Does Genesis Health System dba Genesis MDL Center-Illini have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Genesis Health System dba Genesis MDL Center-Illini. In a medical emergency, call 911.

Where is Genesis Health System dba Genesis MDL Center-Illini?

801 Illini Dr, Silvis, IL 61282, in Rock Island County, Illinois.

What is the phone number of Genesis Health System dba Genesis MDL Center-Illini?

(309) 281-4000, as listed by Medicare (CMS).

What is the Medicare star rating of Genesis Health System dba Genesis MDL Center-Illini?

2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Genesis Health System dba Genesis MDL Center-Illini

Quick answers

Does Genesis Health System dba Genesis MDL Center-Illini have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Genesis Health System dba Genesis MDL Center-Illini. In a medical emergency, call 911.
Where is Genesis Health System dba Genesis MDL Center-Illini?: 801 Illini Dr, Silvis, IL 61282, in Rock Island County, Illinois.
What is the phone number of Genesis Health System dba Genesis MDL Center-Illini?: (309) 281-4000, as listed by Medicare (CMS).
What is the Medicare star rating of Genesis Health System dba Genesis MDL Center-Illini?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Genesis Health System dba Genesis MDL Center-Illini for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for Genesis Health System dba Genesis MDL Center-Illini under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.3446; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

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

Birth Center
Heart and Vascular Care
Diabetes Care
Emergency Care
Endoscopy Care
ICU/Critical Care
Imaging
Laboratory
Orthopedics Care
Physical Therapy
Sleep Medicine
Stroke Care
Surgical Care
Pharmacy
Birth center and maternity care
Neonatology

Conditions treated^[6]

High-risk pregnancy
Miscarriage
Postpartum depression
Preterm labor
Preeclampsia
Stillbirth
Gestational diabetes

Treatments^[5][6]

Robotic surgery (da Vinci Xi)
Cesarean section
Vaginal birth after cesarean (VBAC)
Labor induction
Epidural pain relief during labor
Delivery of multiples (twins)
Neonatal resuscitation

Procedures^[4]

Robotic surgery (da Vinci Xi)

Programs and centers^[5][6]

Level II Special Care Nursery
Birth Center

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

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Interpreters and languages	Language assistance page lists 16 languages^[4]
Patient portal	MyChart

Doctors and clinicians (544)

544 doctors and other clinicians list Genesis Health System dba Genesis MDL Center-Illini 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 520 more: the button below opens the full list.

Other emergency rooms nearby

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

Trinity - Bettendorf7.2 mi · Bettendorf, IA · Acute Care Hospital
Genesis Medical Center-Davenport8.2 mi · Davenport, IA · Acute Care Hospital
Trinity Rock Island8.4 mi · Rock Island, IL · Acute Care Hospital
Hammond Henry Hospital13 mi · Geneseo, IL · Critical Access Hospital
MercyOne Genesis Dewitt Medical Center24 mi · Dewitt, IA · Critical Access Hospital

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

Other hospitals near Silvis

The Quad Cities Rehabilitation Institute6.5 mi · Moline, IL · Inpatient Rehabilitation Hospital
Eagle View Behavioral Health7.1 mi · Bettendorf, IA · Psychiatric Hospital
Select Specialty Hospital - Quad Cities8.2 mi · Davenport, IA · Long-Term Acute Care Hospital

Hospitals in Rock Island 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

Avenues at Quad Cities0.4 mi · Silvis, IL · 1 of 5 stars
Silvis Center for Nursing Rehab & Care0.5 mi · Silvis, IL · 1 of 5 stars
Celebrate SR Living of Moline1.9 mi · Moline, IL · 4 of 5 stars

All nursing homes in the state →

Hospice providers

St Croix Hospice4.1 mi · Moline, IL
UnityPoint Hospice4.1 mi · Moline, IL · 3 of 5 stars
MercyOne Genesis5.9 mi · Bettendorf, IA · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Centerwell Home Health4.1 mi · Moline, IL · 5 of 5 stars
In-Home Care Connection Home Health Services4.1 mi · Moline, IL · 2.5 of 5 stars
Northwestern Illinois Home Health4.1 mi · Moline, IL · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

FMC - Silvis0.0 mi · Silvis, IL · 3 of 5 stars
DaVita Moline Home Training4.1 mi · Moline, IL
FMC - Moline4.1 mi · Moline, IL · 2 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.

Quad City Ambulatory Surgery C4.1 mi · Moline, IL
Quad City Endoscopy4.1 mi · Moline, IL
Regional Surgicenter4.1 mi · Moline, 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

Glenview Middle School1.7 mi · East Moline, IL · Community health center
Community Health Care, Inc. East Moline Clinic2.1 mi · East Moline, IL · Community health center
Community Health Care, Inc. - The Project3.7 mi · Moline, IL · Community health center

Clinics and urgent care

State University of Iowa5.9 mi · Bettendorf, IA · Urgent care center
American Current Care P.A.9.5 mi · Davenport, IA · Urgent care center
American Current Care P.A.9.5 mi · Davenport, IA · Urgent care center

Pharmacies

Cosgrave Pharmacy Inc0.0 mi · Silvis, IL · Community/retail pharmacy
Hy-Vee Inc0.0 mi · Silvis, IL · Community/retail pharmacy
Illini Clinic Pharmacy Inc0.0 mi · Silvis, IL · Community/retail pharmacy

Assisted living nearby

Licensed homes from the official state license list, by straight-line distance.

Fountains Assisted Living5.9 mi · Bettendorf, IA
Bickford Cottage Davenport9.5 mi · Davenport, IA
Jersey Ridge Place9.5 mi · Davenport, IA
Senior Star at Elmore Place Assisted Living9.5 mi · Davenport, IA

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 Genesis Health System dba Genesis MDL Center-Illini reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Patients got help quickly from staff	1 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Restfulness of Environment	2 of 5 stars
Care Coordination	2 of 5 stars
Symptoms After Stay	3 of 5 stars
Rated the hospital 9 or 10 out of 10	59%National average: 72%
Would definitely recommend the hospital	54%National average: 71%
Nurses “always” communicated well	70%National average: 80%
Doctors “always” communicated well	74%National average: 80%
“Always” got help as soon as they wanted	48%National average: 64%
Staff “always” explained medicines before giving them	55%National average: 62%
Were given information about recovery at home	84%National average: 86%
Room and bathroom “always” clean	69%National average: 73%
Completed surveys	356Response rate: 18%

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

Infections caught in the hospital

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

Catheter-associated urinary tract infections (CAUTI)	1.971No different from the national benchmark
Surgical site infections after colon surgery	0.808No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.413No different from the national benchmark
Not reported to Medicare	Central line bloodstream infections (CLABSI); Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients	12.8%
Deaths within 30 days: heart failure patients	11.6%
Deaths within 30 days: pneumonia patients	13.5%
Deaths within 30 days: COPD patients	8%
Deaths within 30 days: stroke patients	14.2%
Serious complications (patient safety indicator PSI-90)	0.96No different from the national rate
Complications after hip or knee replacement	3.3%
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG)

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	16.2%
Readmitted within 30 days: heart attack	14.8%
Readmitted within 30 days: heart failure	23.1%
Readmitted within 30 days: pneumonia	16.8%
Readmitted within 30 days: COPD	20.5%
Readmitted within 30 days: hip or knee replacement	5.8%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery

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)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	189 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	6%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	70%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

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

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026	NoCMS lists no payment reduction for this hospital.
Total HAC Score	0.3446Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Heart attack	0.9680Fewer readmissions than expected
Heart failure	0.9436Fewer readmissions than expected
Pneumonia	0.9832Fewer readmissions than expected
COPD (chronic lung disease)	0.9521Fewer readmissions than expected
Hip or knee replacement	0.8914Fewer readmissions than expected
No result published	Coronary bypass surgery (CABG) (not reported, or too few cases)

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

Hospital Value-Based Purchasing Program

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

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

Total Performance Score	9.62 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	10.00 out of 100
Person and community engagement (patient survey)	21.00 out of 100
Safety (infections and sepsis care)	7.50 out of 100
Efficiency and cost reduction (Medicare spending)	0.00 out of 100

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio	1.11Above the national median hospital (1.00): Medicare spent more

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

ER wait times and Medicare ratings nearby

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

ER wait times in 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 86 common services exactly as Genesis Health System dba Genesis MDL Center-Illini 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 →

