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Critical Access Hospital

HSHS Good Shepherd Hospital Inc

Shelbyville, Illinois · Shelby County · Emergency services listed

Summary

HSHS Good Shepherd Hospital Inc is a critical access hospital in Shelbyville, Illinois. Medicare data lists emergency services. Its official website lists 16 services, specialties and programs. Medicare lists 88 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

Compare

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-11-02). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
16Services listed

Quick answers

Does HSHS Good Shepherd Hospital Inc have an emergency room?
Yes. Medicare (CMS) data lists emergency services at HSHS Good Shepherd Hospital Inc. In a medical emergency, call 911.
Where is HSHS Good Shepherd Hospital Inc?
200 S Cedar St, Shelbyville, IL 62565, in Shelby County, Illinois.
What is the phone number of HSHS Good Shepherd Hospital Inc?
(217) 774-3961, as listed by Medicare (CMS).
What is the Medicare star rating of HSHS Good Shepherd Hospital Inc?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[5]

Treatments[5]

Procedures[5]

Programs and centers[5]

  • Rural Health Clinic
  • Sleep Disorders Center
  • Specialty Clinics

Visiting and practical information

Patient portalMyHSHS

Recognition[4]

  • Critical Access Hospital

Doctors and clinicians (88)

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

Main specialties

Doctors with a page on this site (88)

And 64 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

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

Medicare quality data

What HSHS Good Shepherd Hospital Inc reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Not reported to Medicare

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot reported to Medicare

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

Complications and deaths

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

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patientsToo few cases to report
Deaths within 30 days: pneumonia patients16%
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Not reported to Medicare
Complications after hip or knee replacementNot reported to Medicare

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failureToo few cases to report
Readmitted within 30 days: pneumonia18.5%
Readmitted within 30 days: COPD19.5%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

