Does Ferrell Hospital Community Foundations have an emergency room?

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

Where is Ferrell Hospital Community Foundations?

1201 Pine Street, Eldorado, IL 62930, in Saline County, Illinois.

What is the phone number of Ferrell Hospital Community Foundations?

(618) 273-3361, as listed by Medicare (CMS).

What is the Medicare star rating of Ferrell Hospital Community Foundations?

1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Ferrell Hospital Community Foundations

Quick answers

Does Ferrell Hospital Community Foundations have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Ferrell Hospital Community Foundations. In a medical emergency, call 911.
Where is Ferrell Hospital Community Foundations?: 1201 Pine Street, Eldorado, IL 62930, in Saline County, Illinois.
What is the phone number of Ferrell Hospital Community Foundations?: (618) 273-3361, as listed by Medicare (CMS).
What is the Medicare star rating of Ferrell Hospital Community Foundations?: 1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5][8]

Audiology
Behavioral Health
Breast Services
Cosmetic Services
Emergency Care
Gastroenterology
Heart Services
Imaging and Radiology
Laboratory
Nutrition Services
Oncology and Hematology
Orthopedics
Pain Management
Podiatry
Rehabilitation and Therapy Services
Respiratory and Pulmonary
Rheumatology
Surgical Services
Women's Health
Wound Care

Conditions treated^[8][14]

Heart attack
Stroke
Severe injuries
Burns
Electrical shock
Amputation
Mental health and substance abuse emergencies
High blood pressure (hypertension)
Congestive heart failure

Treatments^{[4][9][10][14]}

Echocardiography
Electrocardiogram (EKG)
Treadmill stress test
Chemical stress test
X-ray
Ultrasound
CT scan
MRI
Nuclear medicine
3D screening mammography
Colonoscopy
Physical therapy
Occupational therapy
Speech therapy

Procedures^[4][16]

Colonoscopy screening
Laparoscopic surgery
Open surgery

Programs and centers^{[4][5][8][13][14][17]}

Swing Bed Services
Senior Transitions
Walk-In Clinics
Tele-Stroke neurology consultations
Emergency care (24/7)
Cardiac rehabilitation
Congestive Heart Failure Clinic
Intensive Therapy (outpatient behavioral health group therapy)

Emergency care (hospital website)^[8]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Acute Stroke Ready

Visiting and practical information

Parking	Designated handicapped parking on campus and at clinics; all Ferrell locations are tobacco free^[7]
Interpreters and languages	Free foreign-language interpreters available; ask your nurse. Sign language interpreters also offered^[7]
Patient portal	MyChart

Recognition^[8]

Acute Stroke Ready certification (emergency services team)

Doctors and clinicians (230)

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

Main specialties

And 206 more: the button below opens the full list.

Other emergency rooms nearby

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

Harrisburg Medical Center9.0 mi · Harrisburg, IL · Acute Care Hospital
Hamilton Memorial Hospital20 mi · McLeansboro, IL · Critical Access Hospital
Hardin County General Hospital & Clinic27 mi · Rosiclare, IL · Critical Access Hospital
Marion Il VA Medical Center29 mi · Marion, IL · Federal/VA Acute Care Hospital
Franklin Hospital29 mi · Benton, IL · Critical Access Hospital

Other hospitals nearby

Methodist Hospital Union County30 mi · Morganfield, KY · Critical Access Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Eldorado Rehab and Healthcare0.1 mi · Eldorado, IL · 3 of 5 stars
Saline Care Nursing and Rehab8.0 mi · Harrisburg, IL · 2 of 5 stars
Axiom Healthcare of Harrisburg8.5 mi · Harrisburg, IL · 1 of 5 stars

All nursing homes in the state →

Home health agencies

Egyptian Health Department2.2 mi · Eldorado, IL

All home health agencies in the state →

Dialysis facilities

FMC - Saline County9.0 mi · Harrisburg, IL · 1 of 5 stars

All dialysis facilities 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

Eldorado Rural Health Clinic0.9 mi · Eldorado, IL · Community health center
Harrisburg Community HTLH Center7.5 mi · Harrisburg, IL · Community health center
Carrier Mills Community Health Center14 mi · Carrier Mills, IL · Community health center

Clinics and urgent care

Eldorado Family Medicine Clinic2.2 mi · Eldorado, IL · Rural health clinic
Eldorado Primary Care2.2 mi · Eldorado, IL · Rural health clinic
Ferrell Hospital Family Practice2.2 mi · Eldorado, IL · Rural health clinic

Pharmacies

PRN Pharmacies Ltd2.2 mi · Eldorado, IL · Community/retail pharmacy
Ellet Pharmacy Inc9.0 mi · Harrisburg, IL · Community/retail pharmacy
PRN Pharmacies Ltd9.0 mi · Harrisburg, IL · Community/retail pharmacy

About the Medicare star rating

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

Medicare quality data

What Ferrell Hospital Community Foundations 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.

Not reported to Medicare

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	0.992No different from the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	1.171No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	11.9%
Deaths within 30 days: pneumonia patients	22.6%
Deaths within 30 days: COPD patients	9.1%
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Too few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	21.5%
Readmitted within 30 days: pneumonia	18.3%
Readmitted within 30 days: COPD	19.2%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

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

Average (median) time patients spent in the emergency room before leaving (OP-18b)	Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)	Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Illinois Best hospitals in Illinois

