Visits & medical services prices at St. Marys Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Reflex Testing (92568) $84.96 $118 2.1×
Actigraphy Testing Recording Analysis I&R (95803) $336.24 $467 5.3×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $672.48 $934 2.9×
Aep neurodiagnostic i&r (92653) $995.76 $1,383 4.3×
Airway Inhalation Treatment (94640) $469.44 $652 2.0×
Airway resistance by oscillometry (94728) $337.68 $469 2.4×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $509.04 $707 3.6×
Analyze neurostim no prog (95970) $617.76 $858 4.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $223.92 $311 15.6×
Assessment of aphasia per hr (96105) $520.56 $723 5.4×
Audiometry Air & Bone (92553) $337.68 $469 2.4×
Behavral qualit analys voice (92524) $546.48 $759 5.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $745.92 $1,036 1.9×
C motor evoked uppr limbs (95928) $2,197.44 $3,052 2.4×
C motor evoked upr&lwr limbs (95939) $2,197.44 $3,052 2.4×
Caloric vestibular test w/rec bi monothermal (92538) $432.72 $601 1.9×
Caloric Vstblr Test W/Rec (92537) $432.72 $601 3.1×
Canalith repositioning proc (95992) $114.48 $159 2.8×
Cardiac Stress Tst,Tracing Only (93017) $1,339.20 $1,860 5.8×
Cardiopulmonary resuscitation (92950) $735.12 $1,021 3.2×
Cardioversion (92960) $3,124.08 $4,339 4.4×
Cardioversion elective internal (92961)
range across 2 matching MRF lines
$1,413.36–$2,901.60 $1,963–$4,030 varies
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $12,646.80 $17,565 3.6×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $9,896.40 $13,745 2.8×
Cbt 1st hour (94644) $330.48 $459 2.3×
Chemo Anti-Neopl Sq/Im (96401) $210.24 $292 2.7×
Chemo Hormon Antineopl Sq/Im (96402) $239.04 $332 3.1×
Chemo intralesional up to 7 (96405) $766.80 $1,065 9.9×
Chemo IV infusion addl hr (96415) $388.80 $540 5.0×
Chemo IV push addl drug (96411) $414 $575 5.4×
Chemother Prolong Infuse W/Pump (96416) $716.40 $995 2.0×
Chemotherapy Into Cns (96450) $716.40 $995 2.0×
Chemotherapy Unspecified (96549) $286.56 $398 5.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $290.88 $404 3.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $755.28 $1,049 2.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $716.40 $995 2.0×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $716.40 $995 2.0×
Chest Wall Manipulation (94668) $278.64 $387 2.0×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $1,146.24 $1,592 2.9×
Color/duplex Doppler, complete (93975) $2,619.36 $3,638 10.2×
Color/duplex Doppler, limited (93976) $1,497.60 $2,080 13.4×
Community/Work Reintegration Trainj Ea 15 Min (97537) $242.64 $337 7.6×
Comprehensive Hearing Test (92557) $337.68 $469 2.4×
Conditioning Play Audiometry (92582) $337.68 $469 2.4×
Continuous Pulse Ox (94762) $364.32 $506 2.6×
Coronary Art/Grft Angio S&I (93455) $7,986.96 $11,093 2.3×
Coronary Artery Angio S&I (93454) $8,297.28 $11,524 2.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $828.72 $1,151 3.5×
Cpt initial (94667) $278.64 $387 2.0×
Critical care first hour (99291) $3,075.12 $4,271 3.5×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,146.24 $1,592 2.9×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$429.12–$612 $596–$850 varies
Developmental tst admin phys/qhp 1st hour (96112) $520.56 $723 3.8×
Dialysis One Evaluation (90945) $919.44 $1,277 2.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,334.16 $1,853 5.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $904.32 $1,256 8.1×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $1,316.16 $1,828 11.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,666.08 $2,314 6.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,223.28 $1,699 10.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,690.56 $2,348 6.6×