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

Emergency room times and sepsis care

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

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

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 49 common services exactly as HSHS Good Shepherd Hospital Inc lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT INTERM NEW $273 $196.56 $68.25 – $273
New patient office visit (about 30–44 minutes): 10 of 37 insurance plan rates
  • AETNA — AETNA MEDICARE: $68.25
  • AETNA — ALL COMMERCIAL AETNA: $190.83
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $76.44
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $76.44
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $68.25
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $68.25
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $217.58
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $150.15
  • CIGNA — ALL COMMERCIAL CIGNA: $242.97
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $170.63
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · modifier 25 In the file: HC CLINIC VISIT INTERM NEW -25 $273 $196.56 $68.25 – $273
New patient office visit (about 30–44 minutes): 10 of 37 insurance plan rates
  • AETNA — AETNA MEDICARE: $68.25
  • AETNA — ALL COMMERCIAL AETNA: $190.83
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $76.44
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $76.44
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $68.25
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $68.25
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $217.58
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $150.15
  • CIGNA — ALL COMMERCIAL CIGNA: $242.97
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $170.63
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT COMPLEX NEW $467 $336.24 $116.75 – $467
New patient office visit (about 45–59 minutes): 10 of 37 insurance plan rates
  • AETNA — AETNA MEDICARE: $116.75
  • AETNA — ALL COMMERCIAL AETNA: $326.43
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $130.76
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $130.76
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $116.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $116.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $372.20
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $256.85
  • CIGNA — ALL COMMERCIAL CIGNA: $415.63
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $291.88
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · modifier 25 In the file: HC CLINIC VISIT COMPLEX NEW -25 $467 $336.24 $116.75 – $467
New patient office visit (about 45–59 minutes): 10 of 37 insurance plan rates
  • AETNA — AETNA MEDICARE: $116.75
  • AETNA — ALL COMMERCIAL AETNA: $326.43
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $130.76
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $130.76
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $116.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $116.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $372.20
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $256.85
  • CIGNA — ALL COMMERCIAL CIGNA: $415.63
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $291.88
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT COMPREH NEW $568 $408.96 $142 – $568
New patient office visit (about 60–74 minutes): 10 of 37 insurance plan rates
  • AETNA — AETNA MEDICARE: $142
  • AETNA — ALL COMMERCIAL AETNA: $397.03
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $159.04
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $159.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $142
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $142
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $452.70
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $312.40
  • CIGNA — ALL COMMERCIAL CIGNA: $505.52
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $355
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · modifier 25 In the file: HC CLINIC VISIT COMPREH NEW -25 $568 $408.96 $142 – $568
New patient office visit (about 60–74 minutes): 10 of 37 insurance plan rates
  • AETNA — AETNA MEDICARE: $142
  • AETNA — ALL COMMERCIAL AETNA: $397.03
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $159.04
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $159.04
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $142
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $142
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $452.70
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $312.40
  • CIGNA — ALL COMMERCIAL CIGNA: $505.52
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $355
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT INTERM EST $182 $131.04 $45.50 – $182
Established patient office visit (about 20–29 minutes): 10 of 37 insurance plan rates
  • AETNA — AETNA MEDICARE: $45.50
  • AETNA — ALL COMMERCIAL AETNA: $127.22
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $50.96
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $50.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $45.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $45.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $145.05
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $100.10
  • CIGNA — ALL COMMERCIAL CIGNA: $161.98
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $113.75
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · modifier 25 In the file: HC CLINIC VISIT INTERM EST -25 $182 $131.04 $45.50 – $182
Established patient office visit (about 20–29 minutes): 10 of 37 insurance plan rates
  • AETNA — AETNA MEDICARE: $45.50
  • AETNA — ALL COMMERCIAL AETNA: $127.22
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $50.96
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $50.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $45.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $45.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $145.05
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $100.10
  • CIGNA — ALL COMMERCIAL CIGNA: $161.98
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $113.75
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · modifier 27 In the file: HC CLINIC VISIT INTERM EST $182 $131.04 $45.50 – $182
Established patient office visit (about 20–29 minutes): 10 of 37 insurance plan rates
  • AETNA — AETNA MEDICARE: $45.50
  • AETNA — ALL COMMERCIAL AETNA: $127.22
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $50.96
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $50.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $45.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $45.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $145.05
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $100.10
  • CIGNA — ALL COMMERCIAL CIGNA: $161.98
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $113.75
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT COMPLX EST $279 $200.88 $69.75 – $279
Established patient office visit (about 30–39 minutes): 10 of 37 insurance plan rates
  • AETNA — AETNA MEDICARE: $69.75
  • AETNA — ALL COMMERCIAL AETNA: $195.02
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $78.12
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $78.12
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $69.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $69.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $222.36
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $153.45
  • CIGNA — ALL COMMERCIAL CIGNA: $248.31
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $174.38
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · modifier 25 In the file: HC CLINIC VISIT COMPLEX EST -25 $279 $200.88 $69.75 – $279
Established patient office visit (about 30–39 minutes): 10 of 37 insurance plan rates
  • AETNA — AETNA MEDICARE: $69.75
  • AETNA — ALL COMMERCIAL AETNA: $195.02
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $78.12
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $78.12
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $69.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $69.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $222.36
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $153.45
  • CIGNA — ALL COMMERCIAL CIGNA: $248.31
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $174.38
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · modifier XU In the file: HC CLINIC VISIT COMPLX EST $279 $200.88 $69.75 – $279
Established patient office visit (about 30–39 minutes): 10 of 37 insurance plan rates
  • AETNA — AETNA MEDICARE: $69.75
  • AETNA — ALL COMMERCIAL AETNA: $195.02
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $78.12
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $78.12
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $69.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $69.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $222.36
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $153.45
  • CIGNA — ALL COMMERCIAL CIGNA: $248.31
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $174.38
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ER LEVEL 3 $831 $598.32 $207.75 – $831
Emergency room visit (moderate): 10 of 37 insurance plan rates
  • AETNA — AETNA MEDICARE: $207.75
  • AETNA — ALL COMMERCIAL AETNA: $580.87
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $232.68
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $232.68
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $207.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $207.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $662.31
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $457.05
  • CIGNA — ALL COMMERCIAL CIGNA: $739.59
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $519.38
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier XU In the file: HC ER LEVEL 3 $831 $598.32 $207.75 – $831
Emergency room visit (moderate): 10 of 37 insurance plan rates
  • AETNA — AETNA MEDICARE: $207.75
  • AETNA — ALL COMMERCIAL AETNA: $580.87
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $232.68
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $232.68
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $207.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $207.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $662.31
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $457.05
  • CIGNA — ALL COMMERCIAL CIGNA: $739.59
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $519.38
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier G0 In the file: HC ER LEVEL 3 $831 $598.32 $207.75 – $831
Emergency room visit (moderate): 10 of 37 insurance plan rates
  • AETNA — AETNA MEDICARE: $207.75
  • AETNA — ALL COMMERCIAL AETNA: $580.87
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $232.68
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $232.68
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $207.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $207.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $662.31
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $457.05
  • CIGNA — ALL COMMERCIAL CIGNA: $739.59
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $519.38
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ER LEVEL 4 $992 $714.24 $248 – $992
Emergency room visit (moderately high): 10 of 37 insurance plan rates
  • AETNA — AETNA MEDICARE: $248
  • AETNA — ALL COMMERCIAL AETNA: $693.41
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $277.76
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $277.76
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $248
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $248
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $790.62
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $545.60
  • CIGNA — ALL COMMERCIAL CIGNA: $882.88
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $620
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier XU In the file: HC ER LEVEL 4 $992 $714.24 $248 – $992
Emergency room visit (moderately high): 10 of 37 insurance plan rates
  • AETNA — AETNA MEDICARE: $248
  • AETNA — ALL COMMERCIAL AETNA: $693.41
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $277.76
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $277.76
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $248
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $248
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $790.62
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $545.60
  • CIGNA — ALL COMMERCIAL CIGNA: $882.88
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $620
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 27 In the file: HC ER LEVEL 4 $992 $714.24 $248 – $992
Emergency room visit (moderately high): 10 of 37 insurance plan rates
  • AETNA — AETNA MEDICARE: $248
  • AETNA — ALL COMMERCIAL AETNA: $693.41
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $277.76
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $277.76
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $248
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $248
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $790.62
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $545.60
  • CIGNA — ALL COMMERCIAL CIGNA: $882.88
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $620
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ER LEVEL 5 $1,495 $1,076.40 $373.75 – $1,495
Emergency room visit (high): 10 of 37 insurance plan rates
  • AETNA — AETNA MEDICARE: $373.75
  • AETNA — ALL COMMERCIAL AETNA: $1,045.01
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $418.60
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $418.60
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $373.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $373.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,191.52
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $822.25
  • CIGNA — ALL COMMERCIAL CIGNA: $1,330.55
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $934.38
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier XU In the file: HC ER LEVEL 5 $1,495 $1,076.40 $373.75 – $1,495
Emergency room visit (high): 10 of 37 insurance plan rates
  • AETNA — AETNA MEDICARE: $373.75
  • AETNA — ALL COMMERCIAL AETNA: $1,045.01
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $418.60
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $418.60
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $373.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $373.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,191.52
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $822.25
  • CIGNA — ALL COMMERCIAL CIGNA: $1,330.55
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $934.38
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier 27 In the file: HC ER LEVEL 5 $1,495 $1,076.40 $373.75 – $1,495
Emergency room visit (high): 10 of 37 insurance plan rates
  • AETNA — AETNA MEDICARE: $373.75
  • AETNA — ALL COMMERCIAL AETNA: $1,045.01
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $418.60
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $418.60
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $373.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $373.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,191.52
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $822.25
  • CIGNA — ALL COMMERCIAL CIGNA: $1,330.55
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $934.38