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 82 common services exactly as Ferrell Hospital Community Foundations lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FH PRO FEE 99203	$349	$261.75	$157.05 – $314.10
New patient office visit (about 30–44 minutes): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $279.20 Aetna — Medicare Advantage: $157.05 Aetna — Medicare FIDE: $157.05 Ambetter — Commercial: $157.05 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $157.05 Blue Cross Blue Shield of Illinois — Medicare Advantage: $157.05 Blue Cross Blue Shield of Illinois — PPO: $279.20 Cigna — HMO/PPO: $279.20 Corvel — PPO: $314.10 HealthLink — HMO: $279.20
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	$160	$120	$55.95 – $144
New patient office visit (about 30–44 minutes): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $109.16 Aetna — Medicare Advantage: $72 Aetna Better Health (Illinicare) — Managed Medicaid: $55.95 Ambetter — Commercial: $72 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $72 Blue Cross Blue Shield of Illinois — Managed Medicaid: $55.95 Blue Cross Blue Shield of Illinois — Medicare Advantage: $72 Blue Cross Blue Shield of Illinois — PPO: $113.44 Cigna — HMO/PPO: $90.20 Corvel — PPO: $144
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FH PRO FEE 99203	$349	$261.75	$279.20 – $314.10
New patient office visit (about 30–44 minutes): rates for 8 insurance plans Aetna — HMO/PPO/First Health: $279.20 Cigna — HMO/PPO: $279.20 Corvel — PPO: $314.10 Healthsmart (IHG) — PPI/PPO: $279.20 HOPE Trust — Commercial: $279.20 MultiPlan/PHCS — PPO: $279.20 Sagamore — Commercial: $286.18 Zelis (HFN) — HMO/PPO: $279.20
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FH PRO FEE 99204	$397	$297.75	$178.65 – $357.30
New patient office visit (about 45–59 minutes): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $317.60 Aetna — Medicare Advantage: $178.65 Aetna — Medicare FIDE: $178.65 Ambetter — Commercial: $178.65 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $178.65 Blue Cross Blue Shield of Illinois — Medicare Advantage: $178.65 Blue Cross Blue Shield of Illinois — PPO: $317.60 Cigna — HMO/PPO: $317.60 Corvel — PPO: $357.30 HealthLink — HMO: $317.60
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	$248	$186	$90.81 – $223.20
New patient office visit (about 45–59 minutes): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $162.33 Aetna — Medicare Advantage: $111.60 Aetna Better Health (Illinicare) — Managed Medicaid: $90.81 Ambetter — Commercial: $111.60 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $111.60 Blue Cross Blue Shield of Illinois — Managed Medicaid: $90.81 Blue Cross Blue Shield of Illinois — Medicare Advantage: $111.60 Blue Cross Blue Shield of Illinois — PPO: $170.61 Cigna — HMO/PPO: $146.39 Corvel — PPO: $223.20
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FH PRO FEE 99204	$397	$297.75	$317.60 – $357.30
New patient office visit (about 45–59 minutes): rates for 8 insurance plans Aetna — HMO/PPO/First Health: $317.60 Cigna — HMO/PPO: $317.60 Corvel — PPO: $357.30 Healthsmart (IHG) — PPI/PPO: $317.60 HOPE Trust — Commercial: $317.60 MultiPlan/PHCS — PPO: $317.60 Sagamore — Commercial: $325.54 Zelis (HFN) — HMO/PPO: $317.60
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FH PRO FEE 99205	$426	$319.50	$191.70 – $383.40
New patient office visit (about 60–74 minutes): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $340.80 Aetna — Medicare Advantage: $191.70 Aetna — Medicare FIDE: $191.70 Ambetter — Commercial: $191.70 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $191.70 Blue Cross Blue Shield of Illinois — Medicare Advantage: $191.70 Blue Cross Blue Shield of Illinois — PPO: $340.80 Cigna — HMO/PPO: $340.80 Corvel — PPO: $383.40 HealthLink — HMO: $340.80
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	$307	$230.25	$123.49 – $276.30
New patient office visit (about 60–74 minutes): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $214.54 Aetna — Medicare Advantage: $138.15 Aetna Better Health (Illinicare) — Managed Medicaid: $123.49 Ambetter — Commercial: $138.15 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $138.15 Blue Cross Blue Shield of Illinois — Managed Medicaid: $123.49 Blue Cross Blue Shield of Illinois — Medicare Advantage: $138.15 Blue Cross Blue Shield of Illinois — PPO: $225.43 Cigna — HMO/PPO: $199.07 Corvel — PPO: $276.30
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FH PRO FEE 99205	$426	$319.50	$340.80 – $383.40
New patient office visit (about 60–74 minutes): rates for 8 insurance plans Aetna — HMO/PPO/First Health: $340.80 Cigna — HMO/PPO: $340.80 Corvel — PPO: $383.40 Healthsmart (IHG) — PPI/PPO: $340.80 HOPE Trust — Commercial: $340.80 MultiPlan/PHCS — PPO: $340.80 Sagamore — Commercial: $349.32 Zelis (HFN) — HMO/PPO: $340.80
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: HC FH PRO FEE 99213	$140	$105	$44.67 – $126
Established patient office visit (about 20–29 minutes): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $87.43 Aetna — Medicare Advantage: $63 Aetna Better Health (Illinicare) — Managed Medicaid: $44.67 Ambetter — Commercial: $63 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $63 Blue Cross Blue Shield of Illinois — Managed Medicaid: $44.67 Blue Cross Blue Shield of Illinois — Medicare Advantage: $63 Blue Cross Blue Shield of Illinois — PPO: $91.94 Cigna — HMO/PPO: $72.01 Corvel — PPO: $126
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN	$124	$93	$44.67 – $111.60
Established patient office visit (about 20–29 minutes): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $87.43 Aetna — Medicare Advantage: $55.80 Aetna Better Health (Illinicare) — Managed Medicaid: $44.67 Ambetter — Commercial: $55.80 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $55.80 Blue Cross Blue Shield of Illinois — Managed Medicaid: $44.67 Blue Cross Blue Shield of Illinois — Medicare Advantage: $55.80 Blue Cross Blue Shield of Illinois — PPO: $91.94 Cigna — HMO/PPO: $72.01 Corvel — PPO: $111.60
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE O/P EST LOW 20-29 MIN	Not listed in the file	Not listed in the file	$87.43
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan Aetna — HMO/PPO/First Health: $87.43
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: HC FH PRO FEE 99214	$314	$235.50	$65.79 – $282.60
Established patient office visit (about 30–39 minutes): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $123.86 Aetna — Medicare Advantage: $141.30 Aetna Better Health (Illinicare) — Managed Medicaid: $65.79 Ambetter — Commercial: $141.30 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $141.30 Blue Cross Blue Shield of Illinois — Managed Medicaid: $65.79 Blue Cross Blue Shield of Illinois — Medicare Advantage: $141.30 Blue Cross Blue Shield of Illinois — PPO: $129.91 Cigna — HMO/PPO: $106.06 Corvel — PPO: $282.60
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	$170	$127.50	$65.79 – $153
Established patient office visit (about 30–39 minutes): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $123.86 Aetna — Medicare Advantage: $76.50 Aetna Better Health (Illinicare) — Managed Medicaid: $65.79 Ambetter — Commercial: $76.50 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $76.50 Blue Cross Blue Shield of Illinois — Managed Medicaid: $65.79 Blue Cross Blue Shield of Illinois — Medicare Advantage: $76.50 Blue Cross Blue Shield of Illinois — PPO: $129.91 Cigna — HMO/PPO: $106.06 Corvel — PPO: $153
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE O/P EST MOD 30-39 MIN	Not listed in the file	Not listed in the file	$123.86
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan Aetna — HMO/PPO/First Health: $123.86
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OP VISIT CONSULT 99243	$197	$147.75	$88.65 – $177.30
Office consultation with a specialist (moderate): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $157.60 Aetna — Medicare Advantage: $88.65 Aetna — Medicare FIDE: $88.65 Ambetter — Commercial: $88.65 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $88.65 Blue Cross Blue Shield of Illinois — Medicare Advantage: $88.65 Blue Cross Blue Shield of Illinois — PPO: $157.60 Cigna — HMO/PPO: $157.60 Corvel — PPO: $177.30 HealthLink — HMO: $157.60
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	$175	$131.25	$51.30 – $161.46
Office consultation with a specialist (moderate): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $161.46 Aetna — Medicare Advantage: $78.75 Aetna Better Health (Illinicare) — Managed Medicaid: $51.30 Ambetter — Commercial: $78.75 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $78.75 Blue Cross Blue Shield of Illinois — Managed Medicaid: $51.30 Blue Cross Blue Shield of Illinois — Medicare Advantage: $78.75 Blue Cross Blue Shield of Illinois — PPO: $117.28 Cigna — HMO/PPO: $96.05 Corvel — PPO: $157.50
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE OP VISIT CONSULT 99243	$197	$147.75	$157.60 – $177.30
Office consultation with a specialist (moderate): rates for 8 insurance plans Aetna — HMO/PPO/First Health: $157.60 Cigna — HMO/PPO: $157.60 Corvel — PPO: $177.30 Healthsmart (IHG) — PPI/PPO: $157.60 HOPE Trust — Commercial: $157.60 MultiPlan/PHCS — PPO: $157.60 Sagamore — Commercial: $161.54 Zelis (HFN) — HMO/PPO: $157.60
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OP VISIT CONSULT 99244	$348	$261	$156.60 – $313.20
Office consultation with a specialist (moderate to high): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $278.40 Aetna — Medicare Advantage: $156.60 Aetna — Medicare FIDE: $156.60 Ambetter — Commercial: $156.60 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $156.60 Blue Cross Blue Shield of Illinois — Medicare Advantage: $156.60 Blue Cross Blue Shield of Illinois — PPO: $278.40 Cigna — HMO/PPO: $278.40 Corvel — PPO: $313.20 HealthLink — HMO: $278.40
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	$309	$231.75	$71.40 – $278.10
Office consultation with a specialist (moderate to high): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $231.67 Aetna — Medicare Advantage: $139.05 Aetna Better Health (Illinicare) — Managed Medicaid: $71.40 Ambetter — Commercial: $139.05 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $139.05 Blue Cross Blue Shield of Illinois — Managed Medicaid: $71.40 Blue Cross Blue Shield of Illinois — Medicare Advantage: $139.05 Blue Cross Blue Shield of Illinois — PPO: $167.83 Cigna — HMO/PPO: $145.97 Corvel — PPO: $278.10
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE OP VISIT CONSULT 99244	$348	$261	$278.40 – $313.20
Office consultation with a specialist (moderate to high): rates for 8 insurance plans Aetna — HMO/PPO/First Health: $278.40 Cigna — HMO/PPO: $278.40 Corvel — PPO: $313.20 Healthsmart (IHG) — PPI/PPO: $278.40 HOPE Trust — Commercial: $278.40 MultiPlan/PHCS — PPO: $278.40 Sagamore — Commercial: $285.36 Zelis (HFN) — HMO/PPO: $278.40
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	$165	$123.75	$32.15 – $184.88
Preventive checkup, new patient, age 18–39: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $144.19 Aetna — Medicare Advantage: $74.25 Aetna Better Health (Illinicare) — Managed Medicaid: $32.15 Ambetter — Commercial: $74.25 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $74.25 Blue Cross Blue Shield of Illinois — Managed Medicaid: $32.15 Blue Cross Blue Shield of Illinois — Medicare Advantage: $74.25 Blue Cross Blue Shield of Illinois — PPO: $184.88 Cigna — HMO/PPO: $102 Corvel — PPO: $148.50
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$144.19
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan Aetna — HMO/PPO/First Health: $144.19
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee · modifier st In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$135.93
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan Blue Cross Blue Shield of Illinois — PPO: $135.93
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	$165	$123.75	$66.40 – $213.61
Preventive checkup, new patient, age 40–64: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $166.46 Aetna — Medicare Advantage: $74.25 Aetna Better Health (Illinicare) — Managed Medicaid: $66.40 Ambetter — Commercial: $74.25 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $74.25 Blue Cross Blue Shield of Illinois — Managed Medicaid: $66.40 Blue Cross Blue Shield of Illinois — Medicare Advantage: $74.25 Blue Cross Blue Shield of Illinois — PPO: $213.61 Cigna — HMO/PPO: $123.56 Corvel — PPO: $148.50
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$166.46
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan Aetna — HMO/PPO/First Health: $166.46
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee · modifier st In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$164.67
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan Blue Cross Blue Shield of Illinois — PPO: $164.67
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 3 VISIT 99283	$362	$271.50	$162.90 – $325.80
Emergency room visit (moderate): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $289.60 Aetna — Medicare Advantage: $162.90 Aetna — Medicare FIDE: $162.90 Ambetter — Commercial: $162.90 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $162.90 Blue Cross Blue Shield of Illinois — Medicare Advantage: $162.90 Blue Cross Blue Shield of Illinois — PPO: $289.60 Cigna — HMO/PPO: $289.60 Corvel — PPO: $325.80 HealthLink — HMO: $289.60
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL 3 VISIT 99283	$362	$271.50	$289.60 – $325.80
Emergency room visit (moderate): rates for 8 insurance plans Aetna — HMO/PPO/First Health: $289.60 Cigna — HMO/PPO: $289.60 Corvel — PPO: $325.80 Healthsmart (IHG) — PPI/PPO: $289.60 HOPE Trust — Commercial: $289.60 MultiPlan/PHCS — PPO: $289.60 Sagamore — Commercial: $296.84 Zelis (HFN) — HMO/PPO: $289.60
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT	Not listed in the file	Not listed in the file	$49.16 – $92.29
Emergency room visit (moderate): rates for 7 insurance plans Aetna — HMO/PPO/First Health: $72.42 Aetna Better Health (Illinicare) — Managed Medicaid: $49.16 Blue Cross Blue Shield of Illinois — Managed Medicaid: $49.16 Blue Cross Blue Shield of Illinois — PPO: $92.29 Cigna — HMO/PPO: $79.25 Meridian Health Plan — Managed Medicaid: $49.16 Molina Healthcare of Illinois — Managed Medicaid: $49.16
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 4 VISIT 99284	$592	$444	$266.40 – $532.80
Emergency room visit (moderately high): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $473.60 Aetna — Medicare Advantage: $266.40 Aetna — Medicare FIDE: $266.40 Ambetter — Commercial: $266.40 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $266.40 Blue Cross Blue Shield of Illinois — Medicare Advantage: $266.40 Blue Cross Blue Shield of Illinois — PPO: $473.60 Cigna — HMO/PPO: $473.60 Corvel — PPO: $532.80 HealthLink — HMO: $473.60
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ED VISIT MODERATE MDM	$571	$428.25	$83.69 – $513.90
Emergency room visit (moderately high): 10 of 25 insurance plan rates Aetna — HMO/PPO/First Health: $121.46 Aetna — Medicare Advantage: $256.95 Aetna Better Health (Illinicare) — Managed Medicaid: $83.69 Ambetter — Commercial: $256.95 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $256.95 Blue Cross Blue Shield of Illinois — Managed Medicaid: $83.69 Blue Cross Blue Shield of Illinois — Medicare Advantage: $256.95 Blue Cross Blue Shield of Illinois — PPO: $157.11 Cigna — HMO/PPO: $134.91 Corvel — PPO: $513.90
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL 4 VISIT 99284	$592	$444	$473.60 – $532.80
Emergency room visit (moderately high): rates for 8 insurance plans Aetna — HMO/PPO/First Health: $473.60 Cigna — HMO/PPO: $473.60 Corvel — PPO: $532.80 Healthsmart (IHG) — PPI/PPO: $473.60 HOPE Trust — Commercial: $473.60 MultiPlan/PHCS — PPO: $473.60 Sagamore — Commercial: $485.44 Zelis (HFN) — HMO/PPO: $473.60
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 5 VISIT 99285	$1,546	$1,159.50	$695.70 – $1,391.40
Emergency room visit (high): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $1,236.80 Aetna — Medicare Advantage: $695.70 Aetna — Medicare FIDE: $695.70 Ambetter — Commercial: $695.70 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $695.70 Blue Cross Blue Shield of Illinois — Medicare Advantage: $695.70 Blue Cross Blue Shield of Illinois — PPO: $1,236.80 Cigna — HMO/PPO: $1,236.80 Corvel — PPO: $1,391.40 HealthLink — HMO: $1,236.80
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL 5 VISIT 99285	$1,546	$1,159.50	$1,236.80 – $1,391.40
Emergency room visit (high): rates for 8 insurance plans Aetna — HMO/PPO/First Health: $1,236.80 Cigna — HMO/PPO: $1,236.80 Corvel — PPO: $1,391.40 Healthsmart (IHG) — PPI/PPO: $1,236.80 HOPE Trust — Commercial: $1,236.80 MultiPlan/PHCS — PPO: $1,236.80 Sagamore — Commercial: $1,267.72 Zelis (HFN) — HMO/PPO: $1,236.80
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT	Not listed in the file	Not listed in the file	$121.28 – $227.69
Emergency room visit (high): rates for 7 insurance plans Aetna — HMO/PPO/First Health: $177.14 Aetna Better Health (Illinicare) — Managed Medicaid: $121.28 Blue Cross Blue Shield of Illinois — Managed Medicaid: $121.28 Blue Cross Blue Shield of Illinois — PPO: $227.69 Cigna — HMO/PPO: $195.51 Meridian Health Plan — Managed Medicaid: $121.28 Molina Healthcare of Illinois — Managed Medicaid: $121.28

