Does Community Hospital of Staunton have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Community Hospital of Staunton. In a medical emergency, call 911.

Where is Community Hospital of Staunton?

400 N Caldwell St, Staunton, IL 62088, in Macoupin County, Illinois.

What is the phone number of Community Hospital of Staunton?

(618) 635-2200, as listed by Medicare (CMS).

What is the Medicare star rating of Community Hospital of Staunton?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Community Hospital of Staunton — Staunton, IL

Quick answers

Does Community Hospital of Staunton have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Community Hospital of Staunton. In a medical emergency, call 911.
Where is Community Hospital of Staunton?: 400 N Caldwell St, Staunton, IL 62088, in Macoupin County, Illinois.
What is the phone number of Community Hospital of Staunton?: (618) 635-2200, as listed by Medicare (CMS).
What is the Medicare star rating of Community Hospital of Staunton?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[5]

Treatments^[5]

Infusion chemotherapy
Cardiovascular rehabilitation
Rehabilitation therapy

Programs and centers^[5]

Senior Life Solutions
Transitional Care (swing bed program)
Health and Wellness

Emergency care (hospital website)^[6]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Parking	Free parking for patients and visitors on the west and north sides of the building^[7]
Patient portal	MyHealth

Doctors and clinicians (118)

118 doctors and other clinicians list Community Hospital of Staunton 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

And 94 more: the button below opens the full list.

Other emergency rooms nearby

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

St Francis Hospital14 mi · Litchfield, IL · Critical Access Hospital
St Joseph's Hospital19 mi · Highland, IL · Critical Access Hospital
Hillsboro Area Hospital19 mi · Hillsboro, IL · Critical Access Hospital
OSF Saint Anthony's Health Center19 mi · Alton, IL · Acute Care Hospital
Carlinville Area Hospital19 mi · Carlinville, IL · Critical Access Hospital

Other hospitals nearby

Anderson Rehabilitation Institute18 mi · Edwardsville, IL · Inpatient Rehabilitation Hospital

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

Staunton Health and Rehab Ctr0.1 mi · Staunton, IL · 1 of 5 stars
Gillespie Health & Rehab Ctr6.6 mi · Gillespie, IL · 4 of 5 stars
Alhambra Rehab & Healthcare9.2 mi · Alhambra, IL · 5 of 5 stars

All nursing homes in the state →

Hospice providers

OSF Saint Anthony's Hospice19 mi · Alton, IL
BJC Hospice20 mi · Glen Carbon, IL · 4 of 5 stars
Dover Hospice Il STL Metro, LLC20 mi · Glen Carbon, IL

All hospice providers in the state →

Home health agencies

OSF Saint Anthony's Home Health19 mi · Alton, IL · 3 of 5 stars
Residential Home Health of Southern Illinois20 mi · Glen Carbon, IL · 4 of 5 stars
Bond County Health Department21 mi · Greenville, IL

All home health agencies in the state →

Dialysis facilities

DaVita Litchfield Dialysis13 mi · Litchfield, IL · 3 of 5 stars
DaVita Montgomery County Dialysis19 mi · Hillsboro, IL · 3 of 5 stars
DaVita Northgrove Dialysis19 mi · Highland, IL · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Anderson Surgery Center LLC15 mi · Edwardsville, IL
Edwardsville Ambulatory Surg Ctr LLC20 mi · Glen Carbon, IL
Novamed Eye Surg Ctr of Maryvi22 mi · Maryville, IL

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

Staunton Community School District #60.4 mi · Staunton, IL · Community health center
Mt. Olive Community School District #54.9 mi · Mount Olive, IL · Community health center
Macoupin County Maple Street Clinic8.1 mi · Gillespie, IL · Community health center

Clinics and urgent care

Community Hospital of Staunton0.5 mi · Staunton, IL · Rural health clinic
Staunton Clinic LLC0.5 mi · Staunton, IL · Rural health clinic
Mount Olive Family Practice Center5.8 mi · Mount Olive, IL · Rural health clinic

Pharmacies

Highland Park CVS LLC0.5 mi · Staunton, IL · Pharmacy
Ageless RX Systems LLC5.8 mi · Mount Olive, IL · Community/retail pharmacy
Ageless RX Systems LLC8.8 mi · Gillespie, IL · Community/retail pharmacy

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 Community Hospital of Staunton 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)	Not reported to Medicare
Overall rating of the hospital	Not reported to Medicare
Would recommend the hospital	Not reported to Medicare
Nurses communicated well	Not reported to Medicare
Doctors communicated well	Not reported to Medicare
Staff explained medicines	Not reported to Medicare
Information about recovery at home	Not reported to Medicare
Room and bathroom kept clean	Not reported to Medicare
Quiet at night	Not reported to Medicare
Rated the hospital 9 or 10 out of 10	75%National average: 72%
Would definitely recommend the hospital	81%National average: 71%
Nurses “always” communicated well	80%National average: 80%
Doctors “always” communicated well	71%National average: 80%
Staff “always” explained medicines before giving them	61%National average: 62%
Were given information about recovery at home	85%National average: 86%
Room and bathroom “always” clean	75%National average: 74%
Area around the room “always” quiet at night	67%National average: 60%
Completed surveys	43Response rate: 35%

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)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

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 patients	Not reported to Medicare
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	Too few cases to report
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Not reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

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 attack	Too few cases to report
Readmitted within 30 days: heart failure	Too few cases to report
Readmitted within 30 days: pneumonia	17%
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

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)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

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 Illinois Best hospitals in Illinois

