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Acute Care Hospital

Anderson Hospital

Maryville, Illinois · Madison County · Emergency services listed

Summary

Anderson Hospital is an acute care hospital in Maryville, Illinois. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 39 services, specialties and programs. Medicare lists 419 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

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(618) 288‑5711 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
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
144Beds (hospital website)
419Doctors and clinicians
39Services listed

Quick answers

Does Anderson Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Anderson Hospital. In a medical emergency, call 911.
Where is Anderson Hospital?
6800 State Route 162, Maryville, IL 62062, in Madison County, Illinois.
What is the phone number of Anderson Hospital?
(618) 288-5711, as listed by Medicare (CMS).
What is the Medicare star rating of Anderson Hospital?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][6][7]

Conditions treated[5][6]

Procedures[6][7]

Programs and centers[5][6]

  • EMS Resource Hospital
  • Cardiac Catheterization Lab

Emergency care (hospital website)[5]

Emergency roomYes

Visiting and practical information

Patient portalMyHealth Patient Portal

Recognition[6]

  • Accredited Chest Pain Center with Primary PCI (American College of Cardiology)

Doctors and clinicians (419)

419 doctors and other clinicians list Anderson 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 (419)

And 395 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

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 licence 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 Anderson 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) 3 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1070%National average: 72%
Would definitely recommend the hospital69%National average: 71%
Nurses “always” communicated well79%National average: 80%
Doctors “always” communicated well76%National average: 80%
Staff “always” explained medicines before giving them53%National average: 62%
Were given information about recovery at home86%National average: 86%
Room and bathroom “always” clean77%National average: 74%
Area around the room “always” quiet at night59%National average: 60%
Completed surveys337Response rate: 33%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 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)0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.151Better than the national benchmark
Surgical site infections after colon surgery0.562No different from the national benchmark
Surgical site infections after abdominal hysterectomy0.947No different from the national benchmark
MRSA bloodstream infections0.976No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.554Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 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 patients12.8%
Deaths within 30 days: heart failure patients11.8%
Deaths within 30 days: pneumonia patients19.3%
Deaths within 30 days: COPD patients9.8%
Deaths within 30 days: stroke patients16.2%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1.1No different from the national rate
Complications after hip or knee replacementToo few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 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)Not reported to Medicare
Readmitted within 30 days: heart attack14.7%
Readmitted within 30 days: heart failure22%
Readmitted within 30 days: pneumonia17.9%
Readmitted within 30 days: COPD20.7%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 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)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)231 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)76%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

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 IllinoisBest hospitals in Illinois

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 85 common services exactly as Anderson 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 →

$ 40 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

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: NEW PT LVL 3 DETAILED $400.10 $200.05 $102.70 – $400.10
New patient office visit (about 30–44 minutes): 10 of 18 insurance plan rates
  • Aetna Inc — Aetna/Coventry: $236.06
  • Anthem Blue Cross and Blue Shield — Anthem: $214.57
  • Beech Street Corporation — Beech Street: $360.09
  • Blue Choice — Blue Choice: $180.05
  • Cigna Corporation — Cigna HMO/PPO: $260.06
  • Health Care Service Corporation — Blue Cross of Illinois HMO/PPO: $183.05
  • Health Care Service Corporation — Blue Cross of Illinois SIHCA: $102.70
  • HealthLink — HealthLink HMO: $248.06
  • HealthLink — HealthLink PPO: $280.07
  • Illinois Medicaid — Illinois Medicaid: $219.56
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NEW PT LVL 3 DETAILED $400.10 $200.05 $41.60 – $360.09
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $222.26
  • Beech Street Corporation — Beech Street: $360.09
  • Humana — Humana Medicare: $116.40
  • Illinois Medicaid — Illinois Medicaid: $41.60
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $41.60
  • Medicare — Medicare: $116.40
  • Medicare Advantage — Medicare PFFS/MA: $118.29
  • Self Pay — Self Pay: $200.05
  • Tricare — Tricare: $107.71
  • United HealthCare Services — United HealthCare Government: $116.40
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PT LVL 3 DETAILED $400.10 $200.05 $300.08 – $360.09
New patient office visit (about 30–44 minutes): rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $360.09
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $300.08
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT LVL 4 COMP MOD $509.30 $254.65 $163.82 – $509.31
New patient office visit (about 45–59 minutes): 10 of 18 insurance plan rates
  • Aetna Inc — Aetna/Coventry: $300.49
  • Anthem Blue Cross and Blue Shield — Anthem: $273.14
  • Beech Street Corporation — Beech Street: $458.37
  • Blue Choice — Blue Choice: $229.19
  • Cigna Corporation — Cigna HMO/PPO: $331.05
  • Health Care Service Corporation — Blue Cross of Illinois HMO/PPO: $233
  • Health Care Service Corporation — Blue Cross of Illinois SIHCA: $163.82
  • HealthLink — HealthLink HMO: $315.77
  • HealthLink — HealthLink PPO: $356.51
  • Illinois Medicaid — Illinois Medicaid: $219.56
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NEW PT LVL 4 COMP MOD $509.30 $254.65 $66.40 – $458.37
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $282.92
  • Beech Street Corporation — Beech Street: $458.37
  • Humana — Humana Medicare: $176.03
  • Illinois Medicaid — Illinois Medicaid: $66.40
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $66.40
  • Medicare — Medicare: $176.03
  • Medicare Advantage — Medicare PFFS/MA: $178.89
  • Self Pay — Self Pay: $254.65
  • Tricare — Tricare: $161.93
  • United HealthCare Services — United HealthCare Government: $176.03
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PT LVL 4 COMP MOD $509.30 $254.65 $381.98 – $458.37
New patient office visit (about 45–59 minutes): rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $458.37
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $381.98
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT LVL 5 COMP HIGH $578.60 $289.30 $222.29 – $578.60
New patient office visit (about 60–74 minutes): 10 of 18 insurance plan rates
  • Aetna Inc — Aetna/Coventry: $341.37
  • Anthem Blue Cross and Blue Shield — Anthem: $310.30
  • Beech Street Corporation — Beech Street: $520.74
  • Blue Choice — Blue Choice: $260.37
  • Cigna Corporation — Cigna HMO/PPO: $376.09
  • Health Care Service Corporation — Blue Cross of Illinois HMO/PPO: $264.71
  • Health Care Service Corporation — Blue Cross of Illinois SIHCA: $222.29
  • HealthLink — HealthLink HMO: $358.73
  • HealthLink — HealthLink PPO: $405.02
  • Illinois Medicaid — Illinois Medicaid: $219.56
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NEW PT LVL 5 COMP HIGH $578.60 $289.30 $70.85 – $520.74
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $321.41
  • Beech Street Corporation — Beech Street: $520.74
  • Humana — Humana Medicare: $236.52
  • Illinois Medicaid — Illinois Medicaid: $70.85
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $70.85
  • Medicare — Medicare: $236.52
  • Medicare Advantage — Medicare PFFS/MA: $240.37
  • Self Pay — Self Pay: $289.30
  • Tricare — Tricare: $214.70
  • United HealthCare Services — United HealthCare Government: $236.52
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PT LVL 5 COMP HIGH $578.60 $289.30 $433.95 – $520.74
New patient office visit (about 60–74 minutes): rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $520.74
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $433.95
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISH PT LVL 3 EXP FOCUS $328.70 $164.35 $80.68 – $328.70
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates
  • Aetna Inc — Aetna/Coventry: $193.93
  • Anthem Blue Cross and Blue Shield — Anthem: $176.28
  • Beech Street Corporation — Beech Street: $295.83
  • Blue Choice — Blue Choice: $147.91
  • Cigna Corporation — Cigna HMO/PPO: $213.66
  • Health Care Service Corporation — Blue Cross of Illinois HMO/PPO: $150.38
  • Health Care Service Corporation — Blue Cross of Illinois SIHCA: $80.68
  • HealthLink — HealthLink HMO: $203.79
  • HealthLink — HealthLink PPO: $230.09
  • Illinois Medicaid — Illinois Medicaid: $219.56
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ESTABLISH PT LVL 3 EXP FOCUS $328.70 $164.35 $28.35 – $295.83
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $182.59
  • Beech Street Corporation — Beech Street: $295.83
  • Humana — Humana Medicare: $92.83
  • Illinois Medicaid — Illinois Medicaid: $28.35
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $28.35
  • Medicare — Medicare: $92.83
  • Medicare Advantage — Medicare PFFS/MA: $94.34
  • Self Pay — Self Pay: $164.35
  • Tricare — Tricare: $87.03
  • United HealthCare Services — United HealthCare Government: $92.83
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ESTABLISH PT LVL 3 EXP FOCUS $328.70 $164.35 $246.52 – $295.83
Established patient office visit (about 20–29 minutes): rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $295.83
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $246.52
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISH PT LVL 4 DETAILED $370.70 $185.35 $118.90 – $370.69
Established patient office visit (about 30–39 minutes): 10 of 18 insurance plan rates
  • Aetna Inc — Aetna/Coventry: $218.71
  • Anthem Blue Cross and Blue Shield — Anthem: $198.81
  • Beech Street Corporation — Beech Street: $333.63
  • Blue Choice — Blue Choice: $166.81
  • Cigna Corporation — Cigna HMO/PPO: $240.96
  • Health Care Service Corporation — Blue Cross of Illinois HMO/PPO: $169.60
  • Health Care Service Corporation — Blue Cross of Illinois SIHCA: $118.90
  • HealthLink — HealthLink HMO: $229.83
  • HealthLink — HealthLink PPO: $259.49
  • Illinois Medicaid — Illinois Medicaid: $219.56
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ESTABLISH PT LVL 4 DETAILED $370.70 $185.35 $42.50 – $333.63
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $205.92
  • Beech Street Corporation — Beech Street: $333.63
  • Humana — Humana Medicare: $132.85
  • Illinois Medicaid — Illinois Medicaid: $42.50
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $42.50
  • Medicare — Medicare: $132.85
  • Medicare Advantage — Medicare PFFS/MA: $135.01
  • Self Pay — Self Pay: $185.35
  • Tricare — Tricare: $122.97
  • United HealthCare Services — United HealthCare Government: $132.85
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ESTABLISH PT LVL 4 DETAILED $370.70 $185.35 $278.02 – $333.63
Established patient office visit (about 30–39 minutes): rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $333.63
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $278.02
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION Not listed in the file Not listed in the file $20,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate): 10 of 19 insurance plan rates
  • Blue Choice — Blue Choice: $22,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Devoted Health PPO — Devoted Health PPO: $20,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Hopetrust — Hopetrust: $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Illinois Medicaid — Illinois Medicaid: $219.56
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $219.56
  • Self Pay — Self Pay: $25,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Tricare — Tricare: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Work Comp — Work Comp: $26,600 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Aetna Inc — Aetna/Coventry: 5,900% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross and Blue Shield — Anthem: 5,363% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE CONSULTATION Not listed in the file Not listed in the file $51.30 – $147.55
Office consultation with a specialist (moderate): rates for 7 insurance plans
  • Illinois Medicaid — Illinois Medicaid: $51.30
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $51.30
  • Tricare — Tricare: $107.41
  • Work Comp — Work Comp: $147.55
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
  • Self Pay — Self Pay: 50% (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: OFFICE CONSULTATION Not listed in the file Not listed in the file $20,000 – $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate to high): 10 of 19 insurance plan rates
  • Blue Choice — Blue Choice: $22,500
  • Devoted Health PPO — Devoted Health PPO: $20,000
  • Hopetrust — Hopetrust: $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Illinois Medicaid — Illinois Medicaid: $219.56
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $219.56
  • Self Pay — Self Pay: $25,000
  • Tricare — Tricare: $50,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Work Comp — Work Comp: $26,600 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Aetna Inc — Aetna/Coventry: 5,900% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross and Blue Shield — Anthem: 5,363% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE CONSULTATION Not listed in the file Not listed in the file $71.40 – $198.77
Office consultation with a specialist (moderate to high): rates for 7 insurance plans
  • Illinois Medicaid — Illinois Medicaid: $71.40
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $71.40
  • Tricare — Tricare: $152.91
  • Work Comp — Work Comp: $198.77
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
  • Self Pay — Self Pay: 50% (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 $89.12 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 18–39: 10 of 19 insurance plan rates
  • Blue Choice — Blue Choice: $22,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Devoted Health PPO — Devoted Health PPO: $20,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Hopetrust — Hopetrust: $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Illinois Medicaid — Illinois Medicaid: $219.56
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $219.56
  • Self Pay — Self Pay: $25,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Tricare — Tricare: $89.12
  • Work Comp — Work Comp: $26,600 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Aetna Inc — Aetna/Coventry: 5,900% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross and Blue Shield — Anthem: 5,363% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PREV VISIT, NEW, AGE 18-39 Not listed in the file Not listed in the file $66.40 – $123.29
Preventive checkup, new patient, age 18–39: rates for 7 insurance plans
  • Illinois Medicaid — Illinois Medicaid: $66.40
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $66.40
  • Tricare — Tricare: $123.29
  • Work Comp — Work Comp: $115.61
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
  • Self Pay — Self Pay: 50% (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 $107.71 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 40–64: 10 of 19 insurance plan rates
  • Blue Choice — Blue Choice: $22,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Devoted Health PPO — Devoted Health PPO: $20,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Hopetrust — Hopetrust: $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Illinois Medicaid — Illinois Medicaid: $219.56
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $219.56
  • Self Pay — Self Pay: $25,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Tricare — Tricare: $107.71
  • Work Comp — Work Comp: $26,600 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Aetna Inc — Aetna/Coventry: 5,900% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross and Blue Shield — Anthem: 5,363% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PREV VISIT, NEW, AGE 40-64 Not listed in the file Not listed in the file $66.40 – $142.27
Preventive checkup, new patient, age 40–64: rates for 7 insurance plans
  • Illinois Medicaid — Illinois Medicaid: $66.40
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $66.40
  • Tricare — Tricare: $142.27
  • Work Comp — Work Comp: $125.79
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
  • Self Pay — Self Pay: 50% (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: EMERGENCY DEPT VISIT LEVEL 3 $1,375.40 $687.70 $283.75 – $1,300
Emergency room visit (moderate): 10 of 27 insurance plan rates
  • Aetna Inc — Aetna Medicare: $287.85
  • Aetna Inc — Aetna/Coventry: $1,225
  • Ambetter — Ambetter: $424.17
  • Anthem Blue Cross and Blue Shield — Anthem: $1,300
  • Beech Street Corporation — Beech Street: $1,237.86
  • Blue Choice — Blue Choice: $424.17
  • Cigna Corporation — Cigna HMO/PPO: $962.78
  • Clear Springs Health — Clear Springs Health MA: $296.49
  • Devoted Health PPO — Devoted Health PPO: $293.61
  • Essence — Essence: $292.53
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT LEVEL 3 $1,375.40 $687.70 $70.67 – $1,237.86
Emergency room visit (moderate): rates for 9 insurance plans
  • Anthem Blue Cross and Blue Shield — Anthem: $764.03
  • Beech Street Corporation — Beech Street: $1,237.86
  • Humana — Humana Medicare: $74.29
  • Medicare — Medicare: $74.29
  • Medicare Advantage — Medicare PFFS/MA: $75.50
  • Self Pay — Self Pay: $687.70
  • Tricare — Tricare: $70.67
  • United HealthCare Services — United HealthCare Government: $74.29
  • Work Comp — Work Comp: $139.50
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LEVEL 3 $1,375.40 $687.70 $1,031.55 – $1,237.86
Emergency room visit (moderate): rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $1,237.86
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $1,031.55
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LEVEL 4 $2,083.10 $1,041.55 $433.74 – $1,874.79
Emergency room visit (moderately high): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $440
  • Aetna Inc — Aetna/Coventry: $1,225
  • Ambetter — Ambetter: $648.37
  • Anthem Blue Cross and Blue Shield — Anthem: $1,300
  • Beech Street Corporation — Beech Street: $1,874.79
  • Blue Choice — Blue Choice: $648.37
  • Cigna Corporation — Cigna HMO/PPO: $1,458.17
  • Clear Springs Health — Clear Springs Health MA: $453.20
  • Devoted Health PPO — Devoted Health PPO: $448.80
  • Essence — Essence: $447.15
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT LEVEL 4 $2,083.10 $1,041.55 $121.07 – $1,874.79
Emergency room visit (moderately high): 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $1,157.16
  • Beech Street Corporation — Beech Street: $1,874.79
  • Humana — Humana Medicare: $126.83
  • Illinois Medicaid — Illinois Medicaid: $181
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $181
  • Medicare — Medicare: $126.83
  • Medicare Advantage — Medicare PFFS/MA: $128.89
  • Self Pay — Self Pay: $1,041.55
  • Tricare — Tricare: $121.07
  • United HealthCare Services — United HealthCare Government: $126.83
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LEVEL 4 $2,083.10 $1,041.55 $1,562.32 – $1,874.79
Emergency room visit (moderately high): rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $1,874.79
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $1,562.32
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LEVEL 5 $2,942.20 $1,471.10 $619.03 – $2,647.98
Emergency room visit (high): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $627.97
  • Aetna Inc — Aetna/Coventry: $1,225
  • Ambetter — Ambetter: $925.36
  • Anthem Blue Cross and Blue Shield — Anthem: $1,300
  • Beech Street Corporation — Beech Street: $2,647.98
  • Blue Choice — Blue Choice: $925.36
  • Cigna Corporation — Cigna HMO/PPO: $2,059.54
  • Clear Springs Health — Clear Springs Health MA: $646.81
  • Devoted Health PPO — Devoted Health PPO: $640.53
  • Essence — Essence: $638.18
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT LEVEL 5 $2,942.20 $1,471.10 $175.88 – $2,647.98
Emergency room visit (high): 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $1,634.39
  • Beech Street Corporation — Beech Street: $2,647.98
  • Humana — Humana Medicare: $182.90
  • Illinois Medicaid — Illinois Medicaid: $181
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $181
  • Medicare — Medicare: $182.90
  • Medicare Advantage — Medicare PFFS/MA: $185.87
  • Self Pay — Self Pay: $1,471.10
  • Tricare — Tricare: $175.88
  • United HealthCare Services — United HealthCare Government: $182.90
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LEVEL 5 $2,942.20 $1,471.10 $2,206.65 – $2,647.98
Emergency room visit (high): rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $2,647.98
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $2,206.65

