Does HSHS Holy Family Hospital Inc have an emergency room?

Yes. Medicare (CMS) data lists emergency services at HSHS Holy Family Hospital Inc. In a medical emergency, call 911.

Where is HSHS Holy Family Hospital Inc?

200 Health Care Dr, Greenville, IL 62246, in Bond County, Illinois.

What is the phone number of HSHS Holy Family Hospital Inc?

(618) 664-1230, as listed by Medicare (CMS).

What is the Medicare star rating of HSHS Holy Family Hospital Inc?

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

HSHS Holy Family Hospital Inc — Greenville, IL

Quick answers

Does HSHS Holy Family Hospital Inc have an emergency room?: Yes. Medicare (CMS) data lists emergency services at HSHS Holy Family Hospital Inc. In a medical emergency, call 911.
Where is HSHS Holy Family Hospital Inc?: 200 Health Care Dr, Greenville, IL 62246, in Bond County, Illinois.
What is the phone number of HSHS Holy Family Hospital Inc?: (618) 664-1230, as listed by Medicare (CMS).
What is the Medicare star rating of HSHS Holy Family Hospital Inc?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][5][6][12][15]}

Conditions treated^{[7][11][12][13][15][18]}

Heart attack
Angina
Heart failure
Peripheral arterial disease
COPD
Pulmonary fibrosis
Interstitial lung disease
Cataracts
Hernia
Gallstones
Breast cancer
Lung cancer
Carpal tunnel syndrome
Parkinson's disease
Spinal cord injury
Swallowing disorders
Vertigo (BPPV)
Hip fracture
Stroke

Treatments^{[5][7][14][15][17][18]}

Infusion services
Rehabilitation
Breast biopsy
Colonoscopy
Endoscopy
Cataract surgery
Hernia repair
Laparoscopic gallbladder surgery
Skin lesion removal
Total joint replacement
Fracture care
Physical therapy
Occupational therapy
Speech therapy
Vestibular therapy
Modified barium swallow test
Lymphedema therapy
Dry needling
Pelvic floor therapy

Procedures^{[5][12][13][16]}

Imaging
Mammogram
Laboratory services
3D mammography
CT scan
MRI
X-ray
Nuclear medicine
Ultrasound
Lung cancer screening (low-dose CT)
EKG
Echocardiogram
Stress test
Cardioversion
Lab blood tests

Programs and centers^{[4][5][12][16]}

Almost Home Program
Walk-in Care
Inpatient Care
Specialty Clinics
Cardiac rehabilitation
Pulmonary rehabilitation
Supervised exercise therapy for peripheral arterial disease
Prairie Heart Institute at HSHS Holy Family Hospital
Wellness Wednesday blood screening

Emergency care (hospital website)^[5][10]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Patient portal	MyHSHS

Doctors and clinicians (114)

114 doctors and other clinicians list HSHS Holy Family 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

And 90 more: the button below opens the full list.

Other emergency rooms nearby

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

Fayette County Hospital17 mi · Vandalia, IL · Critical Access Hospital
St Joseph's Hospital17 mi · Highland, IL · Critical Access Hospital
Hillsboro Area Hospital18 mi · Hillsboro, IL · Critical Access Hospital
St Josephs Hospital20 mi · Breese, IL · Acute Care Hospital
Community Hospital of Staunton22 mi · Staunton, IL · Critical Access Hospital

Other hospitals nearby

St Francis Hospital23 mi · Litchfield, IL · Critical Access Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Greenville Nursing and Rehab1.9 mi · Greenville, IL · 5 of 5 stars
Montgomery Nursing & Rehab Ctr14 mi · Hillsboro, IL · 4 of 5 stars
Vandalia Healthcare & Senior Living16 mi · Vandalia, IL · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Bond County Health Department1.4 mi · Greenville, IL
Fayette County Health Department Hospice15 mi · Vandalia, IL

All hospice providers in the state →

Home health agencies

Bond County Health Department1.4 mi · Greenville, IL
Fayette County Health Dept15 mi · Vandalia, IL

All home health agencies in the state →

Dialysis facilities

DaVita Montgomery County Dialysis17 mi · Hillsboro, IL · 3 of 5 stars
DaVita Northgrove Dialysis17 mi · Highland, IL · 3 of 5 stars
FMC - Breese Dialysis20 mi · Breese, IL · 1 of 5 stars

All dialysis facilities in the state →

Community care nearby

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

Community health centers

SIHF Healthcare - Vandalia17 mi · Vandalia, IL · Community health center
Mt. Olive Community School District #521 mi · Mount Olive, IL · Community health center
Staunton Community School District #622 mi · Staunton, IL · Community health center

Clinics and urgent care

FCH Greenville Family Medicine Clinic1.4 mi · Greenville, IL · Rural health clinic
HSHS Holy Family Health Center1.4 mi · Greenville, IL · Rural health clinic
Brian W Dossett MD Ltd15 mi · Vandalia, IL · Rural health clinic

Pharmacies

Bond County Pharmacy LLC1.4 mi · Greenville, IL · Community/retail pharmacy
Pharm Services Inc1.4 mi · Greenville, IL · Community/retail pharmacy

About the Medicare star rating

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

Medicare quality data

What HSHS Holy Family 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.

Summary star rating (all survey topics)	Not reported to Medicare
Overall rating of the hospital	Not reported to Medicare
Would recommend the hospital	Not reported to Medicare
Nurses communicated well	Not reported to Medicare
Doctors communicated well	Not reported to Medicare
Staff explained medicines	Not reported to Medicare
Information about recovery at home	Not reported to Medicare
Room and bathroom kept clean	Not reported to Medicare
Quiet at night	Not reported to Medicare
Rated the hospital 9 or 10 out of 10	86%National average: 72%
Would definitely recommend the hospital	74%National average: 71%
Nurses “always” communicated well	88%National average: 80%
Doctors “always” communicated well	88%National average: 80%
Staff “always” explained medicines before giving them	63%National average: 62%
Were given information about recovery at home	95%National average: 86%
Room and bathroom “always” clean	84%National average: 74%
Area around the room “always” quiet at night	64%National average: 60%
Completed surveys	47Response rate: 32%

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 surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not 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 patients	Too few cases to report
Deaths within 30 days: heart failure patients	11.8%
Deaths within 30 days: pneumonia patients	15.8%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Too few cases to report
Complications after hip or knee replacement	Not 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 attack	Not reported to Medicare
Readmitted within 30 days: heart failure	20.6%
Readmitted within 30 days: pneumonia	17.4%
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not 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)	103 minutesNational average: 162 minutes
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)	64%National average: 65%

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.

