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Acute Care Hospital

Advocate Trinity Hospital

Chicago, Illinois · Cook County · Emergency services listed

Advocate Trinity Hospital is an acute care hospital at 2320 E 93rd St, Chicago, IL 60617. Phone: (773) 967-5002. It has an emergency department. Medicare overall rating: 2 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Advocate Trinity Hospital is an acute care hospital in Chicago, Illinois. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 121 services, specialties and programs. Medicare lists 845 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(773) 967‑5002 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
845Doctors and clinicians
121Services listed

Quick answers

Does Advocate Trinity Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Advocate Trinity Hospital. In a medical emergency, call 911.
Where is Advocate Trinity Hospital?
2320 E 93rd St, Chicago, IL 60617, in Cook County, Illinois.
What is the phone number of Advocate Trinity Hospital?
(773) 967-5002, as listed by Medicare (CMS).
What is the Medicare star rating of Advocate Trinity Hospital?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Advocate Trinity Hospital for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Advocate Trinity Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.2800; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[5][9][10][11][12][13]

Conditions treated[10][11][12][13]

Treatments[8][9][10][11][12][13]

  • Arthroscopy
  • Joint replacement (knee and hip)
  • ACL repair
  • Rotator cuff treatment
  • Image guided radiation therapy (IGRT)
  • Intensity modulated radiotherapy (IMRT)
  • High-dose rate (HDR) brachytherapy
  • Cardiac catheterization
  • Electrophysiology
  • Congestive heart failure care
  • Peripheral vascular disease care
  • Cardiopulmonary rehabilitation
  • Doula services
  • Centering Pregnancy prenatal program
  • Vertebroplasty
  • Kyphoplasty
  • EMG testing
  • Interventional radiology

Procedures[10][11][12][13]

  • Hysterectomy (robotic)
  • Prostatectomy (robotic)
  • Minimally invasive fibroid surgery (Acessa radiofrequency ablation)
  • Robotic fibroid surgery
  • Endovascular abdominal aortic aneurysm (EndoAAA) repair
  • Breast reconstruction
  • Mammotome breast biopsy
  • 3D mammography
  • Digital mammography with computer-aided detection
  • Breast MRI
  • Nuclear imaging
  • Digital fluoroscopy
  • Cancer genetic testing and counseling
  • Echocardiogram
  • Electrocardiogram (EKG)
  • Stress electrocardiogram test
  • Holter monitoring
  • Helical CT scan

Programs and centers[10][11][12][13]

  • Advocate Cancer Institute
  • Advocate Heart Institute
  • Cancer genetics program
  • Clinical trials
  • Breast health navigator program
  • Spine Care Center
  • Cardiac rehabilitation program
  • Centering Pregnancy prenatal program
  • GI Lab

Emergency care (hospital website)[6][9][13]

Emergency roomYes
Stroke designationCertified primary stroke center

Visiting and practical information

Patient portalLiveWell

Recognition[9]

  • Accredited by DNV Healthcare

Doctors and clinicians (845)

845 doctors and other clinicians list Advocate Trinity Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (845)

And 821 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Chicago

All hospitals in Chicago · Hospitals in Cook County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state license list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Advocate Trinity Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 2 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital2 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment2 of 5 stars
Care Coordination2 of 5 stars
Symptoms After Stay2 of 5 stars
Rated the hospital 9 or 10 out of 1061%National average: 72%
Would definitely recommend the hospital56%National average: 71%
Nurses “always” communicated well74%National average: 80%
Doctors “always” communicated well76%National average: 80%
“Always” got help as soon as they wanted56%National average: 64%
Staff “always” explained medicines before giving them55%National average: 62%
Were given information about recovery at home84%National average: 86%
Room and bathroom “always” clean65%National average: 73%
Completed surveys985Response rate: 13%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)1.32No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)1.337No different from the national benchmark
Surgical site infections after colon surgery2.584Worse than the national benchmark
MRSA bloodstream infections1.275No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.232Better than the national benchmark
Not reported to MedicareSurgical site infections after abdominal hysterectomy

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients9.8%
Deaths within 30 days: heart failure patients9.2%
Deaths within 30 days: pneumonia patients14.5%
Deaths within 30 days: COPD patients8.5%
Deaths within 30 days: stroke patients9.6%
Serious complications (patient safety indicator PSI-90)0.86No different from the national rate
Complications after hip or knee replacement3.8%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)16.3%
Readmitted within 30 days: heart attack16%
Readmitted within 30 days: heart failure21%
Readmitted within 30 days: pneumonia18.8%
Readmitted within 30 days: COPD19.3%
Readmitted within 30 days: hip or knee replacement6.1%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)256 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)7%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)66%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Advocate Trinity Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score0.2800Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack0.9948Fewer readmissions than expected
Heart failure1.0381More readmissions than expected
Pneumonia1.0845More readmissions than expected
COPD (chronic lung disease)1.1376More readmissions than expected
Hip or knee replacement1.0184More readmissions than expected
No result publishedCoronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score29.25 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)50.00 out of 100
Person and community engagement (patient survey)22.00 out of 100
Safety (infections and sepsis care)25.00 out of 100
Efficiency and cost reduction (Medicare spending)20.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio0.94Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in ChicagoBest hospitals in Chicago

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 83 common services exactly as Advocate Trinity Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Show the prices of 83 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP SERV MOD ACUITY-NEW PT $295 $147.50 $102.96 – $236
New patient office visit (about 30–44 minutes): 10 of 15 insurance plan rates
  • Advocate Employee — Commercial: $116.23
  • Aetna — Commercial: $159.15
  • Blue Cross Blue Shield — HMO: $211.81
  • Blue Cross Blue Shield — PPO: $126.14
  • Blue Cross Blue Shield Blue Precision — Managed Care: $207.98
  • Blue Cross Blue Shield Choice — Commercial: $119.85
  • Blue Cross Blue Shield City of Chicago — Commercial: $110.83
  • Cigna — Commercial: $111
  • Cigna One Health — Commercial: $105
  • Multiplan — Commercial: $236
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OP SERV MOD ACUITY-NEW PT $295 $147.50 $128.92 – $236
New patient office visit (about 30–44 minutes): rates for 3 insurance plans
  • Advocate Employee — Commercial: $128.92
  • Multiplan — Commercial: $236
  • Private Healthcare Systems — Commercial: $182.90
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP SERV HIGH ACUITY-NEW PT $355 $177.50 $105 – $284
New patient office visit (about 45–59 minutes): 10 of 15 insurance plan rates
  • Advocate Employee — Commercial: $139.87
  • Aetna — Commercial: $191.52
  • Blue Cross Blue Shield — HMO: $254.89
  • Blue Cross Blue Shield — PPO: $126.14
  • Blue Cross Blue Shield Blue Precision — Managed Care: $250.28
  • Blue Cross Blue Shield Choice — Commercial: $119.85
  • Blue Cross Blue Shield City of Chicago — Commercial: $110.83
  • Cigna — Commercial: $111
  • Cigna One Health — Commercial: $105
  • Multiplan — Commercial: $284
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OP SERV HIGH ACUITY-NEW PT $355 $177.50 $155.14 – $284
New patient office visit (about 45–59 minutes): rates for 3 insurance plans
  • Advocate Employee — Commercial: $155.14
  • Multiplan — Commercial: $284
  • Private Healthcare Systems — Commercial: $220.10
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP SERV COMP ACUITY-NEW PT $415 $207.50 $105 – $332
New patient office visit (about 60–74 minutes): 10 of 15 insurance plan rates
  • Advocate Employee — Commercial: $163.51
  • Aetna — Commercial: $223.89
  • Blue Cross Blue Shield — HMO: $297.97
  • Blue Cross Blue Shield — PPO: $126.14
  • Blue Cross Blue Shield Blue Precision — Managed Care: $292.58
  • Blue Cross Blue Shield Choice — Commercial: $119.85
  • Blue Cross Blue Shield City of Chicago — Commercial: $110.83
  • Cigna — Commercial: $111
  • Cigna One Health — Commercial: $105
  • Multiplan — Commercial: $332
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OP SERV COMP ACUITY-NEW PT $415 $207.50 $181.36 – $332
New patient office visit (about 60–74 minutes): rates for 3 insurance plans
  • Advocate Employee — Commercial: $181.36
  • Multiplan — Commercial: $332
  • Private Healthcare Systems — Commercial: $257.30
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP SERV MOD ACUITY-EST PT $295 $147.50 $102.96 – $236
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates
  • Advocate Employee — Commercial: $116.23
  • Aetna — Commercial: $159.15
  • Blue Cross Blue Shield — HMO: $211.81
  • Blue Cross Blue Shield — PPO: $126.14
  • Blue Cross Blue Shield Blue Precision — Managed Care: $207.98
  • Blue Cross Blue Shield Choice — Commercial: $119.85
  • Blue Cross Blue Shield City of Chicago — Commercial: $110.83
  • Cigna — Commercial: $111
  • Cigna One Health — Commercial: $105
  • Multiplan — Commercial: $236
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OP SERV MOD ACUITY-EST PT $295 $147.50 $128.92 – $236
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans
  • Advocate Employee — Commercial: $128.92
  • Multiplan — Commercial: $236
  • Private Healthcare Systems — Commercial: $182.90
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP SERV HIGH ACUITY-EST PT $355 $177.50 $105 – $284
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates
  • Advocate Employee — Commercial: $139.87
  • Aetna — Commercial: $191.52
  • Blue Cross Blue Shield — HMO: $254.89
  • Blue Cross Blue Shield — PPO: $126.14
  • Blue Cross Blue Shield Blue Precision — Managed Care: $250.28
  • Blue Cross Blue Shield Choice — Commercial: $119.85
  • Blue Cross Blue Shield City of Chicago — Commercial: $110.83
  • Cigna — Commercial: $111
  • Cigna One Health — Commercial: $105
  • Multiplan — Commercial: $284
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OP SERV HIGH ACUITY-EST PT $355 $177.50 $155.14 – $284
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans
  • Advocate Employee — Commercial: $155.14
  • Multiplan — Commercial: $284
  • Private Healthcare Systems — Commercial: $220.10
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 Not listed in the file Not listed in the file $636.07 – $723.94
Office consultation with a specialist (moderate): rates for 4 insurance plans
  • Blue Cross Blue Shield — PPO: $723.94
  • Blue Cross Blue Shield Choice — Commercial: $687.85
  • Blue Cross Blue Shield City of Chicago — Commercial: $636.07
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 Not listed in the file Not listed in the file $929.32 – $1,057.71
Office consultation with a specialist (moderate to high): rates for 4 insurance plans
  • Blue Cross Blue Shield — PPO: $1,057.71
  • Blue Cross Blue Shield Choice — Commercial: $1,004.98
  • Blue Cross Blue Shield City of Chicago — Commercial: $929.32
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 Not listed in the file Not listed in the file $660.85 – $752.15
Preventive checkup, new patient, age 18–39: rates for 4 insurance plans
  • Blue Cross Blue Shield — PPO: $752.15
  • Blue Cross Blue Shield Choice — Commercial: $714.65
  • Blue Cross Blue Shield City of Chicago — Commercial: $660.85
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 Not listed in the file Not listed in the file $772.37 – $879.08
Preventive checkup, new patient, age 40–64: rates for 4 insurance plans
  • Blue Cross Blue Shield — PPO: $879.08
  • Blue Cross Blue Shield Choice — Commercial: $835.25
  • Blue Cross Blue Shield City of Chicago — Commercial: $772.37
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED LEVEL 3 $1,430 $715 $418.52 – $2,071
Emergency room visit (moderate): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $563.42
  • Aetna — Commercial: $771.49
  • Ambetter — Medicare Advantage: $418.52
  • Blue Cross Blue Shield — HMO: $1,026.74
  • Blue Cross Blue Shield — PPO: $909.86
  • Blue Cross Blue Shield Blue Precision — Managed Care: $1,008.15
  • Blue Cross Blue Shield Choice — Commercial: $864.49
  • Blue Cross Blue Shield City of Chicago — Commercial: $799.41
  • Cigna — Commercial: $1,948
  • Cigna One Health — Commercial: $743.60
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED LEVEL 3 $1,430 $715 $624.91 – $1,144
Emergency room visit (moderate): rates for 3 insurance plans
  • Advocate Employee — Commercial: $624.91
  • Multiplan — Commercial: $1,144
  • Private Healthcare Systems — Commercial: $886.60
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED LEVEL 4 $2,530 $1,265 $643.63 – $3,426
Emergency room visit (moderately high): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $996.82
  • Aetna — Commercial: $1,364.94
  • Ambetter — Medicare Advantage: $643.63
  • Blue Cross Blue Shield — HMO: $1,816.54
  • Blue Cross Blue Shield — PPO: $1,592.24
  • Blue Cross Blue Shield Blue Precision — Managed Care: $1,783.65
  • Blue Cross Blue Shield Choice — Commercial: $1,512.85
  • Blue Cross Blue Shield City of Chicago — Commercial: $1,398.96
  • Cigna — Commercial: $3,263
  • Cigna One Health — Commercial: $1,315.60
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED LEVEL 4 $2,530 $1,265 $1,105.61 – $2,024
Emergency room visit (moderately high): rates for 3 insurance plans
  • Advocate Employee — Commercial: $1,105.61
  • Multiplan — Commercial: $2,024
  • Private Healthcare Systems — Commercial: $1,568.60
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED LEVEL 5 $3,640 $1,820 $926.71 – $4,020
Emergency room visit (high): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $1,434.16
  • Aetna — Commercial: $1,963.78
  • Ambetter — Medicare Advantage: $926.71
  • Blue Cross Blue Shield — HMO: $2,613.52
  • Blue Cross Blue Shield — PPO: $2,426.28
  • Blue Cross Blue Shield Blue Precision — Managed Care: $2,566.20
  • Blue Cross Blue Shield Choice — Commercial: $2,305.31
  • Blue Cross Blue Shield City of Chicago — Commercial: $2,131.76
  • Cigna — Commercial: $1,820
  • Cigna One Health — Commercial: $1,892.80
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED LEVEL 5 $3,640 $1,820 $1,590.68 – $2,912
Emergency room visit (high): rates for 3 insurance plans
  • Advocate Employee — Commercial: $1,590.68
  • Multiplan — Commercial: $2,912
  • Private Healthcare Systems — Commercial: $2,256.80