$ 14 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Show the prices of 86 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS ID CLINIC NEW PT LVL 3	$171	$102.60	$54.72 – $157.32
New patient office visit (about 30–44 minutes): rates for 5 insurance plans Midlands Choice — All Products: $157.32 Oscar — All Products: $63.61 UHC — HMO: $68.61 UHC — PPO: $139.37 Wellmark — All Products: $171
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS RC NEW PATIENT LVL 3	$171	$102.60	$54.72 – $157.32
New patient office visit (about 30–44 minutes): rates for 5 insurance plans Midlands Choice — All Products: $157.32 Oscar — All Products: $63.61 UHC — HMO: $68.61 UHC — PPO: $139.37 Wellmark — All Products: $171
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS NEW PAT EXPANDED PROBLEM/LOW COMPLEX	$171	$102.60	$54.72 – $157.32
New patient office visit (about 30–44 minutes): rates for 5 insurance plans Midlands Choice — All Products: $157.32 Oscar — All Products: $63.61 UHC — HMO: $68.61 UHC — PPO: $139.37 Wellmark — All Products: $171
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS ID CLINIC NEW PT LVL 4	$281	$168.60	$89.92 – $258.52
New patient office visit (about 45–59 minutes): rates for 5 insurance plans Midlands Choice — All Products: $258.52 Oscar — All Products: $104.53 UHC — HMO: $68.61 UHC — PPO: $229.02 Wellmark — All Products: $281
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS RC NEW PATIENT LVL 4	$281	$168.60	$89.92 – $258.52
New patient office visit (about 45–59 minutes): rates for 5 insurance plans Midlands Choice — All Products: $258.52 Oscar — All Products: $104.53 UHC — HMO: $68.61 UHC — PPO: $229.02 Wellmark — All Products: $281
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS NEW PT DETAILED/MODERATE COMPLEXITY	$281	$168.60	$89.92 – $258.52
New patient office visit (about 45–59 minutes): rates for 5 insurance plans Midlands Choice — All Products: $258.52 Oscar — All Products: $104.53 UHC — HMO: $68.61 UHC — PPO: $229.02 Wellmark — All Products: $281
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS ID CLINIC NEW PT LVL 5	$284	$170.40	$90.88 – $261.28
New patient office visit (about 60–74 minutes): rates for 5 insurance plans Midlands Choice — All Products: $261.28 Oscar — All Products: $105.65 UHC — HMO: $68.61 UHC — PPO: $231.46 Wellmark — All Products: $284
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS RC NEW PATIENT LVL 5	$285	$171	$91.20 – $262.20
New patient office visit (about 60–74 minutes): rates for 5 insurance plans Midlands Choice — All Products: $262.20 Oscar — All Products: $106.02 UHC — HMO: $68.61 UHC — PPO: $232.28 Wellmark — All Products: $285
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS NEW PT COMPREHENSIVE/HIGH COMPLEXITY	$284	$170.40	$90.88 – $261.28
New patient office visit (about 60–74 minutes): rates for 5 insurance plans Midlands Choice — All Products: $261.28 Oscar — All Products: $105.65 UHC — HMO: $68.61 UHC — PPO: $231.46 Wellmark — All Products: $284
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS CANCER CLINC EST PT LVL 3	$196	$117.60	$62.72 – $180.32
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans Midlands Choice — All Products: $180.32 Oscar — All Products: $72.91 UHC — HMO: $68.61 UHC — PPO: $159.74 Wellmark — All Products: $196
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS CANCER CLINIC NEW PT LVL 3	$196	$117.60	$62.72 – $180.32
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans Midlands Choice — All Products: $180.32 Oscar — All Products: $72.91 UHC — HMO: $68.61 UHC — PPO: $159.74 Wellmark — All Products: $196
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS PAIN MGMT INITIAL VISIT	$196	$117.60	$62.72 – $180.32
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans Midlands Choice — All Products: $180.32 Oscar — All Products: $72.91 UHC — HMO: $159.74 UHC — PPO: $159.74 Wellmark — All Products: $196
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS CANCER CLINC EST PT LVL 4	$229	$137.40	$73.28 – $210.68
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans Midlands Choice — All Products: $210.68 Oscar — All Products: $85.19 UHC — HMO: $68.61 UHC — PPO: $186.64 Wellmark — All Products: $229
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS CANCER CLINIC NEW PT LVL 4	$229	$137.40	$73.28 – $210.68
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans Midlands Choice — All Products: $210.68 Oscar — All Products: $85.19 UHC — HMO: $68.61 UHC — PPO: $186.64 Wellmark — All Products: $229
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS CANCER CLINIC OFFICE CONSULT LVL 4	$229	$137.40	$73.28 – $210.68
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans Midlands Choice — All Products: $210.68 Oscar — All Products: $85.19 UHC — HMO: $68.61 UHC — PPO: $186.64 Wellmark — All Products: $229
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS ID CLINIC CONSULT LVL 3	$217	$130.20	$69.44 – $199.64
Office consultation with a specialist (moderate): rates for 5 insurance plans Midlands Choice — All Products: $199.64 Oscar — All Products: $80.72 UHC — HMO: $68.61 UHC — PPO: $176.86 Wellmark — All Products: $217
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office Consult Level 3 99243	$305	$183	$280.60
Office consultation with a specialist (moderate): rates for 2 insurance plans Midlands Choice — All Products: $280.60 Wellmark — All Products: $305
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GHS ID CLINIC CONSULT LVL 3	$217	$130.20	$69.44 – $199.64
Office consultation with a specialist (moderate): rates for 1 insurance plan Wellmark — All Products: $69.44
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS ID CLINIC CONSULT LVL 4	$319	$191.40	$102.08 – $293.48
Office consultation with a specialist (moderate to high): rates for 5 insurance plans Midlands Choice — All Products: $293.48 Oscar — All Products: $118.67 UHC — HMO: $68.61 UHC — PPO: $259.99 Wellmark — All Products: $319
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office Consult Level 4 99244	$456	$273.60	$419.52
Office consultation with a specialist (moderate to high): rates for 2 insurance plans Midlands Choice — All Products: $419.52 Wellmark — All Products: $456
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GHS ID CLINIC CONSULT LVL 4	$319	$191.40	$102.08 – $293.48
Office consultation with a specialist (moderate to high): rates for 1 insurance plan Wellmark — All Products: $102.08
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS ID CLINIC ANNUAL WELLNESS INITIAL VISIT	$457	$274.20	$146.24 – $420.44
Preventive checkup, new patient, age 18–39: rates for 5 insurance plans Midlands Choice — All Products: $420.44 Oscar — All Products: $170 UHC — HMO: $372.46 UHC — PPO: $372.46 Wellmark — All Products: $457
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 99385 Initial Comp Preventive Med 18 to 39 years New	$291	$174.60	$267.72
Preventive checkup, new patient, age 18–39: rates for 2 insurance plans Midlands Choice — All Products: $267.72 Wellmark — All Products: $291
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GHS ID CLINIC ANNUAL WELLNESS INITIAL VISIT	$457	$274.20	$146.24 – $420.44
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan Wellmark — All Products: $146.24
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS ID CLINIC ANNUAL WELLNESS SUBSEQUENT VISIT	$309	$185.40	$98.88 – $284.28
Preventive checkup, new patient, age 40–64: rates for 5 insurance plans Midlands Choice — All Products: $284.28 Oscar — All Products: $114.95 UHC — HMO: $251.84 UHC — PPO: $251.84 Wellmark — All Products: $309
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 99386 Initial Comp Preventive Med 40 to 64 years New	$382	$229.20	$351.44
Preventive checkup, new patient, age 40–64: rates for 2 insurance plans Midlands Choice — All Products: $351.44 Wellmark — All Products: $382
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GHS ID CLINIC ANNUAL WELLNESS SUBSEQUENT VISIT	$309	$185.40	$98.88 – $284.28
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan Wellmark — All Products: $98.88
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS EMERGENCY CARE LEVEL 3	$747	$448.20	$239.04 – $687.24
Emergency room visit (moderate): rates for 7 insurance plans Midlands Choice — All Products: $687.24 Naphcare — All Products: $404.09 Oscar — All Products: $432.95 UHC — HMO: $608.81 UHC — PPO: $3,372.50 Wellmark — All Products: $747 Wellmark — Medicare Advantage: $288.64
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS ASSAULT EXAMINATION	$445	$267	$142.40 – $409.40
Emergency room visit (moderate): rates for 7 insurance plans Midlands Choice — All Products: $409.40 Naphcare — All Products: $289.25 Oscar — All Products: $432.95 UHC — HMO: $362.68 UHC — PPO: $3,372.50 Wellmark — All Products: $445 Wellmark — Medicare Advantage: $288.64
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS ASSAULT EXAMINOR	$622	$373.20	$199.04 – $572.24
Emergency room visit (moderate): rates for 7 insurance plans Midlands Choice — All Products: $572.24 Naphcare — All Products: $404.09 Oscar — All Products: $432.95 UHC — HMO: $506.93 UHC — PPO: $3,372.50 Wellmark — All Products: $622 Wellmark — Medicare Advantage: $288.64
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS EMERGENCY CARE LEVEL 4	$1,199	$719.40	$383.68 – $1,103.08
Emergency room visit (moderately high): rates for 7 insurance plans Midlands Choice — All Products: $1,103.08 Naphcare — All Products: $621.44 Oscar — All Products: $665.82 UHC — HMO: $977.19 UHC — PPO: $3,372.50 Wellmark — All Products: $1,199 Wellmark — Medicare Advantage: $443.88
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS FULL TRAUMA W/O PRE NOTIFICATION ED LVL 4	$7,971	$4,782.60	$2,550.72 – $7,333.32
Emergency room visit (moderately high): rates for 7 insurance plans Midlands Choice — All Products: $7,333.32 Naphcare — All Products: $621.44 Oscar — All Products: $665.82 UHC — HMO: $6,496.37 UHC — PPO: $3,372.50 Wellmark — All Products: $7,971 Wellmark — Medicare Advantage: $443.88
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Emergency Department Visit High/Urgent Severity 99284	$377	$226.20	$346.84
Emergency room visit (moderately high): rates for 2 insurance plans Midlands Choice — All Products: $346.84 Wellmark — All Products: $377
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS EMERGENCY CARE LEVEL 5	$1,499	$899.40	$479.68 – $1,379.08
Emergency room visit (high): rates for 7 insurance plans Midlands Choice — All Products: $1,379.08 Naphcare — All Products: $894.75 Oscar — All Products: $958.66 UHC — HMO: $1,221.69 UHC — PPO: $3,372.50 Wellmark — All Products: $1,499 Wellmark — Medicare Advantage: $639.11
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS PSA - INTENSIVE > 60 MINUTES	$992	$595.20	$317.44 – $912.64
Emergency room visit (high): rates for 7 insurance plans Midlands Choice — All Products: $912.64 Naphcare — All Products: $644.80 Oscar — All Products: $958.66 UHC — HMO: $808.48 UHC — PPO: $3,372.50 Wellmark — All Products: $992 Wellmark — Medicare Advantage: $639.11
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Emergency Dept Visit High Severity+Threat Funcj 99285	$634	$380.40	$583.28
Emergency room visit (high): rates for 2 insurance plans Midlands Choice — All Products: $583.28 Wellmark — All Products: $634