ER wait times in Illinois Best hospitals in Illinois

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 51 common services exactly as HSHS Holy Family 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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW LOW 30 MIN	$590	$424.80	$146 – $590
New patient office visit (about 30–44 minutes): 10 of 28 insurance plan rates AETNA — ALL COMMERCIAL AETNA: $414.18 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $165.20 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $165.20 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $590 CIGNA — ALL COMMERCIAL CIGNA: $525.10 COFINITY — COFINITY: $501.50 CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $531 FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $437.19 HEALTH ALLIANCE MEDICAL PLANS — HEALTH ALLIANCE MARKET PLACE: $590 HEALTH ALLIANCE MEDICAL PLANS — HEALTH ALLIANCE MEDICARE: $590
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW MOD 45 MIN	$788	$567.36	$146 – $788
New patient office visit (about 45–59 minutes): 10 of 28 insurance plan rates AETNA — ALL COMMERCIAL AETNA: $553.18 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $220.64 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $220.64 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $788 CIGNA — ALL COMMERCIAL CIGNA: $701.32 COFINITY — COFINITY: $669.80 CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $709.20 FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $583.91 HEALTH ALLIANCE MEDICAL PLANS — HEALTH ALLIANCE MARKET PLACE: $788 HEALTH ALLIANCE MEDICAL PLANS — HEALTH ALLIANCE MEDICARE: $788
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT COMPREH NEW	$980	$705.60	$146 – $980
New patient office visit (about 60–74 minutes): 10 of 28 insurance plan rates AETNA — ALL COMMERCIAL AETNA: $687.96 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $274.40 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $274.40 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $980 CIGNA — ALL COMMERCIAL CIGNA: $872.20 COFINITY — COFINITY: $833 CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $882 FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $726.18 HEALTH ALLIANCE MEDICAL PLANS — HEALTH ALLIANCE MARKET PLACE: $980 HEALTH ALLIANCE MEDICAL PLANS — HEALTH ALLIANCE MEDICARE: $980
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT COMPREH NEW -25	$438	$315.36	$122.64 – $438
New patient office visit (about 60–74 minutes): 10 of 28 insurance plan rates AETNA — ALL COMMERCIAL AETNA: $307.48 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $122.64 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $122.64 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $438 CIGNA — ALL COMMERCIAL CIGNA: $389.82 COFINITY — COFINITY: $372.30 CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $394.20 FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $324.56 HEALTH ALLIANCE MEDICAL PLANS — HEALTH ALLIANCE MARKET PLACE: $438 HEALTH ALLIANCE MEDICAL PLANS — HEALTH ALLIANCE MEDICARE: $438
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OFFICE O/P EST LOW 20 MIN	$397	$285.84	$111.16 – $397
Established patient office visit (about 20–29 minutes): 10 of 28 insurance plan rates AETNA — ALL COMMERCIAL AETNA: $278.69 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $111.16 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $111.16 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $397 CIGNA — ALL COMMERCIAL CIGNA: $353.33 COFINITY — COFINITY: $337.45 CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $357.30 FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $294.18 HEALTH ALLIANCE MEDICAL PLANS — HEALTH ALLIANCE MARKET PLACE: $397 HEALTH ALLIANCE MEDICAL PLANS — HEALTH ALLIANCE MEDICARE: $397
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · modifier 59 In the file: OFFICE O/P EST LOW 20 MIN	$397	$285.84	$111.16 – $397
Established patient office visit (about 20–29 minutes): 10 of 28 insurance plan rates AETNA — ALL COMMERCIAL AETNA: $278.69 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $111.16 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $111.16 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $397 CIGNA — ALL COMMERCIAL CIGNA: $353.33 COFINITY — COFINITY: $337.45 CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $357.30 FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $294.18 HEALTH ALLIANCE MEDICAL PLANS — HEALTH ALLIANCE MARKET PLACE: $397 HEALTH ALLIANCE MEDICAL PLANS — HEALTH ALLIANCE MEDICARE: $397
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · modifier 27 In the file: OFFICE O/P EST LOW 20 MIN	$397	$285.84	$111.16 – $397
Established patient office visit (about 20–29 minutes): 10 of 28 insurance plan rates AETNA — ALL COMMERCIAL AETNA: $278.69 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $111.16 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $111.16 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $397 CIGNA — ALL COMMERCIAL CIGNA: $353.33 COFINITY — COFINITY: $337.45 CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $357.30 FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $294.18 HEALTH ALLIANCE MEDICAL PLANS — HEALTH ALLIANCE MARKET PLACE: $397 HEALTH ALLIANCE MEDICAL PLANS — HEALTH ALLIANCE MEDICARE: $397
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OFFICE O/P EST MOD 30 MIN	$620	$446.40	$146 – $620
Established patient office visit (about 30–39 minutes): 10 of 28 insurance plan rates AETNA — ALL COMMERCIAL AETNA: $435.24 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $173.60 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $173.60 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $620 CIGNA — ALL COMMERCIAL CIGNA: $551.80 COFINITY — COFINITY: $527 CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $558 FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $459.42 HEALTH ALLIANCE MEDICAL PLANS — HEALTH ALLIANCE MARKET PLACE: $620 HEALTH ALLIANCE MEDICAL PLANS — HEALTH ALLIANCE MEDICARE: $620
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · modifier 27 In the file: OFFICE O/P EST MOD 30 MIN	$620	$446.40	$146 – $620
Established patient office visit (about 30–39 minutes): 10 of 28 insurance plan rates AETNA — ALL COMMERCIAL AETNA: $435.24 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $173.60 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $173.60 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $620 CIGNA — ALL COMMERCIAL CIGNA: $551.80 COFINITY — COFINITY: $527 CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $558 FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $459.42 HEALTH ALLIANCE MEDICAL PLANS — HEALTH ALLIANCE MARKET PLACE: $620 HEALTH ALLIANCE MEDICAL PLANS — HEALTH ALLIANCE MEDICARE: $620
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · modifier 59 In the file: OFFICE O/P EST MOD 30 MIN	$620	$446.40	$146 – $620
Established patient office visit (about 30–39 minutes): 10 of 28 insurance plan rates AETNA — ALL COMMERCIAL AETNA: $435.24 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $173.60 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $173.60 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $620 CIGNA — ALL COMMERCIAL CIGNA: $551.80 COFINITY — COFINITY: $527 CONSOCIATE GROUP — ALL COMMERCIAL CONSOCIATE GROUP: $558 FIRST HEALTH — ALL COMMERCIAL FIRST HEALTH NETWORK: $459.42 HEALTH ALLIANCE MEDICAL PLANS — HEALTH ALLIANCE MARKET PLACE: $620 HEALTH ALLIANCE MEDICAL PLANS — HEALTH ALLIANCE MEDICARE: $620
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ER LEVEL 3	$861	$619.92	$241.08 – $861
Emergency room visit (moderate): 10 of 42 insurance plan rates AETNA — AETNA MEDICARE: $292.53 AETNA — ALL COMMERCIAL AETNA: $604.42 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $241.08 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $241.08 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $292.53 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $292.53 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $292.53 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $861 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $643.56 CIGNA — ALL COMMERCIAL CIGNA: $766.29
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier XU In the file: HC ER LEVEL 3	$861	$619.92	$241.08 – $861
Emergency room visit (moderate): 10 of 42 insurance plan rates AETNA — AETNA MEDICARE: $292.53 AETNA — ALL COMMERCIAL AETNA: $604.42 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $241.08 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $241.08 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $292.53 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $292.53 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $292.53 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $861 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $643.56 CIGNA — ALL COMMERCIAL CIGNA: $766.29
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier G0 In the file: HC ER LEVEL 3	$861	$619.92	$241.08 – $861
Emergency room visit (moderate): 10 of 42 insurance plan rates AETNA — AETNA MEDICARE: $292.53 AETNA — ALL COMMERCIAL AETNA: $604.42 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $241.08 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $241.08 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $292.53 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $292.53 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $292.53 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $861 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $643.56 CIGNA — ALL COMMERCIAL CIGNA: $766.29
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ER LEVEL 4	$1,240	$892.80	$347.20 – $1,240
Emergency room visit (moderately high): 10 of 42 insurance plan rates AETNA — AETNA MEDICARE: $447.15 AETNA — ALL COMMERCIAL AETNA: $870.48 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $347.20 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $347.20 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $447.15 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $447.15 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $447.15 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,240 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $983.72 CIGNA — ALL COMMERCIAL CIGNA: $1,103.60
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier XU In the file: HC ER LEVEL 4	$1,240	$892.80	$347.20 – $1,240
Emergency room visit (moderately high): 10 of 42 insurance plan rates AETNA — AETNA MEDICARE: $447.15 AETNA — ALL COMMERCIAL AETNA: $870.48 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $347.20 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $347.20 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $447.15 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $447.15 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $447.15 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,240 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $983.72 CIGNA — ALL COMMERCIAL CIGNA: $1,103.60
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 27 In the file: HC ER LEVEL 4	$1,240	$892.80	$347.20 – $1,240
Emergency room visit (moderately high): 10 of 42 insurance plan rates AETNA — AETNA MEDICARE: $447.15 AETNA — ALL COMMERCIAL AETNA: $870.48 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $347.20 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $347.20 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $447.15 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $447.15 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $447.15 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,240 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $983.72 CIGNA — ALL COMMERCIAL CIGNA: $1,103.60
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ER LEVEL 5	$1,778	$1,280.16	$497.84 – $1,778
Emergency room visit (high): 10 of 42 insurance plan rates AETNA — AETNA MEDICARE: $638.18 AETNA — ALL COMMERCIAL AETNA: $1,248.16 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $497.84 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $497.84 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $638.18 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $638.18 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $638.18 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,778 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,404 CIGNA — ALL COMMERCIAL CIGNA: $1,582.42
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier XU In the file: HC ER LEVEL 5	$1,778	$1,280.16	$497.84 – $1,778
Emergency room visit (high): 10 of 42 insurance plan rates AETNA — AETNA MEDICARE: $638.18 AETNA — ALL COMMERCIAL AETNA: $1,248.16 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $497.84 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $497.84 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $638.18 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $638.18 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $638.18 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,778 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,404 CIGNA — ALL COMMERCIAL CIGNA: $1,582.42
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier 27 In the file: HC ER LEVEL 5	$1,778	$1,280.16	$497.84 – $1,778
Emergency room visit (high): 10 of 42 insurance plan rates AETNA — AETNA MEDICARE: $638.18 AETNA — ALL COMMERCIAL AETNA: $1,248.16 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $497.84 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $497.84 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $638.18 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $638.18 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $638.18 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,778 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $1,404 CIGNA — ALL COMMERCIAL CIGNA: $1,582.42

