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Acute Care Hospital

Jersey Community Hospital

Jerseyville, Illinois · Jersey County · Emergency services listed

Summary

Jersey Community Hospital is an acute care hospital in Jerseyville, Illinois. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 38 services, specialties and programs. Medicare lists 152 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
38Services listed

Quick answers

Does Jersey Community Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Jersey Community Hospital. In a medical emergency, call 911.
Where is Jersey Community Hospital?
400 Maple Summit Road, Jerseyville, IL 62052, in Jersey County, Illinois.
What is the phone number of Jersey Community Hospital?
(618) 498-6402, as listed by Medicare (CMS).
What is the Medicare star rating of Jersey Community Hospital?
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][9][12]

Conditions treated[6]

Treatments[4][6][7]

  • Cardiac rehab
  • Pulmonary rehab
  • Medication assisted recovery
  • Diabetes education
  • Chronic care management
  • Transitional care
  • CT scan
  • MRI
  • Nuclear medicine
  • X-ray
  • Ultrasound
  • 3D mammography
  • Wound care

Procedures[6]

  • Echocardiography
  • Nuclear stress testing
  • CT angiography
  • Loop recorder implants
  • Pacemaker and defibrillator generator change
  • Sleep studies

Programs and centers[10][11]

  • EMS education and training

Emergency care (hospital website)[5][8]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

Doctors and clinicians (152)

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

Main specialties

Doctors with a page on this site (152)

And 128 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

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

Medicare quality data

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

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 hospitalNot reported to Medicare
Would recommend the hospitalNot reported to Medicare
Nurses communicated wellNot reported to Medicare
Doctors communicated wellNot reported to Medicare
Staff explained medicinesNot reported to Medicare
Information about recovery at homeNot reported to Medicare
Room and bathroom kept cleanNot reported to Medicare
Quiet at nightNot reported to Medicare
Rated the hospital 9 or 10 out of 1076%National average: 72%
Would definitely recommend the hospital81%National average: 71%
Nurses “always” communicated well85%National average: 80%
Doctors “always” communicated well81%National average: 80%
Staff “always” explained medicines before giving them69%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean77%National average: 74%
Area around the room “always” quiet at night71%National average: 60%
Completed surveys84Response 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 surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot reported to Medicare

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

Complications and deaths

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

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patients15.2%
Deaths within 30 days: pneumonia patients20.3%
Deaths within 30 days: COPD patients14.5%
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.94No different from the national rate
Complications after hip or knee replacementToo few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failure21.2%
Readmitted within 30 days: pneumonia18.1%
Readmitted within 30 days: COPD19.6%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)124 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)80%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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 75 common services exactly as Jersey Community Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

