Visits & medical services prices at Thomas H Boyd Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570)
range across 2 matching MRF lines
$53.60–$236.80 $67–$296 varies
Acoustic Reflex Testing (92568)
range across 2 matching MRF lines
$28.80–$56 $36–$70 varies
Admn Sarscov2 Vacc 1 Dose (90480)
range across 3 matching MRF lines
$43.20–$100.80 $54–$126 varies
Advncd Care Plan 30 Min (99497)
range across 2 matching MRF lines
$112–$140.80 $140–$176 varies
Airway Inhalation Treatment (94640) $76.80 $96 0.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$72–$86.40 $90–$108 varies
Audiometry Air & Bone (92553) $65.60 $82 0.5×
Behavral qualit analys voice (92524) $301.60 $377 2.8×
Biofeedback training any modality (90901) $55.20 $69 1.3×
Brief Emotional/Behav Assmt (96127) $8.80 $11 0.2×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$304–$339.20 $380–$424 varies
Cardioversion (92960) $243.20 $304 0.3×
Cbt 1st hour (94644) $106.40 $133 0.7×
Chron Care Mgmt Srvc 20 Min (99490) $80.80 $101 0.7×
Color/duplex Doppler, complete (93975)
range across 2 matching MRF lines
$231.20–$1,529.60 $289–$1,912 varies
Complex chronic care mgmt svc 1st 60 min cal mo (99487)
range across 2 matching MRF lines
$168–$175.20 $210–$219 varies
Comprehensive Hearing Test (92557)
range across 2 matching MRF lines
$60.80–$113.60 $76–$142 varies
Conditioning Play Audiometry (92582)
range across 2 matching MRF lines
$87.20–$112.80 $109–$141 varies
Critical care first hour (99291)
range across 2 matching MRF lines
$619.20–$717.60 $774–$897 varies
Debridement Open Wound 20 Sq Cm< (97597) $58.40 $73 0.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$155.20–$1,163.20 $194–$1,454 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines
$95.20–$555.20 $119–$694 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$139.20–$1,387.20 $174–$1,734 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$89.60–$1,150.40 $112–$1,438 varies
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$128.80–$1,006.40 $161–$1,258 varies
Electrical Stimulation Ea 15 Min (97032) $107.20 $134 7.3×
Electrocardiogram Tracing (93005) $218.40 $273 3.5×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$97.60–$133.60 $122–$167 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$176–$216 $220–$270 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$265.60–$344 $332–$430 varies
Er level 1 (99281)
range across 2 matching MRF lines
$64–$92 $80–$115 varies
Er level v (99285)
range across 2 matching MRF lines
$417.60–$509.60 $522–$637 varies
Eval aud funcj cand/po surg implt dev 1st hr (92626)
range across 2 matching MRF lines
$130.40–$133.60 $163–$167 varies
Evaluate Speech Production (92522) $301.60 $377 2.7×
Evaluate Swallowing Function (92610)
range across 2 matching MRF lines
$248.80–$367.20 $311–$459 varies
Evaluation of speech fluency (92521) $301.60 $377 2.3×
Evoked Auditory Test,Limited (92587)
range across 2 matching MRF lines
$37.60–$87.20 $47–$109 varies
External ECG rec>48hr<7d recording (93242) $344 $430 8.6×
External ECG rec>7d<15d recording (93246) $388 $485 9.7×
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$152–$1,569.60 $190–$1,962 varies
Facial nerve function studies (92516)
range across 2 matching MRF lines
$40.80–$236.80 $51–$296 varies
Holter monitor recording (93225) $288.80 $361 2.0×
Immunization administration (90471) $40 $50 0.5×
Iontophoresis 15 min (97033) $111.20 $139 5.8×
Irrig Drug Delivery Device (96523) $122.40 $153 1.9×
IV infusion hydration each additional hour (96361) $126.40 $158 2.5×
IV infusion hydration initial 31 min-1 hour (96360) $300.80 $376 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $128.80 $161 1.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $126.40 $158 2.5×
IV push initial (96374)
range across 2 matching MRF lines
$153.60–$184 $192–$230 varies
Nasal function studies (92512)
range across 2 matching MRF lines
$51.20–$431.20 $64–$539 varies
Nasopharyngoscopy (92511)
range across 2 matching MRF lines
$67.20–$273.60 $84–$342 varies
Needle Electromyography Cranial Nrv Muscle Bi (95868)
range across 2 matching MRF lines