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC BASIC METABOLIC PANEL	$296	$213.12	$6.67 – $296
Basic metabolic panel (blood test): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $8.46 AETNA — ALL COMMERCIAL AETNA: $207.79 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $82.88 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $82.88 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $8.46 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $8.46 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $8.46 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $296 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $18.61 CIGNA — ALL COMMERCIAL CIGNA: $263.44
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier XE In the file: HC BASIC METABOLIC PANEL	$296	$213.12	$6.67 – $296
Basic metabolic panel (blood test): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $8.46 AETNA — ALL COMMERCIAL AETNA: $207.79 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $82.88 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $82.88 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $8.46 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $8.46 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $8.46 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $296 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $18.61 CIGNA — ALL COMMERCIAL CIGNA: $263.44
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier XS In the file: HC BASIC METABOLIC PANEL	$296	$213.12	$6.67 – $296
Basic metabolic panel (blood test): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $8.46 AETNA — ALL COMMERCIAL AETNA: $207.79 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $82.88 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $82.88 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $8.46 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $8.46 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $8.46 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $296 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $18.61 CIGNA — ALL COMMERCIAL CIGNA: $263.44
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC HEALTH FAIR COMPREHENSIVE METABOLIC PANEL	$10	$7.20	$2.80 – $25
Comprehensive metabolic panel (blood test): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $10 AETNA — ALL COMMERCIAL AETNA: $7.02 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $2.80 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $2.80 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $10 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $10 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $10 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $10 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $10 CIGNA — ALL COMMERCIAL CIGNA: $8.90
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC COMPREHENSIVE METABOLIC PANEL	$378	$272.16	$6.67 – $378
Comprehensive metabolic panel (blood test): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $10.56 AETNA — ALL COMMERCIAL AETNA: $265.36 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $105.84 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $105.84 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $10.56 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $10.56 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $10.56 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $378 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $23.23 CIGNA — ALL COMMERCIAL CIGNA: $336.42
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier 91 In the file: HC HEALTH FAIR COMPREHENSIVE METABOLIC PANEL	$10	$7.20	$2.80 – $25
Comprehensive metabolic panel (blood test): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $10 AETNA — ALL COMMERCIAL AETNA: $7.02 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $2.80 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $2.80 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $10 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $10 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $10 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $10 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $10 CIGNA — ALL COMMERCIAL CIGNA: $8.90
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC LIPID PANEL	$296	$213.12	$6.67 – $296
Cholesterol panel (lipid panel): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $13.39 AETNA — ALL COMMERCIAL AETNA: $207.79 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $82.88 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $82.88 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $13.39 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $13.39 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $13.39 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $296 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $29.46 CIGNA — ALL COMMERCIAL CIGNA: $263.44
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC HEALTH FAIR LIPID W/CALC LDL	$20	$14.40	$5.60 – $33.48
Cholesterol panel (lipid panel): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $13.39 AETNA — ALL COMMERCIAL AETNA: $14.04 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $5.60 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $5.60 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $13.39 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $13.39 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $13.39 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $20 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $20 CIGNA — ALL COMMERCIAL CIGNA: $17.80
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier GA In the file: HC LIPID PANEL	$299	$215.28	$6.67 – $747.50
Cholesterol panel (lipid panel): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $299 AETNA — ALL COMMERCIAL AETNA: $209.90 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $83.72 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $83.72 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $13.39 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $299 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $299 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $299 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $299 CIGNA — ALL COMMERCIAL CIGNA: $266.11
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC RENAL PANEL	$171	$123.12	$6.67 – $171
Kidney function panel: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $8.68 AETNA — ALL COMMERCIAL AETNA: $120.04 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $47.88 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $47.88 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $8.68 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $8.68 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $8.68 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $171 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $19.10 CIGNA — ALL COMMERCIAL CIGNA: $152.19
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier PN In the file: HC RENAL PANEL	$171	$123.12	$6.67 – $171
Kidney function panel: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $8.68 AETNA — ALL COMMERCIAL AETNA: $120.04 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $47.88 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $47.88 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $8.68 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $8.68 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $8.68 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $171 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $19.10 CIGNA — ALL COMMERCIAL CIGNA: $152.19
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier 59 In the file: HC RENAL PANEL	$171	$123.12	$6.67 – $171
Kidney function panel: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $8.68 AETNA — ALL COMMERCIAL AETNA: $120.04 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $47.88 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $47.88 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $8.68 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $8.68 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $8.68 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $171 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $19.10 CIGNA — ALL COMMERCIAL CIGNA: $152.19
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC LIVER (HEPATIC) PANEL	$322	$231.84	$6.67 – $322
Liver function panel: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $8.17 AETNA — ALL COMMERCIAL AETNA: $226.04 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $90.16 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $90.16 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $8.17 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $8.17 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $8.17 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $322 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $17.97 CIGNA — ALL COMMERCIAL CIGNA: $286.58
Liver function panel CPT 80076 · Inpatient or outpatient · modifier PN In the file: HC LIVER (HEPATIC) PANEL	$322	$231.84	$6.67 – $322
Liver function panel: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $8.17 AETNA — ALL COMMERCIAL AETNA: $226.04 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $90.16 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $90.16 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $8.17 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $8.17 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $8.17 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $322 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $17.97 CIGNA — ALL COMMERCIAL CIGNA: $286.58
Liver function panel CPT 80076 · Inpatient or outpatient · modifier PO In the file: HC LIVER (HEPATIC) PANEL	$322	$231.84	$6.67 – $322
Liver function panel: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $8.17 AETNA — ALL COMMERCIAL AETNA: $226.04 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $90.16 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $90.16 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $8.17 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $8.17 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $8.17 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $322 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $17.97 CIGNA — ALL COMMERCIAL CIGNA: $286.58
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC URINALYSIS AUTO W/MICRO	$131	$94.32	$2.22 – $131
Urine test (automated, with microscope): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $3.17 AETNA — ALL COMMERCIAL AETNA: $91.96 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $36.68 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $36.68 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $3.17 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $3.17 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $3.17 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $131 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $6.97 CIGNA — ALL COMMERCIAL CIGNA: $116.59
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier XP In the file: HC URINALYSIS AUTO W/MICRO	$131	$94.32	$2.22 – $131
Urine test (automated, with microscope): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $3.17 AETNA — ALL COMMERCIAL AETNA: $91.96 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $36.68 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $36.68 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $3.17 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $3.17 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $3.17 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $131 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $6.97 CIGNA — ALL COMMERCIAL CIGNA: $116.59
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier XS In the file: HC URINALYSIS AUTO W/MICRO	$131	$94.32	$2.22 – $131
Urine test (automated, with microscope): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $3.17 AETNA — ALL COMMERCIAL AETNA: $91.96 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $36.68 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $36.68 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $3.17 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $3.17 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $3.17 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $131 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $6.97 CIGNA — ALL COMMERCIAL CIGNA: $116.59
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC URINALYSIS AUTO W/O MICRO	$101	$72.72	$2.22 – $101
Urine test (automated, without microscope): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $2.25 AETNA — ALL COMMERCIAL AETNA: $70.90 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $28.28 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $28.28 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $2.25 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $2.25 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $2.25 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $101 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $4.95 CIGNA — ALL COMMERCIAL CIGNA: $89.89
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICRO	$98	$70.56	$2.22 – $98
Urine test (automated, without microscope): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $2.25 AETNA — ALL COMMERCIAL AETNA: $68.80 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $27.44 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $27.44 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $2.25 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $2.25 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $2.25 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $98 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $4.95 CIGNA — ALL COMMERCIAL CIGNA: $87.22
