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Acute Care Hospital

Deaconess Illinois Crossroads

Also listed as: Deaconess Illinois Crossroads Hospital

Mount Vernon, Illinois · Jefferson County · Emergency services listed

Deaconess Illinois Crossroads is an acute care hospital at 8 Doctors Park Rd, Mount Vernon, IL 62864. Phone: (618) 244-5500. It has an emergency department.

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

Summary

Deaconess Illinois Crossroads is an acute care hospital in Mount Vernon, Illinois. Medicare data lists emergency services. Its official website lists 8 services, specialties and programs. Medicare lists 161 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

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

Call(618) 244‑5500 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
47Beds (hospital website)
161Doctors and clinicians
8Services listed

Quick answers

Does Deaconess Illinois Crossroads have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Deaconess Illinois Crossroads. In a medical emergency, call 911.
Where is Deaconess Illinois Crossroads?
8 Doctors Park Rd, Mount Vernon, IL 62864, in Jefferson County, Illinois.
What is the phone number of Deaconess Illinois Crossroads?
(618) 244-5500, as listed by Medicare (CMS).
What is the Medicare star rating of Deaconess Illinois Crossroads?
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.
Does Medicare reduce its payments to Deaconess Illinois Crossroads for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Deaconess Illinois Crossroads under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.7786; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4]

Procedures[4]

Programs and centers[4]

  • SANE (Sexual Assault Nurse Examiner) Transfer Facility

Emergency care (hospital website)[4][5][7]

Emergency roomYes
Stroke designationAcute Stroke Ready

Visiting and practical information

Patient portalMyChart

Recognition[4]

  • Joint Commission accredited
  • Get With The Guidelines Rural Stroke Bronze Award (2026)
  • Joint Commission accreditation

Doctors and clinicians (161)

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

Main specialties

Doctors with a page on this site (161)

And 137 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Mount Vernon

All hospitals in Mount Vernon · Hospitals in Jefferson County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

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 Deaconess Illinois Crossroads 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) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well5 of 5 stars
Doctors communicated well5 of 5 stars
Patients got help quickly from staff5 of 5 stars
Staff explained medicines4 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean5 of 5 stars
Restfulness of Environment5 of 5 stars
Care Coordination4 of 5 stars
Symptoms After Stay4 of 5 stars
Rated the hospital 9 or 10 out of 1079%National average: 72%
Would definitely recommend the hospital80%National average: 71%
Nurses “always” communicated well86%National average: 80%
Doctors “always” communicated well87%National average: 80%
“Always” got help as soon as they wanted78%National average: 64%
Staff “always” explained medicines before giving them72%National average: 62%
Were given information about recovery at home86%National average: 86%
Room and bathroom “always” clean82%National average: 73%
Completed surveys215Response rate: 31%

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

Complications and deaths

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

Deaths within 30 days: pneumonia patients16.1%
Serious complications (patient safety indicator PSI-90)0.96No different from the national rate
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)
Too few cases to reportDeaths within 30 days: heart attack patients; Deaths within 30 days: heart failure patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients; Complications after hip or knee replacement

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)16.4%
Readmitted within 30 days: pneumonia18.8%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: heart attack; Readmitted within 30 days: heart failure; Readmitted within 30 days: COPD; Readmitted within 30 days: hip or knee replacement

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)132 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)61%National average: 66%

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

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

Medicare payment programs

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

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-0.7786Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Pneumonia1.0384More readmissions than expected
Hip or knee replacement0.9906Fewer readmissions than expected
No result publishedHeart attack; Heart failure; COPD (chronic lung disease); Coronary bypass surgery (CABG) (not reported, or too few cases)

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

Hospital Value-Based Purchasing Program

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

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

Total Performance Score34.67 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)20.00 out of 100
Person and community engagement (patient survey)84.00 out of 100
Efficiency and cost reduction (Medicare spending)0.00 out of 100
No result publishedSafety (infections and sepsis care) (not reported, or too few cases)

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio1.11Above the national median hospital (1.00): Medicare spent more

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

ER wait times and Medicare ratings nearby

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

ER wait times in Mount VernonBest hospitals in Illinois

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Deaconess Illinois Crossroads 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 →

$ 45 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Show the prices of 86 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99205= RVU --> BILL 99203 $249 $87.15 $55.95 – $219.12
New patient office visit (about 30–44 minutes): 10 of 39 insurance plan rates
  • Aetna — Commercial: $196.71
  • Aetna — Medicare Advantage: $77.81
  • Aetna Better Health of Illinois — Managed Medicaid: $55.95
  • Aetna Better Health of Illinois — Medicare MMP: $77.81
  • Alliance Coal — Commercial: $107.38
  • Alter-Net Medical Services, Inc. — Commercial: $124.50
  • Beech Street — Workers Comp: $219.12
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $87.03
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $87.03
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $55.95
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES $249 $87.15 $55.95 – $219.12
New patient office visit (about 30–44 minutes): 10 of 39 insurance plan rates
  • Aetna — Commercial: $196.71
  • Aetna — Medicare Advantage: $77.81
  • Aetna Better Health of Illinois — Managed Medicaid: $55.95
  • Aetna Better Health of Illinois — Medicare MMP: $77.81
  • Alliance Coal — Commercial: $107.38
  • Alter-Net Medical Services, Inc. — Commercial: $124.50
  • Beech Street — Workers Comp: $219.12
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $87.03
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $87.03
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $55.95
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99204= RVU --> BILL 99203 $249 $87.15 $55.95 – $219.12
New patient office visit (about 30–44 minutes): 10 of 39 insurance plan rates
  • Aetna — Commercial: $196.71
  • Aetna — Medicare Advantage: $77.81
  • Aetna Better Health of Illinois — Managed Medicaid: $55.95
  • Aetna Better Health of Illinois — Medicare MMP: $77.81
  • Alliance Coal — Commercial: $107.38
  • Alter-Net Medical Services, Inc. — Commercial: $124.50
  • Beech Street — Workers Comp: $219.12
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $87.03
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $87.03
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $55.95
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES $369 $129.15 $90.81 – $324.72
New patient office visit (about 45–59 minutes): 10 of 39 insurance plan rates
  • Aetna — Commercial: $291.51
  • Aetna — Medicare Advantage: $126.39
  • Aetna Better Health of Illinois — Managed Medicaid: $90.81
  • Aetna Better Health of Illinois — Medicare MMP: $126.39
  • Alliance Coal — Commercial: $174.42
  • Alter-Net Medical Services, Inc. — Commercial: $202.22
  • Beech Street — Workers Comp: $324.72
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $141.38
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $141.38
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $90.81
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN Not listed in the file Not listed in the file $160.02 – $456.05
New patient office visit (about 45–59 minutes): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $160.02
  • Aetna Better Health of Illinois — Medicare MMP: $163.22
  • Alliance Coal — Commercial: $264.03
  • Alter-Net Medical Services, Inc. — Commercial: $456.05
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $160.02
  • Care Improvement Plus — Medicare Advantage: $163.22
  • Hope Trust — Commercial: $456.05
  • Humana — Dual Medicare/Medicaid: $160.02
  • Humana — Medicare Advantage: $160.02
  • Meridian Health Plan — Dual Medicare/Medicaid: $160.02
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES $451 $157.85 $123.49 – $396.88
New patient office visit (about 60–74 minutes): 10 of 39 insurance plan rates
  • Aetna — Commercial: $356.29
  • Aetna — Medicare Advantage: $172.14
  • Aetna Better Health of Illinois — Managed Medicaid: $123.49
  • Aetna Better Health of Illinois — Medicare MMP: $172.14
  • Alliance Coal — Commercial: $237.55
  • Alter-Net Medical Services, Inc. — Commercial: $275.42
  • Beech Street — Workers Comp: $396.88
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $192.50
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $192.50
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $123.49
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN Not listed in the file Not listed in the file $211.89 – $603.87
New patient office visit (about 60–74 minutes): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $211.89
  • Aetna Better Health of Illinois — Medicare MMP: $216.12
  • Alliance Coal — Commercial: $349.61
  • Alter-Net Medical Services, Inc. — Commercial: $603.87
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $211.89
  • Care Improvement Plus — Medicare Advantage: $216.12
  • Hope Trust — Commercial: $603.87
  • Humana — Dual Medicare/Medicaid: $211.89
  • Humana — Medicare Advantage: $211.89
  • Meridian Health Plan — Dual Medicare/Medicaid: $211.89
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99245=RVU--> BILL 99213 $170 $59.50 $44.67 – $149.60
Established patient office visit (about 20–29 minutes): 10 of 39 insurance plan rates
  • Aetna — Commercial: $134.30
  • Aetna — Medicare Advantage: $63.33
  • Aetna Better Health of Illinois — Managed Medicaid: $44.67
  • Aetna Better Health of Illinois — Medicare MMP: $63.33
  • Alliance Coal — Commercial: $87.40
  • Alter-Net Medical Services, Inc. — Commercial: $101.33
  • Beech Street — Workers Comp: $149.60
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $69.55
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $69.55
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $44.67
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99215= RVU --> BILL 99213 $170 $59.50 $44.67 – $149.60
Established patient office visit (about 20–29 minutes): 10 of 39 insurance plan rates
  • Aetna — Commercial: $134.30
  • Aetna — Medicare Advantage: $63.33
  • Aetna Better Health of Illinois — Managed Medicaid: $44.67
  • Aetna Better Health of Illinois — Medicare MMP: $63.33
  • Alliance Coal — Commercial: $87.40
  • Alter-Net Medical Services, Inc. — Commercial: $101.33
  • Beech Street — Workers Comp: $149.60
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $69.55
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $69.55
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $44.67
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99244 RVU--> BILL 99213 $170 $59.50 $44.67 – $149.60
Established patient office visit (about 20–29 minutes): 10 of 39 insurance plan rates
  • Aetna — Commercial: $134.30
  • Aetna — Medicare Advantage: $63.33
  • Aetna Better Health of Illinois — Managed Medicaid: $44.67
  • Aetna Better Health of Illinois — Medicare MMP: $63.33
  • Alliance Coal — Commercial: $87.40
  • Alter-Net Medical Services, Inc. — Commercial: $101.33
  • Beech Street — Workers Comp: $149.60
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $69.55
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $69.55
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $44.67
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN $248 $86.80 $65.79 – $218.24
Established patient office visit (about 30–39 minutes): 10 of 39 insurance plan rates
  • Aetna — Commercial: $195.92
  • Aetna — Medicare Advantage: $91.55
  • Aetna Better Health of Illinois — Managed Medicaid: $65.79
  • Aetna Better Health of Illinois — Medicare MMP: $91.55
  • Alliance Coal — Commercial: $126.34
  • Alter-Net Medical Services, Inc. — Commercial: $146.48
  • Beech Street — Workers Comp: $218.24
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $102.44
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $102.44
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $65.79
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN Not listed in the file Not listed in the file $121.91 – $347.43
Established patient office visit (about 30–39 minutes): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $121.91
  • Aetna Better Health of Illinois — Medicare MMP: $124.34
  • Alliance Coal — Commercial: $201.14
  • Alter-Net Medical Services, Inc. — Commercial: $347.43
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $121.91
  • Care Improvement Plus — Medicare Advantage: $124.34
  • Hope Trust — Commercial: $347.43
  • Humana — Dual Medicare/Medicaid: $121.91
  • Humana — Medicare Advantage: $121.91
  • Meridian Health Plan — Dual Medicare/Medicaid: $121.91
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $250 $87.50 $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $220
Office consultation with a specialist (moderate): 10 of 39 insurance plan rates
  • Aetna — Commercial: $197.50
  • Aetna — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Aetna Better Health of Illinois — Managed Medicaid: $51.30
  • Aetna Better Health of Illinois — Medicare MMP: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Alter-Net Medical Services, Inc. — Commercial: $0.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Beech Street — Workers Comp: $220
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $51.30
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 Not listed in the file Not listed in the file $106.65 – $303.96
Office consultation with a specialist (moderate): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $106.65
  • Aetna Better Health of Illinois — Medicare MMP: $108.79
  • Alliance Coal — Commercial: $175.98
  • Alter-Net Medical Services, Inc. — Commercial: $303.96
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $106.65
  • Care Improvement Plus — Medicare Advantage: $108.79
  • Hope Trust — Commercial: $303.96
  • Humana — Dual Medicare/Medicaid: $106.65
  • Humana — Medicare Advantage: $106.65
  • Meridian Health Plan — Dual Medicare/Medicaid: $106.65
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES $365 $127.75 $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $321.20
Office consultation with a specialist (moderate to high): 10 of 39 insurance plan rates
  • Aetna — Commercial: $288.35
  • Aetna — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Aetna Better Health of Illinois — Managed Medicaid: $71.40
  • Aetna Better Health of Illinois — Medicare MMP: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Alter-Net Medical Services, Inc. — Commercial: $0.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Beech Street — Workers Comp: $321.20
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $71.40
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 Not listed in the file Not listed in the file $151.98 – $433.14
Office consultation with a specialist (moderate to high): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $151.98
  • Aetna Better Health of Illinois — Medicare MMP: $155.02
  • Alliance Coal — Commercial: $250.77
  • Alter-Net Medical Services, Inc. — Commercial: $433.14
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $151.98
  • Care Improvement Plus — Medicare Advantage: $155.02
  • Hope Trust — Commercial: $433.14
  • Humana — Dual Medicare/Medicaid: $151.98
  • Humana — Medicare Advantage: $151.98
  • Meridian Health Plan — Dual Medicare/Medicaid: $151.98
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS $260 $91 $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $228.80
Preventive checkup, new patient, age 18–39: 10 of 39 insurance plan rates
  • Aetna — Commercial: $205.40
  • Aetna — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Aetna Better Health of Illinois — Managed Medicaid: $32.15
  • Aetna Better Health of Illinois — Medicare MMP: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Alter-Net Medical Services, Inc. — Commercial: $0.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Beech Street — Workers Comp: $228.80
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $136.03
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $136.03
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $32.15
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 Not listed in the file Not listed in the file $122.49 – $349.09
Preventive checkup, new patient, age 18–39: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $122.49
  • Aetna Better Health of Illinois — Medicare MMP: $124.94
  • Alliance Coal — Commercial: $202.10
  • Alter-Net Medical Services, Inc. — Commercial: $349.09
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $122.49
  • Care Improvement Plus — Medicare Advantage: $124.94
  • Hope Trust — Commercial: $349.09
  • Humana — Dual Medicare/Medicaid: $122.49
  • Humana — Medicare Advantage: $122.49
  • Meridian Health Plan — Dual Medicare/Medicaid: $122.49
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee · modifier 52 In the file: PREV VISIT NEW AGE 18-39 Not listed in the file Not listed in the file $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $54.41
Preventive checkup, new patient, age 18–39: 10 of 26 insurance plan rates
  • Aetna — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Aetna Better Health of Illinois — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Aetna Better Health of Illinois — Medicare MMP: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Alter-Net Medical Services, Inc. — Commercial: $0.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $54.41
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $54.41
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Deaconess OneCare — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS $135 $47.25 $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $200.90
Preventive checkup, new patient, age 40–64: 10 of 39 insurance plan rates
  • Aetna — Commercial: $106.65
  • Aetna — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Aetna Better Health of Illinois — Managed Medicaid: $66.40
  • Aetna Better Health of Illinois — Medicare MMP: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Alter-Net Medical Services, Inc. — Commercial: $0.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Beech Street — Workers Comp: $118.80
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $164.55
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $164.55
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $66.40
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 Not listed in the file Not listed in the file $141.36 – $402.88
Preventive checkup, new patient, age 40–64: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $141.36
  • Aetna Better Health of Illinois — Medicare MMP: $144.19
  • Alliance Coal — Commercial: $233.25
  • Alter-Net Medical Services, Inc. — Commercial: $402.88
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $141.36
  • Care Improvement Plus — Medicare Advantage: $144.19
  • Hope Trust — Commercial: $402.88
  • Humana — Dual Medicare/Medicaid: $141.36
  • Humana — Medicare Advantage: $141.36
  • Meridian Health Plan — Dual Medicare/Medicaid: $141.36
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee · modifier 52 In the file: PREV VISIT NEW AGE 40-64 Not listed in the file Not listed in the file $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $65.82
Preventive checkup, new patient, age 40–64: 10 of 26 insurance plan rates
  • Aetna — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Aetna Better Health of Illinois — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Aetna Better Health of Illinois — Medicare MMP: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Alter-Net Medical Services, Inc. — Commercial: $0.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $65.82
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $65.82
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Deaconess OneCare — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 3 VISIT 99283 $1,255.58 $276.23 $276.23 – $1,104.91
Emergency room visit (moderate): 10 of 44 insurance plan rates
  • Aetna — Commercial: $991.91
  • Aetna — Medicare Advantage: $288.64
  • Aetna Better Health of Illinois — Medicare MMP: $294.41
  • Alliance Coal — Commercial: $476.25
  • Alter-Net Medical Services, Inc. — Commercial: $822.61
  • Beech Street — Workers Comp: $1,104.91
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $548.69
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $596.40
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $288.64
  • Care Improvement Plus — Medicare Advantage: $294.41
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ED VISIT LOW MDM $212 $74.20 $49.16 – $186.56
Emergency room visit (moderate): 10 of 37 insurance plan rates
  • Aetna — Commercial: $167.48
  • Aetna — Medicare Advantage: $67.78
  • Aetna Better Health of Illinois — Managed Medicaid: $49.16
  • Aetna Better Health of Illinois — Medicare MMP: $67.78
  • Alliance Coal — Commercial: $93.54
  • Alter-Net Medical Services, Inc. — Commercial: $108.45
  • Beech Street — Workers Comp: $186.56
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $94.60
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $94.60
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $49.16
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL 3 VISIT 99283 $1,255.58 $276.23 $276.23 – $1,104.91
Emergency room visit (moderate): 10 of 19 insurance plan rates
  • Aetna — Commercial: $991.91
  • Alter-Net Medical Services, Inc. — Commercial: $439.45
  • Beech Street — Workers Comp: $1,104.91
  • Cigna — Commercial: $488.42
  • Deaconess OneCare — Commercial: $665.46
  • Encore Combined — Commercial: $765.90
  • Encore Prime/Elite/Elite + — Commercial: $689.31
  • First Health — Commercial: $1,057.20
  • Guardian Resources, Inc. — Commercial: $1,054.69
  • Healthcare's Finest Network (HFN) — Commercial: $1,067.24
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 4 VISIT 99284 $1,663.27 $365.92 $365.92 – $1,463.68
Emergency room visit (moderately high): 10 of 44 insurance plan rates
  • Aetna — Commercial: $1,313.98
  • Aetna — Medicare Advantage: $443.88
  • Aetna Better Health of Illinois — Medicare MMP: $452.76
  • Alliance Coal — Commercial: $732.41
  • Alter-Net Medical Services, Inc. — Commercial: $1,265.07
  • Beech Street — Workers Comp: $1,463.68
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $726.85
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $790.05
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $443.88
  • Care Improvement Plus — Medicare Advantage: $452.76
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ED VISIT MODERATE MDM $315 $110.25 $83.69 – $277.20
Emergency room visit (moderately high): 10 of 37 insurance plan rates
  • Aetna — Commercial: $248.85
  • Aetna — Medicare Advantage: $115.92
  • Aetna Better Health of Illinois — Managed Medicaid: $83.69
  • Aetna Better Health of Illinois — Medicare MMP: $115.92
  • Alliance Coal — Commercial: $159.97
  • Alter-Net Medical Services, Inc. — Commercial: $185.47
  • Beech Street — Workers Comp: $277.20
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $161.79
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $161.79
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $83.69
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL 4 VISIT 99284 $1,663.27 $365.92 $365.92 – $1,463.68
Emergency room visit (moderately high): 10 of 19 insurance plan rates
  • Aetna — Commercial: $1,313.98
  • Alter-Net Medical Services, Inc. — Commercial: $582.14
  • Beech Street — Workers Comp: $1,463.68
  • Cigna — Commercial: $647.01
  • Deaconess OneCare — Commercial: $881.53
  • Encore Combined — Commercial: $1,014.59
  • Encore Prime/Elite/Elite + — Commercial: $913.14
  • First Health — Commercial: $1,400.47
  • Guardian Resources, Inc. — Commercial: $1,397.15
  • Healthcare's Finest Network (HFN) — Commercial: $1,413.78
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 5 VISIT 99285 $2,585.63 $568.84 $568.84 – $2,275.35
Emergency room visit (high): 10 of 44 insurance plan rates
  • Aetna — Commercial: $2,042.65
  • Aetna — Medicare Advantage: $639.11
  • Aetna Better Health of Illinois — Medicare MMP: $651.89
  • Alliance Coal — Commercial: $1,054.53
  • Alter-Net Medical Services, Inc. — Commercial: $1,821.46
  • Beech Street — Workers Comp: $2,275.35
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $1,129.92
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $1,228.17
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $639.11
  • Care Improvement Plus — Medicare Advantage: $651.89
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ED VISIT HIGH MDM $469 $164.15 $121.28 – $412.72
Emergency room visit (high): 10 of 37 insurance plan rates
  • Aetna — Commercial: $370.51
  • Aetna — Medicare Advantage: $168.28
  • Aetna Better Health of Illinois — Managed Medicaid: $121.28
  • Aetna Better Health of Illinois — Medicare MMP: $168.28
  • Alliance Coal — Commercial: $232.23
  • Alter-Net Medical Services, Inc. — Commercial: $269.25
  • Beech Street — Workers Comp: $412.72
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $234.89
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $234.89
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $121.28
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL 5 VISIT 99285 $2,585.63 $568.84 $568.84 – $2,275.35
Emergency room visit (high): 10 of 19 insurance plan rates
  • Aetna — Commercial: $2,042.65
  • Alter-Net Medical Services, Inc. — Commercial: $904.97
  • Beech Street — Workers Comp: $2,275.35
  • Cigna — Commercial: $1,005.81
  • Deaconess OneCare — Commercial: $1,370.38
  • Encore Combined — Commercial: $1,577.23
  • Encore Prime/Elite/Elite + — Commercial: $1,419.51
  • First Health — Commercial: $2,177.10
  • Guardian Resources, Inc. — Commercial: $2,171.93
  • Healthcare's Finest Network (HFN) — Commercial: $2,197.79

