Does Franklin Hospital have an emergency room?

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

Where is Franklin Hospital?

201 Bailey Lane, Benton, IL 62812, in Franklin County, Illinois.

What is the phone number of Franklin Hospital?

(618) 439-3161, as listed by Medicare (CMS).

What is the Medicare star rating of Franklin Hospital?

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

Franklin Hospital — Phone, Address, ER & Ratings

Quick answers

Does Franklin Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Franklin Hospital. In a medical emergency, call 911.
Where is Franklin Hospital?: 201 Bailey Lane, Benton, IL 62812, in Franklin County, Illinois.
What is the phone number of Franklin Hospital?: (618) 439-3161, as listed by Medicare (CMS).
What is the Medicare star rating of Franklin Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[5][6][10]

Cardiopulmonary Services
Emergency Department
Imaging
Laboratory
Orthopedics Clinic
Surgical Services
Therapy Services
Wound Care Center
Senior Care
Internal medicine

Conditions treated^[11][16]

Diabetic foot ulcers
Venous ulcers
Pressure ulcers
Arterial or ischemic ulcers
Non-healing surgical wounds
Traumatic wounds
Infected wounds
Crush injuries
COPD
Asthma
Pulmonary fibrosis
Sleep apnea

Treatments^{[11][12][13][16][17]}

Wound debridement
Compression therapy
Skin grafts and skin substitutes
IV hydration
IV antibiotic therapy
IV iron and other IV infusions
Blood transfusion
PICC line insertion and maintenance
Urinary catheterization
BiPAP therapy
Respiratory therapy
Pulmonary function testing
EKG
Holter monitoring
Cardiac stress testing
2D and 3D mammography
Bone density scan (DXA)
CT scan
MRI
Ultrasound
X-ray
Laboratory testing

Procedures^{[4][5][13][15]}

3D Mammography
Outpatient procedures
Breast biopsy
Liver biopsy
Colonoscopy
EGD (upper endoscopy)
Esophageal dilatation
Fistula in ano repair
Hemorrhoid excision
Hernia repair
Incision and drainage of abscess or cyst
Laparoscopic cholecystectomy
Mastectomy
Percutaneous endoscopic gastrostomy (PEG)
Peritoneoscopy
Pilonidal cyst treatment
Polypectomy
Port-a-cath insertion and removal
Skin lesion or tumor removal
Toenail removal
Skin laceration repair

Programs and centers^{[5][6][8][11][13][14][16]}

Hospitalist Program
Swing Bed
Transitional Care
Walk-In Services
Healthy & Youthful Living Clinic
Emergency Department
Cardiopulmonary services
Outpatient procedures
Wound Care Center
Orthopedics clinic
Specialty clinics

Emergency care (hospital website)^[6]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Stroke-ready (transfers stroke patients to larger hospitals)

Visiting and practical information

Visiting	Visiting hours are open; check with admission or the main desk for the best time^[7]

Doctors and clinicians (101)

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

Main specialties

And 77 more: the button below opens the full list.

Other emergency rooms nearby

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

Herrin Hospital16 mi · Herrin, IL · Acute Care Hospital
Marshall Browning Hospital17 mi · Du Quoin, IL · Critical Access Hospital
Heartland Regional Medical Center19 mi · Marion, IL · Acute Care Hospital
Marion Il VA Medical Center19 mi · Marion, IL · Federal/VA Acute Care Hospital
Good Samaritan Regional Health Center20 mi · Mount Vernon, IL · Acute Care Hospital

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

Other hospitals near Benton

Deaconess Illinois Crossroads21 mi · Mount Vernon, IL · Acute Care Hospital

Hospitals in Franklin County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Benton Rehabilitation and Health Care Center0.3 mi · Benton, IL · 1 of 5 stars
Helia Healthcare of Benton1.2 mi · Benton, IL · 3 of 5 stars
Stonebridge Nursing and Rehab1.6 mi · Benton, IL · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Residential Hospice of Southern Illinois21 mi · Marion, IL · 4 of 5 stars
SSM Hospice of Illinois22 mi · Mount Vernon, IL · 5 of 5 stars

All hospice providers in the state →

Home health agencies

Ability Home Health and Rehab LLC7.9 mi · Christopher, IL
Franklin Williamson Bi County21 mi · Marion, IL · 3 of 5 stars
Lhc-Illinois Home Health Care21 mi · Marion, IL · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Benton Dialysis0.4 mi · Benton, IL · 4 of 5 stars
FMC - West Frankfort Home Therapies8.1 mi · West Frankfort, IL · 2 of 5 stars
FMC - Duquoin18 mi · Du Quoin, IL · 1 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Southern Illinois Orthopedic LLC14 mi · Herrin, IL
Marion Healthcare Surgery Center21 mi · Marion, IL
Pain Care Surgery Center21 mi · Marion, IL

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Benton Mental Health Wellness Center0.7 mi · Benton, IL · Community health center
Rea Clinic - Benton1.0 mi · Benton, IL · Community health center
Sesser Community Health Center8.7 mi · Sesser, IL · Community health center

Clinics and urgent care

Franklin Hospital District0.4 mi · Benton, IL · Rural health clinic
SIH Medical Group at Benton Community Healthcare0.4 mi · Benton, IL · Rural health clinic
Christopher Family Healthcare Clinic7.9 mi · Christopher, IL · Rural health clinic

Pharmacies

Highland Park CVS, L.L.C.0.4 mi · Benton, IL · Pharmacy
Kimmel-Chaplain Pharmacy Ltd0.4 mi · Benton, IL · Community/retail pharmacy
Walmart Inc.0.4 mi · Benton, 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 Franklin Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

Complications and deaths

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

Deaths within 30 days: pneumonia patients	16.1%
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90); Complications after hip or knee replacement
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: heart failure patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	15.9%
Readmitted within 30 days: pneumonia	17.8%
Not reported to Medicare	Readmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to report	Readmitted within 30 days: heart failure; Readmitted within 30 days: COPD

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	112 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	4%National average: 2%
Not reported to Medicare	Sepsis patients who got all the recommended early care (SEP-1)

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

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

See every measure on Medicare Care Compare →

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 63 common services exactly as Franklin Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

$ 166 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Show the prices of 63 common services