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · modifier TC In the file: HC URINALYSIS AUTO W/O MICRO	$101	$72.72	$2.22 – $101
Urine test (automated, without microscope): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $2.25 AETNA — ALL COMMERCIAL AETNA: $70.90 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $28.28 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $28.28 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $2.25 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $2.25 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $2.25 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $101 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $4.95 CIGNA — ALL COMMERCIAL CIGNA: $89.89
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: ASSAY OF PSA TOTAL	$247	$177.84	$8.82 – $247
PSA (prostate specific antigen) blood test: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $18.39 AETNA — ALL COMMERCIAL AETNA: $173.39 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $69.16 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $69.16 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $18.39 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $18.39 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $18.39 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $247 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $40.46 CIGNA — ALL COMMERCIAL CIGNA: $219.83
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · modifier PN In the file: ASSAY OF PSA TOTAL	$247	$177.84	$8.82 – $247
PSA (prostate specific antigen) blood test: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $18.39 AETNA — ALL COMMERCIAL AETNA: $173.39 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $69.16 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $69.16 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $18.39 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $18.39 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $18.39 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $247 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $40.46 CIGNA — ALL COMMERCIAL CIGNA: $219.83
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · modifier PO In the file: ASSAY OF PSA TOTAL	$247	$177.84	$8.82 – $247
PSA (prostate specific antigen) blood test: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $18.39 AETNA — ALL COMMERCIAL AETNA: $173.39 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $69.16 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $69.16 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $18.39 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $18.39 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $18.39 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $247 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $40.46 CIGNA — ALL COMMERCIAL CIGNA: $219.83
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: ASSAY THYROID STIM HORMONE	$261	$187.92	$9.74 – $261
Thyroid stimulating hormone (TSH) test: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $16.80 AETNA — ALL COMMERCIAL AETNA: $183.22 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $73.08 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $73.08 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $16.80 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $16.80 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $16.80 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $261 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $36.96 CIGNA — ALL COMMERCIAL CIGNA: $232.29
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC HEALTH FAIR TSH	$15	$10.80	$4.20 – $37.50
Thyroid stimulating hormone (TSH) test: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $15 AETNA — ALL COMMERCIAL AETNA: $10.53 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $4.20 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $4.20 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $15 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $15 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $15 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $15 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $15 CIGNA — ALL COMMERCIAL CIGNA: $13.35
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC THYROID STIMULATING HORM	$261	$187.92	$9.74 – $261
Thyroid stimulating hormone (TSH) test: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $16.80 AETNA — ALL COMMERCIAL AETNA: $183.22 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $73.08 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $73.08 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $16.80 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $16.80 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $16.80 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $261 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $36.96 CIGNA — ALL COMMERCIAL CIGNA: $232.29
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC CBC AUTO W/AUTO DIFF	$155	$111.60	$4.38 – $155
Complete blood count (CBC) with differential: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $7.77 AETNA — ALL COMMERCIAL AETNA: $108.81 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $43.40 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $43.40 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $7.77 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $7.77 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $7.77 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $155 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $17.09 CIGNA — ALL COMMERCIAL CIGNA: $137.95
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier GA In the file: HC CBC AUTO W/AUTO DIFF	$155	$111.60	$4.38 – $387.50
Complete blood count (CBC) with differential: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $155 AETNA — ALL COMMERCIAL AETNA: $108.81 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $43.40 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $43.40 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $7.77 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $155 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $155 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $155 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $155 CIGNA — ALL COMMERCIAL CIGNA: $137.95
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier 59 In the file: HC CBC AUTO W/AUTO DIFF	$155	$111.60	$4.38 – $155
Complete blood count (CBC) with differential: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $7.77 AETNA — ALL COMMERCIAL AETNA: $108.81 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $43.40 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $43.40 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $7.77 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $7.77 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $7.77 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $155 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $17.09 CIGNA — ALL COMMERCIAL CIGNA: $137.95
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC CBC W/O DIFF	$117	$84.24	$4.38 – $117
Complete blood count (CBC), automated: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $6.47 AETNA — ALL COMMERCIAL AETNA: $82.13 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $32.76 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $32.76 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $6.47 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $6.47 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $6.47 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $117 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $14.23 CIGNA — ALL COMMERCIAL CIGNA: $104.13
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC HEALTH FAIR HEMOGRAM	$5	$3.60	$1.40 – $12.50
Complete blood count (CBC), automated: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $5 AETNA — ALL COMMERCIAL AETNA: $3.51 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1.40 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1.40 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $5 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $5 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $5 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $5 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $5 CIGNA — ALL COMMERCIAL CIGNA: $4.45
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier GA In the file: HC CBC W/O DIFF	$117	$84.24	$4.38 – $292.50
Complete blood count (CBC), automated: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $117 AETNA — ALL COMMERCIAL AETNA: $82.13 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $32.76 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $32.76 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $6.47 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $117 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $117 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $117 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $117 CIGNA — ALL COMMERCIAL CIGNA: $104.13
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC PROTHROMBIN TIME (PT)	$103	$74.16	$3.27 – $103
Blood clotting time test (prothrombin time, PT): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $4.29 AETNA — ALL COMMERCIAL AETNA: $72.31 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $28.84 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $28.84 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $4.29 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $4.29 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $4.29 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $103 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $9.44 CIGNA — ALL COMMERCIAL CIGNA: $91.67
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier 91 In the file: HC PROTHROMBIN TIME (PT)	$103	$74.16	$3.27 – $103
Blood clotting time test (prothrombin time, PT): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $4.29 AETNA — ALL COMMERCIAL AETNA: $72.31 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $28.84 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $28.84 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $4.29 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $4.29 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $4.29 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $103 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $9.44 CIGNA — ALL COMMERCIAL CIGNA: $91.67
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier 59 In the file: HC PROTHROMBIN TIME (PT)	$103	$74.16	$3.27 – $103
Blood clotting time test (prothrombin time, PT): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $4.29 AETNA — ALL COMMERCIAL AETNA: $72.31 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $28.84 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $28.84 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $4.29 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $4.29 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $4.29 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $103 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $9.44 CIGNA — ALL COMMERCIAL CIGNA: $91.67
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: THROMBOPLASTIN TIME PARTIAL	$168	$120.96	$3.27 – $168
Blood clotting test (partial thromboplastin time, PTT): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $6.01 AETNA — ALL COMMERCIAL AETNA: $117.94 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $47.04 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $47.04 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $6.01 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $6.01 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $6.01 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $168 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $13.22 CIGNA — ALL COMMERCIAL CIGNA: $149.52
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · modifier 91 In the file: THROMBOPLASTIN TIME PARTIAL	$168	$120.96	$3.27 – $168
Blood clotting test (partial thromboplastin time, PTT): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $6.01 AETNA — ALL COMMERCIAL AETNA: $117.94 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $47.04 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $47.04 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $6.01 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $6.01 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $6.01 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $168 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $13.22 CIGNA — ALL COMMERCIAL CIGNA: $149.52
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · modifier GA In the file: THROMBOPLASTIN TIME PARTIAL	$168	$120.96	$3.27 – $420
Blood clotting test (partial thromboplastin time, PTT): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $168 AETNA — ALL COMMERCIAL AETNA: $117.94 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $47.04 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $47.04 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $6.01 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $168 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $168 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $168 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $168 CIGNA — ALL COMMERCIAL CIGNA: $149.52