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $125 $62.50 $8.46 – $162.98
Basic metabolic panel (blood test): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $49.25
  • Aetna — Commercial: $45.90
  • Ambetter — Medicare Advantage: $12.27
  • Blue Cross Blue Shield — HMO: $89.75
  • Blue Cross Blue Shield — PPO: $162.98
  • Blue Cross Blue Shield Blue Precision — Managed Care: $88.13
  • Blue Cross Blue Shield Choice — Commercial: $154.85
  • Blue Cross Blue Shield City of Chicago — Commercial: $143.20
  • Cigna — Commercial: $38.69
  • Cigna One Health — Commercial: $38.69
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC BASIC METABOLIC PANEL $95 $47.50 $8.46 – $162.98
Basic metabolic panel (blood test): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $37.43
  • Aetna — Commercial: $45.90
  • Ambetter — Medicare Advantage: $12.27
  • Blue Cross Blue Shield — HMO: $68.21
  • Blue Cross Blue Shield — PPO: $162.98
  • Blue Cross Blue Shield Blue Precision — Managed Care: $66.98
  • Blue Cross Blue Shield Choice — Commercial: $154.85
  • Blue Cross Blue Shield City of Chicago — Commercial: $143.20
  • Cigna — Commercial: $38.69
  • Cigna One Health — Commercial: $38.69
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $125 $62.50 $54.63 – $100
Basic metabolic panel (blood test): rates for 3 insurance plans
  • Advocate Employee — Commercial: $54.63
  • Multiplan — Commercial: $100
  • Private Healthcare Systems — Commercial: $77.50
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $215 $107.50 $10.56 – $212.58
Comprehensive metabolic panel (blood test): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $84.71
  • Aetna — Commercial: $57.28
  • Ambetter — Medicare Advantage: $15.31
  • Blue Cross Blue Shield — HMO: $154.37
  • Blue Cross Blue Shield — PPO: $212.58
  • Blue Cross Blue Shield Blue Precision — Managed Care: $151.58
  • Blue Cross Blue Shield Choice — Commercial: $201.98
  • Blue Cross Blue Shield City of Chicago — Commercial: $186.78
  • Cigna — Commercial: $47.62
  • Cigna One Health — Commercial: $47.62
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $215 $107.50 $93.96 – $172
Comprehensive metabolic panel (blood test): rates for 3 insurance plans
  • Advocate Employee — Commercial: $93.96
  • Multiplan — Commercial: $172
  • Private Healthcare Systems — Commercial: $133.30
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL $375 $187.50 $47.81 – $371.37
Obstetric blood test panel: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $147.75
  • Aetna — Commercial: $233.82
  • Ambetter — Medicare Advantage: $69.32
  • Blue Cross Blue Shield — HMO: $269.25
  • Blue Cross Blue Shield — PPO: $371.37
  • Blue Cross Blue Shield Blue Precision — Managed Care: $264.38
  • Blue Cross Blue Shield Choice — Commercial: $352.85
  • Blue Cross Blue Shield City of Chicago — Commercial: $326.29
  • Cigna — Commercial: $217.27
  • Cigna One Health — Commercial: $217.27
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL $375 $187.50 $163.88 – $300
Obstetric blood test panel: rates for 3 insurance plans
  • Advocate Employee — Commercial: $163.88
  • Multiplan — Commercial: $300
  • Private Healthcare Systems — Commercial: $232.50
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $165 $82.50 $13.39 – $132
Cholesterol panel (lipid panel): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $65.01
  • Aetna — Commercial: $72.62
  • Ambetter — Medicare Advantage: $19.42
  • Blue Cross Blue Shield — HMO: $118.47
  • Blue Cross Blue Shield — PPO: $84.62
  • Blue Cross Blue Shield Blue Precision — Managed Care: $116.33
  • Blue Cross Blue Shield Choice — Commercial: $80.40
  • Blue Cross Blue Shield City of Chicago — Commercial: $74.35
  • Cigna — Commercial: $61.01
  • Cigna One Health — Commercial: $61.01
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL $165 $82.50 $72.11 – $132
Cholesterol panel (lipid panel): rates for 3 insurance plans
  • Advocate Employee — Commercial: $72.11
  • Multiplan — Commercial: $132
  • Private Healthcare Systems — Commercial: $102.30
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $165 $82.50 $8.68 – $132
Kidney function panel: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $65.01
  • Aetna — Commercial: $47.07
  • Ambetter — Medicare Advantage: $12.59
  • Blue Cross Blue Shield — HMO: $118.47
  • Blue Cross Blue Shield — PPO: $47.01
  • Blue Cross Blue Shield Blue Precision — Managed Care: $116.33
  • Blue Cross Blue Shield Choice — Commercial: $44.67
  • Blue Cross Blue Shield City of Chicago — Commercial: $41.31
  • Cigna — Commercial: $40.18
  • Cigna One Health — Commercial: $40.18
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $165 $82.50 $72.11 – $132
Kidney function panel: rates for 3 insurance plans
  • Advocate Employee — Commercial: $72.11
  • Multiplan — Commercial: $132
  • Private Healthcare Systems — Commercial: $102.30
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $160 $80 $8.17 – $155.89
Liver function panel: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $63.04
  • Aetna — Commercial: $44.31
  • Ambetter — Medicare Advantage: $11.85
  • Blue Cross Blue Shield — HMO: $114.88
  • Blue Cross Blue Shield — PPO: $155.89
  • Blue Cross Blue Shield Blue Precision — Managed Care: $112.80
  • Blue Cross Blue Shield Choice — Commercial: $148.12
  • Blue Cross Blue Shield City of Chicago — Commercial: $136.97
  • Cigna — Commercial: $37.20
  • Cigna One Health — Commercial: $37.20
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $160 $80 $69.92 – $128
Liver function panel: rates for 3 insurance plans
  • Advocate Employee — Commercial: $69.92
  • Multiplan — Commercial: $128
  • Private Healthcare Systems — Commercial: $99.20
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO WITH MICRO $70 $35 $3.17 – $56
Urine test (automated, with microscope): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $27.58
  • Aetna — Commercial: $17.20
  • Ambetter — Medicare Advantage: $4.60
  • Blue Cross Blue Shield — HMO: $50.26
  • Blue Cross Blue Shield — PPO: $18.81
  • Blue Cross Blue Shield Blue Precision — Managed Care: $49.35
  • Blue Cross Blue Shield Choice — Commercial: $17.87
  • Blue Cross Blue Shield City of Chicago — Commercial: $16.53
  • Cigna — Commercial: $14.88
  • Cigna One Health — Commercial: $14.88
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO WITH MICRO $70 $35 $30.59 – $56
Urine test (automated, with microscope): rates for 3 insurance plans
  • Advocate Employee — Commercial: $30.59
  • Multiplan — Commercial: $56
  • Private Healthcare Systems — Commercial: $43.40
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC URINE DIPSTICK W/O MICRO $50 $25 $3.48 – $40
Urine test (manual, without microscope): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $19.70
  • Aetna — Commercial: $13.84
  • Ambetter — Medicare Advantage: $5.05
  • Blue Cross Blue Shield — HMO: $35.90
  • Blue Cross Blue Shield — PPO: $14.10
  • Blue Cross Blue Shield Blue Precision — Managed Care: $35.25
  • Blue Cross Blue Shield Choice — Commercial: $13.40
  • Blue Cross Blue Shield City of Chicago — Commercial: $12.39
  • Cigna — Commercial: $16.37
  • Cigna One Health — Commercial: $16.37
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POC URINE DIPSTICK W/O MICRO $50 $25 $21.85 – $40
Urine test (manual, without microscope): rates for 3 insurance plans
  • Advocate Employee — Commercial: $21.85
  • Multiplan — Commercial: $40
  • Private Healthcare Systems — Commercial: $31
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC URINALYSIS AUTO W/O MICRO $45 $22.50 $2.25 – $36
Urine test (automated, without microscope): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $17.73
  • Aetna — Commercial: $12.20
  • Ambetter — Medicare Advantage: $3.26
  • Blue Cross Blue Shield — HMO: $32.31
  • Blue Cross Blue Shield — PPO: $14.10
  • Blue Cross Blue Shield Blue Precision — Managed Care: $31.73
  • Blue Cross Blue Shield Choice — Commercial: $13.40
  • Blue Cross Blue Shield City of Chicago — Commercial: $12.39
  • Cigna — Commercial: $10.42
  • Cigna One Health — Commercial: $10.42
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O MICRO $65 $32.50 $2.25 – $52
Urine test (automated, without microscope): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $25.61
  • Aetna — Commercial: $12.20
  • Ambetter — Medicare Advantage: $3.26
  • Blue Cross Blue Shield — HMO: $46.67
  • Blue Cross Blue Shield — PPO: $14.10
  • Blue Cross Blue Shield Blue Precision — Managed Care: $45.83
  • Blue Cross Blue Shield Choice — Commercial: $13.40
  • Blue Cross Blue Shield City of Chicago — Commercial: $12.39
  • Cigna — Commercial: $10.42
  • Cigna One Health — Commercial: $10.42
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMOGLOBIN, URINE $25 $12.50 $2.25 – $20
Urine test (automated, without microscope): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $9.85
  • Aetna — Commercial: $12.20
  • Ambetter — Medicare Advantage: $3.26
  • Blue Cross Blue Shield — HMO: $17.95
  • Blue Cross Blue Shield — PPO: $14.10
  • Blue Cross Blue Shield Blue Precision — Managed Care: $17.63
  • Blue Cross Blue Shield Choice — Commercial: $13.40
  • Blue Cross Blue Shield City of Chicago — Commercial: $12.39
  • Cigna — Commercial: $10.42
  • Cigna One Health — Commercial: $10.42
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA, TOTAL $215 $107.50 $18.39 – $172
PSA (prostate specific antigen) blood test: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $84.71
  • Aetna — Commercial: $99.69
  • Ambetter — Medicare Advantage: $26.67
  • Blue Cross Blue Shield — HMO: $154.37
  • Blue Cross Blue Shield — PPO: $98.72
  • Blue Cross Blue Shield Blue Precision — Managed Care: $151.58
  • Blue Cross Blue Shield Choice — Commercial: $93.80
  • Blue Cross Blue Shield City of Chicago — Commercial: $86.74
  • Cigna — Commercial: $83.33
  • Cigna One Health — Commercial: $83.33
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA, TOTAL $215 $107.50 $93.96 – $172
PSA (prostate specific antigen) blood test: rates for 3 insurance plans
  • Advocate Employee — Commercial: $93.96
  • Multiplan — Commercial: $172
  • Private Healthcare Systems — Commercial: $133.30
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH $220 $110 $16.80 – $176
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $86.68
  • Aetna — Commercial: $91.03
  • Ambetter — Medicare Advantage: $24.36
  • Blue Cross Blue Shield — HMO: $157.96
  • Blue Cross Blue Shield — PPO: $94.02
  • Blue Cross Blue Shield Blue Precision — Managed Care: $155.10
  • Blue Cross Blue Shield Choice — Commercial: $89.33
  • Blue Cross Blue Shield City of Chicago — Commercial: $82.60
  • Cigna — Commercial: $75.89
  • Cigna One Health — Commercial: $75.89
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEWBORN TSH $50 $25 $16.80 – $94.02
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $19.70
  • Aetna — Commercial: $91.03
  • Ambetter — Medicare Advantage: $24.36
  • Blue Cross Blue Shield — HMO: $35.90
  • Blue Cross Blue Shield — PPO: $94.02
  • Blue Cross Blue Shield Blue Precision — Managed Care: $35.25
  • Blue Cross Blue Shield Choice — Commercial: $89.33
  • Blue Cross Blue Shield City of Chicago — Commercial: $82.60
  • Cigna — Commercial: $75.89
  • Cigna One Health — Commercial: $75.89
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEWBORN TSH $50 $25 $21.85 – $40
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans
  • Advocate Employee — Commercial: $21.85
  • Multiplan — Commercial: $40
  • Private Healthcare Systems — Commercial: $31
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/AUTO DIFF $85 $42.50 $7.77 – $83.40
Complete blood count (CBC) with differential: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $33.49
  • Aetna — Commercial: $42.11
  • Ambetter — Medicare Advantage: $11.27
  • Blue Cross Blue Shield — HMO: $61.03
  • Blue Cross Blue Shield — PPO: $83.40
  • Blue Cross Blue Shield Blue Precision — Managed Care: $59.93
  • Blue Cross Blue Shield Choice — Commercial: $79.24
  • Blue Cross Blue Shield City of Chicago — Commercial: $73.28
  • Cigna — Commercial: $35.71
  • Cigna One Health — Commercial: $35.71
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W/AUTO DIFF $85 $42.50 $37.15 – $68
Complete blood count (CBC) with differential: rates for 3 insurance plans
  • Advocate Employee — Commercial: $37.15
  • Multiplan — Commercial: $68
  • Private Healthcare Systems — Commercial: $52.70
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC WO DIFF $60 $30 $6.47 – $48
Complete blood count (CBC), automated: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $23.64
  • Aetna — Commercial: $35.08
  • Ambetter — Medicare Advantage: $9.38
  • Blue Cross Blue Shield — HMO: $43.08
  • Blue Cross Blue Shield — PPO: $42.31
  • Blue Cross Blue Shield Blue Precision — Managed Care: $42.30
  • Blue Cross Blue Shield Choice — Commercial: $40.20
  • Blue Cross Blue Shield City of Chicago — Commercial: $37.17
  • Cigna — Commercial: $29.76
  • Cigna One Health — Commercial: $29.76
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC WO DIFF $60 $30 $26.22 – $48
Complete blood count (CBC), automated: rates for 3 insurance plans
  • Advocate Employee — Commercial: $26.22
  • Multiplan — Commercial: $48
  • Private Healthcare Systems — Commercial: $37.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $75 $37.50 $4.29 – $60
Blood clotting time test (prothrombin time, PT): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $29.55
  • Aetna — Commercial: $21.29
  • Ambetter — Medicare Advantage: $6.22
  • Blue Cross Blue Shield — HMO: $53.85
  • Blue Cross Blue Shield — PPO: $23.51
  • Blue Cross Blue Shield Blue Precision — Managed Care: $52.88
  • Blue Cross Blue Shield Choice — Commercial: $22.34
  • Blue Cross Blue Shield City of Chicago — Commercial: $20.66
  • Cigna — Commercial: $19.35
  • Cigna One Health — Commercial: $19.35
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $75 $37.50 $32.78 – $60
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans
  • Advocate Employee — Commercial: $32.78
  • Multiplan — Commercial: $60
  • Private Healthcare Systems — Commercial: $46.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PARTIAL THROMBOPLASTIN TIME $95 $47.50 $6.01 – $76
Blood clotting test (partial thromboplastin time, PTT): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $37.43
  • Aetna — Commercial: $32.50
  • Ambetter — Medicare Advantage: $8.71
  • Blue Cross Blue Shield — HMO: $68.21
  • Blue Cross Blue Shield — PPO: $37.62
  • Blue Cross Blue Shield Blue Precision — Managed Care: $66.98
  • Blue Cross Blue Shield Choice — Commercial: $35.74
  • Blue Cross Blue Shield City of Chicago — Commercial: $33.05
  • Cigna — Commercial: $26.79
  • Cigna One Health — Commercial: $26.79
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PARTIAL THROMBOPLASTIN TIME $95 $47.50 $41.52 – $76
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans
  • Advocate Employee — Commercial: $41.52
  • Multiplan — Commercial: $76
  • Private Healthcare Systems — Commercial: $58.90