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) In the file: NEW PT VISIT LEVEL 4	$389	$291.75	$104.27 – $350.10
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates Aetna — Default: $350.10 Aetna — Medicare Advantage: $136.15 Alliance Coal Health Plan — Default: $204.22 Cigna — Default: $289.03 Cigna — Medicare Advantage: $133.43 Great West Healthcare IL — Default: $326.76 Health Alliance Medical Plans — Default: $311.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $133.43 Healthlink HMO DOS gt 06302021 — HMO: $311.20 Humana — Default: $291.75
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: NEW PT VISIT LEVEL 3	$389	$291.75	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $350.10
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates Aetna — Default: $350.10 Aetna — Medicare Advantage: $136.15 Alliance Coal Health Plan — Default: $136.72 Cigna — Default: $289.03 Cigna — Medicare Advantage: $89.33 Great West Healthcare IL — Default: $326.76 Health Alliance Medical Plans — Default: $311.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $89.33 Healthlink HMO DOS gt 06302021 — HMO: $311.20 Humana — Default: $291.75
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: VISIT NEW PT-DETAIL	$304.50	$228.38	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $274.05
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates Aetna — Default: $274.05 Aetna — Medicare Advantage: $106.58 Alliance Coal Health Plan — Default: $136.72 Cigna — Default: $226.24 Cigna — Medicare Advantage: $89.33 Great West Healthcare IL — Default: $255.78 Health Alliance Medical Plans — Default: $243.60 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $89.33 Healthlink HMO DOS gt 06302021 — HMO: $243.60 Humana — Default: $228.38
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: NEW PT VISIT LEVEL 5	$389	$291.75	$133.43 – $350.10
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates Aetna — Default: $350.10 Aetna — Medicare Advantage: $136.15 Alliance Coal Health Plan — Default: $204.22 Cigna — Default: $289.03 Cigna — Medicare Advantage: $133.43 Great West Healthcare IL — Default: $326.76 Health Alliance Medical Plans — Default: $311.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $133.43 Healthlink HMO DOS gt 06302021 — HMO: $311.20 Humana — Default: $291.75
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: NEW PT VISIT LEVEL 4	$389	$291.75	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $350.10
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates Aetna — Default: $350.10 Aetna — Medicare Advantage: $136.15 Alliance Coal Health Plan — Default: $222.09 Cigna — Default: $289.03 Cigna — Medicare Advantage: $145.10 Great West Healthcare IL — Default: $326.76 Health Alliance Medical Plans — Default: $311.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $145.10 Healthlink HMO DOS gt 06302021 — HMO: $311.20 Humana — Default: $291.75
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: VISIT NEW PT-COMP/MD	$397.50	$298.13	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $357.75
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates Aetna — Default: $357.75 Aetna — Medicare Advantage: $139.12 Alliance Coal Health Plan — Default: $222.09 Cigna — Default: $295.34 Cigna — Medicare Advantage: $145.10 Great West Healthcare IL — Default: $333.90 Health Alliance Medical Plans — Default: $318 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $145.10 Healthlink HMO DOS gt 06302021 — HMO: $318 Humana — Default: $298.12
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: DERMABOND	$205.50	$154.13	$70.49 – $201.39
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates Aetna — Default: $184.95 Aetna — Medicare Advantage: $71.92 Alliance Coal Health Plan — Default: $107.90 Cigna — Default: $152.69 Cigna — Medicare Advantage: $70.49 Great West Healthcare IL — Default: $172.62 Health Alliance Medical Plans — Default: $164.40 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $70.49 Healthlink HMO DOS gt 06302021 — HMO: $164.40 Humana — Default: $154.12
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: NEW PT VISIT LEVEL 5	$389	$291.75	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $350.10
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates Aetna — Default: $350.10 Aetna — Medicare Advantage: $136.15 Alliance Coal Health Plan — Default: $302.42 Cigna — Default: $289.03 Cigna — Medicare Advantage: $197.58 Great West Healthcare IL — Default: $326.76 Health Alliance Medical Plans — Default: $311.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $197.58 Healthlink HMO DOS gt 06302021 — HMO: $311.20 Humana — Default: $291.75
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: VISIT NEW PT-COMP/HI	$482	$361.50	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $433.80
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates Aetna — Default: $433.80 Aetna — Medicare Advantage: $168.70 Alliance Coal Health Plan — Default: $302.42 Cigna — Default: $358.13 Cigna — Medicare Advantage: $197.58 Great West Healthcare IL — Default: $404.88 Health Alliance Medical Plans — Default: $385.60 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $197.58 Healthlink HMO DOS gt 06302021 — HMO: $385.60 Humana — Default: $361.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: EST PT VISIT LEVEL 4	$389	$291.75	$84.61 – $350.10
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates Aetna — Default: $350.10 Aetna — Medicare Advantage: $136.15 Alliance Coal Health Plan — Default: $204.22 Cigna — Default: $289.03 Cigna — Medicare Advantage: $133.43 Great West Healthcare IL — Default: $326.76 Health Alliance Medical Plans — Default: $311.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $133.43 Healthlink HMO DOS gt 06302021 — HMO: $311.20 Humana — Default: $291.75
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: EST PATIENT LEVEL 3	$389	$291.75	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $350.10
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates Aetna — Default: $350.10 Aetna — Medicare Advantage: $136.15 Alliance Coal Health Plan — Default: $109.24 Cigna — Default: $289.03 Cigna — Medicare Advantage: $71.37 Great West Healthcare IL — Default: $326.76 Health Alliance Medical Plans — Default: $311.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $71.37 Healthlink HMO DOS gt 06302021 — HMO: $311.20 Humana — Default: $291.75
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: VISIT EST PT-EXPAND	$169.50	$127.13	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $152.55
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates Aetna — Default: $152.55 Aetna — Medicare Advantage: $59.32 Alliance Coal Health Plan — Default: $109.24 Cigna — Default: $125.94 Cigna — Medicare Advantage: $71.37 Great West Healthcare IL — Default: $142.38 Health Alliance Medical Plans — Default: $135.60 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $71.37 Healthlink HMO DOS gt 06302021 — HMO: $135.60 Humana — Default: $127.12
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: EST PATIENT LEVEL 5	$389	$291.75	$119.47 – $350.10
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates Aetna — Default: $350.10 Aetna — Medicare Advantage: $136.15 Alliance Coal Health Plan — Default: $204.22 Cigna — Default: $289.03 Cigna — Medicare Advantage: $133.43 Great West Healthcare IL — Default: $326.76 Health Alliance Medical Plans — Default: $311.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $133.43 Healthlink HMO DOS gt 06302021 — HMO: $311.20 Humana — Default: $291.75
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: EST PATIENT LEVEL 4	$389	$291.75	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $350.10
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates Aetna — Default: $350.10 Aetna — Medicare Advantage: $136.15 Alliance Coal Health Plan — Default: $160.92 Cigna — Default: $289.03 Cigna — Medicare Advantage: $105.13 Great West Healthcare IL — Default: $326.76 Health Alliance Medical Plans — Default: $311.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $105.13 Healthlink HMO DOS gt 06302021 — HMO: $311.20 Humana — Default: $291.75
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: VISIT EST PT-DETAIL	$203	$152.25	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $182.70
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates Aetna — Default: $182.70 Aetna — Medicare Advantage: $71.05 Alliance Coal Health Plan — Default: $160.92 Cigna — Default: $150.83 Cigna — Medicare Advantage: $105.13 Great West Healthcare IL — Default: $170.52 Health Alliance Medical Plans — Default: $162.40 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $105.13 Healthlink HMO DOS gt 06302021 — HMO: $162.40 Humana — Default: $152.25
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OP CONSULT DETAILED	$574	$430.50	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $516.60
Office consultation with a specialist (moderate): rates for 10 insurance plans Aetna — Default: $516.60 Aetna — Medicare Advantage: $200.90 Cigna — Default: $426.48 Great West Healthcare IL — Default: $482.16 Health Alliance Medical Plans — Default: $459.20 Healthlink HMO DOS gt 06302021 — HMO: $459.20 Humana — Default: $430.50 Medicare B IL J6 — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Meritain — Default: $516.60 United Healthcare — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OV CONSULT - 40 MIN	$532.50	$399.38	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $479.25
Office consultation with a specialist (moderate): rates for 10 insurance plans Aetna — Default: $479.25 Aetna — Medicare Advantage: $186.38 Cigna — Default: $395.65 Great West Healthcare IL — Default: $447.30 Health Alliance Medical Plans — Default: $426 Healthlink HMO DOS gt 06302021 — HMO: $426 Humana — Default: $399.38 Medicare B IL J6 — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Meritain — Default: $479.25 United Healthcare — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: CONSULT DETAILED	$574	$430.50	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $516.60