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 $380.30 $190.15 $7.91 – $342.27
Basic metabolic panel (blood test): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $8.29
  • Aetna Inc — Aetna/Coventry: $13.11
  • Ambetter — Ambetter: $12.27
  • Anthem Blue Cross and Blue Shield — Anthem: $203.95
  • Beech Street Corporation — Beech Street: $342.27
  • Blue Choice — Blue Choice: $12.27
  • Cigna Corporation — Cigna HMO/PPO: $285.23
  • Clear Springs Health — Clear Springs Health MA: $8.54
  • Devoted Health PPO — Devoted Health PPO: $8.46
  • Essence — Essence: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: BASIC METABOLIC PANEL $380.30 $190.15 $8.07 – $342.27
Basic metabolic panel (blood test): 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $211.26
  • Beech Street Corporation — Beech Street: $342.27
  • Humana — Humana Medicare: $8.29
  • Illinois Medicaid — Illinois Medicaid: $8.28
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $8.28
  • Medicare — Medicare: $8.29
  • Medicare Advantage — Medicare PFFS/MA: $8.46
  • Self Pay — Self Pay: $190.15
  • Tricare — Tricare: $8.07
  • United HealthCare Services — United HealthCare Government: $8.29
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $380.30 $190.15 $285.23 – $342.27
Basic metabolic panel (blood test): rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $342.27
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $285.23
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $409.80 $204.90 $9.87 – $368.82
Comprehensive metabolic panel (blood test): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $10.35
  • Aetna Inc — Aetna/Coventry: $16.37
  • Ambetter — Ambetter: $15.31
  • Anthem Blue Cross and Blue Shield — Anthem: $219.78
  • Beech Street Corporation — Beech Street: $368.82
  • Blue Choice — Blue Choice: $15.31
  • Cigna Corporation — Cigna HMO/PPO: $307.35
  • Clear Springs Health — Clear Springs Health MA: $10.66
  • Devoted Health PPO — Devoted Health PPO: $10.56
  • Essence — Essence: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COMPREHENSIVE METABOLIC PANEL $409.80 $204.90 $10.08 – $368.82
Comprehensive metabolic panel (blood test): 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $227.64
  • Beech Street Corporation — Beech Street: $368.82
  • Humana — Humana Medicare: $10.35
  • Illinois Medicaid — Illinois Medicaid: $10.36
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $10.36
  • Medicare — Medicare: $10.35
  • Medicare Advantage — Medicare PFFS/MA: $10.56
  • Self Pay — Self Pay: $204.90
  • Tricare — Tricare: $10.08
  • United HealthCare Services — United HealthCare Government: $10.35
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $409.80 $204.90 $307.35 – $368.82
Comprehensive metabolic panel (blood test): rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $368.82
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $307.35
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $46.85 – $26,600 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Obstetric blood test panel: 10 of 28 insurance plan rates
  • Aetna Inc — Aetna Medicare: $46.85
  • Aetna Inc — Aetna/Coventry: $74.11
  • Ambetter — Ambetter: $69.32
  • Blue Choice — Blue Choice: $69.32
  • Clear Springs Health — Clear Springs Health MA: $48.26
  • Devoted Health PPO — Devoted Health PPO: $47.79
  • Essence — Essence: $47.81
  • Essence — Essence PPO: $49.24
  • Hopetrust — Hopetrust: $119.53
  • Humana — Humana Medicare: $46.85
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $31.42 – $94.20
Obstetric blood test panel: 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $46.85
  • Illinois Medicaid — Illinois Medicaid: $31.42
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $31.42
  • Medicare — Medicare: $46.85
  • Medicare Advantage — Medicare PFFS/MA: $47.81
  • Tricare — Tricare: $70.20
  • United HealthCare Services — United HealthCare Government: $46.85
  • Work Comp — Work Comp: $94.20
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE $249 $124.50 $12.52 – $224.10
Cholesterol panel (lipid panel): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $13.12
  • Aetna Inc — Aetna/Coventry: $20.75
  • Ambetter — Ambetter: $19.42
  • Anthem Blue Cross and Blue Shield — Anthem: $133.54
  • Beech Street Corporation — Beech Street: $224.10
  • Blue Choice — Blue Choice: $19.42
  • Cigna Corporation — Cigna HMO/PPO: $186.75
  • Clear Springs Health — Clear Springs Health MA: $13.51
  • Devoted Health PPO — Devoted Health PPO: $13.38
  • Essence — Essence: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LIPID PROFILE $249 $124.50 $6.22 – $224.10
Cholesterol panel (lipid panel): 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $138.32
  • Beech Street Corporation — Beech Street: $224.10
  • Humana — Humana Medicare: $13.12
  • Illinois Medicaid — Illinois Medicaid: $6.22
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $6.22
  • Medicare — Medicare: $13.12
  • Medicare Advantage — Medicare PFFS/MA: $13.39
  • Self Pay — Self Pay: $124.50
  • Tricare — Tricare: $12.78
  • United HealthCare Services — United HealthCare Government: $13.12
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PROFILE $249 $124.50 $186.75 – $224.10
Cholesterol panel (lipid panel): rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $224.10
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $186.75
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $343.90 $171.95 $8.12 – $309.51
Kidney function panel: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $8.51
  • Aetna Inc — Aetna/Coventry: $13.45
  • Ambetter — Ambetter: $12.59
  • Anthem Blue Cross and Blue Shield — Anthem: $184.43
  • Beech Street Corporation — Beech Street: $309.51
  • Blue Choice — Blue Choice: $12.59
  • Cigna Corporation — Cigna HMO/PPO: $257.92
  • Clear Springs Health — Clear Springs Health MA: $8.77
  • Devoted Health PPO — Devoted Health PPO: $8.68
  • Essence — Essence: $8.68
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: RENAL FUNCTION PANEL $343.90 $171.95 $8.29 – $309.51
Kidney function panel: 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $191.04
  • Beech Street Corporation — Beech Street: $309.51
  • Humana — Humana Medicare: $8.51
  • Illinois Medicaid — Illinois Medicaid: $8.52
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $8.52
  • Medicare — Medicare: $8.51
  • Medicare Advantage — Medicare PFFS/MA: $8.68
  • Self Pay — Self Pay: $171.95
  • Tricare — Tricare: $8.29
  • United HealthCare Services — United HealthCare Government: $8.51
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $343.90 $171.95 $257.92 – $309.51
Kidney function panel: rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $309.51
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $257.92
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $368.70 $184.35 $7.63 – $331.83
Liver function panel: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $8.01
  • Aetna Inc — Aetna/Coventry: $12.66
  • Ambetter — Ambetter: $11.85
  • Anthem Blue Cross and Blue Shield — Anthem: $197.73
  • Beech Street Corporation — Beech Street: $331.83
  • Blue Choice — Blue Choice: $11.85
  • Cigna Corporation — Cigna HMO/PPO: $276.52
  • Clear Springs Health — Clear Springs Health MA: $8.25
  • Devoted Health PPO — Devoted Health PPO: $8.17
  • Essence — Essence: $8.17
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HEPATIC FUNCTION PANEL $368.70 $184.35 $7.79 – $331.83
Liver function panel: 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $204.81
  • Beech Street Corporation — Beech Street: $331.83
  • Humana — Humana Medicare: $8.01
  • Illinois Medicaid — Illinois Medicaid: $7.98
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $7.98
  • Medicare — Medicare: $8.01
  • Medicare Advantage — Medicare PFFS/MA: $8.17
  • Self Pay — Self Pay: $184.35
  • Tricare — Tricare: $7.79
  • United HealthCare Services — United HealthCare Government: $8.01
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $368.70 $184.35 $276.52 – $331.83
Liver function panel: rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $331.83
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $276.52
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE WITH MICROSCOPIC $136.70 $68.35 $2.97 – $123.03
Urine test (automated, with microscope): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $3.11
  • Aetna Inc — Aetna/Coventry: $4.91
  • Ambetter — Ambetter: $4.60
  • Anthem Blue Cross and Blue Shield — Anthem: $73.31
  • Beech Street Corporation — Beech Street: $123.03
  • Blue Choice — Blue Choice: $4.60
  • Cigna Corporation — Cigna HMO/PPO: $102.52
  • Clear Springs Health — Clear Springs Health MA: $3.20
  • Devoted Health PPO — Devoted Health PPO: $3.17
  • Essence — Essence: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: URINE WITH MICROSCOPIC $136.70 $68.35 $2.86 – $123.03
Urine test (automated, with microscope): 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $75.94
  • Beech Street Corporation — Beech Street: $123.03
  • Humana — Humana Medicare: $3.11
  • Illinois Medicaid — Illinois Medicaid: $2.86
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $2.86
  • Medicare — Medicare: $3.11
  • Medicare Advantage — Medicare PFFS/MA: $3.17
  • Self Pay — Self Pay: $68.35
  • Tricare — Tricare: $3.03
  • United HealthCare Services — United HealthCare Government: $3.11
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINE WITH MICROSCOPIC $136.70 $68.35 $102.52 – $123.03
Urine test (automated, with microscope): rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $123.03
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $102.52
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS - NON AUTOMATED $119.90 $59.95 $3.25 – $107.91
Urine test (manual, without microscope): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $3.41
  • Aetna Inc — Aetna/Coventry: $5.39
  • Ambetter — Ambetter: $5.05
  • Anthem Blue Cross and Blue Shield — Anthem: $64.30
  • Beech Street Corporation — Beech Street: $107.91
  • Blue Choice — Blue Choice: $5.05
  • Cigna Corporation — Cigna HMO/PPO: $89.93
  • Clear Springs Health — Clear Springs Health MA: $3.51
  • Devoted Health PPO — Devoted Health PPO: $3.48
  • Essence — Essence: $3.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: URINALYSIS - NON AUTOMATED $119.90 $59.95 $2.60 – $107.91
Urine test (manual, without microscope): 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $66.60
  • Beech Street Corporation — Beech Street: $107.91
  • Humana — Humana Medicare: $3.41
  • Illinois Medicaid — Illinois Medicaid: $2.60
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $2.60
  • Medicare — Medicare: $3.41
  • Medicare Advantage — Medicare PFFS/MA: $3.48
  • Self Pay — Self Pay: $59.95
  • Tricare — Tricare: $3.32
  • United HealthCare Services — United HealthCare Government: $3.41
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS - NON AUTOMATED $119.90 $59.95 $89.93 – $107.91
Urine test (manual, without microscope): rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $107.91
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $89.93
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA W/O MICROSCOPY AUTOMATED $92.60 $46.30 $2.10 – $83.34
Urine test (automated, without microscope): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $2.20
  • Aetna Inc — Aetna/Coventry: $3.49
  • Ambetter — Ambetter: $3.26
  • Anthem Blue Cross and Blue Shield — Anthem: $49.66
  • Beech Street Corporation — Beech Street: $83.34
  • Blue Choice — Blue Choice: $3.26
  • Cigna Corporation — Cigna HMO/PPO: $69.45
  • Clear Springs Health — Clear Springs Health MA: $2.27
  • Devoted Health PPO — Devoted Health PPO: $2.24
  • Essence — Essence: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: UA W/O MICROSCOPY AUTOMATED $92.60 $46.30 $2.15 – $83.34
Urine test (automated, without microscope): 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $51.44
  • Beech Street Corporation — Beech Street: $83.34
  • Humana — Humana Medicare: $2.21
  • Illinois Medicaid — Illinois Medicaid: $2.18
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $2.18
  • Medicare — Medicare: $2.21
  • Medicare Advantage — Medicare PFFS/MA: $2.25
  • Self Pay — Self Pay: $46.30
  • Tricare — Tricare: $2.15
  • United HealthCare Services — United HealthCare Government: $2.21
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA W/O MICROSCOPY AUTOMATED $92.60 $46.30 $69.45 – $83.34
Urine test (automated, without microscope): rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $83.34
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $69.45
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC ANTIGEN SCR $265.30 $132.65 $17.19 – $238.77
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $18.02
  • Aetna Inc — Aetna/Coventry: $28.50
  • Ambetter — Ambetter: $26.67
  • Anthem Blue Cross and Blue Shield — Anthem: $142.28
  • Beech Street Corporation — Beech Street: $238.77
  • Blue Choice — Blue Choice: $26.67
  • Cigna Corporation — Cigna HMO/PPO: $198.98
  • Clear Springs Health — Clear Springs Health MA: $18.56
  • Devoted Health PPO — Devoted Health PPO: $18.38
  • Essence — Essence: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL DIAGNOSTIC PSA $265.30 $132.65 $17.19 – $238.77
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $18.02
  • Aetna Inc — Aetna/Coventry: $28.50
  • Ambetter — Ambetter: $26.67
  • Anthem Blue Cross and Blue Shield — Anthem: $142.28
  • Beech Street Corporation — Beech Street: $238.77
  • Blue Choice — Blue Choice: $26.67
  • Cigna Corporation — Cigna HMO/PPO: $198.98
  • Clear Springs Health — Clear Springs Health MA: $18.56
  • Devoted Health PPO — Devoted Health PPO: $18.38
  • Essence — Essence: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PROSTATE SPECIFIC ANTIGEN SCR $265.30 $132.65 $13.20 – $238.77
PSA (prostate specific antigen) blood test: 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $147.37
  • Beech Street Corporation — Beech Street: $238.77
  • Humana — Humana Medicare: $18.02
  • Illinois Medicaid — Illinois Medicaid: $13.20
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $13.20
  • Medicare — Medicare: $18.02
  • Medicare Advantage — Medicare PFFS/MA: $18.39
  • Self Pay — Self Pay: $132.65
  • Tricare — Tricare: $17.54
  • United HealthCare Services — United HealthCare Government: $18.02
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATED HORMONE $272.80 $136.40 $15.70 – $245.52
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $16.46
  • Aetna Inc — Aetna/Coventry: $26.04
  • Ambetter — Ambetter: $24.36
  • Anthem Blue Cross and Blue Shield — Anthem: $146.30
  • Beech Street Corporation — Beech Street: $245.52
  • Blue Choice — Blue Choice: $24.36
  • Cigna Corporation — Cigna HMO/PPO: $204.60
  • Clear Springs Health — Clear Springs Health MA: $16.95
  • Devoted Health PPO — Devoted Health PPO: $16.79
  • Essence — Essence: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: THYROID STIMULATED HORMONE $272.80 $136.40 $16.03 – $245.52
Thyroid stimulating hormone (TSH) test: 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $151.54
  • Beech Street Corporation — Beech Street: $245.52
  • Humana — Humana Medicare: $16.46
  • Illinois Medicaid — Illinois Medicaid: $16.42
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $16.42
  • Medicare — Medicare: $16.46
  • Medicare Advantage — Medicare PFFS/MA: $16.80
  • Self Pay — Self Pay: $136.40
  • Tricare — Tricare: $16.03
  • United HealthCare Services — United HealthCare Government: $16.46
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THYROID STIMULATED HORMONE $272.80 $136.40 $204.60 – $245.52
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $245.52
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $204.60
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHARGE FOR AUTO DIFF $201.60 $100.80 $7.27 – $181.44
Complete blood count (CBC) with differential: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $7.61
  • Aetna Inc — Aetna/Coventry: $12.04
  • Ambetter — Ambetter: $11.27
  • Anthem Blue Cross and Blue Shield — Anthem: $108.12
  • Beech Street Corporation — Beech Street: $181.44
  • Blue Choice — Blue Choice: $11.27
  • Cigna Corporation — Cigna HMO/PPO: $151.20
  • Clear Springs Health — Clear Springs Health MA: $7.84
  • Devoted Health PPO — Devoted Health PPO: $7.76
  • Essence — Essence: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHARGE FOR AUTO DIFF $201.60 $100.80 $5.74 – $181.44
Complete blood count (CBC) with differential: 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $111.99
  • Beech Street Corporation — Beech Street: $181.44
  • Humana — Humana Medicare: $7.61
  • Illinois Medicaid — Illinois Medicaid: $5.74
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $5.74
  • Medicare — Medicare: $7.61
  • Medicare Advantage — Medicare PFFS/MA: $7.77
  • Self Pay — Self Pay: $100.80
  • Tricare — Tricare: $7.42
  • United HealthCare Services — United HealthCare Government: $7.61
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHARGE FOR AUTO DIFF $201.60 $100.80 $151.20 – $181.44
Complete blood count (CBC) with differential: rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $181.44
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $151.20
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMOGRAM $161.30 $80.65 $6.05 – $145.17
Complete blood count (CBC), automated: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $6.34
  • Aetna Inc — Aetna/Coventry: $10.03
  • Ambetter — Ambetter: $9.38
  • Anthem Blue Cross and Blue Shield — Anthem: $86.51
  • Beech Street Corporation — Beech Street: $145.17
  • Blue Choice — Blue Choice: $9.38
  • Cigna Corporation — Cigna HMO/PPO: $120.98
  • Clear Springs Health — Clear Springs Health MA: $6.53
  • Devoted Health PPO — Devoted Health PPO: $6.47
  • Essence — Essence: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HEMOGRAM $161.30 $80.65 $5.74 – $145.17
Complete blood count (CBC), automated: 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $89.60
  • Beech Street Corporation — Beech Street: $145.17
  • Humana — Humana Medicare: $6.34
  • Illinois Medicaid — Illinois Medicaid: $5.74
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $5.74
  • Medicare — Medicare: $6.34
  • Medicare Advantage — Medicare PFFS/MA: $6.47
  • Self Pay — Self Pay: $80.65
  • Tricare — Tricare: $6.18
  • United HealthCare Services — United HealthCare Government: $6.34
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEMOGRAM $161.30 $80.65 $120.98 – $145.17
Complete blood count (CBC), automated: rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $145.17
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $120.98
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME PROFILE $111.40 $55.70 $4.01 – $100.26
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $4.20
  • Aetna Inc — Aetna/Coventry: $6.65
  • Ambetter — Ambetter: $6.22
  • Anthem Blue Cross and Blue Shield — Anthem: $59.74
  • Beech Street Corporation — Beech Street: $100.26
  • Blue Choice — Blue Choice: $6.22
  • Cigna Corporation — Cigna HMO/PPO: $83.55
  • Clear Springs Health — Clear Springs Health MA: $4.33
  • Devoted Health PPO — Devoted Health PPO: $4.28
  • Essence — Essence: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PROTHROMBIN TIME PROFILE $111.40 $55.70 $3.82 – $100.26
Blood clotting time test (prothrombin time, PT): 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $61.88
  • Beech Street Corporation — Beech Street: $100.26
  • Humana — Humana Medicare: $4.20
  • Illinois Medicaid — Illinois Medicaid: $3.82
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $3.82
  • Medicare — Medicare: $4.20
  • Medicare Advantage — Medicare PFFS/MA: $4.29
  • Self Pay — Self Pay: $55.70
  • Tricare — Tricare: $4.09
  • United HealthCare Services — United HealthCare Government: $4.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME PROFILE $111.40 $55.70 $83.55 – $100.26
Blood clotting time test (prothrombin time, PT): rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $100.26
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $83.55
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PARTIAL THROMBOPLASTIN TIME $172.20 $86.10 $5.62 – $154.98
Blood clotting test (partial thromboplastin time, PTT): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $5.89
  • Aetna Inc — Aetna/Coventry: $9.32
  • Ambetter — Ambetter: $8.71
  • Anthem Blue Cross and Blue Shield — Anthem: $92.35
  • Beech Street Corporation — Beech Street: $154.98
  • Blue Choice — Blue Choice: $8.71
  • Cigna Corporation — Cigna HMO/PPO: $129.15
  • Clear Springs Health — Clear Springs Health MA: $6.07
  • Devoted Health PPO — Devoted Health PPO: $6.01
  • Essence — Essence: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PARTIAL THROMBOPLASTIN TIME $172.20 $86.10 $5.73 – $154.98
Blood clotting test (partial thromboplastin time, PTT): 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $95.66
  • Beech Street Corporation — Beech Street: $154.98
  • Humana — Humana Medicare: $5.89
  • Illinois Medicaid — Illinois Medicaid: $5.88
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $5.88
  • Medicare — Medicare: $5.89
  • Medicare Advantage — Medicare PFFS/MA: $6.01
  • Self Pay — Self Pay: $86.10
  • Tricare — Tricare: $5.73
  • United HealthCare Services — United HealthCare Government: $5.89
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PARTIAL THROMBOPLASTIN TIME $172.20 $86.10 $129.15 – $154.98
Blood clotting test (partial thromboplastin time, PTT): rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $154.98
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $129.15