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PROF CHEM8 $328.88 $72.36 $8.46 – $289.41
Basic metabolic panel (blood test): 10 of 44 insurance plan rates
  • Aetna — Commercial: $259.82
  • Aetna — Medicare Advantage: $8.46
  • Aetna Better Health of Illinois — Medicare MMP: $8.63
  • Alliance Coal — Commercial: $8.46
  • Alter-Net Medical Services, Inc. — Commercial: $24.11
  • Beech Street — Workers Comp: $289.41
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $143.72
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $156.22
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $8.46
  • Care Improvement Plus — Medicare Advantage: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG BASIC METABOLIC PANEL CALCIUM TOTAL $49 $17.15 $3.50 – $43.12
Basic metabolic panel (blood test): 10 of 37 insurance plan rates
  • Aetna — Commercial: $38.71
  • Aetna — Medicare Advantage: $8.46
  • Aetna Better Health of Illinois — Managed Medicaid: $8.28
  • Aetna Better Health of Illinois — Medicare MMP: $8.46
  • Alliance Coal — Commercial: $8.88
  • Alter-Net Medical Services, Inc. — Commercial: $13.54
  • Beech Street — Workers Comp: $43.12
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $8.28
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PROF CHEM8 $328.88 $72.36 $72.35 – $289.41
Basic metabolic panel (blood test): 10 of 19 insurance plan rates
  • Aetna — Commercial: $259.82
  • Alter-Net Medical Services, Inc. — Commercial: $115.11
  • Beech Street — Workers Comp: $289.41
  • Cigna — Commercial: $127.93
  • Deaconess OneCare — Commercial: $174.31
  • Encore Combined — Commercial: $200.62
  • Encore Prime/Elite/Elite + — Commercial: $180.56
  • First Health — Commercial: $276.92
  • Guardian Resources, Inc. — Commercial: $276.26
  • Healthcare's Finest Network (HFN) — Commercial: $279.55
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PROFILE $552.73 $121.61 $10.56 – $486.40
Comprehensive metabolic panel (blood test): 10 of 44 insurance plan rates
  • Aetna — Commercial: $436.66
  • Aetna — Medicare Advantage: $10.56
  • Aetna Better Health of Illinois — Medicare MMP: $10.77
  • Alliance Coal — Commercial: $10.56
  • Alter-Net Medical Services, Inc. — Commercial: $30.10
  • Beech Street — Workers Comp: $486.40
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $241.54
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $262.55
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $10.56
  • Care Improvement Plus — Medicare Advantage: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL CMP REF $552.73 $121.61 $10.56 – $486.40
Comprehensive metabolic panel (blood test): 10 of 44 insurance plan rates
  • Aetna — Commercial: $436.66
  • Aetna — Medicare Advantage: $10.56
  • Aetna Better Health of Illinois — Medicare MMP: $10.77
  • Alliance Coal — Commercial: $10.56
  • Alter-Net Medical Services, Inc. — Commercial: $30.10
  • Beech Street — Workers Comp: $486.40
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $241.54
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $262.55
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $10.56
  • Care Improvement Plus — Medicare Advantage: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG COMPREHENSIVE METABOLIC PANEL $78 $27.30 $3.50 – $68.64
Comprehensive metabolic panel (blood test): 10 of 37 insurance plan rates
  • Aetna — Commercial: $61.62
  • Aetna — Medicare Advantage: $10.56
  • Aetna Better Health of Illinois — Managed Medicaid: $10.36
  • Aetna Better Health of Illinois — Medicare MMP: $10.56
  • Alliance Coal — Commercial: $11.09
  • Alter-Net Medical Services, Inc. — Commercial: $16.90
  • Beech Street — Workers Comp: $68.64
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $10.36
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $47.81 – $136.26
Obstetric blood test panel: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $47.81
  • Aetna Better Health of Illinois — Medicare MMP: $48.77
  • Alliance Coal — Commercial: $47.81
  • Alter-Net Medical Services, Inc. — Commercial: $136.26
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $47.81
  • Care Improvement Plus — Medicare Advantage: $47.81
  • Deaconess OneCare — Commercial: $47.81
  • Encore Combined — Commercial: $47.81
  • Encore Prime/Elite/Elite + — Commercial: $47.81
  • Hope Trust — Commercial: $136.26
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL REF $497.56 $109.47 $13.39 – $437.85
Cholesterol panel (lipid panel): 10 of 44 insurance plan rates
  • Aetna — Commercial: $393.07
  • Aetna — Medicare Advantage: $13.39
  • Aetna Better Health of Illinois — Medicare MMP: $13.66
  • Alliance Coal — Commercial: $13.39
  • Alter-Net Medical Services, Inc. — Commercial: $38.16
  • Beech Street — Workers Comp: $437.85
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $217.43
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $236.34
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $13.39
  • Care Improvement Plus — Medicare Advantage: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PROFILE CORONARY RISK $48.27 $10.62 $10.62 – $42.48
Cholesterol panel (lipid panel): 10 of 44 insurance plan rates
  • Aetna — Commercial: $38.13
  • Aetna — Medicare Advantage: $13.39
  • Aetna Better Health of Illinois — Medicare MMP: $13.66
  • Alliance Coal — Commercial: $13.39
  • Alter-Net Medical Services, Inc. — Commercial: $38.16
  • Beech Street — Workers Comp: $42.48
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $21.09
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $22.93
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $13.39
  • Care Improvement Plus — Medicare Advantage: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Doctor (professional) fee In the file: LIPID PROFILE $89 $31.15 $3.50 – $78.32
Cholesterol panel (lipid panel): 10 of 37 insurance plan rates
  • Aetna — Commercial: $70.31
  • Aetna — Medicare Advantage: $13.39
  • Aetna Better Health of Illinois — Managed Medicaid: $9.37
  • Aetna Better Health of Illinois — Medicare MMP: $13.39
  • Alliance Coal — Commercial: $14.06
  • Alter-Net Medical Services, Inc. — Commercial: $21.42
  • Beech Street — Workers Comp: $78.32
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $9.37
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL PROFILE $589.86 $129.77 $8.68 – $519.08
Kidney function panel: 10 of 44 insurance plan rates
  • Aetna — Commercial: $465.99
  • Aetna — Medicare Advantage: $8.68
  • Aetna Better Health of Illinois — Medicare MMP: $8.85
  • Alliance Coal — Commercial: $8.68
  • Alter-Net Medical Services, Inc. — Commercial: $24.74
  • Beech Street — Workers Comp: $519.08
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $257.77
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $280.18
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $8.68
  • Care Improvement Plus — Medicare Advantage: $8.68
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: RENAL PROFILE $45 $15.75 $3.50 – $39.60
Kidney function panel: 10 of 37 insurance plan rates
  • Aetna — Commercial: $35.55
  • Aetna — Medicare Advantage: $8.68
  • Aetna Better Health of Illinois — Managed Medicaid: $8.52
  • Aetna Better Health of Illinois — Medicare MMP: $8.68
  • Alliance Coal — Commercial: $9.11
  • Alter-Net Medical Services, Inc. — Commercial: $13.89
  • Beech Street — Workers Comp: $39.60
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $8.52
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RENAL FUNCTION PANEL $54 $18.90 $3.50 – $47.52
Kidney function panel: 10 of 37 insurance plan rates
  • Aetna — Commercial: $42.66
  • Aetna — Medicare Advantage: $8.68
  • Aetna Better Health of Illinois — Managed Medicaid: $8.52
  • Aetna Better Health of Illinois — Medicare MMP: $8.68
  • Alliance Coal — Commercial: $9.11
  • Alter-Net Medical Services, Inc. — Commercial: $13.89
  • Beech Street — Workers Comp: $47.52
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $8.52
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIVER HEPATIC PROFILE $705.50 $155.21 $8.17 – $620.84
Liver function panel: 10 of 44 insurance plan rates
  • Aetna — Commercial: $557.35
  • Aetna — Medicare Advantage: $8.17
  • Aetna Better Health of Illinois — Medicare MMP: $8.33
  • Alliance Coal — Commercial: $8.17
  • Alter-Net Medical Services, Inc. — Commercial: $23.28
  • Beech Street — Workers Comp: $620.84
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $308.30
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $335.11
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $8.17
  • Care Improvement Plus — Medicare Advantage: $8.17
Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: HEPATIC (LIVER) FUNCTION PANEL $46 $16.10 $3.50 – $40.48
Liver function panel: 10 of 37 insurance plan rates
  • Aetna — Commercial: $36.34
  • Aetna — Medicare Advantage: $8.17
  • Aetna Better Health of Illinois — Managed Medicaid: $7.98
  • Aetna Better Health of Illinois — Medicare MMP: $8.17
  • Alliance Coal — Commercial: $8.58
  • Alter-Net Medical Services, Inc. — Commercial: $13.07
  • Beech Street — Workers Comp: $40.48
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $7.98
Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG HEPATIC FUNCTION PANEL $46 $16.10 $3.50 – $40.48
Liver function panel: 10 of 37 insurance plan rates
  • Aetna — Commercial: $36.34
  • Aetna — Medicare Advantage: $8.17
  • Aetna Better Health of Illinois — Managed Medicaid: $7.98
  • Aetna Better Health of Illinois — Medicare MMP: $8.17
  • Alliance Coal — Commercial: $8.58
  • Alter-Net Medical Services, Inc. — Commercial: $13.07
  • Beech Street — Workers Comp: $40.48
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $7.98
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS W/MICRO CULTURE $182.47 $40.15 $3.17 – $160.57
Urine test (automated, with microscope): 10 of 44 insurance plan rates
  • Aetna — Commercial: $144.15
  • Aetna — Medicare Advantage: $3.17
  • Aetna Better Health of Illinois — Medicare MMP: $3.23
  • Alliance Coal — Commercial: $3.17
  • Alter-Net Medical Services, Inc. — Commercial: $9.03
  • Beech Street — Workers Comp: $160.57
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $79.74
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $86.67
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $3.17
  • Care Improvement Plus — Medicare Advantage: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS W MICRO $182.47 $40.15 $3.17 – $160.57
Urine test (automated, with microscope): 10 of 44 insurance plan rates
  • Aetna — Commercial: $144.15
  • Aetna — Medicare Advantage: $3.17
  • Aetna Better Health of Illinois — Medicare MMP: $3.23
  • Alliance Coal — Commercial: $3.17
  • Alter-Net Medical Services, Inc. — Commercial: $9.03
  • Beech Street — Workers Comp: $160.57
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $79.74
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $86.67
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $3.17
  • Care Improvement Plus — Medicare Advantage: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UA AUTO WITH MICRO 81001 $182.47 $40.15 $3.17 – $160.57
Urine test (automated, with microscope): 10 of 44 insurance plan rates
  • Aetna — Commercial: $144.15
  • Aetna — Medicare Advantage: $3.17
  • Aetna Better Health of Illinois — Medicare MMP: $3.23
  • Alliance Coal — Commercial: $3.17
  • Alter-Net Medical Services, Inc. — Commercial: $9.03
  • Beech Street — Workers Comp: $160.57
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $79.74
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $86.67
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $3.17
  • Care Improvement Plus — Medicare Advantage: $3.17
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT URINE QUALITATIVE DIPSTICK GLUCOSE $18 $6.30 $3.48 – $15.84
Urine test (manual, without microscope): 10 of 37 insurance plan rates
  • Aetna — Commercial: $14.22
  • Aetna — Medicare Advantage: $3.48
  • Aetna Better Health of Illinois — Managed Medicaid: $5.20
  • Aetna Better Health of Illinois — Medicare MMP: $3.48
  • Alliance Coal — Commercial: $3.65
  • Alter-Net Medical Services, Inc. — Commercial: $5.57
  • Beech Street — Workers Comp: $15.84
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $5.20
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT URINE QUALITATIVE DIPSTICK PROTEIN $18 $6.30 $3.48 – $15.84
Urine test (manual, without microscope): 10 of 37 insurance plan rates
  • Aetna — Commercial: $14.22
  • Aetna — Medicare Advantage: $3.48
  • Aetna Better Health of Illinois — Managed Medicaid: $5.20
  • Aetna Better Health of Illinois — Medicare MMP: $3.48
  • Alliance Coal — Commercial: $3.65
  • Alter-Net Medical Services, Inc. — Commercial: $5.57
  • Beech Street — Workers Comp: $15.84
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $5.20
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT URINE QUALITATIVE DIPSTICK PH $18 $6.30 $3.48 – $15.84
Urine test (manual, without microscope): 10 of 37 insurance plan rates
  • Aetna — Commercial: $14.22
  • Aetna — Medicare Advantage: $3.48
  • Aetna Better Health of Illinois — Managed Medicaid: $5.20
  • Aetna Better Health of Illinois — Medicare MMP: $3.48
  • Alliance Coal — Commercial: $3.65
  • Alter-Net Medical Services, Inc. — Commercial: $5.57
  • Beech Street — Workers Comp: $15.84
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $5.20
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BILIRUBIN URINE $92.30 $20.31 $2.25 – $81.22
Urine test (automated, without microscope): 10 of 44 insurance plan rates
  • Aetna — Commercial: $72.92
  • Aetna — Medicare Advantage: $2.25
  • Aetna Better Health of Illinois — Medicare MMP: $2.30
  • Alliance Coal — Commercial: $2.25
  • Alter-Net Medical Services, Inc. — Commercial: $6.41
  • Beech Street — Workers Comp: $81.22
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $40.34
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $43.84
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $2.25
  • Care Improvement Plus — Medicare Advantage: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PH URINE $158.07 $34.78 $2.25 – $139.10
Urine test (automated, without microscope): 10 of 44 insurance plan rates
  • Aetna — Commercial: $124.88
  • Aetna — Medicare Advantage: $2.25
  • Aetna Better Health of Illinois — Medicare MMP: $2.30
  • Alliance Coal — Commercial: $2.25
  • Alter-Net Medical Services, Inc. — Commercial: $6.41
  • Beech Street — Workers Comp: $139.10
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $69.08
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $75.08
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $2.25
  • Care Improvement Plus — Medicare Advantage: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UA AUTO W/O MICRO $92.30 $20.31 $2.25 – $81.22
Urine test (automated, without microscope): 10 of 44 insurance plan rates
  • Aetna — Commercial: $72.92
  • Aetna — Medicare Advantage: $2.25
  • Aetna Better Health of Illinois — Medicare MMP: $2.30
  • Alliance Coal — Commercial: $2.25
  • Alter-Net Medical Services, Inc. — Commercial: $6.41
  • Beech Street — Workers Comp: $81.22
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $40.34
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $43.84
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $2.25
  • Care Improvement Plus — Medicare Advantage: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA DIAGNOSTIC $608.96 $133.98 $18.39 – $535.88
PSA (prostate specific antigen) blood test: 10 of 44 insurance plan rates
  • Aetna — Commercial: $481.08
  • Aetna — Medicare Advantage: $18.39
  • Aetna Better Health of Illinois — Medicare MMP: $18.76
  • Alliance Coal — Commercial: $18.39
  • Alter-Net Medical Services, Inc. — Commercial: $52.41
  • Beech Street — Workers Comp: $535.88
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $266.12
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $289.26
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $18.39
  • Care Improvement Plus — Medicare Advantage: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC AG PSA TOTAL REF $608.96 $133.98 $18.39 – $535.88
PSA (prostate specific antigen) blood test: 10 of 44 insurance plan rates
  • Aetna — Commercial: $481.08
  • Aetna — Medicare Advantage: $18.39
  • Aetna Better Health of Illinois — Medicare MMP: $18.76
  • Alliance Coal — Commercial: $18.39
  • Alter-Net Medical Services, Inc. — Commercial: $52.41
  • Beech Street — Workers Comp: $535.88
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $266.12
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $289.26
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $18.39
  • Care Improvement Plus — Medicare Advantage: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL $50 $17.50 $3.50 – $44
PSA (prostate specific antigen) blood test: 10 of 37 insurance plan rates
  • Aetna — Commercial: $39.50
  • Aetna — Medicare Advantage: $18.39
  • Aetna Better Health of Illinois — Managed Medicaid: $13.20
  • Aetna Better Health of Illinois — Medicare MMP: $18.39
  • Alliance Coal — Commercial: $19.31
  • Alter-Net Medical Services, Inc. — Commercial: $29.42
  • Beech Street — Workers Comp: $44
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $13.20
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH ULTRASENSITIVE 3RD GEN REF $552.73 $121.61 $16.80 – $486.40
Thyroid stimulating hormone (TSH) test: 10 of 44 insurance plan rates
  • Aetna — Commercial: $436.66
  • Aetna — Medicare Advantage: $16.80
  • Aetna Better Health of Illinois — Medicare MMP: $17.14
  • Alliance Coal — Commercial: $16.80
  • Alter-Net Medical Services, Inc. — Commercial: $47.88
  • Beech Street — Workers Comp: $486.40
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $241.54
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $262.55
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $16.80
  • Care Improvement Plus — Medicare Advantage: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH THIRD GENERATION $60.56 $13.33 $13.32 – $53.29
Thyroid stimulating hormone (TSH) test: 10 of 44 insurance plan rates
  • Aetna — Commercial: $47.84
  • Aetna — Medicare Advantage: $16.80
  • Aetna Better Health of Illinois — Medicare MMP: $17.14
  • Alliance Coal — Commercial: $16.80
  • Alter-Net Medical Services, Inc. — Commercial: $47.88
  • Beech Street — Workers Comp: $53.29
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $26.46
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $28.77
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $16.80
  • Care Improvement Plus — Medicare Advantage: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH AND FT4 REF $552.73 $121.61 $16.80 – $486.40
Thyroid stimulating hormone (TSH) test: 10 of 44 insurance plan rates
  • Aetna — Commercial: $436.66
  • Aetna — Medicare Advantage: $16.80
  • Aetna Better Health of Illinois — Medicare MMP: $17.14
  • Alliance Coal — Commercial: $16.80
  • Alter-Net Medical Services, Inc. — Commercial: $47.88
  • Beech Street — Workers Comp: $486.40
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $241.54
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $262.55
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $16.80
  • Care Improvement Plus — Medicare Advantage: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC W AUTO DIFF $28.01 $6.17 $6.16 – $24.65
Complete blood count (CBC) with differential: 10 of 44 insurance plan rates
  • Aetna — Commercial: $22.13
  • Aetna — Medicare Advantage: $7.77
  • Aetna Better Health of Illinois — Medicare MMP: $7.93
  • Alliance Coal — Commercial: $7.77
  • Alter-Net Medical Services, Inc. — Commercial: $22.14
  • Beech Street — Workers Comp: $24.65
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $12.24
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $13.30
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $7.77
  • Care Improvement Plus — Medicare Advantage: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: CBC W MANUAL DIFFERENTIAL $39 $13.65 $3.50 – $34.32
Complete blood count (CBC) with differential: 10 of 37 insurance plan rates
  • Aetna — Commercial: $30.81
  • Aetna — Medicare Advantage: $7.77
  • Aetna Better Health of Illinois — Managed Medicaid: $5.74
  • Aetna Better Health of Illinois — Medicare MMP: $7.77
  • Alliance Coal — Commercial: $8.16
  • Alter-Net Medical Services, Inc. — Commercial: $12.43
  • Beech Street — Workers Comp: $34.32
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $5.74
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: MANUAL DIFFERENTIAL $39 $13.65 $3.50 – $34.32
Complete blood count (CBC) with differential: 10 of 37 insurance plan rates
  • Aetna — Commercial: $30.81
  • Aetna — Medicare Advantage: $7.77
  • Aetna Better Health of Illinois — Managed Medicaid: $5.74
  • Aetna Better Health of Illinois — Medicare MMP: $7.77
  • Alliance Coal — Commercial: $8.16
  • Alter-Net Medical Services, Inc. — Commercial: $12.43
  • Beech Street — Workers Comp: $34.32
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $5.74
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC W MANUAL DIFF $190.96 $42.02 $6.47 – $168.04
Complete blood count (CBC), automated: 10 of 44 insurance plan rates
  • Aetna — Commercial: $150.86
  • Aetna — Medicare Advantage: $6.47
  • Aetna Better Health of Illinois — Medicare MMP: $6.60
  • Alliance Coal — Commercial: $6.47
  • Alter-Net Medical Services, Inc. — Commercial: $18.44
  • Beech Street — Workers Comp: $168.04
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $83.45
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $90.71
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $6.47
  • Care Improvement Plus — Medicare Advantage: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC WHOLE BLOOD SCREEN $270.94 $59.61 $6.47 – $238.43
Complete blood count (CBC), automated: 10 of 44 insurance plan rates
  • Aetna — Commercial: $214.04
  • Aetna — Medicare Advantage: $6.47
  • Aetna Better Health of Illinois — Medicare MMP: $6.60
  • Alliance Coal — Commercial: $6.47
  • Alter-Net Medical Services, Inc. — Commercial: $18.44
  • Beech Street — Workers Comp: $238.43
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $118.40
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $128.70
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $6.47
  • Care Improvement Plus — Medicare Advantage: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG BLOOD COUNT COMPLETE AUTOMATED $38 $13.30 $2.11 – $33.44
Complete blood count (CBC), automated: 10 of 37 insurance plan rates
  • Aetna — Commercial: $30.02
  • Aetna — Medicare Advantage: $6.47
  • Aetna Better Health of Illinois — Managed Medicaid: $2.11
  • Aetna Better Health of Illinois — Medicare MMP: $6.47
  • Alliance Coal — Commercial: $6.79
  • Alter-Net Medical Services, Inc. — Commercial: $10.35
  • Beech Street — Workers Comp: $33.44
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $2.11
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PROTHROMBIN TIME REF $217.48 $47.85 $4.29 – $191.38
Blood clotting time test (prothrombin time, PT): 10 of 44 insurance plan rates
  • Aetna — Commercial: $171.81
  • Aetna — Medicare Advantage: $4.29
  • Aetna Better Health of Illinois — Medicare MMP: $4.38
  • Alliance Coal — Commercial: $4.29
  • Alter-Net Medical Services, Inc. — Commercial: $12.23
  • Beech Street — Workers Comp: $191.38
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $95.04
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $103.30
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $4.29
  • Care Improvement Plus — Medicare Advantage: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME $217.48 $47.85 $4.29 – $191.38
Blood clotting time test (prothrombin time, PT): 10 of 44 insurance plan rates
  • Aetna — Commercial: $171.81
  • Aetna — Medicare Advantage: $4.29
  • Aetna Better Health of Illinois — Medicare MMP: $4.38
  • Alliance Coal — Commercial: $4.29
  • Alter-Net Medical Services, Inc. — Commercial: $12.23
  • Beech Street — Workers Comp: $191.38
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $95.04
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $103.30
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $4.29
  • Care Improvement Plus — Medicare Advantage: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG PROTHROMBIN TIME $26 $9.10 $3.50 – $22.88
Blood clotting time test (prothrombin time, PT): 10 of 37 insurance plan rates
  • Aetna — Commercial: $20.54
  • Aetna — Medicare Advantage: $4.29
  • Aetna Better Health of Illinois — Managed Medicaid: $3.82
  • Aetna Better Health of Illinois — Medicare MMP: $4.29
  • Alliance Coal — Commercial: $4.50
  • Alter-Net Medical Services, Inc. — Commercial: $6.86
  • Beech Street — Workers Comp: $22.88
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $3.82
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC APTT B $217.48 $47.85 $6.01 – $191.38
Blood clotting test (partial thromboplastin time, PTT): 10 of 44 insurance plan rates
  • Aetna — Commercial: $171.81
  • Aetna — Medicare Advantage: $6.01
  • Aetna Better Health of Illinois — Medicare MMP: $6.13
  • Alliance Coal — Commercial: $6.01
  • Alter-Net Medical Services, Inc. — Commercial: $17.13
  • Beech Street — Workers Comp: $191.38
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $95.04
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $103.30
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $6.01
  • Care Improvement Plus — Medicare Advantage: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PTT PARTIAL THROMB TIME APTT REF $217.48 $47.85 $6.01 – $191.38
Blood clotting test (partial thromboplastin time, PTT): 10 of 44 insurance plan rates
  • Aetna — Commercial: $171.81
  • Aetna — Medicare Advantage: $6.01
  • Aetna Better Health of Illinois — Medicare MMP: $6.13
  • Alliance Coal — Commercial: $6.01
  • Alter-Net Medical Services, Inc. — Commercial: $17.13
  • Beech Street — Workers Comp: $191.38
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $95.04
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $103.30
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $6.01
  • Care Improvement Plus — Medicare Advantage: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD $33 $11.55 $3.50 – $29.04
Blood clotting test (partial thromboplastin time, PTT): 10 of 37 insurance plan rates
  • Aetna — Commercial: $26.07
  • Aetna — Medicare Advantage: $6.01
  • Aetna Better Health of Illinois — Managed Medicaid: $5.88
  • Aetna Better Health of Illinois — Medicare MMP: $6.01
  • Alliance Coal — Commercial: $6.31
  • Alter-Net Medical Services, Inc. — Commercial: $9.62
  • Beech Street — Workers Comp: $29.04
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $3.50
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $5.88