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PROF CHEM8	$185	$138.75	$83.25 – $166.50
Basic metabolic panel (blood test): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $148 Aetna — Medicare Advantage: $83.25 Aetna — Medicare FIDE: $83.25 Ambetter — Commercial: $83.25 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $83.25 Blue Cross Blue Shield of Illinois — Medicare Advantage: $83.25 Blue Cross Blue Shield of Illinois — PPO: $148 Cigna — HMO/PPO: $148 Corvel — PPO: $166.50 HealthLink — HMO: $148
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PROF CHEM8	$185	$138.75	$148 – $166.50
Basic metabolic panel (blood test): rates for 8 insurance plans Aetna — HMO/PPO/First Health: $148 Cigna — HMO/PPO: $148 Corvel — PPO: $166.50 Healthsmart (IHG) — PPI/PPO: $148 HOPE Trust — Commercial: $148 MultiPlan/PHCS — PPO: $148 Sagamore — Commercial: $151.70 Zelis (HFN) — HMO/PPO: $148
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: METABOLIC PANEL TOTAL CA	Not listed in the file	Not listed in the file	$6.31 – $10.19
Basic metabolic panel (blood test): rates for 7 insurance plans Aetna — HMO/PPO/First Health: $10.19 Aetna Better Health (Illinicare) — Managed Medicaid: $8.28 Blue Cross Blue Shield of Illinois — Managed Medicaid: $8.28 Blue Cross Blue Shield of Illinois — PPO: $8.46 Cigna — HMO/PPO: $6.31 Meridian Health Plan — Managed Medicaid: $8.28 Molina Healthcare of Illinois — Managed Medicaid: $8.28
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PROFILE	$223	$167.25	$100.35 – $200.70
Comprehensive metabolic panel (blood test): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $178.40 Aetna — Medicare Advantage: $100.35 Aetna — Medicare FIDE: $100.35 Ambetter — Commercial: $100.35 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $100.35 Blue Cross Blue Shield of Illinois — Medicare Advantage: $100.35 Blue Cross Blue Shield of Illinois — PPO: $178.40 Cigna — HMO/PPO: $178.40 Corvel — PPO: $200.70 HealthLink — HMO: $178.40
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PROFILE	$223	$167.25	$178.40 – $200.70
Comprehensive metabolic panel (blood test): rates for 8 insurance plans Aetna — HMO/PPO/First Health: $178.40 Cigna — HMO/PPO: $178.40 Corvel — PPO: $200.70 Healthsmart (IHG) — PPI/PPO: $178.40 HOPE Trust — Commercial: $178.40 MultiPlan/PHCS — PPO: $178.40 Sagamore — Commercial: $182.86 Zelis (HFN) — HMO/PPO: $178.40
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$4.86 – $12.71
Comprehensive metabolic panel (blood test): rates for 7 insurance plans Aetna — HMO/PPO/First Health: $12.71 Aetna Better Health (Illinicare) — Managed Medicaid: $10.36 Blue Cross Blue Shield of Illinois — Managed Medicaid: $10.36 Blue Cross Blue Shield of Illinois — PPO: $10.56 Cigna — HMO/PPO: $4.86 Meridian Health Plan — Managed Medicaid: $10.36 Molina Healthcare of Illinois — Managed Medicaid: $10.36
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL	$630	$472.50	$283.50 – $567
Obstetric blood test panel: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $504 Aetna — Medicare Advantage: $283.50 Aetna — Medicare FIDE: $283.50 Ambetter — Commercial: $283.50 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $283.50 Blue Cross Blue Shield of Illinois — Medicare Advantage: $283.50 Blue Cross Blue Shield of Illinois — PPO: $504 Cigna — HMO/PPO: $504 Corvel — PPO: $567 HealthLink — HMO: $504
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL	$630	$472.50	$504 – $567
Obstetric blood test panel: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $504 Cigna — HMO/PPO: $504 Corvel — PPO: $567 Healthsmart (IHG) — PPI/PPO: $504 HOPE Trust — Commercial: $504 MultiPlan/PHCS — PPO: $504 Sagamore — Commercial: $516.60 Zelis (HFN) — HMO/PPO: $504
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Doctor (professional) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$22.16 – $57.57
Obstetric blood test panel: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $57.57 Aetna Better Health (Illinicare) — Managed Medicaid: $33.47 Blue Cross Blue Shield of Illinois — Managed Medicaid: $33.47 Blue Cross Blue Shield of Illinois — PPO: $36.81 Cigna — HMO/PPO: $22.16 Meridian Health Plan — Managed Medicaid: $33.47 Molina Healthcare of Illinois — Managed Medicaid: $33.47
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PROFILE CORONARY RISK	$210	$157.50	$94.50 – $189
Cholesterol panel (lipid panel): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $168 Aetna — Medicare Advantage: $94.50 Aetna — Medicare FIDE: $94.50 Ambetter — Commercial: $94.50 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $94.50 Blue Cross Blue Shield of Illinois — Medicare Advantage: $94.50 Blue Cross Blue Shield of Illinois — PPO: $168 Cigna — HMO/PPO: $168 Corvel — PPO: $189 HealthLink — HMO: $168
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PROFILE CORONARY RISK	$210	$157.50	$168 – $189
Cholesterol panel (lipid panel): rates for 8 insurance plans Aetna — HMO/PPO/First Health: $168 Cigna — HMO/PPO: $168 Corvel — PPO: $189 Healthsmart (IHG) — PPI/PPO: $168 HOPE Trust — Commercial: $168 MultiPlan/PHCS — PPO: $168 Sagamore — Commercial: $172.20 Zelis (HFN) — HMO/PPO: $168
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Doctor (professional) fee In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$9.37 – $16.13
Cholesterol panel (lipid panel): rates for 7 insurance plans Aetna — HMO/PPO/First Health: $16.13 Aetna Better Health (Illinicare) — Managed Medicaid: $9.37 Blue Cross Blue Shield of Illinois — Managed Medicaid: $9.37 Blue Cross Blue Shield of Illinois — PPO: $13.39 Cigna — HMO/PPO: $9.96 Meridian Health Plan — Managed Medicaid: $9.37 Molina Healthcare of Illinois — Managed Medicaid: $9.37
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL PROFILE	$113	$84.75	$50.85 – $101.70
Kidney function panel: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $90.40 Aetna — Medicare Advantage: $50.85 Aetna — Medicare FIDE: $50.85 Ambetter — Commercial: $50.85 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $50.85 Blue Cross Blue Shield of Illinois — Medicare Advantage: $50.85 Blue Cross Blue Shield of Illinois — PPO: $90.40 Cigna — HMO/PPO: $90.40 Corvel — PPO: $101.70 HealthLink — HMO: $90.40
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL PROFILE	$113	$84.75	$90.40 – $101.70
Kidney function panel: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $90.40 Cigna — HMO/PPO: $90.40 Corvel — PPO: $101.70 Healthsmart (IHG) — PPI/PPO: $90.40 HOPE Trust — Commercial: $90.40 MultiPlan/PHCS — PPO: $90.40 Sagamore — Commercial: $92.66 Zelis (HFN) — HMO/PPO: $90.40
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$4.10 – $10.44
Kidney function panel: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $10.44 Aetna Better Health (Illinicare) — Managed Medicaid: $8.52 Blue Cross Blue Shield of Illinois — Managed Medicaid: $8.52 Blue Cross Blue Shield of Illinois — PPO: $8.68 Cigna — HMO/PPO: $4.10 Meridian Health Plan — Managed Medicaid: $8.52 Molina Healthcare 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	$124	$93	$55.80 – $111.60
Liver function panel: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $99.20 Aetna — Medicare Advantage: $55.80 Aetna — Medicare FIDE: $55.80 Ambetter — Commercial: $55.80 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $55.80 Blue Cross Blue Shield of Illinois — Medicare Advantage: $55.80 Blue Cross Blue Shield of Illinois — PPO: $99.20 Cigna — HMO/PPO: $99.20 Corvel — PPO: $111.60 HealthLink — HMO: $99.20
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIVER HEPATIC PROFILE	$124	$93	$99.20 – $111.60
Liver function panel: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $99.20 Cigna — HMO/PPO: $99.20 Corvel — PPO: $111.60 Healthsmart (IHG) — PPI/PPO: $99.20 HOPE Trust — Commercial: $99.20 MultiPlan/PHCS — PPO: $99.20 Sagamore — Commercial: $101.68 Zelis (HFN) — HMO/PPO: $99.20
Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$3.79 – $9.84
Liver function panel: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $9.84 Aetna Better Health (Illinicare) — Managed Medicaid: $7.98 Blue Cross Blue Shield of Illinois — Managed Medicaid: $7.98 Blue Cross Blue Shield of Illinois — PPO: $6.29 Cigna — HMO/PPO: $3.79 Meridian Health Plan — Managed Medicaid: $7.98 Molina Healthcare 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	$81	$60.75	$36.45 – $72.90
Urine test (automated, with microscope): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $64.80 Aetna — Medicare Advantage: $36.45 Aetna — Medicare FIDE: $36.45 Ambetter — Commercial: $36.45 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $36.45 Blue Cross Blue Shield of Illinois — Medicare Advantage: $36.45 Blue Cross Blue Shield of Illinois — PPO: $64.80 Cigna — HMO/PPO: $64.80 Corvel — PPO: $72.90 HealthLink — HMO: $64.80
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS W/MICRO CULTURE	$81	$60.75	$36.45 – $72.90
Urine test (automated, with microscope): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $64.80 Aetna — Medicare Advantage: $36.45 Aetna — Medicare FIDE: $36.45 Ambetter — Commercial: $36.45 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $36.45 Blue Cross Blue Shield of Illinois — Medicare Advantage: $36.45 Blue Cross Blue Shield of Illinois — PPO: $64.80 Cigna — HMO/PPO: $64.80 Corvel — PPO: $72.90 HealthLink — HMO: $64.80
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UA	$76	$57	$34.20 – $68.40
Urine test (automated, with microscope): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $60.80 Aetna — Medicare Advantage: $34.20 Aetna — Medicare FIDE: $34.20 Ambetter — Commercial: $34.20 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $34.20 Blue Cross Blue Shield of Illinois — Medicare Advantage: $34.20 Blue Cross Blue Shield of Illinois — PPO: $60.80 Cigna — HMO/PPO: $60.80 Corvel — PPO: $68.40 HealthLink — HMO: $60.80
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP	$10	$7.50	$2.67 – $9
Urine test (manual, without microscope): 10 of 25 insurance plan rates Aetna — HMO/PPO/First Health: $4.19 Aetna — Medicare Advantage: $4.50 Aetna Better Health (Illinicare) — Managed Medicaid: $5.20 Ambetter — Commercial: $4.50 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $4.50 Blue Cross Blue Shield of Illinois — Managed Medicaid: $5.20 Blue Cross Blue Shield of Illinois — Medicare Advantage: $4.50 Blue Cross Blue Shield of Illinois — PPO: $3.48 Cigna — HMO/PPO: $2.67 Corvel — PPO: $9
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$4.19
Urine test (manual, without microscope): rates for 1 insurance plan Aetna — HMO/PPO/First Health: $4.19
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee · modifier st In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$3.50
Urine test (manual, without microscope): rates for 1 insurance plan Blue Cross Blue Shield of Illinois — PPO: $3.50
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UA AUTO WITHOUT MICRO 81003	$73	$54.75	$32.85 – $65.70
Urine test (automated, without microscope): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $58.40 Aetna — Medicare Advantage: $32.85 Aetna — Medicare FIDE: $32.85 Ambetter — Commercial: $32.85 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $32.85 Blue Cross Blue Shield of Illinois — Medicare Advantage: $32.85 Blue Cross Blue Shield of Illinois — PPO: $58.40 Cigna — HMO/PPO: $58.40 Corvel — PPO: $65.70 HealthLink — HMO: $58.40
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY	$71	$53.25	$1.70 – $63.90
Urine test (automated, without microscope): 10 of 25 insurance plan rates Aetna — HMO/PPO/First Health: $2.72 Aetna — Medicare Advantage: $31.95 Aetna Better Health (Illinicare) — Managed Medicaid: $4.36 Ambetter — Commercial: $31.95 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $31.95 Blue Cross Blue Shield of Illinois — Managed Medicaid: $4.36 Blue Cross Blue Shield of Illinois — Medicare Advantage: $31.95 Blue Cross Blue Shield of Illinois — PPO: $2.25 Cigna — HMO/PPO: $1.70 Corvel — PPO: $63.90
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC UA AUTO WITHOUT MICRO 81003	$73	$54.75	$58.40 – $65.70
Urine test (automated, without microscope): rates for 8 insurance plans Aetna — HMO/PPO/First Health: $58.40 Cigna — HMO/PPO: $58.40 Corvel — PPO: $65.70 Healthsmart (IHG) — PPI/PPO: $58.40 HOPE Trust — Commercial: $58.40 MultiPlan/PHCS — PPO: $58.40 Sagamore — Commercial: $59.86 Zelis (HFN) — HMO/PPO: $58.40
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA DIAGNOSTIC	$162	$121.50	$72.90 – $145.80
PSA (prostate specific antigen) blood test: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $129.60 Aetna — Medicare Advantage: $72.90 Aetna — Medicare FIDE: $72.90 Ambetter — Commercial: $72.90 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $72.90 Blue Cross Blue Shield of Illinois — Medicare Advantage: $72.90 Blue Cross Blue Shield of Illinois — PPO: $129.60 Cigna — HMO/PPO: $129.60 Corvel — PPO: $145.80 HealthLink — HMO: $129.60
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN TOTAL	$162	$121.50	$72.90 – $145.80
PSA (prostate specific antigen) blood test: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $129.60 Aetna — Medicare Advantage: $72.90 Aetna — Medicare FIDE: $72.90 Ambetter — Commercial: $72.90 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $72.90 Blue Cross Blue Shield of Illinois — Medicare Advantage: $72.90 Blue Cross Blue Shield of Illinois — PPO: $129.60 Cigna — HMO/PPO: $129.60 Corvel — PPO: $145.80 HealthLink — HMO: $129.60
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSA DIAGNOSTIC	$162	$121.50	$129.60 – $145.80
PSA (prostate specific antigen) blood test: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $129.60 Cigna — HMO/PPO: $129.60 Corvel — PPO: $145.80 Healthsmart (IHG) — PPI/PPO: $129.60 HOPE Trust — Commercial: $129.60 MultiPlan/PHCS — PPO: $129.60 Sagamore — Commercial: $132.84 Zelis (HFN) — HMO/PPO: $129.60
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH	$147	$110.25	$66.15 – $132.30
Thyroid stimulating hormone (TSH) test: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $117.60 Aetna — Medicare Advantage: $66.15 Aetna — Medicare FIDE: $66.15 Ambetter — Commercial: $66.15 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $66.15 Blue Cross Blue Shield of Illinois — Medicare Advantage: $66.15 Blue Cross Blue Shield of Illinois — PPO: $117.60 Cigna — HMO/PPO: $117.60 Corvel — PPO: $132.30 HealthLink — HMO: $117.60
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC TSH	$147	$110.25	$117.60 – $132.30
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $117.60 Cigna — HMO/PPO: $117.60 Corvel — PPO: $132.30 Healthsmart (IHG) — PPI/PPO: $117.60 HOPE Trust — Commercial: $117.60 MultiPlan/PHCS — PPO: $117.60 Sagamore — Commercial: $120.54 Zelis (HFN) — HMO/PPO: $117.60
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Doctor (professional) fee In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$12.39 – $20.23
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $20.23 Aetna Better Health (Illinicare) — Managed Medicaid: $16.42 Blue Cross Blue Shield of Illinois — Managed Medicaid: $16.42 Blue Cross Blue Shield of Illinois — PPO: $16.80 Cigna — HMO/PPO: $12.39 Meridian Health Plan — Managed Medicaid: $16.42 Molina Healthcare of Illinois — Managed Medicaid: $16.42
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC W AUTO DIFF	$117	$87.75	$52.65 – $105.30
Complete blood count (CBC) with differential: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $93.60 Aetna — Medicare Advantage: $52.65 Aetna — Medicare FIDE: $52.65 Ambetter — Commercial: $52.65 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $52.65 Blue Cross Blue Shield of Illinois — Medicare Advantage: $52.65 Blue Cross Blue Shield of Illinois — PPO: $93.60 Cigna — HMO/PPO: $93.60 Corvel — PPO: $105.30 HealthLink — HMO: $93.60
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC W AUTO DIFF	$117	$87.75	$93.60 – $105.30
Complete blood count (CBC) with differential: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $93.60 Cigna — HMO/PPO: $93.60 Corvel — PPO: $105.30 Healthsmart (IHG) — PPI/PPO: $93.60 HOPE Trust — Commercial: $93.60 MultiPlan/PHCS — PPO: $93.60 Sagamore — Commercial: $95.94 Zelis (HFN) — HMO/PPO: $93.60
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$5.83 – $11.48
Complete blood count (CBC) with differential: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $9.35 Aetna Better Health (Illinicare) — Managed Medicaid: $11.48 Blue Cross Blue Shield of Illinois — Managed Medicaid: $11.48 Blue Cross Blue Shield of Illinois — PPO: $7.77 Cigna — HMO/PPO: $5.83 Meridian Health Plan — Managed Medicaid: $11.48 Molina Healthcare of Illinois — Managed Medicaid: $11.48
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC W MANUAL DIFF	$76	$57	$34.20 – $68.40
Complete blood count (CBC), automated: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $60.80 Aetna — Medicare Advantage: $34.20 Aetna — Medicare FIDE: $34.20 Ambetter — Commercial: $34.20 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $34.20 Blue Cross Blue Shield of Illinois — Medicare Advantage: $34.20 Blue Cross Blue Shield of Illinois — PPO: $60.80 Cigna — HMO/PPO: $60.80 Corvel — PPO: $68.40 HealthLink — HMO: $60.80
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC W MANUAL DIFF	$76	$57	$60.80 – $68.40
Complete blood count (CBC), automated: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $60.80 Cigna — HMO/PPO: $60.80 Corvel — PPO: $68.40 Healthsmart (IHG) — PPI/PPO: $60.80 HOPE Trust — Commercial: $60.80 MultiPlan/PHCS — PPO: $60.80 Sagamore — Commercial: $62.32 Zelis (HFN) — HMO/PPO: $60.80
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$4.86 – $11.48
Complete blood count (CBC), automated: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $7.78 Aetna Better Health (Illinicare) — Managed Medicaid: $11.48 Blue Cross Blue Shield of Illinois — Managed Medicaid: $11.48 Blue Cross Blue Shield of Illinois — PPO: $6.47 Cigna — HMO/PPO: $4.86 Meridian Health Plan — Managed Medicaid: $11.48 Molina Healthcare of Illinois — Managed Medicaid: $11.48
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$74	$55.50	$33.30 – $66.60
Blood clotting time test (prothrombin time, PT): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $59.20 Aetna — Medicare Advantage: $33.30 Aetna — Medicare FIDE: $33.30 Ambetter — Commercial: $33.30 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $33.30 Blue Cross Blue Shield of Illinois — Medicare Advantage: $33.30 Blue Cross Blue Shield of Illinois — PPO: $59.20 Cigna — HMO/PPO: $59.20 Corvel — PPO: $66.60 HealthLink — HMO: $59.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ANTIPHOSPHOLIPID SYN PROTHROMBIN TIME	$74	$55.50	$33.30 – $66.60
Blood clotting time test (prothrombin time, PT): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $59.20 Aetna — Medicare Advantage: $33.30 Aetna — Medicare FIDE: $33.30 Ambetter — Commercial: $33.30 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $33.30 Blue Cross Blue Shield of Illinois — Medicare Advantage: $33.30 Blue Cross Blue Shield of Illinois — PPO: $59.20 Cigna — HMO/PPO: $59.20 Corvel — PPO: $66.60 HealthLink — HMO: $59.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LUPUS ANTICOAG PROTHROMBIN TIME	$59	$44.25	$26.55 – $53.10
Blood clotting time test (prothrombin time, PT): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $47.20 Aetna — Medicare Advantage: $26.55 Aetna — Medicare FIDE: $26.55 Ambetter — Commercial: $26.55 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $26.55 Blue Cross Blue Shield of Illinois — Medicare Advantage: $26.55 Blue Cross Blue Shield of Illinois — PPO: $47.20 Cigna — HMO/PPO: $47.20 Corvel — PPO: $53.10 HealthLink — HMO: $47.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC APTT B	$102	$76.50	$45.90 – $91.80
Blood clotting test (partial thromboplastin time, PTT): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $81.60 Aetna — Medicare Advantage: $45.90 Aetna — Medicare FIDE: $45.90 Ambetter — Commercial: $45.90 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $45.90 Blue Cross Blue Shield of Illinois — Medicare Advantage: $45.90 Blue Cross Blue Shield of Illinois — PPO: $81.60 Cigna — HMO/PPO: $81.60 Corvel — PPO: $91.80 HealthLink — HMO: $81.60
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LUPUS ANTICOAGULANT	$74	$55.50	$33.30 – $66.60
Blood clotting test (partial thromboplastin time, PTT): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $59.20 Aetna — Medicare Advantage: $33.30 Aetna — Medicare FIDE: $33.30 Ambetter — Commercial: $33.30 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $33.30 Blue Cross Blue Shield of Illinois — Medicare Advantage: $33.30 Blue Cross Blue Shield of Illinois — PPO: $59.20 Cigna — HMO/PPO: $59.20 Corvel — PPO: $66.60 HealthLink — HMO: $59.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ANTIPHOSPHOLIPID SYN THROMBOPLASTIN TIME PARTIAL	$102	$76.50	$45.90 – $91.80
Blood clotting test (partial thromboplastin time, PTT): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $81.60 Aetna — Medicare Advantage: $45.90 Aetna — Medicare FIDE: $45.90 Ambetter — Commercial: $45.90 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $45.90 Blue Cross Blue Shield of Illinois — Medicare Advantage: $45.90 Blue Cross Blue Shield of Illinois — PPO: $81.60 Cigna — HMO/PPO: $81.60 Corvel — PPO: $91.80 HealthLink — HMO: $81.60