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 BRAIN W/O $2,662.90 $1,331.45 $79.37 – $2,396.61
CT scan of the head or brain, without contrast: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $110.24
  • Aetna Inc — Aetna/Coventry: $1,126
  • Ambetter — Ambetter: $162.44
  • Anthem Blue Cross and Blue Shield — Anthem: $1,428.11
  • Beech Street Corporation — Beech Street: $2,396.61
  • Blue Choice — Blue Choice: $162.44
  • Cigna Corporation — Cigna HMO/PPO: $1,864.03
  • Clear Springs Health — Clear Springs Health MA: $113.55
  • Devoted Health PPO — Devoted Health PPO: $112.44
  • Essence — Essence: $112.03
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CT BRAIN W/O $2,662.90 $1,331.45 $99.16 – $2,396.61
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $1,479.24
  • Beech Street Corporation — Beech Street: $2,396.61
  • Humana — Humana Medicare: $100.79
  • Illinois Medicaid — Illinois Medicaid: $176
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $176
  • Medicare — Medicare: $100.79
  • Medicare Advantage — Medicare PFFS/MA: $102.43
  • Self Pay — Self Pay: $1,331.45
  • Tricare — Tricare: $99.16
  • United HealthCare Services — United HealthCare Government: $100.79
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT BRAIN W/O $2,662.90 $1,331.45 $1,997.18 – $2,396.61
CT scan of the head or brain, without contrast: rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $2,396.61
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $1,997.18
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN/BRAIN STEM W/WO $6,867.50 $3,433.75 $255.43 – $6,180.75
MRI of the brain, before and after contrast: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $367.88
  • Aetna Inc — Aetna/Coventry: $1,423
  • Ambetter — Ambetter: $542.10
  • Anthem Blue Cross and Blue Shield — Anthem: $3,683.04
  • Beech Street Corporation — Beech Street: $6,180.75
  • Blue Choice — Blue Choice: $542.10
  • Cigna Corporation — Cigna HMO/PPO: $4,244
  • Clear Springs Health — Clear Springs Health MA: $378.92
  • Devoted Health PPO — Devoted Health PPO: $375.24
  • Essence — Essence: $373.86
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MRI BRAIN/BRAIN STEM W/WO $6,867.50 $3,433.75 $295.89 – $6,180.75
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $3,814.90
  • Beech Street Corporation — Beech Street: $6,180.75
  • Humana — Humana Medicare: $298.57
  • Illinois Medicaid — Illinois Medicaid: $304
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $304
  • Medicare — Medicare: $298.57
  • Medicare Advantage — Medicare PFFS/MA: $303.42
  • Self Pay — Self Pay: $3,433.75
  • Tricare — Tricare: $295.89
  • United HealthCare Services — United HealthCare Government: $298.57
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN/BRAIN STEM W/WO $6,867.50 $3,433.75 $5,150.62 – $6,180.75
MRI of the brain, before and after contrast: rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $6,180.75
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $5,150.62
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST 2 VIEWS $572.60 $286.30 $26.80 – $515.34
Chest X-ray, 2 views: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $91.77
  • Aetna Inc — Aetna/Coventry: $36.24
  • Ambetter — Ambetter: $135.23
  • Anthem Blue Cross and Blue Shield — Anthem: $307.09
  • Beech Street Corporation — Beech Street: $515.34
  • Blue Choice — Blue Choice: $135.23
  • Cigna Corporation — Cigna HMO/PPO: $400.82
  • Clear Springs Health — Clear Springs Health MA: $94.52
  • Devoted Health PPO — Devoted Health PPO: $93.61
  • Essence — Essence: $93.26
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHEST 2 VIEWS $572.60 $286.30 $30.82 – $515.34
Chest X-ray, 2 views: rates for 8 insurance plans
  • Anthem Blue Cross and Blue Shield — Anthem: $318.08
  • Beech Street Corporation — Beech Street: $515.34
  • Humana — Humana Medicare: $31.20
  • Medicare — Medicare: $31.20
  • Medicare Advantage — Medicare PFFS/MA: $31.71
  • Self Pay — Self Pay: $286.30
  • Tricare — Tricare: $30.82
  • United HealthCare Services — United HealthCare Government: $31.20
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHEST 2 VIEWS $572.60 $286.30 $429.45 – $515.34
Chest X-ray, 2 views: rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $515.34
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $429.45
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUMBAR SPINE 4+ VIEWS $1,052.40 $526.20 $44.57 – $947.16
X-ray of the lower spine, at least 4 views: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $110.24
  • Aetna Inc — Aetna/Coventry: $60.75
  • Ambetter — Ambetter: $162.44
  • Anthem Blue Cross and Blue Shield — Anthem: $564.40
  • Beech Street Corporation — Beech Street: $947.16
  • Blue Choice — Blue Choice: $162.44
  • Cigna Corporation — Cigna HMO/PPO: $736.68
  • Clear Springs Health — Clear Springs Health MA: $113.55
  • Devoted Health PPO — Devoted Health PPO: $112.44
  • Essence — Essence: $112.03
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LUMBAR SPINE 4+ VIEWS $1,052.40 $526.20 $37.90 – $947.16
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $584.61
  • Beech Street Corporation — Beech Street: $947.16
  • Humana — Humana Medicare: $50.12
  • Illinois Medicaid — Illinois Medicaid: $37.90
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $37.90
  • Medicare — Medicare: $50.12
  • Medicare Advantage — Medicare PFFS/MA: $50.93
  • Self Pay — Self Pay: $526.20
  • Tricare — Tricare: $47.09
  • United HealthCare Services — United HealthCare Government: $50.12
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LUMBAR SPINE 4+ VIEWS $1,052.40 $526.20 $789.30 – $947.16
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $947.16
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $789.30
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O $4,688.40 $2,344.20 $146.63 – $4,219.56
MRI of the lower back (lumbar spine), without contrast: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $251.60
  • Aetna Inc — Aetna/Coventry: $1,423
  • Ambetter — Ambetter: $370.75
  • Anthem Blue Cross and Blue Shield — Anthem: $2,514.39
  • Beech Street Corporation — Beech Street: $4,219.56
  • Blue Choice — Blue Choice: $370.75
  • Cigna Corporation — Cigna HMO/PPO: $3,281.88
  • Clear Springs Health — Clear Springs Health MA: $259.15
  • Devoted Health PPO — Devoted Health PPO: $256.63
  • Essence — Essence: $255.69
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MRI LUMBAR SPINE W/O $4,688.40 $2,344.20 $177.48 – $4,219.56
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $2,604.41
  • Beech Street Corporation — Beech Street: $4,219.56
  • Humana — Humana Medicare: $180.95
  • Illinois Medicaid — Illinois Medicaid: $304
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $304
  • Medicare — Medicare: $180.95
  • Medicare Advantage — Medicare PFFS/MA: $183.89
  • Self Pay — Self Pay: $2,344.20
  • Tricare — Tricare: $177.48
  • United HealthCare Services — United HealthCare Government: $180.95
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O $4,688.40 $2,344.20 $3,516.30 – $4,219.56
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $4,219.56
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $3,516.30
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/ $3,742.80 $1,871.40 $182.32 – $3,368.52
CT scan of the pelvis, with contrast: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $184.95
  • Aetna Inc — Aetna/Coventry: $1,126
  • Ambetter — Ambetter: $272.54
  • Anthem Blue Cross and Blue Shield — Anthem: $2,007.26
  • Beech Street Corporation — Beech Street: $3,368.52
  • Blue Choice — Blue Choice: $272.54
  • Cigna Corporation — Cigna HMO/PPO: $2,619.96
  • Clear Springs Health — Clear Springs Health MA: $190.50
  • Devoted Health PPO — Devoted Health PPO: $188.65
  • Essence — Essence: $187.96
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CT PELVIS W/ $3,742.80 $1,871.40 $207.83 – $3,368.52
CT scan of the pelvis, with contrast: 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $2,079.13
  • Beech Street Corporation — Beech Street: $3,368.52
  • Humana — Humana Medicare: $210.61
  • Illinois Medicaid — Illinois Medicaid: $304
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $304
  • Medicare — Medicare: $210.61
  • Medicare Advantage — Medicare PFFS/MA: $214.03
  • Self Pay — Self Pay: $1,871.40
  • Tricare — Tricare: $207.83
  • United HealthCare Services — United HealthCare Government: $210.61
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W/ $3,742.80 $1,871.40 $2,807.10 – $3,368.52
CT scan of the pelvis, with contrast: rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $3,368.52
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $2,807.10
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LOWER EXT W JNT WO $4,854 $2,427 $166.67 – $4,368.60
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $251.60
  • Aetna Inc — Aetna/Coventry: $1,423
  • Ambetter — Ambetter: $370.75
  • Anthem Blue Cross and Blue Shield — Anthem: $2,603.20
  • Beech Street Corporation — Beech Street: $4,368.60
  • Blue Choice — Blue Choice: $370.75
  • Cigna Corporation — Cigna HMO/PPO: $3,397.80
  • Clear Springs Health — Clear Springs Health MA: $259.15
  • Devoted Health PPO — Devoted Health PPO: $256.63
  • Essence — Essence: $255.69
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MRI LOWER EXT W JNT WO $4,854 $2,427 $188 – $4,368.60
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $2,696.40
  • Beech Street Corporation — Beech Street: $4,368.60
  • Humana — Humana Medicare: $191.76
  • Illinois Medicaid — Illinois Medicaid: $304
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $304
  • Medicare — Medicare: $191.76
  • Medicare Advantage — Medicare PFFS/MA: $194.88
  • Self Pay — Self Pay: $2,427
  • Tricare — Tricare: $188
  • United HealthCare Services — United HealthCare Government: $191.76
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LOWER EXT W JNT WO $4,854 $2,427 $3,640.50 – $4,368.60
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $4,368.60
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $3,640.50
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W/ $7,030.80 $3,515.40 $263.10 – $6,327.72
CT scan of the abdomen and pelvis, with contrast: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $367.88
  • Aetna Inc — Aetna/Coventry: $1,126
  • Ambetter — Ambetter: $542.10
  • Anthem Blue Cross and Blue Shield — Anthem: $3,770.62
  • Beech Street Corporation — Beech Street: $6,327.72
  • Blue Choice — Blue Choice: $542.10
  • Cigna Corporation — Cigna HMO/PPO: $4,244
  • Clear Springs Health — Clear Springs Health MA: $378.92