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS BASIC METABOLIC PANEL (BMP)	$103	$61.80	$32.96 – $94.76
Basic metabolic panel (blood test): rates for 5 insurance plans Midlands Choice — All Products: $94.76 Oscar — All Products: $38.32 UHC — HMO: $83.95 UHC — PPO: $83.95 Wellmark — All Products: $7.35
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC	$92	$55.20	$29.44 – $84.64
Basic metabolic panel (blood test): rates for 5 insurance plans Midlands Choice — All Products: $84.64 Oscar — All Products: $34.22 UHC — HMO: $74.98 UHC — PPO: $74.98 Wellmark — All Products: $7.35
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic Metabolic Panel	$92	$55.20	$29.44 – $84.64
Basic metabolic panel (blood test): rates for 5 insurance plans Midlands Choice — All Products: $84.64 Oscar — All Products: $34.22 UHC — HMO: $74.98 UHC — PPO: $74.98 Wellmark — All Products: $7.35
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS COMPREHENSIVE METABOLIC PANEL (CMP)	$184	$110.40	$58.88 – $169.28
Comprehensive metabolic panel (blood test): rates for 5 insurance plans Midlands Choice — All Products: $169.28 Oscar — All Products: $68.45 UHC — HMO: $149.96 UHC — PPO: $149.96 Wellmark — All Products: $7.35
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL (CMP)	$184	$110.40	$58.88 – $169.28
Comprehensive metabolic panel (blood test): rates for 5 insurance plans Midlands Choice — All Products: $169.28 Oscar — All Products: $68.45 UHC — HMO: $149.96 UHC — PPO: $149.96 Wellmark — All Products: $7.35
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel	$184	$110.40	$58.88 – $169.28
Comprehensive metabolic panel (blood test): rates for 5 insurance plans Midlands Choice — All Products: $169.28 Oscar — All Products: $68.45 UHC — HMO: $149.96 UHC — PPO: $149.96 Wellmark — All Products: $7.35
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric Panel	$140	$84	$44.80 – $128.80
Obstetric blood test panel: rates for 5 insurance plans Midlands Choice — All Products: $128.80 Oscar — All Products: $52.08 UHC — HMO: $114.10 UHC — PPO: $114.10 Wellmark — All Products: $7.35
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Bill only - Obstetric Panel	$140	$84	$44.80 – $128.80
Obstetric blood test panel: rates for 5 insurance plans Midlands Choice — All Products: $128.80 Oscar — All Products: $52.08 UHC — HMO: $114.10 UHC — PPO: $114.10 Wellmark — All Products: $7.35
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Obstetric Panel	$140	$84	$44.80 – $128.80
Obstetric blood test panel: rates for 1 insurance plan Wellmark — All Products: $44.80
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cardiac Risk Assessment	$117	$70.20	$37.44 – $107.64
Cholesterol panel (lipid panel): rates for 5 insurance plans Midlands Choice — All Products: $107.64 Oscar — All Products: $43.52 UHC — HMO: $95.36 UHC — PPO: $95.36 Wellmark — All Products: $7.35
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel DCH	$46	$27.60	$14.72 – $42.32
Cholesterol panel (lipid panel): rates for 5 insurance plans Midlands Choice — All Products: $42.32 Oscar — All Products: $17.11 UHC — HMO: $37.49 UHC — PPO: $37.49 Wellmark — All Products: $7.35
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel	$46	$27.60	$14.72 – $42.32
Cholesterol panel (lipid panel): rates for 5 insurance plans Midlands Choice — All Products: $42.32 Oscar — All Products: $17.11 UHC — HMO: $37.49 UHC — PPO: $37.49 Wellmark — All Products: $7.35
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS RENAL FUNCTION PANEL	$96	$57.60	$30.72 – $88.32
Kidney function panel: rates for 5 insurance plans Midlands Choice — All Products: $88.32 Oscar — All Products: $35.71 UHC — HMO: $78.24 UHC — PPO: $78.24 Wellmark — All Products: $7.35
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Function Panel	$61	$36.60	$19.52 – $56.12
Kidney function panel: rates for 5 insurance plans Midlands Choice — All Products: $56.12 Oscar — All Products: $22.69 UHC — HMO: $49.72 UHC — PPO: $49.72 Wellmark — All Products: $7.35
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: #RenalPnl(10)	$61	$36.60	$19.52 – $56.12
Kidney function panel: rates for 5 insurance plans Midlands Choice — All Products: $56.12 Oscar — All Products: $22.69 UHC — HMO: $49.72 UHC — PPO: $49.72 Wellmark — All Products: $7.35
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function	$129	$77.40	$41.28 – $118.68
Liver function panel: rates for 5 insurance plans Midlands Choice — All Products: $118.68 Oscar — All Products: $47.99 UHC — HMO: $105.14 UHC — PPO: $105.14 Wellmark — All Products: $7.35
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel - Obstetric	$129	$77.40	$41.28 – $118.68
Liver function panel: rates for 5 insurance plans Midlands Choice — All Products: $118.68 Oscar — All Products: $47.99 UHC — HMO: $105.14 UHC — PPO: $105.14 Wellmark — All Products: $7.35
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hepatic Function	$129	$77.40	$41.28 – $118.68
Liver function panel: rates for 1 insurance plan Wellmark — All Products: $41.28
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA w/microscopic, bill-only	$46	$27.60	$14.72 – $42.32
Urine test (automated, with microscope): rates for 5 insurance plans Midlands Choice — All Products: $42.32 Oscar — All Products: $17.11 UHC — HMO: $37.49 UHC — PPO: $37.49 Wellmark — All Products: $2.39
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA Routine w/ Micro & Culture if Indicated (IRIS)	$46	$27.60	$14.72 – $42.32
Urine test (automated, with microscope): rates for 5 insurance plans Midlands Choice — All Products: $42.32 Oscar — All Products: $17.11 UHC — HMO: $37.49 UHC — PPO: $37.49 Wellmark — All Products: $2.39
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urine Reflex Micro	$46	$27.60	$14.72 – $42.32
Urine test (automated, with microscope): rates for 5 insurance plans Midlands Choice — All Products: $42.32 Oscar — All Products: $17.11 UHC — HMO: $37.49 UHC — PPO: $37.49 Wellmark — All Products: $2.39
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DCH VALIDITY TESTS	$26	$15.60	$8.32 – $23.92
Urine test (manual, without microscope): rates for 5 insurance plans Midlands Choice — All Products: $23.92 Oscar — All Products: $9.67 UHC — HMO: $21.19 UHC — PPO: $21.19 Wellmark — All Products: $2.39
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urine Dip without Micro POC	$16	$9.60	$14.72
Urine test (manual, without microscope): rates for 2 insurance plans Midlands Choice — All Products: $14.72 Wellmark — All Products: $2.39
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DCH VALIDITY TESTS	$26	$15.60	$8.32 – $23.92
Urine test (manual, without microscope): rates for 1 insurance plan Wellmark — All Products: $8.32
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS ROUTINE URINALYSIS	$35	$21	$11.20 – $32.20
Urine test (automated, without microscope): rates for 5 insurance plans Midlands Choice — All Products: $32.20 Oscar — All Products: $13.02 UHC — HMO: $28.53 UHC — PPO: $28.53 Wellmark — All Products: $2.39
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS URINE, DIP STICK ONLY	$35	$21	$11.20 – $32.20
Urine test (automated, without microscope): rates for 5 insurance plans Midlands Choice — All Products: $32.20 Oscar — All Products: $13.02 UHC — HMO: $28.53 UHC — PPO: $28.53 Wellmark — All Products: $2.39
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA Routine w/ Reflex - Aledo	$29	$17.40	$9.28 – $26.68
Urine test (automated, without microscope): rates for 5 insurance plans Midlands Choice — All Products: $26.68 Oscar — All Products: $10.79 UHC — HMO: $23.64 UHC — PPO: $23.64 Wellmark — All Products: $2.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE SPEC ANTIGEN	$115	$69	$36.80 – $105.80
PSA (prostate specific antigen) blood test: rates for 5 insurance plans Midlands Choice — All Products: $105.80 Oscar — All Products: $42.78 UHC — HMO: $93.73 UHC — PPO: $93.73 Wellmark — All Products: $9.81
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA, Total w/reflx to PSA Free (Diag or Non-Medicare) -Quest	$115	$69	$36.80 – $105.80
PSA (prostate specific antigen) blood test: rates for 5 insurance plans Midlands Choice — All Products: $105.80 Oscar — All Products: $42.78 UHC — HMO: $93.73 UHC — PPO: $93.73 Wellmark — All Products: $9.81
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA Total	$115	$69	$36.80 – $105.80
PSA (prostate specific antigen) blood test: rates for 5 insurance plans Midlands Choice — All Products: $105.80 Oscar — All Products: $42.78 UHC — HMO: $93.73 UHC — PPO: $93.73 Wellmark — All Products: $9.81
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS TSH W/FT4 REFLEX	$137	$82.20	$43.84 – $126.04
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans Midlands Choice — All Products: $126.04 Oscar — All Products: $50.96 UHC — HMO: $111.66 UHC — PPO: $111.66 Wellmark — All Products: $10.76
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Sensitive STH	$111	$66.60	$35.52 – $102.12
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans Midlands Choice — All Products: $102.12 Oscar — All Products: $41.29 UHC — HMO: $90.47 UHC — PPO: $90.47 Wellmark — All Products: $10.76
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH	$131	$78.60	$41.92 – $120.52
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans Midlands Choice — All Products: $120.52 Oscar — All Products: $48.73 UHC — HMO: $106.77 UHC — PPO: $106.77 Wellmark — All Products: $10.76
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS CBC WITH MANUAL DIFF	$89	$53.40	$28.48 – $81.88
Complete blood count (CBC) with differential: rates for 5 insurance plans Midlands Choice — All Products: $81.88 Oscar — All Products: $33.11 UHC — HMO: $72.54 UHC — PPO: $72.54 Wellmark — All Products: $4.84
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Bill only - CBC, platelet, automated differential	$77	$46.20	$24.64 – $70.84
Complete blood count (CBC) with differential: rates for 5 insurance plans Midlands Choice — All Products: $70.84 Oscar — All Products: $28.64 UHC — HMO: $62.76 UHC — PPO: $62.76 Wellmark — All Products: $4.84
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS CBC (COMPLETE BLOOD COUNT)	$77	$46.20	$24.64 – $70.84
Complete blood count (CBC) with differential: rates for 5 insurance plans Midlands Choice — All Products: $70.84 Oscar — All Products: $28.64 UHC — HMO: $62.76 UHC — PPO: $62.76 Wellmark — All Products: $4.84
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMOGRAM (CBC, PLT, W/O DIFF)	$55	$33	$17.60 – $50.60
Complete blood count (CBC), automated: rates for 5 insurance plans Midlands Choice — All Products: $50.60 Oscar — All Products: $20.46 UHC — HMO: $44.83 UHC — PPO: $44.83 Wellmark — All Products: $4.84
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Bill only - Hemogram w/platelet	$58	$34.80	$18.56 – $53.36
Complete blood count (CBC), automated: rates for 5 insurance plans Midlands Choice — All Products: $53.36 Oscar — All Products: $21.58 UHC — HMO: $47.27 UHC — PPO: $47.27 Wellmark — All Products: $4.84
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS CBC(NO DIFFERENTIAL, HEMOGRAM)	$664	$398.40	$212.48 – $610.88
Complete blood count (CBC), automated: rates for 5 insurance plans Midlands Choice — All Products: $610.88 Oscar — All Products: $247.01 UHC — HMO: $541.16 UHC — PPO: $541.16 Wellmark — All Products: $4.84
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME (INR)	$52	$31.20	$16.64 – $47.84
Blood clotting time test (prothrombin time, PT): rates for 5 insurance plans Midlands Choice — All Products: $47.84 Oscar — All Products: $19.34 UHC — HMO: $42.38 UHC — PPO: $42.38 Wellmark — All Products: $3.59
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS CANCER CLINIC INR POC	$52	$31.20	$16.64 – $47.84
Blood clotting time test (prothrombin time, PT): rates for 5 insurance plans Midlands Choice — All Products: $47.84 Oscar — All Products: $19.34 UHC — HMO: $42.38 UHC — PPO: $42.38 Wellmark — All Products: $3.59
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: #THROMBOSIS-PROTHROMBIN TIME	$79	$47.40	$25.28 – $72.68
Blood clotting time test (prothrombin time, PT): rates for 5 insurance plans Midlands Choice — All Products: $72.68 Oscar — All Products: $29.39 UHC — HMO: $64.39 UHC — PPO: $64.39 Wellmark — All Products: $3.59
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PARTIAL THROMBOPLASTIN TIME	$62	$37.20	$19.84 – $57.04
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans Midlands Choice — All Products: $57.04 Oscar — All Products: $23.06 UHC — HMO: $50.53 UHC — PPO: $50.53 Wellmark — All Products: $3.59
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Partial Thromboplastin Time	$66	$39.60	$21.12 – $60.72
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans Midlands Choice — All Products: $60.72 Oscar — All Products: $24.55 UHC — HMO: $53.79 UHC — PPO: $53.79 Wellmark — All Products: $3.59
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS MIXING STUDY, PTT (INHIBITOR ASSAY)	$39	$23.40	$12.48 – $35.88
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans Midlands Choice — All Products: $35.88 Oscar — All Products: $14.51 UHC — HMO: $31.79 UHC — PPO: $31.79 Wellmark — All Products: $3.59