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC BASIC METABOLIC PANEL $58 $41.76 $14.50 – $58
Basic metabolic panel (blood test): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $14.50
  • AETNA — ALL COMMERCIAL AETNA: $40.54
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $16.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $16.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $14.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $14.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $46.23
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $31.90
  • CIGNA — ALL COMMERCIAL CIGNA: $51.62
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $36.25
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier 91 In the file: HC BASIC METABOLIC PANEL $58 $41.76 $14.50 – $58
Basic metabolic panel (blood test): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $14.50
  • AETNA — ALL COMMERCIAL AETNA: $40.54
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $16.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $16.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $14.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $14.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $46.23
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $31.90
  • CIGNA — ALL COMMERCIAL CIGNA: $51.62
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $36.25
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier PN In the file: HC BASIC METABOLIC PANEL $58 $41.76 $14.50 – $58
Basic metabolic panel (blood test): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $14.50
  • AETNA — ALL COMMERCIAL AETNA: $40.54
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $16.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $16.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $14.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $14.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $46.23
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $31.90
  • CIGNA — ALL COMMERCIAL CIGNA: $51.62
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $36.25
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC COMPREHENSIVE METABOL PANEL $311 $223.92 $23.20 – $311
Comprehensive metabolic panel (blood test): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $77.75
  • AETNA — ALL COMMERCIAL AETNA: $217.39
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $87.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $87.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $77.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $77.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $247.87
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $171.05
  • CIGNA — ALL COMMERCIAL CIGNA: $276.79
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $194.38
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier XP In the file: HC COMPREHENSIVE METABOL PANEL $311 $223.92 $23.20 – $311
Comprehensive metabolic panel (blood test): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $77.75
  • AETNA — ALL COMMERCIAL AETNA: $217.39
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $87.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $87.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $77.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $77.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $247.87
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $171.05
  • CIGNA — ALL COMMERCIAL CIGNA: $276.79
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $194.38
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier XS In the file: HC COMPREHENSIVE METABOL PANEL $311 $223.92 $23.20 – $311
Comprehensive metabolic panel (blood test): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $77.75
  • AETNA — ALL COMMERCIAL AETNA: $217.39
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $87.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $87.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $77.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $77.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $247.87
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $171.05
  • CIGNA — ALL COMMERCIAL CIGNA: $276.79
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $194.38
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC LIPID PANEL $196 $141.12 $23.20 – $196
Cholesterol panel (lipid panel): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $49
  • AETNA — ALL COMMERCIAL AETNA: $137
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $54.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $54.88
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $49
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $49
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $156.21
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $107.80
  • CIGNA — ALL COMMERCIAL CIGNA: $174.44
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $122.50
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier GZ In the file: HC LIPID PANEL $196 $141.12 $23.20 – $490
Cholesterol panel (lipid panel): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $49
  • AETNA — ALL COMMERCIAL AETNA: $137
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $54.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $54.88
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $196
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $196
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $156.21
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $431.20
  • CIGNA — ALL COMMERCIAL CIGNA: $174.44
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $490
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier PN In the file: HC LIPID PANEL $196 $141.12 $23.20 – $196
Cholesterol panel (lipid panel): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $49
  • AETNA — ALL COMMERCIAL AETNA: $137
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $54.88
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $54.88
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $49
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $49
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $156.21
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $107.80
  • CIGNA — ALL COMMERCIAL CIGNA: $174.44
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $122.50
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC RENAL PANEL $236 $169.92 $23.20 – $236
Kidney function panel: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $59
  • AETNA — ALL COMMERCIAL AETNA: $164.96
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $66.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $66.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $59
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $59
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $188.09
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $129.80
  • CIGNA — ALL COMMERCIAL CIGNA: $210.04
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $147.50
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier PN In the file: HC RENAL PANEL $236 $169.92 $23.20 – $236
Kidney function panel: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $59
  • AETNA — ALL COMMERCIAL AETNA: $164.96
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $66.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $66.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $59
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $59
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $188.09
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $129.80
  • CIGNA — ALL COMMERCIAL CIGNA: $210.04
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $147.50
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier 59 In the file: HC RENAL PANEL $236 $169.92 $23.20 – $236
Kidney function panel: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $59
  • AETNA — ALL COMMERCIAL AETNA: $164.96
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $66.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $66.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $59
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $59
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $188.09
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $129.80
  • CIGNA — ALL COMMERCIAL CIGNA: $210.04
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $147.50
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC LIVER (HEPATIC) PANEL $242 $174.24 $23.20 – $242
Liver function panel: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $60.50
  • AETNA — ALL COMMERCIAL AETNA: $169.16
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $67.76
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $67.76
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $60.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $60.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $192.87
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $133.10
  • CIGNA — ALL COMMERCIAL CIGNA: $215.38
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $151.25
Liver function panel CPT 80076 · Inpatient or outpatient · modifier PN In the file: HC LIVER (HEPATIC) PANEL $242 $174.24 $23.20 – $242
Liver function panel: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $60.50
  • AETNA — ALL COMMERCIAL AETNA: $169.16
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $67.76
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $67.76
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $60.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $60.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $192.87
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $133.10
  • CIGNA — ALL COMMERCIAL CIGNA: $215.38
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $151.25
Liver function panel CPT 80076 · Inpatient or outpatient · modifier PO In the file: HC LIVER (HEPATIC) PANEL $242 $174.24 $23.20 – $242
Liver function panel: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $60.50
  • AETNA — ALL COMMERCIAL AETNA: $169.16
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $67.76
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $67.76
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $60.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $60.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $192.87
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $133.10
  • CIGNA — ALL COMMERCIAL CIGNA: $215.38
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $151.25
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS AUTO W/SCOPE $85 $61.20 $7.73 – $85
Urine test (automated, with microscope): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $21.25
  • AETNA — ALL COMMERCIAL AETNA: $59.42
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $23.80
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $23.80
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $21.25
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $21.25
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $67.75
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $46.75
  • CIGNA — ALL COMMERCIAL CIGNA: $75.65
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $53.13
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC URINALYSIS AUTO W/MICRO $85 $61.20 $7.73 – $85
Urine test (automated, with microscope): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $21.25
  • AETNA — ALL COMMERCIAL AETNA: $59.42
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $23.80
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $23.80
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $21.25
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $21.25
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $67.75
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $46.75
  • CIGNA — ALL COMMERCIAL CIGNA: $75.65
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $53.13
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier XP In the file: URINALYSIS AUTO W/SCOPE $85 $61.20 $7.73 – $85
Urine test (automated, with microscope): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $21.25
  • AETNA — ALL COMMERCIAL AETNA: $59.42
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $23.80
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $23.80
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $21.25
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $21.25
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $67.75
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $46.75
  • CIGNA — ALL COMMERCIAL CIGNA: $75.65
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $53.13
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC URANALYSIS NON AUTO W/O MICRO $45 $32.40 $7.73 – $45
Urine test (manual, without microscope): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $11.25
  • AETNA — ALL COMMERCIAL AETNA: $31.46
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $12.60
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $12.60
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $11.25
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $11.25
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $35.87
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $24.75
  • CIGNA — ALL COMMERCIAL CIGNA: $40.05
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $28.13
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · modifier 90 In the file: HC URINALYSIS NON AUTO W/O MICRO -90 $45 $32.40 $7.73 – $45
Urine test (manual, without microscope): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $11.25
  • AETNA — ALL COMMERCIAL AETNA: $31.46
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $12.60
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $12.60
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $11.25
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $11.25
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $35.87
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $24.75
  • CIGNA — ALL COMMERCIAL CIGNA: $40.05
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $28.13
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · modifier XU In the file: HC URANALYSIS NON AUTO W/O MICRO $45 $32.40 $7.73 – $45