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT HEAD/BRAIN W/O CONTRAST	$2,794	$2,011.68	$112.03 – $2,794
CT scan of the head or brain, without contrast: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $112.03 AETNA — ALL COMMERCIAL AETNA: $1,961.39 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $782.32 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $782.32 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,794 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47 CIGNA — ALL COMMERCIAL CIGNA: $2,290
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	$2,794	$2,011.68	$112.03 – $2,794
CT scan of the head or brain, without contrast: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $112.03 AETNA — ALL COMMERCIAL AETNA: $1,961.39 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $782.32 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $782.32 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,794 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47 CIGNA — ALL COMMERCIAL CIGNA: $2,290
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier UA In the file: HC CT HEAD/BRAIN W/O CONTRAST	$2,794	$2,011.68	$112.03 – $2,794
CT scan of the head or brain, without contrast: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $112.03 AETNA — ALL COMMERCIAL AETNA: $1,961.39 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $782.32 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $782.32 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,794 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47 CIGNA — ALL COMMERCIAL CIGNA: $2,290
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN STEM W/O & W/DYE	$5,887	$4,238.64	$370.49 – $5,887
MRI of the brain, before and after contrast: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $373.86 AETNA — ALL COMMERCIAL AETNA: $4,132.67 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,648.36 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,648.36 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $373.86 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $373.86 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $373.86 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $5,887 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $822.49 CIGNA — ALL COMMERCIAL CIGNA: $2,862
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier XU In the file: MRI BRAIN STEM W/O & W/DYE	$5,887	$4,238.64	$370.49 – $5,887
MRI of the brain, before and after contrast: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $373.86 AETNA — ALL COMMERCIAL AETNA: $4,132.67 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,648.36 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,648.36 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $373.86 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $373.86 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $373.86 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $5,887 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $822.49 CIGNA — ALL COMMERCIAL CIGNA: $2,862
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier MG In the file: MRI BRAIN STEM W/O & W/DYE	$5,887	$4,238.64	$370.49 – $5,887
MRI of the brain, before and after contrast: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $373.86 AETNA — ALL COMMERCIAL AETNA: $4,132.67 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,648.36 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,648.36 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $373.86 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $373.86 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $373.86 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $5,887 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $822.49 CIGNA — ALL COMMERCIAL CIGNA: $2,862
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-RAY EXAM CHEST 2 VIEWS	$540	$388.80	$51.11 – $540
Chest X-ray, 2 views: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $93.26 AETNA — ALL COMMERCIAL AETNA: $379.08 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $151.20 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $151.20 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $93.26 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $93.26 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $93.26 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $540 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $205.17 CIGNA — ALL COMMERCIAL CIGNA: $480.60
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier XU In the file: X-RAY EXAM CHEST 2 VIEWS	$540	$388.80	$51.11 – $540
Chest X-ray, 2 views: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $93.26 AETNA — ALL COMMERCIAL AETNA: $379.08 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $151.20 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $151.20 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $93.26 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $93.26 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $93.26 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $540 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $205.17 CIGNA — ALL COMMERCIAL CIGNA: $480.60
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier FY In the file: X-RAY EXAM CHEST 2 VIEWS	$540	$388.80	$51.11 – $540
Chest X-ray, 2 views: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $83.93 AETNA — ALL COMMERCIAL AETNA: $379.08 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $151.20 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $151.20 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $83.93 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $83.93 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $83.93 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $540 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $205.17 CIGNA — ALL COMMERCIAL CIGNA: $480.60
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC XR L-SPINE 4+V	$1,067	$768.24	$51.11 – $1,067
X-ray of the lower spine, at least 4 views: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $112.03 AETNA — ALL COMMERCIAL AETNA: $749.03 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $298.76 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $298.76 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,067 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47 CIGNA — ALL COMMERCIAL CIGNA: $949.63
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	$1,067	$768.24	$44.81 – $1,067
X-ray of the lower spine, at least 4 views: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $44.81 AETNA — ALL COMMERCIAL AETNA: $749.03 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $298.76 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $298.76 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,067 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47 CIGNA — ALL COMMERCIAL CIGNA: $949.63
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier 59 In the file: HC XR L-SPINE 4+V	$1,067	$768.24	$51.11 – $1,067
X-ray of the lower spine, at least 4 views: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $112.03 AETNA — ALL COMMERCIAL AETNA: $749.03 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $298.76 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $298.76 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,067 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47 CIGNA — ALL COMMERCIAL CIGNA: $949.63
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MRI L-SPINE W/O CONTRAST	$4,446	$3,201.12	$219.59 – $4,446
MRI of the lower back (lumbar spine), without contrast: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $255.69 AETNA — ALL COMMERCIAL AETNA: $3,121.09 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,244.88 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,244.88 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $255.69 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $255.69 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $255.69 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,446 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $562.52 CIGNA — ALL COMMERCIAL CIGNA: $2,862
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier PN In the file: HC MRI L-SPINE W/O CONTRAST	$4,446	$3,201.12	$102.28 – $4,446
MRI of the lower back (lumbar spine), without contrast: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $102.28 AETNA — ALL COMMERCIAL AETNA: $3,121.09 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,244.88 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,244.88 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $255.69 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $255.69 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $255.69 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,446 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $562.52 CIGNA — ALL COMMERCIAL CIGNA: $2,862
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	$4,446	$3,201.12	$219.59 – $4,446
MRI of the lower back (lumbar spine), without contrast: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $255.69 AETNA — ALL COMMERCIAL AETNA: $3,121.09 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,244.88 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,244.88 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $255.69 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $255.69 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $255.69 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,446 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $562.52 CIGNA — ALL COMMERCIAL CIGNA: $2,862
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT PELVIS W/CONTRAST	$2,946	$2,121.12	$187.96 – $2,946
CT scan of the pelvis, with contrast: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $187.96 AETNA — ALL COMMERCIAL AETNA: $2,068.09 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $824.88 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $824.88 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $187.96 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $187.96 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $187.96 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,946 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $413.52 CIGNA — ALL COMMERCIAL CIGNA: $2,290
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier UA In the file: HC CT PELVIS W/CONTRAST	$2,946	$2,121.12	$187.96 – $2,946
CT scan of the pelvis, with contrast: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $187.96 AETNA — ALL COMMERCIAL AETNA: $2,068.09 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $824.88 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $824.88 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $187.96 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $187.96 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $187.96 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $2,946 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $413.52 CIGNA — ALL COMMERCIAL CIGNA: $2,290
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	$4,088	$2,943.36	$219.59 – $4,088
MRI of a leg joint (such as the knee), without contrast: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $255.69 AETNA — ALL COMMERCIAL AETNA: $2,869.78 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,144.64 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,144.64 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $255.69 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $255.69 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $255.69 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,088 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $562.52 CIGNA — ALL COMMERCIAL CIGNA: $2,862
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT ABDOMEN/PELVIS W/CONTRAST	$6,483	$4,667.76	$276.64 – $6,483
CT scan of the abdomen and pelvis, with contrast: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $373.86 AETNA — ALL COMMERCIAL AETNA: $4,551.07 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,815.24 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,815.24 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $373.86 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $373.86 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $373.86 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $6,483 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $822.49 CIGNA — ALL COMMERCIAL CIGNA: $2,290