Office consultation with a specialist (moderate): rates for 10 insurance plans Aetna — Default: $516.60 Aetna — Medicare Advantage: $200.90 Cigna — Default: $426.48 Great West Healthcare IL — Default: $482.16 Health Alliance Medical Plans — Default: $459.20 Healthlink HMO DOS gt 06302021 — HMO: $459.20 Humana — Default: $430.50 Medicare B IL J6 — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Meritain — Default: $516.60 United Healthcare — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: OP CONSULT COMP	$824.50	$618.38	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $742.05
Office consultation with a specialist (moderate to high): rates for 10 insurance plans Aetna — Default: $742.05 Aetna — Medicare Advantage: $288.58 Cigna — Default: $612.60 Great West Healthcare IL — Default: $692.58 Health Alliance Medical Plans — Default: $659.60 Healthlink HMO DOS gt 06302021 — HMO: $659.60 Humana — Default: $618.38 Medicare B IL J6 — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Meritain — Default: $742.05 United Healthcare — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: CONS OFFC OP 60 MIN	$600	$450	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $540
Office consultation with a specialist (moderate to high): rates for 10 insurance plans Aetna — Default: $540 Aetna — Medicare Advantage: $210 Cigna — Default: $445.80 Great West Healthcare IL — Default: $504 Health Alliance Medical Plans — Default: $480 Healthlink HMO DOS gt 06302021 — HMO: $480 Humana — Default: $450 Medicare B IL J6 — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Meritain — Default: $540 United Healthcare — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · modifier CG In the file: OV CONSULT - 60 MIN,Rural Health Clinic Visit	$623	$467.25	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $560.70
Office consultation with a specialist (moderate to high): rates for 10 insurance plans Aetna — Default: $560.70 Aetna — Medicare Advantage: $218.05 Cigna — Default: $462.89 Great West Healthcare IL — Default: $523.32 Health Alliance Medical Plans — Default: $498.40 Healthlink HMO DOS gt 06302021 — HMO: $498.40 Humana — Default: $467.25 Medicare B IL J6 — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Meritain — Default: $560.70 United Healthcare — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: FH EMPLOYEE PHYSICAL	$155.50	$116.63	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $197.63
Preventive checkup, new patient, age 18–39: 10 of 16 insurance plan rates Aetna — Default: $139.95 Aetna — Medicare Advantage: $197.63 Alliance Coal Health Plan — Default: $81.64 Cigna — Default: $115.54 Cigna — Medicare Advantage: $53.34 Great West Healthcare IL — Default: $130.62 Health Alliance Medical Plans — Default: $124.40 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $53.34 Healthlink HMO DOS gt 06302021 — HMO: $124.40 Humana — Default: $116.62
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: NEW PREV MED 12-17Y	$304.50	$228.38	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $274.05
Preventive checkup, new patient, age 18–39: 10 of 16 insurance plan rates Aetna — Default: $274.05 Aetna — Medicare Advantage: $197.63 Alliance Coal Health Plan — Default: $159.87 Cigna — Default: $226.24 Cigna — Medicare Advantage: $104.45 Great West Healthcare IL — Default: $255.78 Health Alliance Medical Plans — Default: $243.60 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $104.45 Healthlink HMO DOS gt 06302021 — HMO: $243.60 Humana — Default: $228.38
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: ALLEGY INJ 2 OR >	$289.50	$217.13	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $260.55
Preventive checkup, new patient, age 18–39: 10 of 16 insurance plan rates Aetna — Default: $260.55 Aetna — Medicare Advantage: $197.63 Alliance Coal Health Plan — Default: $152 Cigna — Default: $215.10 Cigna — Medicare Advantage: $99.30 Great West Healthcare IL — Default: $243.18 Health Alliance Medical Plans — Default: $231.60 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $99.30 Healthlink HMO DOS gt 06302021 — HMO: $231.60 Humana — Default: $217.12
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: NEW PRE MED 18-39Y	$351.50	$263.63	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $316.35
Preventive checkup, new patient, age 40–64: 10 of 16 insurance plan rates Aetna — Default: $316.35 Aetna — Medicare Advantage: $197.63 Alliance Coal Health Plan — Default: $184.54 Cigna — Default: $261.16 Cigna — Medicare Advantage: $120.57 Great West Healthcare IL — Default: $295.26 Health Alliance Medical Plans — Default: $281.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $120.57 Healthlink HMO DOS gt 06302021 — HMO: $281.20 Humana — Default: $263.62
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · modifier CG In the file: NEW PREV MED,40-64Y,Rural Health Clinic Visit	$351.50	$263.63	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $316.35
Preventive checkup, new patient, age 40–64: 10 of 16 insurance plan rates Aetna — Default: $316.35 Aetna — Medicare Advantage: $197.63 Alliance Coal Health Plan — Default: $184.54 Cigna — Default: $261.16 Cigna — Medicare Advantage: $120.57 Great West Healthcare IL — Default: $295.26 Health Alliance Medical Plans — Default: $281.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $120.57 Healthlink HMO DOS gt 06302021 — HMO: $281.20 Humana — Default: $263.62
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · modifier CG In the file: NEW PREV MED 40-64Y,Rural Health Clinic Visit	$351.50	$263.63	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $316.35
Preventive checkup, new patient, age 40–64: 10 of 16 insurance plan rates Aetna — Default: $316.35 Aetna — Medicare Advantage: $197.63 Alliance Coal Health Plan — Default: $184.54 Cigna — Default: $261.16 Cigna — Medicare Advantage: $120.57 Great West Healthcare IL — Default: $295.26 Health Alliance Medical Plans — Default: $281.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $120.57 Healthlink HMO DOS gt 06302021 — HMO: $281.20 Humana — Default: $263.62
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER LOW VISI	$688.50	$516.38	$67.85 – $619.65
Emergency room visit (moderate): 10 of 16 insurance plan rates Aetna — Default: $619.65 Aetna — Medicare Advantage: $240.98 Alliance Coal Health Plan — Default: $361.47 Cigna — Default: $511.56 Cigna — Medicare Advantage: $236.16 Great West Healthcare IL — Default: $578.34 Health Alliance Medical Plans — Default: $550.80 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $236.16 Healthlink HMO DOS gt 06302021 — HMO: $550.80 Humana — Default: $516.38
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier CG In the file: ER VISIT MOD,Rural Health Clinic Visit	$532.50	$399.38	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $479.25
Emergency room visit (moderate): 10 of 16 insurance plan rates Aetna — Default: $479.25 Aetna — Medicare Advantage: $186.38 Alliance Coal Health Plan — Default: $119.42 Cigna — Default: $395.65 Cigna — Medicare Advantage: $78.02 Great West Healthcare IL — Default: $447.30 Health Alliance Medical Plans — Default: $426 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $78.02 Healthlink HMO DOS gt 06302021 — HMO: $426 Humana — Default: $399.38
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER MODERATE ED VISIT	$1,026	$769.50	$116.03 – $923.40
Emergency room visit (moderately high): 10 of 16 insurance plan rates Aetna — Default: $923.40 Aetna — Medicare Advantage: $359.10 Alliance Coal Health Plan — Default: $538.65 Cigna — Default: $762.32 Cigna — Medicare Advantage: $351.92 Great West Healthcare IL — Default: $861.84 Health Alliance Medical Plans — Default: $820.80 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $351.92 Healthlink HMO DOS gt 06302021 — HMO: $820.80 Humana — Default: $769.50
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier CG In the file: ER VISIT HIGH,Rural Health Clinic Visit	$623	$467.25	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $560.70
Emergency room visit (moderately high): 10 of 16 insurance plan rates Aetna — Default: $560.70 Aetna — Medicare Advantage: $218.05 Alliance Coal Health Plan — Default: $204.24 Cigna — Default: $462.89 Cigna — Medicare Advantage: $133.44 Great West Healthcare IL — Default: $523.32 Health Alliance Medical Plans — Default: $498.40 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $133.44 Healthlink HMO DOS gt 06302021 — HMO: $498.40 Humana — Default: $467.25
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER COMPREHENS VISIT	$1,530.50	$1,147.88	$168.46 – $1,377.45
Emergency room visit (high): 10 of 16 insurance plan rates Aetna — Default: $1,377.45 Aetna — Medicare Advantage: $535.68 Alliance Coal Health Plan — Default: $803.52 Cigna — Default: $1,137.16 Cigna — Medicare Advantage: $524.97 Great West Healthcare IL — Default: $1,285.62 Health Alliance Medical Plans — Default: $1,224.40 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $524.97 Healthlink HMO DOS gt 06302021 — HMO: $1,224.40 Humana — Default: $1,147.88
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier CG In the file: ER VISIT LIFE THREAT,Rural Health Clinic Visit	$887.50	$665.63	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $798.75
Emergency room visit (high): 10 of 16 insurance plan rates Aetna — Default: $798.75 Aetna — Medicare Advantage: $310.62 Alliance Coal Health Plan — Default: $296.54 Cigna — Default: $659.41 Cigna — Medicare Advantage: $193.74 Great West Healthcare IL — Default: $745.50 Health Alliance Medical Plans — Default: $710 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $193.74 Healthlink HMO DOS gt 06302021 — HMO: $710 Humana — Default: $665.62