Urine test (manual, without microscope): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $11.25
  • AETNA — ALL COMMERCIAL AETNA: $31.46
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $12.60
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $12.60
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $11.25
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $11.25
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $35.87
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $24.75
  • CIGNA — ALL COMMERCIAL CIGNA: $40.05
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $28.13
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · modifier QW In the file: HC URINALYSIS AUTO W/O MICRO $58 $41.76 $7.73 – $58
Urine test (automated, without microscope): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $14.50
  • AETNA — ALL COMMERCIAL AETNA: $40.54
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $16.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $16.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $14.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $14.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $46.23
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $31.90
  • CIGNA — ALL COMMERCIAL CIGNA: $51.62
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $36.25
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: ASSAY OF PSA TOTAL $291 $209.52 $30.71 – $291
PSA (prostate specific antigen) blood test: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $72.75
  • AETNA — ALL COMMERCIAL AETNA: $203.41
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $81.48
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $81.48
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $72.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $72.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $231.93
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $160.05
  • CIGNA — ALL COMMERCIAL CIGNA: $258.99
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $181.88
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · modifier 90 In the file: HC PSA TOTAL-90 $291 $209.52 $30.71 – $291
PSA (prostate specific antigen) blood test: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $72.75
  • AETNA — ALL COMMERCIAL AETNA: $203.41
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $81.48
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $81.48
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $72.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $72.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $231.93
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $160.05
  • CIGNA — ALL COMMERCIAL CIGNA: $258.99
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $181.88
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · modifier PN In the file: ASSAY OF PSA TOTAL $291 $209.52 $30.71 – $291
PSA (prostate specific antigen) blood test: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $72.75
  • AETNA — ALL COMMERCIAL AETNA: $203.41
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $81.48
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $81.48
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $72.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $72.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $231.93
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $160.05
  • CIGNA — ALL COMMERCIAL CIGNA: $258.99
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $181.88
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC THYROID STIMULATING HORM $214 $154.08 $33.89 – $214
Thyroid stimulating hormone (TSH) test: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $53.50
  • AETNA — ALL COMMERCIAL AETNA: $149.59
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $59.92
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $59.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $53.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $53.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $170.56
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $117.70
  • CIGNA — ALL COMMERCIAL CIGNA: $190.46
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $133.75
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · modifier 90 In the file: HC THYROID STIMULATING HORM-90 $260 $187.20 $33.89 – $260
Thyroid stimulating hormone (TSH) test: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $65
  • AETNA — ALL COMMERCIAL AETNA: $181.74
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $72.80
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $72.80
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $65
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $65
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $207.22
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $143
  • CIGNA — ALL COMMERCIAL CIGNA: $231.40
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $162.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · modifier 91 In the file: HC THYROID STIMULATING HORM $214 $154.08 $33.89 – $214
Thyroid stimulating hormone (TSH) test: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $53.50
  • AETNA — ALL COMMERCIAL AETNA: $149.59
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $59.92
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $59.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $53.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $53.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $170.56
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $117.70
  • CIGNA — ALL COMMERCIAL CIGNA: $190.46
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $133.75
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC CBC AUTO W/AUTO DIFF $128 $92.16 $15.24 – $128
Complete blood count (CBC) with differential: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $32
  • AETNA — ALL COMMERCIAL AETNA: $89.47
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $35.84
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $35.84
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $32
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $32
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $102.02
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $70.40
  • CIGNA — ALL COMMERCIAL CIGNA: $113.92
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $80
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier 91 In the file: HC CBC AUTO W/AUTO DIFF $128 $92.16 $15.24 – $128
Complete blood count (CBC) with differential: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $32
  • AETNA — ALL COMMERCIAL AETNA: $89.47
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $35.84
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $35.84
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $32
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $32
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $102.02
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $70.40
  • CIGNA — ALL COMMERCIAL CIGNA: $113.92
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $80
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier EC In the file: HC CBC AUTO W/AUTO DIFF $128 $92.16 $15.24 – $128
Complete blood count (CBC) with differential: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $32
  • AETNA — ALL COMMERCIAL AETNA: $89.47
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $35.84
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $35.84
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $32
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $32
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $102.02
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $70.40
  • CIGNA — ALL COMMERCIAL CIGNA: $113.92
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $80
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC CBC W/O DIFF $111 $79.92 $15.24 – $111
Complete blood count (CBC), automated: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $27.75
  • AETNA — ALL COMMERCIAL AETNA: $77.59
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $31.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $31.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $27.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $27.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $88.47
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $61.05
  • CIGNA — ALL COMMERCIAL CIGNA: $98.79
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $69.38
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier 91 In the file: HC CBC W/O DIFF $111 $79.92 $15.24 – $111
Complete blood count (CBC), automated: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $27.75
  • AETNA — ALL COMMERCIAL AETNA: $77.59
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $31.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $31.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $27.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $27.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $88.47
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $61.05
  • CIGNA — ALL COMMERCIAL CIGNA: $98.79
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $69.38
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier AY In the file: HC CBC W/O DIFF $111 $79.92 $15.24 – $111
Complete blood count (CBC), automated: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $27.75
  • AETNA — ALL COMMERCIAL AETNA: $77.59
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $31.08
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $31.08
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $27.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $27.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $88.47
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $61.05
  • CIGNA — ALL COMMERCIAL CIGNA: $98.79
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $69.38
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC PROTHROMBIN TIME (PT) $97 $69.84 $11.37 – $97
Blood clotting time test (prothrombin time, PT): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $24.25
  • AETNA — ALL COMMERCIAL AETNA: $67.80
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $27.16
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $27.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $24.25
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $24.25
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $77.31
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $53.35
  • CIGNA — ALL COMMERCIAL CIGNA: $86.33
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $60.63
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier 90 In the file: HC PROTHROMBIN TIME (PT)-90 $97 $69.84 $11.37 – $97
Blood clotting time test (prothrombin time, PT): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $24.25
  • AETNA — ALL COMMERCIAL AETNA: $67.80
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $27.16
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $27.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $24.25
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $24.25
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $77.31
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $53.35
  • CIGNA — ALL COMMERCIAL CIGNA: $86.33
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $60.63
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier XU In the file: HC PROTHROMBIN TIME (PT) $97 $69.84 $11.37 – $97
Blood clotting time test (prothrombin time, PT): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $24.25
  • AETNA — ALL COMMERCIAL AETNA: $67.80
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $27.16
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $27.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $24.25
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $24.25
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $77.31
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $53.35
  • CIGNA — ALL COMMERCIAL CIGNA: $86.33
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $60.63
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC PTT $138 $99.36 $11.37 – $138
Blood clotting test (partial thromboplastin time, PTT): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $34.50
  • AETNA — ALL COMMERCIAL AETNA: $96.46
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $38.64
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $38.64
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $34.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $34.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $109.99
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $75.90
  • CIGNA — ALL COMMERCIAL CIGNA: $122.82
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $86.25
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · modifier 90 In the file: HC PTT-90 $138 $99.36 $11.37 – $138
Blood clotting test (partial thromboplastin time, PTT): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $34.50
  • AETNA — ALL COMMERCIAL AETNA: $96.46
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $38.64
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $38.64
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $34.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $34.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $109.99
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $75.90
  • CIGNA — ALL COMMERCIAL CIGNA: $122.82
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $86.25
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · modifier GZ In the file: HC PTT $138 $99.36 $11.37 – $345
Blood clotting test (partial thromboplastin time, PTT): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $34.50
  • AETNA — ALL COMMERCIAL AETNA: $96.46
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $38.64
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $38.64
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $138
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $138
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $109.99
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $303.60
  • CIGNA — ALL COMMERCIAL CIGNA: $122.82
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $345