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 47 common services exactly as Community Hospital of Staunton 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 →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance 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	$246.30	$123.15	$71.21 – $224.13
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates Aetna — Aetna: $199.50 Beech Street — Beech Street: $224.13 Blue Cross PPO — Blue Cross PPO: $184.73 Cigna HMO/PPO — Cigna HMO/PPO: $158.62 Clear Spring Health MA — Clear Spring Health MA: $74.89 Health Alliance Commercial — Health Alliance Commercial: $197.04 Healthlink — Healthlink HMO: $184.73 Healthlink — Healthlink PPO: $209.36 Illinois Medicaid — Illinois Medicaid: $362.01 Illinois Medicaid - Other — Illinois Medicaid - Other: $362.01
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	$246.30	$123.15	$106.62 – $246.30
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates Aetna — Aetna: $246.30 Beech Street — Beech Street: $224.13 Blue Cross PPO — Blue Cross PPO: $246.30 Cigna HMO/PPO — Cigna HMO/PPO: $158.62 Clear Spring Health MA — Clear Spring Health MA: $119.89 Health Alliance Commercial — Health Alliance Commercial: $246.30 Healthlink — Healthlink HMO: $184.73 Healthlink — Healthlink PPO: $209.36 Illinois Medicaid — Illinois Medicaid: $246.30 Illinois Medicaid - Other — Illinois Medicaid - Other: $246.30
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PT LVL 3 DETAILED	$246.30	$123.15	$209.36 – $224.13
New patient office visit (about 30–44 minutes): rates for 2 insurance plans Beech Street — Beech Street: $224.13 Multiplan/PHCS — Multiplan/PHCS: $209.36
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	$316.70	$158.35	$91.56 – $288.20
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates Aetna — Aetna: $256.53 Beech Street — Beech Street: $288.20 Blue Cross PPO — Blue Cross PPO: $237.52 Cigna HMO/PPO — Cigna HMO/PPO: $203.95 Clear Spring Health MA — Clear Spring Health MA: $96.29 Health Alliance Commercial — Health Alliance Commercial: $253.36 Healthlink — Healthlink HMO: $237.52 Healthlink — Healthlink PPO: $269.19 Illinois Medicaid — Illinois Medicaid: $362.01 Illinois Medicaid - Other — Illinois Medicaid - Other: $362.01
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	$316.70	$158.35	$158.35 – $316.70
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates Aetna — Aetna: $316.70 Beech Street — Beech Street: $288.20 Blue Cross PPO — Blue Cross PPO: $316.70 Cigna HMO/PPO — Cigna HMO/PPO: $203.95 Clear Spring Health MA — Clear Spring Health MA: $181.31 Health Alliance Commercial — Health Alliance Commercial: $316.70 Healthlink — Healthlink HMO: $237.52 Healthlink — Healthlink PPO: $269.19 Illinois Medicaid — Illinois Medicaid: $316.70 Illinois Medicaid - Other — Illinois Medicaid - Other: $316.70
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	$316.70	$158.35	$269.20 – $288.20
New patient office visit (about 45–59 minutes): rates for 2 insurance plans Beech Street — Beech Street: $288.20 Multiplan/PHCS — Multiplan/PHCS: $269.20
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	$387	$193.50	$111.89 – $352.17
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates Aetna — Aetna: $313.47 Beech Street — Beech Street: $352.17 Blue Cross PPO — Blue Cross PPO: $290.25 Cigna HMO/PPO — Cigna HMO/PPO: $249.23 Clear Spring Health MA — Clear Spring Health MA: $117.67 Health Alliance Commercial — Health Alliance Commercial: $309.60 Healthlink — Healthlink HMO: $290.25 Healthlink — Healthlink PPO: $328.95 Illinois Medicaid — Illinois Medicaid: $362.01 Illinois Medicaid - Other — Illinois Medicaid - Other: $362.01
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	$387	$193.50	$193.50 – $387
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates Aetna — Aetna: $387 Beech Street — Beech Street: $352.17 Blue Cross PPO — Blue Cross PPO: $387 Cigna HMO/PPO — Cigna HMO/PPO: $249.23 Clear Spring Health MA — Clear Spring Health MA: $243.62 Health Alliance Commercial — Health Alliance Commercial: $387 Healthlink — Healthlink HMO: $290.25 Healthlink — Healthlink PPO: $328.95 Illinois Medicaid — Illinois Medicaid: $387 Illinois Medicaid - Other — Illinois Medicaid - Other: $387
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	$387	$193.50	$328.95 – $352.17
New patient office visit (about 60–74 minutes): rates for 2 insurance plans Beech Street — Beech Street: $352.17 Multiplan/PHCS — Multiplan/PHCS: $328.95
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	$211.20	$105.60	$61.06 – $192.19
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates Aetna — Aetna: $171.07 Beech Street — Beech Street: $192.19 Blue Cross PPO — Blue Cross PPO: $158.40 Cigna HMO/PPO — Cigna HMO/PPO: $136.01 Clear Spring Health MA — Clear Spring Health MA: $64.22 Health Alliance Commercial — Health Alliance Commercial: $168.96 Healthlink — Healthlink HMO: $158.40 Healthlink — Healthlink PPO: $179.52 Illinois Medicaid — Illinois Medicaid: $362.01 Illinois Medicaid - Other — Illinois Medicaid - Other: $362.01
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	$211.20	$105.60	$86.15 – $211.20
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates Aetna — Aetna: $211.20 Beech Street — Beech Street: $192.19 Blue Cross PPO — Blue Cross PPO: $211.20 Cigna HMO/PPO — Cigna HMO/PPO: $136.01 Clear Spring Health MA — Clear Spring Health MA: $95.62 Health Alliance Commercial — Health Alliance Commercial: $211.20 Healthlink — Healthlink HMO: $158.40 Healthlink — Healthlink PPO: $179.52 Illinois Medicaid — Illinois Medicaid: $211.20 Illinois Medicaid - Other — Illinois Medicaid - Other: $211.20
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FACILITY E/M FEE LEVEL lll	$29.50	$14.75	$14.75 – $29.50
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates Aetna — Aetna: $29.50 Beech Street — Beech Street: $26.85 Blue Cross PPO — Blue Cross PPO: $29.50 Cigna HMO/PPO — Cigna HMO/PPO: $19 Clear Spring Health MA — Clear Spring Health MA: $29.03 Health Alliance Commercial — Health Alliance Commercial: $29.50 Healthlink — Healthlink HMO: $22.13 Healthlink — Healthlink PPO: $25.07 Illinois Medicaid — Illinois Medicaid: $29.50 Illinois Medicaid - Other — Illinois Medicaid - Other: $29.50
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	$281.50	$140.75	$81.39 – $256.17
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates Aetna — Aetna: $228.02 Beech Street — Beech Street: $256.17 Blue Cross PPO — Blue Cross PPO: $211.13 Cigna HMO/PPO — Cigna HMO/PPO: $181.29 Clear Spring Health MA — Clear Spring Health MA: $85.59 Health Alliance Commercial — Health Alliance Commercial: $225.20 Healthlink — Healthlink HMO: $211.13 Healthlink — Healthlink PPO: $239.28 Illinois Medicaid — Illinois Medicaid: $362.01 Illinois Medicaid - Other — Illinois Medicaid - Other: $362.01
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	$281.50	$140.75	$121.73 – $281.50
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates Aetna — Aetna: $281.50 Beech Street — Beech Street: $256.17 Blue Cross PPO — Blue Cross PPO: $281.50 Cigna HMO/PPO — Cigna HMO/PPO: $181.29 Clear Spring Health MA — Clear Spring Health MA: $136.84 Health Alliance Commercial — Health Alliance Commercial: $281.50 Healthlink — Healthlink HMO: $211.13 Healthlink — Healthlink PPO: $239.28 Illinois Medicaid — Illinois Medicaid: $281.50 Illinois Medicaid - Other — Illinois Medicaid - Other: $281.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FACILITY E/M FEE LEVEL llll	$37	$18.50	$18.50 – $37
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates Aetna — Aetna: $37 Beech Street — Beech Street: $33.67 Blue Cross PPO — Blue Cross PPO: $37 Cigna HMO/PPO — Cigna HMO/PPO: $23.83 Clear Spring Health MA — Clear Spring Health MA: $36.41 Health Alliance Commercial — Health Alliance Commercial: $37 Healthlink — Healthlink HMO: $27.75 Healthlink — Healthlink PPO: $31.45 Illinois Medicaid — Illinois Medicaid: $37 Illinois Medicaid - Other — Illinois Medicaid - Other: $37
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT LEVEL 3	$534.90	$267.45	$69.95 – $534.90
Emergency room visit (moderate): 10 of 16 insurance plan rates Aetna — Aetna: $534.90 Beech Street — Beech Street: $486.76 Blue Cross PPO — Blue Cross PPO: $534.90 Cigna HMO/PPO — Cigna HMO/PPO: $344.48 Clear Spring Health MA — Clear Spring Health MA: $76.52 Health Alliance Commercial — Health Alliance Commercial: $534.90 Healthlink — Healthlink HMO: $401.17 Healthlink — Healthlink PPO: $454.66 Illinois Medicaid — Illinois Medicaid: $534.90 Illinois Medicaid - Other — Illinois Medicaid - Other: $534.90
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LEVEL 3	$534.90	$267.45	$154.65 – $2,403
Emergency room visit (moderate): 10 of 14 insurance plan rates Aetna — Aetna: $433.27 Beech Street — Beech Street: $486.76 Blue Cross PPO — Blue Cross PPO: $401.17 Cigna HMO/PPO — Cigna HMO/PPO: $344.48 Clear Spring Health MA — Clear Spring Health MA: $162.64 Health Alliance Commercial — Health Alliance Commercial: $454.66 Healthlink — Healthlink HMO: $401.17 Healthlink — Healthlink PPO: $454.66 Medicare — Medicare: $160.47 Medicare PFFS/MA — Medicare PFFS/MA: $157.90
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LEVEL 3	$534.90	$267.45	$454.66 – $486.76
Emergency room visit (moderate): rates for 2 insurance plans Beech Street — Beech Street: $486.76 Multiplan/PHCS — Multiplan/PHCS: $454.66
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LEVEL 4	$837.30	$418.65	$242.08 – $3,144
Emergency room visit (moderately high): 10 of 16 insurance plan rates Aetna — Aetna: $678.21 Beech Street — Beech Street: $761.94 Blue Cross PPO — Blue Cross PPO: $627.97 Cigna HMO/PPO — Cigna HMO/PPO: $539.22 Clear Spring Health MA — Clear Spring Health MA: $254.59 Health Alliance Commercial — Health Alliance Commercial: $711.70 Healthlink — Healthlink HMO: $627.97 Healthlink — Healthlink PPO: $711.70 Illinois Medicaid — Illinois Medicaid: $362.01 Illinois Medicaid - Other — Illinois Medicaid - Other: $362.01
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT LEVEL 4	$837.30	$418.65	$119.84 – $837.30
Emergency room visit (moderately high): 10 of 16 insurance plan rates Aetna — Aetna: $837.30 Beech Street — Beech Street: $761.94 Blue Cross PPO — Blue Cross PPO: $837.30 Cigna HMO/PPO — Cigna HMO/PPO: $539.22 Clear Spring Health MA — Clear Spring Health MA: $130.63 Health Alliance Commercial — Health Alliance Commercial: $837.30 Healthlink — Healthlink HMO: $627.97 Healthlink — Healthlink PPO: $711.70 Illinois Medicaid — Illinois Medicaid: $837.30 Illinois Medicaid - Other — Illinois Medicaid - Other: $837.30
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LEVEL 4	$837.30	$418.65	$711.70 – $761.94
Emergency room visit (moderately high): rates for 2 insurance plans Beech Street — Beech Street: $761.94 Multiplan/PHCS — Multiplan/PHCS: $711.70
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LEVEL 5	$1,125.70	$562.85	$325.47 – $4,807
Emergency room visit (high): 10 of 16 insurance plan rates Aetna — Aetna: $911.82 Beech Street — Beech Street: $1,024.39 Blue Cross PPO — Blue Cross PPO: $844.28 Cigna HMO/PPO — Cigna HMO/PPO: $724.95 Clear Spring Health MA — Clear Spring Health MA: $342.28 Health Alliance Commercial — Health Alliance Commercial: $956.85 Healthlink — Healthlink HMO: $844.28 Healthlink — Healthlink PPO: $956.85 Illinois Medicaid — Illinois Medicaid: $362.01 Illinois Medicaid - Other — Illinois Medicaid - Other: $362.01
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT LEVEL 5	$1,125.70	$562.85	$174.11 – $1,125.70
Emergency room visit (high): 10 of 16 insurance plan rates Aetna — Aetna: $1,125.70 Beech Street — Beech Street: $1,024.39 Blue Cross PPO — Blue Cross PPO: $1,125.70 Cigna HMO/PPO — Cigna HMO/PPO: $724.95 Clear Spring Health MA — Clear Spring Health MA: $188.38 Health Alliance Commercial — Health Alliance Commercial: $1,125.70 Healthlink — Healthlink HMO: $844.28 Healthlink — Healthlink PPO: $956.85 Illinois Medicaid — Illinois Medicaid: $1,125.70 Illinois Medicaid - Other — Illinois Medicaid - Other: $1,125.70
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LEVEL 5	$1,125.70	$562.85	$956.84 – $1,024.39
Emergency room visit (high): rates for 2 insurance plans Beech Street — Beech Street: $1,024.39 Multiplan/PHCS — Multiplan/PHCS: $956.84