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD W/O DYE $2,250 $1,125 $160.73 – $1,800
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $886.50
  • Aetna — Commercial: $941
  • Ambetter — Medicare Advantage: $160.73
  • Blue Cross Blue Shield — HMO: $1,615.50
  • Blue Cross Blue Shield — PPO: $1,062.91
  • Blue Cross Blue Shield Blue Precision — Managed Care: $1,586.25
  • Blue Cross Blue Shield Choice — Commercial: $1,009.92
  • Blue Cross Blue Shield City of Chicago — Commercial: $933.89
  • Cigna — Commercial: $653
  • Cigna One Health — Commercial: $653
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD W/O DYE $2,250 $1,125 $983.25 – $1,800
CT scan of the head or brain, without contrast: rates for 3 insurance plans
  • Advocate Employee — Commercial: $983.25
  • Multiplan — Commercial: $1,800
  • Private Healthcare Systems — Commercial: $1,395
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR BRAIN W/WO DYE $5,150 $2,575 $539.81 – $4,120
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $2,029.10
  • Aetna — Commercial: $1,613
  • Ambetter — Medicare Advantage: $539.81
  • Blue Cross Blue Shield — HMO: $3,697.70
  • Blue Cross Blue Shield — PPO: $2,480.13
  • Blue Cross Blue Shield Blue Precision — Managed Care: $3,630.75
  • Blue Cross Blue Shield Choice — Commercial: $2,356.48
  • Blue Cross Blue Shield City of Chicago — Commercial: $2,179.07
  • Cigna — Commercial: $1,096
  • Cigna One Health — Commercial: $1,096
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR BRAIN W/WO DYE $5,150 $2,575 $2,250.55 – $4,120
MRI of the brain, before and after contrast: rates for 3 insurance plans
  • Advocate Employee — Commercial: $2,250.55
  • Multiplan — Commercial: $4,120
  • Private Healthcare Systems — Commercial: $3,193
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR CHEST 2 VIEWS $540 $270 $105.62 – $634
Chest X-ray, 2 views: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $212.76
  • Aetna — Commercial: $291.33
  • Ambetter — Medicare Advantage: $133.09
  • Blue Cross Blue Shield — HMO: $387.72
  • Blue Cross Blue Shield — PPO: $206.84
  • Blue Cross Blue Shield Blue Precision — Managed Care: $380.70
  • Blue Cross Blue Shield Choice — Commercial: $196.53
  • Blue Cross Blue Shield City of Chicago — Commercial: $181.73
  • Cigna — Commercial: $105.62
  • Cigna One Health — Commercial: $105.62
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR CHEST 2 VIEWS $540 $270 $235.98 – $432
Chest X-ray, 2 views: rates for 3 insurance plans
  • Advocate Employee — Commercial: $235.98
  • Multiplan — Commercial: $432
  • Private Healthcare Systems — Commercial: $334.80
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR LUMBAR SPINE 4 VIEW MIN $1,150 $575 $160.73 – $920
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $453.10
  • Aetna — Commercial: $179.90
  • Ambetter — Medicare Advantage: $160.73
  • Blue Cross Blue Shield — HMO: $825.70
  • Blue Cross Blue Shield — PPO: $371.37
  • Blue Cross Blue Shield Blue Precision — Managed Care: $810.75
  • Blue Cross Blue Shield Choice — Commercial: $352.85
  • Blue Cross Blue Shield City of Chicago — Commercial: $326.29
  • Cigna — Commercial: $178.53
  • Cigna One Health — Commercial: $178.53
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR LUMBAR SPINE 4 VIEW MIN $1,150 $575 $502.55 – $920
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans
  • Advocate Employee — Commercial: $502.55
  • Multiplan — Commercial: $920
  • Private Healthcare Systems — Commercial: $713
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR L SPINE WO DYE $3,300 $1,650 $365.36 – $2,640
MRI of the lower back (lumbar spine), without contrast: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $1,300.20
  • Aetna — Commercial: $1,613
  • Ambetter — Medicare Advantage: $365.36
  • Blue Cross Blue Shield — HMO: $2,369.40
  • Blue Cross Blue Shield — PPO: $1,771.52
  • Blue Cross Blue Shield Blue Precision — Managed Care: $2,326.50
  • Blue Cross Blue Shield Choice — Commercial: $1,683.20
  • Blue Cross Blue Shield City of Chicago — Commercial: $1,556.48
  • Cigna — Commercial: $1,096
  • Cigna One Health — Commercial: $1,096
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR L SPINE WO DYE $3,300 $1,650 $1,442.10 – $2,640
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans
  • Advocate Employee — Commercial: $1,442.10
  • Multiplan — Commercial: $2,640
  • Private Healthcare Systems — Commercial: $2,046
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE $2,450 $1,225 $269.08 – $1,960
CT scan of the pelvis, with contrast: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $965.30
  • Aetna — Commercial: $941
  • Ambetter — Medicare Advantage: $269.08
  • Blue Cross Blue Shield — HMO: $1,759.10
  • Blue Cross Blue Shield — PPO: $1,488.08
  • Blue Cross Blue Shield Blue Precision — Managed Care: $1,727.25
  • Blue Cross Blue Shield Choice — Commercial: $1,413.89
  • Blue Cross Blue Shield City of Chicago — Commercial: $1,307.44
  • Cigna — Commercial: $653
  • Cigna One Health — Commercial: $653
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE $2,450 $1,225 $1,070.65 – $1,960
CT scan of the pelvis, with contrast: rates for 3 insurance plans
  • Advocate Employee — Commercial: $1,070.65
  • Multiplan — Commercial: $1,960
  • Private Healthcare Systems — Commercial: $1,519
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR LOWER EXT JOINT BIL WO CONTRAST $4,120 $2,060 $365.36 – $3,296
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $1,623.28
  • Aetna — Commercial: $1,613
  • Ambetter — Medicare Advantage: $365.36
  • Blue Cross Blue Shield — HMO: $2,958.16
  • Blue Cross Blue Shield — PPO: $1,771.52
  • Blue Cross Blue Shield Blue Precision — Managed Care: $2,904.60
  • Blue Cross Blue Shield Choice — Commercial: $1,683.20
  • Blue Cross Blue Shield City of Chicago — Commercial: $1,556.48
  • Cigna — Commercial: $1,096
  • Cigna One Health — Commercial: $1,096
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR LOWER EXTREM JOINT W/O DYE $3,300 $1,650 $365.36 – $2,640
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $1,300.20
  • Aetna — Commercial: $1,613
  • Ambetter — Medicare Advantage: $365.36
  • Blue Cross Blue Shield — HMO: $2,369.40
  • Blue Cross Blue Shield — PPO: $1,771.52
  • Blue Cross Blue Shield Blue Precision — Managed Care: $2,326.50
  • Blue Cross Blue Shield Choice — Commercial: $1,683.20
  • Blue Cross Blue Shield City of Chicago — Commercial: $1,556.48
  • Cigna — Commercial: $1,096
  • Cigna One Health — Commercial: $1,096
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR LOWER EXT JOINT BIL WO CONTRAST $4,120 $2,060 $1,800.44 – $3,296
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans
  • Advocate Employee — Commercial: $1,800.44
  • Multiplan — Commercial: $3,296
  • Private Healthcare Systems — Commercial: $2,554.40
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABDOMEN & PELVIS W/DYE $4,910 $2,455 $539.81 – $3,928
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $1,934.54
  • Aetna — Commercial: $941
  • Ambetter — Medicare Advantage: $539.81
  • Blue Cross Blue Shield — HMO: $3,525.38
  • Blue Cross Blue Shield — PPO: $1,488.08
  • Blue Cross Blue Shield Blue Precision — Managed Care: $3,461.55
  • Blue Cross Blue Shield Choice — Commercial: $1,413.89
  • Blue Cross Blue Shield City of Chicago — Commercial: $1,307.44
  • Cigna — Commercial: $653
  • Cigna One Health — Commercial: $653