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN W/O CONTRAST	$2,178	$1,633.50	$980.10 – $1,960.20
CT scan of the head or brain, without contrast: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $1,742.40 Aetna — Medicare Advantage: $980.10 Aetna — Medicare FIDE: $980.10 Ambetter — Commercial: $980.10 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $980.10 Blue Cross Blue Shield of Illinois — Medicare Advantage: $980.10 Blue Cross Blue Shield of Illinois — PPO: $1,742.40 Cigna — HMO/PPO: $1,742.40 Corvel — PPO: $1,960.20 HealthLink — HMO: $1,742.40
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	$2,178	$1,633.50	$1,742.40 – $1,960.20
CT scan of the head or brain, without contrast: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $1,742.40 Cigna — HMO/PPO: $1,742.40 Corvel — PPO: $1,960.20 Healthsmart (IHG) — PPI/PPO: $1,742.40 HOPE Trust — Commercial: $1,742.40 MultiPlan/PHCS — PPO: $1,742.40 Sagamore — Commercial: $1,785.96 Zelis (HFN) — HMO/PPO: $1,742.40
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$100.57 – $243.34
CT scan of the head or brain, without contrast: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $157.05 Aetna Better Health (Illinicare) — Managed Medicaid: $100.57 Blue Cross Blue Shield of Illinois — Managed Medicaid: $100.57 Blue Cross Blue Shield of Illinois — PPO: $243.34 Cigna — HMO/PPO: $113.48 Meridian Health Plan — Managed Medicaid: $100.57 Molina Healthcare of Illinois — Managed Medicaid: $100.57
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	$3,690	$2,767.50	$1,660.50 – $3,321
MRI of the brain, before and after contrast: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $2,952 Aetna — Medicare Advantage: $1,660.50 Aetna — Medicare FIDE: $1,660.50 Ambetter — Commercial: $1,660.50 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $1,660.50 Blue Cross Blue Shield of Illinois — Medicare Advantage: $1,660.50 Blue Cross Blue Shield of Illinois — PPO: $2,952 Cigna — HMO/PPO: $2,952 Corvel — PPO: $3,321 HealthLink — HMO: $2,952
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	$3,690	$2,767.50	$2,952 – $3,321
MRI of the brain, before and after contrast: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $2,952 Cigna — HMO/PPO: $2,952 Corvel — PPO: $3,321 Healthsmart (IHG) — PPI/PPO: $2,952 HOPE Trust — Commercial: $2,952 MultiPlan/PHCS — PPO: $2,952 Sagamore — Commercial: $3,025.80 Zelis (HFN) — HMO/PPO: $2,952
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$296.60 – $945.19
MRI of the brain, before and after contrast: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $549.71 Aetna Better Health (Illinicare) — Managed Medicaid: $296.60 Blue Cross Blue Shield of Illinois — Managed Medicaid: $296.60 Blue Cross Blue Shield of Illinois — PPO: $945.19 Cigna — HMO/PPO: $340.96 Meridian Health Plan — Managed Medicaid: $296.60 Molina Healthcare of Illinois — Managed Medicaid: $296.60
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS	$291	$218.25	$130.95 – $261.90
Chest X-ray, 2 views: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $232.80 Aetna — Medicare Advantage: $130.95 Aetna — Medicare FIDE: $130.95 Ambetter — Commercial: $130.95 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $130.95 Blue Cross Blue Shield of Illinois — Medicare Advantage: $130.95 Blue Cross Blue Shield of Illinois — PPO: $232.80 Cigna — HMO/PPO: $232.80 Corvel — PPO: $261.90 HealthLink — HMO: $232.80
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS	$291	$218.25	$232.80 – $261.90
Chest X-ray, 2 views: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $232.80 Cigna — HMO/PPO: $232.80 Corvel — PPO: $261.90 Healthsmart (IHG) — PPI/PPO: $232.80 HOPE Trust — Commercial: $232.80 MultiPlan/PHCS — PPO: $232.80 Sagamore — Commercial: $238.62 Zelis (HFN) — HMO/PPO: $232.80
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$35.10 – $87.08
Chest X-ray, 2 views: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $40.03 Aetna Better Health (Illinicare) — Managed Medicaid: $87.08 Blue Cross Blue Shield of Illinois — Managed Medicaid: $87.08 Blue Cross Blue Shield of Illinois — PPO: $75.26 Cigna — HMO/PPO: $35.10 Meridian Health Plan — Managed Medicaid: $87.08 Molina Healthcare of Illinois — Managed Medicaid: $87.08
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	$453	$339.75	$203.85 – $407.70
X-ray of the lower spine, at least 4 views: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $362.40 Aetna — Medicare Advantage: $203.85 Aetna — Medicare FIDE: $203.85 Ambetter — Commercial: $203.85 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $203.85 Blue Cross Blue Shield of Illinois — Medicare Advantage: $203.85 Blue Cross Blue Shield of Illinois — PPO: $362.40 Cigna — HMO/PPO: $362.40 Corvel — PPO: $407.70 HealthLink — HMO: $362.40
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	$453	$339.75	$362.40 – $407.70
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $362.40 Cigna — HMO/PPO: $362.40 Corvel — PPO: $407.70 Healthsmart (IHG) — PPI/PPO: $362.40 HOPE Trust — Commercial: $362.40 MultiPlan/PHCS — PPO: $362.40 Sagamore — Commercial: $371.46 Zelis (HFN) — HMO/PPO: $362.40
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$37.90 – $105.34
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $60.58 Aetna Better Health (Illinicare) — Managed Medicaid: $37.90 Blue Cross Blue Shield of Illinois — Managed Medicaid: $37.90 Blue Cross Blue Shield of Illinois — PPO: $105.34 Cigna — HMO/PPO: $53.76 Meridian Health Plan — Managed Medicaid: $37.90 Molina Healthcare of Illinois — Managed Medicaid: $37.90
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	$3,663	$2,747.25	$1,648.35 – $3,296.70
MRI of the lower back (lumbar spine), without contrast: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $2,930.40 Aetna — Medicare Advantage: $1,648.35 Aetna — Medicare FIDE: $1,648.35 Ambetter — Commercial: $1,648.35 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $1,648.35 Blue Cross Blue Shield of Illinois — Medicare Advantage: $1,648.35 Blue Cross Blue Shield of Illinois — PPO: $2,930.40 Cigna — HMO/PPO: $2,930.40 Corvel — PPO: $3,296.70 HealthLink — HMO: $2,930.40
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	$3,663	$2,747.25	$2,930.40 – $3,296.70
MRI of the lower back (lumbar spine), without contrast: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $2,930.40 Cigna — HMO/PPO: $2,930.40 Corvel — PPO: $3,296.70 Healthsmart (IHG) — PPI/PPO: $2,930.40 HOPE Trust — Commercial: $2,930.40 MultiPlan/PHCS — PPO: $2,930.40 Sagamore — Commercial: $3,003.66 Zelis (HFN) — HMO/PPO: $2,930.40
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$181.99 – $394.95
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $329.60 Aetna Better Health (Illinicare) — Managed Medicaid: $181.99 Blue Cross Blue Shield of Illinois — Managed Medicaid: $181.99 Blue Cross Blue Shield of Illinois — PPO: $394.95 Cigna — HMO/PPO: $205.36 Meridian Health Plan — Managed Medicaid: $181.99 Molina Healthcare of Illinois — Managed Medicaid: $181.99
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W/CONTRAST	$2,171	$1,628.25	$976.95 – $1,953.90
CT scan of the pelvis, with contrast: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $1,736.80 Aetna — Medicare Advantage: $976.95 Aetna — Medicare FIDE: $976.95 Ambetter — Commercial: $976.95 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $976.95 Blue Cross Blue Shield of Illinois — Medicare Advantage: $976.95 Blue Cross Blue Shield of Illinois — PPO: $1,736.80 Cigna — HMO/PPO: $1,736.80 Corvel — PPO: $1,953.90 HealthLink — HMO: $1,736.80
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT PELVIS W/CONTRAST	$2,171	$1,628.25	$1,736.80 – $1,953.90
CT scan of the pelvis, with contrast: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $1,736.80 Cigna — HMO/PPO: $1,736.80 Corvel — PPO: $1,953.90 Healthsmart (IHG) — PPI/PPO: $1,736.80 HOPE Trust — Commercial: $1,736.80 MultiPlan/PHCS — PPO: $1,736.80 Sagamore — Commercial: $1,780.22 Zelis (HFN) — HMO/PPO: $1,736.80
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$150.57 – $520.48
CT scan of the pelvis, with contrast: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $328.90 Aetna Better Health (Illinicare) — Managed Medicaid: $150.57 Blue Cross Blue Shield of Illinois — Managed Medicaid: $150.57 Blue Cross Blue Shield of Illinois — PPO: $520.48 Cigna — HMO/PPO: $242.73 Meridian Health Plan — Managed Medicaid: $150.57 Molina Healthcare of Illinois — Managed Medicaid: $150.57
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	$2,816	$2,112	$1,267.20 – $2,534.40
MRI of a leg joint (such as the knee), without contrast: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $2,252.80 Aetna — Medicare Advantage: $1,267.20 Aetna — Medicare FIDE: $1,267.20 Ambetter — Commercial: $1,267.20 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $1,267.20 Blue Cross Blue Shield of Illinois — Medicare Advantage: $1,267.20 Blue Cross Blue Shield of Illinois — PPO: $2,252.80 Cigna — HMO/PPO: $2,252.80 Corvel — PPO: $2,534.40 HealthLink — HMO: $2,252.80
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	$2,816	$2,112	$2,252.80 – $2,534.40
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $2,252.80 Cigna — HMO/PPO: $2,252.80 Corvel — PPO: $2,534.40 Healthsmart (IHG) — PPI/PPO: $2,252.80 HOPE Trust — Commercial: $2,252.80 MultiPlan/PHCS — PPO: $2,252.80 Sagamore — Commercial: $2,309.12 Zelis (HFN) — HMO/PPO: $2,252.80
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$216.56 – $575.73
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $347.49 Aetna Better Health (Illinicare) — Managed Medicaid: $575.73 Blue Cross Blue Shield of Illinois — Managed Medicaid: $575.73 Blue Cross Blue Shield of Illinois — PPO: $416.48 Cigna — HMO/PPO: $216.56 Meridian Health Plan — Managed Medicaid: $575.73 Molina Healthcare of Illinois — Managed Medicaid: $575.73
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	$4,251	$3,188.25	$1,912.95 – $3,825.90
CT scan of the abdomen and pelvis, with contrast: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $3,400.80 Aetna — Medicare Advantage: $1,912.95 Aetna — Medicare FIDE: $1,912.95 Ambetter — Commercial: $1,912.95 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $1,912.95 Blue Cross Blue Shield of Illinois — Medicare Advantage: $1,912.95 Blue Cross Blue Shield of Illinois — PPO: $3,400.80 Cigna — HMO/PPO: $3,400.80 Corvel — PPO: $3,825.90 HealthLink — HMO: $3,400.80
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	$4,251	$3,188.25	$3,400.80 – $3,825.90
CT scan of the abdomen and pelvis, with contrast: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $3,400.80 Cigna — HMO/PPO: $3,400.80 Corvel — PPO: $3,825.90 Healthsmart (IHG) — PPI/PPO: $3,400.80 HOPE Trust — Commercial: $3,400.80 MultiPlan/PHCS — PPO: $3,400.80 Sagamore — Commercial: $3,485.82 Zelis (HFN) — HMO/PPO: $3,400.80
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: CT ABD & PELV W/CONTRAST	Not listed in the file	Not listed in the file	$200.10 – $691.66
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $451.12 Aetna Better Health (Illinicare) — Managed Medicaid: $200.10 Blue Cross Blue Shield of Illinois — Managed Medicaid: $200.10 Blue Cross Blue Shield of Illinois — PPO: $691.66 Cigna — HMO/PPO: $322.56 Meridian Health Plan — Managed Medicaid: $200.10 Molina Healthcare of Illinois — Managed Medicaid: $200.10
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE	$898	$673.50	$404.10 – $808.20
Ultrasound of the abdomen, complete: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $718.40 Aetna — Medicare Advantage: $404.10 Aetna — Medicare FIDE: $404.10 Ambetter — Commercial: $404.10 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $404.10 Blue Cross Blue Shield of Illinois — Medicare Advantage: $404.10 Blue Cross Blue Shield of Illinois — PPO: $718.40 Cigna — HMO/PPO: $718.40 Corvel — PPO: $808.20 HealthLink — HMO: $718.40
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE	$898	$673.50	$718.40 – $808.20
Ultrasound of the abdomen, complete: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $718.40 Cigna — HMO/PPO: $718.40 Corvel — PPO: $808.20 Healthsmart (IHG) — PPI/PPO: $718.40 HOPE Trust — Commercial: $718.40 MultiPlan/PHCS — PPO: $718.40 Sagamore — Commercial: $736.36 Zelis (HFN) — HMO/PPO: $718.40
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$75.90 – $260.06
Ultrasound of the abdomen, complete: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $138.95 Aetna Better Health (Illinicare) — Managed Medicaid: $75.90 Blue Cross Blue Shield of Illinois — Managed Medicaid: $75.90 Blue Cross Blue Shield of Illinois — PPO: $260.06 Cigna — HMO/PPO: $121.28 Meridian Health Plan — Managed Medicaid: $75.90 Molina Healthcare of Illinois — Managed Medicaid: $75.90
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	$695	$521.25	$312.75 – $625.50
Pregnancy ultrasound (after the first trimester): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $556 Aetna — Medicare Advantage: $312.75 Aetna — Medicare FIDE: $312.75 Ambetter — Commercial: $312.75 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $312.75 Blue Cross Blue Shield of Illinois — Medicare Advantage: $312.75 Blue Cross Blue Shield of Illinois — PPO: $556 Cigna — HMO/PPO: $556 Corvel — PPO: $625.50 HealthLink — HMO: $556
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB ULTRASOUND >= 14 WEEKS	$650	$487.50	$292.50 – $585
Pregnancy ultrasound (after the first trimester): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $520 Aetna — Medicare Advantage: $292.50 Aetna — Medicare FIDE: $292.50 Ambetter — Commercial: $292.50 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $292.50 Blue Cross Blue Shield of Illinois — Medicare Advantage: $292.50 Blue Cross Blue Shield of Illinois — PPO: $520 Cigna — HMO/PPO: $520 Corvel — PPO: $585 HealthLink — HMO: $520
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	$695	$521.25	$556 – $625.50
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans Aetna — HMO/PPO/First Health: $556 Cigna — HMO/PPO: $556 Corvel — PPO: $625.50 Healthsmart (IHG) — PPI/PPO: $556 HOPE Trust — Commercial: $556 MultiPlan/PHCS — PPO: $556 Sagamore — Commercial: $569.90 Zelis (HFN) — HMO/PPO: $556
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL	$660	$495	$297 – $594
Transvaginal ultrasound: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $528 Aetna — Medicare Advantage: $297 Aetna — Medicare FIDE: $297 Ambetter — Commercial: $297 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $297 Blue Cross Blue Shield of Illinois — Medicare Advantage: $297 Blue Cross Blue Shield of Illinois — PPO: $528 Cigna — HMO/PPO: $528 Corvel — PPO: $594 HealthLink — HMO: $528
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL	$660	$495	$528 – $594
Transvaginal ultrasound: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $528 Cigna — HMO/PPO: $528 Corvel — PPO: $594 Healthsmart (IHG) — PPI/PPO: $528 HOPE Trust — Commercial: $528 MultiPlan/PHCS — PPO: $528 Sagamore — Commercial: $541.20 Zelis (HFN) — HMO/PPO: $528
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$76.76 – $265.35
Transvaginal ultrasound: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $142.35 Aetna Better Health (Illinicare) — Managed Medicaid: $76.76 Blue Cross Blue Shield of Illinois — Managed Medicaid: $76.76 Blue Cross Blue Shield of Illinois — PPO: $265.35 Cigna — HMO/PPO: $123.75 Meridian Health Plan — Managed Medicaid: $76.76 Molina Healthcare of Illinois — Managed Medicaid: $76.76
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	$373	$279.75	$167.85 – $335.70
Diagnostic mammogram, one breast: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $298.40 Aetna — Medicare Advantage: $167.85 Aetna — Medicare FIDE: $167.85 Ambetter — Commercial: $167.85 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $167.85 Blue Cross Blue Shield of Illinois — Medicare Advantage: $167.85 Blue Cross Blue Shield of Illinois — PPO: $298.40 Cigna — HMO/PPO: $298.40 Corvel — PPO: $335.70 HealthLink — HMO: $298.40
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC UNILATERAL W/DIGITAL IMAGES W CAD	$373	$279.75	$298.40 – $335.70
Diagnostic mammogram, one breast: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $298.40 Cigna — HMO/PPO: $298.40 Corvel — PPO: $335.70 Healthsmart (IHG) — PPI/PPO: $298.40 HOPE Trust — Commercial: $298.40 MultiPlan/PHCS — PPO: $298.40 Sagamore — Commercial: $305.86 Zelis (HFN) — HMO/PPO: $298.40
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$127.16 – $279.19
Diagnostic mammogram, one breast: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $148.58 Aetna Better Health (Illinicare) — Managed Medicaid: $127.16 Blue Cross Blue Shield of Illinois — Managed Medicaid: $127.16 Blue Cross Blue Shield of Illinois — PPO: $279.19 Cigna — HMO/PPO: $130.20 Meridian Health Plan — Managed Medicaid: $127.16 Molina Healthcare of Illinois — Managed Medicaid: $127.16
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	$506	$379.50	$227.70 – $455.40
Diagnostic mammogram, both breasts: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $404.80 Aetna — Medicare Advantage: $227.70 Aetna — Medicare FIDE: $227.70 Ambetter — Commercial: $227.70 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $227.70 Blue Cross Blue Shield of Illinois — Medicare Advantage: $227.70 Blue Cross Blue Shield of Illinois — PPO: $404.80 Cigna — HMO/PPO: $404.80 Corvel — PPO: $455.40 HealthLink — HMO: $404.80
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC BILATERAL W/DIGITAL IMAGES W CAD	$506	$379.50	$404.80 – $455.40
Diagnostic mammogram, both breasts: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $404.80 Cigna — HMO/PPO: $404.80 Corvel — PPO: $455.40 Healthsmart (IHG) — PPI/PPO: $404.80 HOPE Trust — Commercial: $404.80 MultiPlan/PHCS — PPO: $404.80 Sagamore — Commercial: $414.92 Zelis (HFN) — HMO/PPO: $404.80
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$161.20 – $353.52
Diagnostic mammogram, both breasts: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $187.03 Aetna Better Health (Illinicare) — Managed Medicaid: $161.20 Blue Cross Blue Shield of Illinois — Managed Medicaid: $161.20 Blue Cross Blue Shield of Illinois — PPO: $353.52 Cigna — HMO/PPO: $164.87 Meridian Health Plan — Managed Medicaid: $161.20 Molina Healthcare of Illinois — Managed Medicaid: $161.20
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	$433	$324.75	$194.85 – $389.70
Screening mammogram, both breasts: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $346.40 Aetna — Medicare Advantage: $194.85 Aetna — Medicare FIDE: $194.85 Ambetter — Commercial: $194.85 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $194.85 Blue Cross Blue Shield of Illinois — Medicare Advantage: $194.85 Blue Cross Blue Shield of Illinois — PPO: $346.40 Cigna — HMO/PPO: $346.40 Corvel — PPO: $389.70 HealthLink — HMO: $346.40
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM SCREENING BILATERAL W/DIGITAL IMAGES W CAD	$433	$324.75	$346.40 – $389.70
Screening mammogram, both breasts: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $346.40 Cigna — HMO/PPO: $346.40 Corvel — PPO: $389.70 Healthsmart (IHG) — PPI/PPO: $346.40 HOPE Trust — Commercial: $346.40 MultiPlan/PHCS — PPO: $346.40 Sagamore — Commercial: $355.06 Zelis (HFN) — HMO/PPO: $346.40
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Doctor (professional) fee In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$129.86 – $284.63
Screening mammogram, both breasts: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $151.86 Aetna Better Health (Illinicare) — Managed Medicaid: $129.86 Blue Cross Blue Shield of Illinois — Managed Medicaid: $129.86 Blue Cross Blue Shield of Illinois — PPO: $284.63 Cigna — HMO/PPO: $132.74 Meridian Health Plan — Managed Medicaid: $129.86 Molina Healthcare of Illinois — Managed Medicaid: $129.86