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANE	$198	$148.50	$8.29 – $178.20
Basic metabolic panel (blood test): 10 of 16 insurance plan rates Aetna — Default: $178.20 Aetna — Medicare Advantage: $69.30 Alliance Coal Health Plan — Default: $69.30 Cigna — Default: $147.11 Cigna — Medicare Advantage: $67.91 Great West Healthcare IL — Default: $166.32 Health Alliance Medical Plans — Default: $158.40 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $67.91 Healthlink HMO DOS gt 06302021 — HMO: $158.40 Humana — Default: $148.50
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHENSIVE METABO	$317	$237.75	$10.35 – $285.30
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates Aetna — Default: $285.30 Aetna — Medicare Advantage: $110.95 Alliance Coal Health Plan — Default: $110.95 Cigna — Default: $235.53 Cigna — Medicare Advantage: $108.73 Great West Healthcare IL — Default: $266.28 Health Alliance Medical Plans — Default: $253.60 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $108.73 Healthlink HMO DOS gt 06302021 — HMO: $253.60 Humana — Default: $237.75
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL	$263.50	$197.63	$13.12 – $237.15
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates Aetna — Default: $237.15 Aetna — Medicare Advantage: $92.22 Alliance Coal Health Plan — Default: $92.23 Cigna — Default: $195.78 Cigna — Medicare Advantage: $90.39 Great West Healthcare IL — Default: $221.34 Health Alliance Medical Plans — Default: $210.80 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $90.39 Healthlink HMO DOS gt 06302021 — HMO: $210.80 Humana — Default: $197.62
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PROFILE	$149	$111.75	$13.12 – $134.10
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates Aetna — Default: $134.10 Aetna — Medicare Advantage: $52.15 Alliance Coal Health Plan — Default: $52.15 Cigna — Default: $110.71 Cigna — Medicare Advantage: $51.11 Great West Healthcare IL — Default: $125.16 Health Alliance Medical Plans — Default: $119.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $51.11 Healthlink HMO DOS gt 06302021 — HMO: $119.20 Humana — Default: $111.75
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPOPROTEIN,BLD,QNT	$51	$38.25	$13.12 – $45.90
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates Aetna — Default: $45.90 Aetna — Medicare Advantage: $17.85 Alliance Coal Health Plan — Default: $17.85 Cigna — Default: $37.89 Cigna — Medicare Advantage: $17.49 Great West Healthcare IL — Default: $42.84 Health Alliance Medical Plans — Default: $40.80 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $17.49 Healthlink HMO DOS gt 06302021 — HMO: $40.80 Humana — Default: $38.25
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION	$263.50	$197.63	$8.51 – $237.15
Kidney function panel: 10 of 16 insurance plan rates Aetna — Default: $237.15 Aetna — Medicare Advantage: $92.22 Alliance Coal Health Plan — Default: $92.23 Cigna — Default: $195.78 Cigna — Medicare Advantage: $90.39 Great West Healthcare IL — Default: $221.34 Health Alliance Medical Plans — Default: $210.80 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $90.39 Healthlink HMO DOS gt 06302021 — HMO: $210.80 Humana — Default: $197.62
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PAN	$27.50	$20.63	$8.01 – $24.75
Liver function panel: 10 of 16 insurance plan rates Aetna — Default: $24.75 Aetna — Medicare Advantage: $9.62 Alliance Coal Health Plan — Default: $9.63 Cigna — Default: $20.43 Cigna — Medicare Advantage: $9.44 Great West Healthcare IL — Default: $23.10 Health Alliance Medical Plans — Default: $22 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $9.44 Healthlink HMO DOS gt 06302021 — HMO: $22 Humana — Default: $20.62
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS/MICRO	$93.50	$70.13	$3.11 – $84.15
Urine test (automated, with microscope): 10 of 16 insurance plan rates Aetna — Default: $84.15 Aetna — Medicare Advantage: $32.72 Alliance Coal Health Plan — Default: $32.73 Cigna — Default: $69.47 Cigna — Medicare Advantage: $32.08 Great West Healthcare IL — Default: $78.54 Health Alliance Medical Plans — Default: $74.80 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $32.08 Healthlink HMO DOS gt 06302021 — HMO: $74.80 Humana — Default: $70.12
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: PREG DIPSTICK	$45.50	$34.13	$3.41 – $40.95
Urine test (manual, without microscope): 10 of 16 insurance plan rates Aetna — Default: $40.95 Aetna — Medicare Advantage: $15.92 Alliance Coal Health Plan — Default: $23.90 Cigna — Default: $33.81 Cigna — Medicare Advantage: $15.61 Great West Healthcare IL — Default: $38.22 Health Alliance Medical Plans — Default: $36.40 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $15.61 Healthlink HMO DOS gt 06302021 — HMO: $36.40 Humana — Default: $34.12
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINE DIPSTICK ONL	$46.50	$34.88	$3.41 – $41.85
Urine test (manual, without microscope): 10 of 16 insurance plan rates Aetna — Default: $41.85 Aetna — Medicare Advantage: $16.28 Alliance Coal Health Plan — Default: $16.28 Cigna — Default: $34.55 Cigna — Medicare Advantage: $15.95 Great West Healthcare IL — Default: $39.06 Health Alliance Medical Plans — Default: $37.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $15.95 Healthlink HMO DOS gt 06302021 — HMO: $37.20 Humana — Default: $34.88
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: U/A DIPSTICK	$45.50	$34.13	$3.41 – $40.95
Urine test (manual, without microscope): 10 of 16 insurance plan rates Aetna — Default: $40.95 Aetna — Medicare Advantage: $15.92 Alliance Coal Health Plan — Default: $15.93 Cigna — Default: $33.81 Cigna — Medicare Advantage: $15.61 Great West Healthcare IL — Default: $38.22 Health Alliance Medical Plans — Default: $36.40 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $15.61 Healthlink HMO DOS gt 06302021 — HMO: $36.40 Humana — Default: $34.12
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: UA AUTOMATED W/O MIC	$127	$95.25	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, without microscope): 10 of 16 insurance plan rates Aetna — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Alliance Coal Health Plan — Default: $44.45 Cigna — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Medicare Advantage: $43.56 Great West Healthcare IL — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Alliance Medical Plans — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Alliance Medical Plans MCR Adv — Medicare Advantage: $43.56 Healthlink HMO DOS gt 06302021 — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Humana — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: UA W/O MICRO	$93.50	$70.13	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, without microscope): 10 of 16 insurance plan rates Aetna — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Alliance Coal Health Plan — Default: $32.73 Cigna — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Medicare Advantage: $32.08 Great West Healthcare IL — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Alliance Medical Plans — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Alliance Medical Plans MCR Adv — Medicare Advantage: $32.08 Healthlink HMO DOS gt 06302021 — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Humana — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS AUTOMATED	$24	$18	$2.20 – $21.60
Urine test (automated, without microscope): 10 of 16 insurance plan rates Aetna — Default: $21.60 Aetna — Medicare Advantage: $8.40 Alliance Coal Health Plan — Default: $12.60 Cigna — Default: $17.83 Cigna — Medicare Advantage: $8.23 Great West Healthcare IL — Default: $20.16 Health Alliance Medical Plans — Default: $19.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $8.23 Healthlink HMO DOS gt 06302021 — HMO: $19.20 Humana — Default: $18
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA FREE - TOTAL REF	$100	$75	$18.02 – $90
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates Aetna — Default: $90 Aetna — Medicare Advantage: $35 Alliance Coal Health Plan — Default: $35 Cigna — Default: $74.30 Cigna — Medicare Advantage: $34.30 Great West Healthcare IL — Default: $84 Health Alliance Medical Plans — Default: $80 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $34.30 Healthlink HMO DOS gt 06302021 — HMO: $80 Humana — Default: $75
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA TOTAL	$154.50	$115.88	$18.02 – $139.05
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates Aetna — Default: $139.05 Aetna — Medicare Advantage: $54.08 Alliance Coal Health Plan — Default: $54.08 Cigna — Default: $114.79 Cigna — Medicare Advantage: $53 Great West Healthcare IL — Default: $129.78 Health Alliance Medical Plans — Default: $123.60 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $53 Healthlink HMO DOS gt 06302021 — HMO: $123.60 Humana — Default: $115.88
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: DRUG SCREEN PROFILE	$1,307.50	$980.63	$18.02 – $1,176.75
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates Aetna — Default: $1,176.75 Aetna — Medicare Advantage: $457.62 Alliance Coal Health Plan — Default: $457.63 Cigna — Default: $971.47 Cigna — Medicare Advantage: $448.48 Great West Healthcare IL — Default: $1,098.30 Health Alliance Medical Plans — Default: $1,046 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $448.48 Healthlink HMO DOS gt 06302021 — HMO: $1,046 Humana — Default: $980.62
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH	$238	$178.50	$16.46 – $214.20
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates Aetna — Default: $214.20 Aetna — Medicare Advantage: $83.30 Alliance Coal Health Plan — Default: $83.30 Cigna — Default: $176.83 Cigna — Medicare Advantage: $81.63 Great West Healthcare IL — Default: $199.92 Health Alliance Medical Plans — Default: $190.40 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $81.63 Healthlink HMO DOS gt 06302021 — HMO: $190.40 Humana — Default: $178.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: THYROID STIMULATING	$16.50	$12.38	$5.66 – $16.17
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates Aetna — Default: $14.85 Aetna — Medicare Advantage: $5.78 Alliance Coal Health Plan — Default: $5.78 Cigna — Default: $12.26 Cigna — Medicare Advantage: $5.66 Great West Healthcare IL — Default: $13.86 Health Alliance Medical Plans — Default: $13.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $5.66 Healthlink HMO DOS gt 06302021 — HMO: $13.20 Humana — Default: $12.38
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: INFECTIOUS AGENT	$262.50	$196.88	$16.46 – $236.25
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates Aetna — Default: $236.25 Aetna — Medicare Advantage: $91.88 Alliance Coal Health Plan — Default: $91.88 Cigna — Default: $195.04 Cigna — Medicare Advantage: $90.04 Great West Healthcare IL — Default: $220.50 Health Alliance Medical Plans — Default: $210 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $90.04 Healthlink HMO DOS gt 06302021 — HMO: $210 Humana — Default: $196.88
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC W/AUTO DIFF	$27.50	$20.63	$7.61 – $24.75
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates Aetna — Default: $24.75 Aetna — Medicare Advantage: $9.62 Alliance Coal Health Plan — Default: $9.63 Cigna — Default: $20.43 Cigna — Medicare Advantage: $9.44 Great West Healthcare IL — Default: $23.10 Health Alliance Medical Plans — Default: $22 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $9.44 Healthlink HMO DOS gt 06302021 — HMO: $22 Humana — Default: $20.62
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC W/O AUTO DIFF	$146	$109.50	$6.34 – $131.40
Complete blood count (CBC), automated: 10 of 16 insurance plan rates Aetna — Default: $131.40 Aetna — Medicare Advantage: $51.10 Alliance Coal Health Plan — Default: $51.10 Cigna — Default: $108.48 Cigna — Medicare Advantage: $50.08 Great West Healthcare IL — Default: $122.64 Health Alliance Medical Plans — Default: $116.80 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $50.08 Healthlink HMO DOS gt 06302021 — HMO: $116.80 Humana — Default: $109.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTIME	$118.50	$88.88	$4.20 – $106.65
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates Aetna — Default: $106.65 Aetna — Medicare Advantage: $41.48 Alliance Coal Health Plan — Default: $41.48 Cigna — Default: $88.05 Cigna — Medicare Advantage: $40.65 Great West Healthcare IL — Default: $99.54 Health Alliance Medical Plans — Default: $94.80 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $40.65 Healthlink HMO DOS gt 06302021 — HMO: $94.80 Humana — Default: $88.88
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME	$89	$66.75	$4.20 – $80.10
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates Aetna — Default: $80.10 Aetna — Medicare Advantage: $31.15 Alliance Coal Health Plan — Default: $31.15 Cigna — Default: $66.13 Cigna — Medicare Advantage: $30.53 Great West Healthcare IL — Default: $74.76 Health Alliance Medical Plans — Default: $71.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $30.53 Healthlink HMO DOS gt 06302021 — HMO: $71.20 Humana — Default: $66.75
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PT FINGERSTICK	$109.50	$82.13	$4.20 – $98.55
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates Aetna — Default: $98.55 Aetna — Medicare Advantage: $38.32 Alliance Coal Health Plan — Default: $38.33 Cigna — Default: $81.36 Cigna — Medicare Advantage: $37.56 Great West Healthcare IL — Default: $91.98 Health Alliance Medical Plans — Default: $87.60 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $37.56 Healthlink HMO DOS gt 06302021 — HMO: $87.60 Humana — Default: $82.12
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT	$178	$133.50	$5.89 – $160.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates Aetna — Default: $160.20 Aetna — Medicare Advantage: $62.30 Alliance Coal Health Plan — Default: $62.30 Cigna — Default: $132.25 Cigna — Medicare Advantage: $61.05 Great West Healthcare IL — Default: $149.52 Health Alliance Medical Plans — Default: $142.40 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $61.05 Healthlink HMO DOS gt 06302021 — HMO: $142.40 Humana — Default: $133.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PROLONG PTT-PTT REF	$146	$109.50	$5.89 – $131.40
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates Aetna — Default: $131.40 Aetna — Medicare Advantage: $51.10 Alliance Coal Health Plan — Default: $51.10 Cigna — Default: $108.48 Cigna — Medicare Advantage: $50.08 Great West Healthcare IL — Default: $122.64 Health Alliance Medical Plans — Default: $116.80 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $50.08 Healthlink HMO DOS gt 06302021 — HMO: $116.80 Humana — Default: $109.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: THROMBIN TIME; PTT	$96.50	$72.38	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates Aetna — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Alliance Coal Health Plan — Default: $33.78 Cigna — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Medicare Advantage: $33.10 Great West Healthcare IL — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Alliance Medical Plans — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Alliance Medical Plans MCR Adv — Medicare Advantage: $33.10 Healthlink HMO DOS gt 06302021 — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Humana — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)

