
Remote 30 Day Ecg Rev/Report (93270) $1,080 $1,500 27.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $175.68 $244 2.8×
Right Heart Cath (93451) $7,435.44 $10,327 2.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $375.12 $521 1.7×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $498.96 $693 4.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $182.88 $254 3.8×
Self Care Mngment Training (97535) $98.64 $137 3.0×
Sensory Integration Ea 15 Min (97533) $109.44 $152 1.8×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $757.44 $1,052 3.3×
Short-latency somatosens ep std upr limbs (95925) $460.08 $639 2.0×
Sleep study attended (95807) $2,147.04 $2,982 5.4×
Sleep study unattended (95806) $352.80 $490 1.5×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $909.36 $1,263 3.9×
Somatosensory Testing (95938) $2,107.44 $2,927 2.3×
Speech sound lang comprehen (92523) $664.56 $923 2.9×
Spirometry (94010) $166.32 $231 0.7×
Ssep lower limbs (95926) $460.08 $639 2.0×
Stress Tte Only (93350) $3,594.96 $4,993 6.1×
Temp transcutaneous pacing (92953) $1,204.56 $1,673 1.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $231.12 $321 10.3×
Ther Ivntj Ea Addl 15 Min (97130) $187.92 $261 8.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $222.48 $309 6.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $115.20 $160 3.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $123.12 $171 1.2×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$198.72–$209.52 $276–$291 varies
Ther/Proph/Diag Iv Inf Init (96365) $493.92 $686 2.2×
Therapeutic Activities (97530)
range across 2 matching MRF lines
$131.76–$258.48 $183–$359 varies
Tte w/doppler, complete (93306) $2,183.76 $3,033 3.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $285.84 $397 3.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $147.60 $205 2.9×
Unlisted cardiovascular service/procedure (93799) $307.44 $427 2.2×
Upr/L Xtremity Art 2 Levels (93922) $487.44 $677 3.4×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $930.96 $1,293 4.0×
Vasopneumatic device (97016) $337.68 $469 28.1×
Vital capacity, total (94150) $316.08 $439 2.3×
Wheelchair Mgmt Ea 15 Min (97542) $175.68 $244 5.7×
Whirlpool Therapy (97022) $156.96 $218 10.0×

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.