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier XU In the file: HC CT ABDOMEN/PELVIS W/CONTRAST	$6,483	$4,667.76	$276.64 – $6,483
CT scan of the abdomen and pelvis, with contrast: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $373.86 AETNA — ALL COMMERCIAL AETNA: $4,551.07 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,815.24 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,815.24 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $373.86 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $373.86 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $373.86 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $6,483 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $822.49 CIGNA — ALL COMMERCIAL CIGNA: $2,290
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	$6,483	$4,667.76	$276.64 – $6,483
CT scan of the abdomen and pelvis, with contrast: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $373.86 AETNA — ALL COMMERCIAL AETNA: $4,551.07 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,815.24 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,815.24 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $373.86 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $373.86 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $373.86 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $6,483 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $822.49 CIGNA — ALL COMMERCIAL CIGNA: $2,290
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC US ABDOMEN CMPL	$1,617	$1,164.24	$112.03 – $1,617
Ultrasound of the abdomen, complete: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $112.03 AETNA — ALL COMMERCIAL AETNA: $1,135.13 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $452.76 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $452.76 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,617 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47 CIGNA — ALL COMMERCIAL CIGNA: $1,439.13
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier PN In the file: HC US ABDOMEN CMPL	$1,617	$1,164.24	$44.81 – $1,617
Ultrasound of the abdomen, complete: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $44.81 AETNA — ALL COMMERCIAL AETNA: $1,135.13 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $452.76 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $452.76 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,617 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47 CIGNA — ALL COMMERCIAL CIGNA: $1,439.13
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier PO In the file: HC US ABDOMEN CMPL	$1,617	$1,164.24	$112.03 – $1,617
Ultrasound of the abdomen, complete: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $112.03 AETNA — ALL COMMERCIAL AETNA: $1,135.13 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $452.76 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $452.76 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,617 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47 CIGNA — ALL COMMERCIAL CIGNA: $1,439.13
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC US PREGNANCY >14 WEEKS SGL	$1,355	$975.60	$91.63 – $1,355
Pregnancy ultrasound (after the first trimester): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $112.03 AETNA — ALL COMMERCIAL AETNA: $951.21 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $379.40 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $379.40 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,355 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47 CIGNA — ALL COMMERCIAL CIGNA: $1,205.95
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · modifier 59 In the file: HC US PREGNANCY >14 WEEKS SGL	$1,355	$975.60	$91.63 – $1,355
Pregnancy ultrasound (after the first trimester): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $112.03 AETNA — ALL COMMERCIAL AETNA: $951.21 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $379.40 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $379.40 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,355 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47 CIGNA — ALL COMMERCIAL CIGNA: $1,205.95
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC US TRANSVAGINAL	$1,148	$826.56	$99.47 – $1,148
Transvaginal ultrasound: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $112.03 AETNA — ALL COMMERCIAL AETNA: $805.90 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $321.44 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $321.44 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,148 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47 CIGNA — ALL COMMERCIAL CIGNA: $1,021.72
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier PN In the file: HC US TRANSVAGINAL	$1,148	$826.56	$44.81 – $1,148
Transvaginal ultrasound: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $44.81 AETNA — ALL COMMERCIAL AETNA: $805.90 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $321.44 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $321.44 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,148 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47 CIGNA — ALL COMMERCIAL CIGNA: $1,021.72
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier PO In the file: HC US TRANSVAGINAL	$1,148	$826.56	$99.47 – $1,148
Transvaginal ultrasound: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $112.03 AETNA — ALL COMMERCIAL AETNA: $805.90 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $321.44 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $321.44 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $112.03 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $112.03 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,148 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $246.47 CIGNA — ALL COMMERCIAL CIGNA: $1,021.72
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: DX MAMMO INCL CAD UNI	$594	$427.68	$43.46 – $594
Diagnostic mammogram, one breast: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $79.65 AETNA — ALL COMMERCIAL AETNA: $416.99 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $166.32 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $166.32 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $79.65 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $79.65 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $79.65 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $594 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $175.23 CIGNA — ALL COMMERCIAL CIGNA: $528.66
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier FY In the file: DX MAMMO INCL CAD UNI	$594	$427.68	$43.46 – $594
Diagnostic mammogram, one breast: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $71.69 AETNA — ALL COMMERCIAL AETNA: $416.99 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $166.32 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $166.32 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $71.69 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $71.69 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $71.69 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $594 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $175.23 CIGNA — ALL COMMERCIAL CIGNA: $528.66
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier 59 In the file: DX MAMMO INCL CAD UNI	$594	$427.68	$43.46 – $594
Diagnostic mammogram, one breast: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $79.65 AETNA — ALL COMMERCIAL AETNA: $416.99 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $166.32 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $166.32 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $79.65 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $79.65 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $79.65 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $594 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $175.23 CIGNA — ALL COMMERCIAL CIGNA: $528.66
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: DX MAMMO INCL CAD BI	$794	$571.68	$43.46 – $794
Diagnostic mammogram, both breasts: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $102.44 AETNA — ALL COMMERCIAL AETNA: $557.39 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $222.32 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $222.32 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $102.44 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $102.44 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $102.44 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $794 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $225.37 CIGNA — ALL COMMERCIAL CIGNA: $706.66
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier FY In the file: DX MAMMO INCL CAD BI	$794	$571.68	$43.46 – $794
Diagnostic mammogram, both breasts: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $92.20 AETNA — ALL COMMERCIAL AETNA: $557.39 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $222.32 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $222.32 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $92.20 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $92.20 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $92.20 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $794 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $225.37 CIGNA — ALL COMMERCIAL CIGNA: $706.66
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier PO In the file: DX MAMMO INCL CAD BI	$794	$571.68	$43.46 – $794
Diagnostic mammogram, both breasts: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $102.44 AETNA — ALL COMMERCIAL AETNA: $557.39 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $222.32 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $222.32 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $102.44 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $102.44 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $102.44 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $794 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $225.37 CIGNA — ALL COMMERCIAL CIGNA: $706.66
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: SCR MAMMO BI INCL CAD	$496	$357.12	$43.46 – $496
Screening mammogram, both breasts: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $84.26 AETNA — ALL COMMERCIAL AETNA: $348.19 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $138.88 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $138.88 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $84.26 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $84.26 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $84.26 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $496 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $185.37 CIGNA — ALL COMMERCIAL CIGNA: $441.44
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier XU In the file: SCR MAMMO BI INCL CAD	$496	$357.12	$43.46 – $496
Screening mammogram, both breasts: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $84.26 AETNA — ALL COMMERCIAL AETNA: $348.19 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $138.88 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $138.88 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $84.26 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $84.26 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $84.26 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $496 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $185.37 CIGNA — ALL COMMERCIAL CIGNA: $441.44
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier PO In the file: SCR MAMMO BI INCL CAD	$496	$357.12	$43.46 – $496
Screening mammogram, both breasts: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $84.26 AETNA — ALL COMMERCIAL AETNA: $348.19 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $138.88 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $138.88 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $84.26 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $84.26 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $84.26 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $496 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $185.37 CIGNA — ALL COMMERCIAL CIGNA: $441.44