  • Devoted Health PPO — Devoted Health PPO: $375.24
  • Essence — Essence: $373.86
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CT ABD & PELVIS W/ $7,030.80 $3,515.40 $278.26 – $6,327.72
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $3,905.61
  • Beech Street Corporation — Beech Street: $6,327.72
  • Humana — Humana Medicare: $281.46
  • Illinois Medicaid — Illinois Medicaid: $304
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $304
  • Medicare — Medicare: $281.46
  • Medicare Advantage — Medicare PFFS/MA: $286.04
  • Self Pay — Self Pay: $3,515.40
  • Tricare — Tricare: $278.26
  • United HealthCare Services — United HealthCare Government: $281.46
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W/ $7,030.80 $3,515.40 $5,273.10 – $6,327.72
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $6,327.72
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $5,273.10
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMINAL COMPLETE $2,153.80 $1,076.90 $89.95 – $1,938.42
Ultrasound of the abdomen, complete: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $110.24
  • Aetna Inc — Aetna/Coventry: $119.45
  • Ambetter — Ambetter: $162.44
  • Anthem Blue Cross and Blue Shield — Anthem: $1,155.08
  • Beech Street Corporation — Beech Street: $1,938.42
  • Blue Choice — Blue Choice: $162.44
  • Cigna Corporation — Cigna HMO/PPO: $1,507.66
  • Clear Springs Health — Clear Springs Health MA: $113.55
  • Devoted Health PPO — Devoted Health PPO: $112.44
  • Essence — Essence: $112.03
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US ABDOMINAL COMPLETE $2,153.80 $1,076.90 $105.50 – $1,938.42
Ultrasound of the abdomen, complete: 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $1,196.44
  • Beech Street Corporation — Beech Street: $1,938.42
  • Humana — Humana Medicare: $107.65
  • Illinois Medicaid — Illinois Medicaid: $176
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $176
  • Medicare — Medicare: $107.65
  • Medicare Advantage — Medicare PFFS/MA: $109.40
  • Self Pay — Self Pay: $1,076.90
  • Tricare — Tricare: $105.50
  • United HealthCare Services — United HealthCare Government: $107.65
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMINAL COMPLETE $2,153.80 $1,076.90 $1,615.35 – $1,938.42
Ultrasound of the abdomen, complete: rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $1,938.42
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $1,615.35
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB >14WKS $1,503.10 $751.55 $101.62 – $1,352.79
Pregnancy ultrasound (after the first trimester): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $110.24
  • Aetna Inc — Aetna/Coventry: $134.26
  • Ambetter — Ambetter: $162.44
  • Anthem Blue Cross and Blue Shield — Anthem: $806.11
  • Beech Street Corporation — Beech Street: $1,352.79
  • Blue Choice — Blue Choice: $162.44
  • Cigna Corporation — Cigna HMO/PPO: $1,052.17
  • Clear Springs Health — Clear Springs Health MA: $113.55
  • Devoted Health PPO — Devoted Health PPO: $112.44
  • Essence — Essence: $112.03
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US OB >14WKS $1,503.10 $751.55 $122.43 – $1,352.79
Pregnancy ultrasound (after the first trimester): 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $834.97
  • Beech Street Corporation — Beech Street: $1,352.79
  • Humana — Humana Medicare: $127.83
  • Illinois Medicaid — Illinois Medicaid: $176
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $176
  • Medicare — Medicare: $127.83
  • Medicare Advantage — Medicare PFFS/MA: $129.91
  • Self Pay — Self Pay: $751.55
  • Tricare — Tricare: $122.43
  • United HealthCare Services — United HealthCare Government: $127.83
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB >14WKS $1,503.10 $751.55 $1,127.32 – $1,352.79
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $1,352.79
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $1,127.32
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL NON OB $937.50 $468.75 $99.41 – $843.75
Transvaginal ultrasound: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $110.24
  • Aetna Inc — Aetna/Coventry: $131.20
  • Ambetter — Ambetter: $162.44
  • Anthem Blue Cross and Blue Shield — Anthem: $502.78
  • Beech Street Corporation — Beech Street: $843.75
  • Blue Choice — Blue Choice: $162.44
  • Cigna Corporation — Cigna HMO/PPO: $656.25
  • Clear Springs Health — Clear Springs Health MA: $113.55
  • Devoted Health PPO — Devoted Health PPO: $112.44
  • Essence — Essence: $112.03
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US TRANSVAGINAL NON OB $937.50 $468.75 $106.97 – $843.75
Transvaginal ultrasound: 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $520.78
  • Beech Street Corporation — Beech Street: $843.75
  • Humana — Humana Medicare: $110.36
  • Illinois Medicaid — Illinois Medicaid: $176
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $176
  • Medicare — Medicare: $110.36
  • Medicare Advantage — Medicare PFFS/MA: $112.15
  • Self Pay — Self Pay: $468.75
  • Tricare — Tricare: $106.97
  • United HealthCare Services — United HealthCare Government: $110.36
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL NON OB $937.50 $468.75 $703.12 – $843.75
Transvaginal ultrasound: rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $843.75
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $703.12
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAM DIAG $543.10 $271.55 $76.29 – $488.79
Diagnostic mammogram, one breast: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $77.40
  • Aetna Inc — Aetna/Coventry: $135.30
  • Ambetter — Ambetter: $114.06
  • Anthem Blue Cross and Blue Shield — Anthem: $291.26
  • Beech Street Corporation — Beech Street: $488.79
  • Blue Choice — Blue Choice: $114.06
  • Cigna Corporation — Cigna HMO/PPO: $380.17
  • Clear Springs Health — Clear Springs Health MA: $79.72
  • Devoted Health PPO — Devoted Health PPO: $78.95
  • Essence — Essence: $78.66
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAM DIAG (GG) $543.10 $271.55 $76.29 – $488.79
Diagnostic mammogram, one breast: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $77.40
  • Aetna Inc — Aetna/Coventry: $135.30
  • Ambetter — Ambetter: $114.06
  • Anthem Blue Cross and Blue Shield — Anthem: $291.26
  • Beech Street Corporation — Beech Street: $488.79
  • Blue Choice — Blue Choice: $114.06
  • Cigna Corporation — Cigna HMO/PPO: $380.17
  • Clear Springs Health — Clear Springs Health MA: $79.72
  • Devoted Health PPO — Devoted Health PPO: $78.95
  • Essence — Essence: $78.66
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POST BIOPSY DIAG MAM $543.10 $271.55 $76.29 – $488.79
Diagnostic mammogram, one breast: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $77.40
  • Aetna Inc — Aetna/Coventry: $135.30
  • Ambetter — Ambetter: $114.06
  • Anthem Blue Cross and Blue Shield — Anthem: $291.26
  • Beech Street Corporation — Beech Street: $488.79
  • Blue Choice — Blue Choice: $114.06
  • Cigna Corporation — Cigna HMO/PPO: $380.17
  • Clear Springs Health — Clear Springs Health MA: $79.72
  • Devoted Health PPO — Devoted Health PPO: $78.95
  • Essence — Essence: $78.66
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIGITAL MAM DIAG - BIL $761 $380.50 $97.03 – $684.90
Diagnostic mammogram, both breasts: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $98.44
  • Aetna Inc — Aetna/Coventry: $172.07
  • Ambetter — Ambetter: $145.06
  • Anthem Blue Cross and Blue Shield — Anthem: $408.12
  • Beech Street Corporation — Beech Street: $684.90
  • Blue Choice — Blue Choice: $145.06
  • Cigna Corporation — Cigna HMO/PPO: $532.70
  • Clear Springs Health — Clear Springs Health MA: $101.39
  • Devoted Health PPO — Devoted Health PPO: $100.41
  • Essence — Essence: $100.04
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POST BIOPSY DIAG MAM - BIL $761 $380.50 $97.03 – $684.90
Diagnostic mammogram, both breasts: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $98.44
  • Aetna Inc — Aetna/Coventry: $172.07
  • Ambetter — Ambetter: $145.06
  • Anthem Blue Cross and Blue Shield — Anthem: $408.12
  • Beech Street Corporation — Beech Street: $684.90
  • Blue Choice — Blue Choice: $145.06
  • Cigna Corporation — Cigna HMO/PPO: $532.70
  • Clear Springs Health — Clear Springs Health MA: $101.39
  • Devoted Health PPO — Devoted Health PPO: $100.41
  • Essence — Essence: $100.04
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: DIGITAL MAM DIAG - BIL $761 $380.50 $143.93 – $684.90
Diagnostic mammogram, both breasts: rates for 8 insurance plans
  • Anthem Blue Cross and Blue Shield — Anthem: $422.74
  • Beech Street Corporation — Beech Street: $684.90
  • Humana — Humana Medicare: $147.57
  • Medicare — Medicare: $147.57
  • Medicare Advantage — Medicare PFFS/MA: $149.97
  • Self Pay — Self Pay: $380.50
  • Tricare — Tricare: $143.93
  • United HealthCare Services — United HealthCare Government: $147.57
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIGITAL MAM SCREEN UNILATERAL $519.20 $259.60 $80.05 – $467.28
Screening mammogram, both breasts: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $80.88
  • Aetna Inc — Aetna/Coventry: $141.95
  • Ambetter — Ambetter: $119.67
  • Anthem Blue Cross and Blue Shield — Anthem: $278.45
  • Beech Street Corporation — Beech Street: $467.28
  • Blue Choice — Blue Choice: $119.67
  • Cigna Corporation — Cigna HMO/PPO: $363.44
  • Clear Springs Health — Clear Springs Health MA: $83.31
  • Devoted Health PPO — Devoted Health PPO: $82.50
  • Essence — Essence: $82.53
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIGITAL MAM SCREEN - BIL $519.20 $259.60 $80.05 – $467.28
Screening mammogram, both breasts: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $80.88
  • Aetna Inc — Aetna/Coventry: $141.95
  • Ambetter — Ambetter: $119.67
  • Anthem Blue Cross and Blue Shield — Anthem: $278.45
  • Beech Street Corporation — Beech Street: $467.28
  • Blue Choice — Blue Choice: $119.67
  • Cigna Corporation — Cigna HMO/PPO: $363.44
  • Clear Springs Health — Clear Springs Health MA: $83.31
  • Devoted Health PPO — Devoted Health PPO: $82.50
  • Essence — Essence: $82.53
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: DIGITAL MAM SCREEN UNILATERAL $519.20 $259.60 $116.55 – $467.28
Screening mammogram, both breasts: rates for 8 insurance plans
  • Anthem Blue Cross and Blue Shield — Anthem: $288.42
  • Beech Street Corporation — Beech Street: $467.28
  • Humana — Humana Medicare: $117.56
  • Medicare — Medicare: $117.56
  • Medicare Advantage — Medicare PFFS/MA: $119.96
  • Self Pay — Self Pay: $259.60
  • Tricare — Tricare: $116.55
  • United HealthCare Services — United HealthCare Government: $117.56