$ 2 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: 99243 Office Consultation, Level 3 $202 $202 $60 – $161.60
New patient office visit (about 30–44 minutes): 10 of 24 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $137.97
  • AETNA - Commercial-Indemnity — Other Commercial: $137.97
  • AETNA - Commercial-Mut Defined — Other Commercial: $137.97
  • AETNA - Commercial-POS — Aetna: $137.97
  • AETNA - Commercial-PPO — Aetna: $137.97
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $161.60
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $130.69
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $130.69
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $130.69
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $60
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: 99243 Office Consultation, Level 3 $202 $202 $60 – $161.60
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee · modifier 25 In the file: 99203 Office Visit New Pt. Level 3 $173 $173 $60 – $401.60
New patient office visit (about 30–44 minutes): 10 of 24 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $118.16
  • AETNA - Commercial-Indemnity — Other Commercial: $118.16
  • AETNA - Commercial-Mut Defined — Other Commercial: $118.16
  • AETNA - Commercial-POS — Aetna: $118.16
  • AETNA - Commercial-PPO — Aetna: $118.16
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $138.40
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $111.93
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $111.93
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $111.93
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $60
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: 99244 Office Consultation, Level 4 $296 $296 $60 – $236.80
New patient office visit (about 45–59 minutes): 10 of 24 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $202.17
  • AETNA - Commercial-Indemnity — Other Commercial: $202.17
  • AETNA - Commercial-Mut Defined — Other Commercial: $202.17
  • AETNA - Commercial-POS — Aetna: $202.17
  • AETNA - Commercial-PPO — Aetna: $202.17
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $236.80
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $191.51
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $191.51
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $191.51
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $60
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: 99244 Office Consultation, Level 4 $296 $296 $60 – $236.80
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee · modifier 25 In the file: 99204 Office Visit New Pt. Level 4 $229 $229 $60 – $523.20
New patient office visit (about 45–59 minutes): 10 of 24 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $156.41
  • AETNA - Commercial-Indemnity — Other Commercial: $156.41
  • AETNA - Commercial-Mut Defined — Other Commercial: $156.41
  • AETNA - Commercial-POS — Aetna: $156.41
  • AETNA - Commercial-PPO — Aetna: $156.41
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $183.20
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $148.16
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $148.16
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $148.16
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $60
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit Level 5 New 99205 $285 $285 $60 – $638.40
New patient office visit (about 60–74 minutes): 10 of 24 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $194.66
  • AETNA - Commercial-Indemnity — Other Commercial: $194.66
  • AETNA - Commercial-Mut Defined — Other Commercial: $194.66
  • AETNA - Commercial-POS — Aetna: $194.66
  • AETNA - Commercial-PPO — Aetna: $194.66
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $228
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $184.40
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $184.40
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $184.40
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $60
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: 99245 Office Consultation, Level 5 $378 $378 $60 – $302.40
New patient office visit (about 60–74 minutes): 10 of 24 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $258.17
  • AETNA - Commercial-Indemnity — Other Commercial: $258.17
  • AETNA - Commercial-Mut Defined — Other Commercial: $258.17
  • AETNA - Commercial-POS — Aetna: $258.17
  • AETNA - Commercial-PPO — Aetna: $258.17
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $302.40
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $244.57
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $244.57
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $244.57
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $60
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: 99245 Office Consultation, Level 5 $378 $378 $60 – $302.40
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: 99213 Office Visit Established Pt. Level 3 $99 $99 $60 – $361.60
Established patient office visit (about 20–29 minutes): 10 of 24 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $67.62
  • AETNA - Commercial-Indemnity — Other Commercial: $67.62
  • AETNA - Commercial-Mut Defined — Other Commercial: $67.62
  • AETNA - Commercial-POS — Aetna: $67.62
  • AETNA - Commercial-PPO — Aetna: $67.62
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $79.20
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $64.05
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $64.05