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABDOMEN & PELVIS W/DYE $4,910 $2,455 $2,145.67 – $3,928
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans
  • Advocate Employee — Commercial: $2,145.67
  • Multiplan — Commercial: $3,928
  • Private Healthcare Systems — Commercial: $3,044.20
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE $1,620 $810 $160.73 – $1,296
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $638.28
  • Aetna — Commercial: $404.19
  • Ambetter — Medicare Advantage: $160.73
  • Blue Cross Blue Shield — HMO: $1,163.16
  • Blue Cross Blue Shield — PPO: $911.97
  • Blue Cross Blue Shield Blue Precision — Managed Care: $1,142.10
  • Blue Cross Blue Shield Choice — Commercial: $866.51
  • Blue Cross Blue Shield City of Chicago — Commercial: $801.27
  • Cigna — Commercial: $354.09
  • Cigna One Health — Commercial: $354.09
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE $1,620 $810 $707.94 – $1,296
Ultrasound of the abdomen, complete: rates for 3 insurance plans
  • Advocate Employee — Commercial: $707.94
  • Multiplan — Commercial: $1,296
  • Private Healthcare Systems — Commercial: $1,004.40
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB >/=14 WK SINGLE FETUS $1,080 $540 $160.73 – $973.09
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $425.52
  • Aetna — Commercial: $424.53
  • Ambetter — Medicare Advantage: $160.73
  • Blue Cross Blue Shield — HMO: $775.44
  • Blue Cross Blue Shield — PPO: $973.09
  • Blue Cross Blue Shield Blue Precision — Managed Care: $761.40
  • Blue Cross Blue Shield Choice — Commercial: $924.58
  • Blue Cross Blue Shield City of Chicago — Commercial: $854.97
  • Cigna — Commercial: $400.22
  • Cigna One Health — Commercial: $400.22
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB >/=14 WK SINGLE FETUS $1,080 $540 $471.96 – $864
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans
  • Advocate Employee — Commercial: $471.96
  • Multiplan — Commercial: $864
  • Private Healthcare Systems — Commercial: $669.60
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL $810 $405 $160.73 – $803.85
Transvaginal ultrasound: 10 of 18 insurance plan rates
  • Advocate Employee — Commercial: $319.14
  • Ambetter — Medicare Advantage: $160.73
  • Blue Cross Blue Shield — HMO: $581.58
  • Blue Cross Blue Shield — PPO: $803.85
  • Blue Cross Blue Shield Blue Precision — Managed Care: $571.05
  • Blue Cross Blue Shield Choice — Commercial: $763.78
  • Blue Cross Blue Shield City of Chicago — Commercial: $706.28
  • Cigna — Commercial: $391.29
  • Cigna One Health — Commercial: $391.29
  • HSTechnology — Medicare Advantage: $212.83
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL $810 $405 $353.97 – $648
Transvaginal ultrasound: rates for 3 insurance plans
  • Advocate Employee — Commercial: $353.97
  • Multiplan — Commercial: $648
  • Private Healthcare Systems — Commercial: $502.20
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAM DX UNILATERAL $565 $282.50 $127.12 – $524
Diagnostic mammogram, one breast: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $222.61
  • Aetna — Commercial: $304.82
  • Ambetter — Medicare Advantage: $127.12
  • Blue Cross Blue Shield — HMO: $405.67
  • Blue Cross Blue Shield — PPO: $425.16
  • Blue Cross Blue Shield Blue Precision — Managed Care: $398.33
  • Blue Cross Blue Shield Choice — Commercial: $403.97
  • Blue Cross Blue Shield City of Chicago — Commercial: $373.56
  • Cigna — Commercial: $238
  • Cigna One Health — Commercial: $224
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAM SCREEN & DX UNILATERAL $565 $282.50 $127.12 – $524
Diagnostic mammogram, one breast: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $222.61
  • Aetna — Commercial: $304.82
  • Ambetter — Medicare Advantage: $127.12
  • Blue Cross Blue Shield — HMO: $405.67
  • Blue Cross Blue Shield — PPO: $425.16
  • Blue Cross Blue Shield Blue Precision — Managed Care: $398.33
  • Blue Cross Blue Shield Choice — Commercial: $403.97
  • Blue Cross Blue Shield City of Chicago — Commercial: $373.56
  • Cigna — Commercial: $238
  • Cigna One Health — Commercial: $224
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMOGRAM DX UNILATERAL $565 $282.50 $246.91 – $452
Diagnostic mammogram, one breast: rates for 3 insurance plans
  • Advocate Employee — Commercial: $246.91
  • Multiplan — Commercial: $452
  • Private Healthcare Systems — Commercial: $350.30
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAM SCREEN & DX BILATERAL $565 $282.50 $161.67 – $524
Diagnostic mammogram, both breasts: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $222.61
  • Aetna — Commercial: $304.82
  • Ambetter — Medicare Advantage: $161.67
  • Blue Cross Blue Shield — HMO: $405.67
  • Blue Cross Blue Shield — PPO: $425.16
  • Blue Cross Blue Shield Blue Precision — Managed Care: $398.33
  • Blue Cross Blue Shield Choice — Commercial: $403.97
  • Blue Cross Blue Shield City of Chicago — Commercial: $373.56
  • Cigna — Commercial: $238
  • Cigna One Health — Commercial: $224
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAM DX BILATERAL $565 $282.50 $161.67 – $524
Diagnostic mammogram, both breasts: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $222.61
  • Aetna — Commercial: $304.82
  • Ambetter — Medicare Advantage: $161.67
  • Blue Cross Blue Shield — HMO: $405.67
  • Blue Cross Blue Shield — PPO: $425.16
  • Blue Cross Blue Shield Blue Precision — Managed Care: $398.33
  • Blue Cross Blue Shield Choice — Commercial: $403.97
  • Blue Cross Blue Shield City of Chicago — Commercial: $373.56
  • Cigna — Commercial: $238
  • Cigna One Health — Commercial: $224
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMOGRAM DX BILATERAL $565 $282.50 $246.91 – $452
Diagnostic mammogram, both breasts: rates for 3 insurance plans
  • Advocate Employee — Commercial: $246.91
  • Multiplan — Commercial: $452
  • Private Healthcare Systems — Commercial: $350.30
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAM SCREENING BILATERAL $475 $237.50 $133.37 – $524
Screening mammogram, both breasts: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $187.15
  • Aetna — Commercial: $256.26
  • Ambetter — Medicare Advantage: $133.37
  • Blue Cross Blue Shield — HMO: $341.05
  • Blue Cross Blue Shield — PPO: $425.16
  • Blue Cross Blue Shield Blue Precision — Managed Care: $334.88
  • Blue Cross Blue Shield Choice — Commercial: $403.97
  • Blue Cross Blue Shield City of Chicago — Commercial: $373.56
  • Cigna — Commercial: $238
  • Cigna One Health — Commercial: $224
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAM SCREENING UNILATERAL $475 $237.50 $133.37 – $524
Screening mammogram, both breasts: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $187.15
  • Aetna — Commercial: $256.26
  • Ambetter — Medicare Advantage: $133.37
  • Blue Cross Blue Shield — HMO: $341.05
  • Blue Cross Blue Shield — PPO: $425.16
  • Blue Cross Blue Shield Blue Precision — Managed Care: $334.88
  • Blue Cross Blue Shield Choice — Commercial: $403.97
  • Blue Cross Blue Shield City of Chicago — Commercial: $373.56
  • Cigna — Commercial: $238
  • Cigna One Health — Commercial: $224
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMOGRAM SCREENING BILATERAL $475 $237.50 $207.58 – $380
Screening mammogram, both breasts: rates for 3 insurance plans
  • Advocate Employee — Commercial: $207.58
  • Multiplan — Commercial: $380
  • Private Healthcare Systems — Commercial: $294.50