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN W/O CONTRAST $5,314.47 $1,169.19 $110.85 – $4,676.73
CT scan of the head or brain, without contrast: 10 of 44 insurance plan rates
  • Aetna — Commercial: $4,198.43
  • Aetna — Medicare Advantage: $110.85
  • Aetna Better Health of Illinois — Medicare MMP: $113.07
  • Alliance Coal — Commercial: $182.90
  • Alter-Net Medical Services, Inc. — Commercial: $315.93
  • Beech Street — Workers Comp: $4,676.73
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $2,322.42
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $2,524.37
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $110.85
  • Care Improvement Plus — Medicare Advantage: $113.07
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL $516 $180.60 $37.66 – $454.08
CT scan of the head or brain, without contrast: 10 of 37 insurance plan rates
  • Aetna — Commercial: $407.64
  • Aetna — Medicare Advantage: $37.66
  • Aetna Better Health of Illinois — Managed Medicaid: $38.60
  • Aetna Better Health of Illinois — Medicare MMP: $37.66
  • Alliance Coal — Commercial: $51.97
  • Alter-Net Medical Services, Inc. — Commercial: $60.26
  • Beech Street — Workers Comp: $454.08
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $94.10
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $94.10
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $38.60
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN W/O CONTRAST $5,314.47 $1,169.19 $1,169.18 – $4,676.73
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates
  • Aetna — Commercial: $4,198.43
  • Alter-Net Medical Services, Inc. — Commercial: $1,860.06
  • Beech Street — Workers Comp: $4,676.73
  • Cigna — Commercial: $2,067.33
  • Deaconess OneCare — Commercial: $2,816.67
  • Encore Combined — Commercial: $3,241.83
  • Encore Prime/Elite/Elite + — Commercial: $2,917.64
  • First Health — Commercial: $4,474.78
  • Guardian Resources, Inc. — Commercial: $4,464.15
  • Healthcare's Finest Network (HFN) — Commercial: $4,517.30
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN W&W/O CONTRAST $10,615.58 $2,335.43 $372.28 – $9,341.71
MRI of the brain, before and after contrast: 10 of 44 insurance plan rates
  • Aetna — Commercial: $8,386.31
  • Aetna — Medicare Advantage: $372.28
  • Aetna Better Health of Illinois — Medicare MMP: $379.73
  • Alliance Coal — Commercial: $614.26
  • Alter-Net Medical Services, Inc. — Commercial: $1,061
  • Beech Street — Workers Comp: $9,341.71
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $4,639.01
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $5,042.40
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $372.28
  • Care Improvement Plus — Medicare Advantage: $379.73
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN W&W/O CONTRAST $10,615.58 $2,335.43 $2,335.43 – $9,341.71
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates
  • Aetna — Commercial: $8,386.31
  • Alter-Net Medical Services, Inc. — Commercial: $3,715.45
  • Beech Street — Workers Comp: $9,341.71
  • Cigna — Commercial: $4,129.46
  • Deaconess OneCare — Commercial: $5,626.26
  • Encore Combined — Commercial: $6,475.50
  • Encore Prime/Elite/Elite + — Commercial: $5,827.95
  • First Health — Commercial: $8,938.32
  • Guardian Resources, Inc. — Commercial: $8,917.09
  • Healthcare's Finest Network (HFN) — Commercial: $9,023.24
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL $2,006 $702.10 $401.20 – $1,765.28
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates
  • Aetna — Commercial: $1,584.74
  • Alliance Coal — Commercial: $1,203.60
  • Alter-Net Medical Services, Inc. — Commercial: $1,103.30
  • Beech Street — Workers Comp: $1,765.28
  • Cigna — Commercial: $780.33
  • Guardian Resources, Inc. — Commercial: $1,685.04
  • Healthcare's Finest Network (HFN) — Commercial: $1,705.10
  • Humana ChoiceCare — EPO/HMO/POS/PPO: $1,564.68
  • MedicalControl Network Solutions — Commercial: $1,705.10
  • National Provider Network — Commercial: $1,705.10
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS $1,011.04 $222.43 $91.79 – $889.72
Chest X-ray, 2 views: 10 of 44 insurance plan rates
  • Aetna — Commercial: $798.72
  • Aetna — Medicare Advantage: $91.79
  • Aetna Better Health of Illinois — Medicare MMP: $93.62
  • Alliance Coal — Commercial: $151.45
  • Alter-Net Medical Services, Inc. — Commercial: $261.59
  • Beech Street — Workers Comp: $889.72
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $441.82
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $480.24
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $91.79
  • Care Improvement Plus — Medicare Advantage: $93.62
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RADIOLOGIC EXAM CHEST 2 VIEWS $126 $44.10 $7.03 – $110.88
Chest X-ray, 2 views: 10 of 37 insurance plan rates
  • Aetna — Commercial: $99.54
  • Aetna — Medicare Advantage: $9.72
  • Aetna Better Health of Illinois — Managed Medicaid: $7.03
  • Aetna Better Health of Illinois — Medicare MMP: $9.72
  • Alliance Coal — Commercial: $13.41
  • Alter-Net Medical Services, Inc. — Commercial: $15.55
  • Beech Street — Workers Comp: $110.88
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $24.30
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $24.30
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $7.03
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS $1,011.04 $222.43 $222.43 – $889.72
Chest X-ray, 2 views: 10 of 19 insurance plan rates
  • Aetna — Commercial: $798.72
  • Alter-Net Medical Services, Inc. — Commercial: $353.86
  • Beech Street — Workers Comp: $889.72
  • Cigna — Commercial: $393.29
  • Deaconess OneCare — Commercial: $535.85
  • Encore Combined — Commercial: $616.73
  • Encore Prime/Elite/Elite + — Commercial: $555.06
  • First Health — Commercial: $851.30
  • Guardian Resources, Inc. — Commercial: $849.27
  • Healthcare's Finest Network (HFN) — Commercial: $859.38
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR LUMBAR SPINE 4+ VIEWS $1,783.37 $392.35 $110.85 – $1,569.37
X-ray of the lower spine, at least 4 views: 10 of 44 insurance plan rates
  • Aetna — Commercial: $1,408.86
  • Aetna — Medicare Advantage: $110.85
  • Aetna Better Health of Illinois — Medicare MMP: $113.07
  • Alliance Coal — Commercial: $182.90
  • Alter-Net Medical Services, Inc. — Commercial: $315.93
  • Beech Street — Workers Comp: $1,569.37
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $779.33
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $847.10
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $110.85
  • Care Improvement Plus — Medicare Advantage: $113.07
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS $158 $55.30 $27.17 – $139.04
X-ray of the lower spine, at least 4 views: 10 of 37 insurance plan rates
  • Aetna — Commercial: $124.82
  • Aetna — Medicare Advantage: $46.83
  • Aetna Better Health of Illinois — Managed Medicaid: $37.90
  • Aetna Better Health of Illinois — Medicare MMP: $46.83
  • Alliance Coal — Commercial: $64.63
  • Alter-Net Medical Services, Inc. — Commercial: $74.93
  • Beech Street — Workers Comp: $139.04
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $27.17
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $27.17
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $37.90
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC XR LUMBAR SPINE 4+ VIEWS $1,783.37 $392.35 $392.34 – $1,569.37
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates
  • Aetna — Commercial: $1,408.86
  • Alter-Net Medical Services, Inc. — Commercial: $624.18
  • Beech Street — Workers Comp: $1,569.37
  • Cigna — Commercial: $693.73
  • Deaconess OneCare — Commercial: $945.19
  • Encore Combined — Commercial: $1,087.86
  • Encore Prime/Elite/Elite + — Commercial: $979.07
  • First Health — Commercial: $1,501.60
  • Guardian Resources, Inc. — Commercial: $1,498.03
  • Healthcare's Finest Network (HFN) — Commercial: $1,515.86
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST $5,939.88 $1,306.78 $251.97 – $5,227.09
MRI of the lower back (lumbar spine), without contrast: 10 of 44 insurance plan rates
  • Aetna — Commercial: $4,692.51
  • Aetna — Medicare Advantage: $251.97
  • Aetna Better Health of Illinois — Medicare MMP: $257.01
  • Alliance Coal — Commercial: $415.76
  • Alter-Net Medical Services, Inc. — Commercial: $718.13
  • Beech Street — Workers Comp: $5,227.09
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $2,595.73
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $2,821.44
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $251.97
  • Care Improvement Plus — Medicare Advantage: $257.01
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL $1,239 $433.65 $65.59 – $1,090.32
MRI of the lower back (lumbar spine), without contrast: 10 of 37 insurance plan rates
  • Aetna — Commercial: $978.81
  • Aetna — Medicare Advantage: $65.59
  • Aetna Better Health of Illinois — Managed Medicaid: $67.91
  • Aetna Better Health of Illinois — Medicare MMP: $65.59
  • Alliance Coal — Commercial: $90.51
  • Alter-Net Medical Services, Inc. — Commercial: $104.94
  • Beech Street — Workers Comp: $1,090.32
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $150.41
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $150.41
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $67.91
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST $5,939.88 $1,306.78 $1,306.77 – $5,227.09
MRI of the lower back (lumbar spine), without contrast: 10 of 19 insurance plan rates
  • Aetna — Commercial: $4,692.51
  • Alter-Net Medical Services, Inc. — Commercial: $2,078.96
  • Beech Street — Workers Comp: $5,227.09
  • Cigna — Commercial: $2,310.61
  • Deaconess OneCare — Commercial: $3,148.14
  • Encore Combined — Commercial: $3,623.33
  • Encore Prime/Elite/Elite + — Commercial: $3,260.99
  • First Health — Commercial: $5,001.38
  • Guardian Resources, Inc. — Commercial: $4,989.50
  • Healthcare's Finest Network (HFN) — Commercial: $5,048.90
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W/CONTRAST $4,913.45 $1,080.96 $185.57 – $4,323.84
CT scan of the pelvis, with contrast: 10 of 44 insurance plan rates
  • Aetna — Commercial: $3,881.63
  • Aetna — Medicare Advantage: $185.57
  • Aetna Better Health of Illinois — Medicare MMP: $189.28
  • Alliance Coal — Commercial: $306.19
  • Alter-Net Medical Services, Inc. — Commercial: $528.88
  • Beech Street — Workers Comp: $4,323.84
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $2,147.18
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $2,333.89
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $185.57
  • Care Improvement Plus — Medicare Advantage: $189.28
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG CT PELVIS W/CONTRAST MATERIAL $764 $267.40 $52.15 – $672.32
CT scan of the pelvis, with contrast: 10 of 37 insurance plan rates
  • Aetna — Commercial: $603.56
  • Aetna — Medicare Advantage: $52.15
  • Aetna Better Health of Illinois — Managed Medicaid: $75.29
  • Aetna Better Health of Illinois — Medicare MMP: $52.15
  • Alliance Coal — Commercial: $71.97
  • Alter-Net Medical Services, Inc. — Commercial: $83.44
  • Beech Street — Workers Comp: $672.32
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $117.18
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $117.18
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $75.29
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT PELVIS W/CONTRAST $4,913.45 $1,080.96 $1,080.96 – $4,323.84
CT scan of the pelvis, with contrast: 10 of 19 insurance plan rates
  • Aetna — Commercial: $3,881.63
  • Alter-Net Medical Services, Inc. — Commercial: $1,719.71
  • Beech Street — Workers Comp: $4,323.84
  • Cigna — Commercial: $1,911.33
  • Deaconess OneCare — Commercial: $2,604.13
  • Encore Combined — Commercial: $2,997.20
  • Encore Prime/Elite/Elite + — Commercial: $2,697.48
  • First Health — Commercial: $4,137.12
  • Guardian Resources, Inc. — Commercial: $4,127.30
  • Healthcare's Finest Network (HFN) — Commercial: $4,176.43
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JOINT W/O CONTRAST $5,971.38 $1,313.71 $251.97 – $5,254.81
MRI of a leg joint (such as the knee), without contrast: 10 of 44 insurance plan rates
  • Aetna — Commercial: $4,717.39
  • Aetna — Medicare Advantage: $251.97
  • Aetna Better Health of Illinois — Medicare MMP: $257.01
  • Alliance Coal — Commercial: $415.76
  • Alter-Net Medical Services, Inc. — Commercial: $718.13
  • Beech Street — Workers Comp: $5,254.81
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $2,609.49
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $2,836.41
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $251.97
  • Care Improvement Plus — Medicare Advantage: $257.01
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JOINT W/O CONTRAST $5,971.38 $1,313.71 $1,313.70 – $5,254.81
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
  • Aetna — Commercial: $4,717.39
  • Alter-Net Medical Services, Inc. — Commercial: $2,089.98
  • Beech Street — Workers Comp: $5,254.81
  • Cigna — Commercial: $2,322.87
  • Deaconess OneCare — Commercial: $3,164.83
  • Encore Combined — Commercial: $3,642.54
  • Encore Prime/Elite/Elite + — Commercial: $3,278.29
  • First Health — Commercial: $5,027.90
  • Guardian Resources, Inc. — Commercial: $5,015.96
  • Healthcare's Finest Network (HFN) — Commercial: $5,075.67
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL $1,232 $431.20 $246.40 – $1,084.16
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates
  • Aetna — Commercial: $973.28
  • Alliance Coal — Commercial: $739.20
  • Alter-Net Medical Services, Inc. — Commercial: $677.60
  • Beech Street — Workers Comp: $1,084.16
  • Cigna — Commercial: $479.25
  • Guardian Resources, Inc. — Commercial: $1,034.88
  • Healthcare's Finest Network (HFN) — Commercial: $1,047.20
  • Humana ChoiceCare — EPO/HMO/POS/PPO: $960.96
  • MedicalControl Network Solutions — Commercial: $1,047.20
  • National Provider Network — Commercial: $1,047.20
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABDOMEN AND PELVIS WITH CONTRAST $10,318.63 $2,270.10 $372.28 – $9,080.39
CT scan of the abdomen and pelvis, with contrast: 10 of 44 insurance plan rates
  • Aetna — Commercial: $8,151.72
  • Aetna — Medicare Advantage: $372.28
  • Aetna Better Health of Illinois — Medicare MMP: $379.73
  • Alliance Coal — Commercial: $614.26
  • Alter-Net Medical Services, Inc. — Commercial: $1,061
  • Beech Street — Workers Comp: $9,080.39
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $4,509.24
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $4,901.35
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $372.28
  • Care Improvement Plus — Medicare Advantage: $379.73
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL $598 $209.30 $57.95 – $526.24
CT scan of the abdomen and pelvis, with contrast: 10 of 37 insurance plan rates
  • Aetna — Commercial: $472.42
  • Aetna — Medicare Advantage: $81.16
  • Aetna Better Health of Illinois — Managed Medicaid: $57.95
  • Aetna Better Health of Illinois — Medicare MMP: $81.16
  • Alliance Coal — Commercial: $112
  • Alter-Net Medical Services, Inc. — Commercial: $129.86
  • Beech Street — Workers Comp: $526.24
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $202.78
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $202.78
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $57.95
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABDOMEN AND PELVIS WITH CONTRAST $10,318.63 $2,270.10 $2,270.10 – $9,080.39
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates
  • Aetna — Commercial: $8,151.72
  • Alter-Net Medical Services, Inc. — Commercial: $3,611.52
  • Beech Street — Workers Comp: $9,080.39
  • Cigna — Commercial: $4,013.95
  • Deaconess OneCare — Commercial: $5,468.87
  • Encore Combined — Commercial: $6,294.36
  • Encore Prime/Elite/Elite + — Commercial: $5,664.93
  • First Health — Commercial: $8,688.29
  • Guardian Resources, Inc. — Commercial: $8,667.65
  • Healthcare's Finest Network (HFN) — Commercial: $8,770.84
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE $2,877.16 $632.98 $110.85 – $2,531.90
Ultrasound of the abdomen, complete: 10 of 44 insurance plan rates
  • Aetna — Commercial: $2,272.96
  • Aetna — Medicare Advantage: $110.85
  • Aetna Better Health of Illinois — Medicare MMP: $113.07
  • Alliance Coal — Commercial: $182.90
  • Alter-Net Medical Services, Inc. — Commercial: $315.93
  • Beech Street — Workers Comp: $2,531.90
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $1,257.32
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $1,366.65
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $110.85
  • Care Improvement Plus — Medicare Advantage: $113.07
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION $140 $49 $26.56 – $123.20
Ultrasound of the abdomen, complete: 10 of 37 insurance plan rates
  • Aetna — Commercial: $110.60
  • Aetna — Medicare Advantage: $36.54
  • Aetna Better Health of Illinois — Managed Medicaid: $26.56
  • Aetna Better Health of Illinois — Medicare MMP: $36.54
  • Alliance Coal — Commercial: $50.43
  • Alter-Net Medical Services, Inc. — Commercial: $58.46
  • Beech Street — Workers Comp: $123.20
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $89.49
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $89.49
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $26.56
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE $2,877.16 $632.98 $632.98 – $2,531.90
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates
  • Aetna — Commercial: $2,272.96
  • Alter-Net Medical Services, Inc. — Commercial: $1,007.01
  • Beech Street — Workers Comp: $2,531.90
  • Cigna — Commercial: $1,119.22
  • Deaconess OneCare — Commercial: $1,524.89
  • Encore Combined — Commercial: $1,755.07
  • Encore Prime/Elite/Elite + — Commercial: $1,579.56
  • First Health — Commercial: $2,422.57
  • Guardian Resources, Inc. — Commercial: $2,416.81
  • Healthcare's Finest Network (HFN) — Commercial: $2,445.59
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US PREGNANCY > 14 WEEKS SINGLE/FIRST GEST $2,276.69 $500.88 $110.85 – $2,003.49
Pregnancy ultrasound (after the first trimester): 10 of 44 insurance plan rates
  • Aetna — Commercial: $1,798.59
  • Aetna — Medicare Advantage: $110.85
  • Aetna Better Health of Illinois — Medicare MMP: $113.07
  • Alliance Coal — Commercial: $182.90
  • Alter-Net Medical Services, Inc. — Commercial: $315.93
  • Beech Street — Workers Comp: $2,003.49
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $994.91
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $1,081.43
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $110.85
  • Care Improvement Plus — Medicare Advantage: $113.07
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION $287 $100.45 $87.72 – $252.56
Pregnancy ultrasound (after the first trimester): 10 of 37 insurance plan rates
  • Aetna — Commercial: $226.73
  • Aetna — Medicare Advantage: $121.42
  • Aetna Better Health of Illinois — Managed Medicaid: $87.72
  • Aetna Better Health of Illinois — Medicare MMP: $121.42
  • Alliance Coal — Commercial: $167.56
  • Alter-Net Medical Services, Inc. — Commercial: $194.27
  • Beech Street — Workers Comp: $252.56
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $110.24
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $110.24
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $87.72
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US PREGNANCY > 14 WEEKS SINGLE/FIRST GEST $2,276.69 $500.88 $500.87 – $2,003.49
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates
  • Aetna — Commercial: $1,798.59
  • Alter-Net Medical Services, Inc. — Commercial: $796.84
  • Beech Street — Workers Comp: $2,003.49
  • Cigna — Commercial: $885.63
  • Deaconess OneCare — Commercial: $1,206.65
  • Encore Combined — Commercial: $1,388.78
  • Encore Prime/Elite/Elite + — Commercial: $1,249.90
  • First Health — Commercial: $1,916.97
  • Guardian Resources, Inc. — Commercial: $1,912.42
  • Healthcare's Finest Network (HFN) — Commercial: $1,935.19
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL $1,296.42 $285.22 $110.85 – $1,140.85
Transvaginal ultrasound: 10 of 44 insurance plan rates
  • Aetna — Commercial: $1,024.17
  • Aetna — Medicare Advantage: $110.85
  • Aetna Better Health of Illinois — Medicare MMP: $113.07
  • Alliance Coal — Commercial: $182.90
  • Alter-Net Medical Services, Inc. — Commercial: $315.93
  • Beech Street — Workers Comp: $1,140.85
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $566.54
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $615.80
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $110.85
  • Care Improvement Plus — Medicare Advantage: $113.07
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US TRANSVAGINAL $287 $100.45 $76.72 – $252.56
Transvaginal ultrasound: 10 of 37 insurance plan rates
  • Aetna — Commercial: $226.73
  • Aetna — Medicare Advantage: $106.23
  • Aetna Better Health of Illinois — Managed Medicaid: $76.76
  • Aetna Better Health of Illinois — Medicare MMP: $106.23
  • Alliance Coal — Commercial: $146.60
  • Alter-Net Medical Services, Inc. — Commercial: $169.97
  • Beech Street — Workers Comp: $252.56
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $76.72
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $76.72
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $76.76
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL $1,296.42 $285.22 $285.21 – $1,140.85
Transvaginal ultrasound: 10 of 19 insurance plan rates
  • Aetna — Commercial: $1,024.17
  • Alter-Net Medical Services, Inc. — Commercial: $453.75
  • Beech Street — Workers Comp: $1,140.85
  • Cigna — Commercial: $504.31
  • Deaconess OneCare — Commercial: $687.10
  • Encore Combined — Commercial: $790.82
  • Encore Prime/Elite/Elite + — Commercial: $711.73
  • First Health — Commercial: $1,091.59
  • Guardian Resources, Inc. — Commercial: $1,088.99
  • Healthcare's Finest Network (HFN) — Commercial: $1,101.96
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC UNILATERAL W/DIGITAL IMAGES W CAD $464.67 $102.23 $102.23 – $408.91
Diagnostic mammogram, one breast: 10 of 44 insurance plan rates
  • Aetna — Commercial: $367.09
  • Aetna — Medicare Advantage: $114.43
  • Aetna Better Health of Illinois — Medicare MMP: $116.72
  • Alliance Coal — Commercial: $188.81
  • Alter-Net Medical Services, Inc. — Commercial: $326.13
  • Beech Street — Workers Comp: $408.91
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $203.06
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $220.72
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $114.43
  • Care Improvement Plus — Medicare Advantage: $116.72
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC UNILATERAL W/DIGITAL IMAGES W CAD $464.67 $102.23 $102.23 – $408.91
Diagnostic mammogram, one breast: 10 of 19 insurance plan rates
  • Aetna — Commercial: $367.09
  • Alter-Net Medical Services, Inc. — Commercial: $162.63
  • Beech Street — Workers Comp: $408.91
  • Cigna — Commercial: $180.76
  • Deaconess OneCare — Commercial: $246.28
  • Encore Combined — Commercial: $283.45
  • Encore Prime/Elite/Elite + — Commercial: $255.10
  • First Health — Commercial: $391.25
  • Guardian Resources, Inc. — Commercial: $390.32
  • Healthcare's Finest Network (HFN) — Commercial: $394.97
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI $165 $57.75 $33 – $145.20
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates
  • Aetna — Commercial: $130.35
  • Alliance Coal — Commercial: $99
  • Alter-Net Medical Services, Inc. — Commercial: $90.75
  • Beech Street — Workers Comp: $145.20
  • Cigna — Commercial: $64.19
  • Guardian Resources, Inc. — Commercial: $138.60
  • Healthcare's Finest Network (HFN) — Commercial: $140.25
  • Humana ChoiceCare — EPO/HMO/POS/PPO: $128.70
  • MedicalControl Network Solutions — Commercial: $140.25
  • National Provider Network — Commercial: $140.25
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC BILATERAL W/DIGITAL IMAGES W CAD $535.75 $117.87 $117.87 – $471.46
Diagnostic mammogram, both breasts: 10 of 44 insurance plan rates
  • Aetna — Commercial: $423.24
  • Aetna — Medicare Advantage: $143.88
  • Aetna Better Health of Illinois — Medicare MMP: $146.76
  • Alliance Coal — Commercial: $237.40
  • Alter-Net Medical Services, Inc. — Commercial: $410.06
  • Beech Street — Workers Comp: $471.46
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $234.12
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $254.48
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $143.88
  • Care Improvement Plus — Medicare Advantage: $146.76
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC BILATERAL W/DIGITAL IMAGES W CAD $535.75 $117.87 $117.87 – $471.46
Diagnostic mammogram, both breasts: 10 of 19 insurance plan rates
  • Aetna — Commercial: $423.24
  • Alter-Net Medical Services, Inc. — Commercial: $187.51
  • Beech Street — Workers Comp: $471.46
  • Cigna — Commercial: $208.41
  • Deaconess OneCare — Commercial: $283.95
  • Encore Combined — Commercial: $326.81
  • Encore Prime/Elite/Elite + — Commercial: $294.13
  • First Health — Commercial: $451.10
  • Guardian Resources, Inc. — Commercial: $450.03
  • Healthcare's Finest Network (HFN) — Commercial: $455.39
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $200 $70 $40 – $176
Diagnostic mammogram, both breasts: 10 of 14 insurance plan rates
  • Aetna — Commercial: $158
  • Alliance Coal — Commercial: $120
  • Alter-Net Medical Services, Inc. — Commercial: $110
  • Beech Street — Workers Comp: $176
  • Cigna — Commercial: $77.80
  • Guardian Resources, Inc. — Commercial: $168
  • Healthcare's Finest Network (HFN) — Commercial: $170
  • Humana ChoiceCare — EPO/HMO/POS/PPO: $156
  • MedicalControl Network Solutions — Commercial: $170
  • National Provider Network — Commercial: $170
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM SCREENING BILATERAL W/DIGITAL IMAGES W CAD $354.34 $77.96 $77.95 – $332.02
Screening mammogram, both breasts: 10 of 44 insurance plan rates
  • Aetna — Commercial: $279.93
  • Aetna — Medicare Advantage: $116.50
  • Aetna Better Health of Illinois — Medicare MMP: $118.83
  • Alliance Coal — Commercial: $192.22
  • Alter-Net Medical Services, Inc. — Commercial: $332.02
  • Beech Street — Workers Comp: $311.82
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $154.85
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $168.31
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $116.50
  • Care Improvement Plus — Medicare Advantage: $118.83
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM SCREENING BILATERAL W/DIGITAL IMAGES W CAD $354.34 $77.96 $77.95 – $311.82
Screening mammogram, both breasts: 10 of 19 insurance plan rates
  • Aetna — Commercial: $279.93
  • Alter-Net Medical Services, Inc. — Commercial: $124.02
  • Beech Street — Workers Comp: $311.82
  • Cigna — Commercial: $137.84
  • Deaconess OneCare — Commercial: $187.80
  • Encore Combined — Commercial: $216.15
  • Encore Prime/Elite/Elite + — Commercial: $194.53
  • First Health — Commercial: $298.35
  • Guardian Resources, Inc. — Commercial: $297.65
  • Healthcare's Finest Network (HFN) — Commercial: $301.19
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD $144 $50.40 $28.80 – $126.72
Screening mammogram, both breasts: 10 of 14 insurance plan rates
  • Aetna — Commercial: $113.76
  • Alliance Coal — Commercial: $86.40
  • Alter-Net Medical Services, Inc. — Commercial: $79.20
  • Beech Street — Workers Comp: $126.72
  • Cigna — Commercial: $56.02
  • Guardian Resources, Inc. — Commercial: $120.96
  • Healthcare's Finest Network (HFN) — Commercial: $122.40
  • Humana ChoiceCare — EPO/HMO/POS/PPO: $112.32
  • MedicalControl Network Solutions — Commercial: $122.40
  • National Provider Network — Commercial: $122.40