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$253.30	$126.65	$73.24 – $230.50
Basic metabolic panel (blood test): 10 of 16 insurance plan rates Aetna — Aetna: $205.17 Beech Street — Beech Street: $230.50 Blue Cross PPO — Blue Cross PPO: $189.98 Cigna HMO/PPO — Cigna HMO/PPO: $163.13 Clear Spring Health MA — Clear Spring Health MA: $76.70 Health Alliance Commercial — Health Alliance Commercial: $202.64 Healthlink — Healthlink HMO: $189.98 Healthlink — Healthlink PPO: $215.31 Illinois Medicaid — Illinois Medicaid: $15.16 Illinois Medicaid - Other — Illinois Medicaid - Other: $15.16
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: BASIC METABOLIC PANEL	$253.30	$126.65	$7.99 – $253.30
Basic metabolic panel (blood test): 10 of 16 insurance plan rates Aetna — Aetna: $253.30 Beech Street — Beech Street: $230.50 Blue Cross PPO — Blue Cross PPO: $253.30 Cigna HMO/PPO — Cigna HMO/PPO: $163.13 Clear Spring Health MA — Clear Spring Health MA: $8.54 Health Alliance Commercial — Health Alliance Commercial: $253.30 Healthlink — Healthlink HMO: $189.98 Healthlink — Healthlink PPO: $215.31 Illinois Medicaid — Illinois Medicaid: $253.30 Illinois Medicaid - Other — Illinois Medicaid - Other: $253.30
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$253.30	$126.65	$215.30 – $230.50
Basic metabolic panel (blood test): rates for 2 insurance plans Beech Street — Beech Street: $230.50 Multiplan/PHCS — Multiplan/PHCS: $215.30
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$309.50	$154.75	$89.48 – $281.64
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates Aetna — Aetna: $250.70 Beech Street — Beech Street: $281.64 Blue Cross PPO — Blue Cross PPO: $232.13 Cigna HMO/PPO — Cigna HMO/PPO: $199.32 Clear Spring Health MA — Clear Spring Health MA: $93.72 Health Alliance Commercial — Health Alliance Commercial: $247.60 Healthlink — Healthlink HMO: $232.13 Healthlink — Healthlink PPO: $263.07 Illinois Medicaid — Illinois Medicaid: $15.16 Illinois Medicaid - Other — Illinois Medicaid - Other: $15.16
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COMPREHENSIVE METABOLIC PANEL	$309.50	$154.75	$9.98 – $309.50
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates Aetna — Aetna: $309.50 Beech Street — Beech Street: $281.64 Blue Cross PPO — Blue Cross PPO: $309.50 Cigna HMO/PPO — Cigna HMO/PPO: $199.32 Clear Spring Health MA — Clear Spring Health MA: $10.66 Health Alliance Commercial — Health Alliance Commercial: $309.50 Healthlink — Healthlink HMO: $232.13 Healthlink — Healthlink PPO: $263.07 Illinois Medicaid — Illinois Medicaid: $309.50 Illinois Medicaid - Other — Illinois Medicaid - Other: $309.50
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$309.50	$154.75	$263.08 – $281.64
Comprehensive metabolic panel (blood test): rates for 2 insurance plans Beech Street — Beech Street: $281.64 Multiplan/PHCS — Multiplan/PHCS: $263.08
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE	$295.60	$147.80	$85.47 – $269
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates Aetna — Aetna: $239.44 Beech Street — Beech Street: $269 Blue Cross PPO — Blue Cross PPO: $221.70 Cigna HMO/PPO — Cigna HMO/PPO: $190.37 Clear Spring Health MA — Clear Spring Health MA: $89.52 Health Alliance Commercial — Health Alliance Commercial: $236.48 Healthlink — Healthlink HMO: $221.70 Healthlink — Healthlink PPO: $251.26 Illinois Medicaid — Illinois Medicaid: $15.16 Illinois Medicaid - Other — Illinois Medicaid - Other: $15.16
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LIPID PROFILE	$295.60	$147.80	$12.65 – $295.60
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates Aetna — Aetna: $295.60 Beech Street — Beech Street: $269 Blue Cross PPO — Blue Cross PPO: $295.60 Cigna HMO/PPO — Cigna HMO/PPO: $190.37 Clear Spring Health MA — Clear Spring Health MA: $13.52 Health Alliance Commercial — Health Alliance Commercial: $295.60 Healthlink — Healthlink HMO: $221.70 Healthlink — Healthlink PPO: $251.26 Illinois Medicaid — Illinois Medicaid: $295.60 Illinois Medicaid - Other — Illinois Medicaid - Other: $295.60
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PROFILE	$295.60	$147.80	$251.26 – $269
Cholesterol panel (lipid panel): rates for 2 insurance plans Beech Street — Beech Street: $269 Multiplan/PHCS — Multiplan/PHCS: $251.26
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$247.60	$123.80	$71.59 – $225.32
Kidney function panel: 10 of 16 insurance plan rates Aetna — Aetna: $200.56 Beech Street — Beech Street: $225.32 Blue Cross PPO — Blue Cross PPO: $185.70 Cigna HMO/PPO — Cigna HMO/PPO: $159.45 Clear Spring Health MA — Clear Spring Health MA: $74.97 Health Alliance Commercial — Health Alliance Commercial: $198.08 Healthlink — Healthlink HMO: $185.70 Healthlink — Healthlink PPO: $210.46 Illinois Medicaid — Illinois Medicaid: $15.16 Illinois Medicaid - Other — Illinois Medicaid - Other: $15.16
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: RENAL FUNCTION PANEL	$247.60	$123.80	$8.20 – $247.60
Kidney function panel: 10 of 16 insurance plan rates Aetna — Aetna: $247.60 Beech Street — Beech Street: $225.32 Blue Cross PPO — Blue Cross PPO: $247.60 Cigna HMO/PPO — Cigna HMO/PPO: $159.45 Clear Spring Health MA — Clear Spring Health MA: $8.76 Health Alliance Commercial — Health Alliance Commercial: $247.60 Healthlink — Healthlink HMO: $185.70 Healthlink — Healthlink PPO: $210.46 Illinois Medicaid — Illinois Medicaid: $247.60 Illinois Medicaid - Other — Illinois Medicaid - Other: $247.60
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$247.60	$123.80	$210.46 – $225.32
Kidney function panel: rates for 2 insurance plans Beech Street — Beech Street: $225.32 Multiplan/PHCS — Multiplan/PHCS: $210.46
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$288.60	$144.30	$83.44 – $262.63
Liver function panel: 10 of 16 insurance plan rates Aetna — Aetna: $233.77 Beech Street — Beech Street: $262.63 Blue Cross PPO — Blue Cross PPO: $216.45 Cigna HMO/PPO — Cigna HMO/PPO: $185.86 Clear Spring Health MA — Clear Spring Health MA: $87.40 Health Alliance Commercial — Health Alliance Commercial: $230.88 Healthlink — Healthlink HMO: $216.45 Healthlink — Healthlink PPO: $245.31 Illinois Medicaid — Illinois Medicaid: $15.16 Illinois Medicaid - Other — Illinois Medicaid - Other: $15.16
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HEPATIC FUNCTION PANEL	$288.60	$144.30	$7.71 – $288.60
Liver function panel: 10 of 16 insurance plan rates Aetna — Aetna: $288.60 Beech Street — Beech Street: $262.63 Blue Cross PPO — Blue Cross PPO: $288.60 Cigna HMO/PPO — Cigna HMO/PPO: $185.86 Clear Spring Health MA — Clear Spring Health MA: $8.25 Health Alliance Commercial — Health Alliance Commercial: $288.60 Healthlink — Healthlink HMO: $216.45 Healthlink — Healthlink PPO: $245.31 Illinois Medicaid — Illinois Medicaid: $288.60 Illinois Medicaid - Other — Illinois Medicaid - Other: $288.60
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$288.60	$144.30	$245.31 – $262.63
Liver function panel: rates for 2 insurance plans Beech Street — Beech Street: $262.63 Multiplan/PHCS — Multiplan/PHCS: $245.31
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE WITH MICROSCOPIC	$104.20	$52.10	$30.13 – $96
Urine test (automated, with microscope): 10 of 16 insurance plan rates Aetna — Aetna: $84.40 Beech Street — Beech Street: $94.82 Blue Cross PPO — Blue Cross PPO: $78.15 Cigna HMO/PPO — Cigna HMO/PPO: $67.10 Clear Spring Health MA — Clear Spring Health MA: $31.55 Health Alliance Commercial — Health Alliance Commercial: $83.36 Healthlink — Healthlink HMO: $78.15 Healthlink — Healthlink PPO: $88.57 Illinois Medicaid — Illinois Medicaid: $5.05 Illinois Medicaid - Other — Illinois Medicaid - Other: $5.05
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: URINE WITH MICROSCOPIC	$104.20	$52.10	$3 – $104.20
Urine test (automated, with microscope): 10 of 16 insurance plan rates Aetna — Aetna: $104.20 Beech Street — Beech Street: $94.82 Blue Cross PPO — Blue Cross PPO: $104.20 Cigna HMO/PPO — Cigna HMO/PPO: $67.10 Clear Spring Health MA — Clear Spring Health MA: $3.20 Health Alliance Commercial — Health Alliance Commercial: $104.20 Healthlink — Healthlink HMO: $78.15 Healthlink — Healthlink PPO: $88.57 Illinois Medicaid — Illinois Medicaid: $104.20 Illinois Medicaid - Other — Illinois Medicaid - Other: $104.20
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINE WITH MICROSCOPIC	$104.20	$52.10	$88.57 – $94.82
Urine test (automated, with microscope): rates for 2 insurance plans Beech Street — Beech Street: $94.82 Multiplan/PHCS — Multiplan/PHCS: $88.57
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS - NON AUTOMATED	$28.20	$14.10	$8.15 – $96
Urine test (manual, without microscope): 10 of 16 insurance plan rates Aetna — Aetna: $22.84 Beech Street — Beech Street: $25.66 Blue Cross PPO — Blue Cross PPO: $21.15 Cigna HMO/PPO — Cigna HMO/PPO: $18.16 Clear Spring Health MA — Clear Spring Health MA: $8.54 Health Alliance Commercial — Health Alliance Commercial: $22.56 Healthlink — Healthlink HMO: $21.15 Healthlink — Healthlink PPO: $23.97 Illinois Medicaid — Illinois Medicaid: $5.05 Illinois Medicaid - Other — Illinois Medicaid - Other: $5.05
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: URINALYSIS - NON AUTOMATED	$28.20	$14.10	$3.28 – $28.20
Urine test (manual, without microscope): 10 of 16 insurance plan rates Aetna — Aetna: $28.20 Beech Street — Beech Street: $25.66 Blue Cross PPO — Blue Cross PPO: $28.20 Cigna HMO/PPO — Cigna HMO/PPO: $18.16 Clear Spring Health MA — Clear Spring Health MA: $3.51 Health Alliance Commercial — Health Alliance Commercial: $28.20 Healthlink — Healthlink HMO: $21.15 Healthlink — Healthlink PPO: $23.97 Illinois Medicaid — Illinois Medicaid: $28.20 Illinois Medicaid - Other — Illinois Medicaid - Other: $28.20
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS - NON AUTOMATED	$28.20	$14.10	$23.97 – $25.66
Urine test (manual, without microscope): rates for 2 insurance plans Beech Street — Beech Street: $25.66 Multiplan/PHCS — Multiplan/PHCS: $23.97
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA W/O MICROSCOPY AUTOMATED	$49.10	$24.55	$14.20 – $96