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT HEAD/BRAIN W/O CONTRAST $2,391 $1,721.52 $597.75 – $2,391
CT scan of the head or brain, without contrast: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $597.75
  • AETNA — ALL COMMERCIAL AETNA: $1,671.31
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $669.48
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $669.48
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $597.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $597.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,905.63
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,315.05
  • CIGNA — ALL COMMERCIAL CIGNA: $2,290
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $1,494.38
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier XU In the file: HC CT HEAD/BRAIN W/O CONTRAST $2,391 $1,721.52 $597.75 – $2,391
CT scan of the head or brain, without contrast: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $597.75
  • AETNA — ALL COMMERCIAL AETNA: $1,671.31
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $669.48
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $669.48
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $597.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $597.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,905.63
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,315.05
  • CIGNA — ALL COMMERCIAL CIGNA: $2,290
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $1,494.38
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier MG In the file: HC CT HEAD/BRAIN W/O CONTRAST $2,391 $1,721.52 $597.75 – $2,391
CT scan of the head or brain, without contrast: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $597.75
  • AETNA — ALL COMMERCIAL AETNA: $1,671.31
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $669.48
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $669.48
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $597.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $597.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,905.63
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,315.05
  • CIGNA — ALL COMMERCIAL CIGNA: $2,290
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $1,494.38
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN STEM W/O & W/DYE $5,501 $3,960.72 $1,289.52 – $5,501
MRI of the brain, before and after contrast: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $1,375.25
  • AETNA — ALL COMMERCIAL AETNA: $3,845.20
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,540.28
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,540.28
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,375.25
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,375.25
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,384.30
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $3,025.55
  • CIGNA — ALL COMMERCIAL CIGNA: $2,862
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $3,438.13
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier XE In the file: MRI BRAIN STEM W/O & W/DYE $5,501 $3,960.72 $1,289.52 – $5,501
MRI of the brain, before and after contrast: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $1,375.25
  • AETNA — ALL COMMERCIAL AETNA: $3,845.20
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,540.28
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,540.28
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,375.25
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,375.25
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,384.30
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $3,025.55
  • CIGNA — ALL COMMERCIAL CIGNA: $2,862
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $3,438.13
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier PO In the file: MRI BRAIN STEM W/O & W/DYE $5,501 $3,960.72 $1,289.52 – $5,501
MRI of the brain, before and after contrast: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $1,375.25
  • AETNA — ALL COMMERCIAL AETNA: $3,845.20
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,540.28
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,540.28
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,375.25
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,375.25
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,384.30
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $3,025.55
  • CIGNA — ALL COMMERCIAL CIGNA: $2,862
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $3,438.13
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-RAY EXAM CHEST 2 VIEWS $407 $293.04 $101.75 – $407
Chest X-ray, 2 views: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $101.75
  • AETNA — ALL COMMERCIAL AETNA: $284.49
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $113.96
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $113.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $101.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $101.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $324.38
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $223.85
  • CIGNA — ALL COMMERCIAL CIGNA: $362.23
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $254.38
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier XU In the file: X-RAY EXAM CHEST 2 VIEWS $407 $293.04 $101.75 – $407
Chest X-ray, 2 views: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $101.75
  • AETNA — ALL COMMERCIAL AETNA: $284.49
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $113.96
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $113.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $101.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $101.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $324.38
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $223.85
  • CIGNA — ALL COMMERCIAL CIGNA: $362.23
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $254.38
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier PN In the file: X-RAY EXAM CHEST 2 VIEWS $407 $293.04 $101.75 – $407
Chest X-ray, 2 views: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $101.75
  • AETNA — ALL COMMERCIAL AETNA: $284.49
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $113.96
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $113.96
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $101.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $101.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $324.38
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $223.85
  • CIGNA — ALL COMMERCIAL CIGNA: $362.23
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $254.38
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC XR L-SPINE 4+V $881 $634.32 $177.88 – $881
X-ray of the lower spine, at least 4 views: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $220.25
  • AETNA — ALL COMMERCIAL AETNA: $615.82
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $246.68
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $246.68
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $220.25
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $220.25
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $702.16
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $484.55
  • CIGNA — ALL COMMERCIAL CIGNA: $784.09
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $550.63
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier PN In the file: HC XR L-SPINE 4+V $881 $634.32 $177.88 – $881
X-ray of the lower spine, at least 4 views: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $220.25
  • AETNA — ALL COMMERCIAL AETNA: $615.82
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $246.68
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $246.68
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $220.25
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $220.25
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $702.16
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $484.55
  • CIGNA — ALL COMMERCIAL CIGNA: $784.09
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $550.63
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier XS In the file: HC XR L-SPINE 4+V $881 $634.32 $177.88 – $881
X-ray of the lower spine, at least 4 views: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $220.25
  • AETNA — ALL COMMERCIAL AETNA: $615.82
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $246.68
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $246.68
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $220.25
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $220.25
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $702.16
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $484.55
  • CIGNA — ALL COMMERCIAL CIGNA: $784.09
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $550.63
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MRI L-SPINE W/O CONTRAST $4,002 $2,881.44 $764.30 – $4,002
MRI of the lower back (lumbar spine), without contrast: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $1,000.50
  • AETNA — ALL COMMERCIAL AETNA: $2,797.40
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,120.56
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,120.56
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,000.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,000.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $3,189.59
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $2,201.10
  • CIGNA — ALL COMMERCIAL CIGNA: $2,862
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $2,501.25
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier UA In the file: HC MRI L-SPINE W/O CONTRAST $4,002 $2,881.44 $764.30 – $4,002
MRI of the lower back (lumbar spine), without contrast: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $1,000.50
  • AETNA — ALL COMMERCIAL AETNA: $2,797.40
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,120.56
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,120.56
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,000.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,000.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $3,189.59
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $2,201.10
  • CIGNA — ALL COMMERCIAL CIGNA: $2,862
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $2,501.25
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier PO In the file: HC MRI L-SPINE W/O CONTRAST $4,002 $2,881.44 $764.30 – $4,002
MRI of the lower back (lumbar spine), without contrast: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $1,000.50
  • AETNA — ALL COMMERCIAL AETNA: $2,797.40
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,120.56
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,120.56
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,000.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,000.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $3,189.59
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $2,201.10
  • CIGNA — ALL COMMERCIAL CIGNA: $2,862
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $2,501.25
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT PELVIS W/CONTRAST $3,714 $2,674.08 $928.50 – $3,714
CT scan of the pelvis, with contrast: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $928.50
  • AETNA — ALL COMMERCIAL AETNA: $2,596.09
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,039.92
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,039.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $928.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $928.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,960.06
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $2,042.70
  • CIGNA — ALL COMMERCIAL CIGNA: $2,290
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $2,321.25
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier UA In the file: HC CT PELVIS W/CONTRAST $3,714 $2,674.08 $928.50 – $3,714
CT scan of the pelvis, with contrast: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $928.50
  • AETNA — ALL COMMERCIAL AETNA: $2,596.09
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,039.92
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,039.92
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $928.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $928.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,960.06
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $2,042.70
  • CIGNA — ALL COMMERCIAL CIGNA: $2,290
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $2,321.25
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MRI LWR EXT JOINT W/O CONTRAST $4,002 $2,881.44 $764.30 – $4,002
MRI of a leg joint (such as the knee), without contrast: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $1,000.50
  • AETNA — ALL COMMERCIAL AETNA: $2,797.40
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,120.56
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,120.56
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,000.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,000.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $3,189.59
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $2,201.10
  • CIGNA — ALL COMMERCIAL CIGNA: $2,862
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $2,501.25
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT ABDOMEN/PELVIS W/CONTRAST $6,560 $4,723.20 $962.88 – $6,560
CT scan of the abdomen and pelvis, with contrast: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $1,640
  • AETNA — ALL COMMERCIAL AETNA: $4,585.44
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,836.80
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,836.80
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,640
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,640
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $5,228.32