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance 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	$45	$33.75	$15.39 – $40.92
Electrocardiogram (ECG/EKG) with reading: 10 of 25 insurance plan rates Aetna — HMO/PPO/First Health: $21.24 Aetna — Medicare Advantage: $20.25 Aetna Better Health (Illinicare) — Managed Medicaid: $40.92 Ambetter — Commercial: $20.25 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $20.25 Blue Cross Blue Shield of Illinois — Managed Medicaid: $40.92 Blue Cross Blue Shield of Illinois — Medicare Advantage: $20.25 Blue Cross Blue Shield of Illinois — PPO: $31.28 Cigna — HMO/PPO: $15.39 Corvel — PPO: $40.50
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$21.24
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan Aetna — HMO/PPO/First Health: $21.24
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$573.13 – $1,775.81
Left heart catheterization (diagnostic): rates for 7 insurance plans Aetna — HMO/PPO/First Health: $1,297.88 Aetna Better Health (Illinicare) — Managed Medicaid: $573.13 Blue Cross Blue Shield of Illinois — Managed Medicaid: $573.13 Blue Cross Blue Shield of Illinois — PPO: $1,775.81 Cigna — HMO/PPO: $923.89 Meridian Health Plan — Managed Medicaid: $573.13 Molina Healthcare of Illinois — Managed Medicaid: $573.13
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	$261.54 – $502.70
Left heart catheterization (diagnostic): rates for 3 insurance plans Aetna — HMO/PPO/First Health: $356.02 Blue Cross Blue Shield of Illinois — PPO: $502.70 Cigna — HMO/PPO: $261.54
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$662.35 – $1,273.11
Left heart catheterization (diagnostic): rates for 3 insurance plans Aetna — HMO/PPO/First Health: $941.88 Blue Cross Blue Shield of Illinois — PPO: $1,273.11 Cigna — HMO/PPO: $662.35
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee In the file: ELECTROPHYSIOLOGY EVALUATION	Not listed in the file	Not listed in the file	$452.87 – $1,389.38
Heart rhythm study (electrophysiology evaluation): rates for 7 insurance plans Aetna — HMO/PPO/First Health: $989.94 Aetna Better Health (Illinicare) — Managed Medicaid: $452.87 Blue Cross Blue Shield of Illinois — Managed Medicaid: $452.87 Blue Cross Blue Shield of Illinois — PPO: $1,389.38 Cigna — HMO/PPO: $715.44 Meridian Health Plan — Managed Medicaid: $452.87 Molina Healthcare of Illinois — Managed Medicaid: $452.87
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: ELECTROPHYSIOLOGY EVALUATION	Not listed in the file	Not listed in the file	$423.42 – $813.85
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans Aetna — HMO/PPO/First Health: $583.66 Blue Cross Blue Shield of Illinois — PPO: $813.85 Cigna — HMO/PPO: $423.42
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: ELECTROPHYSIOLOGY EVALUATION	Not listed in the file	Not listed in the file	$292.02 – $568.11
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans Aetna — HMO/PPO/First Health: $406.28 Blue Cross Blue Shield of Illinois — PPO: $568.11 Cigna — HMO/PPO: $292.02
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$709.43 – $2,028.64
Heart rhythm study with ablation for atrial fibrillation: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $1,457.18 Aetna Better Health (Illinicare) — Managed Medicaid: $709.43 Blue Cross Blue Shield of Illinois — Managed Medicaid: $709.43 Blue Cross Blue Shield of Illinois — PPO: $2,028.64 Cigna — HMO/PPO: $1,055.43 Meridian Health Plan — Managed Medicaid: $709.43 Molina Healthcare of Illinois — Managed Medicaid: $709.43
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$398.94 – $1,338.29
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans Aetna — HMO/PPO/First Health: $791.95 Aetna Better Health (Illinicare) — Managed Medicaid: $398.94 Blue Cross Blue Shield of Illinois — Managed Medicaid: $398.94 Blue Cross Blue Shield of Illinois — PPO: $1,338.29 Cigna — HMO/PPO: $643.11 Meridian Health Plan — Managed Medicaid: $398.94 Molina Healthcare of Illinois — Managed Medicaid: $398.94
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$126.62 – $263.49
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans Aetna — HMO/PPO/First Health: $160.71 Blue Cross Blue Shield of Illinois — PPO: $263.49 Cigna — HMO/PPO: $126.62
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$516.49 – $1,074.80
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans Aetna — HMO/PPO/First Health: $631.25 Blue Cross Blue Shield of Illinois — PPO: $1,074.80 Cigna — HMO/PPO: $516.49