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 $13.37 – $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Electrocardiogram (ECG/EKG) with reading: 10 of 19 insurance plan rates
  • Blue Choice — Blue Choice: $22,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Devoted Health PPO — Devoted Health PPO: $20,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Hopetrust — Hopetrust: $37,500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Illinois Medicaid — Illinois Medicaid: $32.27
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $32.27
  • Self Pay — Self Pay: $25,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Tricare — Tricare: $13.37
  • Work Comp — Work Comp: $26,600 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Aetna Inc — Aetna/Coventry: 59% (a percentage in the contract, not a dollar amount)
  • Anthem Blue Cross and Blue Shield — Anthem: 5,363% (a percentage in the contract, not a dollar amount)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ELECTROCARDIOGRAM, COMPLETE Not listed in the file Not listed in the file $13.64 – $59.18
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $15.07
  • Illinois Medicaid — Illinois Medicaid: $22.15
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $22.15
  • Medicare — Medicare: $15.07
  • Medicare Advantage — Medicare PFFS/MA: $15.32
  • Tricare — Tricare: $13.64
  • United HealthCare Services — United HealthCare Government: $15.07
  • Work Comp — Work Comp: $59.18
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (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: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $5,292 – $26,600
Left heart catheterization (diagnostic): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $5,196.70
  • Aetna Inc — Aetna/Coventry: $7,525
  • Ambetter — Ambetter: $7,662.18
  • Blue Choice — Blue Choice: $7,662.18
  • Clear Springs Health — Clear Springs Health MA: $5,352.60
  • Devoted Health PPO — Devoted Health PPO: $5,300.63
  • Essence — Essence: $5,284.26
  • Essence — Essence PPO: $5,442.79
  • Hopetrust — Hopetrust: $13,210.65
  • Humana — Humana Medicare: $5,196.70
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $790.28 – $26,600
Left heart catheterization (diagnostic): 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $837.63
  • Illinois Medicaid — Illinois Medicaid: $941
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $941
  • Medicare — Medicare: $837.63
  • Medicare Advantage — Medicare PFFS/MA: $851.25
  • Tricare — Tricare: $790.28
  • United HealthCare Services — United HealthCare Government: $837.63
  • Work Comp — Work Comp: $26,600
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION Not listed in the file Not listed in the file $9,886 – $50,000
Heart rhythm study (electrophysiology evaluation): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $8,224.53
  • Ambetter — Ambetter: $12,119.48
  • Blue Choice — Blue Choice: $12,119.48
  • Clear Springs Health — Clear Springs Health MA: $8,471.27
  • Devoted Health PPO — Devoted Health PPO: $8,389.02
  • Essence — Essence: $8,358.26
  • Essence — Essence PPO: $8,609.01
  • Hopetrust — Hopetrust: $20,895.65
  • Humana — Humana Medicare: $8,224.53
  • Illinois Medicaid — Illinois Medicaid: $7,996.15
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ELECTROPHYSIOLOGY EVALUATION Not listed in the file Not listed in the file $941 – $26,600
Heart rhythm study (electrophysiology evaluation): rates for 6 insurance plans
  • Illinois Medicaid — Illinois Medicaid: $941
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $941
  • Work Comp — Work Comp: $26,600
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
  • Self Pay — Self Pay: 50% (a percentage in the contract, not a dollar amount)
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 $9,886 – $50,000
Heart rhythm study with ablation for atrial fibrillation: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $27,484.34
  • Ambetter — Ambetter: $40,614.24
  • Blue Choice — Blue Choice: $40,614.24
  • Clear Springs Health — Clear Springs Health MA: $28,308.87
  • Devoted Health PPO — Devoted Health PPO: $28,034.03
  • Essence — Essence: $28,009.82
  • Essence — Essence PPO: $28,850.11
  • Hopetrust — Hopetrust: $70,024.55
  • Humana — Humana Medicare: $27,484.34
  • Illinois Medicaid — Illinois Medicaid: $21,935.79
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file Not listed in the file $914.41 – $26,600
Heart rhythm study with ablation for atrial fibrillation: 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $914.41
  • Illinois Medicaid — Illinois Medicaid: $941
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $941
  • Medicare — Medicare: $914.41
  • Medicare Advantage — Medicare PFFS/MA: $929.28
  • Tricare — Tricare: $965.18
  • United HealthCare Services — United HealthCare Government: $914.41
  • Work Comp — Work Comp: $26,600
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOMNOGRAPHY (SLEEP STUDY) $8,366.50 $4,183.25 $559.68 – $7,529.85
Sleep study (overnight, in a sleep lab): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $905.52
  • Aetna Inc — Aetna/Coventry: $4,098
  • Ambetter — Ambetter: $1,334.35
  • Anthem Blue Cross and Blue Shield — Anthem: $4,486.95
  • Beech Street Corporation — Beech Street: $7,529.85
  • Blue Choice — Blue Choice: $1,334.35
  • Cigna Corporation — Cigna HMO/PPO: $5,438.23
  • Clear Springs Health — Clear Springs Health MA: $932.69
  • Devoted Health PPO — Devoted Health PPO: $923.63
  • Essence — Essence: $920.24
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SLEEP STUDY ROOM/TECH <6HR $5,730.60 $2,865.30 $559.68 – $5,157.54
Sleep study (overnight, in a sleep lab): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $905.52
  • Aetna Inc — Aetna/Coventry: $3,381.05
  • Ambetter — Ambetter: $1,334.35
  • Anthem Blue Cross and Blue Shield — Anthem: $3,073.32
  • Beech Street Corporation — Beech Street: $5,157.54
  • Blue Choice — Blue Choice: $1,334.35
  • Cigna Corporation — Cigna HMO/PPO: $3,724.89
  • Clear Springs Health — Clear Springs Health MA: $932.69
  • Devoted Health PPO — Devoted Health PPO: $923.63
  • Essence — Essence: $920.24
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: POLYSOMNOGRAPHY (SLEEP STUDY) $8,366.50 $4,183.25 $176 – $7,529.85
Sleep study (overnight, in a sleep lab): 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $4,647.59
  • Beech Street Corporation — Beech Street: $7,529.85
  • Humana — Humana Medicare: $626.26
  • Illinois Medicaid — Illinois Medicaid: $176
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $176
  • Medicare — Medicare: $626.26
  • Medicare Advantage — Medicare PFFS/MA: $636.44
  • Self Pay — Self Pay: $4,183.25
  • Tricare — Tricare: $566.18
  • United HealthCare Services — United HealthCare Government: $626.26