Dup-scan xtr veins unilateral/limited study (93971) $1,381.68 $1,919 12.3×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $1,017.36 $1,413 4.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $543.60 $755 4.9×
Duplex Scan Hemodialysis Access (93990) $560.16 $778 5.0×
Duplex up extrem art bilat (93930) $1,801.44 $2,502 7.0×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$1,058.40–$1,269.36 $1,470–$1,763 varies
ECG/monitoring and analysis (93271) $1,562.40 $2,170 15.3×
Echo Congenital Complete (93303) $1,184.40 $1,645 2.0×
Echo Heart Xthoracic,Limited (93308) $826.56 $1,148 3.2×
Echo transesophageal (93312) $2,829.60 $3,930 4.8×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,482.56 $3,448 4.2×
EEG awake and asleep (95819) $923.04 $1,282 4.0×
EEG awake drowsy (95816) $672.48 $934 2.9×
EEG cerebral death evaluation (95824) $1,146.24 $1,592 2.9×
EEG extended monitoring 61-119 minutes (95813) $1,432.80 $1,990 6.2×
Eeg Sleep Only (95822) $1,237.68 $1,719 5.3×
Electrical Stimulation Ea 15 Min (97032) $171.36 $238 11.7×
Electrocardiogram Tracing (93005) $324.72 $451 5.1×
Electroconvulsive Therapy (90870) $1,146.24 $1,592 1.2×
Electrophysiology Evaluation (93642) $4,824.72 $6,701 3.7×
Emergency Dept Visit Level 2 (99282) $357.84 $497 2.2×
Emergency Dept Visit Level 3 (99283) $832.32 $1,156 2.8×
Emergency Dept Visit Level 4 (99284) $1,221.12 $1,696 2.7×
Er level 1 (99281) $165.60 $230 1.8×
Er level v (99285) $1,766.88 $2,454 2.8×
Evaluate Speech Production (92522) $546.48 $759 4.9×
Evaluate Swallowing Function (92610) $472.32 $656 5.6×
Evaluation of speech fluency (92521) $546.48 $759 4.1×
Evoked Auditory Test,Limited (92587) $672.48 $934 2.9×
Exhaled Air Analysis O2 (94680) $337.68 $469 2.4×
External Ecg Scanning Analysis Report (93226) $840.24 $1,167 13.3×
Extracranial Bilat Study (93880) $1,291.68 $1,794 5.1×
Extracranial Uni/Ltd Study (93882) $637.92 $886 5.7×
F-up/limited tthrc echo congenital car anomaly (93304) $1,184.40 $1,645 2.0×
Gi tract capsule endoscopy (91110) $2,995.20 $4,160 3.1×
Group Therapeutic Procedures (97150) $261.36 $363 14.5×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $12,206.88 $16,954 3.5×
Holter monitor recording (93225) $720.72 $1,001 5.1×
Immunization administration (90471) $133.92 $186 1.7×
Insert/Place Heart Catheter (93503) $3,355.20 $4,660 2.0×
Intracranial Complete Study (93886) $1,242.72 $1,726 4.9×
Iontophoresis 15 min (97033) $240.48 $334 12.6×
Irrig Drug Delivery Device (96523) $150.48 $209 2.4×
IV infusion hydration each additional hour (96361) $207.36 $288 4.1×
IV infusion hydration initial 31 min-1 hour (96360) $446.40 $620 2.0×
IV infusion ther proph addl sequential to 1 hr (96367) $133.92 $186 1.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $261.36 $363 5.2×
IV push initial (96374) $455.04 $632 2.0×
L Hrt Art/Grft Angio (93459) $10,843.92 $15,061 3.1×
Lwr Xtr Vasc Stdy Bilat (93924) $1,487.52 $2,066 6.4×
Mechanical chest wall oscillation per session (94669) $443.52 $616 1.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $61.92 $86 2.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $66.24 $92 1.8×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $30.96 $43 1.8×
Methacholine challenge (94070) $1,648.08 $2,289 4.1×
Motion Fluoroscopy/Swallow (92611) $493.20 $685 5.4×
Multiple Sleep Latency Test (95805) $2,486.88 $3,454 2.7×