Urine test (automated, without microscope): 10 of 16 insurance plan rates Aetna — Aetna: $39.77 Beech Street — Beech Street: $44.68 Blue Cross PPO — Blue Cross PPO: $36.83 Cigna HMO/PPO — Cigna HMO/PPO: $31.62 Clear Spring Health MA — Clear Spring Health MA: $14.87 Health Alliance Commercial — Health Alliance Commercial: $39.28 Healthlink — Healthlink HMO: $36.83 Healthlink — Healthlink PPO: $41.73 Illinois Medicaid — Illinois Medicaid: $5.05 Illinois Medicaid - Other — Illinois Medicaid - Other: $5.05
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: UA W/O MICROSCOPY AUTOMATED	$49.10	$24.55	$2.13 – $49.10
Urine test (automated, without microscope): 10 of 16 insurance plan rates Aetna — Aetna: $49.10 Beech Street — Beech Street: $44.68 Blue Cross PPO — Blue Cross PPO: $49.10 Cigna HMO/PPO — Cigna HMO/PPO: $31.62 Clear Spring Health MA — Clear Spring Health MA: $2.27 Health Alliance Commercial — Health Alliance Commercial: $49.10 Healthlink — Healthlink HMO: $36.83 Healthlink — Healthlink PPO: $41.73 Illinois Medicaid — Illinois Medicaid: $49.10 Illinois Medicaid - Other — Illinois Medicaid - Other: $49.10
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA W/O MICROSCOPY AUTOMATED	$49.10	$24.55	$41.74 – $44.68
Urine test (automated, without microscope): rates for 2 insurance plans Beech Street — Beech Street: $44.68 Multiplan/PHCS — Multiplan/PHCS: $41.74
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PROSTATE SPECIFIC ANTIGEN SCR	$246.30	$123.15	$17.37 – $246.30
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates Aetna — Aetna: $246.30 Beech Street — Beech Street: $224.13 Blue Cross PPO — Blue Cross PPO: $246.30 Cigna HMO/PPO — Cigna HMO/PPO: $158.62 Clear Spring Health MA — Clear Spring Health MA: $18.56 Health Alliance Commercial — Health Alliance Commercial: $246.30 Healthlink — Healthlink HMO: $184.73 Healthlink — Healthlink PPO: $209.36 Illinois Medicaid — Illinois Medicaid: $246.30 Illinois Medicaid - Other — Illinois Medicaid - Other: $246.30
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TOTAL DIAGNOSTIC PSA	$246.30	$123.15	$17.37 – $246.30
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates Aetna — Aetna: $246.30 Beech Street — Beech Street: $224.13 Blue Cross PPO — Blue Cross PPO: $246.30 Cigna HMO/PPO — Cigna HMO/PPO: $158.62 Clear Spring Health MA — Clear Spring Health MA: $18.56 Health Alliance Commercial — Health Alliance Commercial: $246.30 Healthlink — Healthlink HMO: $184.73 Healthlink — Healthlink PPO: $209.36 Illinois Medicaid — Illinois Medicaid: $246.30 Illinois Medicaid - Other — Illinois Medicaid - Other: $246.30
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC ANTIGEN SCR	$246.30	$123.15	$72.41 – $224.13
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates Aetna — Aetna: $199.50 Beech Street — Beech Street: $224.13 Blue Cross PPO — Blue Cross PPO: $184.73 Cigna HMO/PPO — Cigna HMO/PPO: $158.62 Clear Spring Health MA — Clear Spring Health MA: $74.58 Health Alliance Commercial — Health Alliance Commercial: $197.04 Healthlink — Healthlink HMO: $184.73 Healthlink — Healthlink PPO: $209.36 Illinois Medicaid — Illinois Medicaid: $20.06 Illinois Medicaid - Other — Illinois Medicaid - Other: $20.06
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATED HORMONE	$193.60	$96.80	$55.98 – $176.18
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates Aetna — Aetna: $156.82 Beech Street — Beech Street: $176.18 Blue Cross PPO — Blue Cross PPO: $145.20 Cigna HMO/PPO — Cigna HMO/PPO: $124.68 Clear Spring Health MA — Clear Spring Health MA: $58.63 Health Alliance Commercial — Health Alliance Commercial: $154.88 Healthlink — Healthlink HMO: $145.20 Healthlink — Healthlink PPO: $164.56 Illinois Medicaid — Illinois Medicaid: $22.14 Illinois Medicaid - Other — Illinois Medicaid - Other: $22.14
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: THYROID STIMULATED HORMONE	$193.60	$96.80	$15.87 – $193.60
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates Aetna — Aetna: $193.60 Beech Street — Beech Street: $176.18 Blue Cross PPO — Blue Cross PPO: $193.60 Cigna HMO/PPO — Cigna HMO/PPO: $124.68 Clear Spring Health MA — Clear Spring Health MA: $16.96 Health Alliance Commercial — Health Alliance Commercial: $193.60 Healthlink — Healthlink HMO: $145.20 Healthlink — Healthlink PPO: $164.56 Illinois Medicaid — Illinois Medicaid: $193.60 Illinois Medicaid - Other — Illinois Medicaid - Other: $193.60
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THYROID STIMULATED HORMONE	$193.60	$96.80	$164.56 – $176.18
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans Beech Street — Beech Street: $176.18 Multiplan/PHCS — Multiplan/PHCS: $164.56
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHARGE FOR AUTO DIFF	$170.40	$85.20	$49.26 – $155.06
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates Aetna — Aetna: $138.02 Beech Street — Beech Street: $155.06 Blue Cross PPO — Blue Cross PPO: $127.80 Cigna HMO/PPO — Cigna HMO/PPO: $109.74 Clear Spring Health MA — Clear Spring Health MA: $51.60 Health Alliance Commercial — Health Alliance Commercial: $136.32 Healthlink — Healthlink HMO: $127.80 Healthlink — Healthlink PPO: $144.84 Illinois Medicaid — Illinois Medicaid: $9.96 Illinois Medicaid - Other — Illinois Medicaid - Other: $9.96
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHARGE FOR AUTO DIFF	$170.40	$85.20	$7.34 – $170.40
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates Aetna — Aetna: $170.40 Beech Street — Beech Street: $155.06 Blue Cross PPO — Blue Cross PPO: $170.40 Cigna HMO/PPO — Cigna HMO/PPO: $109.74 Clear Spring Health MA — Clear Spring Health MA: $7.84 Health Alliance Commercial — Health Alliance Commercial: $170.40 Healthlink — Healthlink HMO: $127.80 Healthlink — Healthlink PPO: $144.84 Illinois Medicaid — Illinois Medicaid: $170.40 Illinois Medicaid - Other — Illinois Medicaid - Other: $170.40
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHARGE FOR AUTO DIFF	$170.40	$85.20	$144.84 – $155.06
Complete blood count (CBC) with differential: rates for 2 insurance plans Beech Street — Beech Street: $155.06 Multiplan/PHCS — Multiplan/PHCS: $144.84
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMOGRAM	$125.40	$62.70	$36.26 – $114.11
Complete blood count (CBC), automated: 10 of 16 insurance plan rates Aetna — Aetna: $101.57 Beech Street — Beech Street: $114.11 Blue Cross PPO — Blue Cross PPO: $94.05 Cigna HMO/PPO — Cigna HMO/PPO: $80.76 Clear Spring Health MA — Clear Spring Health MA: $37.98 Health Alliance Commercial — Health Alliance Commercial: $100.32 Healthlink — Healthlink HMO: $94.05 Healthlink — Healthlink PPO: $106.59 Illinois Medicaid — Illinois Medicaid: $9.96 Illinois Medicaid - Other — Illinois Medicaid - Other: $9.96
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HEMOGRAM	$125.40	$62.70	$6.12 – $125.40
Complete blood count (CBC), automated: 10 of 16 insurance plan rates Aetna — Aetna: $125.40 Beech Street — Beech Street: $114.11 Blue Cross PPO — Blue Cross PPO: $125.40 Cigna HMO/PPO — Cigna HMO/PPO: $80.76 Clear Spring Health MA — Clear Spring Health MA: $6.53 Health Alliance Commercial — Health Alliance Commercial: $125.40 Healthlink — Healthlink HMO: $94.05 Healthlink — Healthlink PPO: $106.59 Illinois Medicaid — Illinois Medicaid: $125.40 Illinois Medicaid - Other — Illinois Medicaid - Other: $125.40
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEMOGRAM	$125.40	$62.70	$106.59 – $114.11
Complete blood count (CBC), automated: rates for 2 insurance plans Beech Street — Beech Street: $114.11 Multiplan/PHCS — Multiplan/PHCS: $106.59
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME PROFILE	$108.40	$54.20	$31.34 – $98.64
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates Aetna — Aetna: $87.80 Beech Street — Beech Street: $98.64 Blue Cross PPO — Blue Cross PPO: $81.30 Cigna HMO/PPO — Cigna HMO/PPO: $69.81 Clear Spring Health MA — Clear Spring Health MA: $32.83 Health Alliance Commercial — Health Alliance Commercial: $86.72 Healthlink — Healthlink HMO: $81.30 Healthlink — Healthlink PPO: $92.14 Illinois Medicaid — Illinois Medicaid: $7.43 Illinois Medicaid - Other — Illinois Medicaid - Other: $7.43
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PROTHROMBIN TIME PROFILE	$108.40	$54.20	$4.05 – $108.40
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates Aetna — Aetna: $108.40 Beech Street — Beech Street: $98.64 Blue Cross PPO — Blue Cross PPO: $108.40 Cigna HMO/PPO — Cigna HMO/PPO: $69.81 Clear Spring Health MA — Clear Spring Health MA: $4.33 Health Alliance Commercial — Health Alliance Commercial: $108.40 Healthlink — Healthlink HMO: $81.30 Healthlink — Healthlink PPO: $92.14 Illinois Medicaid — Illinois Medicaid: $108.40 Illinois Medicaid - Other — Illinois Medicaid - Other: $108.40
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME PROFILE	$108.40	$54.20	$92.14 – $98.64
Blood clotting time test (prothrombin time, PT): rates for 2 insurance plans Beech Street — Beech Street: $98.64 Multiplan/PHCS — Multiplan/PHCS: $92.14
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PARTIAL THROMBOPLASTIN TIME	$118.20	$59.10	$34.17 – $107.56
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates Aetna — Aetna: $95.74 Beech Street — Beech Street: $107.56 Blue Cross PPO — Blue Cross PPO: $88.65 Cigna HMO/PPO — Cigna HMO/PPO: $76.12 Clear Spring Health MA — Clear Spring Health MA: $35.79 Health Alliance Commercial — Health Alliance Commercial: $94.56 Healthlink — Healthlink HMO: $88.65 Healthlink — Healthlink PPO: $100.47 Illinois Medicaid — Illinois Medicaid: $7.43 Illinois Medicaid - Other — Illinois Medicaid - Other: $7.43
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PARTIAL THROMBOPLASTIN TIME	$118.20	$59.10	$5.67 – $118.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates Aetna — Aetna: $118.20 Beech Street — Beech Street: $107.56 Blue Cross PPO — Blue Cross PPO: $118.20 Cigna HMO/PPO — Cigna HMO/PPO: $76.12 Clear Spring Health MA — Clear Spring Health MA: $6.07 Health Alliance Commercial — Health Alliance Commercial: $118.20 Healthlink — Healthlink HMO: $88.65 Healthlink — Healthlink PPO: $100.47 Illinois Medicaid — Illinois Medicaid: $118.20 Illinois Medicaid - Other — Illinois Medicaid - Other: $118.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PARTIAL THROMBOPLASTIN TIME	$118.20	$59.10	$100.47 – $107.56
Blood clotting test (partial thromboplastin time, PTT): rates for 2 insurance plans Beech Street — Beech Street: $107.56 Multiplan/PHCS — Multiplan/PHCS: $100.47