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $64.05
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $60
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: 99213 Office Visit Established Pt. Level 3 $99 $99 $60 – $361.60
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: 99214 Office Visit Established Pt. Level 4 $145 $145 $60 – $435.20
Established patient office visit (about 30–39 minutes): 10 of 24 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $99.04
  • AETNA - Commercial-Indemnity — Other Commercial: $99.04
  • AETNA - Commercial-Mut Defined — Other Commercial: $99.04
  • AETNA - Commercial-POS — Aetna: $99.04
  • AETNA - Commercial-PPO — Aetna: $99.04
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $116
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $93.82
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $93.82
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $93.82
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $60
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: 99214 Office Visit Established Pt. Level 4 $145 $145 $60 – $435.20
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee · modifier 25 In the file: 99385 Preventive Evaluation, New Pt; 18-39 Yrs $209 $209 $60 – $167.20
Preventive checkup, new patient, age 18–39: 10 of 24 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $142.75
  • AETNA - Commercial-Indemnity — Other Commercial: $142.75
  • AETNA - Commercial-Mut Defined — Other Commercial: $142.75
  • AETNA - Commercial-POS — Aetna: $142.75
  • AETNA - Commercial-PPO — Aetna: $142.75
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $167.20
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $135.22
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $135.22
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $135.22
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $60
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee · modifier 25 In the file: 99385 Preventive Evaluation, New Pt; 18-39 Yrs $209 $209 $60 – $167.20
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee · modifier 25 In the file: 99386 Preventive Evaluation, New Pt; 40-64 Yrs $254 $254 $60 – $203.20
Preventive checkup, new patient, age 40–64: 10 of 24 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $173.48
  • AETNA - Commercial-Indemnity — Other Commercial: $173.48
  • AETNA - Commercial-Mut Defined — Other Commercial: $173.48
  • AETNA - Commercial-POS — Aetna: $173.48
  • AETNA - Commercial-PPO — Aetna: $173.48
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $203.20
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $164.34
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $164.34
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $164.34
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $60
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee · modifier 25 In the file: 99386 Preventive Evaluation, New Pt; 40-64 Yrs $254 $254 $60 – $203.20
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: 99283 - Level 3 $767 $767 $83 – $793
Emergency room visit (moderate): 10 of 24 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $702
  • AETNA - Commercial-Indemnity — Other Commercial: $702
  • AETNA - Commercial-Mut Defined — Other Commercial: $702
  • AETNA - Commercial-POS — Aetna: $702
  • AETNA - Commercial-PPO — Aetna: $702
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $613.60
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $496.25
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $496.25
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $496.25
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $613.60
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: 99283 Emergency Department Visit, Level 3 $310 $310 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: 99284 - Level 4 $1,097 $1,097 $702 – $1,517
Emergency room visit (moderately high): 10 of 24 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $702
  • AETNA - Commercial-Indemnity — Other Commercial: $702
  • AETNA - Commercial-Mut Defined — Other Commercial: $702
  • AETNA - Commercial-POS — Aetna: $702
  • AETNA - Commercial-PPO — Aetna: $702
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $877.60
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $709.76
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $709.76
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $709.76
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $877.60
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: 99284 Emergency Department Visit, Level 4 $519 $519 Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: 99285 - Level 5 $1,574 $1,574 $1,018.38 – $1,713
Emergency room visit (high): 10 of 24 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $1,056.15
  • AETNA - Commercial-Indemnity — Other Commercial: $1,056.15
  • AETNA - Commercial-Mut Defined — Other Commercial: $1,056.15
  • AETNA - Commercial-POS — Aetna: $1,056.15
  • AETNA - Commercial-PPO — Aetna: $1,056.15
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $1,259.20
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $1,018.38
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $1,018.38
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $1,018.38
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $1,259.20
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: 99285 Emergency Department Visit, Level 5 $756 $756 Not listed in the file