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $3,608
  • CIGNA — ALL COMMERCIAL CIGNA: $2,290
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $4,100
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier 59 In the file: HC CT ABDOMEN/PELVIS W/CONTRAST $6,560 $4,723.20 $962.88 – $6,560
CT scan of the abdomen and pelvis, with contrast: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $1,640
  • AETNA — ALL COMMERCIAL AETNA: $4,585.44
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,836.80
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,836.80
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,640
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,640
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $5,228.32
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $3,608
  • CIGNA — ALL COMMERCIAL CIGNA: $2,290
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $4,100
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier UA In the file: HC CT ABDOMEN/PELVIS W/CONTRAST $6,560 $4,723.20 $962.88 – $6,560
CT scan of the abdomen and pelvis, with contrast: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $1,640
  • AETNA — ALL COMMERCIAL AETNA: $4,585.44
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,836.80
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,836.80
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,640
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,640
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $5,228.32
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $3,608
  • CIGNA — ALL COMMERCIAL CIGNA: $2,290
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $4,100
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC US ABDOMEN CMPL $1,280 $921.60 $320 – $1,280
Ultrasound of the abdomen, complete: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $320
  • AETNA — ALL COMMERCIAL AETNA: $894.72
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $358.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $358.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $320
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $320
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,020.16
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $704
  • CIGNA — ALL COMMERCIAL CIGNA: $1,139.20
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $800
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier PN In the file: HC US ABDOMEN CMPL $1,280 $921.60 $320 – $1,280
Ultrasound of the abdomen, complete: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $320
  • AETNA — ALL COMMERCIAL AETNA: $894.72
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $358.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $358.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $320
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $320
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,020.16
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $704
  • CIGNA — ALL COMMERCIAL CIGNA: $1,139.20
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $800
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier PO In the file: HC US ABDOMEN CMPL $1,280 $921.60 $320 – $1,280
Ultrasound of the abdomen, complete: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $320
  • AETNA — ALL COMMERCIAL AETNA: $894.72
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $358.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $358.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $320
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $320
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,020.16
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $704
  • CIGNA — ALL COMMERCIAL CIGNA: $1,139.20
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $800
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC US PREGNANCY >14 WEEKS SGL $787 $566.64 $196.75 – $787
Pregnancy ultrasound (after the first trimester): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $196.75
  • AETNA — ALL COMMERCIAL AETNA: $550.11
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $220.36
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $220.36
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $196.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $196.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $627.24
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $432.85
  • CIGNA — ALL COMMERCIAL CIGNA: $700.43
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $491.88
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · modifier 59 In the file: HC US PREGNANCY >14 WEEKS SGL $787 $566.64 $196.75 – $787
Pregnancy ultrasound (after the first trimester): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $196.75
  • AETNA — ALL COMMERCIAL AETNA: $550.11
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $220.36
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $220.36
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $196.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $196.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $627.24
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $432.85
  • CIGNA — ALL COMMERCIAL CIGNA: $700.43
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $491.88
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC US TRANSVAGINAL $1,063 $765.36 $265.75 – $1,063
Transvaginal ultrasound: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $265.75
  • AETNA — ALL COMMERCIAL AETNA: $743.04
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $297.64
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $297.64
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $265.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $265.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $847.21
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $584.65
  • CIGNA — ALL COMMERCIAL CIGNA: $946.07
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $664.38
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier 52 In the file: HC US TRANSVAGINAL $1,063 $765.36 $173.10 – $1,063
Transvaginal ultrasound: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $265.75
  • AETNA — ALL COMMERCIAL AETNA: $743.04
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $297.64
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $297.64
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $265.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $265.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $847.21
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $584.65
  • CIGNA — ALL COMMERCIAL CIGNA: $946.07
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $664.38
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier PN In the file: HC US TRANSVAGINAL $1,063 $765.36 $265.75 – $1,063
Transvaginal ultrasound: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $265.75
  • AETNA — ALL COMMERCIAL AETNA: $743.04
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $297.64
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $297.64
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $265.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $265.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $847.21
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $584.65
  • CIGNA — ALL COMMERCIAL CIGNA: $946.07
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $664.38
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: DX MAMMO INCL CAD UNI $522 $375.84 $130.50 – $522
Diagnostic mammogram, one breast: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $130.50
  • AETNA — ALL COMMERCIAL AETNA: $364.88
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $146.16
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $146.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $130.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $130.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $416.03
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $287.10
  • CIGNA — ALL COMMERCIAL CIGNA: $464.58
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $326.25
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier GA In the file: DX MAMMO INCL CAD UNI $522 $375.84 $130.50 – $522
Diagnostic mammogram, one breast: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $130.50
  • AETNA — ALL COMMERCIAL AETNA: $364.88
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $146.16
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $146.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $130.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $130.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $416.03
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $287.10
  • CIGNA — ALL COMMERCIAL CIGNA: $464.58
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $326.25
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier GG In the file: DX MAMMO INCL CAD UNI $522 $375.84 $130.50 – $522
Diagnostic mammogram, one breast: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $130.50
  • AETNA — ALL COMMERCIAL AETNA: $364.88
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $146.16
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $146.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $130.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $130.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $416.03
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $287.10
  • CIGNA — ALL COMMERCIAL CIGNA: $464.58
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $326.25
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: DX MAMMO INCL CAD BI $659 $474.48 $151.27 – $659
Diagnostic mammogram, both breasts: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $164.75
  • AETNA — ALL COMMERCIAL AETNA: $460.64
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $184.52
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $184.52
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $164.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $164.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $525.22
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $362.45
  • CIGNA — ALL COMMERCIAL CIGNA: $586.51
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $411.88
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier GZ In the file: DX MAMMO INCL CAD BI $659 $474.48 $151.27 – $1,647.50
Diagnostic mammogram, both breasts: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $164.75
  • AETNA — ALL COMMERCIAL AETNA: $460.64
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $184.52
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $184.52
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $659
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $659
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $525.22
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,449.80
  • CIGNA — ALL COMMERCIAL CIGNA: $586.51
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $1,647.50
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier PO In the file: DX MAMMO INCL CAD BI $659 $474.48 $151.27 – $659
Diagnostic mammogram, both breasts: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $164.75
  • AETNA — ALL COMMERCIAL AETNA: $460.64
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $184.52
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $184.52
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $164.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $164.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $525.22
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $362.45
  • CIGNA — ALL COMMERCIAL CIGNA: $586.51
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $411.88
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: SCR MAMMO BI INCL CAD $455 $327.60 $83.47 – $455
Screening mammogram, both breasts: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $83.47
  • AETNA — ALL COMMERCIAL AETNA: $318.05
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $127.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $127.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $83.47
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $83.47
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $362.64
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $183.63
  • CIGNA — ALL COMMERCIAL CIGNA: $404.95
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $208.68
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier XU In the file: SCR MAMMO BI INCL CAD $455 $327.60 $83.47 – $455
Screening mammogram, both breasts: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $83.47
  • AETNA — ALL COMMERCIAL AETNA: $318.05
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $127.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $127.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $83.47
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $83.47
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $362.64
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $183.63
  • CIGNA — ALL COMMERCIAL CIGNA: $404.95
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $208.68
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier FY In the file: SCR MAMMO BI INCL CAD $455 $327.60 $75.12 – $455
Screening mammogram, both breasts: 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $75.12
  • AETNA — ALL COMMERCIAL AETNA: $318.05
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $127.40
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $127.40
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $75.12
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $75.12
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $362.64
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $183.63
  • CIGNA — ALL COMMERCIAL CIGNA: $404.95
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $208.68