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC SLEEP STUDY	$4,814	$3,466.08	$719.35 – $4,814
Sleep study (overnight, in a sleep lab): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $920.24 AETNA — ALL COMMERCIAL AETNA: $3,379.43 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,347.92 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,347.92 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $920.24 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $920.24 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $920.24 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,814 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $2,024.53 CIGNA — ALL COMMERCIAL CIGNA: $4,284.46
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · modifier PO In the file: HC SLEEP STUDY	$4,814	$3,466.08	$719.35 – $4,814
Sleep study (overnight, in a sleep lab): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $920.24 AETNA — ALL COMMERCIAL AETNA: $3,379.43 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $1,347.92 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $1,347.92 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $920.24 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $920.24 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $920.24 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $4,814 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $2,024.53 CIGNA — ALL COMMERCIAL CIGNA: $4,284.46

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC THERA EXER; EA 15 MIN	$164	$118.08	$28.30 – $164
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $28.30 AETNA — ALL COMMERCIAL AETNA: $115.13 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $45.92 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $45.92 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $28.30 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $28.30 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $28.30 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $164 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $62.26 CIGNA — ALL COMMERCIAL CIGNA: $164
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: HC THERA EXER; EA 15 MIN	$164	$118.08	$28.30 – $164
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $28.30 AETNA — ALL COMMERCIAL AETNA: $115.13 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $45.92 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $45.92 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $28.30 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $28.30 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $28.30 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $164 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $62.26 CIGNA — ALL COMMERCIAL CIGNA: $164
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: HC THERA EXER; EA 15 MIN	$164	$118.08	$28.30 – $164
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $28.30 AETNA — ALL COMMERCIAL AETNA: $115.13 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $45.92 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $45.92 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $28.30 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $28.30 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $28.30 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $164 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $62.26 CIGNA — ALL COMMERCIAL CIGNA: $164
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT EVAL LOW COMPLEX 20 MIN	$366	$263.52	$94.52 – $366
Physical therapy evaluation (low complexity): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $94.52 AETNA — ALL COMMERCIAL AETNA: $256.93 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $102.48 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $102.48 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $94.52 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $94.52 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $94.52 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $366 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $207.94 CIGNA — ALL COMMERCIAL CIGNA: $300
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN	$366	$263.52	$94.52 – $366
Physical therapy evaluation (low complexity): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $94.52 AETNA — ALL COMMERCIAL AETNA: $256.93 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $102.48 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $102.48 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $94.52 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $94.52 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $94.52 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $366 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $207.94 CIGNA — ALL COMMERCIAL CIGNA: $300
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT EVAL MOD COMPLEX 30 MIN	$731	$526.32	$94.52 – $731
Physical therapy evaluation (moderate complexity): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $94.52 AETNA — ALL COMMERCIAL AETNA: $513.16 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $204.68 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $204.68 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $94.52 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $94.52 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $94.52 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $731 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $207.94 CIGNA — ALL COMMERCIAL CIGNA: $300
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN	$731	$526.32	$94.52 – $731
Physical therapy evaluation (moderate complexity): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $94.52 AETNA — ALL COMMERCIAL AETNA: $513.16 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $204.68 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $204.68 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $94.52 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $94.52 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $94.52 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $731 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $207.94 CIGNA — ALL COMMERCIAL CIGNA: $300
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier KX In the file: PT EVAL MOD COMPLEX 30 MIN	$731	$526.32	$94.52 – $731
Physical therapy evaluation (moderate complexity): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $94.52 AETNA — ALL COMMERCIAL AETNA: $513.16 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $204.68 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $204.68 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $94.52 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $94.52 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $94.52 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $731 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $207.94 CIGNA — ALL COMMERCIAL CIGNA: $300
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT EVAL HIGH COMPLEX 45 MIN	$1,097	$789.84	$94.52 – $1,097
Physical therapy evaluation (high complexity): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $94.52 AETNA — ALL COMMERCIAL AETNA: $770.09 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $307.16 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $307.16 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $94.52 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $94.52 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $94.52 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,097 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $207.94 CIGNA — ALL COMMERCIAL CIGNA: $300
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN	$1,097	$789.84	$94.52 – $1,097
Physical therapy evaluation (high complexity): 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $94.52 AETNA — ALL COMMERCIAL AETNA: $770.09 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $307.16 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $307.16 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $94.52 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $94.52 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $94.52 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $1,097 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $207.94 CIGNA — ALL COMMERCIAL CIGNA: $300