Muscle Test 2 Limbs (95861) $929.52 $1,291 6.5×
Muscle Test Nonparaspinal (95870) $445.68 $619 3.1×
Muscle Test One Limb (95860) $882 $1,225 6.2×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $826.56 $1,148 3.6×
Needle electromyography larynx (95865) $578.88 $804 4.1×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $672.48 $934 2.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,070.64 $1,487 2.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $1,120.32 $1,556 5.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,194.48 $1,659 2.7×
Nerve Conduction Studies 1-2 Studies (95907) $694.80 $965 3.0×
Nerve Conduction Studies 11-12 Studies (95912) $4,176 $5,800 10.4×
Nerve conduction studies 13 or more studies (95913) $6,961.68 $9,669 17.4×
Nerve Conduction Studies 3-4 Studies (95908) $1,392.48 $1,934 6.0×
Nerve conduction studies 5-6 studies (95909) $2,088.72 $2,901 9.0×
Nerve conduction studies 7-8 studies (95910) $2,785.68 $3,869 7.0×
Nerve Conduction Studies 9-10 Studies (95911) $3,481.20 $4,835 8.7×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $401.04 $557 2.9×
Neuromuscular Reeducation (97112) $237.60 $330 7.3×
Newborn resuscitation (99465) $1,413.36 $1,963 2.0×
Optokinetic Nystagmus Test (92544) $337.68 $469 2.4×
Oral Function Therapy (92526) $232.56 $323 2.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $104.40 $145 2.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $256.32 $356 5.6×
Oscillating Tracking Test (92545) $672.48 $934 2.9×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $62.64 $87 2.7×
Ot eval high complexity (97167) $499.68 $694 5.0×
Ot Eval Low Complex (97165) $316.08 $439 3.1×
Ot Eval Moderate Complexity (97166) $398.88 $554 4.0×
Ot manual therapy 15 min (97140) $209.52 $291 7.6×
Ot paraffin bath (97018) $182.16 $253 30.3×
Ot Prosthetic Training, Each 15 Min (97761) $262.80 $365 6.5×
Ot Re-Eval Est Plan Care (97168) $145.44 $202 2.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $240.48 $334 1.7×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $555.84 $772 2.4×
Peripheral arterial disease rehab per session (93668) $160.56 $223 2.5×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $12,315.60 $17,105 2.0×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $24,495.84 $34,022 2.0×
Phlebotomy therapeutic (99195) $326.88 $454 2.3×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $128.16 $178 2.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $128.16 $178 2.0×
Physical Performance Test (97750) $192.96 $268 5.7×
Plethysmography (94726) $584.64 $812 1.5×
Pm device eval in person (93288) $241.92 $336 6.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $6,178.32 $8,581 6.7×
Polysom <6 yrs 4/> paramtrs (95782) $3,952.08 $5,489 4.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $99.36 $138 2.0×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $99.36 $138 2.0×
Prq Card Angio/Athrect 1 Art (92924) $24,495.84 $34,022 2.0×
Prq Card Stent W/Angio 1 Vsl (92928) $21,300.48 $29,584 1.7×
Prq Card Stent/Ath/Angio (92933) $38,786.40 $53,870 2.0×
Prq Revasc Byp Graft 1 Vsl (92937) $24,495.84 $34,022 2.0×
Psychiatric diagnostic evaluation (90791) $347.04 $482 1.8×
Psychological tst eval svc phys/qhp first hour (96130) $672.48 $934 2.9×
Psycl/Nrpsyc Tst Auto Result (96146) $353.52 $491 11.4×
Pt Eval High Complex (97163) $511.20 $710 5.2×
Pt eval low complex 20 min (97161) $332.64 $462 3.4×
Pt Eval Mod Complex (97162) $434.16 $603 4.4×
Pt gait training 15 min (97116) $183.60 $255 6.3×
Pt mechanical traction (97012) $189.36 $263 13.2×
Pt Re-Eval Est Plan Care (97164) $158.40 $220 2.3×