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC SLEEP STUDY $6,360 $4,579.20 $1,590 – $6,360
Sleep study (overnight, in a sleep lab): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $1,590
  • AETNA — ALL COMMERCIAL AETNA: $4,445.64
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,780.80
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,780.80
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,590
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,590
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $5,068.92
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $3,498
  • CIGNA — ALL COMMERCIAL CIGNA: $5,660.40
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $3,975
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · modifier PO In the file: HC SLEEP STUDY $6,360 $4,579.20 $1,590 – $6,360
Sleep study (overnight, in a sleep lab): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $1,590
  • AETNA — ALL COMMERCIAL AETNA: $4,445.64
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,780.80
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,780.80
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $1,590
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $1,590
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $5,068.92
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $3,498
  • CIGNA — ALL COMMERCIAL CIGNA: $5,660.40
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $3,975

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC THERA EXER; EA 15 MIN $183 $131.76 $45.75 – $183
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $45.75
  • AETNA — ALL COMMERCIAL AETNA: $127.92
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $51.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $51.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $45.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $45.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $145.85
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $100.65
  • CIGNA — ALL COMMERCIAL CIGNA: $183
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $114.38
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier KX In the file: HC THERA EXER; EA 15 MIN $183 $131.76 $45.75 – $183
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $45.75
  • AETNA — ALL COMMERCIAL AETNA: $127.92
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $51.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $51.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $45.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $45.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $145.85
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $100.65
  • CIGNA — ALL COMMERCIAL CIGNA: $183
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $114.38
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: HC THERA EXER; EA 15 MIN $183 $131.76 $45.75 – $183
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $45.75
  • AETNA — ALL COMMERCIAL AETNA: $127.92
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $51.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $51.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $45.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $45.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $145.85
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $100.65
  • CIGNA — ALL COMMERCIAL CIGNA: $183
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $114.38
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT EVAL LOW COMPLEX 20 MIN $315 $226.80 $78.75 – $600.29
Physical therapy evaluation (low complexity): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $78.75
  • AETNA — ALL COMMERCIAL AETNA: $220.19
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $88.20
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $88.20
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $78.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $78.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $251.06
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $173.25
  • CIGNA — ALL COMMERCIAL CIGNA: $300
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $196.88
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN $315 $226.80 $78.75 – $600.29
Physical therapy evaluation (low complexity): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $78.75
  • AETNA — ALL COMMERCIAL AETNA: $220.19
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $88.20
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $88.20
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $78.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $78.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $251.06
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $173.25
  • CIGNA — ALL COMMERCIAL CIGNA: $300
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $196.88
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT EVAL MOD COMPLEX 30 MIN $358 $257.76 $89.50 – $600.29
Physical therapy evaluation (moderate complexity): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $89.50
  • AETNA — ALL COMMERCIAL AETNA: $250.24
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $100.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $100.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $89.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $89.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $285.33
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $196.90
  • CIGNA — ALL COMMERCIAL CIGNA: $300
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $223.75
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN $358 $257.76 $89.50 – $600.29
Physical therapy evaluation (moderate complexity): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $89.50
  • AETNA — ALL COMMERCIAL AETNA: $250.24
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $100.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $100.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $89.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $89.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $285.33
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $196.90
  • CIGNA — ALL COMMERCIAL CIGNA: $300
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $223.75
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier KX In the file: PT EVAL MOD COMPLEX 30 MIN $358 $257.76 $89.50 – $600.29
Physical therapy evaluation (moderate complexity): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $89.50
  • AETNA — ALL COMMERCIAL AETNA: $250.24
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $100.24
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $100.24
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $89.50
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $89.50
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $285.33
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $196.90
  • CIGNA — ALL COMMERCIAL CIGNA: $300
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $223.75
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT EVAL HIGH COMPLEX 45 MIN $447 $321.84 $111.75 – $600.29
Physical therapy evaluation (high complexity): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $111.75
  • AETNA — ALL COMMERCIAL AETNA: $312.45
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $125.16
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $125.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $111.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $111.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $356.26
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $245.85
  • CIGNA — ALL COMMERCIAL CIGNA: $300
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $279.38
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN $447 $321.84 $111.75 – $600.29
Physical therapy evaluation (high complexity): 10 of 40 insurance plan rates
  • AETNA — AETNA MEDICARE: $111.75
  • AETNA — ALL COMMERCIAL AETNA: $312.45
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $125.16
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $125.16
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $111.75
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $111.75
  • CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $356.26
  • CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $245.85
  • CIGNA — ALL COMMERCIAL CIGNA: $300
  • CLAIM DOC — ALL COMMERCIAL CLAIM DOC: $279.38