Procedures and surgery

Service	Hospital charge	Cash price	Insurance 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	$877.71 – $3,214.84
Upper GI endoscopy (diagnostic): 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 100% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier XS In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$877.71 – $3,214.84
Upper GI endoscopy (diagnostic): 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 100% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier PT In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$877.71 – $3,214.84
Upper GI endoscopy (diagnostic): 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 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	$877.71 – $3,578.89
Upper GI endoscopy with biopsy: 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 100% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier XU In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$877.71 – $3,578.89
Upper GI endoscopy with biopsy: 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 100% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier XP In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$877.71 – $3,578.89
Upper GI endoscopy with biopsy: 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 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	$809.03 – $2,889.39
Colonoscopy (diagnostic): 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier PT In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$809.03 – $2,889.39
Colonoscopy (diagnostic): 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier 74 In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$809.03 – $2,889.39
Colonoscopy (diagnostic): 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 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	$847.87 – $3,205.86
Colonoscopy with biopsy: 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 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	$847.87 – $3,205.86
Colonoscopy with biopsy: 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier 74 In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$847.87 – $3,205.86
Colonoscopy with biopsy: 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 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	$896.85 – $3,586.91
Colonoscopy with removal of polyps (snare): 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier PT In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$896.85 – $3,586.91
Colonoscopy with removal of polyps (snare): 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 100% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier 59 In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$896.85 – $3,586.91
Colonoscopy with removal of polyps (snare): 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 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	$883.98 – $3,157.06
Screening colonoscopy (not high risk): 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 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	$448.43 – $3,157.06
Screening colonoscopy (not high risk): 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 100% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · modifier 74 In the file: COLON CA SCRN NOT HI RSK IND	Not listed in the file	Not listed in the file	$883.98 – $3,157.06
Screening colonoscopy (not high risk): 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 100% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$3,124.64 – $16,196.25
Gallbladder removal by laparoscope: 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 100% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · modifier 50 In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$4,477.48 – $16,196.25
Gallbladder removal by laparoscope: 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 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	$3,206.80 – $11,772.50
Groin (inguinal) hernia repair, age 5 or older: 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 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	$3,296.30 – $16,264.22
Groin (inguinal) hernia repair, age 5 or older: 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 100% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$1,225.32 – $5,932.22
Carpal tunnel release: 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 100% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier XS In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$1,225.32 – $5,932.22
Carpal tunnel release: 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 100% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier 50 In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$1,661.02 – $5,932.22
Carpal tunnel release: 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 100% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: HC LASER (YAG) POST CATARACT	$722	$519.84	$202.16 – $1,473.47
Laser treatment of clouding after cataract surgery: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $589.39 AETNA — ALL COMMERCIAL AETNA: $506.84 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $202.16 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $202.16 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $589.39 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $589.39 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $589.39 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $722 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $722 CIGNA — ALL COMMERCIAL CIGNA: $642.58
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$179.56 – $1,473.47
Laser treatment of clouding after cataract surgery: 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 100% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · modifier 50 In the file: HC LASER (YAG) POST CATARACT	$722	$519.84	$202.16 – $2,210.20
Laser treatment of clouding after cataract surgery: 10 of 44 insurance plan rates AETNA — AETNA MEDICARE: $722 AETNA — ALL COMMERCIAL AETNA: $506.84 AMISH COMMUNITY — AMISH COMMUNITY DISCOUNT: $202.16 AMISH COMMUNITY — PLAIN CHURCH MEDICAL GROUP: $202.16 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MEDICARE: $884.08 BLUE CROSS BLUE SHIELD OF ILLINOIS — BCBS IL MMAI: $722 BLUE CROSS BLUE SHIELD OF ILLINOIS — BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV: $722 CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: $722 CELTIC INSURANCE COMPANY — ALL COMMERCIAL EXCHANGE AMBETTER: $722 CIGNA — ALL COMMERCIAL CIGNA: $642.58
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	$1,431.87 – $6,182.77
Cataract removal with lens implant: 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 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	$1,431.87 – $6,182.77
Cataract removal with lens implant: 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 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	$1,431.87 – $6,182.77
Cataract removal with lens implant: 10 of 27 insurance plan rates AETNA — ALL COMMERCIAL AETNA: 70.2% (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 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) BLUE CROSS SIHCA — BLUE CROSS BLUE SHIELD IL HMO SIHCA: 100% (a percentage in the contract, not a dollar amount) CATERPILLAR, INC. — UHC CATERPILLAR EMPLOYER GROUP: 100% (a percentage in the contract, not a dollar amount)

Source: HSHS Holy Family 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 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	200 Health Care Dr, Greenville, IL 62246
County	Bond County
State	Illinois
Phone	(618) 664‑1230
Emergency services	Yes
Ownership	Voluntary non-profit - Church
Medicare overall rating	3 of 5 stars
CMS Certification Number	140137
Name in Medicare records	HSHS HOLY FAMILY HOSPITAL INC
Profile level	Medicare data + hospital website
Name on the hospital’s website	HSHS Holy Family Hospital
Official website	hshs.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

HSHS Holy Family Hospital — hshs.org
Services - HSHS Holy Family Hospital — hshs.org
Specialty Clinics at HSHS Holy Family Hospital — hshs.org
Surgery Center at HSHS Holy Family Hospital — hshs.org
Emergency Services at HSHS Holy Family Hospital — hshs.org
Almost Home Program at HSHS Holy Family Hospital — hshs.org
Heart Care at HSHS Holy Family Hospital — hshs.org
Imaging at HSHS Holy Family Hospital — hshs.org
Orthopedics at HSHS Holy Family Hospital — hshs.org
Rehabilitation services at HSHS Holy Family Hospital — hshs.org
Laboratory Services at HSHS Holy Family Hospital — hshs.org
Gastroenterology at HSHS Holy Family Hospital — hshs.org
Ophthalmology services at HSHS Holy Family Hospital — hshs.org

HSHS Holy Family Hospital Inc

Summary

Profile from official sources

At a glance