Pulmonary service/procedure (94799) $337.68 $469 2.4×
Pulmonary Stress Testing (94618) $278.64 $387 2.0×
Pure Tone Audiometry Air (92552) $278.64 $387 2.0×
R Hrt Art/Grft Angio (93457) $11,578.32 $16,081 3.3×
R hrt coronary artery angio (93456) $10,376.64 $14,412 3.0×
R&L Hrt Cath W/Ventriclgrphy (93453) $11,530.80 $16,015 3.3×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $1,440.72 $2,001 4.1×
Refill/Maint Portable Pump (96521) $455.04 $632 2.0×
Remote 30 Day Ecg Rev/Report (93270) $455.04 $632 11.4×
Respiratory flow volume loop (94375) $610.56 $848 2.6×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $208.08 $289 3.3×
Right Heart Cath (93451) $7,171.92 $9,961 2.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $622.80 $865 2.9×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $254.16 $353 2.1×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $99.36 $138 2.1×
Self Care Mngment Training (97535) $208.80 $290 6.4×
Sensory Integration Ea 15 Min (97533) $303.84 $422 5.0×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $1,433.52 $1,991 6.2×
Short-latency somatosens ep std upr limbs (95925) $1,433.52 $1,991 6.2×
Sleep study unattended (95806) $819.36 $1,138 3.5×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $682.56 $948 2.9×
Somatosensory Testing (95938) $1,231.20 $1,710 1.3×
Speech Audiometry Complete (92556) $128.16 $178 2.0×
Speech audiometry threshold (92555) $128.16 $178 2.0×
Speech sound lang comprehen (92523) $546.48 $759 2.4×
Spin/Brain Pump Refil & Main (95991) $984.24 $1,367 3.0×
Spirometry (94010) $293.76 $408 1.3×
Spontaneous Nystagmus Test (92541) $308.16 $428 2.2×
Ssep lower limbs (95926) $1,433.52 $1,991 6.2×
Standardized Cognitive Performance Testing (96125) $264.24 $367 2.6×
Stress Tte Only (93350) $2,164.32 $3,006 3.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $383.76 $533 17.1×
Ther Ivntj Ea Addl 15 Min (97130) $318.24 $442 15.1×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $232.56 $323 6.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $211.68 $294 2.1×
Ther/Proph/Diag Inj Ia (96373) $455.04 $632 2.0×
Ther/Proph/Diag Inj Sc/Im (96372) $262.80 $365 3.4×
Ther/Proph/Diag Iv Inf Init (96365) $605.52 $841 2.7×
Therapeutic Activities (97530) $231.84 $322 6.6×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $3,406.32 $4,731 8.5×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $262.08 $364 2.3×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $192.96 $268 4.8×
Tte w/doppler, complete (93306) $1,579.68 $2,194 2.7×
Tte W/O Doppler Complete (93307) $1,753.20 $2,435 6.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $382.32 $531 5.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $318.96 $443 6.4×
Tympanometry (92567) $84.96 $118 2.1×
Unlisted cardiovascular service/procedure (93799)
range across 3 matching MRF lines
$1,534.32–$5,510.16 $2,131–$7,653 varies
Upr/L Xtremity Art 2 Levels (93922) $1,134 $1,575 8.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 2 matching MRF lines
$1,057.68–$1,219.68 $1,469–$1,694 varies
Vasopneumatic device (97016) $113.04 $157 9.4×
Veeg 2-12 hr intmt mntr (95712) $2,082.24 $2,892 5.2×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $4,165.20 $5,785 10.4×
Visual Evoked Potential Test (95930) $1,035.36 $1,438 4.5×
Visual reinforcement audiometry (vra) (92579) $337.68 $469 1.5×
Vital capacity, total (94150) $337.68 $469 2.4×
Wheelchair Mgmt Ea 15 Min (97542) $149.76 $208 4.8×
Whirlpool Therapy (97022) $169.92 $236 10.8×

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.