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $765.63 – $3,062.50
Upper GI endoscopy (diagnostic): 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: 25% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 69.9% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 25% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier 59 In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $765.63 – $3,062.50
Upper GI endoscopy (diagnostic): 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: 25% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 69.9% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 25% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier 74 In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $765.63 – $3,062.50
Upper GI endoscopy (diagnostic): 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: 25% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 69.9% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 25% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $713.60 – $3,054.91
Upper GI endoscopy with biopsy: 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: 25% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 69.9% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 25% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier 59 In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $713.60 – $3,054.91
Upper GI endoscopy with biopsy: 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: 25% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 69.9% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 25% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier 74 In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $713.60 – $3,054.91
Upper GI endoscopy with biopsy: 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: 25% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 69.9% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 25% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $580.11 – $3,121.56
Colonoscopy (diagnostic): 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: 25% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 69.9% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 25% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier KX In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $580.11 – $3,121.56
Colonoscopy (diagnostic): 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: 25% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 69.9% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 25% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier 33 In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $580.11 – $3,121.56
Colonoscopy (diagnostic): 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: 25% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 69.9% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 25% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $896.57 – $3,586.29
Colonoscopy with biopsy: 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: 25% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 69.9% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 25% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier PT In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $896.57 – $3,586.29
Colonoscopy with biopsy: 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: 25% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 69.9% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 25% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier 59 In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $896.57 – $3,586.29
Colonoscopy with biopsy: 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: 25% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 69.9% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 25% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $1,025.34 – $4,101.37
Colonoscopy with removal of polyps (snare): 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: 25% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 69.9% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 25% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier XU In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $1,025.34 – $4,101.37
Colonoscopy with removal of polyps (snare): 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: 25% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 69.9% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 25% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier 22 In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $1,025.34 – $4,101.37
Colonoscopy with removal of polyps (snare): 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: 25% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 69.9% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 25% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLON CA SCRN NOT HI RSK IND Not listed in the file Not listed in the file $852.29 – $3,409.17
Screening colonoscopy (not high risk): 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: 25% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 69.9% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 25% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · modifier 52 In the file: COLON CA SCRN NOT HI RSK IND Not listed in the file Not listed in the file $852.29 – $3,409.17
Screening colonoscopy (not high risk): 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: 25% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 69.9% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 25% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · modifier 73 In the file: COLON CA SCRN NOT HI RSK IND Not listed in the file Not listed in the file $852.29 – $3,409.17
Screening colonoscopy (not high risk): 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: 25% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 69.9% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 25% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $2,821.50 – $11,286
Groin (inguinal) hernia repair, age 5 or older: 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: 25% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 69.9% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 25% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier 50 In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $2,821.50 – $16,742.17
Groin (inguinal) hernia repair, age 5 or older: 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: 25% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 69.9% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 25% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $1,626.84 – $6,507.36
Cataract removal with lens implant: 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: 25% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 69.9% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 25% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · modifier PO In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $1,626.84 – $6,507.36
Cataract removal with lens implant: 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: 25% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 69.9% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 25% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · modifier 50 In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $1,626.84 – $8,109.38
Cataract removal with lens implant: 10 of 33 insurance plan rates
  • AETNA — AETNA MEDICARE: 25% (a percentage in the contract, not a dollar amount)
  • AETNA — ALL COMMERCIAL AETNA: 69.9% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: 28% (a percentage in the contract, not a dollar amount)
  • AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: 28% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL BLUE CHOICE PLANS: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL HMO PHAI: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: 25% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS OF ILLINOIS PPO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO: 100% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD IL HMO 470: 100% (a percentage in the contract, not a dollar amount)

Source: HSHS Good Shepherd Hospital Inc’s standard charges file (hshs.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 24, 2026; retrieved November 5, 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 typeCritical Access Hospital
Address200 S Cedar St, Shelbyville, IL 62565
CountyShelby County
StateIllinois
Phone(217) 774‑3961
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall ratingNot rated by CMS
CMS Certification Number141354
Name in Medicare recordsHSHS GOOD SHEPHERD HOSPITAL INC
Profile levelMedicare data + hospital website
Name on the hospital’s websiteHSHS Good Shepherd Hospital
Official websitehshs.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

  1. HSHS Good Shepherd Hospital — hshs.org
  2. Services | HSHS Good Shepherd Hospital — hshs.org