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: Basic Metabolic Panel $111 $111 $58.05 – $94.35
Basic metabolic panel (blood test): 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $58.05
  • AETNA - Commercial-Indemnity — Other Commercial: $58.05
  • AETNA - Commercial-Mut Defined — Other Commercial: $58.05
  • AETNA - Commercial-POS — Aetna: $58.05
  • AETNA - Commercial-PPO — Aetna: $58.05
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $88.80
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $71.82
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $71.82
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $71.82
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $94.35
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Comprehensive Metabolic Panel $162 $162 $84.73 – $137.70
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $84.73
  • AETNA - Commercial-Indemnity — Other Commercial: $84.73
  • AETNA - Commercial-Mut Defined — Other Commercial: $84.73
  • AETNA - Commercial-POS — Aetna: $84.73
  • AETNA - Commercial-PPO — Aetna: $84.73
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $129.60
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $104.81
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $104.81
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $104.81
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $137.70
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipid Panel $171 $171 $89.43 – $145.35
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $89.43
  • AETNA - Commercial-Indemnity — Other Commercial: $89.43
  • AETNA - Commercial-Mut Defined — Other Commercial: $89.43
  • AETNA - Commercial-POS — Aetna: $89.43
  • AETNA - Commercial-PPO — Aetna: $89.43
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $136.80
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $110.64
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $110.64
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $110.64
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $145.35
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: Renal Function Panel $111 $111 $58.05 – $94.35
Kidney function panel: 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $58.05
  • AETNA - Commercial-Indemnity — Other Commercial: $58.05
  • AETNA - Commercial-Mut Defined — Other Commercial: $58.05
  • AETNA - Commercial-POS — Aetna: $58.05
  • AETNA - Commercial-PPO — Aetna: $58.05
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $88.80
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $71.82
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $71.82
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $71.82
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $94.35
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: Hepatic Function Panel $116 $116 $60.67 – $98.60
Liver function panel: 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $60.67
  • AETNA - Commercial-Indemnity — Other Commercial: $60.67
  • AETNA - Commercial-Mut Defined — Other Commercial: $60.67
  • AETNA - Commercial-POS — Aetna: $60.67
  • AETNA - Commercial-PPO — Aetna: $60.67
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $92.80
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $75.05
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $75.05
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $75.05
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $98.60
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis with Microscopic $42 $42 $21.97 – $35.70
Urine test (automated, with microscope): 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $21.97
  • AETNA - Commercial-Indemnity — Other Commercial: $21.97
  • AETNA - Commercial-Mut Defined — Other Commercial: $21.97
  • AETNA - Commercial-POS — Aetna: $21.97
  • AETNA - Commercial-PPO — Aetna: $21.97
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $33.60
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $27.17
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $27.17
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $27.17
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $35.70
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: Urinalysis with Culture if Indicated $31 $31 $16.21 – $26.35
Urine test (automated, with microscope): 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $16.21
  • AETNA - Commercial-Indemnity — Other Commercial: $16.21
  • AETNA - Commercial-Mut Defined — Other Commercial: $16.21
  • AETNA - Commercial-POS — Aetna: $16.21
  • AETNA - Commercial-PPO — Aetna: $16.21
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $24.80
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $20.06
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $20.06
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $20.06
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $26.35
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urine Dipstick Clinic POC (RE) $9 $9 $4.71 – $7.65
Urine test (automated, without microscope): 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $4.71
  • AETNA - Commercial-Indemnity — Other Commercial: $4.71
  • AETNA - Commercial-Mut Defined — Other Commercial: $4.71
  • AETNA - Commercial-POS — Aetna: $4.71
  • AETNA - Commercial-PPO — Aetna: $4.71
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $7.20
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $5.82
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $5.82
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $5.82
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $7.65
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: Urinalysis Macroscopic $31 $31 $16.21 – $26.35
Urine test (automated, without microscope): 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $16.21
  • AETNA - Commercial-Indemnity — Other Commercial: $16.21
  • AETNA - Commercial-Mut Defined — Other Commercial: $16.21
  • AETNA - Commercial-POS — Aetna: $16.21
  • AETNA - Commercial-PPO — Aetna: $16.21
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $24.80
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $20.06
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $20.06
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $20.06
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $26.35
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: Urinalysis with Culture if Indicated $31 $31 $16.21 – $26.35
Urine test (automated, without microscope): 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $16.21
  • AETNA - Commercial-Indemnity — Other Commercial: $16.21
  • AETNA - Commercial-Mut Defined — Other Commercial: $16.21
  • AETNA - Commercial-POS — Aetna: $16.21
  • AETNA - Commercial-PPO — Aetna: $16.21
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $24.80
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $20.06
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $20.06
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $20.06
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $26.35
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA Total Screening $246 $246 $128.66 – $209.10
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $128.66