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R $82 $28.70 $13.32 – $72.16
Electrocardiogram (ECG/EKG) with reading: 10 of 37 insurance plan rates
  • Aetna — Commercial: $64.78
  • Aetna — Medicare Advantage: $13.32
  • Aetna Better Health of Illinois — Managed Medicaid: $13.64
  • Aetna Better Health of Illinois — Medicare MMP: $13.32
  • Alliance Coal — Commercial: $18.38
  • Alter-Net Medical Services, Inc. — Commercial: $21.31
  • Beech Street — Workers Comp: $72.16
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $31.28
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $31.28
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $13.64
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE Not listed in the file Not listed in the file $13.47 – $38.40
Electrocardiogram (ECG/EKG) with reading: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $13.47
  • Aetna Better Health of Illinois — Medicare MMP: $13.74
  • Alliance Coal — Commercial: $22.23
  • Alter-Net Medical Services, Inc. — Commercial: $38.40
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $13.47
  • Care Improvement Plus — Medicare Advantage: $13.74
  • Hope Trust — Commercial: $38.40
  • Humana — Dual Medicare/Medicaid: $13.47
  • Humana — Medicare Advantage: $13.47
  • Meridian Health Plan — Dual Medicare/Medicaid: $13.47
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee In the file: PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I $704 $246.40 $162.24 – $619.52
Left heart catheterization (diagnostic): 10 of 37 insurance plan rates
  • Aetna — Commercial: $556.16
  • Aetna — Medicare Advantage: $224.58
  • Aetna Better Health of Illinois — Managed Medicaid: $162.24
  • Aetna Better Health of Illinois — Medicare MMP: $224.58
  • Alliance Coal — Commercial: $309.92
  • Alter-Net Medical Services, Inc. — Commercial: $359.33
  • Beech Street — Workers Comp: $619.52
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $504.86
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $504.86
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $162.24
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $3,352.85 – $9,555.62
Left heart catheterization (diagnostic): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $3,352.85
  • Aetna Better Health of Illinois — Medicare MMP: $3,419.91
  • Alliance Coal — Commercial: $5,532.20
  • Alter-Net Medical Services, Inc. — Commercial: $9,555.62
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $3,352.85
  • Care Improvement Plus — Medicare Advantage: $3,419.91
  • Hope Trust — Commercial: $9,555.62
  • Humana — Dual Medicare/Medicaid: $3,352.85
  • Humana — Medicare Advantage: $3,352.85
  • Meridian Health Plan — Dual Medicare/Medicaid: $3,352.85
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $162.24 – $504.86
Left heart catheterization (diagnostic): 10 of 26 insurance plan rates
  • Aetna — Medicare Advantage: $224.58
  • Aetna Better Health of Illinois — Managed Medicaid: $162.24
  • Aetna Better Health of Illinois — Medicare MMP: $224.58
  • Alliance Coal — Commercial: $309.92
  • Alter-Net Medical Services, Inc. — Commercial: $359.33
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $504.86
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $504.86
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $162.24
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $224.58
  • Deaconess OneCare — Commercial: $336.87
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION $1,783 $624.05 $452.87 – $1,569.04
Heart rhythm study (electrophysiology evaluation): 10 of 37 insurance plan rates
  • Aetna — Commercial: $1,408.57
  • Aetna — Medicare Advantage: $668.80
  • Aetna Better Health of Illinois — Managed Medicaid: $452.87
  • Aetna Better Health of Illinois — Medicare MMP: $668.80
  • Alliance Coal — Commercial: $922.94
  • Alter-Net Medical Services, Inc. — Commercial: $1,070.08
  • Beech Street — Workers Comp: $1,569.04
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $815.79
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $815.79
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $452.87
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION Not listed in the file Not listed in the file $7,909.99 – $22,543.46
Heart rhythm study (electrophysiology evaluation): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $7,909.99
  • Aetna Better Health of Illinois — Medicare MMP: $8,068.19
  • Alliance Coal — Commercial: $13,051.48
  • Alter-Net Medical Services, Inc. — Commercial: $22,543.46
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $7,909.99
  • Care Improvement Plus — Medicare Advantage: $8,068.19
  • Hope Trust — Commercial: $22,543.46
  • Humana — Dual Medicare/Medicaid: $7,909.99
  • Humana — Medicare Advantage: $7,909.99
  • Meridian Health Plan — Dual Medicare/Medicaid: $7,909.99
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: COMPREHENSIVE EP EVALUATION Not listed in the file Not listed in the file $262.66 – $815.79
Heart rhythm study (electrophysiology evaluation): 10 of 26 insurance plan rates
  • Aetna — Medicare Advantage: $363.08
  • Aetna Better Health of Illinois — Managed Medicaid: $262.66
  • Aetna Better Health of Illinois — Medicare MMP: $363.08
  • Alliance Coal — Commercial: $501.05
  • Alter-Net Medical Services, Inc. — Commercial: $580.93
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $815.79
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $815.79
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $262.66
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $363.08
  • Deaconess OneCare — Commercial: $544.62
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION $2,860 $1,001 $709.43 – $2,516.80
Heart rhythm study with ablation for atrial fibrillation: 10 of 37 insurance plan rates
  • Aetna — Commercial: $2,259.40
  • Aetna — Medicare Advantage: $908.53
  • Aetna Better Health of Illinois — Managed Medicaid: $709.43
  • Aetna Better Health of Illinois — Medicare MMP: $908.53
  • Alliance Coal — Commercial: $1,253.77
  • Alter-Net Medical Services, Inc. — Commercial: $1,453.65
  • Beech Street — Workers Comp: $2,516.80
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $2,040.01
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $2,040.01
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $709.43
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file Not listed in the file $25,572.96 – $72,882.94
Heart rhythm study with ablation for atrial fibrillation: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $25,572.96
  • Aetna Better Health of Illinois — Medicare MMP: $26,084.42
  • Alliance Coal — Commercial: $42,195.38
  • Alter-Net Medical Services, Inc. — Commercial: $72,882.94
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $25,572.96
  • Care Improvement Plus — Medicare Advantage: $26,084.42
  • Hope Trust — Commercial: $72,882.94
  • Humana — Dual Medicare/Medicaid: $25,572.96
  • Humana — Medicare Advantage: $25,572.96
  • Meridian Health Plan — Dual Medicare/Medicaid: $25,572.96
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $5,687.11 $1,251.17 $1,060.55 – $5,004.66
Sleep study (overnight, in a sleep lab): 10 of 44 insurance plan rates
  • Aetna — Commercial: $4,492.82
  • Aetna — Medicare Advantage: $1,060.55
  • Aetna Better Health of Illinois — Medicare MMP: $1,081.76
  • Alliance Coal — Commercial: $1,749.90
  • Alter-Net Medical Services, Inc. — Commercial: $3,022.56
  • Beech Street — Workers Comp: $5,004.66
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $2,485.27
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $2,701.38
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $1,060.55
  • Care Improvement Plus — Medicare Advantage: $1,081.76
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $2,250 $787.50 $262.41 – $1,980
Sleep study (overnight, in a sleep lab): 10 of 37 insurance plan rates
  • Aetna — Commercial: $1,777.50
  • Aetna — Medicare Advantage: $563.39
  • Aetna Better Health of Illinois — Managed Medicaid: $398.94
  • Aetna Better Health of Illinois — Medicare MMP: $563.39
  • Alliance Coal — Commercial: $777.48
  • Alter-Net Medical Services, Inc. — Commercial: $901.42
  • Beech Street — Workers Comp: $1,980
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $262.41
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $262.41
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $398.94
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $5,687.11 $1,251.17 $1,251.16 – $5,004.66
Sleep study (overnight, in a sleep lab): 10 of 19 insurance plan rates
  • Aetna — Commercial: $4,492.82
  • Alter-Net Medical Services, Inc. — Commercial: $1,990.49
  • Beech Street — Workers Comp: $5,004.66
  • Cigna — Commercial: $2,212.29
  • Deaconess OneCare — Commercial: $3,014.17
  • Encore Combined — Commercial: $3,469.14
  • Encore Prime/Elite/Elite + — Commercial: $3,122.22
  • First Health — Commercial: $4,788.55
  • Guardian Resources, Inc. — Commercial: $4,777.17
  • Healthcare's Finest Network (HFN) — Commercial: $4,834.04