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE Not listed in the file Not listed in the file $136.30 – $155.13
Electrocardiogram (ECG/EKG) with reading: rates for 4 insurance plans
  • Blue Cross Blue Shield — PPO: $155.13
  • Blue Cross Blue Shield Choice — Commercial: $147.40
  • Blue Cross Blue Shield City of Chicago — Commercial: $136.30
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LHC WO/W LVGRAM $10,650 $5,325 $4,196.10 – $18,102
Left heart catheterization (diagnostic): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $4,196.10
  • Aetna — Commercial: $5,745.68
  • Ambetter — Medicare Advantage: $4,861.63
  • Blue Cross Blue Shield — HMO: $6,017.25
  • Blue Cross Blue Shield — PPO: $7,710.60
  • Blue Cross Blue Shield Blue Precision — Managed Care: $5,910.75
  • Blue Cross Blue Shield Choice — Commercial: $7,327.20
  • Blue Cross Blue Shield City of Chicago — Commercial: $6,773.40
  • Cigna — Commercial: $5,964
  • Cigna One Health — Commercial: $5,538
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LHC WO/W LVGRAM $10,650 $5,325 $4,654.05 – $8,520
Left heart catheterization (diagnostic): rates for 3 insurance plans
  • Advocate Employee — Commercial: $4,654.05
  • Multiplan — Commercial: $8,520
  • Private Healthcare Systems — Commercial: $6,603
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION Not listed in the file Not listed in the file $4,671.35 – $25,111
Heart rhythm study (electrophysiology evaluation): 10 of 11 insurance plan rates
  • Ambetter — Medicare Advantage: $11,469.48
  • Blue Cross Blue Shield — PPO: $5,316.73
  • Blue Cross Blue Shield Choice — Commercial: $5,051.66
  • Blue Cross Blue Shield City of Chicago — Commercial: $4,671.35
  • HSTechnology — Medicare Advantage: $15,187.18
  • Molina — Medicare Advantage: $11,469.48
  • Oscar Health HMO — Medicare Advantage: $11,864.98
  • United Healthcare — HMO: $25,111
  • United Healthcare Charter — Commercial: $12,700
  • United Healthcare Core Navigate — Commercial: $21,695
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file Not listed in the file $11,288.04 – $91,059
Heart rhythm study with ablation for atrial fibrillation: 10 of 12 insurance plan rates
  • Ambetter — Medicare Advantage: $37,080.79
  • Blue Cross Blue Shield — PPO: $12,847.58
  • Blue Cross Blue Shield Choice — Commercial: $12,207.05
  • Blue Cross Blue Shield City of Chicago — Commercial: $11,288.04
  • HSTechnology — Medicare Advantage: $49,100.08
  • Molina — Medicare Advantage: $37,080.79
  • Oscar Health HMO — Medicare Advantage: $38,359.44
  • United Healthcare — HMO: $91,059
  • United Healthcare Charter — Commercial: $46,053
  • United Healthcare Core Navigate — Commercial: $78,676
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM Not listed in the file Not listed in the file $1,283 – $3,088.29
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates
  • Aetna — Commercial: $3,088.29
  • Ambetter — Medicare Advantage: $1,537.79
  • Blue Cross Blue Shield — PPO: $1,700.66
  • Blue Cross Blue Shield Choice — Commercial: $1,615.87
  • Blue Cross Blue Shield City of Chicago — Commercial: $1,494.22
  • Cigna — Commercial: $1,283
  • HSTechnology — Medicare Advantage: $2,036.25
  • Molina — Medicare Advantage: $1,537.79
  • Oscar Health HMO — Medicare Advantage: $1,590.82
  • United Healthcare — HMO: $4,841