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

Service	Hospital charge	Cash price	Insurance 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	$2,143.30	$1,071.65	$619.67 – $2,959
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates Aetna — Aetna: $1,736.07 Beech Street — Beech Street: $1,950.40 Blue Cross PPO — Blue Cross PPO: $1,607.48 Cigna HMO/PPO — Cigna HMO/PPO: $1,380.29 Clear Spring Health MA — Clear Spring Health MA: $651.68 Health Alliance Commercial — Health Alliance Commercial: $1,714.64 Healthlink — Healthlink HMO: $1,607.48 Healthlink — Healthlink PPO: $1,821.81 Illinois Medicaid — Illinois Medicaid: $629.06 Illinois Medicaid - Other — Illinois Medicaid - Other: $629.06
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	$2,143.30	$1,071.65	$98.16 – $2,143.30
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates Aetna — Aetna: $2,143.30 Beech Street — Beech Street: $1,950.40 Blue Cross PPO — Blue Cross PPO: $2,143.30 Cigna HMO/PPO — Cigna HMO/PPO: $1,380.29 Clear Spring Health MA — Clear Spring Health MA: $103.81 Health Alliance Commercial — Health Alliance Commercial: $2,143.30 Healthlink — Healthlink HMO: $1,607.48 Healthlink — Healthlink PPO: $1,821.81 Illinois Medicaid — Illinois Medicaid: $2,143.30 Illinois Medicaid - Other — Illinois Medicaid - Other: $2,143.30
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT BRAIN W/O	$2,143.30	$1,071.65	$1,821.80 – $1,950.40
CT scan of the head or brain, without contrast: rates for 2 insurance plans Beech Street — Beech Street: $1,950.40 Multiplan/PHCS — Multiplan/PHCS: $1,821.80
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	$4,551.90	$2,275.95	$1,316.05 – $4,142.23
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates Aetna — Aetna: $3,687.04 Beech Street — Beech Street: $4,142.23 Blue Cross PPO — Blue Cross PPO: $3,413.92 Cigna HMO/PPO — Cigna HMO/PPO: $2,931.42 Clear Spring Health MA — Clear Spring Health MA: $1,384.03 Health Alliance Commercial — Health Alliance Commercial: $3,641.52 Healthlink — Healthlink HMO: $3,413.92 Healthlink — Healthlink PPO: $3,869.11 Illinois Medicaid — Illinois Medicaid: $842.46 Illinois Medicaid - Other — Illinois Medicaid - Other: $842.46
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	$4,551.90	$2,275.95	$292.90 – $4,551.90
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates Aetna — Aetna: $4,551.90 Beech Street — Beech Street: $4,142.23 Blue Cross PPO — Blue Cross PPO: $4,551.90 Cigna HMO/PPO — Cigna HMO/PPO: $2,931.42 Clear Spring Health MA — Clear Spring Health MA: $307.52 Health Alliance Commercial — Health Alliance Commercial: $4,551.90 Healthlink — Healthlink HMO: $3,413.92 Healthlink — Healthlink PPO: $3,869.11 Illinois Medicaid — Illinois Medicaid: $4,551.90 Illinois Medicaid - Other — Illinois Medicaid - Other: $4,551.90
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	$4,551.90	$2,275.95	$3,869.12 – $4,142.23
MRI of the brain, before and after contrast: rates for 2 insurance plans Beech Street — Beech Street: $4,142.23 Multiplan/PHCS — Multiplan/PHCS: $3,869.12
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST 2 VIEWS	$506.50	$253.25	$146.44 – $500
Chest X-ray, 2 views: 10 of 16 insurance plan rates Aetna — Aetna: $410.27 Beech Street — Beech Street: $460.92 Blue Cross PPO — Blue Cross PPO: $379.88 Cigna HMO/PPO — Cigna HMO/PPO: $326.19 Clear Spring Health MA — Clear Spring Health MA: $154.01 Health Alliance Commercial — Health Alliance Commercial: $405.20 Healthlink — Healthlink HMO: $379.88 Healthlink — Healthlink PPO: $430.52 Illinois Medicaid — Illinois Medicaid: $116.21 Illinois Medicaid - Other — Illinois Medicaid - Other: $116.21
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHEST 2 VIEWS	$506.50	$253.25	$30.51 – $506.50
Chest X-ray, 2 views: 10 of 16 insurance plan rates Aetna — Aetna: $506.50 Beech Street — Beech Street: $460.92 Blue Cross PPO — Blue Cross PPO: $506.50 Cigna HMO/PPO — Cigna HMO/PPO: $326.19 Clear Spring Health MA — Clear Spring Health MA: $32.14 Health Alliance Commercial — Health Alliance Commercial: $506.50 Healthlink — Healthlink HMO: $379.88 Healthlink — Healthlink PPO: $430.52 Illinois Medicaid — Illinois Medicaid: $506.50 Illinois Medicaid - Other — Illinois Medicaid - Other: $506.50
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHEST 2 VIEWS	$506.50	$253.25	$430.52 – $460.92
Chest X-ray, 2 views: rates for 2 insurance plans Beech Street — Beech Street: $460.92 Multiplan/PHCS — Multiplan/PHCS: $430.52
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	$738.80	$369.40	$213.60 – $672.31
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates Aetna — Aetna: $598.43 Beech Street — Beech Street: $672.31 Blue Cross PPO — Blue Cross PPO: $554.10 Cigna HMO/PPO — Cigna HMO/PPO: $475.79 Clear Spring Health MA — Clear Spring Health MA: $224.63 Health Alliance Commercial — Health Alliance Commercial: $591.04 Healthlink — Healthlink HMO: $554.10 Healthlink — Healthlink PPO: $627.98 Illinois Medicaid — Illinois Medicaid: $116.21 Illinois Medicaid - Other — Illinois Medicaid - Other: $116.21
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	$738.80	$369.40	$46.62 – $738.80
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates Aetna — Aetna: $738.80 Beech Street — Beech Street: $672.31 Blue Cross PPO — Blue Cross PPO: $738.80 Cigna HMO/PPO — Cigna HMO/PPO: $475.79 Clear Spring Health MA — Clear Spring Health MA: $51.62 Health Alliance Commercial — Health Alliance Commercial: $738.80 Healthlink — Healthlink HMO: $554.10 Healthlink — Healthlink PPO: $627.98 Illinois Medicaid — Illinois Medicaid: $738.80 Illinois Medicaid - Other — Illinois Medicaid - Other: $738.80
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	$738.80	$369.40	$627.98 – $672.31
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans Beech Street — Beech Street: $672.31 Multiplan/PHCS — Multiplan/PHCS: $627.98
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	$3,517.70	$1,758.85	$1,017.04 – $3,201.11
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates Aetna — Aetna: $2,849.34 Beech Street — Beech Street: $3,201.11 Blue Cross PPO — Blue Cross PPO: $2,638.27 Cigna HMO/PPO — Cigna HMO/PPO: $2,265.40 Clear Spring Health MA — Clear Spring Health MA: $1,069.57 Health Alliance Commercial — Health Alliance Commercial: $2,814.16 Healthlink — Healthlink HMO: $2,638.27 Healthlink — Healthlink PPO: $2,990.04 Illinois Medicaid — Illinois Medicaid: $499.32 Illinois Medicaid - Other — Illinois Medicaid - Other: $499.32
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	$3,517.70	$1,758.85	$175.68 – $3,517.70
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates Aetna — Aetna: $3,517.70 Beech Street — Beech Street: $3,201.11 Blue Cross PPO — Blue Cross PPO: $3,517.70 Cigna HMO/PPO — Cigna HMO/PPO: $2,265.40 Clear Spring Health MA — Clear Spring Health MA: $186.38 Health Alliance Commercial — Health Alliance Commercial: $3,517.70 Healthlink — Healthlink HMO: $2,638.27 Healthlink — Healthlink PPO: $2,990.04 Illinois Medicaid — Illinois Medicaid: $3,517.70 Illinois Medicaid - Other — Illinois Medicaid - Other: $3,517.70
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	$3,517.70	$1,758.85	$2,990.04 – $3,201.11
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans Beech Street — Beech Street: $3,201.11 Multiplan/PHCS — Multiplan/PHCS: $2,990.04
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/	$2,638.40	$1,319.20	$762.81 – $2,959
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates Aetna — Aetna: $2,137.10 Beech Street — Beech Street: $2,400.94 Blue Cross PPO — Blue Cross PPO: $1,978.80 Cigna HMO/PPO — Cigna HMO/PPO: $1,699.13 Clear Spring Health MA — Clear Spring Health MA: $802.23 Health Alliance Commercial — Health Alliance Commercial: $2,110.72 Healthlink — Healthlink HMO: $1,978.80 Healthlink — Healthlink PPO: $2,242.64 Illinois Medicaid — Illinois Medicaid: $629.06 Illinois Medicaid - Other — Illinois Medicaid - Other: $629.06
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CT PELVIS W/	$2,638.40	$1,319.20	$205.73 – $2,638.40
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates Aetna — Aetna: $2,638.40 Beech Street — Beech Street: $2,400.94 Blue Cross PPO — Blue Cross PPO: $2,638.40 Cigna HMO/PPO — Cigna HMO/PPO: $1,699.13 Clear Spring Health MA — Clear Spring Health MA: $216.92 Health Alliance Commercial — Health Alliance Commercial: $2,638.40 Healthlink — Healthlink HMO: $1,978.80 Healthlink — Healthlink PPO: $2,242.64 Illinois Medicaid — Illinois Medicaid: $2,638.40 Illinois Medicaid - Other — Illinois Medicaid - Other: $2,638.40
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W/	$2,638.40	$1,319.20	$2,242.64 – $2,400.94
CT scan of the pelvis, with contrast: rates for 2 insurance plans Beech Street — Beech Street: $2,400.94 Multiplan/PHCS — Multiplan/PHCS: $2,242.64
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	$3,341.90	$1,670.95	$966.21 – $3,041.13
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates Aetna — Aetna: $2,706.94 Beech Street — Beech Street: $3,041.13 Blue Cross PPO — Blue Cross PPO: $2,506.43 Cigna HMO/PPO — Cigna HMO/PPO: $2,152.18 Clear Spring Health MA — Clear Spring Health MA: $1,016.13 Health Alliance Commercial — Health Alliance Commercial: $2,673.52 Healthlink — Healthlink HMO: $2,506.43 Healthlink — Healthlink PPO: $2,840.61 Illinois Medicaid — Illinois Medicaid: $499.32 Illinois Medicaid - Other — Illinois Medicaid - Other: $499.32
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	$3,341.90	$1,670.95	$186.10 – $3,341.90
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates Aetna — Aetna: $3,341.90 Beech Street — Beech Street: $3,041.13 Blue Cross PPO — Blue Cross PPO: $3,341.90 Cigna HMO/PPO — Cigna HMO/PPO: $2,152.18 Clear Spring Health MA — Clear Spring Health MA: $197.51 Health Alliance Commercial — Health Alliance Commercial: $3,341.90 Healthlink — Healthlink HMO: $2,506.43 Healthlink — Healthlink PPO: $2,840.61 Illinois Medicaid — Illinois Medicaid: $3,341.90 Illinois Medicaid - Other — Illinois Medicaid - Other: $3,341.90
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	$3,341.90	$1,670.95	$2,840.62 – $3,041.13
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans Beech Street — Beech Street: $3,041.13 Multiplan/PHCS — Multiplan/PHCS: $2,840.62
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/	$5,065.60	$2,532.80	$1,464.57 – $4,609.70
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates Aetna — Aetna: $4,103.14 Beech Street — Beech Street: $4,609.70 Blue Cross PPO — Blue Cross PPO: $3,799.20 Cigna HMO/PPO — Cigna HMO/PPO: $3,262.25 Clear Spring Health MA — Clear Spring Health MA: $1,540.23 Health Alliance Commercial — Health Alliance Commercial: $4,052.48 Healthlink — Healthlink HMO: $3,799.20 Healthlink — Healthlink PPO: $4,305.76 Illinois Medicaid — Illinois Medicaid: $629.06 Illinois Medicaid - Other — Illinois Medicaid - Other: $629.06
