Visits & medical services prices at St.. Mary's Hospital-kankakee

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $8,317 $11,371 1.0×
Admn Sarscov2 Vacc 1 Dose (90480) $43 $107 1.0×
Airway Inhalation Treatment (94640) $233 $593 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $13 $157 0.9×
Application on-body injector (96377) $49 $164 1.0×
Assessment of aphasia per hr (96105) $94 $441 1.0×
Behavral qualit analys voice (92524) $106 $346 1.0×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $37 $438 0.5×
Bfb training ea addl 15 min (90913) $21 $438 0.6×
Biofeedback training any modality (90901) $16 $127 0.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $397 $1,139 1.0×
Canalith repositioning proc (95992) $29 $152 0.7×
Car seat/bed test 60 min (94780) $39 $200 1.0×
Cardiac Stress Tst,Tracing Only (93017) $230 $2,949 1.0×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines		 $230 $956–$999 1.0×
Cardioversion (92960)
range across 3 matching MRF lines		 $704 $1,790–$1,834 1.0×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $20 $94 0.8×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $3,457 $13,678 1.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $3,457 $30,130 1.0×
Chemo Anti-Neopl Sq/Im (96401) $76 $636 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $76 $577 1.0×
Chemo Ia Push (96420) $352 $673 1.0×
Chemo IV infusion addl hr (96415) $76 $378 1.0×
Chemo IV push addl drug (96411) $76 $223 1.0×
Chemother Prolong Infuse W/Pump (96416) $352 $1,858 1.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $76 $846 1.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $352 $1,839 1.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $352 $397 1.0×
Chest Wall Manipulation (94668) $141 $141 1.0×
Color/duplex Doppler, limited (93976) $111 $1,458 1.0×
Cont gluc mntr physician/qhp provided equiptment (95250) $141 $456 1.0×
Cont Gluc Mntr Pt Prov Eqp (95249) $62 $214 1.0×
Continuous Pulse Ox (94762) $137 $537 1.0×
Coronary Art/Grft Angio S&I (93455) $3,457 $11,612 1.0×
Coronary Artery Angio S&I (93454) $3,457 $10,060 1.0×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $233 $458 1.0×
Cpt initial (94667) $141 $164 1.0×
Critical care first hour (99291) $880 $6,900 1.0×
Debridement Open Wound 20 Sq Cm< (97597) $213 $894 1.0×
Developmental tst admin phys/qhp 1st hour (96112) $137 $712 1.0×
Dialysis One Evaluation (90945) $444 $1,095 1.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $254 $3,240 1.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $111 $1,218 1.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 8 matching MRF lines		 $254 $751–$3,872 1.0×
Dup-scan xtr veins unilateral/limited study (93971) $111 $2,582 1.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $254 $917 1.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $111 $917 1.0×
Duplex Scan Hemodialysis Access (93990) $111 $907 1.0×
Duplex up extrem art bilat (93930) $254 $1,106 1.0×
Duplex up extrem art unilat/ltd (93931) $111 $1,026 1.0×
ECG/monitoring and analysis (93271) $101 $1,177 1.0×
Echo Congenital Complete (93303) $582 $2,756 1.0×
Echo Heart Xthoracic,Limited (93308) $254 $1,015 1.0×
Echo transesophageal (93312) $582 $1,841 1.0×
Eeg 41-60 Minutes (95812) $230 $1,016 1.0×
EEG awake and asleep (95819) $230 $879 1.0×
Electrical Stimulation Ea 15 Min (97032) $14 $166 1.0×
Electrocardiogram Tracing (93005) $62 $661 1.0×
Emergency Dept Visit Level 2 (99282) $163 $684 1.0×
Emergency Dept Visit Level 3 (99283) $291 $1,024 1.0×
Emergency Dept Visit Level 4 (99284) $444 $3,765 1.0×