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Head w/o contrast	$1,998	$1,198.80	$639.36 – $1,838.16
CT scan of the head or brain, without contrast: rates for 7 insurance plans Midlands Choice — All Products: $1,838.16 Naphcare — All Products: $155.19 Oscar — All Products: $166.28 UHC — HMO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UHC — PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Wellmark — All Products: $315.57 Wellmark — Medicare Advantage: $110.85
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Viewpoint Head wo Contrast	$1,998	$1,198.80	$639.36 – $1,838.16
CT scan of the head or brain, without contrast: rates for 7 insurance plans Midlands Choice — All Products: $1,838.16 Naphcare — All Products: $155.19 Oscar — All Products: $166.28 UHC — HMO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UHC — PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Wellmark — All Products: $315.57 Wellmark — Medicare Advantage: $110.85
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Head Stroke Alert	$1,998	$1,198.80	$639.36 – $1,838.16
CT scan of the head or brain, without contrast: rates for 7 insurance plans Midlands Choice — All Products: $1,838.16 Naphcare — All Products: $155.19 Oscar — All Products: $166.28 UHC — HMO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UHC — PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Wellmark — All Products: $315.57 Wellmark — Medicare Advantage: $110.85
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Brain w/wo Contrast	$4,996	$2,997.60	$1,598.72 – $4,596.32
MRI of the brain, before and after contrast: rates for 7 insurance plans Midlands Choice — All Products: $4,596.32 Naphcare — All Products: $521.19 Oscar — All Products: $558.42 UHC — HMO: $3,022 UHC — PPO: $3,022 Wellmark — All Products: $396.64 Wellmark — Medicare Advantage: $372.28
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR IAC w/wo Contrast	$4,996	$2,997.60	$1,598.72 – $4,596.32
MRI of the brain, before and after contrast: rates for 7 insurance plans Midlands Choice — All Products: $4,596.32 Naphcare — All Products: $521.19 Oscar — All Products: $558.42 UHC — HMO: $3,022 UHC — PPO: $3,022 Wellmark — All Products: $396.64 Wellmark — Medicare Advantage: $372.28
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Sella w/wo Contrast	$4,996	$2,997.60	$1,598.72 – $4,596.32
MRI of the brain, before and after contrast: rates for 7 insurance plans Midlands Choice — All Products: $4,596.32 Naphcare — All Products: $521.19 Oscar — All Products: $558.42 UHC — HMO: $3,022 UHC — PPO: $3,022 Wellmark — All Products: $396.64 Wellmark — Medicare Advantage: $372.28
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST, SPECIAL VIEW (DECUBITUS)	$336	$201.60	$107.52 – $309.12
Chest X-ray, 2 views: rates for 7 insurance plans Midlands Choice — All Products: $309.12 Naphcare — All Products: $128.50 Oscar — All Products: $137.68 UHC — HMO: $273.84 UHC — PPO: $273.84 Wellmark — All Products: $54.71 Wellmark — Medicare Advantage: $91.79
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST ROUTINE PA/LAT	$319	$191.40	$102.08 – $293.48
Chest X-ray, 2 views: rates for 7 insurance plans Midlands Choice — All Products: $293.48 Naphcare — All Products: $128.50 Oscar — All Products: $137.68 UHC — HMO: $259.99 UHC — PPO: $259.99 Wellmark — All Products: $54.71 Wellmark — Medicare Advantage: $91.79
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chest Special View (Decubitus)	$268	$160.80	$85.76 – $246.56
Chest X-ray, 2 views: rates for 7 insurance plans Midlands Choice — All Products: $246.56 Naphcare — All Products: $128.50 Oscar — All Products: $137.68 UHC — HMO: $218.42 UHC — PPO: $218.42 Wellmark — All Products: $54.71 Wellmark — Medicare Advantage: $91.79
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spine Lumbar 5 Vws	$592	$355.20	$189.44 – $544.64
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan Wellmark — All Products: $189.44
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$110.85 – $166.28
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans Naphcare — All Products: $155.19 Oscar — All Products: $166.28 Wellmark — Medicare Advantage: $110.85
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Spine Lumbar 5 Vws	$592	$355.20	$189.44 – $544.64
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans Midlands Choice — All Products: $544.64 Oscar — All Products: $220.22 UHC — HMO: $482.48 UHC — PPO: $482.48 Wellmark — All Products: $54.71
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Spine Lumbar wo Contrast	$2,918	$1,750.80	$933.76 – $2,684.56
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans Midlands Choice — All Products: $2,684.56 Naphcare — All Products: $352.76 Oscar — All Products: $377.96 UHC — HMO: $3,022 UHC — PPO: $3,022 Wellmark — All Products: $235.87 Wellmark — Medicare Advantage: $251.97
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Lumbar Plexus wo Contrast	$1,965	$1,179	$628.80 – $1,807.80
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans Midlands Choice — All Products: $1,807.80 Naphcare — All Products: $352.76 Oscar — All Products: $377.96 UHC — HMO: $3,022 UHC — PPO: $3,022 Wellmark — All Products: $235.87 Wellmark — Medicare Advantage: $251.97
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR Spine Lumbar wo Contrast	$2,918	$1,750.80	$933.76 – $2,684.56
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan Wellmark — All Products: $933.76
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis w Contrast	$2,390	$1,434	$764.80 – $2,198.80
CT scan of the pelvis, with contrast: rates for 7 insurance plans Midlands Choice — All Products: $2,198.80 Naphcare — All Products: $259.80 Oscar — All Products: $278.36 UHC — HMO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UHC — PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Wellmark — All Products: $315.57 Wellmark — Medicare Advantage: $185.57
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Pelvis w Contrast	$2,390	$1,434	$764.80 – $2,198.80
CT scan of the pelvis, with contrast: rates for 1 insurance plan Wellmark — All Products: $764.80
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Hips wo Contrast	$2,919	$1,751.40	$934.08 – $2,685.48
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans Midlands Choice — All Products: $2,685.48 Naphcare — All Products: $352.76 Oscar — All Products: $377.96 UHC — HMO: $3,022 UHC — PPO: $3,022 Wellmark — All Products: $235.87 Wellmark — Medicare Advantage: $251.97
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Hip Lmtd For Fracture wo Cntrst	$2,919	$1,751.40	$934.08 – $2,685.48
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans Midlands Choice — All Products: $2,685.48 Naphcare — All Products: $352.76 Oscar — All Products: $377.96 UHC — HMO: $3,022 UHC — PPO: $3,022 Wellmark — All Products: $235.87 Wellmark — Medicare Advantage: $251.97
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Hip wo Contrast- Left	$2,919	$1,751.40	$934.08 – $2,685.48
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans Midlands Choice — All Products: $2,685.48 Naphcare — All Products: $352.76 Oscar — All Products: $377.96 UHC — HMO: $3,022 UHC — PPO: $3,022 Wellmark — All Products: $235.87 Wellmark — Medicare Advantage: $251.97
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abdomen/Pelvis w C	$4,460	$2,676	$1,427.20 – $4,103.20
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans Midlands Choice — All Products: $4,103.20 Naphcare — All Products: $521.19 Oscar — All Products: $558.42 UHC — HMO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UHC — PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Wellmark — All Products: $315.57 Wellmark — Medicare Advantage: $372.28
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Enterography	$4,460	$2,676	$1,427.20 – $4,103.20
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans Midlands Choice — All Products: $4,103.20 Naphcare — All Products: $521.19 Oscar — All Products: $558.42 UHC — HMO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UHC — PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Wellmark — All Products: $315.57 Wellmark — Medicare Advantage: $372.28
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abdomen/Pelvis w IV Contrast Only	$4,460	$2,676	$1,427.20 – $4,103.20
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans Midlands Choice — All Products: $4,103.20 Naphcare — All Products: $521.19 Oscar — All Products: $558.42 UHC — HMO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UHC — PPO: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Wellmark — All Products: $315.57 Wellmark — Medicare Advantage: $372.28
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdominal Complete	$1,181	$708.60	$377.92 – $1,086.52
Ultrasound of the abdomen, complete: rates for 7 insurance plans Midlands Choice — All Products: $1,086.52 Naphcare — All Products: $155.19 Oscar — All Products: $166.28 UHC — HMO: $962.52 UHC — PPO: $962.52 Wellmark — All Products: $162.51 Wellmark — Medicare Advantage: $110.85
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Biliary with CCK	$1,181	$708.60	$377.92 – $1,086.52
Ultrasound of the abdomen, complete: rates for 7 insurance plans Midlands Choice — All Products: $1,086.52 Naphcare — All Products: $155.19 Oscar — All Products: $166.28 UHC — HMO: $962.52 UHC — PPO: $962.52 Wellmark — All Products: $162.51 Wellmark — Medicare Advantage: $110.85
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Abdominal Complete	$1,181	$708.60	$377.92 – $1,086.52
Ultrasound of the abdomen, complete: rates for 1 insurance plan Wellmark — All Products: $377.92
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB Comp SingleGest more than 14wk	$753	$451.80	$240.96 – $692.76
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans Midlands Choice — All Products: $692.76 Naphcare — All Products: $155.19 Oscar — All Products: $166.28 UHC — HMO: $613.70 UHC — PPO: $613.70 Wellmark — All Products: $98.35 Wellmark — Medicare Advantage: $110.85
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB Single more than 28 weeks	$753	$451.80	$240.96 – $692.76
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans Midlands Choice — All Products: $692.76 Naphcare — All Products: $155.19 Oscar — All Products: $166.28 UHC — HMO: $613.70 UHC — PPO: $613.70 Wellmark — All Products: $98.35 Wellmark — Medicare Advantage: $110.85
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB COMPLETE TWIN GESTATION >14 WKS	$709	$425.40	$226.88 – $652.28
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans Midlands Choice — All Products: $652.28 Naphcare — All Products: $155.19 Oscar — All Products: $166.28 UHC — HMO: $577.84 UHC — PPO: $577.84 Wellmark — All Products: $98.35 Wellmark — Medicare Advantage: $110.85
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Trans Vaginal Pelvic Complete	$561	$336.60	$179.52 – $516.12
Transvaginal ultrasound: rates for 7 insurance plans Midlands Choice — All Products: $516.12 Naphcare — All Products: $155.19 Oscar — All Products: $166.28 UHC — HMO: $457.22 UHC — PPO: $457.22 Wellmark — All Products: $107.26 Wellmark — Medicare Advantage: $110.85
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Trans Vag Pelvic	$561	$336.60	$179.52 – $516.12
Transvaginal ultrasound: rates for 7 insurance plans Midlands Choice — All Products: $516.12 Naphcare — All Products: $155.19 Oscar — All Products: $166.28 UHC — HMO: $457.22 UHC — PPO: $457.22 Wellmark — All Products: $107.26 Wellmark — Medicare Advantage: $110.85
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Trans Vaginal Pelvic Limited	$614	$368.40	$196.48 – $564.88
Transvaginal ultrasound: rates for 7 insurance plans Midlands Choice — All Products: $564.88 Naphcare — All Products: $155.19 Oscar — All Products: $166.28 UHC — HMO: $500.41 UHC — PPO: $500.41 Wellmark — All Products: $107.26 Wellmark — Medicare Advantage: $110.85
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR Mammo Diag L	$129	$77.40	$41.28 – $118.68
Diagnostic mammogram, one breast: rates for 5 insurance plans Midlands Choice — All Products: $118.68 Oscar — All Products: $47.99 UHC — HMO: $275.62 UHC — PPO: $264.30 Wellmark — All Products: $46.10
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR Mammo Diag Right	$129	$77.40	$41.28 – $118.68
Diagnostic mammogram, one breast: rates for 5 insurance plans Midlands Choice — All Products: $118.68 Oscar — All Products: $47.99 UHC — HMO: $275.62 UHC — PPO: $264.30 Wellmark — All Products: $46.10
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR Digital A/V Mammogram L	$321	$192.60	$102.72 – $295.32
Diagnostic mammogram, one breast: rates for 5 insurance plans Midlands Choice — All Products: $295.32 Oscar — All Products: $119.41 UHC — HMO: $275.62 UHC — PPO: $264.30 Wellmark — All Products: $46.10
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR Mammo A/V Bil	$135	$81	$43.20 – $124.20
Diagnostic mammogram, both breasts: rates for 5 insurance plans Midlands Choice — All Products: $124.20 Oscar — All Products: $50.22 UHC — HMO: $275.62 UHC — PPO: $264.30 Wellmark — All Products: $46.10
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR Mamm Mag Bil	$149	$89.40	$47.68 – $137.08
Diagnostic mammogram, both breasts: rates for 5 insurance plans Midlands Choice — All Products: $137.08 Oscar — All Products: $55.43 UHC — HMO: $275.62 UHC — PPO: $264.30 Wellmark — All Products: $46.10
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR Mammography Diag BIlateral	$125	$75	$40 – $115
Diagnostic mammogram, both breasts: rates for 5 insurance plans Midlands Choice — All Products: $115 Oscar — All Products: $46.50 UHC — HMO: $275.62 UHC — PPO: $264.30 Wellmark — All Products: $46.10
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR Mammo Scrn Bil	$103	$61.80	$32.96 – $94.76
Screening mammogram, both breasts: rates for 5 insurance plans Midlands Choice — All Products: $94.76 Oscar — All Products: $38.32 UHC — HMO: $275.62 UHC — PPO: $264.30 Wellmark — All Products: $46.10
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR Mamm BIl Screen May SP	$90	$54	$28.80 – $82.80
Screening mammogram, both breasts: rates for 5 insurance plans Midlands Choice — All Products: $82.80 Oscar — All Products: $33.48 UHC — HMO: $275.62 UHC — PPO: $264.30 Wellmark — All Products: $46.10
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR Mammography Screen Bil w CAD	$147	$88.20	$47.04 – $135.24
Screening mammogram, both breasts: rates for 5 insurance plans Midlands Choice — All Products: $135.24 Oscar — All Products: $54.68 UHC — HMO: $275.62 UHC — PPO: $264.30 Wellmark — All Products: $46.10