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT THERAPEUTIC EXERCISE 15 MIN	$134	$100.50	$60.30 – $120.60
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $107.20 Aetna — Medicare Advantage: $60.30 Aetna — Medicare FIDE: $60.30 Ambetter — Commercial: $60.30 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $60.30 Blue Cross Blue Shield of Illinois — Medicare Advantage: $60.30 Blue Cross Blue Shield of Illinois — PPO: $107.20 Cigna — HMO/PPO: $107.20 Corvel — PPO: $120.60 HealthLink — HMO: $107.20
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OT THERAPEUTIC EXERCISE 15 MIN	$134	$100.50	$60.30 – $120.60
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $107.20 Aetna — Medicare Advantage: $60.30 Aetna — Medicare FIDE: $60.30 Ambetter — Commercial: $60.30 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $60.30 Blue Cross Blue Shield of Illinois — Medicare Advantage: $60.30 Blue Cross Blue Shield of Illinois — PPO: $107.20 Cigna — HMO/PPO: $107.20 Corvel — PPO: $120.60 HealthLink — HMO: $107.20
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT THERAPEUTIC EXERCISE 15 MIN	$134	$100.50	$107.20 – $120.60
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans Aetna — HMO/PPO/First Health: $107.20 Cigna — HMO/PPO: $107.20 Corvel — PPO: $120.60 Healthsmart (IHG) — PPI/PPO: $107.20 HOPE Trust — Commercial: $107.20 MultiPlan/PHCS — PPO: $107.20 Sagamore — Commercial: $109.88 Zelis (HFN) — HMO/PPO: $107.20
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 15 MIN LOW COMPLX	$366	$274.50	$164.70 – $329.40
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $292.80 Aetna — Medicare Advantage: $164.70 Aetna — Medicare FIDE: $164.70 Ambetter — Commercial: $164.70 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $164.70 Blue Cross Blue Shield of Illinois — Medicare Advantage: $164.70 Blue Cross Blue Shield of Illinois — PPO: $292.80 Cigna — HMO/PPO: $292.80 Corvel — PPO: $329.40 HealthLink — HMO: $292.80
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 30 MIN LOW COMPLX	$366	$274.50	$164.70 – $329.40
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $292.80 Aetna — Medicare Advantage: $164.70 Aetna — Medicare FIDE: $164.70 Ambetter — Commercial: $164.70 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $164.70 Blue Cross Blue Shield of Illinois — Medicare Advantage: $164.70 Blue Cross Blue Shield of Illinois — PPO: $292.80 Cigna — HMO/PPO: $292.80 Corvel — PPO: $329.40 HealthLink — HMO: $292.80
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 45 MIN LOW COMPLX	$366	$274.50	$164.70 – $329.40
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $292.80 Aetna — Medicare Advantage: $164.70 Aetna — Medicare FIDE: $164.70 Ambetter — Commercial: $164.70 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $164.70 Blue Cross Blue Shield of Illinois — Medicare Advantage: $164.70 Blue Cross Blue Shield of Illinois — PPO: $292.80 Cigna — HMO/PPO: $292.80 Corvel — PPO: $329.40 HealthLink — HMO: $292.80
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 15 MIN MOD COMPLEX	$422	$316.50	$189.90 – $379.80
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $337.60 Aetna — Medicare Advantage: $189.90 Aetna — Medicare FIDE: $189.90 Ambetter — Commercial: $189.90 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $189.90 Blue Cross Blue Shield of Illinois — Medicare Advantage: $189.90 Blue Cross Blue Shield of Illinois — PPO: $337.60 Cigna — HMO/PPO: $337.60 Corvel — PPO: $379.80 HealthLink — HMO: $337.60
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 30 MIN MOD COMPLEX	$422	$316.50	$189.90 – $379.80
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $337.60 Aetna — Medicare Advantage: $189.90 Aetna — Medicare FIDE: $189.90 Ambetter — Commercial: $189.90 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $189.90 Blue Cross Blue Shield of Illinois — Medicare Advantage: $189.90 Blue Cross Blue Shield of Illinois — PPO: $337.60 Cigna — HMO/PPO: $337.60 Corvel — PPO: $379.80 HealthLink — HMO: $337.60
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 45 MIN MOD COMPLEX	$422	$316.50	$189.90 – $379.80
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $337.60 Aetna — Medicare Advantage: $189.90 Aetna — Medicare FIDE: $189.90 Ambetter — Commercial: $189.90 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $189.90 Blue Cross Blue Shield of Illinois — Medicare Advantage: $189.90 Blue Cross Blue Shield of Illinois — PPO: $337.60 Cigna — HMO/PPO: $337.60 Corvel — PPO: $379.80 HealthLink — HMO: $337.60
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 15 MIN HIGH COMPLEX	$439	$329.25	$197.55 – $395.10
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $351.20 Aetna — Medicare Advantage: $197.55 Aetna — Medicare FIDE: $197.55 Ambetter — Commercial: $197.55 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $197.55 Blue Cross Blue Shield of Illinois — Medicare Advantage: $197.55 Blue Cross Blue Shield of Illinois — PPO: $351.20 Cigna — HMO/PPO: $351.20 Corvel — PPO: $395.10 HealthLink — HMO: $351.20
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 30 MIN HIGH COMPLEX	$439	$329.25	$197.55 – $395.10
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $351.20 Aetna — Medicare Advantage: $197.55 Aetna — Medicare FIDE: $197.55 Ambetter — Commercial: $197.55 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $197.55 Blue Cross Blue Shield of Illinois — Medicare Advantage: $197.55 Blue Cross Blue Shield of Illinois — PPO: $351.20 Cigna — HMO/PPO: $351.20 Corvel — PPO: $395.10 HealthLink — HMO: $351.20
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION 45 MIN HIGH COMPLEX	$439	$329.25	$197.55 – $395.10
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $351.20 Aetna — Medicare Advantage: $197.55 Aetna — Medicare FIDE: $197.55 Ambetter — Commercial: $197.55 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $197.55 Blue Cross Blue Shield of Illinois — Medicare Advantage: $197.55 Blue Cross Blue Shield of Illinois — PPO: $351.20 Cigna — HMO/PPO: $351.20 Corvel — PPO: $395.10 HealthLink — HMO: $351.20
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCH W/PATIENT 30 MINUTES	$253	$189.75	$113.85 – $227.70
Psychotherapy, 30 minutes: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $202.40 Aetna — Medicare Advantage: $113.85 Aetna — Medicare FIDE: $113.85 Ambetter — Commercial: $113.85 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $113.85 Blue Cross Blue Shield of Illinois — Medicare Advantage: $113.85 Blue Cross Blue Shield of Illinois — PPO: $202.40 Cigna — HMO/PPO: $202.40 Corvel — PPO: $227.70 HealthLink — HMO: $202.40
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 30 MINUTES	$144	$108	$46.98 – $129.60
Psychotherapy, 30 minutes: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $104.29 Aetna — Medicare Advantage: $64.80 Aetna Better Health (Illinicare) — Managed Medicaid: $46.98 Ambetter — Commercial: $64.80 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $64.80 Blue Cross Blue Shield of Illinois — Managed Medicaid: $46.98 Blue Cross Blue Shield of Illinois — Medicare Advantage: $64.80 Blue Cross Blue Shield of Illinois — PPO: $114.37 Cigna — HMO/PPO: $75.73 Corvel — PPO: $129.60
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCH W/PATIENT 30 MINUTES	$253	$189.75	$202.40 – $227.70
Psychotherapy, 30 minutes: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $202.40 Cigna — HMO/PPO: $202.40 Corvel — PPO: $227.70 Healthsmart (IHG) — PPI/PPO: $202.40 HOPE Trust — Commercial: $202.40 MultiPlan/PHCS — PPO: $202.40 Sagamore — Commercial: $207.46 Zelis (HFN) — HMO/PPO: $202.40
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCH W/PATIENT 45 MINUTES	$366	$274.50	$164.70 – $329.40
Psychotherapy, 45 minutes: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $292.80 Aetna — Medicare Advantage: $164.70 Aetna — Medicare FIDE: $164.70 Ambetter — Commercial: $164.70 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $164.70 Blue Cross Blue Shield of Illinois — Medicare Advantage: $164.70 Blue Cross Blue Shield of Illinois — PPO: $292.80 Cigna — HMO/PPO: $292.80 Corvel — PPO: $329.40 HealthLink — HMO: $292.80
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 45 MINUTES	$191	$143.25	$85.95 – $171.90
Psychotherapy, 45 minutes: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $138.04 Aetna — Medicare Advantage: $85.95 Aetna Better Health (Illinicare) — Managed Medicaid: $124.06 Ambetter — Commercial: $85.95 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $85.95 Blue Cross Blue Shield of Illinois — Managed Medicaid: $124.06 Blue Cross Blue Shield of Illinois — Medicare Advantage: $85.95 Blue Cross Blue Shield of Illinois — PPO: $150.96 Cigna — HMO/PPO: $100 Corvel — PPO: $171.90
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCH W/PATIENT 45 MINUTES	$366	$274.50	$292.80 – $329.40
Psychotherapy, 45 minutes: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $292.80 Cigna — HMO/PPO: $292.80 Corvel — PPO: $329.40 Healthsmart (IHG) — PPI/PPO: $292.80 HOPE Trust — Commercial: $292.80 MultiPlan/PHCS — PPO: $292.80 Sagamore — Commercial: $300.12 Zelis (HFN) — HMO/PPO: $292.80
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCH W/PATIENT 60 MINUTES	$591	$443.25	$265.95 – $531.90
Psychotherapy, 60 minutes: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $472.80 Aetna — Medicare Advantage: $265.95 Aetna — Medicare FIDE: $265.95 Ambetter — Commercial: $265.95 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $265.95 Blue Cross Blue Shield of Illinois — Medicare Advantage: $265.95 Blue Cross Blue Shield of Illinois — PPO: $472.80 Cigna — HMO/PPO: $472.80 Corvel — PPO: $531.90 HealthLink — HMO: $472.80
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 60 MINUTES	$288	$216	$129.60 – $259.20
Psychotherapy, 60 minutes: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $203 Aetna — Medicare Advantage: $129.60 Aetna Better Health (Illinicare) — Managed Medicaid: $183.16 Ambetter — Commercial: $129.60 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $129.60 Blue Cross Blue Shield of Illinois — Managed Medicaid: $183.16 Blue Cross Blue Shield of Illinois — Medicare Advantage: $129.60 Blue Cross Blue Shield of Illinois — PPO: $221.35 Cigna — HMO/PPO: $147.63 Corvel — PPO: $259.20
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCH W/PATIENT 60 MINUTES	$591	$443.25	$472.80 – $531.90
Psychotherapy, 60 minutes: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $472.80 Cigna — HMO/PPO: $472.80 Corvel — PPO: $531.90 Healthsmart (IHG) — PPI/PPO: $472.80 HOPE Trust — Commercial: $472.80 MultiPlan/PHCS — PPO: $472.80 Sagamore — Commercial: $484.62 Zelis (HFN) — HMO/PPO: $472.80
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY THERAPY WO PT	$428	$321	$192.60 – $385.20
Family psychotherapy, without the patient: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $342.40 Aetna — Medicare Advantage: $192.60 Aetna — Medicare FIDE: $192.60 Ambetter — Commercial: $192.60 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $192.60 Blue Cross Blue Shield of Illinois — Medicare Advantage: $192.60 Blue Cross Blue Shield of Illinois — PPO: $342.40 Cigna — HMO/PPO: $342.40 Corvel — PPO: $385.20 HealthLink — HMO: $342.40
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	$210	$157.50	$94.50 – $195.25
Family psychotherapy, without the patient: 10 of 23 insurance plan rates Aetna — HMO/PPO/First Health: $133.27 Aetna — Medicare Advantage: $94.50 Ambetter — Commercial: $94.50 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $94.50 Blue Cross Blue Shield of Illinois — Medicare Advantage: $94.50 Blue Cross Blue Shield of Illinois — PPO: $195.25 Cigna — HMO/PPO: $107.77 Corvel — PPO: $189 HealthLink — HMO: $127.93 HealthLink — PPO: $138.16
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY THERAPY WO PT	$428	$321	$342.40 – $385.20
Family psychotherapy, without the patient: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $342.40 Cigna — HMO/PPO: $342.40 Corvel — PPO: $385.20 Healthsmart (IHG) — PPI/PPO: $342.40 HOPE Trust — Commercial: $342.40 MultiPlan/PHCS — PPO: $342.40 Sagamore — Commercial: $350.96 Zelis (HFN) — HMO/PPO: $342.40
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY THERAPY W PT	$488	$366	$219.60 – $439.20
Family psychotherapy, with the patient: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $390.40 Aetna — Medicare Advantage: $219.60 Aetna — Medicare FIDE: $219.60 Ambetter — Commercial: $219.60 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $219.60 Blue Cross Blue Shield of Illinois — Medicare Advantage: $219.60 Blue Cross Blue Shield of Illinois — PPO: $390.40 Cigna — HMO/PPO: $390.40 Corvel — PPO: $439.20 HealthLink — HMO: $390.40
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS	$260	$195	$112.51 – $698
Family psychotherapy, with the patient: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $138.87 Aetna — Medicare Advantage: $117 Aetna Better Health (Illinicare) — Managed Medicaid: $698 Ambetter — Commercial: $117 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $117 Blue Cross Blue Shield of Illinois — Managed Medicaid: $698 Blue Cross Blue Shield of Illinois — Medicare Advantage: $117 Blue Cross Blue Shield of Illinois — PPO: $202.15 Cigna — HMO/PPO: $112.51 Corvel — PPO: $234
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY THERAPY W PT	$488	$366	$390.40 – $439.20
Family psychotherapy, with the patient: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $390.40 Cigna — HMO/PPO: $390.40 Corvel — PPO: $439.20 Healthsmart (IHG) — PPI/PPO: $390.40 HOPE Trust — Commercial: $390.40 MultiPlan/PHCS — PPO: $390.40 Sagamore — Commercial: $400.16 Zelis (HFN) — HMO/PPO: $390.40
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY SESSION - MH	$394	$295.50	$177.30 – $354.60
Group psychotherapy: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $315.20 Aetna — Medicare Advantage: $177.30 Aetna — Medicare FIDE: $177.30 Ambetter — Commercial: $177.30 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $177.30 Blue Cross Blue Shield of Illinois — Medicare Advantage: $177.30 Blue Cross Blue Shield of Illinois — PPO: $315.20 Cigna — HMO/PPO: $315.20 Corvel — PPO: $354.60 HealthLink — HMO: $315.20
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY SESSION - MH	$394	$295.50	$315.20 – $354.60
Group psychotherapy: rates for 8 insurance plans Aetna — HMO/PPO/First Health: $315.20 Cigna — HMO/PPO: $315.20 Corvel — PPO: $354.60 Healthsmart (IHG) — PPI/PPO: $315.20 HOPE Trust — Commercial: $315.20 MultiPlan/PHCS — PPO: $315.20 Sagamore — Commercial: $323.08 Zelis (HFN) — HMO/PPO: $315.20
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$26.62 – $56.34
Group psychotherapy: rates for 9 insurance plans Aetna — HMO/PPO/First Health: $37 Aetna Better Health (Illinicare) — Managed Medicaid: $33.70 Blue Cross Blue Shield of Illinois — Managed Medicaid: $33.70 Blue Cross Blue Shield of Illinois — PPO: $56.34 Cigna — HMO/PPO: $26.62 HealthLink — HMO: $31.39 HealthLink — PPO: $33.90 Meridian Health Plan — Managed Medicaid: $33.70 Molina Healthcare of Illinois — Managed Medicaid: $33.70