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: PT EXERCISE EACH UNIT $213.80 $106.90 $27.06 – $203
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $27.45
  • Aetna Inc — Aetna/Coventry: $126.14
  • Ambetter — Ambetter: $40.45
  • Anthem Blue Cross and Blue Shield — Anthem: $114.66
  • Beech Street Corporation — Beech Street: $192.42
  • Blue Choice — Blue Choice: $40.45
  • Cigna Corporation — Cigna HMO/PPO: $149.66
  • Clear Springs Health — Clear Springs Health MA: $28.27
  • Devoted Health PPO — Devoted Health PPO: $28
  • Essence — Essence: $27.90
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EI PT TREATMENT EACH ON SITE $213.80 $106.90 $27.06 – $203
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $27.45
  • Aetna Inc — Aetna/Coventry: $126.14
  • Ambetter — Ambetter: $40.45
  • Anthem Blue Cross and Blue Shield — Anthem: $114.66
  • Beech Street Corporation — Beech Street: $192.42
  • Blue Choice — Blue Choice: $40.45
  • Cigna Corporation — Cigna HMO/PPO: $149.66
  • Clear Springs Health — Clear Springs Health MA: $28.27
  • Devoted Health PPO — Devoted Health PPO: $28
  • Essence — Essence: $27.90
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EI PT TREATMENT EACH OFF SITE $213.80 $106.90 $27.06 – $203
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $27.45
  • Aetna Inc — Aetna/Coventry: $126.14
  • Ambetter — Ambetter: $40.45
  • Anthem Blue Cross and Blue Shield — Anthem: $114.66
  • Beech Street Corporation — Beech Street: $192.42
  • Blue Choice — Blue Choice: $40.45
  • Cigna Corporation — Cigna HMO/PPO: $149.66
  • Clear Springs Health — Clear Springs Health MA: $28.27
  • Devoted Health PPO — Devoted Health PPO: $28
  • Essence — Essence: $27.90
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN $652.40 $326.20 $92.32 – $587.16
Physical therapy evaluation (low complexity): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $93.66
  • Aetna Inc — Aetna/Coventry: $384.92
  • Ambetter — Ambetter: $138.01
  • Anthem Blue Cross and Blue Shield — Anthem: $349.88
  • Beech Street Corporation — Beech Street: $587.16
  • Blue Choice — Blue Choice: $138.01
  • Cigna Corporation — Cigna HMO/PPO: $456.68
  • Clear Springs Health — Clear Springs Health MA: $96.47
  • Devoted Health PPO — Devoted Health PPO: $95.53
  • Essence — Essence: $95.18
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EI PT EVAL LOW ON SITE $652.40 $326.20 $92.32 – $587.16
Physical therapy evaluation (low complexity): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $93.66
  • Aetna Inc — Aetna/Coventry: $384.92
  • Ambetter — Ambetter: $138.01
  • Anthem Blue Cross and Blue Shield — Anthem: $349.88
  • Beech Street Corporation — Beech Street: $587.16
  • Blue Choice — Blue Choice: $138.01
  • Cigna Corporation — Cigna HMO/PPO: $456.68
  • Clear Springs Health — Clear Springs Health MA: $96.47
  • Devoted Health PPO — Devoted Health PPO: $95.53
  • Essence — Essence: $95.18
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EI PT EVAL LOW OFF SITE $652.40 $326.20 $92.32 – $587.16
Physical therapy evaluation (low complexity): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $93.66
  • Aetna Inc — Aetna/Coventry: $384.92
  • Ambetter — Ambetter: $138.01
  • Anthem Blue Cross and Blue Shield — Anthem: $349.88
  • Beech Street Corporation — Beech Street: $587.16
  • Blue Choice — Blue Choice: $138.01
  • Cigna Corporation — Cigna HMO/PPO: $456.68
  • Clear Springs Health — Clear Springs Health MA: $96.47
  • Devoted Health PPO — Devoted Health PPO: $95.53
  • Essence — Essence: $95.18
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN $668.70 $334.35 $92.32 – $601.83
Physical therapy evaluation (moderate complexity): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $93.66
  • Aetna Inc — Aetna/Coventry: $394.53
  • Ambetter — Ambetter: $138.01
  • Anthem Blue Cross and Blue Shield — Anthem: $358.62
  • Beech Street Corporation — Beech Street: $601.83
  • Blue Choice — Blue Choice: $138.01
  • Cigna Corporation — Cigna HMO/PPO: $468.09
  • Clear Springs Health — Clear Springs Health MA: $96.47
  • Devoted Health PPO — Devoted Health PPO: $95.53
  • Essence — Essence: $95.18
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EI PT EVAL MOD ON SITE $668.70 $334.35 $92.32 – $601.83
Physical therapy evaluation (moderate complexity): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $93.66
  • Aetna Inc — Aetna/Coventry: $394.53
  • Ambetter — Ambetter: $138.01
  • Anthem Blue Cross and Blue Shield — Anthem: $358.62
  • Beech Street Corporation — Beech Street: $601.83
  • Blue Choice — Blue Choice: $138.01
  • Cigna Corporation — Cigna HMO/PPO: $468.09
  • Clear Springs Health — Clear Springs Health MA: $96.47
  • Devoted Health PPO — Devoted Health PPO: $95.53
  • Essence — Essence: $95.18
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EI PT EVAL MOD OFF SITE $668.70 $334.35 $92.32 – $601.83
Physical therapy evaluation (moderate complexity): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $93.66
  • Aetna Inc — Aetna/Coventry: $394.53
  • Ambetter — Ambetter: $138.01
  • Anthem Blue Cross and Blue Shield — Anthem: $358.62
  • Beech Street Corporation — Beech Street: $601.83
  • Blue Choice — Blue Choice: $138.01
  • Cigna Corporation — Cigna HMO/PPO: $468.09
  • Clear Springs Health — Clear Springs Health MA: $96.47
  • Devoted Health PPO — Devoted Health PPO: $95.53
  • Essence — Essence: $95.18
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN $685 $342.50 $92.32 – $616.50
Physical therapy evaluation (high complexity): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $93.66
  • Aetna Inc — Aetna/Coventry: $404.15
  • Ambetter — Ambetter: $138.01
  • Anthem Blue Cross and Blue Shield — Anthem: $367.37
  • Beech Street Corporation — Beech Street: $616.50
  • Blue Choice — Blue Choice: $138.01
  • Cigna Corporation — Cigna HMO/PPO: $479.50
  • Clear Springs Health — Clear Springs Health MA: $96.47
  • Devoted Health PPO — Devoted Health PPO: $95.53
  • Essence — Essence: $95.18
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EI PT EVAL HIGH ON SITE $685 $342.50 $92.32 – $616.50
Physical therapy evaluation (high complexity): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $93.66
  • Aetna Inc — Aetna/Coventry: $404.15
  • Ambetter — Ambetter: $138.01
  • Anthem Blue Cross and Blue Shield — Anthem: $367.37
  • Beech Street Corporation — Beech Street: $616.50
  • Blue Choice — Blue Choice: $138.01
  • Cigna Corporation — Cigna HMO/PPO: $479.50
  • Clear Springs Health — Clear Springs Health MA: $96.47
  • Devoted Health PPO — Devoted Health PPO: $95.53
  • Essence — Essence: $95.18
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EI PT EVAL HIGH OFF SITE $685 $342.50 $92.32 – $616.50
Physical therapy evaluation (high complexity): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $93.66
  • Aetna Inc — Aetna/Coventry: $404.15
  • Ambetter — Ambetter: $138.01
  • Anthem Blue Cross and Blue Shield — Anthem: $367.37
  • Beech Street Corporation — Beech Street: $616.50
  • Blue Choice — Blue Choice: $138.01
  • Cigna Corporation — Cigna HMO/PPO: $479.50
  • Clear Springs Health — Clear Springs Health MA: $96.47
  • Devoted Health PPO — Devoted Health PPO: $95.53
  • Essence — Essence: $95.18
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file $5,697.56 – $26,600 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Psychotherapy, 30 minutes: 10 of 28 insurance plan rates
  • Aetna Inc — Aetna Medicare: $4,777.07
  • Ambetter — Ambetter: $7,066.98
  • Blue Choice — Blue Choice: $7,066.98
  • Clear Springs Health — Clear Springs Health MA: $4,920.38
  • Devoted Health PPO — Devoted Health PPO: $4,872.61
  • Essence — Essence: $4,873.78
  • Essence — Essence PPO: $5,019.99
  • Hopetrust — Hopetrust: $12,184.45
  • Humana — Humana Medicare: $4,777.07
  • Illinois Medicaid — Illinois Medicaid: $162.33
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file $29.48 – $26,600 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Psychotherapy, 30 minutes: 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $83.17
  • Illinois Medicaid — Illinois Medicaid: $29.48
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $29.48
  • Medicare — Medicare: $83.17
  • Medicare Advantage — Medicare PFFS/MA: $84.52
  • Tricare — Tricare: $77.72
  • United HealthCare Services — United HealthCare Government: $83.17
  • Work Comp — Work Comp: $26,600 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
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 $5,697.56 – $26,600 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Psychotherapy, 45 minutes: 10 of 28 insurance plan rates
  • Aetna Inc — Aetna Medicare: $4,777.07
  • Ambetter — Ambetter: $7,066.98
  • Blue Choice — Blue Choice: $7,066.98
  • Clear Springs Health — Clear Springs Health MA: $4,920.38
  • Devoted Health PPO — Devoted Health PPO: $4,872.61
  • Essence — Essence: $4,873.78
  • Essence — Essence PPO: $5,019.99
  • Hopetrust — Hopetrust: $12,184.45
  • Humana — Humana Medicare: $4,777.07
  • Illinois Medicaid — Illinois Medicaid: $193.96
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file $44.20 – $26,600 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Psychotherapy, 45 minutes: 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $110.56
  • Illinois Medicaid — Illinois Medicaid: $44.20
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $44.20
  • Medicare — Medicare: $110.56
  • Medicare Advantage — Medicare PFFS/MA: $112.36
  • Tricare — Tricare: $102.48
  • United HealthCare Services — United HealthCare Government: $110.56
  • Work Comp — Work Comp: $26,600 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (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 $5,697.56 – $26,600
Psychotherapy, 60 minutes: 10 of 28 insurance plan rates
  • Aetna Inc — Aetna Medicare: $4,777.07
  • Ambetter — Ambetter: $7,066.98
  • Blue Choice — Blue Choice: $7,066.98
  • Clear Springs Health — Clear Springs Health MA: $4,920.38
  • Devoted Health PPO — Devoted Health PPO: $4,872.61
  • Essence — Essence: $4,873.78
  • Essence — Essence PPO: $5,019.99
  • Hopetrust — Hopetrust: $12,184.45
  • Humana — Humana Medicare: $4,777.07
  • Illinois Medicaid — Illinois Medicaid: $193.96
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file $66.71 – $26,600
Psychotherapy, 60 minutes: 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $161.85
  • Illinois Medicaid — Illinois Medicaid: $66.71
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $66.71
  • Medicare — Medicare: $161.85
  • Medicare Advantage — Medicare PFFS/MA: $164.48
  • Tricare — Tricare: $151.97
  • United HealthCare Services — United HealthCare Government: $161.85
  • Work Comp — Work Comp: $26,600
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (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 PATIENT Not listed in the file Not listed in the file $5,697.56 – $26,600 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Family psychotherapy, without the patient: 10 of 28 insurance plan rates
  • Aetna Inc — Aetna Medicare: $4,777.07
  • Ambetter — Ambetter: $7,066.98
  • Blue Choice — Blue Choice: $7,066.98
  • Clear Springs Health — Clear Springs Health MA: $4,920.38
  • Devoted Health PPO — Devoted Health PPO: $4,872.61
  • Essence — Essence: $4,873.78
  • Essence — Essence PPO: $5,019.99
  • Hopetrust — Hopetrust: $12,184.45
  • Humana — Humana Medicare: $4,777.07
  • Illinois Medicaid — Illinois Medicaid: $211.54
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/O PATIENT Not listed in the file Not listed in the file $81.32 – $105.83
Family psychotherapy, without the patient: rates for 9 insurance plans
  • Humana — Humana Medicare: $104.14
  • Medicare — Medicare: $104.14
  • Medicare Advantage — Medicare PFFS/MA: $105.83
  • Tricare — Tricare: $98.24
  • United HealthCare Services — United HealthCare Government: $104.14
  • Work Comp — Work Comp: $81.32
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
  • Self Pay — Self Pay: 50% (a percentage in the contract, not a dollar amount)
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PATIENT Not listed in the file Not listed in the file $5,697.56 – $26,600 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Family psychotherapy, with the patient: 10 of 28 insurance plan rates
  • Aetna Inc — Aetna Medicare: $4,777.07
  • Ambetter — Ambetter: $7,066.98
  • Blue Choice — Blue Choice: $7,066.98
  • Clear Springs Health — Clear Springs Health MA: $4,920.38
  • Devoted Health PPO — Devoted Health PPO: $4,872.61
  • Essence — Essence: $4,873.78
  • Essence — Essence PPO: $5,019.99
  • Hopetrust — Hopetrust: $12,184.45
  • Humana — Humana Medicare: $4,777.07
  • Illinois Medicaid — Illinois Medicaid: $211.54
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/PATIENT Not listed in the file Not listed in the file $61.20 – $109.16
Family psychotherapy, with the patient: 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $107.41
  • Illinois Medicaid — Illinois Medicaid: $61.20
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $61.20
  • Medicare — Medicare: $107.41
  • Medicare Advantage — Medicare PFFS/MA: $109.16
  • Tricare — Tricare: $102.34
  • United HealthCare Services — United HealthCare Government: $107.41
  • Work Comp — Work Comp: $82.97
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
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 $5,687.70 – $26,600 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Group psychotherapy: 10 of 28 insurance plan rates
  • Aetna Inc — Aetna Medicare: $4,766.78
  • Ambetter — Ambetter: $7,052.23
  • Blue Choice — Blue Choice: $7,052.23
  • Clear Springs Health — Clear Springs Health MA: $4,909.78
  • Devoted Health PPO — Devoted Health PPO: $4,862.12
  • Essence — Essence: $4,863.61
  • Essence — Essence PPO: $5,009.52
  • Hopetrust — Hopetrust: $12,159.02
  • Humana — Humana Medicare: $4,766.78
  • Illinois Medicaid — Illinois Medicaid: $295.63
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file $27.84 – $55.32
Group psychotherapy: 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $29.64
  • Illinois Medicaid — Illinois Medicaid: $33.70
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $33.70
  • Medicare — Medicare: $29.64
  • Medicare Advantage — Medicare PFFS/MA: $30.12
  • Tricare — Tricare: $27.84
  • United HealthCare Services — United HealthCare Government: $29.64
  • Work Comp — Work Comp: $55.32
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (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 $2,011 – $25,000
Removal of breast growth (open surgery): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $4,128.72
  • Ambetter — Ambetter: $6,083.98
  • Anthem Blue Cross and Blue Shield — Anthem: $7,036
  • Blue Choice — Blue Choice: $6,083.98
  • Clear Springs Health — Clear Springs Health MA: $4,252.58
  • Devoted Health PPO — Devoted Health PPO: $4,211.29
  • Essence — Essence: $4,195.85
  • Essence — Essence PPO: $4,321.73
  • Hopetrust — Hopetrust: $10,489.63
  • Humana — Humana Medicare: $4,128.72
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $519.92 – $752
Removal of breast growth (open surgery): 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $586.18
  • Illinois Medicaid — Illinois Medicaid: $752
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $752
  • Medicare — Medicare: $586.18
  • Medicare Advantage — Medicare PFFS/MA: $595.71
  • Tricare — Tricare: $519.92
  • United HealthCare Services — United HealthCare Government: $586.18
  • Work Comp — Work Comp: $722.60
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (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 REPLACEMENT Not listed in the file Not listed in the file $3,387 – $50,000
Total hip replacement: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $13,517.73
  • Ambetter — Ambetter: $19,949.35
  • Anthem Blue Cross and Blue Shield — Anthem: $6,640