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/	$5,065.60	$2,532.80	$275.45 – $5,065.60
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates Aetna — Aetna: $5,065.60 Beech Street — Beech Street: $4,609.70 Blue Cross PPO — Blue Cross PPO: $5,065.60 Cigna HMO/PPO — Cigna HMO/PPO: $3,262.25 Clear Spring Health MA — Clear Spring Health MA: $289.91 Health Alliance Commercial — Health Alliance Commercial: $5,065.60 Healthlink — Healthlink HMO: $3,799.20 Healthlink — Healthlink PPO: $4,305.76 Illinois Medicaid — Illinois Medicaid: $5,065.60 Illinois Medicaid - Other — Illinois Medicaid - Other: $5,065.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W/	$5,065.60	$2,532.80	$4,305.76 – $4,609.70
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans Beech Street — Beech Street: $4,609.70 Multiplan/PHCS — Multiplan/PHCS: $4,305.76
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMINAL COMPLETE	$1,259.40	$629.70	$364.12 – $1,146.05
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates Aetna — Aetna: $1,020.11 Beech Street — Beech Street: $1,146.05 Blue Cross PPO — Blue Cross PPO: $944.55 Cigna HMO/PPO — Cigna HMO/PPO: $811.05 Clear Spring Health MA — Clear Spring Health MA: $382.92 Health Alliance Commercial — Health Alliance Commercial: $1,007.52 Healthlink — Healthlink HMO: $944.55 Healthlink — Healthlink PPO: $1,070.49 Illinois Medicaid — Illinois Medicaid: $348.49 Illinois Medicaid - Other — Illinois Medicaid - Other: $348.49
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US ABDOMINAL COMPLETE	$1,259.40	$629.70	$104.44 – $1,259.40
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates Aetna — Aetna: $1,259.40 Beech Street — Beech Street: $1,146.05 Blue Cross PPO — Blue Cross PPO: $1,259.40 Cigna HMO/PPO — Cigna HMO/PPO: $811.05 Clear Spring Health MA — Clear Spring Health MA: $110.88 Health Alliance Commercial — Health Alliance Commercial: $1,259.40 Healthlink — Healthlink HMO: $944.55 Healthlink — Healthlink PPO: $1,070.49 Illinois Medicaid — Illinois Medicaid: $1,259.40 Illinois Medicaid - Other — Illinois Medicaid - Other: $1,259.40
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMINAL COMPLETE	$1,259.40	$629.70	$1,070.49 – $1,146.05
Ultrasound of the abdomen, complete: rates for 2 insurance plans Beech Street — Beech Street: $1,146.05 Multiplan/PHCS — Multiplan/PHCS: $1,070.49
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB >14WKS	$1,055.40	$527.70	$311.55 – $1,034.29
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates Aetna — Aetna: $854.87 Beech Street — Beech Street: $960.41 Blue Cross PPO — Blue Cross PPO: $791.55 Cigna HMO/PPO — Cigna HMO/PPO: $679.68 Clear Spring Health MA — Clear Spring Health MA: $320.90 Health Alliance Commercial — Health Alliance Commercial: $844.32 Healthlink — Healthlink HMO: $791.55 Healthlink — Healthlink PPO: $897.09 Illinois Medicaid — Illinois Medicaid: $208.35 Illinois Medicaid - Other — Illinois Medicaid - Other: $208.35
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US OB >14WKS	$1,055.40	$527.70	$121.20 – $1,055.40
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates Aetna — Aetna: $1,055.40 Beech Street — Beech Street: $960.41 Blue Cross PPO — Blue Cross PPO: $1,055.40 Cigna HMO/PPO — Cigna HMO/PPO: $679.68 Clear Spring Health MA — Clear Spring Health MA: $131.67 Health Alliance Commercial — Health Alliance Commercial: $1,055.40 Healthlink — Healthlink HMO: $791.55 Healthlink — Healthlink PPO: $897.09 Illinois Medicaid — Illinois Medicaid: $1,055.40 Illinois Medicaid - Other — Illinois Medicaid - Other: $1,055.40
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB >14WKS	$1,055.40	$527.70	$897.09 – $960.41
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans Beech Street — Beech Street: $960.41 Multiplan/PHCS — Multiplan/PHCS: $897.09
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL NON OB	$886.50	$443.25	$256.31 – $1,018
Transvaginal ultrasound: 10 of 16 insurance plan rates Aetna — Aetna: $718.07 Beech Street — Beech Street: $806.72 Blue Cross PPO — Blue Cross PPO: $664.88 Cigna HMO/PPO — Cigna HMO/PPO: $570.91 Clear Spring Health MA — Clear Spring Health MA: $269.54 Health Alliance Commercial — Health Alliance Commercial: $709.20 Healthlink — Healthlink HMO: $664.88 Healthlink — Healthlink PPO: $753.52 Illinois Medicaid — Illinois Medicaid: $226.18 Illinois Medicaid - Other — Illinois Medicaid - Other: $226.18
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US TRANSVAGINAL NON OB	$886.50	$443.25	$105.89 – $886.50
Transvaginal ultrasound: 10 of 16 insurance plan rates Aetna — Aetna: $886.50 Beech Street — Beech Street: $806.72 Blue Cross PPO — Blue Cross PPO: $886.50 Cigna HMO/PPO — Cigna HMO/PPO: $570.91 Clear Spring Health MA — Clear Spring Health MA: $113.67 Health Alliance Commercial — Health Alliance Commercial: $886.50 Healthlink — Healthlink HMO: $664.88 Healthlink — Healthlink PPO: $753.52 Illinois Medicaid — Illinois Medicaid: $886.50 Illinois Medicaid - Other — Illinois Medicaid - Other: $886.50
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL NON OB	$886.50	$443.25	$753.52 – $806.72
Transvaginal ultrasound: rates for 2 insurance plans Beech Street — Beech Street: $806.72 Multiplan/PHCS — Multiplan/PHCS: $753.52
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAM DIAG	$433.40	$216.70	$125.30 – $394.39
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates Aetna — Aetna: $351.05 Beech Street — Beech Street: $394.39 Blue Cross PPO — Blue Cross PPO: $325.05 Cigna HMO/PPO — Cigna HMO/PPO: $279.11 Clear Spring Health MA — Clear Spring Health MA: $131.78 Health Alliance Commercial — Health Alliance Commercial: $346.72 Healthlink — Healthlink HMO: $325.05 Healthlink — Healthlink PPO: $368.39 Illinois Medicaid — Illinois Medicaid: $98.82 Illinois Medicaid - Other — Illinois Medicaid - Other: $98.82
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POST BIOPSY DIAG MAM	$541.80	$270.90	$156.64 – $493.04
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates Aetna — Aetna: $438.86 Beech Street — Beech Street: $493.04 Blue Cross PPO — Blue Cross PPO: $406.35 Cigna HMO/PPO — Cigna HMO/PPO: $348.92 Clear Spring Health MA — Clear Spring Health MA: $164.74 Health Alliance Commercial — Health Alliance Commercial: $433.44 Healthlink — Healthlink HMO: $406.35 Healthlink — Healthlink PPO: $460.53 Illinois Medicaid — Illinois Medicaid: $98.82 Illinois Medicaid - Other — Illinois Medicaid - Other: $98.82
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MAM DIAG	$433.40	$216.70	$113.46 – $433.40
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates Aetna — Aetna: $433.40 Beech Street — Beech Street: $394.39 Blue Cross PPO — Blue Cross PPO: $433.40 Cigna HMO/PPO — Cigna HMO/PPO: $279.11 Clear Spring Health MA — Clear Spring Health MA: $119.91 Health Alliance Commercial — Health Alliance Commercial: $433.40 Healthlink — Healthlink HMO: $325.05 Healthlink — Healthlink PPO: $368.39 Illinois Medicaid — Illinois Medicaid: $433.40 Illinois Medicaid - Other — Illinois Medicaid - Other: $433.40
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIGITAL MAM DIAG - BIL	$790.90	$395.45	$228.66 – $719.72
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates Aetna — Aetna: $640.63 Beech Street — Beech Street: $719.72 Blue Cross PPO — Blue Cross PPO: $593.17 Cigna HMO/PPO — Cigna HMO/PPO: $509.34 Clear Spring Health MA — Clear Spring Health MA: $240.47 Health Alliance Commercial — Health Alliance Commercial: $632.72 Healthlink — Healthlink HMO: $593.17 Healthlink — Healthlink PPO: $672.26 Illinois Medicaid — Illinois Medicaid: $98.82 Illinois Medicaid - Other — Illinois Medicaid - Other: $98.82
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POST BIOPSY DIAG MAM - BIL	$553.60	$276.80	$160.05 – $503.78
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates Aetna — Aetna: $448.42 Beech Street — Beech Street: $503.78 Blue Cross PPO — Blue Cross PPO: $415.20 Cigna HMO/PPO — Cigna HMO/PPO: $356.52 Clear Spring Health MA — Clear Spring Health MA: $168.32 Health Alliance Commercial — Health Alliance Commercial: $442.88 Healthlink — Healthlink HMO: $415.20 Healthlink — Healthlink PPO: $470.56 Illinois Medicaid — Illinois Medicaid: $98.82 Illinois Medicaid - Other — Illinois Medicaid - Other: $98.82
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: DIGITAL MAM DIAG - BIL	$790.90	$395.45	$142.47 – $790.90
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates Aetna — Aetna: $790.90 Beech Street — Beech Street: $719.72 Blue Cross PPO — Blue Cross PPO: $790.90 Cigna HMO/PPO — Cigna HMO/PPO: $509.34 Clear Spring Health MA — Clear Spring Health MA: $152 Health Alliance Commercial — Health Alliance Commercial: $790.90 Healthlink — Healthlink HMO: $593.17 Healthlink — Healthlink PPO: $672.26 Illinois Medicaid — Illinois Medicaid: $790.90 Illinois Medicaid - Other — Illinois Medicaid - Other: $790.90
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIGITAL MAM SCREEN UNILATERAL	$541.80	$270.90	$80.88 – $493.04
Screening mammogram, both breasts: 10 of 16 insurance plan rates Aetna — Aetna: $438.86 Beech Street — Beech Street: $493.04 Blue Cross PPO — Blue Cross PPO: $406.35 Cigna HMO/PPO — Cigna HMO/PPO: $348.92 Clear Spring Health MA — Clear Spring Health MA: $83.31 Health Alliance Commercial — Health Alliance Commercial: $433.44 Healthlink — Healthlink HMO: $406.35 Healthlink — Healthlink PPO: $460.53 Illinois Medicaid — Illinois Medicaid: $98.82 Illinois Medicaid - Other — Illinois Medicaid - Other: $98.82
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIGITAL MAM SCREEN - BIL	$790.90	$395.45	$80.88 – $719.72
Screening mammogram, both breasts: 10 of 16 insurance plan rates Aetna — Aetna: $640.63 Beech Street — Beech Street: $719.72 Blue Cross PPO — Blue Cross PPO: $593.17 Cigna HMO/PPO — Cigna HMO/PPO: $509.34 Clear Spring Health MA — Clear Spring Health MA: $83.31 Health Alliance Commercial — Health Alliance Commercial: $632.72 Healthlink — Healthlink HMO: $593.17 Healthlink — Healthlink PPO: $672.26 Illinois Medicaid — Illinois Medicaid: $98.82 Illinois Medicaid - Other — Illinois Medicaid - Other: $98.82
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: DIGITAL MAM SCREEN UNILATERAL	$541.80	$270.90	$115.38 – $541.80
Screening mammogram, both breasts: 10 of 16 insurance plan rates Aetna — Aetna: $541.80 Beech Street — Beech Street: $493.04 Blue Cross PPO — Blue Cross PPO: $541.80 Cigna HMO/PPO — Cigna HMO/PPO: $348.92 Clear Spring Health MA — Clear Spring Health MA: $121.09 Health Alliance Commercial — Health Alliance Commercial: $541.80 Healthlink — Healthlink HMO: $406.35 Healthlink — Healthlink PPO: $460.53 Illinois Medicaid — Illinois Medicaid: $541.80 Illinois Medicaid - Other — Illinois Medicaid - Other: $541.80