Procedures and surgery

Service	Hospital charge	Cash price	Insurance 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	$1,148	$861	$292.39 – $1,033.20
Removal of breast growth (open surgery): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $616.59 Aetna — Medicare Advantage: $516.60 Aetna Better Health (Illinicare) — Managed Medicaid: $292.39 Ambetter — Commercial: $516.60 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $516.60 Blue Cross Blue Shield of Illinois — Managed Medicaid: $292.39 Blue Cross Blue Shield of Illinois — Medicare Advantage: $516.60 Blue Cross Blue Shield of Illinois — PPO: $896.81 Cigna — HMO/PPO: $471.33 Corvel — PPO: $1,033.20
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$616.59
Removal of breast growth (open surgery): rates for 1 insurance plan Aetna — HMO/PPO/First Health: $616.59
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee · modifier st In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$735.40
Removal of breast growth (open surgery): rates for 1 insurance plan Blue Cross Blue Shield of Illinois — PPO: $735.40
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT	$4,500	$3,375	$1,271.96 – $4,050
Total hip replacement: 10 of 25 insurance plan rates Aetna — HMO/PPO/First Health: $1,685.18 Aetna — Medicare Advantage: $2,025 Aetna Better Health (Illinicare) — Managed Medicaid: $1,271.96 Ambetter — Commercial: $2,025 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $2,025 Blue Cross Blue Shield of Illinois — Managed Medicaid: $1,271.96 Blue Cross Blue Shield of Illinois — Medicare Advantage: $2,025 Blue Cross Blue Shield of Illinois — PPO: $2,838.82 Cigna — HMO/PPO: $1,435.30 Corvel — PPO: $4,050
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,685.18
Total hip replacement: rates for 1 insurance plan Aetna — HMO/PPO/First Health: $1,685.18
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS	$4,500	$3,375	$1,269.86 – $4,050
Total knee replacement: 10 of 25 insurance plan rates Aetna — HMO/PPO/First Health: $1,683.40 Aetna — Medicare Advantage: $2,025 Aetna Better Health (Illinicare) — Managed Medicaid: $1,269.86 Ambetter — Commercial: $2,025 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $2,025 Blue Cross Blue Shield of Illinois — Managed Medicaid: $1,269.86 Blue Cross Blue Shield of Illinois — Medicare Advantage: $2,025 Blue Cross Blue Shield of Illinois — PPO: $2,834.14 Cigna — HMO/PPO: $1,432.94 Corvel — PPO: $4,050
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,683.40
Total knee replacement: rates for 1 insurance plan Aetna — HMO/PPO/First Health: $1,683.40
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	$600	$450	$169.85 – $540
Shoulder arthroscopy: shaving of shoulder bone: 10 of 25 insurance plan rates Aetna — HMO/PPO/First Health: $226.73 Aetna — Medicare Advantage: $270 Aetna Better Health (Illinicare) — Managed Medicaid: $169.85 Ambetter — Commercial: $270 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $270 Blue Cross Blue Shield of Illinois — Managed Medicaid: $169.85 Blue Cross Blue Shield of Illinois — Medicare Advantage: $270 Blue Cross Blue Shield of Illinois — PPO: $379.08 Cigna — HMO/PPO: $191.66 Corvel — PPO: $540
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$226.73
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan Aetna — HMO/PPO/First Health: $226.73
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	$1,800	$1,350	$534.49 – $1,620
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 25 insurance plan rates Aetna — HMO/PPO/First Health: $706.59 Aetna — Medicare Advantage: $810 Aetna Better Health (Illinicare) — Managed Medicaid: $534.49 Ambetter — Commercial: $810 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $810 Blue Cross Blue Shield of Illinois — Managed Medicaid: $534.49 Blue Cross Blue Shield of Illinois — Medicare Advantage: $810 Blue Cross Blue Shield of Illinois — PPO: $1,110.14 Cigna — HMO/PPO: $603.13 Corvel — PPO: $1,620
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$706.59
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan Aetna — HMO/PPO/First Health: $706.59
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$200.07 – $507.92
Removal of tonsils and adenoids (under age 12): rates for 7 insurance plans Aetna — HMO/PPO/First Health: $398.86 Aetna Better Health (Illinicare) — Managed Medicaid: $200.07 Blue Cross Blue Shield of Illinois — Managed Medicaid: $200.07 Blue Cross Blue Shield of Illinois — PPO: $507.92 Cigna — HMO/PPO: $322.52 Meridian Health Plan — Managed Medicaid: $200.07 Molina Healthcare of Illinois — Managed Medicaid: $200.07
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EGD	$714	$535.50	$321.30 – $642.60
Upper GI endoscopy (diagnostic): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $571.20 Aetna — Medicare Advantage: $321.30 Aetna — Medicare FIDE: $321.30 Ambetter — Commercial: $321.30 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $321.30 Blue Cross Blue Shield of Illinois — Medicare Advantage: $321.30 Blue Cross Blue Shield of Illinois — PPO: $571.20 Cigna — HMO/PPO: $571.20 Corvel — PPO: $642.60 HealthLink — HMO: $571.20
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$567	$425.25	$118.42 – $510.30
Upper GI endoscopy (diagnostic): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $380.23 Aetna — Medicare Advantage: $255.15 Aetna Better Health (Illinicare) — Managed Medicaid: $118.42 Ambetter — Commercial: $255.15 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $255.15 Blue Cross Blue Shield of Illinois — Managed Medicaid: $118.42 Blue Cross Blue Shield of Illinois — Medicare Advantage: $255.15 Blue Cross Blue Shield of Illinois — PPO: $493.20 Cigna — HMO/PPO: $133.62 Corvel — PPO: $510.30
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EGD	$714	$535.50	$571.20 – $8,299.85
Upper GI endoscopy (diagnostic): 10 of 25 insurance plan rates Aetna — HMO/PPO/First Health: $571.20 Aetna — Medicare Advantage: $4,742.77 Aetna — Medicare FIDE: $4,742.77 Ambetter — Commercial: $4,742.77 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $4,742.77 Blue Cross Blue Shield of Illinois — Medicare Advantage: $4,742.77 Blue Cross Blue Shield of Illinois — PPO: $1,579 Cigna — HMO/PPO: $571.20 Corvel — PPO: $642.60 Healthsmart (IHG) — PPI/PPO: $571.20
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	$670	$502.50	$133.93 – $753.52
Upper GI endoscopy with biopsy: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $495.60 Aetna — Medicare Advantage: $301.50 Aetna Better Health (Illinicare) — Managed Medicaid: $133.93 Ambetter — Commercial: $301.50 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $301.50 Blue Cross Blue Shield of Illinois — Managed Medicaid: $133.93 Blue Cross Blue Shield of Illinois — Medicare Advantage: $301.50 Blue Cross Blue Shield of Illinois — PPO: $753.52 Cigna — HMO/PPO: $151.13 Corvel — PPO: $603
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$495.60
Upper GI endoscopy with biopsy: rates for 1 insurance plan Aetna — HMO/PPO/First Health: $495.60
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee · modifier st In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$289.71
Upper GI endoscopy with biopsy: rates for 1 insurance plan Blue Cross Blue Shield of Illinois — PPO: $289.71
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD	$824	$618	$178.60 – $741.60
Colonoscopy (diagnostic): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $452.63 Aetna — Medicare Advantage: $370.80 Aetna Better Health (Illinicare) — Managed Medicaid: $178.60 Ambetter — Commercial: $370.80 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $370.80 Blue Cross Blue Shield of Illinois — Managed Medicaid: $178.60 Blue Cross Blue Shield of Illinois — Medicare Advantage: $370.80 Blue Cross Blue Shield of Illinois — PPO: $681.08 Cigna — HMO/PPO: $201.53 Corvel — PPO: $741.60
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$452.63
Colonoscopy (diagnostic): rates for 1 insurance plan Aetna — HMO/PPO/First Health: $452.63
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$226.10
Colonoscopy (diagnostic): rates for 1 insurance plan Aetna — HMO/PPO/First Health: $226.10
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	$979	$734.25	$193.80 – $881.10
Colonoscopy with biopsy: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $575.05 Aetna — Medicare Advantage: $440.55 Aetna Better Health (Illinicare) — Managed Medicaid: $193.80 Ambetter — Commercial: $440.55 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $440.55 Blue Cross Blue Shield of Illinois — Managed Medicaid: $193.80 Blue Cross Blue Shield of Illinois — Medicare Advantage: $440.55 Blue Cross Blue Shield of Illinois — PPO: $861.45 Cigna — HMO/PPO: $218.69 Corvel — PPO: $881.10
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$575.05
Colonoscopy with biopsy: rates for 1 insurance plan Aetna — HMO/PPO/First Health: $575.05
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee · modifier st In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$412.30
Colonoscopy with biopsy: rates for 1 insurance plan Blue Cross Blue Shield of Illinois — PPO: $412.30
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	$1,133	$849.75	$245.44 – $1,019.70
Colonoscopy with removal of polyps (snare): 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $605.25 Aetna — Medicare Advantage: $509.85 Aetna Better Health (Illinicare) — Managed Medicaid: $245.44 Ambetter — Commercial: $509.85 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $509.85 Blue Cross Blue Shield of Illinois — Managed Medicaid: $245.44 Blue Cross Blue Shield of Illinois — Medicare Advantage: $509.85 Blue Cross Blue Shield of Illinois — PPO: $910.32 Cigna — HMO/PPO: $276.96 Corvel — PPO: $1,019.70
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$605.25
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan Aetna — HMO/PPO/First Health: $605.25
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee · modifier st In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$522.15
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan Blue Cross Blue Shield of Illinois — PPO: $522.15
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$204 – $451.53
Ultrasound of the lower bowel by endoscope: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $348.84 Aetna Better Health (Illinicare) — Managed Medicaid: $204 Blue Cross Blue Shield of Illinois — Managed Medicaid: $204 Blue Cross Blue Shield of Illinois — PPO: $451.53 Cigna — HMO/PPO: $280.21 Meridian Health Plan — Managed Medicaid: $204 Molina Healthcare of Illinois — Managed Medicaid: $204
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLON CA SCRN NOT HI RSK IND	$824	$618	$174.14 – $741.60
Screening colonoscopy (not high risk): 10 of 26 insurance plan rates Aetna — HMO/PPO/First Health: $462.49 Aetna — Medicare Advantage: $370.80 Aetna Better Health (Illinicare) — Managed Medicaid: $179.05 Ambetter — Commercial: $370.80 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $370.80 Blue Cross Blue Shield of Illinois — Managed Medicaid: $179.05 Blue Cross Blue Shield of Illinois — Medicare Advantage: $370.80 Blue Cross Blue Shield of Illinois — PPO: $724.04 Corvel — PPO: $741.60 HealthLink — HMO: $174.14
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$462.49
Screening colonoscopy (not high risk): rates for 1 insurance plan Aetna — HMO/PPO/First Health: $462.49
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$231.34
Screening colonoscopy (not high risk): rates for 1 insurance plan Aetna — HMO/PPO/First Health: $231.34
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPAROSCOPY SURG CHOLECYSTECTOMY	$2,575	$1,931.25	$647.90 – $2,317.50
Gallbladder removal by laparoscope: 10 of 25 insurance plan rates Aetna — HMO/PPO/First Health: $924.74 Aetna — Medicare Advantage: $1,158.75 Aetna Better Health (Illinicare) — Managed Medicaid: $647.90 Ambetter — Commercial: $1,158.75 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $1,158.75 Blue Cross Blue Shield of Illinois — Managed Medicaid: $647.90 Blue Cross Blue Shield of Illinois — Medicare Advantage: $1,158.75 Blue Cross Blue Shield of Illinois — PPO: $1,210.24 Cigna — HMO/PPO: $751.05 Corvel — PPO: $2,317.50
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$924.74
Gallbladder removal by laparoscope: rates for 1 insurance plan Aetna — HMO/PPO/First Health: $924.74