  • Blue Choice — Blue Choice: $19,949.35
  • Clear Springs Health — Clear Springs Health MA: $13,923.26
  • Devoted Health PPO — Devoted Health PPO: $13,788.08
  • Essence — Essence: $13,758.17
  • Essence — Essence PPO: $14,170.92
  • Hopetrust — Hopetrust: $34,395.43
  • Humana — Humana Medicare: $13,517.73
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TOTAL HIP REPLACEMENT Not listed in the file Not listed in the file $1,247.16 – $5,201.41
Total hip replacement: 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $1,247.16
  • Illinois Medicaid — Illinois Medicaid: $1,794
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $1,794
  • Medicare — Medicare: $1,247.16
  • Medicare Advantage — Medicare PFFS/MA: $1,267.44
  • Tricare — Tricare: $1,306.55
  • United HealthCare Services — United HealthCare Government: $1,247.16
  • Work Comp — Work Comp: $5,201.41
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (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 REPLACEMENT Not listed in the file Not listed in the file $3,387 – $50,000
Total knee replacement: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $13,517.73
  • Ambetter — Ambetter: $19,949.35
  • Anthem Blue Cross and Blue Shield — Anthem: $6,640
  • Blue Choice — Blue Choice: $19,949.35
  • Clear Springs Health — Clear Springs Health MA: $13,923.26
  • Devoted Health PPO — Devoted Health PPO: $13,788.08
  • Essence — Essence: $13,758.17
  • Essence — Essence PPO: $14,170.92
  • Hopetrust — Hopetrust: $34,395.43
  • Humana — Humana Medicare: $13,517.73
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TOTAL KNEE REPLACEMENT Not listed in the file Not listed in the file $1,049 – $4,970.86
Total knee replacement: 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $1,244.62
  • Illinois Medicaid — Illinois Medicaid: $1,049
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $1,049
  • Medicare — Medicare: $1,244.62
  • Medicare Advantage — Medicare PFFS/MA: $1,264.86
  • Tricare — Tricare: $1,304.80
  • United HealthCare Services — United HealthCare Government: $1,244.62
  • Work Comp — Work Comp: $4,970.86
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (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: SHOULDER ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $891 – $50,000
Shoulder arthroscopy: shaving of shoulder bone: 10 of 18 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $6,640
  • Blue Choice — Blue Choice: $22,500
  • Illinois Medicaid — Illinois Medicaid: $2,684.67
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $2,684.67
  • Self Pay — Self Pay: $25,000
  • Tricare — Tricare: $50,000
  • United HealthCare Services — United HealthCare: $891
  • Aetna Inc — Aetna/Coventry: 5,100% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
  • Cigna Corporation — Cigna HMO/PPO: 7,500% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: SHOULDER ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $162.20 – $2,196.99
Shoulder arthroscopy: shaving of shoulder bone: 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $162.20
  • Illinois Medicaid — Illinois Medicaid: $1,049
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $1,049
  • Medicare — Medicare: $162.20
  • Medicare Advantage — Medicare PFFS/MA: $164.84
  • Tricare — Tricare: $175.63
  • United HealthCare Services — United HealthCare Government: $162.20
  • Work Comp — Work Comp: $2,196.99
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $2,752 – $25,000
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $3,450.24
  • Ambetter — Ambetter: $5,084.19
  • Anthem Blue Cross and Blue Shield — Anthem: $6,640
  • Blue Choice — Blue Choice: $5,084.19
  • Clear Springs Health — Clear Springs Health MA: $3,553.75
  • Devoted Health PPO — Devoted Health PPO: $3,519.24
  • Essence — Essence: $3,506.34
  • Essence — Essence PPO: $3,611.53
  • Hopetrust — Hopetrust: $8,765.85
  • Humana — Humana Medicare: $3,450.24
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $535.51 – $2,259.45
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $535.51
  • Illinois Medicaid — Illinois Medicaid: $1,049
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $1,049
  • Medicare — Medicare: $535.51
  • Medicare Advantage — Medicare PFFS/MA: $544.22
  • Tricare — Tricare: $546.18
  • United HealthCare Services — United HealthCare Government: $535.51
  • Work Comp — Work Comp: $2,259.45
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (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 $2,011 – $25,000
Removal of tonsils and adenoids (under age 12): 10 of 27 insurance plan rates
  • Aetna Inc — Aetna Medicare: $6,242.30
  • Ambetter — Ambetter: $9,198.51
  • Anthem Blue Cross and Blue Shield — Anthem: $6,640
  • Blue Choice — Blue Choice: $9,198.51
  • Clear Springs Health — Clear Springs Health MA: $6,429.57
  • Devoted Health PPO — Devoted Health PPO: $6,367.15
  • Essence — Essence: $6,343.80
  • Essence — Essence PPO: $6,534.11
  • Hopetrust — Hopetrust: $15,859.50
  • Humana — Humana Medicare: $6,242.30
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $194.20 – $604.66
Removal of tonsils and adenoids (under age 12): 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $268.17
  • Illinois Medicaid — Illinois Medicaid: $194.20
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $194.20
  • Medicare — Medicare: $268.17
  • Medicare Advantage — Medicare PFFS/MA: $272.53
  • Tricare — Tricare: $289.34
  • United HealthCare Services — United HealthCare Government: $268.17
  • Work Comp — Work Comp: $604.66
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (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: UPPR GI ENDOSCOPY, DIAGNOSIS Not listed in the file Not listed in the file $1,693 – $25,000
Upper GI endoscopy (diagnostic): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $4,875.95
  • Ambetter — Ambetter: $7,208.66
  • Blue Choice — Blue Choice: $7,208.66
  • Clear Springs Health — Clear Springs Health MA: $5,022.23
  • Devoted Health PPO — Devoted Health PPO: $4,973.47
  • Essence — Essence: $4,971.49
  • Essence — Essence PPO: $5,120.63
  • Hopetrust — Hopetrust: $12,428.72
  • Humana — Humana Medicare: $4,875.95
  • Illinois Medicaid — Illinois Medicaid: $1,210.47
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: UPPR GI ENDOSCOPY, DIAGNOSIS Not listed in the file Not listed in the file $264.03 – $512.50
Upper GI endoscopy (diagnostic): 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $306.39
  • Illinois Medicaid — Illinois Medicaid: $287
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $287
  • Medicare — Medicare: $306.39
  • Medicare Advantage — Medicare PFFS/MA: $311.37
  • Tricare — Tricare: $264.03
  • United HealthCare Services — United HealthCare Government: $306.39
  • Work Comp — Work Comp: $512.50
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (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 W/BX SINGLE OR MULTI $1,176.80 $588.40 $538.39 – $1,300
Upper GI endoscopy with biopsy: 10 of 27 insurance plan rates
  • Aetna Inc — Aetna Medicare: $956.39
  • Aetna Inc — Aetna/Coventry: $1,225
  • Ambetter — Ambetter: $1,409.31
  • Anthem Blue Cross and Blue Shield — Anthem: $1,300
  • Beech Street Corporation — Beech Street: $1,059.12
  • Blue Choice — Blue Choice: $1,409.31
  • Cigna Corporation — Cigna HMO/PPO: $823.76
  • Clear Springs Health — Clear Springs Health MA: $985.08
  • Devoted Health PPO — Devoted Health PPO: $975.52
  • Essence — Essence: $971.94
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EGD W/BX SINGLE OR MULTI $1,176.80 $588.40 $287 – $1,059.12
Upper GI endoscopy with biopsy: 10 of 11 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $653.71
  • Beech Street Corporation — Beech Street: $1,059.12
  • Humana — Humana Medicare: $395.01
  • Illinois Medicaid — Illinois Medicaid: $287
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $287
  • Medicare — Medicare: $395.01
  • Medicare Advantage — Medicare PFFS/MA: $401.43
  • Self Pay — Self Pay: $588.40
  • Tricare — Tricare: $338.87
  • United HealthCare Services — United HealthCare Government: $395.01
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD W/BX SINGLE OR MULTI $1,176.80 $588.40 $882.60 – $1,059.12
Upper GI endoscopy with biopsy: rates for 2 insurance plans
  • Beech Street Corporation — Beech Street: $1,059.12
  • MULTIPLAN/PHCS — MULTIPLAN/PHCS: $882.60
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 $1,693 – $25,000
Colonoscopy (diagnostic): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $4,879.06
  • Ambetter — Ambetter: $7,213.13
  • Blue Choice — Blue Choice: $7,213.13
  • Clear Springs Health — Clear Springs Health MA: $5,025.43
  • Devoted Health PPO — Devoted Health PPO: $4,976.64
  • Essence — Essence: $4,974.57
  • Essence — Essence PPO: $5,123.81
  • Hopetrust — Hopetrust: $12,436.42
  • Humana — Humana Medicare: $4,879.06
  • Illinois Medicaid — Illinois Medicaid: $1,236.88
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $304 – $704.30
Colonoscopy (diagnostic): 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $365.39
  • Illinois Medicaid — Illinois Medicaid: $304
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $304
  • Medicare — Medicare: $365.39
  • Medicare Advantage — Medicare PFFS/MA: $371.33
  • Tricare — Tricare: $318.28
  • United HealthCare Services — United HealthCare Government: $365.39
  • Work Comp — Work Comp: $704.30
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
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 $1,693 – $25,000
Colonoscopy with biopsy: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $4,915.21
  • Ambetter — Ambetter: $7,264.92
  • Blue Choice — Blue Choice: $7,264.92
  • Clear Springs Health — Clear Springs Health MA: $5,062.67
  • Devoted Health PPO — Devoted Health PPO: $5,013.51
  • Essence — Essence: $5,010.29
  • Essence — Essence PPO: $5,160.60
  • Hopetrust — Hopetrust: $12,525.73
  • Humana — Humana Medicare: $4,915.21
  • Illinois Medicaid — Illinois Medicaid: $1,236.88
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $287 – $822.62
Colonoscopy with biopsy: 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $459.04
  • Illinois Medicaid — Illinois Medicaid: $287
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $287
  • Medicare — Medicare: $459.04
  • Medicare Advantage — Medicare PFFS/MA: $466.50
  • Tricare — Tricare: $399.25
  • United HealthCare Services — United HealthCare Government: $459.04
  • Work Comp — Work Comp: $822.62
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (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: LESION REMOVAL COLONOSCOPY Not listed in the file Not listed in the file $1,693 – $25,000
Colonoscopy with removal of polyps (snare): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $4,915.21
  • Ambetter — Ambetter: $7,264.92
  • Blue Choice — Blue Choice: $7,264.92
  • Clear Springs Health — Clear Springs Health MA: $5,062.67
  • Devoted Health PPO — Devoted Health PPO: $5,013.51
  • Essence — Essence: $5,010.29
  • Essence — Essence PPO: $5,160.60
  • Hopetrust — Hopetrust: $12,525.73
  • Humana — Humana Medicare: $4,915.21
  • Illinois Medicaid — Illinois Medicaid: $1,236.88
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LESION REMOVAL COLONOSCOPY Not listed in the file Not listed in the file $423.22 – $1,125.56
Colonoscopy with removal of polyps (snare): 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $483.02
  • Illinois Medicaid — Illinois Medicaid: $752
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $752
  • Medicare — Medicare: $483.02
  • Medicare Advantage — Medicare PFFS/MA: $490.87
  • Tricare — Tricare: $423.22
  • United HealthCare Services — United HealthCare Government: $483.02
  • Work Comp — Work Comp: $1,125.56
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (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 $1,693 – $25,000
Ultrasound of the lower bowel by endoscope: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $4,915.21
  • Ambetter — Ambetter: $7,264.92
  • Blue Choice — Blue Choice: $7,264.92
  • Clear Springs Health — Clear Springs Health MA: $5,062.67
  • Devoted Health PPO — Devoted Health PPO: $5,013.51
  • Essence — Essence: $5,010.29
  • Essence — Essence PPO: $5,160.60
  • Hopetrust — Hopetrust: $12,525.73
  • Humana — Humana Medicare: $4,915.21
  • Illinois Medicaid — Illinois Medicaid: $1,236.88
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $233.91 – $26,600
Ultrasound of the lower bowel by endoscope: 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $233.91
  • Illinois Medicaid — Illinois Medicaid: $304
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $304
  • Medicare — Medicare: $233.91
  • Medicare Advantage — Medicare PFFS/MA: $237.71
  • Tricare — Tricare: $250.88
  • United HealthCare Services — United HealthCare Government: $233.91
  • Work Comp — Work Comp: $26,600
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (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 $3,281 – $25,000
Gallbladder removal by laparoscope: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $6,374.84
  • Aetna Inc — Aetna/Coventry: $7,450
  • Ambetter — Ambetter: $9,393.82
  • Anthem Blue Cross and Blue Shield — Anthem: $6,640
  • Blue Choice — Blue Choice: $9,393.82
  • Clear Springs Health — Clear Springs Health MA: $6,566.09
  • Devoted Health PPO — Devoted Health PPO: $6,502.34
  • Essence — Essence: $6,478.50
  • Essence — Essence PPO: $6,672.86
  • Hopetrust — Hopetrust: $16,196.25
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $689.85 – $2,113.54
Gallbladder removal by laparoscope: 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $694.27
  • Illinois Medicaid — Illinois Medicaid: $1,049
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $1,049
  • Medicare — Medicare: $694.27
  • Medicare Advantage — Medicare PFFS/MA: $705.56
  • Tricare — Tricare: $689.85
  • United HealthCare Services — United HealthCare Government: $694.27
  • Work Comp — Work Comp: $2,113.54
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (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: REPAIR INGUINAL HERNIA Not listed in the file Not listed in the file $2,752 – $25,000
Groin (inguinal) hernia repair, age 5 or older: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $3,775.43
  • Ambetter — Ambetter: $5,563.39
  • Anthem Blue Cross and Blue Shield — Anthem: $6,640
  • Blue Choice — Blue Choice: $5,563.39
  • Clear Springs Health — Clear Springs Health MA: $3,888.69
  • Devoted Health PPO — Devoted Health PPO: $3,850.94
  • Essence — Essence: $3,836.82
  • Essence — Essence PPO: $3,951.92
  • Hopetrust — Hopetrust: $9,592.05
  • Humana — Humana Medicare: $3,775.43
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REPAIR INGUINAL HERNIA Not listed in the file Not listed in the file $544.68 – $1,137.90
Groin (inguinal) hernia repair, age 5 or older: 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $553.36
  • Illinois Medicaid — Illinois Medicaid: $752
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $752
  • Medicare — Medicare: $553.36
  • Medicare Advantage — Medicare PFFS/MA: $562.36
  • Tricare — Tricare: $544.68
  • United HealthCare Services — United HealthCare Government: $553.36
  • Work Comp — Work Comp: $1,137.90
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $1,320.93 – $50,000
Prostate biopsy: 10 of 27 insurance plan rates
  • Aetna Inc — Aetna Medicare: $5,036.37
  • Ambetter — Ambetter: $7,438.51
  • Anthem Blue Cross and Blue Shield — Anthem: $7,036
  • Blue Choice — Blue Choice: $7,438.51
  • Clear Springs Health — Clear Springs Health MA: $5,187.46
  • Devoted Health PPO — Devoted Health PPO: $25,137.10
  • Essence — Essence: $5,130.01
  • Essence — Essence PPO: $5,283.91
  • Hopetrust — Hopetrust: $50,325.03
  • Humana — Humana Medicare: $5,036.37