  • AETNA - Commercial-Indemnity — Other Commercial: $128.66
  • AETNA - Commercial-Mut Defined — Other Commercial: $128.66
  • AETNA - Commercial-POS — Aetna: $128.66
  • AETNA - Commercial-PPO — Aetna: $128.66
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $196.80
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $159.16
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $159.16
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $159.16
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $209.10
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA, Total QST $205 $205 $107.22 – $174.25
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $107.22
  • AETNA - Commercial-Indemnity — Other Commercial: $107.22
  • AETNA - Commercial-Mut Defined — Other Commercial: $107.22
  • AETNA - Commercial-POS — Aetna: $107.22
  • AETNA - Commercial-PPO — Aetna: $107.22
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $164
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $132.64
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $132.64
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $132.64
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $174.25
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: PSA Total Diagnostic $214 $214 $111.92 – $181.90
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $111.92
  • AETNA - Commercial-Indemnity — Other Commercial: $111.92
  • AETNA - Commercial-Mut Defined — Other Commercial: $111.92
  • AETNA - Commercial-POS — Aetna: $111.92
  • AETNA - Commercial-PPO — Aetna: $111.92
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $171.20
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $138.46
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $138.46
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $138.46
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $181.90
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH w/ Rflx to Free T4 $215 $215 $112.45 – $182.75
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $112.45
  • AETNA - Commercial-Indemnity — Other Commercial: $112.45
  • AETNA - Commercial-Mut Defined — Other Commercial: $112.45
  • AETNA - Commercial-POS — Aetna: $112.45
  • AETNA - Commercial-PPO — Aetna: $112.45
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $172
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $139.11
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $139.11
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $139.11
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $182.75
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Thyroid Stimulating Hormone $98 $98 $51.25 – $83.30
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $51.25
  • AETNA - Commercial-Indemnity — Other Commercial: $51.25
  • AETNA - Commercial-Mut Defined — Other Commercial: $51.25
  • AETNA - Commercial-POS — Aetna: $51.25
  • AETNA - Commercial-PPO — Aetna: $51.25
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $78.40
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $63.41
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $63.41
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $63.41
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $83.30
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC w/ Differential $99 $99 $51.78 – $84.15
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $51.78
  • AETNA - Commercial-Indemnity — Other Commercial: $51.78
  • AETNA - Commercial-Mut Defined — Other Commercial: $51.78
  • AETNA - Commercial-POS — Aetna: $51.78
  • AETNA - Commercial-PPO — Aetna: $51.78
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $79.20
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $64.05
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $64.05
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $64.05
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $84.15
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CBC without Differential $75 $75 $39.23 – $63.75
Complete blood count (CBC), automated: 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $39.23
  • AETNA - Commercial-Indemnity — Other Commercial: $39.23
  • AETNA - Commercial-Mut Defined — Other Commercial: $39.23
  • AETNA - Commercial-POS — Aetna: $39.23
  • AETNA - Commercial-PPO — Aetna: $39.23
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $60
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $48.53
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $48.53
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $48.53
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $63.75
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Prothrombin Time and INR $50 $50 $26.15 – $42.50
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $26.15
  • AETNA - Commercial-Indemnity — Other Commercial: $26.15
  • AETNA - Commercial-Mut Defined — Other Commercial: $26.15
  • AETNA - Commercial-POS — Aetna: $26.15
  • AETNA - Commercial-PPO — Aetna: $26.15
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $40
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $32.35
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $32.35
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $32.35
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $42.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Prothrombin Time $50 $50 $26.15 – $42.50
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $26.15
  • AETNA - Commercial-Indemnity — Other Commercial: $26.15
  • AETNA - Commercial-Mut Defined — Other Commercial: $26.15
  • AETNA - Commercial-POS — Aetna: $26.15
  • AETNA - Commercial-PPO — Aetna: $26.15
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $40
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $32.35
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $32.35
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $32.35
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $42.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PT/INR POC (RE) $42 $42 $21.97 – $35.70
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $21.97
  • AETNA - Commercial-Indemnity — Other Commercial: $21.97
  • AETNA - Commercial-Mut Defined — Other Commercial: $21.97
  • AETNA - Commercial-POS — Aetna: $21.97
  • AETNA - Commercial-PPO — Aetna: $21.97
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $33.60
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $27.17
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $27.17
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $27.17
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $35.70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Partial Thromboplastin Time $71 $71 $37.13 – $60.35
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $37.13
  • AETNA - Commercial-Indemnity — Other Commercial: $37.13
  • AETNA - Commercial-Mut Defined — Other Commercial: $37.13
  • AETNA - Commercial-POS — Aetna: $37.13
  • AETNA - Commercial-PPO — Aetna: $37.13
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $56.80
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $45.94
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $45.94
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $45.94
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $60.35