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Doctor (professional) fee In the file: PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES $65 $22.75 $19.41 – $57.20
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 37 insurance plan rates
  • Aetna — Commercial: $51.35
  • Aetna — Medicare Advantage: $27.28
  • Aetna Better Health of Illinois — Managed Medicaid: $19.41
  • Aetna Better Health of Illinois — Medicare MMP: $27.28
  • Alliance Coal — Commercial: $37.65
  • Alter-Net Medical Services, Inc. — Commercial: $43.65
  • Beech Street — Workers Comp: $57.20
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $30.46
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $30.46
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $19.41
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: HC OT THERAPEUTIC EXERCISE 15 MIN $382.13 $84.07 $27.69 – $336.27
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 44 insurance plan rates
  • Aetna — Commercial: $301.88
  • Aetna — Medicare Advantage: $27.69
  • Aetna Better Health of Illinois — Medicare MMP: $28.24
  • Alliance Coal — Commercial: $45.68
  • Alter-Net Medical Services, Inc. — Commercial: $78.91
  • Beech Street — Workers Comp: $336.27
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $166.99
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $181.51
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $27.69
  • Care Improvement Plus — Medicare Advantage: $28.24
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT THERAPEUTIC EXERCISE 15 MIN $382.13 $84.07 $27.69 – $336.27
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 44 insurance plan rates
  • Aetna — Commercial: $301.88
  • Aetna — Medicare Advantage: $27.69
  • Aetna Better Health of Illinois — Medicare MMP: $28.24
  • Alliance Coal — Commercial: $27.69
  • Alter-Net Medical Services, Inc. — Commercial: $78.91
  • Beech Street — Workers Comp: $336.27
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $166.99
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $181.51
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $27.69
  • Care Improvement Plus — Medicare Advantage: $28.24
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $182 $63.70 $36.40 – $160.16
Physical therapy evaluation (low complexity): 10 of 14 insurance plan rates
  • Aetna — Commercial: $143.78
  • Alliance Coal — Commercial: $109.20
  • Alter-Net Medical Services, Inc. — Commercial: $100.10
  • Beech Street — Workers Comp: $160.16
  • Cigna — Commercial: $70.80
  • Guardian Resources, Inc. — Commercial: $152.88
  • Healthcare's Finest Network (HFN) — Commercial: $154.70
  • Humana ChoiceCare — EPO/HMO/POS/PPO: $141.96
  • MedicalControl Network Solutions — Commercial: $154.70
  • National Provider Network — Commercial: $154.70
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVALUATION 30 MIN LOW COMPLX $608.96 $133.98 $94.38 – $535.88
Physical therapy evaluation (low complexity): 10 of 44 insurance plan rates
  • Aetna — Commercial: $481.08
  • Aetna — Medicare Advantage: $94.38
  • Aetna Better Health of Illinois — Medicare MMP: $96.26
  • Alliance Coal — Commercial: $94.38
  • Alter-Net Medical Services, Inc. — Commercial: $268.97
  • Beech Street — Workers Comp: $535.88
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $266.12
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $289.26
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $94.38
  • Care Improvement Plus — Medicare Advantage: $96.26
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVALUATION 45 MIN LOW COMPLX $608.96 $133.98 $94.38 – $535.88
Physical therapy evaluation (low complexity): 10 of 44 insurance plan rates
  • Aetna — Commercial: $481.08
  • Aetna — Medicare Advantage: $94.38
  • Aetna Better Health of Illinois — Medicare MMP: $96.26
  • Alliance Coal — Commercial: $94.38
  • Alter-Net Medical Services, Inc. — Commercial: $268.97
  • Beech Street — Workers Comp: $535.88
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $266.12
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $289.26
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $94.38
  • Care Improvement Plus — Medicare Advantage: $96.26
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $182 $63.70 $36.40 – $160.16
Physical therapy evaluation (moderate complexity): 10 of 14 insurance plan rates
  • Aetna — Commercial: $143.78
  • Alliance Coal — Commercial: $109.20
  • Alter-Net Medical Services, Inc. — Commercial: $100.10
  • Beech Street — Workers Comp: $160.16
  • Cigna — Commercial: $70.80
  • Guardian Resources, Inc. — Commercial: $152.88
  • Healthcare's Finest Network (HFN) — Commercial: $154.70
  • Humana ChoiceCare — EPO/HMO/POS/PPO: $141.96
  • MedicalControl Network Solutions — Commercial: $154.70
  • National Provider Network — Commercial: $154.70
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVALUATION 120 MIN MOD COMPLX $608.96 $133.98 $94.38 – $535.88
Physical therapy evaluation (moderate complexity): 10 of 44 insurance plan rates
  • Aetna — Commercial: $481.08
  • Aetna — Medicare Advantage: $94.38
  • Aetna Better Health of Illinois — Medicare MMP: $96.26
  • Alliance Coal — Commercial: $94.38
  • Alter-Net Medical Services, Inc. — Commercial: $268.97
  • Beech Street — Workers Comp: $535.88
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $266.12
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $289.26
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $94.38
  • Care Improvement Plus — Medicare Advantage: $96.26
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVALUATION 15 MIN II MOD COMPLEX $608.96 $133.98 $94.38 – $535.88
Physical therapy evaluation (moderate complexity): 10 of 44 insurance plan rates
  • Aetna — Commercial: $481.08
  • Aetna — Medicare Advantage: $94.38
  • Aetna Better Health of Illinois — Medicare MMP: $96.26
  • Alliance Coal — Commercial: $94.38
  • Alter-Net Medical Services, Inc. — Commercial: $268.97
  • Beech Street — Workers Comp: $535.88
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $266.12
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $289.26
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $94.38
  • Care Improvement Plus — Medicare Advantage: $96.26
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $182 $63.70 $36.40 – $160.16
Physical therapy evaluation (high complexity): 10 of 14 insurance plan rates
  • Aetna — Commercial: $143.78
  • Alliance Coal — Commercial: $109.20
  • Alter-Net Medical Services, Inc. — Commercial: $100.10
  • Beech Street — Workers Comp: $160.16
  • Cigna — Commercial: $70.80
  • Guardian Resources, Inc. — Commercial: $152.88
  • Healthcare's Finest Network (HFN) — Commercial: $154.70
  • Humana ChoiceCare — EPO/HMO/POS/PPO: $141.96
  • MedicalControl Network Solutions — Commercial: $154.70
  • National Provider Network — Commercial: $154.70
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVALUATION 105 MIN HIGH COMPLX $608.96 $133.98 $94.38 – $535.88
Physical therapy evaluation (high complexity): 10 of 44 insurance plan rates
  • Aetna — Commercial: $481.08
  • Aetna — Medicare Advantage: $94.38
  • Aetna Better Health of Illinois — Medicare MMP: $96.26
  • Alliance Coal — Commercial: $94.38
  • Alter-Net Medical Services, Inc. — Commercial: $268.97
  • Beech Street — Workers Comp: $535.88
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $266.12
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $289.26
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $94.38
  • Care Improvement Plus — Medicare Advantage: $96.26
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVALUATION 60 MIN HIGH COMPLEX $608.96 $133.98 $94.38 – $535.88
Physical therapy evaluation (high complexity): 10 of 44 insurance plan rates
  • Aetna — Commercial: $481.08
  • Aetna — Medicare Advantage: $94.38
  • Aetna Better Health of Illinois — Medicare MMP: $96.26
  • Alliance Coal — Commercial: $94.38
  • Alter-Net Medical Services, Inc. — Commercial: $268.97
  • Beech Street — Workers Comp: $535.88
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $266.12
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $289.26
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $94.38
  • Care Improvement Plus — Medicare Advantage: $96.26
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 30 MINUTES $159 $55.65 $46.98 – $139.92
Psychotherapy, 30 minutes: 10 of 39 insurance plan rates
  • Aetna — Commercial: $125.61
  • Aetna — Medicare Advantage: $67.05
  • Aetna Better Health of Illinois — Managed Medicaid: $46.98
  • Aetna Better Health of Illinois — Medicare MMP: $67.05
  • Alliance Coal — Commercial: $92.53
  • Alter-Net Medical Services, Inc. — Commercial: $107.28
  • Beech Street — Workers Comp: $139.92
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $97.64
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $97.64
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $46.98
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file $167.49 – $477.33
Psychotherapy, 30 minutes: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $167.49
  • Aetna Better Health of Illinois — Medicare MMP: $170.84
  • Alliance Coal — Commercial: $276.35
  • Alter-Net Medical Services, Inc. — Commercial: $477.33
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $167.49
  • Care Improvement Plus — Medicare Advantage: $170.84
  • Hope Trust — Commercial: $477.33
  • Humana — Dual Medicare/Medicaid: $167.49
  • Humana — Medicare Advantage: $167.49
  • Meridian Health Plan — Dual Medicare/Medicaid: $167.49
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 45 MINUTES $188 $65.80 $62.03 – $165.44
Psychotherapy, 45 minutes: 10 of 39 insurance plan rates
  • Aetna — Commercial: $148.52
  • Aetna — Medicare Advantage: $88.41
  • Aetna Better Health of Illinois — Managed Medicaid: $62.03
  • Aetna Better Health of Illinois — Medicare MMP: $88.41
  • Alliance Coal — Commercial: $122.01
  • Alter-Net Medical Services, Inc. — Commercial: $141.46
  • Beech Street — Workers Comp: $165.44
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $129.71
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $129.71
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $62.03
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file $167.49 – $477.33
Psychotherapy, 45 minutes: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $167.49
  • Aetna Better Health of Illinois — Medicare MMP: $170.84
  • Alliance Coal — Commercial: $276.35
  • Alter-Net Medical Services, Inc. — Commercial: $477.33
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $167.49
  • Care Improvement Plus — Medicare Advantage: $170.84
  • Hope Trust — Commercial: $477.33
  • Humana — Dual Medicare/Medicaid: $167.49
  • Humana — Medicare Advantage: $167.49
  • Meridian Health Plan — Dual Medicare/Medicaid: $167.49
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 60 MINUTES $298 $104.30 $91.58 – $262.24
Psychotherapy, 60 minutes: 10 of 39 insurance plan rates
  • Aetna — Commercial: $235.42
  • Aetna — Medicare Advantage: $130.98
  • Aetna Better Health of Illinois — Managed Medicaid: $91.58
  • Aetna Better Health of Illinois — Medicare MMP: $130.98
  • Alliance Coal — Commercial: $180.75
  • Alter-Net Medical Services, Inc. — Commercial: $209.57
  • Beech Street — Workers Comp: $262.24
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $190.95
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $190.95
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $91.58
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file $167.49 – $477.33
Psychotherapy, 60 minutes: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $167.49
  • Aetna Better Health of Illinois — Medicare MMP: $170.84
  • Alliance Coal — Commercial: $276.35
  • Alter-Net Medical Services, Inc. — Commercial: $477.33
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $167.49
  • Care Improvement Plus — Medicare Advantage: $170.84
  • Hope Trust — Commercial: $477.33
  • Humana — Dual Medicare/Medicaid: $167.49
  • Humana — Medicare Advantage: $167.49
  • Meridian Health Plan — Dual Medicare/Medicaid: $167.49
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS $243 $85.05 $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $213.84
Family psychotherapy, without the patient: 10 of 39 insurance plan rates
  • Aetna — Commercial: $191.97
  • Aetna — Medicare Advantage: $95.69
  • Aetna Better Health of Illinois — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Aetna Better Health of Illinois — Medicare MMP: $95.69
  • Alliance Coal — Commercial: $132.05
  • Alter-Net Medical Services, Inc. — Commercial: $153.10
  • Beech Street — Workers Comp: $213.84
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $128.27
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $128.27
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file $167.49 – $477.33
Family psychotherapy, without the patient: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $167.49
  • Aetna Better Health of Illinois — Medicare MMP: $170.84
  • Alliance Coal — Commercial: $276.35
  • Alter-Net Medical Services, Inc. — Commercial: $477.33
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $167.49
  • Care Improvement Plus — Medicare Advantage: $170.84
  • Hope Trust — Commercial: $477.33
  • Humana — Dual Medicare/Medicaid: $167.49
  • Humana — Medicare Advantage: $167.49
  • Meridian Health Plan — Dual Medicare/Medicaid: $167.49
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS $236 $82.60 $69.80 – $207.68
Family psychotherapy, with the patient: 10 of 39 insurance plan rates
  • Aetna — Commercial: $186.44
  • Aetna — Medicare Advantage: $99.74
  • Aetna Better Health of Illinois — Managed Medicaid: $69.80
  • Aetna Better Health of Illinois — Medicare MMP: $99.74
  • Alliance Coal — Commercial: $137.64
  • Alter-Net Medical Services, Inc. — Commercial: $159.58
  • Beech Street — Workers Comp: $207.68
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $161.91
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $161.91
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $69.80
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file Not listed in the file $167.49 – $477.33
Family psychotherapy, with the patient: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $167.49
  • Aetna Better Health of Illinois — Medicare MMP: $170.84
  • Alliance Coal — Commercial: $276.35
  • Alter-Net Medical Services, Inc. — Commercial: $477.33
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $167.49
  • Care Improvement Plus — Medicare Advantage: $170.84
  • Hope Trust — Commercial: $477.33
  • Humana — Dual Medicare/Medicaid: $167.49
  • Humana — Medicare Advantage: $167.49
  • Meridian Health Plan — Dual Medicare/Medicaid: $167.49
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: PR GROUP PSYCHOTHERAPY $120 $42 $23.69 – $105.60
Group psychotherapy: 10 of 39 insurance plan rates
  • Aetna — Commercial: $94.80
  • Aetna — Medicare Advantage: $23.69
  • Aetna Better Health of Illinois — Managed Medicaid: $33.70
  • Aetna Better Health of Illinois — Medicare MMP: $23.69
  • Alliance Coal — Commercial: $32.69
  • Alter-Net Medical Services, Inc. — Commercial: $37.90
  • Beech Street — Workers Comp: $105.60
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $35.04
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $35.04
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $33.70
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file $96.42 – $274.81
Group psychotherapy: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $96.42
  • Aetna Better Health of Illinois — Medicare MMP: $98.35
  • Alliance Coal — Commercial: $159.10
  • Alter-Net Medical Services, Inc. — Commercial: $274.81
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $96.42
  • Care Improvement Plus — Medicare Advantage: $98.35
  • Hope Trust — Commercial: $274.81
  • Humana — Dual Medicare/Medicaid: $96.42
  • Humana — Medicare Advantage: $96.42
  • Meridian Health Plan — Dual Medicare/Medicaid: $96.42