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PEDS THER EXERCISE PER 15" $170 $85 $42.83 – $469
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $66.98
  • Aetna — Commercial: $112.10
  • Ambetter — Medicare Advantage: $42.83
  • Blue Cross Blue Shield — HMO: $122.06
  • Blue Cross Blue Shield — PPO: $164.54
  • Blue Cross Blue Shield Blue Precision — Managed Care: $119.85
  • Blue Cross Blue Shield Choice — Commercial: $156.34
  • Blue Cross Blue Shield City of Chicago — Commercial: $144.57
  • Cigna — Commercial: $112.20
  • Cigna One Health — Commercial: $88.40
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXER PER UNIT $170 $85 $42.83 – $469
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $66.98
  • Aetna — Commercial: $112.10
  • Ambetter — Medicare Advantage: $42.83
  • Blue Cross Blue Shield — HMO: $122.06
  • Blue Cross Blue Shield — PPO: $164.54
  • Blue Cross Blue Shield Blue Precision — Managed Care: $119.85
  • Blue Cross Blue Shield Choice — Commercial: $156.34
  • Blue Cross Blue Shield City of Chicago — Commercial: $144.57
  • Cigna — Commercial: $112.20
  • Cigna One Health — Commercial: $88.40
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THERAPEUTIC EXER PER UNIT $170 $85 $74.29 – $136
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans
  • Advocate Employee — Commercial: $74.29
  • Multiplan — Commercial: $136
  • Private Healthcare Systems — Commercial: $105.40
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PEDS PT EVAL LOW COMP PER 15 PA ONLY $75 $37.50 $29.55 – $469
Physical therapy evaluation (low complexity): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $29.55
  • Aetna — Commercial: $40.46
  • Ambetter — Medicare Advantage: $146.09
  • Blue Cross Blue Shield — HMO: $53.85
  • Blue Cross Blue Shield — PPO: $408.99
  • Blue Cross Blue Shield Blue Precision — Managed Care: $52.88
  • Blue Cross Blue Shield Choice — Commercial: $388.60
  • Blue Cross Blue Shield City of Chicago — Commercial: $359.34
  • Cigna — Commercial: $49.50
  • Cigna One Health — Commercial: $39
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMP PER 15 PA ONLY $165 $82.50 $65.01 – $469
Physical therapy evaluation (low complexity): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $65.01
  • Aetna — Commercial: $89.02
  • Ambetter — Medicare Advantage: $146.09
  • Blue Cross Blue Shield — HMO: $118.47
  • Blue Cross Blue Shield — PPO: $408.99
  • Blue Cross Blue Shield Blue Precision — Managed Care: $116.33
  • Blue Cross Blue Shield Choice — Commercial: $388.60
  • Blue Cross Blue Shield City of Chicago — Commercial: $359.34
  • Cigna — Commercial: $108.90
  • Cigna One Health — Commercial: $85.80
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PEDS PT EVAL LOW COMPLEXITY $415 $207.50 $146.09 – $469
Physical therapy evaluation (low complexity): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $163.51
  • Aetna — Commercial: $223.89
  • Ambetter — Medicare Advantage: $146.09
  • Blue Cross Blue Shield — HMO: $297.97
  • Blue Cross Blue Shield — PPO: $408.99
  • Blue Cross Blue Shield Blue Precision — Managed Care: $292.58
  • Blue Cross Blue Shield Choice — Commercial: $388.60
  • Blue Cross Blue Shield City of Chicago — Commercial: $359.34
  • Cigna — Commercial: $273.90
  • Cigna One Health — Commercial: $215.80
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMP PER 15 PA ONLY $190 $95 $74.86 – $469
Physical therapy evaluation (moderate complexity): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $74.86
  • Aetna — Commercial: $102.51
  • Ambetter — Medicare Advantage: $146.09
  • Blue Cross Blue Shield — HMO: $136.42
  • Blue Cross Blue Shield — PPO: $408.99
  • Blue Cross Blue Shield Blue Precision — Managed Care: $133.95
  • Blue Cross Blue Shield Choice — Commercial: $388.60
  • Blue Cross Blue Shield City of Chicago — Commercial: $359.34
  • Cigna — Commercial: $125.40
  • Cigna One Health — Commercial: $98.80
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PEDS PT EVAL MOD COMPLEXITY $420 $210 $146.09 – $469
Physical therapy evaluation (moderate complexity): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $165.48
  • Aetna — Commercial: $226.59
  • Ambetter — Medicare Advantage: $146.09
  • Blue Cross Blue Shield — HMO: $301.56
  • Blue Cross Blue Shield — PPO: $408.99
  • Blue Cross Blue Shield Blue Precision — Managed Care: $296.10
  • Blue Cross Blue Shield Choice — Commercial: $388.60
  • Blue Cross Blue Shield City of Chicago — Commercial: $359.34
  • Cigna — Commercial: $277.20
  • Cigna One Health — Commercial: $218.40
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PEDS PT EVAL MOD COMP/15 PA ONLY $80 $40 $31.52 – $469
Physical therapy evaluation (moderate complexity): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $31.52
  • Aetna — Commercial: $43.16
  • Ambetter — Medicare Advantage: $146.09
  • Blue Cross Blue Shield — HMO: $57.44
  • Blue Cross Blue Shield — PPO: $408.99
  • Blue Cross Blue Shield Blue Precision — Managed Care: $56.40
  • Blue Cross Blue Shield Choice — Commercial: $388.60
  • Blue Cross Blue Shield City of Chicago — Commercial: $359.34
  • Cigna — Commercial: $52.80
  • Cigna One Health — Commercial: $41.60
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PEDS PT EVAL HGH COMP/15 PA ONLY $85 $42.50 $33.49 – $469
Physical therapy evaluation (high complexity): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $33.49
  • Aetna — Commercial: $45.86
  • Ambetter — Medicare Advantage: $146.09
  • Blue Cross Blue Shield — HMO: $61.03
  • Blue Cross Blue Shield — PPO: $408.99
  • Blue Cross Blue Shield Blue Precision — Managed Care: $59.93
  • Blue Cross Blue Shield Choice — Commercial: $388.60
  • Blue Cross Blue Shield City of Chicago — Commercial: $359.34
  • Cigna — Commercial: $56.10
  • Cigna One Health — Commercial: $44.20
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMP PER 15 PA ONLY $225 $112.50 $88.65 – $469
Physical therapy evaluation (high complexity): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $88.65
  • Aetna — Commercial: $121.39
  • Ambetter — Medicare Advantage: $146.09
  • Blue Cross Blue Shield — HMO: $161.55
  • Blue Cross Blue Shield — PPO: $408.99
  • Blue Cross Blue Shield Blue Precision — Managed Care: $158.63
  • Blue Cross Blue Shield Choice — Commercial: $388.60
  • Blue Cross Blue Shield City of Chicago — Commercial: $359.34
  • Cigna — Commercial: $148.50
  • Cigna One Health — Commercial: $117
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY $425 $212.50 $146.09 – $469
Physical therapy evaluation (high complexity): 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $167.45
  • Aetna — Commercial: $229.29
  • Ambetter — Medicare Advantage: $146.09
  • Blue Cross Blue Shield — HMO: $305.15
  • Blue Cross Blue Shield — PPO: $408.99
  • Blue Cross Blue Shield Blue Precision — Managed Care: $299.63
  • Blue Cross Blue Shield Choice — Commercial: $388.60
  • Blue Cross Blue Shield City of Chicago — Commercial: $359.34
  • Cigna — Commercial: $280.50
  • Cigna One Health — Commercial: $221
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 30 MIN W/PT $305 $152.50 $106.45 – $408.99
Psychotherapy, 30 minutes: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $120.17
  • Aetna — Commercial: $164.55
  • Ambetter — Medicare Advantage: $242.85
  • Blue Cross Blue Shield — HMO: $218.99
  • Blue Cross Blue Shield — PPO: $408.99
  • Blue Cross Blue Shield Blue Precision — Managed Care: $215.03
  • Blue Cross Blue Shield Choice — Commercial: $388.60
  • Blue Cross Blue Shield City of Chicago — Commercial: $359.34
  • Cigna — Commercial: $201.30
  • Cigna One Health — Commercial: $158.60
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 30 MIN W/PT $305 $152.50 $133.29 – $244
Psychotherapy, 30 minutes: rates for 3 insurance plans
  • Advocate Employee — Commercial: $133.29
  • Multiplan — Commercial: $244
  • Private Healthcare Systems — Commercial: $189.10
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file $242.85 – $592.31
Psychotherapy, 45 minutes: rates for 8 insurance plans
  • Ambetter — Medicare Advantage: $242.85
  • Blue Cross Blue Shield — PPO: $592.31
  • Blue Cross Blue Shield Choice — Commercial: $562.78
  • Blue Cross Blue Shield City of Chicago — Commercial: $520.41
  • HSTechnology — Medicare Advantage: $321.57
  • Molina — Medicare Advantage: $242.85
  • Oscar Health HMO — Medicare Advantage: $251.23
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file $242.85 – $869.68
Psychotherapy, 60 minutes: rates for 8 insurance plans
  • Ambetter — Medicare Advantage: $242.85
  • Blue Cross Blue Shield — PPO: $869.68
  • Blue Cross Blue Shield Choice — Commercial: $826.32
  • Blue Cross Blue Shield City of Chicago — Commercial: $764.11
  • HSTechnology — Medicare Advantage: $321.57
  • Molina — Medicare Advantage: $242.85
  • Oscar Health HMO — Medicare Advantage: $251.23
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file $242.85 – $554.71
Family psychotherapy, without the patient: rates for 7 insurance plans
  • Ambetter — Medicare Advantage: $242.85
  • Blue Cross Blue Shield — PPO: $554.71
  • Blue Cross Blue Shield Choice — Commercial: $527.05
  • Blue Cross Blue Shield City of Chicago — Commercial: $487.37
  • HSTechnology — Medicare Advantage: $321.57
  • Molina — Medicare Advantage: $242.85
  • Oscar Health HMO — Medicare Advantage: $251.23
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file Not listed in the file $242.85 – $719.24
Family psychotherapy, with the patient: rates for 7 insurance plans
  • Ambetter — Medicare Advantage: $242.85
  • Blue Cross Blue Shield — PPO: $719.24
  • Blue Cross Blue Shield Choice — Commercial: $683.38