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 · Inpatient or outpatient · modifier TC In the file: CT HEAD-WITH CONTRAS,Technical component	$2,787.50	$2,090.63	$59.42 – $2,508.75
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates Aetna — Default: $2,508.75 Aetna — Medicare Advantage: $975.62 Alliance Coal Health Plan — Default: $1,463.44 Cigna — Default: $2,071.11 Cigna — Medicare Advantage: $956.12 Great West Healthcare IL — Default: $2,341.50 Health Alliance Medical Plans — Default: $2,230 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $956.12 Healthlink HMO DOS gt 06302021 — HMO: $2,230 Humana — Default: $2,090.62
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier TC In the file: MRI CHEST W/O,Technical component	$3,220.50	$2,415.38	$187.49 – $2,898.45
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates Aetna — Default: $2,898.45 Aetna — Medicare Advantage: $1,127.18 Alliance Coal Health Plan — Default: $1,690.77 Cigna — Default: $2,392.83 Cigna — Medicare Advantage: $1,104.64 Great West Healthcare IL — Default: $2,705.22 Health Alliance Medical Plans — Default: $2,576.40 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $1,104.64 Healthlink HMO DOS gt 06302021 — HMO: $2,576.40 Humana — Default: $2,250
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier TC,LT In the file: CLAVICLE LEFT,Technical component, Left side	$475	$356.25	$20.38 – $427.50
Chest X-ray, 2 views: 10 of 16 insurance plan rates Aetna — Default: $427.50 Aetna — Medicare Advantage: $166.25 Alliance Coal Health Plan — Default: $249.38 Cigna — Default: $352.92 Cigna — Medicare Advantage: $162.92 Great West Healthcare IL — Default: $399 Health Alliance Medical Plans — Default: $380 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $162.92 Healthlink HMO DOS gt 06302021 — HMO: $380 Humana — Default: $356.25
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier TC In the file: MANDIBLE 4 VIEW,Technical component	$765	$573.75	$34.26 – $688.50
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates Aetna — Default: $688.50 Aetna — Medicare Advantage: $267.75 Alliance Coal Health Plan — Default: $401.62 Cigna — Default: $568.40 Cigna — Medicare Advantage: $262.40 Great West Healthcare IL — Default: $642.60 Health Alliance Medical Plans — Default: $612 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $262.40 Healthlink HMO DOS gt 06302021 — HMO: $612 Humana — Default: $573.75
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier TC In the file: MRI LUMBAR WITH,Technical component	$3,505	$2,628.75	$108.13 – $3,154.50
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates Aetna — Default: $3,154.50 Aetna — Medicare Advantage: $1,226.75 Alliance Coal Health Plan — Default: $1,840.12 Cigna — Default: $2,604.22 Cigna — Medicare Advantage: $1,202.22 Great West Healthcare IL — Default: $2,944.20 Health Alliance Medical Plans — Default: $2,804 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $1,202.22 Healthlink HMO DOS gt 06302021 — HMO: $2,804 Humana — Default: $2,250
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier TC In the file: CT T-SPINE-W/O CONTR,Technical component	$2,480	$1,860	$152.65 – $2,232
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates Aetna — Default: $2,232 Aetna — Medicare Advantage: $868 Alliance Coal Health Plan — Default: $1,302 Cigna — Default: $1,842.64 Cigna — Medicare Advantage: $850.64 Great West Healthcare IL — Default: $2,083.20 Health Alliance Medical Plans — Default: $1,984 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $850.64 Healthlink HMO DOS gt 06302021 — HMO: $1,984 Humana — Default: $1,860
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier TC In the file: MRI LW EXT JT WITH,Technical component	$3,505	$2,628.75	$124.19 – $3,154.50
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates Aetna — Default: $3,154.50 Aetna — Medicare Advantage: $1,226.75 Alliance Coal Health Plan — Default: $1,840.12 Cigna — Default: $2,604.22 Cigna — Medicare Advantage: $1,202.22 Great West Healthcare IL — Default: $2,944.20 Health Alliance Medical Plans — Default: $2,804 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $1,202.22 Healthlink HMO DOS gt 06302021 — HMO: $2,804 Humana — Default: $2,250
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier TC In the file: CT ABD/PELVIS W/WO,Technical component	$5,898.50	$4,423.88	$191.39 – $5,308.65
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates Aetna — Default: $5,308.65 Aetna — Medicare Advantage: $2,064.48 Alliance Coal Health Plan — Default: $3,096.72 Cigna — Default: $4,382.59 Cigna — Medicare Advantage: $2,023.19 Great West Healthcare IL — Default: $4,954.74 Health Alliance Medical Plans — Default: $4,718.80 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $2,023.19 Healthlink HMO DOS gt 06302021 — HMO: $4,718.80 Humana — Default: $2,250
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier TC In the file: 4DPARATH WO/ART/VEN,Technical component	$5,885.50	$4,414.13	$191.39 – $5,296.95
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates Aetna — Default: $5,296.95 Aetna — Medicare Advantage: $2,059.92 Alliance Coal Health Plan — Default: $3,089.90 Cigna — Default: $4,372.93 Cigna — Medicare Advantage: $2,018.73 Great West Healthcare IL — Default: $4,943.82 Health Alliance Medical Plans — Default: $4,708.40 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $2,018.73 Healthlink HMO DOS gt 06302021 — HMO: $4,708.40 Humana — Default: $2,250
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier TC In the file: ABDOMEN LIMITED,Technical component	$945.50	$709.13	$67.37 – $850.95
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates Aetna — Default: $850.95 Aetna — Medicare Advantage: $330.92 Alliance Coal Health Plan — Default: $496.40 Cigna — Default: $702.51 Cigna — Medicare Advantage: $324.31 Great West Healthcare IL — Default: $794.22 Health Alliance Medical Plans — Default: $756.40 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $324.31 Healthlink HMO DOS gt 06302021 — HMO: $756.40 Humana — Default: $709.12
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · modifier TC In the file: OB COMPLETE,Technical component	$946.50	$709.88	$75.75 – $851.85
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates Aetna — Default: $851.85 Aetna — Medicare Advantage: $331.28 Alliance Coal Health Plan — Default: $496.92 Cigna — Default: $703.25 Cigna — Medicare Advantage: $324.65 Great West Healthcare IL — Default: $795.06 Health Alliance Medical Plans — Default: $757.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $324.65 Healthlink HMO DOS gt 06302021 — HMO: $757.20 Humana — Default: $709.88
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier TC In the file: PELVIS DOPPLER,Technical component	$843	$632.25	$74.02 – $758.70
Transvaginal ultrasound: 10 of 16 insurance plan rates Aetna — Default: $758.70 Aetna — Medicare Advantage: $295.05 Alliance Coal Health Plan — Default: $442.58 Cigna — Default: $626.35 Cigna — Medicare Advantage: $289.15 Great West Healthcare IL — Default: $708.12 Health Alliance Medical Plans — Default: $674.40 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $289.15 Healthlink HMO DOS gt 06302021 — HMO: $674.40 Humana — Default: $632.25
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier TC,RT In the file: MAMMOGRAM RT UNILAT,Technical component, Right side	$381.50	$286.13	$76.33 – $343.35
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates Aetna — Default: $343.35 Aetna — Medicare Advantage: $133.52 Alliance Coal Health Plan — Default: $200.30 Cigna — Default: $283.45 Cigna — Medicare Advantage: $130.86 Great West Healthcare IL — Default: $320.46 Health Alliance Medical Plans — Default: $305.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $130.86 Healthlink HMO DOS gt 06302021 — HMO: $305.20 Humana — Default: $286.12
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier TC In the file: SCREENING MAM BILAT,Technical component	$381.50	$286.13	$76.33 – $343.35
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates Aetna — Default: $343.35 Aetna — Medicare Advantage: $133.52 Alliance Coal Health Plan — Default: $116.84 Cigna — Default: $283.45 Cigna — Medicare Advantage: $76.33 Great West Healthcare IL — Default: $320.46 Health Alliance Medical Plans — Default: $305.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $76.33 Healthlink HMO DOS gt 06302021 — HMO: $305.20 Humana — Default: $286.12
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier TC,LT In the file: MM MAMMOGRAM LT UNIL,Technical component, Left side	$381.50	$286.13	$97.15 – $343.35
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates Aetna — Default: $343.35 Aetna — Medicare Advantage: $133.52 Alliance Coal Health Plan — Default: $200.30 Cigna — Default: $283.45 Cigna — Medicare Advantage: $130.86 Great West Healthcare IL — Default: $320.46 Health Alliance Medical Plans — Default: $305.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $130.86 Healthlink HMO DOS gt 06302021 — HMO: $305.20 Humana — Default: $286.12
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier TC In the file: BREAST LT NEEDLE LOC,Technical component	$725	$543.75	$80.23 – $652.50
Screening mammogram, both breasts: 10 of 16 insurance plan rates Aetna — Default: $652.50 Aetna — Medicare Advantage: $253.75 Alliance Coal Health Plan — Default: $380.62 Cigna — Default: $538.68 Cigna — Medicare Advantage: $248.68 Great West Healthcare IL — Default: $609 Health Alliance Medical Plans — Default: $580 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $248.68 Healthlink HMO DOS gt 06302021 — HMO: $580 Humana — Default: $543.75