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION $1,895 $663.25 $292.39 – $1,667.60
Removal of breast growth (open surgery): 10 of 39 insurance plan rates
  • Aetna — Commercial: $1,497.05
  • Aetna — Medicare Advantage: $410.06
  • Aetna Better Health of Illinois — Managed Medicaid: $292.39
  • Aetna Better Health of Illinois — Medicare MMP: $410.06
  • Alliance Coal — Commercial: $565.88
  • Alter-Net Medical Services, Inc. — Commercial: $656.10
  • Beech Street — Workers Comp: $1,667.60
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $744.11
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $744.11
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $292.39
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $3,991.72 – $11,376.40
Removal of breast growth (open surgery): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $3,991.72
  • Aetna Better Health of Illinois — Medicare MMP: $4,071.55
  • Alliance Coal — Commercial: $6,586.33
  • Alter-Net Medical Services, Inc. — Commercial: $11,376.40
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $3,991.72
  • Care Improvement Plus — Medicare Advantage: $4,071.55
  • Hope Trust — Commercial: $11,376.40
  • Humana — Dual Medicare/Medicaid: $3,991.72
  • Humana — Medicare Advantage: $3,991.72
  • Meridian Health Plan — Dual Medicare/Medicaid: $3,991.72
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT $6,157 $2,154.95 $1,247.01 – $5,418.16
Total hip replacement: 10 of 37 insurance plan rates
  • Aetna — Commercial: $4,864.03
  • Aetna — Medicare Advantage: $1,247.01
  • Aetna Better Health of Illinois — Managed Medicaid: $1,271.96
  • Aetna Better Health of Illinois — Medicare MMP: $1,247.01
  • Alliance Coal — Commercial: $1,720.87
  • Alter-Net Medical Services, Inc. — Commercial: $1,995.22
  • Beech Street — Workers Comp: $5,418.16
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $2,654.91
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $2,654.91
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $1,271.96
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $13,412.63 – $38,226
Total hip replacement: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $13,412.63
  • Aetna Better Health of Illinois — Medicare MMP: $13,680.88
  • Alliance Coal — Commercial: $22,130.84
  • Alter-Net Medical Services, Inc. — Commercial: $38,226
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $13,412.63
  • Care Improvement Plus — Medicare Advantage: $13,680.88
  • Hope Trust — Commercial: $38,226
  • Humana — Dual Medicare/Medicaid: $13,412.63
  • Humana — Medicare Advantage: $13,412.63
  • Meridian Health Plan — Dual Medicare/Medicaid: $13,412.63
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS $6,094 $2,132.90 $1,245.38 – $5,362.72
Total knee replacement: 10 of 37 insurance plan rates
  • Aetna — Commercial: $4,814.26
  • Aetna — Medicare Advantage: $1,245.38
  • Aetna Better Health of Illinois — Managed Medicaid: $1,269.86
  • Aetna Better Health of Illinois — Medicare MMP: $1,245.38
  • Alliance Coal — Commercial: $1,718.62
  • Alter-Net Medical Services, Inc. — Commercial: $1,992.61
  • Beech Street — Workers Comp: $5,362.72
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $2,651.49
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $2,651.49
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $1,269.86
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $13,412.63 – $38,226
Total knee replacement: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $13,412.63
  • Aetna Better Health of Illinois — Medicare MMP: $13,680.88
  • Alliance Coal — Commercial: $22,130.84
  • Alter-Net Medical Services, Inc. — Commercial: $38,226
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $13,412.63
  • Care Improvement Plus — Medicare Advantage: $13,680.88
  • Hope Trust — Commercial: $38,226
  • Humana — Dual Medicare/Medicaid: $13,412.63
  • Humana — Medicare Advantage: $13,412.63
  • Meridian Health Plan — Dual Medicare/Medicaid: $13,412.63
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS $3,876 $1,356.60 $166.70 – $3,410.88
Shoulder arthroscopy: shaving of shoulder bone: 10 of 37 insurance plan rates
  • Aetna — Commercial: $3,062.04
  • Aetna — Medicare Advantage: $166.70
  • Aetna Better Health of Illinois — Managed Medicaid: $169.85
  • Aetna Better Health of Illinois — Medicare MMP: $166.70
  • Alliance Coal — Commercial: $230.05
  • Alter-Net Medical Services, Inc. — Commercial: $266.72
  • Beech Street — Workers Comp: $3,410.88
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $355.63
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $355.63
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $169.85
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $169.42 – $482.83
Shoulder arthroscopy: shaving of shoulder bone: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $169.42
  • Aetna Better Health of Illinois — Medicare MMP: $172.80
  • Alliance Coal — Commercial: $279.53
  • Alter-Net Medical Services, Inc. — Commercial: $482.83
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $169.42
  • Care Improvement Plus — Medicare Advantage: $172.80
  • Hope Trust — Commercial: $482.83
  • Humana — Dual Medicare/Medicaid: $169.42
  • Humana — Medicare Advantage: $169.42
  • Meridian Health Plan — Dual Medicare/Medicaid: $169.42
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG $533 $186.55 $186.55 – $1,077.50
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 37 insurance plan rates
  • Aetna — Commercial: $421.07
  • Aetna — Medicare Advantage: $525.61
  • Aetna Better Health of Illinois — Managed Medicaid: $534.49
  • Aetna Better Health of Illinois — Medicare MMP: $525.61
  • Alliance Coal — Commercial: $725.34
  • Alter-Net Medical Services, Inc. — Commercial: $840.98
  • Beech Street — Workers Comp: $469.04
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $1,052.56
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $1,052.56
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $534.49
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $3,382.25 – $9,639.40
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $3,382.25
  • Aetna Better Health of Illinois — Medicare MMP: $3,449.89
  • Alliance Coal — Commercial: $5,580.71
  • Alter-Net Medical Services, Inc. — Commercial: $9,639.40
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $3,382.25
  • Care Improvement Plus — Medicare Advantage: $3,449.89
  • Hope Trust — Commercial: $9,639.40
  • Humana — Dual Medicare/Medicaid: $3,382.25
  • Humana — Medicare Advantage: $3,382.25
  • Meridian Health Plan — Dual Medicare/Medicaid: $3,382.25
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12 $1,200 $420 $200.07 – $1,056
Removal of tonsils and adenoids (under age 12): 10 of 37 insurance plan rates
  • Aetna — Commercial: $948
  • Aetna — Medicare Advantage: $279.70
  • Aetna Better Health of Illinois — Managed Medicaid: $200.07
  • Aetna Better Health of Illinois — Medicare MMP: $279.70
  • Alliance Coal — Commercial: $385.99
  • Alter-Net Medical Services, Inc. — Commercial: $447.52
  • Beech Street — Workers Comp: $1,056
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $509.25
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $509.25
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $200.07
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $6,166.60 – $17,574.82
Removal of tonsils and adenoids (under age 12): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $6,166.60
  • Aetna Better Health of Illinois — Medicare MMP: $6,289.93
  • Alliance Coal — Commercial: $10,174.89
  • Alter-Net Medical Services, Inc. — Commercial: $17,574.82
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $6,166.60
  • Care Improvement Plus — Medicare Advantage: $6,289.93
  • Hope Trust — Commercial: $17,574.82
  • Humana — Dual Medicare/Medicaid: $6,166.60
  • Humana — Medicare Advantage: $6,166.60
  • Meridian Health Plan — Dual Medicare/Medicaid: $6,166.60
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $905 $316.75 $115.83 – $796.40
Upper GI endoscopy (diagnostic): 10 of 39 insurance plan rates
  • Aetna — Commercial: $714.95
  • Aetna — Medicare Advantage: $115.83
  • Aetna Better Health of Illinois — Managed Medicaid: $118.42
  • Aetna Better Health of Illinois — Medicare MMP: $115.83
  • Alliance Coal — Commercial: $159.85
  • Alter-Net Medical Services, Inc. — Commercial: $185.33
  • Beech Street — Workers Comp: $796.40
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $218.80
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $218.80
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $118.42
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $977.33 – $2,785.39
Upper GI endoscopy (diagnostic): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $977.33
  • Aetna Better Health of Illinois — Medicare MMP: $996.88
  • Alliance Coal — Commercial: $1,612.60
  • Alter-Net Medical Services, Inc. — Commercial: $2,785.39
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $977.33
  • Care Improvement Plus — Medicare Advantage: $996.88
  • Hope Trust — Commercial: $2,785.39
  • Humana — Dual Medicare/Medicaid: $977.33
  • Humana — Medicare Advantage: $977.33
  • Meridian Health Plan — Dual Medicare/Medicaid: $977.33
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE $1,075 $376.25 $129.99 – $946
Upper GI endoscopy with biopsy: 10 of 39 insurance plan rates
  • Aetna — Commercial: $849.25
  • Aetna — Medicare Advantage: $129.99
  • Aetna Better Health of Illinois — Managed Medicaid: $133.93
  • Aetna Better Health of Illinois — Medicare MMP: $129.99
  • Alliance Coal — Commercial: $179.39
  • Alter-Net Medical Services, Inc. — Commercial: $207.98
  • Beech Street — Workers Comp: $946
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $242.44
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $242.44
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $133.93
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $977.33 – $2,785.39
Upper GI endoscopy with biopsy: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $977.33
  • Aetna Better Health of Illinois — Medicare MMP: $996.88
  • Alliance Coal — Commercial: $1,612.60
  • Alter-Net Medical Services, Inc. — Commercial: $2,785.39
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $977.33
  • Care Improvement Plus — Medicare Advantage: $996.88
  • Hope Trust — Commercial: $2,785.39
  • Humana — Dual Medicare/Medicaid: $977.33
  • Humana — Medicare Advantage: $977.33
  • Meridian Health Plan — Dual Medicare/Medicaid: $977.33
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $1,269 $444.15 $174.51 – $1,116.72
Colonoscopy (diagnostic): 10 of 39 insurance plan rates
  • Aetna — Commercial: $1,002.51
  • Aetna — Medicare Advantage: $174.51
  • Aetna Better Health of Illinois — Managed Medicaid: $178.60
  • Aetna Better Health of Illinois — Medicare MMP: $174.51
  • Alliance Coal — Commercial: $240.82
  • Alter-Net Medical Services, Inc. — Commercial: $279.22
  • Beech Street — Workers Comp: $1,116.72
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $380.09
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $380.09
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $178.60
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $950.38 – $2,708.60
Colonoscopy (diagnostic): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $950.38
  • Aetna Better Health of Illinois — Medicare MMP: $969.39
  • Alliance Coal — Commercial: $1,568.13
  • Alter-Net Medical Services, Inc. — Commercial: $2,708.60
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $950.38
  • Care Improvement Plus — Medicare Advantage: $969.39
  • Deaconess OneCare — Commercial: $2,186
  • Encore Combined — Commercial: $2,186
  • Encore Prime/Elite/Elite + — Commercial: $2,186
  • Hope Trust — Commercial: $2,708.60
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $1,517 $530.95 $189.86 – $1,334.96
Colonoscopy with biopsy: 10 of 39 insurance plan rates
  • Aetna — Commercial: $1,198.43
  • Aetna — Medicare Advantage: $189.86
  • Aetna Better Health of Illinois — Managed Medicaid: $193.80
  • Aetna Better Health of Illinois — Medicare MMP: $189.86
  • Alliance Coal — Commercial: $262.01
  • Alter-Net Medical Services, Inc. — Commercial: $303.78
  • Beech Street — Workers Comp: $1,334.96
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $414.44
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $414.44
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $193.80
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $1,229.10 – $3,502.93
Colonoscopy with biopsy: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $1,229.10
  • Aetna Better Health of Illinois — Medicare MMP: $1,253.68
  • Alliance Coal — Commercial: $2,028.01
  • Alter-Net Medical Services, Inc. — Commercial: $3,502.93
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $1,229.10
  • Care Improvement Plus — Medicare Advantage: $1,253.68
  • Hope Trust — Commercial: $3,502.93
  • Humana — Dual Medicare/Medicaid: $1,229.10
  • Humana — Medicare Advantage: $1,229.10
  • Meridian Health Plan — Dual Medicare/Medicaid: $1,229.10
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ $1,698 $594.30 $238.91 – $1,494.24
Colonoscopy with removal of polyps (snare): 10 of 39 insurance plan rates
  • Aetna — Commercial: $1,341.42
  • Aetna — Medicare Advantage: $238.91
  • Aetna Better Health of Illinois — Managed Medicaid: $245.44
  • Aetna Better Health of Illinois — Medicare MMP: $238.91
  • Alliance Coal — Commercial: $329.70
  • Alter-Net Medical Services, Inc. — Commercial: $382.26
  • Beech Street — Workers Comp: $1,494.24
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $521.69
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $521.69
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $245.44
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $1,229.10 – $3,502.93
Colonoscopy with removal of polyps (snare): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $1,229.10
  • Aetna Better Health of Illinois — Medicare MMP: $1,253.68
  • Alliance Coal — Commercial: $2,028.01
  • Alter-Net Medical Services, Inc. — Commercial: $3,502.93
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $1,229.10
  • Care Improvement Plus — Medicare Advantage: $1,253.68
  • Hope Trust — Commercial: $3,502.93
  • Humana — Dual Medicare/Medicaid: $1,229.10
  • Humana — Medicare Advantage: $1,229.10
  • Meridian Health Plan — Dual Medicare/Medicaid: $1,229.10
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX $1,202 $420.70 $204 – $1,057.76
Ultrasound of the lower bowel by endoscope: 10 of 37 insurance plan rates
  • Aetna — Commercial: $949.58
  • Aetna — Medicare Advantage: $241.69
  • Aetna Better Health of Illinois — Managed Medicaid: $204
  • Aetna Better Health of Illinois — Medicare MMP: $241.69
  • Alliance Coal — Commercial: $333.53
  • Alter-Net Medical Services, Inc. — Commercial: $386.70
  • Beech Street — Workers Comp: $1,057.76
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $451.10
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $451.10
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $204
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $1,229.10 – $3,502.93
Ultrasound of the lower bowel by endoscope: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $1,229.10
  • Aetna Better Health of Illinois — Medicare MMP: $1,253.68
  • Alliance Coal — Commercial: $2,028.01
  • Alter-Net Medical Services, Inc. — Commercial: $3,502.93
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $1,229.10
  • Care Improvement Plus — Medicare Advantage: $1,253.68
  • Hope Trust — Commercial: $3,502.93
  • Humana — Dual Medicare/Medicaid: $1,229.10
  • Humana — Medicare Advantage: $1,229.10
  • Meridian Health Plan — Dual Medicare/Medicaid: $1,229.10
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLON CA SCRN NOT HI RSK IND $709 $248.15 $174.14 – $623.92
Screening colonoscopy (not high risk): 10 of 39 insurance plan rates
  • Aetna — Commercial: $560.11
  • Aetna — Medicare Advantage: $174.96
  • Aetna Better Health of Illinois — Managed Medicaid: $179.05
  • Aetna Better Health of Illinois — Medicare MMP: $174.96
  • Alliance Coal — Commercial: $209.95
  • Alter-Net Medical Services, Inc. — Commercial: $279.94
  • Beech Street — Workers Comp: $623.92
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $400.35
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $400.35
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $179.05
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $950.38 – $2,708.60
Screening colonoscopy (not high risk): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $950.38
  • Aetna Better Health of Illinois — Medicare MMP: $969.39
  • Alliance Coal — Commercial: $1,568.13
  • Alter-Net Medical Services, Inc. — Commercial: $2,708.60
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $950.38
  • Care Improvement Plus — Medicare Advantage: $969.39
  • Deaconess OneCare — Commercial: $2,186
  • Encore Combined — Commercial: $2,186
  • Encore Prime/Elite/Elite + — Commercial: $2,186
  • Hope Trust — Commercial: $2,708.60
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPAROSCOPY SURG CHOLECYSTECTOMY $2,906 $1,017.10 $647.90 – $2,557.28
Gallbladder removal by laparoscope: 10 of 37 insurance plan rates
  • Aetna — Commercial: $2,295.74
  • Aetna — Medicare Advantage: $651.84
  • Aetna Better Health of Illinois — Managed Medicaid: $647.90
  • Aetna Better Health of Illinois — Medicare MMP: $651.84
  • Alliance Coal — Commercial: $899.54
  • Alter-Net Medical Services, Inc. — Commercial: $1,042.94
  • Beech Street — Workers Comp: $2,557.28
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $1,213.20
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $1,213.20
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $647.90
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $6,081.85 – $17,333.28
Gallbladder removal by laparoscope: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $6,081.85
  • Aetna Better Health of Illinois — Medicare MMP: $6,203.49
  • Alliance Coal — Commercial: $10,035.06
  • Alter-Net Medical Services, Inc. — Commercial: $17,333.28
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $6,081.85
  • Care Improvement Plus — Medicare Advantage: $6,203.49
  • Hope Trust — Commercial: $17,333.28
  • Humana — Dual Medicare/Medicaid: $6,081.85
  • Humana — Medicare Advantage: $6,081.85
  • Meridian Health Plan — Dual Medicare/Medicaid: $6,081.85
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE $1,761 $616.35 $387.05 – $1,549.68
Groin (inguinal) hernia repair, age 5 or older: 10 of 37 insurance plan rates
  • Aetna — Commercial: $1,391.19
  • Aetna — Medicare Advantage: $515.87
  • Aetna Better Health of Illinois — Managed Medicaid: $387.05
  • Aetna Better Health of Illinois — Medicare MMP: $515.87
  • Alliance Coal — Commercial: $711.90
  • Alter-Net Medical Services, Inc. — Commercial: $825.39
  • Beech Street — Workers Comp: $1,549.68
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $949.73
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $949.73
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $387.05
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $3,678.76 – $10,484.47
Groin (inguinal) hernia repair, age 5 or older: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $3,678.76
  • Aetna Better Health of Illinois — Medicare MMP: $3,752.34
  • Alliance Coal — Commercial: $6,069.96
  • Alter-Net Medical Services, Inc. — Commercial: $10,484.47
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $3,678.76
  • Care Improvement Plus — Medicare Advantage: $3,752.34
  • Hope Trust — Commercial: $10,484.47
  • Humana — Dual Medicare/Medicaid: $3,678.76
  • Humana — Medicare Advantage: $3,678.76
  • Meridian Health Plan — Dual Medicare/Medicaid: $3,678.76
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PROSTATE NEEDLE BIOPSY ANY APPROACH $667 $233.45 $113.60 – $586.96
Prostate biopsy: 10 of 39 insurance plan rates
  • Aetna — Commercial: $526.93
  • Aetna — Medicare Advantage: $123.12
  • Aetna Better Health of Illinois — Managed Medicaid: $113.60
  • Aetna Better Health of Illinois — Medicare MMP: $123.12
  • Alliance Coal — Commercial: $169.91
  • Alter-Net Medical Services, Inc. — Commercial: $196.99
  • Beech Street — Workers Comp: $586.96
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $227.35
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $227.35
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $113.60
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Outpatient Services Not listed in the file Not listed in the file $2,135.41 – $6,085.91
Prostate biopsy: 10 of 17 insurance plan rates
  • Aetna — Medicare Advantage: $2,135.41
  • Aetna Better Health of Illinois — Medicare MMP: $2,178.12
  • Alter-Net Medical Services, Inc. — Commercial: $6,085.91
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $2,135.41
  • Hope Trust — Commercial: $6,085.91
  • Humana — Dual Medicare/Medicaid: $2,135.41
  • Humana — Medicare Advantage: $2,135.41
  • Meridian Health Plan — Dual Medicare/Medicaid: $2,135.41
  • Meridian Health Plan — Medicare Advantage: $2,135.41
  • Molina Healthcare of Illinois — Dual Medicare/Medicaid: $2,156.76
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Other Outpatient Services Not listed in the file Not listed in the file $2,135.41 – $6,085.91
Prostate biopsy: rates for 2 insurance plans
  • Alliance Coal — Commercial: $3,523.42
  • Care Improvement Plus — Medicare Advantage: $2,178.12
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT $7,100 $2,485 $990.55 – $6,248
Prostate removal by laparoscope (radical prostatectomy): 10 of 37 insurance plan rates
  • Aetna — Commercial: $5,609
  • Aetna — Medicare Advantage: $1,140.08
  • Aetna Better Health of Illinois — Managed Medicaid: $990.55
  • Aetna Better Health of Illinois — Medicare MMP: $1,140.08
  • Alliance Coal — Commercial: $1,573.31
  • Alter-Net Medical Services, Inc. — Commercial: $1,824.13
  • Beech Street — Workers Comp: $6,248
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $2,466.02
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $2,466.02
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $990.55
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $10,852.86 – $30,930.66
Prostate removal by laparoscope (radical prostatectomy): 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $10,852.86
  • Aetna Better Health of Illinois — Medicare MMP: $11,069.92
  • Alliance Coal — Commercial: $17,907.23
  • Alter-Net Medical Services, Inc. — Commercial: $30,930.66
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $10,852.86
  • Care Improvement Plus — Medicare Advantage: $11,069.92
  • Hope Trust — Commercial: $30,930.66
  • Humana — Dual Medicare/Medicaid: $10,852.86
  • Humana — Medicare Advantage: $10,852.86
  • Meridian Health Plan — Dual Medicare/Medicaid: $10,852.86
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C $4,200 $1,470 $160.70 – $3,696
Hysteroscopy with biopsy of the uterus lining: 10 of 39 insurance plan rates
  • Aetna — Commercial: $3,318
  • Aetna — Medicare Advantage: $223.59
  • Aetna Better Health of Illinois — Managed Medicaid: $160.70
  • Aetna Better Health of Illinois — Medicare MMP: $223.59
  • Alliance Coal — Commercial: $308.55
  • Alter-Net Medical Services, Inc. — Commercial: $357.74
  • Beech Street — Workers Comp: $3,696
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $490.64
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $490.64
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $160.70
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $3,314.41 – $9,446.06
Hysteroscopy with biopsy of the uterus lining: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $3,314.41
  • Aetna Better Health of Illinois — Medicare MMP: $3,380.69
  • Alliance Coal — Commercial: $5,468.77
  • Alter-Net Medical Services, Inc. — Commercial: $9,446.06
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $3,314.41
  • Care Improvement Plus — Medicare Advantage: $3,380.69
  • Hope Trust — Commercial: $9,446.06
  • Humana — Dual Medicare/Medicaid: $3,314.41
  • Humana — Medicare Advantage: $3,314.41
  • Meridian Health Plan — Dual Medicare/Medicaid: $3,314.41
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $2,443.25 $537.52 $537.52 – $2,150.06
Spinal injection, lower back (epidural), with imaging guidance: 10 of 44 insurance plan rates
  • Aetna — Commercial: $1,930.17
  • Aetna — Medicare Advantage: $721.90
  • Aetna Better Health of Illinois — Medicare MMP: $736.33
  • Alliance Coal — Commercial: $1,191.13
  • Alter-Net Medical Services, Inc. — Commercial: $2,057.41
  • Beech Street — Workers Comp: $2,150.06
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $1,067.70
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $1,160.54
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $721.90
  • Care Improvement Plus — Medicare Advantage: $736.33
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EPIDURAL LUMBAR SACRAL W IMAGING $2,443.25 $537.52 $537.52 – $2,150.06
Spinal injection, lower back (epidural), with imaging guidance: 10 of 44 insurance plan rates
  • Aetna — Commercial: $1,930.17
  • Aetna — Medicare Advantage: $721.90
  • Aetna Better Health of Illinois — Medicare MMP: $736.33
  • Alliance Coal — Commercial: $1,191.13
  • Alter-Net Medical Services, Inc. — Commercial: $2,057.41
  • Beech Street — Workers Comp: $2,150.06
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $1,067.70
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $1,160.54
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $721.90
  • Care Improvement Plus — Medicare Advantage: $736.33
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $670 $234.50 $67.44 – $589.60
Spinal injection, lower back (epidural), with imaging guidance: 10 of 39 insurance plan rates
  • Aetna — Commercial: $529.30
  • Aetna — Medicare Advantage: $93.69
  • Aetna Better Health of Illinois — Managed Medicaid: $67.44
  • Aetna Better Health of Illinois — Medicare MMP: $93.69
  • Alliance Coal — Commercial: $129.29
  • Alter-Net Medical Services, Inc. — Commercial: $149.90
  • Beech Street — Workers Comp: $589.60
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $182.29
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $182.29
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $67.44
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJECT FORAMEN EPIDURAL L/S SINGLE $3,502 $770.44 $770.44 – $3,081.76
Nerve root injection, lower back, with imaging guidance: 10 of 44 insurance plan rates
  • Aetna — Commercial: $2,766.58
  • Aetna — Medicare Advantage: $928.06
  • Aetna Better Health of Illinois — Medicare MMP: $946.62
  • Alliance Coal — Commercial: $1,531.29
  • Alter-Net Medical Services, Inc. — Commercial: $2,644.96
  • Beech Street — Workers Comp: $3,081.76
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $1,530.37
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $1,663.45
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $928.06
  • Care Improvement Plus — Medicare Advantage: $946.62
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL $730 $255.50 $88.25 – $642.40
Nerve root injection, lower back, with imaging guidance: 10 of 39 insurance plan rates
  • Aetna — Commercial: $576.70
  • Aetna — Medicare Advantage: $104.35
  • Aetna Better Health of Illinois — Managed Medicaid: $88.25
  • Aetna Better Health of Illinois — Medicare MMP: $104.35
  • Alliance Coal — Commercial: $144
  • Alter-Net Medical Services, Inc. — Commercial: $166.96
  • Beech Street — Workers Comp: $642.40
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $197.74
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $197.74
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $88.25
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJECT FORAMEN EPIDURAL L/S SINGLE $3,502 $770.44 $770.44 – $3,081.76
Nerve root injection, lower back, with imaging guidance: 10 of 19 insurance plan rates
  • Aetna — Commercial: $2,766.58
  • Alter-Net Medical Services, Inc. — Commercial: $1,225.70
  • Beech Street — Workers Comp: $3,081.76
  • Cigna — Commercial: $1,362.28
  • Deaconess OneCare — Commercial: $1,856.06
  • Encore Combined — Commercial: $2,136.22
  • Encore Prime/Elite/Elite + — Commercial: $1,922.60
  • First Health — Commercial: $2,948.68
  • Guardian Resources, Inc. — Commercial: $2,941.68
  • Healthcare's Finest Network (HFN) — Commercial: $2,976.70
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE $1,935 $677.25 $422.62 – $1,702.80
Carpal tunnel release: 10 of 39 insurance plan rates
  • Aetna — Commercial: $1,528.65
  • Aetna — Medicare Advantage: $422.62
  • Aetna Better Health of Illinois — Managed Medicaid: $429.10
  • Aetna Better Health of Illinois — Medicare MMP: $422.62
  • Alliance Coal — Commercial: $583.22
  • Alter-Net Medical Services, Inc. — Commercial: $676.19
  • Beech Street — Workers Comp: $1,702.80
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $816.83
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $816.83
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $429.10
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $2,035.61 – $5,801.48
Carpal tunnel release: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $2,035.61
  • Aetna Better Health of Illinois — Medicare MMP: $2,076.32
  • Alliance Coal — Commercial: $3,358.75
  • Alter-Net Medical Services, Inc. — Commercial: $5,801.48
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $2,035.61
  • Care Improvement Plus — Medicare Advantage: $2,076.32
  • Hope Trust — Commercial: $5,801.48
  • Humana — Dual Medicare/Medicaid: $2,035.61
  • Humana — Medicare Advantage: $2,035.61
  • Meridian Health Plan — Dual Medicare/Medicaid: $2,035.61
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee In the file: PR POST-CATARACT LASER SURGERY $1,314 $459.90 $283.01 – $1,156.32
Laser treatment of clouding after cataract surgery: 10 of 39 insurance plan rates
  • Aetna — Commercial: $1,038.06
  • Aetna — Medicare Advantage: $283.01
  • Aetna Better Health of Illinois — Managed Medicaid: $291.12
  • Aetna Better Health of Illinois — Medicare MMP: $283.01
  • Alliance Coal — Commercial: $390.55
  • Alter-Net Medical Services, Inc. — Commercial: $452.82
  • Beech Street — Workers Comp: $1,156.32
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $522.30
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $522.30
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $291.12
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $571.87 – $1,629.83
Laser treatment of clouding after cataract surgery: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $571.87
  • Aetna Better Health of Illinois — Medicare MMP: $583.31
  • Alliance Coal — Commercial: $943.59
  • Alter-Net Medical Services, Inc. — Commercial: $1,629.83
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $571.87
  • Care Improvement Plus — Medicare Advantage: $583.31
  • Hope Trust — Commercial: $1,629.83
  • Humana — Dual Medicare/Medicaid: $571.87
  • Humana — Medicare Advantage: $571.87
  • Meridian Health Plan — Dual Medicare/Medicaid: $571.87
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP $3,841 $1,344.35 $498.44 – $3,380.08
Cataract removal with lens implant: 10 of 37 insurance plan rates
  • Aetna — Commercial: $3,034.39
  • Aetna — Medicare Advantage: $498.44
  • Aetna Better Health of Illinois — Managed Medicaid: $511.61
  • Aetna Better Health of Illinois — Medicare MMP: $498.44
  • Alliance Coal — Commercial: $687.85
  • Alter-Net Medical Services, Inc. — Commercial: $797.50
  • Beech Street — Workers Comp: $3,380.08
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $1,054.66
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $1,054.66
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $511.61
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $2,377.48 – $6,775.81
Cataract removal with lens implant: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $2,377.48
  • Aetna Better Health of Illinois — Medicare MMP: $2,425.03
  • Alliance Coal — Commercial: $3,922.84
  • Alter-Net Medical Services, Inc. — Commercial: $6,775.81
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $2,377.48
  • Care Improvement Plus — Medicare Advantage: $2,425.03
  • Hope Trust — Commercial: $6,775.81
  • Humana — Dual Medicare/Medicaid: $2,377.48
  • Humana — Medicare Advantage: $2,377.48
  • Meridian Health Plan — Dual Medicare/Medicaid: $2,377.48