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EKG POC	$158	$94.80	$145.36
Electrocardiogram (ECG/EKG) with reading: rates for 2 insurance plans Midlands Choice — All Products: $145.36 Wellmark — All Products: $25.59
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 12 lead ECG w/interp/report 93000	$158	$94.80	$145.36
Electrocardiogram (ECG/EKG) with reading: rates for 2 insurance plans Midlands Choice — All Products: $145.36 Wellmark — All Products: $25.59
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS LT CATH/LV/NO CORS	$14,163	$8,497.80	$4,532.16 – $13,029.96
Left heart catheterization (diagnostic): rates for 7 insurance plans Midlands Choice — All Products: $13,029.96 Naphcare — All Products: $4,693.99 Oscar — All Products: $5,029.28 UHC — HMO: $5,620.18 UHC — PPO: $5,397.83 Wellmark — All Products: $2,435.39 Wellmark — Medicare Advantage: $3,352.85
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GHS LT CATH/LV/NO CORS	$14,163	$8,497.80	$4,532.16 – $13,029.96
Left heart catheterization (diagnostic): rates for 1 insurance plan Wellmark — All Products: $4,532.16
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS EP STUDY W/O ARRYTHMIA INDUCTION	$8,603	$5,161.80	$2,752.96 – $7,914.76
Heart rhythm study (electrophysiology evaluation): rates for 7 insurance plans Midlands Choice — All Products: $7,914.76 Naphcare — All Products: $5,591.95 Oscar — All Products: $11,864.98 UHC — HMO: $1,468.90 UHC — PPO: $895.82 Wellmark — All Products: $6,708.33 Wellmark — Medicare Advantage: $7,909.99
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GHS EP STUDY W/O ARRYTHMIA INDUCTION	$8,603	$5,161.80	$2,752.96 – $7,914.76
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan Wellmark — All Products: $2,752.96
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS ABLATION ARRHYTHMIA ATRIAL FIB, INITIAL	$43,656	$26,193.60	$13,969.92 – $40,163.52
Heart rhythm study with ablation for atrial fibrillation: rates for 7 insurance plans Midlands Choice — All Products: $40,163.52 Naphcare — All Products: $28,376.40 Oscar — All Products: $38,359.44 UHC — HMO: $7,761.28 UHC — PPO: $7,456.31 Wellmark — All Products: $16,736.85 Wellmark — Medicare Advantage: $25,572.96
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GHS ABLATION ARRHYTHMIA ATRIAL FIB, INITIAL	$43,656	$26,193.60	$13,969.92 – $40,163.52
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan Wellmark — All Products: $13,969.92
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysomnogram, Neuro Dx	$4,314	$2,588.40	$1,380.48 – $3,968.88
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans Midlands Choice — All Products: $3,968.88 Naphcare — All Products: $1,484.77 Oscar — All Products: $1,590.82 UHC — HMO: $2,912.39 UHC — PPO: $2,798.02 Wellmark — All Products: $754.72 Wellmark — Medicare Advantage: $1,060.55
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS POLYSOMNOGRAM	$4,314	$2,588.40	$1,380.48 – $3,968.88
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans Midlands Choice — All Products: $3,968.88 Naphcare — All Products: $1,484.77 Oscar — All Products: $1,590.82 UHC — HMO: $2,912.39 UHC — PPO: $2,798.02 Wellmark — All Products: $754.72 Wellmark — Medicare Advantage: $1,060.55
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysomnogram - discontinued	$2,693	$1,615.80	$861.76 – $2,477.56
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans Midlands Choice — All Products: $2,477.56 Naphcare — All Products: $1,484.77 Oscar — All Products: $1,590.82 UHC — HMO: $2,912.39 UHC — PPO: $2,798.02 Wellmark — All Products: $754.72 Wellmark — Medicare Advantage: $1,060.55