  • Blue Cross Blue Shield City of Chicago — Commercial: $631.93
  • HSTechnology — Medicare Advantage: $321.57
  • Molina — Medicare Advantage: $242.85
  • Oscar Health HMO — Medicare Advantage: $251.23
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file $139.81 – $454.92
Group psychotherapy: rates for 8 insurance plans
  • Ambetter — Medicare Advantage: $139.81
  • Blue Cross Blue Shield — PPO: $454.92
  • Blue Cross Blue Shield Choice — Commercial: $432.24
  • Blue Cross Blue Shield City of Chicago — Commercial: $399.70
  • HSTechnology — Medicare Advantage: $185.13
  • Molina — Medicare Advantage: $139.81
  • Oscar Health HMO — Medicare Advantage: $144.64
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $5,787.99 – $12,362
Removal of breast growth (open surgery): rates for 9 insurance plans
  • Ambetter — Medicare Advantage: $5,787.99
  • HSTechnology — Medicare Advantage: $7,664.10
  • Molina — Medicare Advantage: $5,787.99
  • Oscar Health HMO — Medicare Advantage: $5,987.58
  • United Healthcare — HMO: $12,362
  • United Healthcare Charter — Commercial: $6,296
  • United Healthcare Core Navigate — Commercial: $10,757
  • United Healthcare Nexus — Commercial: $7,295
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $19,448.31 – $47,462
Total hip replacement: rates for 9 insurance plans
  • Ambetter — Medicare Advantage: $19,448.31
  • HSTechnology — Medicare Advantage: $25,752.25
  • Molina — Medicare Advantage: $19,448.31
  • Oscar Health HMO — Medicare Advantage: $20,118.95
  • United Healthcare — HMO: $47,462
  • United Healthcare Charter — Commercial: $24,003
  • United Healthcare Core Navigate — Commercial: $41,007
  • United Healthcare Nexus — Commercial: $27,813
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $19,448.31 – $47,462
Total knee replacement: rates for 9 insurance plans
  • Ambetter — Medicare Advantage: $19,448.31
  • HSTechnology — Medicare Advantage: $25,752.25
  • Molina — Medicare Advantage: $19,448.31
  • Oscar Health HMO — Medicare Advantage: $20,118.95
  • United Healthcare — HMO: $47,462
  • United Healthcare Charter — Commercial: $24,003
  • United Healthcare Core Navigate — Commercial: $41,007
  • United Healthcare Nexus — Commercial: $27,813
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $3,181 – $6,291
Shoulder arthroscopy: shaving of shoulder bone: rates for 4 insurance plans
  • United Healthcare — HMO: $6,291
  • United Healthcare Charter — Commercial: $3,181
  • United Healthcare Core Navigate — Commercial: $5,437
  • United Healthcare Nexus — Commercial: $3,686
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $4,904.26 – $17,439
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 9 insurance plans
  • Ambetter — Medicare Advantage: $4,904.26
  • HSTechnology — Medicare Advantage: $6,493.91
  • Molina — Medicare Advantage: $4,904.26
  • Oscar Health HMO — Medicare Advantage: $5,073.37
  • United Healthcare — HMO: $17,439
  • United Healthcare Charter — Commercial: $8,821
  • United Healthcare Core Navigate — Commercial: $15,068
  • United Healthcare Nexus — Commercial: $10,219
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $6,296 – $12,362
Removal of tonsils and adenoids (under age 12): rates for 9 insurance plans
  • Ambetter — Medicare Advantage: $8,941.57
  • HSTechnology — Medicare Advantage: $11,839.88
  • Molina — Medicare Advantage: $8,941.57
  • Oscar Health HMO — Medicare Advantage: $9,249.90
  • United Healthcare — HMO: $12,362
  • United Healthcare Charter — Commercial: $6,296
  • United Healthcare Core Navigate — Commercial: $10,757
  • United Healthcare Nexus — Commercial: $7,295
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $1,417.13 – $6,181
Upper GI endoscopy (diagnostic): rates for 9 insurance plans
  • Ambetter — Medicare Advantage: $1,417.13
  • HSTechnology — Medicare Advantage: $1,876.48
  • Molina — Medicare Advantage: $1,417.13
  • Oscar Health HMO — Medicare Advantage: $1,466
  • United Healthcare — HMO: $6,181
  • United Healthcare Charter — Commercial: $3,126
  • United Healthcare Core Navigate — Commercial: $5,340
  • United Healthcare Nexus — Commercial: $3,622
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $1,417.13 – $6,181
Upper GI endoscopy with biopsy: rates for 9 insurance plans
  • Ambetter — Medicare Advantage: $1,417.13
  • HSTechnology — Medicare Advantage: $1,876.48
  • Molina — Medicare Advantage: $1,417.13
  • Oscar Health HMO — Medicare Advantage: $1,466
  • United Healthcare — HMO: $6,181
  • United Healthcare Charter — Commercial: $3,126
  • United Healthcare Core Navigate — Commercial: $5,340
  • United Healthcare Nexus — Commercial: $3,622
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $1,378.06 – $6,181
Colonoscopy (diagnostic): 10 of 14 insurance plan rates
  • Ambetter — Medicare Advantage: $1,378.06
  • Blue Cross Blue Shield — PPO: $2,138
  • Blue Cross Blue Shield Choice — Commercial: $2,031
  • Blue Cross Blue Shield City of Chicago — Commercial: $1,879
  • Cigna — Commercial: $1,653
  • Cigna One Health — Commercial: $1,555
  • HSTechnology — Medicare Advantage: $1,824.74
  • Molina — Medicare Advantage: $1,378.06
  • Oscar Health HMO — Medicare Advantage: $1,425.58
  • United Healthcare — HMO: $6,181
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $1,782.19 – $6,181
Colonoscopy with biopsy: rates for 9 insurance plans
  • Ambetter — Medicare Advantage: $1,782.19
  • HSTechnology — Medicare Advantage: $2,359.87
  • Molina — Medicare Advantage: $1,782.19
  • Oscar Health HMO — Medicare Advantage: $1,843.64
  • United Healthcare — HMO: $6,181
  • United Healthcare Charter — Commercial: $3,126
  • United Healthcare Core Navigate — Commercial: $5,340
  • United Healthcare Nexus — Commercial: $3,622
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $1,782.19 – $6,181
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans
  • Ambetter — Medicare Advantage: $1,782.19
  • HSTechnology — Medicare Advantage: $2,359.87
  • Molina — Medicare Advantage: $1,782.19
  • Oscar Health HMO — Medicare Advantage: $1,843.64
  • United Healthcare — HMO: $6,181
  • United Healthcare Charter — Commercial: $3,126
  • United Healthcare Core Navigate — Commercial: $5,340
  • United Healthcare Nexus — Commercial: $3,622
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $1,782.19 – $6,181
Ultrasound of the lower bowel by endoscope: rates for 8 insurance plans
  • Ambetter — Medicare Advantage: $1,782.19
  • HSTechnology — Medicare Advantage: $2,359.87
  • Molina — Medicare Advantage: $1,782.19
  • Oscar Health HMO — Medicare Advantage: $1,843.64
  • United Healthcare — HMO: $6,181
  • United Healthcare Charter — Commercial: $3,126
  • United Healthcare Core Navigate — Commercial: $5,340
  • United Healthcare Nexus — Commercial: $3,622
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $1,378.06 – $6,071
Screening colonoscopy (not high risk): rates for 9 insurance plans
  • Ambetter — Medicare Advantage: $1,378.06
  • HSTechnology — Medicare Advantage: $1,824.74
  • Molina — Medicare Advantage: $1,378.06
  • Oscar Health HMO — Medicare Advantage: $1,425.58
  • United Healthcare — HMO: $6,071
  • United Healthcare Charter — Commercial: $3,070
  • United Healthcare Core Navigate — Commercial: $5,246
  • United Healthcare Nexus — Commercial: $3,558
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $8,818.69 – $25,111
Gallbladder removal by laparoscope: rates for 9 insurance plans
  • Ambetter — Medicare Advantage: $8,818.69
  • HSTechnology — Medicare Advantage: $11,677.16
  • Molina — Medicare Advantage: $8,818.69
  • Oscar Health HMO — Medicare Advantage: $9,122.78
  • United Healthcare — HMO: $25,111
  • United Healthcare Charter — Commercial: $12,700
  • United Healthcare Core Navigate — Commercial: $21,695
  • United Healthcare Nexus — Commercial: $14,716
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $5,334.21 – $17,439
Groin (inguinal) hernia repair, age 5 or older: rates for 9 insurance plans
  • Ambetter — Medicare Advantage: $5,334.21
  • HSTechnology — Medicare Advantage: $7,063.22
  • Molina — Medicare Advantage: $5,334.21
  • Oscar Health HMO — Medicare Advantage: $5,518.14
  • United Healthcare — HMO: $17,439
  • United Healthcare Charter — Commercial: $8,821
  • United Healthcare Core Navigate — Commercial: $15,068
  • United Healthcare Nexus — Commercial: $10,219
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE, NEEDLE BIOPSIES $1,470 $735 $579.18 – $6,181
Prostate biopsy: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $579.18
  • Aetna — Commercial: $793.07
  • Ambetter — Medicare Advantage: $3,096.34
  • Blue Cross Blue Shield — HMO: $830.55
  • Blue Cross Blue Shield — PPO: $1,064.28
  • Blue Cross Blue Shield Blue Precision — Managed Care: $815.85
  • Blue Cross Blue Shield Choice — Commercial: $1,011.36
  • Blue Cross Blue Shield City of Chicago — Commercial: $934.92
  • Cigna — Commercial: $970.20
  • Cigna One Health — Commercial: $764.40
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROSTATE, NEEDLE BIOPSIES $1,470 $735 $642.39 – $1,176
Prostate biopsy: rates for 3 insurance plans
  • Advocate Employee — Commercial: $642.39
  • Multiplan — Commercial: $1,176
  • Private Healthcare Systems — Commercial: $911.40
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $15,736.65 – $47,462
Prostate removal by laparoscope (radical prostatectomy): rates for 8 insurance plans
  • Ambetter — Medicare Advantage: $15,736.65
  • HSTechnology — Medicare Advantage: $20,837.50
  • Molina — Medicare Advantage: $15,736.65
  • Oscar Health HMO — Medicare Advantage: $16,279.30
  • United Healthcare — HMO: $47,462
  • United Healthcare Charter — Commercial: $24,003