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	$1,803	$1,352.25	$387.05 – $1,622.70
Groin (inguinal) hernia repair, age 5 or older: 10 of 25 insurance plan rates Aetna — HMO/PPO/First Health: $732.59 Aetna — Medicare Advantage: $811.35 Aetna Better Health (Illinicare) — Managed Medicaid: $387.05 Ambetter — Commercial: $811.35 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $811.35 Blue Cross Blue Shield of Illinois — Managed Medicaid: $387.05 Blue Cross Blue Shield of Illinois — Medicare Advantage: $811.35 Blue Cross Blue Shield of Illinois — PPO: $948.83 Cigna — HMO/PPO: $593.81 Corvel — PPO: $1,622.70
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$732.59
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan Aetna — HMO/PPO/First Health: $732.59
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ZZZHC BIOPSY PROSTATE NEEDLE SINGLE OR MULTI	$1,950	$1,462.50	$877.50 – $1,755
Prostate biopsy: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $1,560 Aetna — Medicare Advantage: $877.50 Aetna — Medicare FIDE: $877.50 Ambetter — Commercial: $877.50 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $877.50 Blue Cross Blue Shield of Illinois — Medicare Advantage: $877.50 Blue Cross Blue Shield of Illinois — PPO: $1,560 Cigna — HMO/PPO: $1,560 Corvel — PPO: $1,755 HealthLink — HMO: $1,560
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PROSTATE NEEDLE BIOPSY ANY APPROACH	$475	$356.25	$113.60 – $478.72
Prostate biopsy: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $327.66 Aetna — Medicare Advantage: $213.75 Aetna Better Health (Illinicare) — Managed Medicaid: $113.60 Ambetter — Commercial: $213.75 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $213.75 Blue Cross Blue Shield of Illinois — Managed Medicaid: $113.60 Blue Cross Blue Shield of Illinois — Medicare Advantage: $213.75 Blue Cross Blue Shield of Illinois — PPO: $478.72 Cigna — HMO/PPO: $143.57 Corvel — PPO: $427.50
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ZZZHC BIOPSY PROSTATE NEEDLE SINGLE OR MULTI	$1,950	$1,462.50	$1,560 – $8,299.85
Prostate biopsy: 10 of 25 insurance plan rates Aetna — HMO/PPO/First Health: $1,560 Aetna — Medicare Advantage: $4,742.77 Aetna — Medicare FIDE: $4,742.77 Ambetter — Commercial: $4,742.77 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $4,742.77 Blue Cross Blue Shield of Illinois — Medicare Advantage: $4,742.77 Blue Cross Blue Shield of Illinois — PPO: $1,579 Cigna — HMO/PPO: $1,560 Corvel — PPO: $1,755 Healthsmart (IHG) — PPI/PPO: $1,560
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: LAPARO RADICAL PROSTATECTOMY	Not listed in the file	Not listed in the file	$990.55 – $2,884.93
Prostate removal by laparoscope (radical prostatectomy): rates for 7 insurance plans Aetna — HMO/PPO/First Health: $1,662.95 Aetna Better Health (Illinicare) — Managed Medicaid: $990.55 Blue Cross Blue Shield of Illinois — Managed Medicaid: $990.55 Blue Cross Blue Shield of Illinois — PPO: $2,884.93 Cigna — HMO/PPO: $1,317.79 Meridian Health Plan — Managed Medicaid: $990.55 Molina Healthcare of Illinois — Managed Medicaid: $990.55
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$160.70 – $2,525.33
Hysteroscopy with biopsy of the uterus lining: rates for 9 insurance plans Aetna — HMO/PPO/First Health: $1,532.38 Aetna Better Health (Illinicare) — Managed Medicaid: $160.70 Blue Cross Blue Shield of Illinois — Managed Medicaid: $160.70 Blue Cross Blue Shield of Illinois — PPO: $2,525.33 Cigna — HMO/PPO: $259.05 HealthLink — HMO: $265.52 HealthLink — PPO: $277.37 Meridian Health Plan — Managed Medicaid: $160.70 Molina Healthcare of Illinois — Managed Medicaid: $160.70
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee · modifier st In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$481.51
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan Blue Cross Blue Shield of Illinois — PPO: $481.51
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	$1,946	$1,459.50	$875.70 – $1,751.40
Spinal injection, lower back (epidural), with imaging guidance: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $1,556.80 Aetna — Medicare Advantage: $875.70 Aetna — Medicare FIDE: $875.70 Ambetter — Commercial: $875.70 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $875.70 Blue Cross Blue Shield of Illinois — Medicare Advantage: $875.70 Blue Cross Blue Shield of Illinois — PPO: $1,556.80 Cigna — HMO/PPO: $1,556.80 Corvel — PPO: $1,751.40 HealthLink — HMO: $1,556.80
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	$800	$600	$67.44 – $720
Spinal injection, lower back (epidural), with imaging guidance: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $297.18 Aetna — Medicare Advantage: $360 Aetna Better Health (Illinicare) — Managed Medicaid: $67.44 Ambetter — Commercial: $360 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $360 Blue Cross Blue Shield of Illinois — Managed Medicaid: $67.44 Blue Cross Blue Shield of Illinois — Medicare Advantage: $360 Blue Cross Blue Shield of Illinois — PPO: $476.24 Cigna — HMO/PPO: $108.72 Corvel — PPO: $720
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EPIDURAL LUMBAR SACRAL W IMAGING	$1,946	$1,459.50	$1,556.80 – $8,299.85
Spinal injection, lower back (epidural), with imaging guidance: 10 of 25 insurance plan rates Aetna — HMO/PPO/First Health: $1,556.80 Aetna — Medicare Advantage: $4,742.77 Aetna — Medicare FIDE: $4,742.77 Ambetter — Commercial: $4,742.77 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $4,742.77 Blue Cross Blue Shield of Illinois — Medicare Advantage: $4,742.77 Blue Cross Blue Shield of Illinois — PPO: $1,579 Cigna — HMO/PPO: $1,556.80 Corvel — PPO: $1,751.40 Healthsmart (IHG) — PPI/PPO: $1,556.80
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	$2,522	$1,891.50	$1,134.90 – $2,269.80
Nerve root injection, lower back, with imaging guidance: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $2,017.60 Aetna — Medicare Advantage: $1,134.90 Aetna — Medicare FIDE: $1,134.90 Ambetter — Commercial: $1,134.90 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $1,134.90 Blue Cross Blue Shield of Illinois — Medicare Advantage: $1,134.90 Blue Cross Blue Shield of Illinois — PPO: $2,017.60 Cigna — HMO/PPO: $2,017.60 Corvel — PPO: $2,269.80 HealthLink — HMO: $2,017.60
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	$1,100	$825	$88.25 – $990
Nerve root injection, lower back, with imaging guidance: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $283.40 Aetna — Medicare Advantage: $495 Aetna Better Health (Illinicare) — Managed Medicaid: $88.25 Ambetter — Commercial: $495 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $495 Blue Cross Blue Shield of Illinois — Managed Medicaid: $88.25 Blue Cross Blue Shield of Illinois — Medicare Advantage: $495 Blue Cross Blue Shield of Illinois — PPO: $440.33 Cigna — HMO/PPO: $121.17 Corvel — PPO: $990
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	$2,522	$1,891.50	$1,579 – $8,299.85
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates Aetna — HMO/PPO/First Health: $2,017.60 Aetna — Medicare Advantage: $4,742.77 Aetna — Medicare FIDE: $4,742.77 Ambetter — Commercial: $4,742.77 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $4,742.77 Blue Cross Blue Shield of Illinois — Medicare Advantage: $4,742.77 Blue Cross Blue Shield of Illinois — PPO: $1,579 Cigna — HMO/PPO: $2,017.60 Corvel — PPO: $2,269.80 Healthsmart (IHG) — PPI/PPO: $2,017.60
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE	$1,581	$1,185.75	$429.10 – $1,422.90
Carpal tunnel release: 10 of 27 insurance plan rates Aetna — HMO/PPO/First Health: $532.59 Aetna — Medicare Advantage: $711.45 Aetna Better Health (Illinicare) — Managed Medicaid: $429.10 Ambetter — Commercial: $711.45 Blue Cross Blue Shield of Illinois — Dual Medicare-Medicaid/DSNP: $711.45 Blue Cross Blue Shield of Illinois — Managed Medicaid: $429.10 Blue Cross Blue Shield of Illinois — Medicare Advantage: $711.45 Blue Cross Blue Shield of Illinois — PPO: $866.23 Cigna — HMO/PPO: $484.20 Corvel — PPO: $1,422.90
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$532.59
Carpal tunnel release: rates for 1 insurance plan Aetna — HMO/PPO/First Health: $532.59
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee · modifier st In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$852.58
Carpal tunnel release: rates for 1 insurance plan Blue Cross Blue Shield of Illinois — PPO: $852.58
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$291.12 – $557.39
Laser treatment of clouding after cataract surgery: rates for 9 insurance plans Aetna — HMO/PPO/First Health: $459.97 Aetna Better Health (Illinicare) — Managed Medicaid: $291.12 Blue Cross Blue Shield of Illinois — Managed Medicaid: $291.12 Blue Cross Blue Shield of Illinois — PPO: $557.39 Cigna — HMO/PPO: $328.50 HealthLink — HMO: $333.83 HealthLink — PPO: $348.73 Meridian Health Plan — Managed Medicaid: $291.12 Molina Healthcare of Illinois — Managed Medicaid: $291.12
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee · modifier st In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$520.55
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan Blue Cross Blue Shield of Illinois — PPO: $520.55
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$511.61 – $1,054.65
Cataract removal with lens implant: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $754.15 Aetna Better Health (Illinicare) — Managed Medicaid: $511.61 Blue Cross Blue Shield of Illinois — Managed Medicaid: $511.61 Blue Cross Blue Shield of Illinois — PPO: $1,054.65 Cigna — HMO/PPO: $577.31 Meridian Health Plan — Managed Medicaid: $511.61 Molina Healthcare of Illinois — Managed Medicaid: $511.61

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$1,840.25 – $3,630.06
Vaginal delivery, with care before and after: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $2,507.65 Aetna Better Health (Illinicare) — Managed Medicaid: $1,840.25 Blue Cross Blue Shield of Illinois — Managed Medicaid: $1,840.25 Blue Cross Blue Shield of Illinois — PPO: $3,630.06 Cigna — HMO/PPO: $2,756.99 Meridian Health Plan — Managed Medicaid: $1,840.25 Molina Healthcare of Illinois — Managed Medicaid: $1,840.25
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$2,046.31 – $4,039.60
Cesarean delivery (C-section), with care before and after: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $2,788.44 Aetna Better Health (Illinicare) — Managed Medicaid: $2,046.31 Blue Cross Blue Shield of Illinois — Managed Medicaid: $2,046.31 Blue Cross Blue Shield of Illinois — PPO: $4,039.60 Cigna — HMO/PPO: $3,085.15 Meridian Health Plan — Managed Medicaid: $2,046.31 Molina Healthcare of Illinois — Managed Medicaid: $2,046.31
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$1,938.17 – $3,811.52
Vaginal delivery after a previous C-section, with care before and after: rates for 7 insurance plans Aetna — HMO/PPO/First Health: $2,641.07 Aetna Better Health (Illinicare) — Managed Medicaid: $1,938.17 Blue Cross Blue Shield of Illinois — Managed Medicaid: $1,938.17 Blue Cross Blue Shield of Illinois — PPO: $3,811.52 Cigna — HMO/PPO: $2,910.96 Meridian Health Plan — Managed Medicaid: $1,938.17 Molina Healthcare of Illinois — Managed Medicaid: $1,938.17

Source: Ferrell Hospital Community Foundations’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 September 22, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	1201 Pine Street, Eldorado, IL 62930
County	Saline County
State	Illinois
Phone	(618) 273‑3361
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	1 of 5 stars
CMS Certification Number	141324
Name in Medicare records	FERRELL HOSPITAL COMMUNITY FOUNDATIONS
Profile level	Medicare data + hospital website
Name on the hospital’s website	Ferrell Hospital
Official website	ferrellhospital.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Ferrell Hospital — ferrellhospital.org
Services - Ferrell Hospital — ferrellhospital.org
Patients and Visitors - Ferrell Hospital — ferrellhospital.org
Emergency Care - Ferrell Hospital — ferrellhospital.org
Ferrell Hospital - Imaging and Radiology — ferrellhospital.org
Rehabilitation and Therapy - Short Term Rehab and Swing Bed — ferrellhospital.org
Rehabilitation and Therapy - Contact Us — ferrellhospital.org
Ferrell Hospital - Heart Services — ferrellhospital.org
Ferrell Hospital - Surgical Services — ferrellhospital.org
FH Services - Behavioral Health — ferrellhospital.org