Emg 3 Extremities (95863) $137 $3,156 1.0×
Emg 4 Extremities (95864) $137 $3,686 1.0×
Ep & ablate supravent arrhyt (93653) $27,872 $26,843 1.0×
Ep & ablate ventric tachy (93654) $27,872 $28,689 1.0×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $8,317 $10,226 1.0×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $8,317 $25,280 1.0×
Er level 1 (99281) $89 $315 1.0×
Er level v (99285) $635 $4,869 1.0×
Evaluate pt use of inhaler (94664) $233 $395 1.0×
Evaluate Speech Production (92522) $108 $334 1.0×
Evaluate Swallowing Function (92610) $56 $368 0.7×
Evaluation of speech fluency (92521) $128 $341 1.0×
External Ecg Scanning Analysis Report (93226) $62 $2,385 1.0×
Extracranial Bilat Study (93880) $254 $2,704 1.0×
Extracranial Uni/Ltd Study (93882) $111 $754 1.0×
F-up/limited tthrc echo congenital car anomaly (93304) $582 $1,101 1.0×
Group Therapeutic Procedures (97150) $17 $130 0.9×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $3,457 $15,887 1.0×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $731 $2,195 1.0×
Holter monitor recording (93225) $141 $2,729 1.0×
Immunization administration (90471) $76 $84 1.0×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $397 $1,374 1.0×
Insert/Place Heart Catheter (93503) $1,678 $3,237 1.0×
Iontophoresis 15 min (97033) $18 $279 0.9×
Irrig Drug Delivery Device (96523) $62 $586 1.0×
IV infusion hydration each additional hour (96361) $49 $449 1.0×
IV infusion hydration initial 31 min-1 hour (96360) $226 $1,647 1.0×
IV infusion ther proph addl sequential to 1 hr (96367) $76 $604 1.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $49 $268 1.0×
IV push initial (96374) $226 $269 1.0×
L Hrt Art/Grft Angio (93459) $3,457 $12,969 1.0×
Liver Elastography W/O Imag W/I&R (91200) $137 $365 1.0×
Lung Function Test (Mbc/Mvv) (94200) $62 $363 1.0×
Lwr Xtr Vasc Stdy Bilat (93924) $230 $3,191 1.0×
Mechanical chest wall oscillation per session (94669) $233 $493 1.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $21 $66 0.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $25 $74 0.7×
Methacholine challenge (94070) $397 $2,084 1.0×
Motion Fluoroscopy/Swallow (92611) $88 $390 1.0×
Multiple Sleep Latency Test (95805) $915 $3,394 1.0×
Muscle Test 2 Limbs (95861) $141 $2,426 1.0×
Muscle Test One Limb (95860) $141 $1,886 1.0×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $230 $601 1.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $433 $575 1.0×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $433 $596 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $213 $600 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $433 $613 1.0×
Nerve Conduction Studies 1-2 Studies (95907) $230 $657 1.0×
Nerve Conduction Studies 11-12 Studies (95912) $397 $1,509 1.0×
Nerve conduction studies 13 or more studies (95913) $397 $1,693 1.0×
Nerve Conduction Studies 3-4 Studies (95908) $230 $873 1.0×
Nerve conduction studies 5-6 studies (95909) $230 $1,032 1.0×
Nerve conduction studies 7-8 studies (95910) $397 $1,350 1.0×
Nerve Conduction Studies 9-10 Studies (95911) $397 $1,513 1.0×
Neuromuscular Reeducation (97112) $31 $141 0.9×
Newborn resuscitation (99465) — $1,231 —
Oral Function Therapy (92526) $80 $234 1.0×
Oral Speech Device Eval (92597) $68 $317 1.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 3 matching MRF lines		 $43 $155–$161 0.9×
Ot eval high complexity (97167) $96 $612 1.0×
Ot Eval Low Complex (97165) $96 $505 1.0×
Ot Eval Moderate Complexity (97166) $96 $556 1.0×
Ot manual therapy 15 min (97140) $26 $158 0.9×
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines		 $38 $112–$161 0.9×