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT Brain/Head w/o Contrast $1,678 $1,678 $437 – $1,342.40
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $1,342.40
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $1,085.67
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $1,085.67
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $1,085.67
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $1,258.50
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,258.50
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $1,258.50
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $1,090.70
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $1,090.70
  • HUMANA HMO/PPO — Medicare Advantage: $1,258.50
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT Brain/Head Stroke Protocol $1,678 $1,678 $437 – $1,342.40
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $1,342.40
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $1,085.67
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $1,085.67
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $1,085.67
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $1,258.50
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,258.50
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $1,258.50
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $1,090.70
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $1,090.70
  • HUMANA HMO/PPO — Medicare Advantage: $1,258.50
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: CT Brain/Head w/o Contrast - Report $120 $120 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: 70553 MRI BRAIN W/ + W/O CONTRAST: AddOn $4,207 $4,207 $816 – $3,575.95
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $3,365.60
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $2,721.93
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $2,721.93
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $2,721.93
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $3,575.95
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $3,575.95
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $3,575.95
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $2,734.55
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $2,734.55
  • HUMANA HMO/PPO — Medicare Advantage: $3,155.25
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: 70553 MRI IAC W/ + W/O CONTRAST: AddOn $4,207 $4,207 $816 – $3,575.95
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $3,365.60
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $2,721.93
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $2,721.93
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $2,721.93
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $3,575.95
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $3,575.95
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $3,575.95
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $2,734.55
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $2,734.55
  • HUMANA HMO/PPO — Medicare Advantage: $3,155.25
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: MRI Brain w/ + w/o Contrast $4,207 $4,207 $816 – $3,575.95
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $3,365.60
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $2,721.93
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $2,721.93
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $2,721.93
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $3,575.95
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $3,575.95
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $3,575.95
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $2,734.55
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $2,734.55
  • HUMANA HMO/PPO — Medicare Advantage: $3,155.25
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: XR Chest 2 Views $493 $493 $265 – $419.05
Chest X-ray, 2 views: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $394.40
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $318.97
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $318.97
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $318.97
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $419.05
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $419.05
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $419.05
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $320.45
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $320.45
  • HUMANA HMO/PPO — Medicare Advantage: $369.75
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: XR Chest 2 Views w/ Apical Lordotic $449 $449 $265 – $381.65
Chest X-ray, 2 views: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $359.20
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $290.50
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $290.50
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $290.50
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $381.65
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $381.65
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $381.65
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $291.85
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $291.85
  • HUMANA HMO/PPO — Medicare Advantage: $336.75
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: XR Chest 2 Views w/ Obliques $449 $449 $265 – $381.65
Chest X-ray, 2 views: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $359.20
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $290.50
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $290.50
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $290.50
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $381.65
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $381.65
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $381.65
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $291.85
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $291.85
  • HUMANA HMO/PPO — Medicare Advantage: $336.75
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: XR Spine Lumbosacral 4+ Views $694 $694 $265 – $589.90
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $555.20
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $449.02
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $449.02
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $449.02
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $589.90
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $589.90
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $589.90
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $451.10
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $451.10
  • HUMANA HMO/PPO — Medicare Advantage: $520.50
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: XR Spine Lumbosacral 4+ Views - Report $37 $37 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: MRI Spine Lumbar w/o Contrast $1,828 $1,828 $816 – $1,553.80
MRI of the lower back (lumbar spine), without contrast: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $1,462.40
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $1,182.72
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $1,182.72
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $1,182.72
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $1,553.80
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,553.80
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $1,553.80
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $1,188.20
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $1,188.20
  • HUMANA HMO/PPO — Medicare Advantage: $1,371
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: MRI Spine Lumbar w/o Contrast - Report $211 $211 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT Pelvis w/ Contrast $2,726 $2,726 $437 – $2,180.80
CT scan of the pelvis, with contrast: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $2,180.80
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $1,763.72
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $1,763.72
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $1,763.72
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $2,044.50
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $2,044.50
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $2,044.50
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $1,771.90
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $1,771.90
  • HUMANA HMO/PPO — Medicare Advantage: $2,044.50
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: CT Pelvis w/ Contrast - Report $164 $164 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier TCLT In the file: MRI Ankle w/o Contrast Left $2,195 $2,195 $816 – $1,865.75
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $1,756
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $1,420.17
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $1,420.17
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $1,420.17
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $1,865.75
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,865.75
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $1,865.75
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $1,426.75
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $1,426.75
  • HUMANA HMO/PPO — Medicare Advantage: $1,646.25
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier TCRT In the file: MRI Ankle w/o Contrast Right $2,195 $2,195 $816 – $1,865.75
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $1,756
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $1,420.17
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $1,420.17
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $1,420.17
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $1,865.75
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,865.75
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $1,865.75
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $1,426.75
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $1,426.75
  • HUMANA HMO/PPO — Medicare Advantage: $1,646.25
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier TCLT In the file: MRI Hip w/o Contrast Left $2,195 $2,195 $816 – $1,865.75
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $1,756
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $1,420.17
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $1,420.17
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $1,420.17
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $1,865.75
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,865.75
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $1,865.75
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $1,426.75