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: EKG W INTERP 12 LDS	$406	$304.50	$13.20 – $365.40
Electrocardiogram (ECG/EKG) with reading: 10 of 16 insurance plan rates Aetna — Default: $365.40 Aetna — Medicare Advantage: $142.10 Alliance Coal Health Plan — Default: $213.15 Cigna — Default: $301.66 Cigna — Medicare Advantage: $139.26 Great West Healthcare IL — Default: $341.04 Health Alliance Medical Plans — Default: $324.80 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $139.26 Healthlink HMO DOS gt 06302021 — HMO: $324.80 Humana — Default: $304.50
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: ECG-12 LEADS ONLY	$139.50	$104.63	$13.20 – $125.55
Electrocardiogram (ECG/EKG) with reading: 10 of 16 insurance plan rates Aetna — Default: $125.55 Aetna — Medicare Advantage: $48.82 Alliance Coal Health Plan — Default: $73.24 Cigna — Default: $103.65 Cigna — Medicare Advantage: $47.85 Great West Healthcare IL — Default: $117.18 Health Alliance Medical Plans — Default: $111.60 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $47.85 Healthlink HMO DOS gt 06302021 — HMO: $111.60 Humana — Default: $104.62
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNOGRAM	$4,826.50	$3,619.88	$554.34 – $4,343.85
Sleep study (overnight, in a sleep lab): 10 of 16 insurance plan rates Aetna — Default: $4,343.85 Aetna — Medicare Advantage: $1,689.28 Alliance Coal Health Plan — Default: $2,533.92 Cigna — Default: $3,586.09 Cigna — Medicare Advantage: $1,655.49 Great West Healthcare IL — Default: $4,054.26 Health Alliance Medical Plans — Default: $3,861.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $1,655.49 Healthlink HMO DOS gt 06302021 — HMO: $3,861.20 Humana — Default: $2,250
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: SLEEP STUDY INTERP	$593.50	$445.13	$203.58 – $554.34
Sleep study (overnight, in a sleep lab): 10 of 16 insurance plan rates Aetna — Default: $534.15 Aetna — Medicare Advantage: $207.72 Alliance Coal Health Plan — Default: $311.60 Cigna — Default: $440.97 Cigna — Medicare Advantage: $203.58 Great West Healthcare IL — Default: $498.54 Health Alliance Medical Plans — Default: $474.80 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $203.58 Healthlink HMO DOS gt 06302021 — HMO: $474.80 Humana — Default: $445.12