Ot Re-Eval Est Plan Care (97168) $65 $311 0.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798)
range across 2 matching MRF lines		 $137 $50–$508 1.0×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $137 $434 1.0×
Peripheral arterial disease rehab per session (93668) $62 $74 1.0×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $6,069 $10,532 1.0×
Phlebotomy therapeutic (99195) $141 $682 1.0×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $62 $220 1.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $62 $220 1.0×
Physical Performance Test (97750) $32 $201 0.9×
Plethysmography (94726) $397 $913 1.0×
Pm device eval in person (93288) $39 $132 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $915 $11,041 1.0×
Prq Card Angio/Athrect 1 Art (92924) $12,310 $16,438 1.0×
Prq Card Stent W/Angio 1 Vsl (92928) $12,310 $41,436 1.0×
Psychiatric diagnostic evaluation (90791) $189 $381 1.0×
Psytx Crisis Initial 60 Min (90839) $189 $766 1.0×
Pt Eval High Complex (97163) $94 $759 1.0×
Pt eval low complex 20 min (97161) $94 $626 1.0×
Pt Eval Mod Complex (97162) $94 $687 1.0×
Pt gait training 15 min (97116) $28 $177 1.0×
Pt Re-Eval Est Plan Care (97164) $64 $391 0.9×
Pulm function test by gas (94727) $230 $516 1.0×
Pulmonary Stress Testing (94618) $141 $269 1.0×
R Hrt Art/Grft Angio (93457) $3,457 $11,497 1.0×
R hrt coronary artery angio (93456) $3,457 $12,335 1.0×
R&L Hrt Cath W/Ventriclgrphy (93453) $3,457 $22,753 1.0×
Refill/Maint Portable Pump (96521) $226 $798 1.0×
Remote 30 Day Ecg Rev/Report (93270) $39 $1,214 1.0×
Respiratory flow volume loop (94375) $230 $873 1.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $62 $110 1.0×
Right Heart Cath (93451) $3,457 $6,749 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines		 $213 $468–$485 1.0×
Self Care Mngment Training (97535) $31 $153 1.0×
Sensory Integration Ea 15 Min (97533) $57 $116 0.9×
Short-latency somatosens ep std upr limbs (95925) $230 $804 1.0×
Sleep study unattended (95806)
range across 2 matching MRF lines		 $230 $758–$1,125 1.0×
Slp caregiver training 1st 30 min (97550)
range across 3 matching MRF lines		 $39 $182–$184 0.7×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $230 $546 1.0×
Speech sound lang comprehen (92523) $218 $434 1.0×
Spirometry (94010)
range across 4 matching MRF lines		 $230 $234–$253 1.0×
Ssep lower limbs (95926) $230 $673 1.0×
Stress Tte Only (93350) $582 $5,330 1.0×
Ther/Proph/Diag Inj Ia (96373) $226 $245 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $76 $256 1.0×
Ther/Proph/Diag Iv Inf Init (96365) $226 $1,611 1.0×
Therapeutic Activities (97530) $33 $235 0.9×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $397 $4,999 1.0×
Tobacco Use Cessation Intensive >10 Minutes (99407) $39 $93 1.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $39 $39 1.0×
Tte w/doppler, complete (93306) $582 $6,832 1.0×
Tx atrial fib pulm vein isol (93656) $27,872 $27,772 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $73 $311 1.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $49 $268 1.0×
Upr/L Xtremity Art 2 Levels (93922) $141 $1,774 1.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $230 $2,251 1.0×
Valvuloplasty aortic valve (92986) $6,069 $10,107 1.0×
Vent Mgmt Inpat Init Day (94002) $658 $2,073 1.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $658 $1,498 1.0×
Vital capacity, total (94150) $137 $234 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $29 $142 0.9×
Whirlpool Therapy (97022) $15 $210 1.0×

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.