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic Exercise Charges	$152	$91.20	$48.64 – $139.84
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans Midlands Choice — All Products: $139.84 Oscar — All Products: $56.54 UHC — HMO: $301.15 UHC — PPO: $289.71 Wellmark — All Products: $34.80
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic Exercise Charges, OT	$152	$91.20	$48.64 – $139.84
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans Midlands Choice — All Products: $139.84 Oscar — All Products: $56.54 UHC — HMO: $288.45 UHC — PPO: $278.27 Wellmark — All Products: $34.80
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS Therapeutic Exercise Charges, OT	$152	$91.20	$48.64 – $139.84
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans Midlands Choice — All Products: $139.84 Oscar — All Products: $56.54 UHC — HMO: $288.45 UHC — PPO: $278.27 Wellmark — All Products: $34.80
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS PT EVAL =<15 MIN, LOW	$158	$94.80	$50.56 – $145.36
Physical therapy evaluation (low complexity): rates for 5 insurance plans Midlands Choice — All Products: $145.36 Oscar — All Products: $58.78 UHC — HMO: $301.15 UHC — PPO: $289.71 Wellmark — All Products: $229.29
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS PT EVAL =<30 MIN, LOW	$235	$141	$75.20 – $216.20
Physical therapy evaluation (low complexity): rates for 5 insurance plans Midlands Choice — All Products: $216.20 Oscar — All Products: $87.42 UHC — HMO: $301.15 UHC — PPO: $289.71 Wellmark — All Products: $229.29
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS PT EVAL =<45 MIN, LOW	$328	$196.80	$104.96 – $301.76
Physical therapy evaluation (low complexity): rates for 5 insurance plans Midlands Choice — All Products: $301.76 Oscar — All Products: $122.02 UHC — HMO: $301.15 UHC — PPO: $289.71 Wellmark — All Products: $229.29
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS PT EVAL =<15 MIN, MODERATE	$152	$91.20	$48.64 – $139.84
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans Midlands Choice — All Products: $139.84 Oscar — All Products: $56.54 UHC — HMO: $301.15 UHC — PPO: $289.71 Wellmark — All Products: $229.29
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS PT EVAL =<30 MIN, MODERATE	$226	$135.60	$72.32 – $207.92
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans Midlands Choice — All Products: $207.92 Oscar — All Products: $84.07 UHC — HMO: $301.15 UHC — PPO: $289.71 Wellmark — All Products: $229.29
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS PT EVAL =<60 MIN, MODERATE	$412	$247.20	$131.84 – $379.04
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans Midlands Choice — All Products: $379.04 Oscar — All Products: $153.26 UHC — HMO: $301.15 UHC — PPO: $289.71 Wellmark — All Products: $229.29
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS PT EVAL =<15 MIN, HIGH	$152	$91.20	$48.64 – $139.84
Physical therapy evaluation (high complexity): rates for 5 insurance plans Midlands Choice — All Products: $139.84 Oscar — All Products: $56.54 UHC — HMO: $301.15 UHC — PPO: $289.71 Wellmark — All Products: $229.29
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS PT EVAL =<30 MIN, HIGH	$226	$135.60	$72.32 – $207.92
Physical therapy evaluation (high complexity): rates for 5 insurance plans Midlands Choice — All Products: $207.92 Oscar — All Products: $84.07 UHC — HMO: $301.15 UHC — PPO: $289.71 Wellmark — All Products: $229.29
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS PT EVAL =<45 MIN, HIGH	$328	$196.80	$104.96 – $301.76
Physical therapy evaluation (high complexity): rates for 5 insurance plans Midlands Choice — All Products: $301.76 Oscar — All Products: $122.02 UHC — HMO: $301.15 UHC — PPO: $289.71 Wellmark — All Products: $229.29
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Psychotherapy 30 Minutes 90832	$98	$58.80	$90.16
Psychotherapy, 30 minutes: rates for 2 insurance plans Midlands Choice — All Products: $90.16 Wellmark — All Products: $127.71
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Psychotherapy 45 Minutes 90834	$190	$114	$174.80
Psychotherapy, 45 minutes: rates for 2 insurance plans Midlands Choice — All Products: $174.80 Wellmark — All Products: $143.73
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Psychotherapy (Add-on to 90837)	$244	$146.40	$224.48
Psychotherapy, 60 minutes: rates for 2 insurance plans Midlands Choice — All Products: $224.48 Wellmark — All Products: $143.73
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Family Therapy W/O Pt 50min 90846	$190	$114	$174.80
Family psychotherapy, without the patient: rates for 2 insurance plans Midlands Choice — All Products: $174.80 Wellmark — All Products: $152.46
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Family Therapy with Patient 50 min 90847	$290	$174	$266.80
Family psychotherapy, with the patient: rates for 2 insurance plans Midlands Choice — All Products: $266.80 Wellmark — All Products: $152.46
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Group psychotherapy 90853	$61	$36.60	$56.12
Group psychotherapy: rates for 2 insurance plans Midlands Choice — All Products: $56.12 Wellmark — All Products: $247.89