  • United Healthcare Core Navigate — Commercial: $41,007
  • United Healthcare Nexus — Commercial: $27,813
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $4,805.89 – $12,362
Hysteroscopy with biopsy of the uterus lining: rates for 9 insurance plans
  • Ambetter — Medicare Advantage: $4,805.89
  • HSTechnology — Medicare Advantage: $6,363.66
  • Molina — Medicare Advantage: $4,805.89
  • Oscar Health HMO — Medicare Advantage: $4,971.61
  • United Healthcare — HMO: $12,362
  • United Healthcare Charter — Commercial: $6,296
  • United Healthcare Core Navigate — Commercial: $10,757
  • United Healthcare Nexus — Commercial: $7,295
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION EPIDURAL L/S WITH IMAGE $2,290 $1,145 $84 – $1,832
Spinal injection, lower back (epidural), with imaging guidance: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $902.26
  • Aetna — Commercial: $1,235.46
  • Ambetter — Medicare Advantage: $1,046.75
  • Blue Cross Blue Shield — HMO: $1,644.22
  • Blue Cross Blue Shield — PPO: $1,747.27
  • Blue Cross Blue Shield Blue Precision — Managed Care: $1,614.45
  • Blue Cross Blue Shield Choice — Commercial: $1,660.25
  • Blue Cross Blue Shield City of Chicago — Commercial: $1,534.30
  • Cigna — Commercial: $1,511.40
  • Cigna One Health — Commercial: $1,190.80
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION EPIDURAL L/S W IMAGE $2,290 $1,145 $84 – $1,832
Spinal injection, lower back (epidural), with imaging guidance: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $902.26
  • Aetna — Commercial: $1,235.46
  • Ambetter — Medicare Advantage: $1,046.75
  • Blue Cross Blue Shield — HMO: $1,644.22
  • Blue Cross Blue Shield — PPO: $1,747.27
  • Blue Cross Blue Shield Blue Precision — Managed Care: $1,614.45
  • Blue Cross Blue Shield Choice — Commercial: $1,660.25
  • Blue Cross Blue Shield City of Chicago — Commercial: $1,534.30
  • Cigna — Commercial: $1,511.40
  • Cigna One Health — Commercial: $1,190.80
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INJECTION EPIDURAL L/S W IMAGE $2,290 $1,145 $1,000.73 – $1,832
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans
  • Advocate Employee — Commercial: $1,000.73
  • Multiplan — Commercial: $1,832
  • Private Healthcare Systems — Commercial: $1,419.80
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECT FORAMEN L/S SINGLE LEVEL WITH CT/FLOURO $2,490 $1,245 $981.06 – $6,071
Nerve root injection, lower back, with imaging guidance: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $981.06
  • Aetna — Commercial: $1,343.36
  • Ambetter — Medicare Advantage: $1,345.68
  • Blue Cross Blue Shield — HMO: $1,406.85
  • Blue Cross Blue Shield — PPO: $1,802.76
  • Blue Cross Blue Shield Blue Precision — Managed Care: $1,381.95
  • Blue Cross Blue Shield Choice — Commercial: $1,713.12
  • Blue Cross Blue Shield City of Chicago — Commercial: $1,583.64
  • Cigna — Commercial: $1,643.40
  • Cigna One Health — Commercial: $1,294.80
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ FORAMEN L/S SNG LVL W CT/FLOURO $2,490 $1,245 $981.06 – $6,071
Nerve root injection, lower back, with imaging guidance: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $981.06
  • Aetna — Commercial: $1,343.36
  • Ambetter — Medicare Advantage: $1,345.68
  • Blue Cross Blue Shield — HMO: $1,406.85
  • Blue Cross Blue Shield — PPO: $1,802.76
  • Blue Cross Blue Shield Blue Precision — Managed Care: $1,381.95
  • Blue Cross Blue Shield Choice — Commercial: $1,713.12
  • Blue Cross Blue Shield City of Chicago — Commercial: $1,583.64
  • Cigna — Commercial: $1,643.40
  • Cigna One Health — Commercial: $1,294.80
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECT FORAMEN L/S SINGLE LEVEL WITH CT/FLOURO BILATERAL $3,020 $1,510 $84 – $2,416
Nerve root injection, lower back, with imaging guidance: 10 of 19 insurance plan rates
  • Advocate Employee — Commercial: $1,189.88
  • Aetna — Commercial: $1,629.29
  • Ambetter — Medicare Advantage: $1,345.68
  • Blue Cross Blue Shield — HMO: $2,168.36
  • Blue Cross Blue Shield — PPO: $2,304.26
  • Blue Cross Blue Shield Blue Precision — Managed Care: $2,129.10
  • Blue Cross Blue Shield Choice — Commercial: $2,189.50
  • Blue Cross Blue Shield City of Chicago — Commercial: $2,023.40
  • Cigna — Commercial: $1,993.20
  • Cigna One Health — Commercial: $1,570.40
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $2,951.63 – $12,362
Carpal tunnel release: rates for 9 insurance plans
  • Ambetter — Medicare Advantage: $2,951.63
  • HSTechnology — Medicare Advantage: $3,908.36
  • Molina — Medicare Advantage: $2,951.63
  • Oscar Health HMO — Medicare Advantage: $3,053.41
  • United Healthcare — HMO: $12,362
  • United Healthcare Charter — Commercial: $6,296
  • United Healthcare Core Navigate — Commercial: $10,757
  • United Healthcare Nexus — Commercial: $7,295
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $829.21 – $6,071
Laser treatment of clouding after cataract surgery: rates for 9 insurance plans
  • Ambetter — Medicare Advantage: $829.21
  • HSTechnology — Medicare Advantage: $1,097.99
  • Molina — Medicare Advantage: $829.21
  • Oscar Health HMO — Medicare Advantage: $857.81
  • United Healthcare — HMO: $6,071
  • United Healthcare Charter — Commercial: $3,070
  • United Healthcare Core Navigate — Commercial: $5,246
  • United Healthcare Nexus — Commercial: $3,558
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $3,447.34 – $12,362
Cataract removal with lens implant: rates for 9 insurance plans
  • Ambetter — Medicare Advantage: $3,447.34
  • HSTechnology — Medicare Advantage: $4,564.76
  • Molina — Medicare Advantage: $3,447.34
  • Oscar Health HMO — Medicare Advantage: $3,566.22
  • United Healthcare — HMO: $12,362
  • United Healthcare Charter — Commercial: $6,296
  • United Healthcare Core Navigate — Commercial: $10,757
  • United Healthcare Nexus — Commercial: $7,295
  • Aetna — Commercial: 53.95% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $105,988.38 – $206,494.94
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 15 insurance plan rates
  • Aetna — Commercial: $157,467.35
  • Ambetter — Medicare Advantage: $127,306.58
  • Blue Cross Blue Shield — HMO: $106,181.40
  • Blue Cross Blue Shield — PPO: $196,139.31
  • Blue Cross Blue Shield Choice — Commercial: $186,333.79
  • Blue Cross Blue Shield City of Chicago — Commercial: $172,358.99
  • Cigna — Commercial: $206,494.94
  • Cigna One Health — Commercial: $109,713.70
  • HSTechnology — Medicare Advantage: $168,571.47
  • Molina — Medicare Advantage: $127,306.58
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $20,706.56 – $40,342.16
Hip or knee replacement (major joint of the leg), without major complications: 10 of 15 insurance plan rates
  • Aetna — Commercial: $30,763.82
  • Ambetter — Medicare Advantage: $26,871.72
  • Blue Cross Blue Shield — HMO: $20,744.27
  • Blue Cross Blue Shield — PPO: $38,319.02
  • Blue Cross Blue Shield Choice — Commercial: $36,403.35
  • Blue Cross Blue Shield City of Chicago — Commercial: $33,673.14
  • Cigna — Commercial: $40,342.16
  • Cigna One Health — Commercial: $21,434.36
  • HSTechnology — Medicare Advantage: $35,581.86
  • Molina — Medicare Advantage: $26,871.72
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $25,998.79 – $50,652.89
Neck (cervical) spinal fusion, without complications: 10 of 15 insurance plan rates
  • Aetna — Commercial: $38,626.50
  • Ambetter — Medicare Advantage: $33,104.25
  • Blue Cross Blue Shield — HMO: $26,046.13
  • Blue Cross Blue Shield — PPO: $48,112.67
  • Blue Cross Blue Shield Choice — Commercial: $45,707.39
  • Blue Cross Blue Shield City of Chicago — Commercial: $42,279.40
  • Cigna — Commercial: $50,652.89
  • Cigna One Health — Commercial: $26,912.60
  • HSTechnology — Medicare Advantage: $43,834.60
  • Molina — Medicare Advantage: $33,104.25
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $13,164.12 – $25,647.39
Uterus and ovary surgery (not for cancer), without complications: 10 of 15 insurance plan rates
  • Aetna — Commercial: $19,557.99
  • Ambetter — Medicare Advantage: $17,989.11
  • Blue Cross Blue Shield — HMO: $13,188.10
  • Blue Cross Blue Shield — PPO: $24,361.18
  • Blue Cross Blue Shield Choice — Commercial: $23,143.30
  • Blue Cross Blue Shield City of Chicago — Commercial: $21,407.58
  • Cigna — Commercial: $25,647.39
  • Cigna One Health — Commercial: $13,626.82
  • HSTechnology — Medicare Advantage: $23,820.06
  • Molina — Medicare Advantage: $17,989.11

Source: Advocate Trinity Hospital’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on November 4, 2025; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address2320 E 93rd St, Chicago, IL 60617
CountyCook County
StateIllinois
Phone(773) 967‑5002
Emergency servicesYes
OwnershipVoluntary non-profit - Church
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number140048
Name in Medicare recordsADVOCATE TRINITY HOSPITAL
Profile levelMedicare data + hospital website
Official websiteadvocatehealth.com
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Services & Specialties - Advocate Trinity Hospital — advocatehealth.com
  2. Department Directory | Advocate Trinity Hospital | Chicago, IL — advocatehealth.com
  3. Bone & Joint Treatment | Advocate Trinity Hospital | Chicago, IL — advocatehealth.com
  4. About Advocate Trinity Hospital | Chicago, IL — advocatehealth.com
  5. Women's Health | Advocate Trinity Hospital | Chicago, IL — advocatehealth.com
  6. Cancer Institute | Advocate Trinity Hospital | Chicago, IL — advocatehealth.com
  7. Advocate Heart Institute | Advocate Trinity Hospital | Chicago, IL — advocatehealth.com
  8. Brain & Spine Institute | Advocate Trinity Hospital | Chicago — advocatehealth.com