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOMNOGRAPHY (SLEEP STUDY)	$7,639	$3,819.50	$2,208.60 – $6,951.49
Sleep study (overnight, in a sleep lab): 10 of 16 insurance plan rates Aetna — Aetna: $6,187.59 Beech Street — Beech Street: $6,951.49 Blue Cross PPO — Blue Cross PPO: $5,729.25 Cigna HMO/PPO — Cigna HMO/PPO: $4,919.52 Clear Spring Health MA — Clear Spring Health MA: $2,322.68 Health Alliance Commercial — Health Alliance Commercial: $6,111.20 Healthlink — Healthlink HMO: $5,729.25 Healthlink — Healthlink PPO: $6,493.15 Illinois Medicaid — Illinois Medicaid: $1,635.73 Illinois Medicaid - Other — Illinois Medicaid - Other: $1,635.73
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	$1,656.84 – $5,214.85
Sleep study (overnight, in a sleep lab): 10 of 16 insurance plan rates Aetna — Aetna: $4,641.79 Beech Street — Beech Street: $5,214.85 Blue Cross PPO — Blue Cross PPO: $4,297.95 Cigna HMO/PPO — Cigna HMO/PPO: $3,690.51 Clear Spring Health MA — Clear Spring Health MA: $1,742.42 Health Alliance Commercial — Health Alliance Commercial: $4,584.48 Healthlink — Healthlink HMO: $4,297.95 Healthlink — Healthlink PPO: $4,871.01 Illinois Medicaid — Illinois Medicaid: $1,635.73 Illinois Medicaid - Other — Illinois Medicaid - Other: $1,635.73
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: POLYSOMNOGRAPHY (SLEEP STUDY)	$7,639	$3,819.50	$560.46 – $7,639
Sleep study (overnight, in a sleep lab): 10 of 16 insurance plan rates Aetna — Aetna: $7,639 Beech Street — Beech Street: $6,951.49 Blue Cross PPO — Blue Cross PPO: $7,639 Cigna HMO/PPO — Cigna HMO/PPO: $4,919.52 Clear Spring Health MA — Clear Spring Health MA: $645.04 Health Alliance Commercial — Health Alliance Commercial: $7,639 Healthlink — Healthlink HMO: $5,729.25 Healthlink — Healthlink PPO: $6,493.15 Illinois Medicaid — Illinois Medicaid: $7,639 Illinois Medicaid - Other — Illinois Medicaid - Other: $7,639