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: THERA EXERCISE,Physical Therapy	$161.50	$121.13	$27.14 – $145.35
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates Aetna — Default: $145.35 Aetna — Medicare Advantage: $56.52 Alliance Coal Health Plan — Default: $56.53 Cigna — Default: $119.99 Cigna — Medicare Advantage: $55.40 Great West Healthcare IL — Default: $135.66 Health Alliance Medical Plans — Default: $129.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $55.40 Healthlink HMO DOS gt 06302021 — HMO: $129.20 Humana — Default: $121.12
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: THERAPEUTIC EX,Occupational Therapy	$161.50	$121.13	$27.14 – $145.35
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates Aetna — Default: $145.35 Aetna — Medicare Advantage: $56.52 Alliance Coal Health Plan — Default: $56.53 Cigna — Default: $119.99 Cigna — Medicare Advantage: $55.40 Great West Healthcare IL — Default: $135.66 Health Alliance Medical Plans — Default: $129.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $55.40 Healthlink HMO DOS gt 06302021 — HMO: $129.20 Humana — Default: $121.12
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GN In the file: THERA PROCEDURE,Speech Language	$161.50	$121.13	$27.14 – $145.35
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates Aetna — Default: $145.35 Aetna — Medicare Advantage: $56.52 Alliance Coal Health Plan — Default: $56.53 Cigna — Default: $119.99 Cigna — Medicare Advantage: $55.40 Great West Healthcare IL — Default: $135.66 Health Alliance Medical Plans — Default: $129.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $55.40 Healthlink HMO DOS gt 06302021 — HMO: $129.20 Humana — Default: $121.12
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVALUATION LOW,Physical Therapy	$756	$567	$92.49 – $680.40
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates Aetna — Default: $680.40 Aetna — Medicare Advantage: $264.60 Alliance Coal Health Plan — Default: $264.60 Cigna — Default: $561.71 Cigna — Medicare Advantage: $259.31 Great West Healthcare IL — Default: $635.04 Health Alliance Medical Plans — Default: $604.80 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $259.31 Healthlink HMO DOS gt 06302021 — HMO: $604.80 Humana — Default: $567
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT EVALUATION MOD,Physical Therapy	$1,046.50	$784.88	$92.49 – $941.85
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates Aetna — Default: $941.85 Aetna — Medicare Advantage: $366.28 Alliance Coal Health Plan — Default: $366.28 Cigna — Default: $777.55 Cigna — Medicare Advantage: $358.95 Great West Healthcare IL — Default: $879.06 Health Alliance Medical Plans — Default: $837.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $358.95 Healthlink HMO DOS gt 06302021 — HMO: $837.20 Humana — Default: $784.88
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT EVALUATION HIGH,Physical Therapy	$1,090	$817.50	$92.49 – $981
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates Aetna — Default: $981 Aetna — Medicare Advantage: $381.50 Alliance Coal Health Plan — Default: $381.50 Cigna — Default: $809.87 Cigna — Medicare Advantage: $373.87 Great West Healthcare IL — Default: $915.60 Health Alliance Medical Plans — Default: $872 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $373.87 Healthlink HMO DOS gt 06302021 — HMO: $872 Humana — Default: $817.50
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: IND THERAPY 45 MIN	$352.50	$264.38	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $317.25
Psychotherapy, 30 minutes: 10 of 16 insurance plan rates Aetna — Default: $317.25 Aetna — Medicare Advantage: $123.38 Alliance Coal Health Plan — Default: $185.07 Cigna — Default: $261.91 Cigna — Medicare Advantage: $120.91 Great West Healthcare IL — Default: $296.10 Health Alliance Medical Plans — Default: $282 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $120.91 Healthlink HMO DOS gt 06302021 — HMO: $282 Humana — Default: $264.38
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: INDIV THERAPY 45-50M	$130.50	$97.88	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $117.45
Psychotherapy, 30 minutes: 10 of 16 insurance plan rates Aetna — Default: $117.45 Aetna — Medicare Advantage: $45.68 Alliance Coal Health Plan — Default: $68.52 Cigna — Default: $96.96 Cigna — Medicare Advantage: $44.77 Great West Healthcare IL — Default: $109.62 Health Alliance Medical Plans — Default: $104.40 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $44.77 Healthlink HMO DOS gt 06302021 — HMO: $104.40 Humana — Default: $97.88
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYCHTHRPY 16-37 MIN	$259	$194.25	$76.32 – $233.10
Psychotherapy, 30 minutes: 10 of 16 insurance plan rates Aetna — Default: $233.10 Aetna — Medicare Advantage: $90.65 Alliance Coal Health Plan — Default: $135.98 Cigna — Default: $192.44 Cigna — Medicare Advantage: $88.84 Great West Healthcare IL — Default: $217.56 Health Alliance Medical Plans — Default: $207.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $88.84 Healthlink HMO DOS gt 06302021 — HMO: $207.20 Humana — Default: $194.25
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: IND THERAPY 60 MIN	$540.50	$405.38	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $486.45
Psychotherapy, 45 minutes: 10 of 16 insurance plan rates Aetna — Default: $486.45 Aetna — Medicare Advantage: $189.18 Alliance Coal Health Plan — Default: $283.77 Cigna — Default: $401.59 Cigna — Medicare Advantage: $185.40 Great West Healthcare IL — Default: $454.02 Health Alliance Medical Plans — Default: $432.40 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $185.40 Healthlink HMO DOS gt 06302021 — HMO: $432.40 Humana — Default: $405.38
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYCHTHRPY 38-52 MIN	$344	$258	$100.67 – $309.60
Psychotherapy, 45 minutes: 10 of 16 insurance plan rates Aetna — Default: $309.60 Aetna — Medicare Advantage: $120.40 Alliance Coal Health Plan — Default: $180.60 Cigna — Default: $255.59 Cigna — Medicare Advantage: $117.99 Great West Healthcare IL — Default: $288.96 Health Alliance Medical Plans — Default: $275.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $117.99 Healthlink HMO DOS gt 06302021 — HMO: $275.20 Humana — Default: $258
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: FAM THERAPY WO PT	$336	$252	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $302.40
Psychotherapy, 60 minutes: 10 of 16 insurance plan rates Aetna — Default: $302.40 Aetna — Medicare Advantage: $117.60 Alliance Coal Health Plan — Default: $176.40 Cigna — Default: $249.65 Cigna — Medicare Advantage: $115.25 Great West Healthcare IL — Default: $282.24 Health Alliance Medical Plans — Default: $268.80 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $115.25 Healthlink HMO DOS gt 06302021 — HMO: $268.80 Humana — Default: $252
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · modifier CG In the file: PSYCHTHRPY 53-89 MIN,Rural Health Clinic Visit	$508	$381	$149.21 – $457.20
Psychotherapy, 60 minutes: 10 of 16 insurance plan rates Aetna — Default: $457.20 Aetna — Medicare Advantage: $177.80 Alliance Coal Health Plan — Default: $266.70 Cigna — Default: $377.44 Cigna — Medicare Advantage: $174.24 Great West Healthcare IL — Default: $426.72 Health Alliance Medical Plans — Default: $406.40 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $174.24 Healthlink HMO DOS gt 06302021 — HMO: $406.40 Humana — Default: $381
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAM THERAPY W PT 30M	$143	$107.25	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $128.70
Family psychotherapy, without the patient: 10 of 16 insurance plan rates Aetna — Default: $128.70 Aetna — Medicare Advantage: $50.05 Alliance Coal Health Plan — Default: $75.08 Cigna — Default: $106.25 Cigna — Medicare Advantage: $49.05 Great West Healthcare IL — Default: $120.12 Health Alliance Medical Plans — Default: $114.40 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $49.05 Healthlink HMO DOS gt 06302021 — HMO: $114.40 Humana — Default: $107.25
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY THERAPY W/PT	$150	$112.50	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $135
Family psychotherapy, without the patient: 10 of 16 insurance plan rates Aetna — Default: $135 Aetna — Medicare Advantage: $52.50 Alliance Coal Health Plan — Default: $78.75 Cigna — Default: $111.45 Cigna — Medicare Advantage: $51.45 Great West Healthcare IL — Default: $126 Health Alliance Medical Plans — Default: $120 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $51.45 Healthlink HMO DOS gt 06302021 — HMO: $120 Humana — Default: $112.50
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FMLY PSYCTHRY SRVS	$333	$249.75	$96.40 – $299.70
Family psychotherapy, without the patient: 10 of 16 insurance plan rates Aetna — Default: $299.70 Aetna — Medicare Advantage: $116.55 Alliance Coal Health Plan — Default: $174.82 Cigna — Default: $247.42 Cigna — Medicare Advantage: $114.22 Great West Healthcare IL — Default: $279.72 Health Alliance Medical Plans — Default: $266.40 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $114.22 Healthlink HMO DOS gt 06302021 — HMO: $266.40 Humana — Default: $249.75
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAM THERAPY W PT 1HR	$269	$201.75	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $242.10
Family psychotherapy, with the patient: 10 of 16 insurance plan rates Aetna — Default: $242.10 Aetna — Medicare Advantage: $94.15 Alliance Coal Health Plan — Default: $141.22 Cigna — Default: $199.87 Cigna — Medicare Advantage: $92.27 Great West Healthcare IL — Default: $225.96 Health Alliance Medical Plans — Default: $215.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $92.27 Healthlink HMO DOS gt 06302021 — HMO: $215.20 Humana — Default: $201.75
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: EVAL W/MED SVCS	$503	$377.25	$100.47 – $452.70
Family psychotherapy, with the patient: 10 of 16 insurance plan rates Aetna — Default: $452.70 Aetna — Medicare Advantage: $176.05 Alliance Coal Health Plan — Default: $264.08 Cigna — Default: $373.73 Cigna — Medicare Advantage: $172.53 Great West Healthcare IL — Default: $422.52 Health Alliance Medical Plans — Default: $402.40 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $172.53 Healthlink HMO DOS gt 06302021 — HMO: $402.40 Humana — Default: $377.25
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: MEDICATION MANAGEMNT	$85.50	$64.13	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $83.79
Family psychotherapy, with the patient: 10 of 16 insurance plan rates Aetna — Default: $76.95 Aetna — Medicare Advantage: $29.92 Alliance Coal Health Plan — Default: $44.90 Cigna — Default: $63.53 Cigna — Medicare Advantage: $29.33 Great West Healthcare IL — Default: $71.82 Health Alliance Medical Plans — Default: $68.40 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $29.33 Healthlink HMO DOS gt 06302021 — HMO: $68.40 Humana — Default: $64.12
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: IND THERAPY 30 MIN	$234.50	$175.88	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $211.05
Group psychotherapy: 10 of 16 insurance plan rates Aetna — Default: $211.05 Aetna — Medicare Advantage: $82.08 Alliance Coal Health Plan — Default: $123.12 Cigna — Default: $174.23 Cigna — Medicare Advantage: $80.44 Great West Healthcare IL — Default: $196.98 Health Alliance Medical Plans — Default: $187.60 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $80.44 Healthlink HMO DOS gt 06302021 — HMO: $187.60 Humana — Default: $175.88
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GP PSYCHTHRPY SRVS	$91.50	$68.63	$27.26 – $82.35
Group psychotherapy: 10 of 16 insurance plan rates Aetna — Default: $82.35 Aetna — Medicare Advantage: $32.02 Alliance Coal Health Plan — Default: $48.04 Cigna — Default: $67.98 Cigna — Medicare Advantage: $31.39 Great West Healthcare IL — Default: $76.86 Health Alliance Medical Plans — Default: $73.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $31.39 Healthlink HMO DOS gt 06302021 — HMO: $73.20 Humana — Default: $68.62