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM $6,700 $2,345 $1,840.25 – $5,896
Vaginal delivery, with care before and after: 10 of 37 insurance plan rates
  • Aetna — Commercial: $5,293
  • Aetna — Medicare Advantage: $2,372.62
  • Aetna Better Health of Illinois — Managed Medicaid: $1,840.25
  • Aetna Better Health of Illinois — Medicare MMP: $2,372.62
  • Alliance Coal — Commercial: $3,274.22
  • Alter-Net Medical Services, Inc. — Commercial: $3,796.19
  • Beech Street — Workers Comp: $5,896
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $3,630.04
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $3,630.04
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $1,840.25
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $2,406.13 – $6,857.46
Vaginal delivery, with care before and after: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $2,406.13
  • Aetna Better Health of Illinois — Medicare MMP: $2,454.25
  • Alliance Coal — Commercial: $3,970.11
  • Alter-Net Medical Services, Inc. — Commercial: $6,857.46
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $2,406.13
  • Care Improvement Plus — Medicare Advantage: $2,454.25
  • Hope Trust — Commercial: $6,857.46
  • Humana — Dual Medicare/Medicaid: $2,406.13
  • Humana — Medicare Advantage: $2,406.13
  • Meridian Health Plan — Dual Medicare/Medicaid: $2,406.13
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM $7,200 $2,520 $2,046.31 – $6,336
Cesarean delivery (C-section), with care before and after: 10 of 37 insurance plan rates
  • Aetna — Commercial: $5,688
  • Aetna — Medicare Advantage: $2,652.52
  • Aetna Better Health of Illinois — Managed Medicaid: $2,046.31
  • Aetna Better Health of Illinois — Medicare MMP: $2,652.52
  • Alliance Coal — Commercial: $3,660.48
  • Alter-Net Medical Services, Inc. — Commercial: $4,244.03
  • Beech Street — Workers Comp: $6,336
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $4,039.56
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $4,039.56
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $2,046.31
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $2,689.70 – $7,665.65
Cesarean delivery (C-section), with care before and after: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $2,689.70
  • Aetna Better Health of Illinois — Medicare MMP: $2,743.50
  • Alliance Coal — Commercial: $4,438.01
  • Alter-Net Medical Services, Inc. — Commercial: $7,665.65
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $2,689.70
  • Care Improvement Plus — Medicare Advantage: $2,743.50
  • Hope Trust — Commercial: $7,665.65
  • Humana — Dual Medicare/Medicaid: $2,689.70
  • Humana — Medicare Advantage: $2,689.70
  • Meridian Health Plan — Dual Medicare/Medicaid: $2,689.70
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB $6,026 $2,109.10 $1,938.17 – $5,302.88
Vaginal delivery after a previous C-section, with care before and after: 10 of 37 insurance plan rates
  • Aetna — Commercial: $4,760.54
  • Aetna — Medicare Advantage: $2,503.49
  • Aetna Better Health of Illinois — Managed Medicaid: $1,938.17
  • Aetna Better Health of Illinois — Medicare MMP: $2,503.49
  • Alliance Coal — Commercial: $3,454.82
  • Alter-Net Medical Services, Inc. — Commercial: $4,005.58
  • Beech Street — Workers Comp: $5,302.88
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $3,812.55
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $3,812.55
  • Blue Cross and Blue Shield of Illinois — Managed Medicaid: $1,938.17
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $2,538.55 – $7,234.87
Vaginal delivery after a previous C-section, with care before and after: 10 of 19 insurance plan rates
  • Aetna — Medicare Advantage: $2,538.55
  • Aetna Better Health of Illinois — Medicare MMP: $2,589.32
  • Alliance Coal — Commercial: $4,188.61
  • Alter-Net Medical Services, Inc. — Commercial: $7,234.87
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $2,538.55
  • Care Improvement Plus — Medicare Advantage: $2,589.32
  • Hope Trust — Commercial: $7,234.87
  • Humana — Dual Medicare/Medicaid: $2,538.55
  • Humana — Medicare Advantage: $2,538.55
  • Meridian Health Plan — Dual Medicare/Medicaid: $2,538.55