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $226.56 – $287
Prostate biopsy: rates for 7 insurance plans
  • Illinois Medicaid — Illinois Medicaid: $287
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $287
  • Tricare — Tricare: $226.56
  • Work Comp — Work Comp: $263.37
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
  • Self Pay — Self Pay: 50% (a percentage in the contract, not a dollar amount)
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 $3,387 – $25,000
Prostate removal by laparoscope (radical prostatectomy): 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $11,198.03
  • Aetna Inc — Aetna/Coventry: $7,450
  • Ambetter — Ambetter: $16,517.14
  • Anthem Blue Cross and Blue Shield — Anthem: $6,640
  • Blue Choice — Blue Choice: $16,517.14
  • Clear Springs Health — Clear Springs Health MA: $11,533.97
  • Devoted Health PPO — Devoted Health PPO: $11,421.99
  • Essence — Essence: $11,391.13
  • Essence — Essence PPO: $11,732.86
  • Hopetrust — Hopetrust: $28,477.82
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $1,049 – $26,600
Prostate removal by laparoscope (radical prostatectomy): 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $1,138.06
  • Illinois Medicaid — Illinois Medicaid: $1,049
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $1,049
  • Medicare — Medicare: $1,138.06
  • Medicare Advantage — Medicare PFFS/MA: $1,156.56
  • Tricare — Tricare: $1,186.21
  • United HealthCare Services — United HealthCare Government: $1,138.06
  • Work Comp — Work Comp: $26,600
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
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 $2,011 – $25,000
Hysteroscopy with biopsy of the uterus lining: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $5,191.83
  • Ambetter — Ambetter: $7,661.25
  • Anthem Blue Cross and Blue Shield — Anthem: $7,036
  • Blue Choice — Blue Choice: $7,661.25
  • Clear Springs Health — Clear Springs Health MA: $5,347.58
  • Devoted Health PPO — Devoted Health PPO: $5,295.67
  • Essence — Essence: $5,283.62
  • Essence — Essence PPO: $5,442.13
  • Hopetrust — Hopetrust: $13,209.05
  • Humana — Humana Medicare: $5,191.83
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HYSTEROSCOPY, BIOPSY Not listed in the file Not listed in the file $752 – $1,264.67
Hysteroscopy with biopsy of the uterus lining: 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $1,187.12
  • Illinois Medicaid — Illinois Medicaid: $752
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $752
  • Medicare — Medicare: $1,187.12
  • Medicare Advantage — Medicare PFFS/MA: $1,206.42
  • Tricare — Tricare: $1,127.74
  • United HealthCare Services — United HealthCare Government: $1,187.12
  • Work Comp — Work Comp: $1,264.67
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (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: NJX INTERLAMINAR LMBR/SAC Not listed in the file Not listed in the file $1,217 – $25,000
Spinal injection, lower back (epidural), with imaging guidance: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $4,848.69
  • Ambetter — Ambetter: $7,169.60
  • Anthem Blue Cross and Blue Shield — Anthem: $7,036
  • Blue Choice — Blue Choice: $7,169.60
  • Clear Springs Health — Clear Springs Health MA: $4,994.15
  • Devoted Health PPO — Devoted Health PPO: $4,945.66
  • Essence — Essence: $4,944.55
  • Essence — Essence PPO: $5,092.89
  • Hopetrust — Hopetrust: $12,361.37
  • Humana — Humana Medicare: $4,848.69
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NJX INTERLAMINAR LMBR/SAC Not listed in the file Not listed in the file $233.74 – $262.28
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans
  • Humana — Humana Medicare: $258.08
  • Medicare — Medicare: $258.08
  • Medicare Advantage — Medicare PFFS/MA: $262.28
  • Tricare — Tricare: $233.74
  • United HealthCare Services — United HealthCare Government: $258.08
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
  • Self Pay — Self Pay: 50% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ FORAMEN EPIDURAL L/S Not listed in the file Not listed in the file $1,217 – $25,000
Nerve root injection, lower back, with imaging guidance: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $4,872.90
  • Ambetter — Ambetter: $7,204.30
  • Anthem Blue Cross and Blue Shield — Anthem: $7,036
  • Blue Choice — Blue Choice: $7,204.30
  • Clear Springs Health — Clear Springs Health MA: $5,019.09
  • Devoted Health PPO — Devoted Health PPO: $4,970.36
  • Essence — Essence: $4,968.48
  • Essence — Essence PPO: $5,117.53
  • Hopetrust — Hopetrust: $12,421.20
  • Humana — Humana Medicare: $4,872.90
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: INJ FORAMEN EPIDURAL L/S Not listed in the file Not listed in the file $224.03 – $941
Nerve root injection, lower back, with imaging guidance: 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $250.75
  • Illinois Medicaid — Illinois Medicaid: $941
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $941
  • Medicare — Medicare: $250.75
  • Medicare Advantage — Medicare PFFS/MA: $254.83
  • Tricare — Tricare: $224.03
  • United HealthCare Services — United HealthCare Government: $250.75
  • Work Comp — Work Comp: $485.69
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
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 $2,011 – $25,000
Carpal tunnel release: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $5,017.71
  • Ambetter — Ambetter: $7,411.78
  • Anthem Blue Cross and Blue Shield — Anthem: $6,640
  • Blue Choice — Blue Choice: $7,411.78
  • Clear Springs Health — Clear Springs Health MA: $5,168.24
  • Devoted Health PPO — Devoted Health PPO: $5,118.06
  • Essence — Essence: $5,111.57
  • Essence — Essence PPO: $5,264.92
  • Hopetrust — Hopetrust: $12,778.92
  • Humana — Humana Medicare: $5,017.71
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $443.83 – $1,390.06
Carpal tunnel release: 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $485.28
  • Illinois Medicaid — Illinois Medicaid: $1,049
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $1,049
  • Medicare — Medicare: $485.28
  • Medicare Advantage — Medicare PFFS/MA: $493.17
  • Tricare — Tricare: $443.83
  • United HealthCare Services — United HealthCare Government: $485.28
  • Work Comp — Work Comp: $1,390.06
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (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 $1,193.55 – $25,000
Laser treatment of clouding after cataract surgery: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $4,827.55
  • Ambetter — Ambetter: $7,139.32
  • Anthem Blue Cross and Blue Shield — Anthem: $7,036
  • Blue Choice — Blue Choice: $7,139.32
  • Clear Springs Health — Clear Springs Health MA: $4,972.38
  • Devoted Health PPO — Devoted Health PPO: $4,924.10
  • Essence — Essence: $4,923.67
  • Essence — Essence PPO: $5,071.38
  • Hopetrust — Hopetrust: $12,309.17
  • Humana — Humana Medicare: $4,827.55
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $266.90 – $1,049
Laser treatment of clouding after cataract surgery: 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $266.90
  • Illinois Medicaid — Illinois Medicaid: $1,049
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $1,049
  • Medicare — Medicare: $266.90
  • Medicare Advantage — Medicare PFFS/MA: $271.24
  • Tricare — Tricare: $306.65
  • United HealthCare Services — United HealthCare Government: $266.90
  • Work Comp — Work Comp: $854.24
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (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: REMOVE CATARACT/INSERT LENS Not listed in the file Not listed in the file $2,011 – $25,000
Cataract removal with lens implant: 10 of 29 insurance plan rates
  • Aetna Inc — Aetna Medicare: $5,065.85
  • Ambetter — Ambetter: $7,480.75
  • Anthem Blue Cross and Blue Shield — Anthem: $6,640
  • Blue Choice — Blue Choice: $7,480.75
  • Clear Springs Health — Clear Springs Health MA: $5,217.83
  • Devoted Health PPO — Devoted Health PPO: $5,167.17
  • Essence — Essence: $5,159.14
  • Essence — Essence PPO: $5,313.91
  • Hopetrust — Hopetrust: $12,897.85
  • Humana — Humana Medicare: $5,065.85
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REMOVE CATARACT/INSERT LENS Not listed in the file Not listed in the file $457.35 – $2,170.59
Cataract removal with lens implant: 10 of 11 insurance plan rates
  • Humana — Humana Medicare: $457.35
  • Illinois Medicaid — Illinois Medicaid: $1,049
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $1,049
  • Medicare — Medicare: $457.35
  • Medicare Advantage — Medicare PFFS/MA: $464.79
  • Tricare — Tricare: $508.73
  • United HealthCare Services — United HealthCare Government: $457.35
  • Work Comp — Work Comp: $2,170.59
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $6,640 – $25,000
Vaginal delivery, with care before and after: 10 of 17 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $6,640
  • Blue Choice — Blue Choice: $22,500
  • Illinois Medicaid — Illinois Medicaid: $2,703.15
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $2,703.15
  • Self Pay — Self Pay: $25,000
  • Tricare — Tricare: $6,652.26
  • Aetna Inc — Aetna/Coventry: 5,100% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
  • Cigna Corporation — Cigna HMO/PPO: 7,500% (a percentage in the contract, not a dollar amount)
  • Health Care Service Corporation — Blue Cross of Illinois HMO/PPO: 51.5% (a percentage in the contract, not a dollar amount)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $2,343.08 – $2,520.65
Vaginal delivery, with care before and after: rates for 9 insurance plans
  • Humana — Humana Medicare: $2,480.32
  • Medicare — Medicare: $2,480.32
  • Medicare Advantage — Medicare PFFS/MA: $2,520.65
  • Tricare — Tricare: $2,516.84
  • United HealthCare Services — United HealthCare Government: $2,480.32
  • Work Comp — Work Comp: $2,343.08
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
  • Self Pay — Self Pay: 50% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $6,640 – $50,000
Cesarean delivery (C-section), with care before and after: 10 of 17 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $6,640
  • Blue Choice — Blue Choice: $22,500
  • Illinois Medicaid — Illinois Medicaid: $3,246.64
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $3,246.64
  • Self Pay — Self Pay: $25,000
  • Tricare — Tricare: $50,000
  • Aetna Inc — Aetna/Coventry: 5,100% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
  • Cigna Corporation — Cigna HMO/PPO: 7,500% (a percentage in the contract, not a dollar amount)
  • Health Care Service Corporation — Blue Cross of Illinois HMO/PPO: 51.5% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $2,814.72 – $2,860.49
Cesarean delivery (C-section), with care before and after: rates for 9 insurance plans
  • Humana — Humana Medicare: $2,814.72
  • Medicare — Medicare: $2,814.72
  • Medicare Advantage — Medicare PFFS/MA: $2,860.49
  • Tricare — Tricare: $2,826.84
  • United HealthCare Services — United HealthCare Government: $2,814.72
  • Work Comp — Work Comp: $2,821.87
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
  • Self Pay — Self Pay: 50% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $6,640 – $50,000
Vaginal delivery after a previous C-section, with care before and after: 10 of 17 insurance plan rates
  • Anthem Blue Cross and Blue Shield — Anthem: $6,640
  • Blue Choice — Blue Choice: $22,500
  • Illinois Medicaid — Illinois Medicaid: $2,703.15
  • Illinois Medicaid-Other — Illinois Medicaid-Other: $2,703.15
  • Self Pay — Self Pay: $25,000
  • Tricare — Tricare: $50,000
  • Aetna Inc — Aetna/Coventry: 5,100% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
  • Cigna Corporation — Cigna HMO/PPO: 7,500% (a percentage in the contract, not a dollar amount)
  • Health Care Service Corporation — Blue Cross of Illinois HMO/PPO: 51.5% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $2,659.02 – $2,774.16
Vaginal delivery after a previous C-section, with care before and after: rates for 9 insurance plans
  • Humana — Humana Medicare: $2,659.02
  • Medicare — Medicare: $2,659.02
  • Medicare Advantage — Medicare PFFS/MA: $2,702.26
  • Tricare — Tricare: $2,669.63
  • United HealthCare Services — United HealthCare Government: $2,659.02
  • Work Comp — Work Comp: $2,774.16
  • Anthem Blue Cross and Blue Shield — Anthem: 55.55% (a percentage in the contract, not a dollar amount)
  • Beech Street Corporation — Beech Street: 90% (a percentage in the contract, not a dollar amount)
  • Self Pay — Self Pay: 50% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $2,227.89 – $79,728.89
Spinal fusion (not neck), without major complications: 10 of 23 insurance plan rates
  • Aetna Inc — Aetna Medicare: $28,462.94
  • Anthem Blue Cross and Blue Shield — Anthem: $3,604
  • Blue Choice — Blue Choice: $42,062.17
  • Cigna Corporation — Cigna HMO/PPO: $79,728.89
  • Clear Springs Health — Clear Springs Health MA: $29,316.83
  • Devoted Health PPO — Devoted Health PPO: $29,032.20
  • Essence — Essence: $29,008.39
  • Essence — Essence PPO: $29,878.64
  • Health Care Service Corporation — Blue Cross of Illinois HMO/PPO: $2,495
  • Health Care Service Corporation — Blue Cross of Illinois SIHCA: $2,227.89
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 $3,604 – $39,124.82
Hip or knee replacement (major joint of the leg), without major complications: 10 of 26 insurance plan rates
  • Aetna Inc — Aetna Medicare: $15,371.65
  • Aetna Inc — Aetna/Coventry: $14,225.64
  • Ambetter — Ambetter: $17,360.10
  • Anthem Blue Cross and Blue Shield — Anthem: $3,604
  • Blue Choice — Blue Choice: $22,692.40
  • Cigna Corporation — Cigna HMO/PPO: $15,757.18
  • Clear Springs Health — Clear Springs Health MA: $15,832.80
  • Devoted Health PPO — Devoted Health PPO: $15,679.08
  • Essence — Essence: $15,649.93
  • Essence — Essence PPO: $16,119.43
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 $2,227.89 – $49,021.95
Neck (cervical) spinal fusion, without complications: 10 of 26 insurance plan rates
  • Aetna Inc — Aetna Medicare: $19,251.32
  • Aetna Inc — Aetna/Coventry: $18,004.59
  • Ambetter — Ambetter: $21,971.70
  • Anthem Blue Cross and Blue Shield — Anthem: $3,604
  • Blue Choice — Blue Choice: $28,432.73
  • Cigna Corporation — Cigna HMO/PPO: $19,942.98
  • Clear Springs Health — Clear Springs Health MA: $19,828.86
  • Devoted Health PPO — Devoted Health PPO: $19,636.35
  • Essence — Essence: $19,608.78
  • Essence — Essence PPO: $20,197.04
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 $2,227.89 – $25,993.76
Uterus and ovary surgery (not for cancer), without complications: 10 of 26 insurance plan rates
  • Aetna Inc — Aetna Medicare: $10,160.86
  • Aetna Inc — Aetna/Coventry: $9,150.16
  • Ambetter — Ambetter: $11,166.30
  • Anthem Blue Cross and Blue Shield — Anthem: $3,604
  • Blue Choice — Blue Choice: $14,982.56
  • Cigna Corporation — Cigna HMO/PPO: $10,135.28
  • Clear Springs Health — Clear Springs Health MA: $10,465.69
  • Devoted Health PPO — Devoted Health PPO: $10,364.08
  • Essence — Essence: $10,332.80
  • Essence — Essence PPO: $10,642.78

Source: Anderson Hospital’s standard charges file (andersonhospital.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 6, 2026; 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
Address6800 State Route 162, Maryville, IL 62062
CountyMadison County
StateIllinois
Phone(618) 288‑5711
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number140289
Name in Medicare recordsANDERSON HOSPITAL
Profile levelMedicare data + hospital website
Official websiteandersonhospital.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  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. Anderson Hospital — andersonhospital.org
  2. Emergency - Anderson Hospital — andersonhospital.org
  3. Cardiovascular - Anderson Hospital — andersonhospital.org
  4. Surgical - Anderson Hospital — andersonhospital.org