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Exc of breast lesion open 1/> 19120	$1,523	$913.80	$1,401.16
Removal of breast growth (open surgery): rates for 2 insurance plans Midlands Choice — All Products: $1,401.16 Wellmark — All Products: $1,305.43
Total hip replacement CPT 27130 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Total hip arthroplasty 27130	$2,953	$1,771.80	$2,716.76
Total hip replacement: rates for 2 insurance plans Midlands Choice — All Products: $2,716.76 Wellmark — All Products: $9,279.25
Total knee replacement CPT 27447 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Revision of thigh muscles 27447	$2,950	$1,770	$2,714
Total knee replacement: rates for 2 insurance plans Midlands Choice — All Products: $2,714 Wellmark — All Products: $9,279.25
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$2,136.26 – $2,231.30
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan UHC — HMO: $2,231.30
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Sho arthrs srg decompression	Not listed in the file	Not listed in the file	$2,136.26 – $2,231.30
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan Wellmark — All Products: $2,136.26
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery 29881	$1,259	$755.40	$1,158.28
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 2 insurance plans Midlands Choice — All Products: $1,158.28 Wellmark — All Products: $2,136.26
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) · Hospital (facility) fee In the file: T & A < 12 yrs 42820	$961	$576.60	$884.12
Removal of tonsils and adenoids (under age 12): rates for 2 insurance plans Midlands Choice — All Products: $884.12 Wellmark — All Products: $2,124.18
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD/flex/transoral/diag 43235	$302	$181.20	$277.84
Upper GI endoscopy (diagnostic): rates for 2 insurance plans Midlands Choice — All Products: $277.84 Wellmark — All Products: $988.61
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Upper Gi Endoscopy Biopsy 43239	$341	$204.60	$313.72
Upper GI endoscopy with biopsy: rates for 2 insurance plans Midlands Choice — All Products: $313.72 Wellmark — All Products: $988.61
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy 45378	$860	$516	$791.20
Colonoscopy (diagnostic): rates for 2 insurance plans Midlands Choice — All Products: $791.20 Wellmark — All Products: $982.39
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy 45380	$563	$337.80	$517.96
Colonoscopy with biopsy: rates for 2 insurance plans Midlands Choice — All Products: $517.96 Wellmark — All Products: $982.39
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal snare 45385	$629	$377.40	$578.68
Colonoscopy with removal of polyps (snare): rates for 2 insurance plans Midlands Choice — All Products: $578.68 Wellmark — All Products: $982.39
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonoscopy w/ endoscopic US 45391	$924	$554.40	$850.08
Ultrasound of the lower bowel by endoscope: rates for 2 insurance plans Midlands Choice — All Products: $850.08 Wellmark — All Products: $982.39
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind G0121	$1,072	$643.20	$986.24
Screening colonoscopy (not high risk): rates for 2 insurance plans Midlands Choice — All Products: $986.24 Wellmark — All Products: $982.39
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Laparascopic Cholecystectomy 47562	$2,346	$1,407.60	$2,158.32
Gallbladder removal by laparoscope: rates for 2 insurance plans Midlands Choice — All Products: $2,158.32 Wellmark — All Products: $3,577.95
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Repair ing/hern init reduc >5 yr 49505	$1,629	$977.40	$1,498.68
Groin (inguinal) hernia repair, age 5 or older: rates for 2 insurance plans Midlands Choice — All Products: $1,498.68 Wellmark — All Products: $3,602.71
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Hospital (facility) fee · modifier 50 In the file: Assist-Bilat Repair ing/hern init reduc >5 yr 49505	$526	$315.60	$483.92
Groin (inguinal) hernia repair, age 5 or older: rates for 2 insurance plans Midlands Choice — All Products: $483.92 Wellmark — All Products: $3,602.71
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT BX Prostate	$1,667	$1,000.20	$533.44 – $1,533.64
Prostate biopsy: rates for 7 insurance plans Midlands Choice — All Products: $1,533.64 Naphcare — All Products: $1,083.55 Oscar — All Products: $3,203.11 UHC — HMO: $3,479.10 UHC — PPO: $3,343.15 Wellmark — All Products: $1,688.32 Wellmark — Medicare Advantage: $2,135.41
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US BX Prostate	$1,667	$1,000.20	$533.44 – $1,533.64
Prostate biopsy: rates for 7 insurance plans Midlands Choice — All Products: $1,533.64 Naphcare — All Products: $1,083.55 Oscar — All Products: $3,203.11 UHC — HMO: $3,479.10 UHC — PPO: $3,343.15 Wellmark — All Products: $1,688.32 Wellmark — Medicare Advantage: $2,135.41
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT BX Prostate	$1,667	$1,000.20	$533.44 – $1,533.64
Prostate biopsy: rates for 1 insurance plan Wellmark — All Products: $533.44
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$4,450.81 – $16,279.30
Prostate removal by laparoscope (radical prostatectomy): rates for 3 insurance plans Naphcare — All Products: $15,194.01 Oscar — All Products: $16,279.30 Wellmark — Medicare Advantage: $10,852.86
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laps surg prst8ect rpbic rad	Not listed in the file	Not listed in the file	$4,450.81 – $16,279.30
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan Wellmark — All Products: $4,450.81
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HysteroscopyBiopsy 58558	$1,218	$730.80	$1,120.56
Hysteroscopy with biopsy of the uterus lining: rates for 2 insurance plans Midlands Choice — All Products: $1,120.56 Wellmark — All Products: $2,333.21
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUMBAR INJECTION, DIAG/THERAPEUTIC	$1,066	$639.60	$341.12 – $980.72
Spinal injection, lower back (epidural), with imaging guidance: rates for 7 insurance plans Midlands Choice — All Products: $980.72 Naphcare — All Products: $692.90 Oscar — All Products: $1,082.85 UHC — HMO: $2,677.32 UHC — PPO: $2,573.12 Wellmark — All Products: $750.77 Wellmark — Medicare Advantage: $721.90
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FL Epidural Lumbar Injection	$1,066	$639.60	$341.12 – $980.72
Spinal injection, lower back (epidural), with imaging guidance: rates for 7 insurance plans Midlands Choice — All Products: $980.72 Naphcare — All Products: $692.90 Oscar — All Products: $1,082.85 UHC — HMO: $2,677.32 UHC — PPO: $2,573.12 Wellmark — All Products: $750.77 Wellmark — Medicare Advantage: $721.90
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS LUMBAR EPIDURAL STEROID AND ANESTH	$1,066	$639.60	$341.12 – $980.72
Spinal injection, lower back (epidural), with imaging guidance: rates for 7 insurance plans Midlands Choice — All Products: $980.72 Naphcare — All Products: $692.90 Oscar — All Products: $1,082.85 UHC — HMO: $2,677.32 UHC — PPO: $2,573.12 Wellmark — All Products: $750.77 Wellmark — Medicare Advantage: $721.90
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GHS INJ TRANSFORAMINAL LUMB SINGLE UNI	$2,053	$1,231.80	$656.96 – $1,888.76
Nerve root injection, lower back, with imaging guidance: rates for 7 insurance plans Midlands Choice — All Products: $1,888.76 Naphcare — All Products: $1,299.28 Oscar — All Products: $1,392.08 UHC — HMO: $2,677.32 UHC — PPO: $2,573.12 Wellmark — All Products: $750.77 Wellmark — Medicare Advantage: $928.06
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Bilateral Inj Foramen Epidural L/S 64483	$771	$462.60	$709.32
Nerve root injection, lower back, with imaging guidance: rates for 2 insurance plans Midlands Choice — All Products: $709.32 Wellmark — All Products: $750.77
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GHS INJ TRANSFORAMINAL LUMB SINGLE BIL	$3,080	$1,848	$985.60 – $2,833.60
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan Wellmark — All Products: $985.60
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Bilateral Carpal Tunnel Surgery 64721	$1,348	$808.80	$1,240.16
Carpal tunnel release: rates for 2 insurance plans Midlands Choice — All Products: $1,240.16 Wellmark — All Products: $1,339.63
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$566.08 – $857.81
Laser treatment of clouding after cataract surgery: rates for 3 insurance plans Naphcare — All Products: $800.62 Oscar — All Products: $857.81 Wellmark — Medicare Advantage: $571.87
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$566.08 – $857.81
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan Wellmark — All Products: $566.08
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$1,700.46 – $3,566.22
Cataract removal with lens implant: rates for 3 insurance plans Naphcare — All Products: $3,328.47 Oscar — All Products: $3,566.22 Wellmark — Medicare Advantage: $2,377.48
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xcapsl ctrc rmvl w/o ecp	Not listed in the file	Not listed in the file	$1,700.46 – $3,566.22
Cataract removal with lens implant: rates for 1 insurance plan Wellmark — All Products: $1,700.46