$228.80–$236.80 $286–$296 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $56 $70 0.3×
Neuromuscular Reeducation (97112) $105.60 $132 3.2×
Optokinetic Nystagmus Test (92544)
range across 2 matching MRF lines
$30.40–$236.80 $38–$296 varies
Oral Function Therapy (92526) $201.60 $252 2.4×
Oscillating Tracking Test (92545)
range across 2 matching MRF lines
$28.80–$236.80 $36–$296 varies
Ot eval high complexity (97167) $236.80 $296 2.4×
Ot Eval Low Complex (97165) $184 $230 1.8×
Ot Eval Moderate Complexity (97166) $210.40 $263 2.1×
Ot manual therapy 15 min (97140) $147.20 $184 5.3×
Ot Re-Eval Est Plan Care (97168) $108 $135 1.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $236 $295 1.7×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $221.60 $277 1.6×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $240 $300 3.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $230.40 $288 3.6×
Physical Performance Test (97750) $143.20 $179 4.2×
Positional nystagmus test (92542)
range across 2 matching MRF lines
$50.40–$65.60 $63–$82 varies
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $28.80 $36 0.6×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $38.40 $48 0.8×
Pt Eval High Complex (97163) $236 $295 2.4×
Pt eval low complex 20 min (97161) $183.20 $229 1.9×
Pt Eval Mod Complex (97162) $234.40 $293 2.4×
Pt gait training 15 min (97116) $103.20 $129 3.6×
Pt mechanical traction (97012) $80.80 $101 5.6×
Pt Re-Eval Est Plan Care (97164) $106.40 $133 1.6×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $5.60 $7 0.1×
Pure Tone Audiometry Air (92552) $65.60 $82 0.5×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $92.80 $116 2.3×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $32.80 $41 0.2×
Remote 30 Day Ecg Rev/Report (93270) $171.20 $214 4.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $743.20 $929 11.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $58.40 $73 0.3×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851)
range across 2 matching MRF lines
$35.20–$40 $44–$50 varies
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$84.80–$117.60 $106–$147 varies
Sensory Integration Ea 15 Min (97533) $514.40 $643 8.5×
Speech Audiometry Complete (92556)
range across 2 matching MRF lines
$44–$62.40 $55–$78 varies
Speech audiometry threshold (92555)
range across 2 matching MRF lines
$40–$44 $50–$55 varies
Speech sound lang comprehen (92523) $301.60 $377 1.3×
Spontaneous Nystagmus Test (92541)
range across 2 matching MRF lines
$44–$183.20 $55–$229 varies
Stenger Test, Pure Tone (92565)
range across 2 matching MRF lines
$27.20–$56 $34–$70 varies
Subcutaneous Infusion Each Additional Hour (96370) $80 $100 1.6×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $664 $830 2.9×
Subq Infusion Additional Pump Infusion Site (96371) $321.60 $402 4.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $121.60 $152 4.1×
Ther/Proph/Diag Inj Ia (96373) $92 $115 0.4×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$40–$110.40 $50–$138 varies
Ther/Proph/Diag Iv Inf Init (96365) $328.80 $411 1.4×
Therapeutic Activities (97530) $109.60 $137 3.1×
Tone Decay Test (92563)
range across 2 matching MRF lines
$52–$56 $65–$70 varies
Trans Care Mgmt 14 Day Disch (99495) $181.60 $227 1.3×
Trans Care Mgmt 7 Day Disch (99496) $249.60 $312 1.7×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$47.20–$2,510.40 $59–$3,138 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines
$209.60–$301.60 $262–$377 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $155.20 $194 3.1×
Tympanometry (92567)
range across 4 matching MRF lines
$22.40–$113.60 $28–$142 varies
Tympanometry and reflex threshold measurements (92550)
range across 2 matching MRF lines
$37.60–$87.20 $47–$109 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$231.20–$543.20 $289–$679 varies
Visual reinforcement audiometry (vra) (92579)
range across 2 matching MRF lines
$68–$87.20 $85–$109 varies
Whirlpool Therapy (97022)
range across 3 matching MRF lines
$100.80–$112 $126–$140 varies

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.