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $76,631.77 – $206,905.78
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 21 insurance plan rates
  • Aetna — Medicare Advantage: $76,631.77
  • Aetna Better Health of Illinois — Medicare MMP: $78,164.41
  • Alliance Coal — Commercial: $126,442.42
  • Alter-Net Medical Services, Inc. — Commercial: $206,905.78
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $139,502.73
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $151,633.40
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $76,631.77
  • Care Improvement Plus — Medicare Advantage: $78,164.41
  • Hope Trust — Commercial: $206,905.78
  • Humana — Dual Medicare/Medicaid: $76,631.77
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $15,828.10 – $42,735.87
Hip or knee replacement (major joint of the leg), without major complications: 10 of 21 insurance plan rates
  • Aetna — Medicare Advantage: $15,828.10
  • Aetna Better Health of Illinois — Medicare MMP: $16,144.66
  • Alliance Coal — Commercial: $26,116.37
  • Alter-Net Medical Services, Inc. — Commercial: $42,735.87
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $27,506.11
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $29,897.95
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $15,828.10
  • Care Improvement Plus — Medicare Advantage: $16,144.66
  • Hope Trust — Commercial: $42,735.87
  • Humana — Dual Medicare/Medicaid: $15,828.10
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $19,795.02 – $53,446.55
Neck (cervical) spinal fusion, without complications: 10 of 21 insurance plan rates
  • Aetna — Medicare Advantage: $19,795.02
  • Aetna Better Health of Illinois — Medicare MMP: $20,190.92
  • Alliance Coal — Commercial: $32,661.78
  • Alter-Net Medical Services, Inc. — Commercial: $53,446.55
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $34,812.94
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $37,840.15
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $19,795.02
  • Care Improvement Plus — Medicare Advantage: $20,190.92
  • Hope Trust — Commercial: $53,446.55
  • Humana — Dual Medicare/Medicaid: $19,795.02
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $10,500.16 – $28,350.43
Uterus and ovary surgery (not for cancer), without complications: 10 of 21 insurance plan rates
  • Aetna — Medicare Advantage: $10,500.16
  • Aetna Better Health of Illinois — Medicare MMP: $10,710.16
  • Alliance Coal — Commercial: $17,325.26
  • Alter-Net Medical Services, Inc. — Commercial: $28,350.43
  • Blue Cross and Blue Shield of Illinois — Blue Choice PPO: $17,692.38
  • Blue Cross and Blue Shield of Illinois — HMO/PPO: $19,230.85
  • Blue Cross and Blue Shield of Illinois — Medicare Advantage: $10,500.16
  • Care Improvement Plus — Medicare Advantage: $10,710.16
  • Hope Trust — Commercial: $28,350.43
  • Humana — Dual Medicare/Medicaid: $10,500.16

Source: Deaconess Illinois Crossroads’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 3, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address8 Doctors Park Rd, Mount Vernon, IL 62864
CountyJefferson County
StateIllinois
Phone(618) 244‑5500
Emergency servicesYes
OwnershipProprietary
Medicare overall ratingNot rated by CMS
CMS Certification Number140294
Name in Medicare recordsDEACONESS ILLINOIS CROSSROADS
Profile levelMedicare data + hospital website
Name on the hospital’s websiteDeaconess Illinois Crossroads Hospital
Official websitedeaconess.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Deaconess Illinois Crossroads — deaconess.com
  2. SANE - Emergency Care | Deaconess — deaconess.com
  3. Emergency Care | Deaconess — deaconess.com