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Obstetrical Care 59400	$7,106	$4,263.60	$6,537.52
Vaginal delivery, with care before and after: rates for 2 insurance plans Midlands Choice — All Products: $6,537.52 Wellmark — All Products: $2,358.86
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Total Ob Care;Cesarean Delivery 59510	$7,869	$4,721.40	$7,239.48
Cesarean delivery (C-section), with care before and after: rates for 2 insurance plans Midlands Choice — All Products: $7,239.48 Wellmark — All Products: $2,608.59
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Vbac Delivery 59610	$7,451	$4,470.60	$6,854.92
Vaginal delivery after a previous C-section, with care before and after: rates for 2 insurance plans Midlands Choice — All Products: $6,854.92 Wellmark — All Products: $2,358.86

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$73,089.60 – $112,283.70
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 7 insurance plans Naphcare — All Products: $102,325.44 Oscar — All Products: $109,634.40 UHC — HMO: $99,308.95 UHC — PPO: $112,283.70 Wellmark — Medicare Advantage: $73,089.60 Midlands Choice — All Products: 92% (a percentage in the contract, not a dollar amount) Wellmark — All Products: 32% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major joint replacement or reattachment of lower extremity w/o MCC	Not listed in the file	Not listed in the file	$14,911.82 – $22,367.73
Hip or knee replacement (major joint of the leg), without major complications: rates for 4 insurance plans UHC — HMO: $19,401.63 UHC — PPO: $21,936.45 Midlands Choice — All Products: 92% (a percentage in the contract, not a dollar amount) Wellmark — All Products: 32% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$14,911.82 – $22,367.73
Hip or knee replacement (major joint of the leg), without major complications: rates for 3 insurance plans Naphcare — All Products: $20,876.55 Oscar — All Products: $22,367.73 Wellmark — Medicare Advantage: $14,911.82
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$18,522.09 – $27,783.14
Neck (cervical) spinal fusion, without complications: rates for 7 insurance plans Naphcare — All Products: $25,930.93 Oscar — All Products: $27,783.14 UHC — HMO: $24,360.33 UHC — PPO: $27,543.02 Wellmark — Medicare Advantage: $18,522.09 Midlands Choice — All Products: 92% (a percentage in the contract, not a dollar amount) Wellmark — All Products: 32% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$9,766.50 – $14,649.75
Uterus and ovary surgery (not for cancer), without complications: rates for 7 insurance plans Naphcare — All Products: $13,673.10 Oscar — All Products: $14,649.75 UHC — HMO: $12,334.52 UHC — PPO: $13,946.02 Wellmark — Medicare Advantage: $9,766.50 Midlands Choice — All Products: 92% (a percentage in the contract, not a dollar amount) Wellmark — All Products: 32% (a percentage in the contract, not a dollar amount)

Source: Genesis Health System dba Genesis MDL Center-Illini’s standard charges file (trinityhealth.pt.panaceainc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	801 Illini Dr, Silvis, IL 61282
County	Rock Island County
State	Illinois
Phone	(309) 281‑4000
Emergency services	Yes
Ownership	Government - Local
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	140275
Name in Medicare records	GENESIS HLTH SYSTEM DBA GENESIS MDL CTR-ILLINI
Profile level	Medicare data + hospital website
Name on the hospital’s website	MercyOne Genesis Silvis Medical Center
Official website	mercyone.org
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 ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

MercyOne Genesis Silvis Medical Center — mercyone.org
MercyOne Genesis Silvis Medical Center | MercyOne — mercyone.org
MercyOne Genesis Silvis Birth Center | MercyOne — mercyone.org