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT EXERCISE EACH 15 MIN	$163.30	$81.65	$47.22 – $408
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates Aetna — Aetna: $132.27 Beech Street — Beech Street: $148.60 Blue Cross PPO — Blue Cross PPO: $122.48 Cigna HMO/PPO — Cigna HMO/PPO: $105.17 Clear Spring Health MA — Clear Spring Health MA: $49.66 Health Alliance Commercial — Health Alliance Commercial: $130.64 Healthlink — Healthlink HMO: $122.48 Healthlink — Healthlink PPO: $138.81 Illinois Medicaid — Illinois Medicaid: $74.60 Illinois Medicaid - Other — Illinois Medicaid - Other: $74.60
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT CHS EXRCS EA UNIT	$224.50	$112.25	$64.91 – $408
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates Aetna — Aetna: $181.84 Beech Street — Beech Street: $204.30 Blue Cross PPO — Blue Cross PPO: $168.38 Cigna HMO/PPO — Cigna HMO/PPO: $144.58 Clear Spring Health MA — Clear Spring Health MA: $68.26 Health Alliance Commercial — Health Alliance Commercial: $179.60 Healthlink — Healthlink HMO: $168.38 Healthlink — Healthlink PPO: $190.82 Illinois Medicaid — Illinois Medicaid: $74.60 Illinois Medicaid - Other — Illinois Medicaid - Other: $74.60
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OT EXERCISE EACH 15 MIN	$163.30	$81.65	$27.34 – $163.30
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates Aetna — Aetna: $163.30 Beech Street — Beech Street: $148.60 Blue Cross PPO — Blue Cross PPO: $163.30 Cigna HMO/PPO — Cigna HMO/PPO: $105.17 Clear Spring Health MA — Clear Spring Health MA: $28.68 Health Alliance Commercial — Health Alliance Commercial: $163.30 Healthlink — Healthlink HMO: $122.48 Healthlink — Healthlink PPO: $138.81 Illinois Medicaid — Illinois Medicaid: $163.30 Illinois Medicaid - Other — Illinois Medicaid - Other: $163.30
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT CHS EVL LOW CMPLX 20 MIN	$685	$342.50	$198.05 – $623.35
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates Aetna — Aetna: $554.85 Beech Street — Beech Street: $623.35 Blue Cross PPO — Blue Cross PPO: $513.75 Cigna HMO/PPO — Cigna HMO/PPO: $441.14 Clear Spring Health MA — Clear Spring Health MA: $208.28 Health Alliance Commercial — Health Alliance Commercial: $548 Healthlink — Healthlink HMO: $513.75 Healthlink — Healthlink PPO: $582.25 Illinois Medicaid — Illinois Medicaid: $392.18 Illinois Medicaid - Other — Illinois Medicaid - Other: $392.18
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PT CHS EVL LOW CMPLX 20 MIN	$685	$342.50	$93.28 – $685
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates Aetna — Aetna: $685 Beech Street — Beech Street: $623.35 Blue Cross PPO — Blue Cross PPO: $685 Cigna HMO/PPO — Cigna HMO/PPO: $441.14 Clear Spring Health MA — Clear Spring Health MA: $96.10 Health Alliance Commercial — Health Alliance Commercial: $685 Healthlink — Healthlink HMO: $513.75 Healthlink — Healthlink PPO: $582.25 Illinois Medicaid — Illinois Medicaid: $685 Illinois Medicaid - Other — Illinois Medicaid - Other: $685
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT CHS EVL LOW CMPLX 20 MIN	$685	$342.50	$582.25 – $623.35
Physical therapy evaluation (low complexity): rates for 2 insurance plans Beech Street — Beech Street: $623.35 Multiplan/PHCS — Multiplan/PHCS: $582.25
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT CHS EVL MOD CMPLX 30 MIN	$685	$342.50	$198.05 – $623.35
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates Aetna — Aetna: $554.85 Beech Street — Beech Street: $623.35 Blue Cross PPO — Blue Cross PPO: $513.75 Cigna HMO/PPO — Cigna HMO/PPO: $441.14 Clear Spring Health MA — Clear Spring Health MA: $208.28 Health Alliance Commercial — Health Alliance Commercial: $548 Healthlink — Healthlink HMO: $513.75 Healthlink — Healthlink PPO: $582.25 Illinois Medicaid — Illinois Medicaid: $392.18 Illinois Medicaid - Other — Illinois Medicaid - Other: $392.18
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PT CHS EVL MOD CMPLX 30 MIN	$685	$342.50	$93.28 – $685
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates Aetna — Aetna: $685 Beech Street — Beech Street: $623.35 Blue Cross PPO — Blue Cross PPO: $685 Cigna HMO/PPO — Cigna HMO/PPO: $441.14 Clear Spring Health MA — Clear Spring Health MA: $96.10 Health Alliance Commercial — Health Alliance Commercial: $685 Healthlink — Healthlink HMO: $513.75 Healthlink — Healthlink PPO: $582.25 Illinois Medicaid — Illinois Medicaid: $685 Illinois Medicaid - Other — Illinois Medicaid - Other: $685
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT CHS EVL MOD CMPLX 30 MIN	$685	$342.50	$582.25 – $623.35
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans Beech Street — Beech Street: $623.35 Multiplan/PHCS — Multiplan/PHCS: $582.25
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT CHSEVL HIGH CMPLX 45 MIN	$685	$342.50	$198.05 – $623.35
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates Aetna — Aetna: $554.85 Beech Street — Beech Street: $623.35 Blue Cross PPO — Blue Cross PPO: $513.75 Cigna HMO/PPO — Cigna HMO/PPO: $441.14 Clear Spring Health MA — Clear Spring Health MA: $208.28 Health Alliance Commercial — Health Alliance Commercial: $548 Healthlink — Healthlink HMO: $513.75 Healthlink — Healthlink PPO: $582.25 Illinois Medicaid — Illinois Medicaid: $392.18 Illinois Medicaid - Other — Illinois Medicaid - Other: $392.18
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PT CHSEVL HIGH CMPLX 45 MIN	$685	$342.50	$93.28 – $685
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates Aetna — Aetna: $685 Beech Street — Beech Street: $623.35 Blue Cross PPO — Blue Cross PPO: $685 Cigna HMO/PPO — Cigna HMO/PPO: $441.14 Clear Spring Health MA — Clear Spring Health MA: $96.10 Health Alliance Commercial — Health Alliance Commercial: $685 Healthlink — Healthlink HMO: $513.75 Healthlink — Healthlink PPO: $582.25 Illinois Medicaid — Illinois Medicaid: $685 Illinois Medicaid - Other — Illinois Medicaid - Other: $685
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT CHSEVL HIGH CMPLX 45 MIN	$685	$342.50	$582.25 – $623.35
Physical therapy evaluation (high complexity): rates for 2 insurance plans Beech Street — Beech Street: $623.35 Multiplan/PHCS — Multiplan/PHCS: $582.25
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: INDIVIDUAL THERAPY 16-37 MIN	$114	$57	$57 – $114
Psychotherapy, 30 minutes: 10 of 16 insurance plan rates Aetna — Aetna: $114 Beech Street — Beech Street: $103.74 Blue Cross PPO — Blue Cross PPO: $114 Cigna HMO/PPO — Cigna HMO/PPO: $73.42 Clear Spring Health MA — Clear Spring Health MA: $85.66 Health Alliance Commercial — Health Alliance Commercial: $114 Healthlink — Healthlink HMO: $85.50 Healthlink — Healthlink PPO: $96.90 Illinois Medicaid — Illinois Medicaid: $114 Illinois Medicaid - Other — Illinois Medicaid - Other: $114
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIVIDUAL THERAPY 16-37 MIN	$114	$57	$32.96 – $103.74
Psychotherapy, 30 minutes: 10 of 15 insurance plan rates Aetna — Aetna: $92.34 Beech Street — Beech Street: $103.74 Blue Cross PPO — Blue Cross PPO: $85.50 Cigna HMO/PPO — Cigna HMO/PPO: $73.42 Clear Spring Health MA — Clear Spring Health MA: $34.66 Health Alliance Commercial — Health Alliance Commercial: $91.20 Healthlink — Healthlink HMO: $85.50 Healthlink — Healthlink PPO: $96.90 Illinois Medicaid — Illinois Medicaid: $267.64 Illinois Medicaid - Other — Illinois Medicaid - Other: $267.64
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INDIVIDUAL THERAPY 16-37 MIN	$114	$57	$96.90 – $103.74
Psychotherapy, 30 minutes: rates for 2 insurance plans Beech Street — Beech Street: $103.74 Multiplan/PHCS — Multiplan/PHCS: $96.90
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: INDIVIDUAL THERAPY 38-52 MIN	$214.40	$107.20	$101.45 – $214.40
Psychotherapy, 45 minutes: 10 of 16 insurance plan rates Aetna — Aetna: $214.40 Beech Street — Beech Street: $195.10 Blue Cross PPO — Blue Cross PPO: $214.40 Cigna HMO/PPO — Cigna HMO/PPO: $138.07 Clear Spring Health MA — Clear Spring Health MA: $113.88 Health Alliance Commercial — Health Alliance Commercial: $214.40 Healthlink — Healthlink HMO: $160.80 Healthlink — Healthlink PPO: $182.24 Illinois Medicaid — Illinois Medicaid: $214.40 Illinois Medicaid - Other — Illinois Medicaid - Other: $214.40
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIVIDUAL THERAPY 38-52 MIN	$214.40	$107.20	$61.98 – $195.10
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates Aetna — Aetna: $173.66 Beech Street — Beech Street: $195.10 Blue Cross PPO — Blue Cross PPO: $160.80 Cigna HMO/PPO — Cigna HMO/PPO: $138.07 Clear Spring Health MA — Clear Spring Health MA: $65.19 Health Alliance Commercial — Health Alliance Commercial: $171.52 Healthlink — Healthlink HMO: $160.80 Healthlink — Healthlink PPO: $182.24 Illinois Medicaid — Illinois Medicaid: $319.80 Illinois Medicaid - Other — Illinois Medicaid - Other: $319.80
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INDIVIDUAL THERAPY 38-52 MIN	$214.40	$107.20	$182.24 – $195.10
Psychotherapy, 45 minutes: rates for 2 insurance plans Beech Street — Beech Street: $195.10 Multiplan/PHCS — Multiplan/PHCS: $182.24
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: INDIVIDUAL THERAPY 53-67 MIN	$335.10	$167.55	$150.44 – $335.10
Psychotherapy, 60 minutes: 10 of 16 insurance plan rates Aetna — Aetna: $335.10 Beech Street — Beech Street: $304.94 Blue Cross PPO — Blue Cross PPO: $335.10 Cigna HMO/PPO — Cigna HMO/PPO: $215.80 Clear Spring Health MA — Clear Spring Health MA: $166.70 Health Alliance Commercial — Health Alliance Commercial: $335.10 Healthlink — Healthlink HMO: $251.33 Healthlink — Healthlink PPO: $284.84 Illinois Medicaid — Illinois Medicaid: $335.10 Illinois Medicaid - Other — Illinois Medicaid - Other: $335.10
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INDIVIDUAL THERAPY 53-67 MIN	$335.10	$167.55	$96.88 – $304.94
Psychotherapy, 60 minutes: 10 of 15 insurance plan rates Aetna — Aetna: $271.43 Beech Street — Beech Street: $304.94 Blue Cross PPO — Blue Cross PPO: $251.33 Cigna HMO/PPO — Cigna HMO/PPO: $215.80 Clear Spring Health MA — Clear Spring Health MA: $101.89 Health Alliance Commercial — Health Alliance Commercial: $268.08 Healthlink — Healthlink HMO: $251.33 Healthlink — Healthlink PPO: $284.84 Illinois Medicaid — Illinois Medicaid: $319.80 Illinois Medicaid - Other — Illinois Medicaid - Other: $319.80
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INDIVIDUAL THERAPY 53-67 MIN	$335.10	$167.55	$284.84 – $304.94
Psychotherapy, 60 minutes: rates for 2 insurance plans Beech Street — Beech Street: $304.94 Multiplan/PHCS — Multiplan/PHCS: $284.84
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY THERAPY W/O PATIENT 1HR	$214.40	$107.20	$97.25 – $214.40
Family psychotherapy, without the patient: 10 of 16 insurance plan rates Aetna — Aetna: $214.40 Beech Street — Beech Street: $195.10 Blue Cross PPO — Blue Cross PPO: $214.40 Cigna HMO/PPO — Cigna HMO/PPO: $138.07 Clear Spring Health MA — Clear Spring Health MA: $107.26 Health Alliance Commercial — Health Alliance Commercial: $214.40 Healthlink — Healthlink HMO: $160.80 Healthlink — Healthlink PPO: $182.24 Illinois Medicaid — Illinois Medicaid: $214.40 Illinois Medicaid - Other — Illinois Medicaid - Other: $214.40
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THERAPY W/O PATIENT 1HR	$214.40	$107.20	$61.98 – $195.10
Family psychotherapy, without the patient: 10 of 15 insurance plan rates Aetna — Aetna: $173.66 Beech Street — Beech Street: $195.10 Blue Cross PPO — Blue Cross PPO: $160.80 Cigna HMO/PPO — Cigna HMO/PPO: $138.07 Clear Spring Health MA — Clear Spring Health MA: $65.19 Health Alliance Commercial — Health Alliance Commercial: $171.52 Healthlink — Healthlink HMO: $160.80 Healthlink — Healthlink PPO: $182.24 Illinois Medicaid — Illinois Medicaid: $348.78 Illinois Medicaid - Other — Illinois Medicaid - Other: $348.78
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY THERAPY W/O PATIENT 1HR	$214.40	$107.20	$182.24 – $195.10
Family psychotherapy, without the patient: rates for 2 insurance plans Beech Street — Beech Street: $195.10 Multiplan/PHCS — Multiplan/PHCS: $182.24
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY THERAPY W/PATIENT 1 HR	$214.40	$107.20	$101.30 – $214.40
Family psychotherapy, with the patient: 10 of 16 insurance plan rates Aetna — Aetna: $214.40 Beech Street — Beech Street: $195.10 Blue Cross PPO — Blue Cross PPO: $214.40 Cigna HMO/PPO — Cigna HMO/PPO: $138.07 Clear Spring Health MA — Clear Spring Health MA: $110.64 Health Alliance Commercial — Health Alliance Commercial: $214.40 Healthlink — Healthlink HMO: $160.80 Healthlink — Healthlink PPO: $182.24 Illinois Medicaid — Illinois Medicaid: $214.40 Illinois Medicaid - Other — Illinois Medicaid - Other: $214.40
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY THERAPY W/PATIENT 30MIN	$132.60	$66.30	$66.30 – $132.60
Family psychotherapy, with the patient: 10 of 16 insurance plan rates Aetna — Aetna: $132.60 Beech Street — Beech Street: $120.67 Blue Cross PPO — Blue Cross PPO: $132.60 Cigna HMO/PPO — Cigna HMO/PPO: $85.39 Clear Spring Health MA — Clear Spring Health MA: $110.64 Health Alliance Commercial — Health Alliance Commercial: $132.60 Healthlink — Healthlink HMO: $99.45 Healthlink — Healthlink PPO: $112.71 Illinois Medicaid — Illinois Medicaid: $132.60 Illinois Medicaid - Other — Illinois Medicaid - Other: $132.60
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THERAPY W/PATIENT 1 HR	$214.40	$107.20	$61.98 – $195.10
Family psychotherapy, with the patient: 10 of 15 insurance plan rates Aetna — Aetna: $173.66 Beech Street — Beech Street: $195.10 Blue Cross PPO — Blue Cross PPO: $160.80 Cigna HMO/PPO — Cigna HMO/PPO: $138.07 Clear Spring Health MA — Clear Spring Health MA: $65.19 Health Alliance Commercial — Health Alliance Commercial: $171.52 Healthlink — Healthlink HMO: $160.80 Healthlink — Healthlink PPO: $182.24 Illinois Medicaid — Illinois Medicaid: $348.78 Illinois Medicaid - Other — Illinois Medicaid - Other: $348.78
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: GROUP THERAPY	$268.10	$134.05	$27.56 – $268.10
Group psychotherapy: 10 of 16 insurance plan rates Aetna — Aetna: $268.10 Beech Street — Beech Street: $243.97 Blue Cross PPO — Blue Cross PPO: $268.10 Cigna HMO/PPO — Cigna HMO/PPO: $172.66 Clear Spring Health MA — Clear Spring Health MA: $30.53 Health Alliance Commercial — Health Alliance Commercial: $268.10 Healthlink — Healthlink HMO: $201.08 Healthlink — Healthlink PPO: $227.89 Illinois Medicaid — Illinois Medicaid: $268.10 Illinois Medicaid - Other — Illinois Medicaid - Other: $268.10
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP THERAPY	$268.10	$134.05	$77.52 – $243.97
Group psychotherapy: 10 of 15 insurance plan rates Aetna — Aetna: $217.16 Beech Street — Beech Street: $243.97 Blue Cross PPO — Blue Cross PPO: $201.08 Cigna HMO/PPO — Cigna HMO/PPO: $172.66 Clear Spring Health MA — Clear Spring Health MA: $81.51 Health Alliance Commercial — Health Alliance Commercial: $214.48 Healthlink — Healthlink HMO: $201.08 Healthlink — Healthlink PPO: $227.89 Illinois Medicaid — Illinois Medicaid: $487.43 Illinois Medicaid - Other — Illinois Medicaid - Other: $487.43
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GROUP THERAPY	$268.10	$134.05	$227.89 – $243.97
Group psychotherapy: rates for 2 insurance plans Beech Street — Beech Street: $243.97 Multiplan/PHCS — Multiplan/PHCS: $227.89

Source: Community Hospital of Staunton’s standard charges file (stauntonhospital.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 9, 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 type	Critical Access Hospital
Address	400 N Caldwell St, Staunton, IL 62088
County	Macoupin County
State	Illinois
Phone	(618) 635‑2200
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	141306
Name in Medicare records	COMMUNITY HOSPITAL OF STAUNTON
Profile level	Medicare data + hospital website
Official website	stauntonhospital.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

Community Hospital of Staunton — stauntonhospital.org
Medical Services — stauntonhospital.org
Emergency Department — stauntonhospital.org
Directions, Parking, Cafeteria — stauntonhospital.org

Community Hospital of Staunton

Summary

Profile from official sources

At a glance