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REM OF BREAST LESION	Not listed in the file	Not listed in the file	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Removal of breast growth (open surgery): rates for 10 insurance plans Aetna — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Great West Healthcare IL — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Alliance Medical Plans — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Healthlink HMO DOS gt 06302021 — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Humana — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicare B IL J6 — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Meritain — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) United Healthcare — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · modifier 26 In the file: REM OF BREAST LESION,Professional Component	$2,299	$1,724.25	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,069.10
Removal of breast growth (open surgery): 10 of 16 insurance plan rates Aetna — Default: $2,069.10 Aetna — Medicare Advantage: $804.65 Alliance Coal Health Plan — Default: $716.60 Cigna — Default: $1,708.16 Cigna — Medicare Advantage: $468.18 Great West Healthcare IL — Default: $1,931.16 Health Alliance Medical Plans — Default: $1,839.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $468.18 Healthlink HMO DOS gt 06302021 — HMO: $1,839.20 Humana — Default: $1,724.25
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: UPPER GI ENDOSCOPY	$1,266	$949.50	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,139.40
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — Default: $1,139.40 Aetna — Medicare Advantage: $443.10 Alliance Coal Health Plan — Default: $203.07 Cigna — Default: $940.64 Cigna — Medicare Advantage: $132.67 Great West Healthcare IL — Default: $1,063.44 Health Alliance Medical Plans — Default: $1,012.80 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $132.67 Healthlink HMO DOS gt 06302021 — HMO: $1,012.80 Humana — Default: $949.50
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: UPPER GI ENDOSCOPY	Not listed in the file	Not listed in the file	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Upper GI endoscopy (diagnostic): rates for 10 insurance plans Aetna — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Great West Healthcare IL — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Alliance Medical Plans — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Healthlink HMO DOS gt 06302021 — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Humana — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicare B IL J6 — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Meritain — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) United Healthcare — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EGD W/BX SGL OR MULT	$1,708.50	$1,281.38	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,537.65
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates Aetna — Default: $1,537.65 Aetna — Medicare Advantage: $597.98 Alliance Coal Health Plan — Default: $227.96 Cigna — Default: $1,269.42 Cigna — Medicare Advantage: $148.93 Great West Healthcare IL — Default: $1,435.14 Health Alliance Medical Plans — Default: $1,366.80 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $148.93 Healthlink HMO DOS gt 06302021 — HMO: $1,366.80 Humana — Default: $1,281.38
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: BIOP OF ESOPH STO U/	Not listed in the file	Not listed in the file	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Upper GI endoscopy with biopsy: rates for 10 insurance plans Aetna — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Great West Healthcare IL — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Alliance Medical Plans — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Healthlink HMO DOS gt 06302021 — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Humana — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicare B IL J6 — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Meritain — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) United Healthcare — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLON	$6,090.50	$4,567.88	$308.35 – $5,481.45
Colonoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — Default: $5,481.45 Aetna — Medicare Advantage: $2,131.68 Alliance Coal Health Plan — Default: $3,197.52 Cigna — Default: $4,525.24 Cigna — Medicare Advantage: $2,089.05 Great West Healthcare IL — Default: $5,116.02 Health Alliance Medical Plans — Default: $4,872.40 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $2,089.05 Healthlink HMO DOS gt 06302021 — HMO: $4,872.40 Humana — Default: $2,250
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: DIAGNOSTIC COLON	$1,454.50	$1,090.88	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,309.05
Colonoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — Default: $1,309.05 Aetna — Medicare Advantage: $509.08 Alliance Coal Health Plan — Default: $306.12 Cigna — Default: $1,080.69 Cigna — Medicare Advantage: $200 Great West Healthcare IL — Default: $1,221.78 Health Alliance Medical Plans — Default: $1,163.60 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $200 Healthlink HMO DOS gt 06302021 — HMO: $1,163.60 Humana — Default: $1,090.88
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY W/BX SM	$1,909.50	$1,432.13	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,718.55
Colonoscopy with biopsy: 10 of 16 insurance plan rates Aetna — Default: $1,718.55 Aetna — Medicare Advantage: $668.32 Alliance Coal Health Plan — Default: $333.06 Cigna — Default: $1,418.76 Cigna — Medicare Advantage: $217.60 Great West Healthcare IL — Default: $1,603.98 Health Alliance Medical Plans — Default: $1,527.60 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $217.60 Healthlink HMO DOS gt 06302021 — HMO: $1,527.60 Humana — Default: $1,432.12
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/BX SM	Not listed in the file	Not listed in the file	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Colonoscopy with biopsy: rates for 10 insurance plans Aetna — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Great West Healthcare IL — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Alliance Medical Plans — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Healthlink HMO DOS gt 06302021 — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Humana — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicare B IL J6 — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Meritain — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) United Healthcare — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: LESION REMOVAL COLON	$5,068	$3,801	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,561.20
Colonoscopy with removal of polyps (snare): 10 of 16 insurance plan rates Aetna — Default: $4,561.20 Aetna — Medicare Advantage: $1,773.80 Alliance Coal Health Plan — Default: $419.26 Cigna — Default: $3,765.52 Cigna — Medicare Advantage: $273.92 Great West Healthcare IL — Default: $4,257.12 Health Alliance Medical Plans — Default: $4,054.40 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $273.92 Healthlink HMO DOS gt 06302021 — HMO: $4,054.40 Humana — Default: $2,250
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: LESION REMOVAL COLON	Not listed in the file	Not listed in the file	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans Aetna — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Great West Healthcare IL — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Alliance Medical Plans — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Healthlink HMO DOS gt 06302021 — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Humana — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicare B IL J6 — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Meritain — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) United Healthcare — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: COLORECTAL CA SCRN	$3,192.50	$2,394.38	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,873.25
Screening colonoscopy (not high risk): 10 of 16 insurance plan rates Aetna — Default: $2,873.25 Aetna — Medicare Advantage: $1,117.38 Alliance Coal Health Plan — Default: $306.90 Cigna — Default: $2,372.03 Cigna — Medicare Advantage: $200.51 Great West Healthcare IL — Default: $2,681.70 Health Alliance Medical Plans — Default: $2,554 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $200.51 Healthlink HMO DOS gt 06302021 — HMO: $2,554 Humana — Default: $2,250
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAP CHOLECYSTECTOMY	$2,735	$2,051.25	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,461.50
Gallbladder removal by laparoscope: 10 of 16 insurance plan rates Aetna — Default: $2,461.50 Aetna — Medicare Advantage: $957.25 Alliance Coal Health Plan — Default: $1,140.78 Cigna — Default: $2,032.10 Cigna — Medicare Advantage: $745.31 Great West Healthcare IL — Default: $2,297.40 Health Alliance Medical Plans — Default: $2,188 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $745.31 Healthlink HMO DOS gt 06302021 — HMO: $2,188 Humana — Default: $2,051.25
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAP CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Gallbladder removal by laparoscope: rates for 10 insurance plans Aetna — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Great West Healthcare IL — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Alliance Medical Plans — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Healthlink HMO DOS gt 06302021 — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Humana — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicare B IL J6 — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Meritain — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) United Healthcare — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: RPR REDUC ING HERNIA	$2,549.50	$1,912.13	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,294.55
Groin (inguinal) hernia repair, age 5 or older: 10 of 16 insurance plan rates Aetna — Default: $2,294.55 Aetna — Medicare Advantage: $892.32 Alliance Coal Health Plan — Default: $902.31 Cigna — Default: $1,894.28 Cigna — Medicare Advantage: $589.51 Great West Healthcare IL — Default: $2,141.58 Health Alliance Medical Plans — Default: $2,039.60 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $589.51 Healthlink HMO DOS gt 06302021 — HMO: $2,039.60 Humana — Default: $1,912.12
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: RPR REDUC ING HERNIA	Not listed in the file	Not listed in the file	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans Aetna — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Great West Healthcare IL — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Alliance Medical Plans — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Healthlink HMO DOS gt 06302021 — HMO: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Humana — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medicare B IL J6 — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Meritain — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) United Healthcare — Default: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTERSCOPY/PLYPCTMY	$1,146.50	$859.88	$393.25 – $1,101.11
Hysteroscopy with biopsy of the uterus lining: 10 of 16 insurance plan rates Aetna — Default: $1,031.85 Aetna — Medicare Advantage: $401.28 Alliance Coal Health Plan — Default: $601.92 Cigna — Default: $851.85 Cigna — Medicare Advantage: $393.25 Great West Healthcare IL — Default: $963.06 Health Alliance Medical Plans — Default: $917.20 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $393.25 Healthlink HMO DOS gt 06302021 — HMO: $917.20 Humana — Default: $859.88
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTERSCOPY W/D&C	$4,927.50	$3,695.63	$1,101.11 – $4,434.75
Hysteroscopy with biopsy of the uterus lining: 10 of 16 insurance plan rates Aetna — Default: $4,434.75 Aetna — Medicare Advantage: $1,724.62 Alliance Coal Health Plan — Default: $2,586.94 Cigna — Default: $3,661.13 Cigna — Medicare Advantage: $1,690.14 Great West Healthcare IL — Default: $4,139.10 Health Alliance Medical Plans — Default: $3,942 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $1,690.14 Healthlink HMO DOS gt 06302021 — HMO: $3,942 Humana — Default: $2,250
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: YAG CAP	$1,157.50	$868.13	$299.17 – $1,041.75
Laser treatment of clouding after cataract surgery: 10 of 16 insurance plan rates Aetna — Default: $1,041.75 Aetna — Medicare Advantage: $405.12 Alliance Coal Health Plan — Default: $607.70 Cigna — Default: $860.02 Cigna — Medicare Advantage: $397.03 Great West Healthcare IL — Default: $972.30 Health Alliance Medical Plans — Default: $926 Health Alliance Medical Plans MCR Adv — Medicare Advantage: $397.03 Healthlink HMO DOS gt 06302021 — HMO: $926 Humana — Default: $868.12

Source: Franklin Hospital’s standard charges file (franklinhospital.net, CSV, CMS template 2.0.0; it can be a very large file), last updated by the hospital on December 1, 2025; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	201 Bailey Lane, Benton, IL 62812
County	Franklin County
State	Illinois
Phone	(618) 439‑3161
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	Not rated by CMS
CMS Certification Number	141321
Name in Medicare records	FRANKLIN HOSPITAL
Profile level	Medicare data + hospital website
Official website	franklinhospital.net
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
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.

Franklin Hospital District — franklinhospital.net
Services - Franklin Hospital — franklinhospital.net
Emergency Department - Franklin Hospital — franklinhospital.net
Visitor Information - Franklin Hospital — franklinhospital.net
Specialty Clinics — franklinhospital.net
Hospitalist Program — franklinhospital.net
Cardiopulmonary Services — franklinhospital.net
Imaging — franklinhospital.net
Outpatient Procedures — franklinhospital.net
Orthopedics Clinic — franklinhospital.net
Surgical Services — franklinhospital.net
Wound Care Center — franklinhospital.net
Laboratory — franklinhospital.net

Franklin Hospital

Summary

Profile from official sources

At a glance