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $1,426.75
  • HUMANA HMO/PPO — Medicare Advantage: $1,646.25
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT Enterography w/ Contrast $5,712 $5,712 $437 – $4,569.60
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $4,569.60
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $3,695.66
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $3,695.66
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $3,695.66
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $4,284
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $4,284
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $4,284
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $3,712.80
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $3,712.80
  • HUMANA HMO/PPO — Medicare Advantage: $4,284
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: 74177 CT ABD & PELVIS W/CONTRAST: AddOn $6,283 $6,283 $437 – $5,026.40
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $5,026.40
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $4,065.10
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $4,065.10
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $4,065.10
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $4,712.25
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $4,712.25
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $4,712.25
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $4,083.95
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $4,083.95
  • HUMANA HMO/PPO — Medicare Advantage: $4,712.25
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT Abdomen and Pelvis w/ Contrast $6,283 $6,283 $437 – $5,026.40
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $5,026.40
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $4,065.10
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $4,065.10
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $4,065.10
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $4,712.25
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $4,712.25
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $4,712.25
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $4,083.95
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $4,083.95
  • HUMANA HMO/PPO — Medicare Advantage: $4,712.25
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: US Abdomen Complete $1,308 $1,308 $354 – $1,111.80
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $1,046.40
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $846.28
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $846.28
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $846.28
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $1,111.80
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,111.80
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $1,111.80
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $850.20
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $850.20
  • HUMANA HMO/PPO — Medicare Advantage: $981
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: US Abdomen Complete - Report $114 $114 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US OB Greater Than 14 Weeks $1,308 $1,308 $354 – $1,111.80
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $1,046.40
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $846.28
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $846.28
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $846.28
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $1,111.80
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,111.80
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $1,111.80
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $850.20
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $850.20
  • HUMANA HMO/PPO — Medicare Advantage: $981
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: US OB Greater Than 14 Weeks - Report $140 $140 Not listed in the file
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: 76830 US TRANSVAGINAL: AddOn $1,308 $1,308 $354 – $1,111.80
Transvaginal ultrasound: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $1,046.40
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $846.28
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $846.28
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $846.28
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $1,111.80
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,111.80
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $1,111.80
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $850.20
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $850.20
  • HUMANA HMO/PPO — Medicare Advantage: $981
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: US Transvaginal Non-OB $1,308 $1,308 $354 – $1,111.80
Transvaginal ultrasound: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $1,046.40
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $846.28
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $846.28
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $846.28
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $1,111.80
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,111.80
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $1,111.80
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $850.20
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $850.20
  • HUMANA HMO/PPO — Medicare Advantage: $981
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: 76830 US TRANSVAGINAL PROFEE: AddOn $97 $97 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier TCLT In the file: MG Mammo Addl Projections Lt. $409 $409 $108 – $347.65
Diagnostic mammogram, one breast: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $327.20
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $264.62
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $264.62
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $264.62
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $347.65
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $347.65
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $347.65
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $265.85
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $265.85
  • HUMANA HMO/PPO — Medicare Advantage: $306.75
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier TCRT In the file: MG Mammo Addl Projections Rt. $409 $409 $108 – $347.65
Diagnostic mammogram, one breast: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $327.20
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $264.62
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $264.62
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $264.62
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $347.65
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $347.65
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $347.65
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $265.85
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $265.85
  • HUMANA HMO/PPO — Medicare Advantage: $306.75
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier TCLT In the file: MG Mammo Diagnostic Left w/ Tomo. $409 $409 $108 – $347.65
Diagnostic mammogram, one breast: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $327.20
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $264.62
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $264.62
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $264.62
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $347.65
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $347.65
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $347.65
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $265.85
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $265.85
  • HUMANA HMO/PPO — Medicare Advantage: $306.75
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: MG Mammo Addl Projections Bilat. $512 $512 $108 – $435.20
Diagnostic mammogram, both breasts: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $409.60
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $331.26
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $331.26
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $331.26
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $435.20
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $435.20
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $435.20
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $332.80
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $332.80
  • HUMANA HMO/PPO — Medicare Advantage: $384
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: MG Mammo Diagnostic Bilateral w/ Tomo $512 $512 $108 – $435.20
Diagnostic mammogram, both breasts: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $409.60
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $331.26
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $331.26
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $331.26
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $435.20
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $435.20
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $435.20
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $332.80
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $332.80
  • HUMANA HMO/PPO — Medicare Advantage: $384
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: MG Mammo Diagnostic Bilateral w/ Tomo. $512 $512 $108 – $435.20
Diagnostic mammogram, both breasts: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $409.60
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $331.26
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $331.26
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $331.26
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $435.20
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $435.20
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $435.20
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $332.80
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $332.80
  • HUMANA HMO/PPO — Medicare Advantage: $384
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: MG Mammo Implant Digital Screening Bil. $415 $415 $108 – $352.75
Screening mammogram, both breasts: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $332
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $268.51
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $268.51
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $268.51
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $352.75
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $352.75
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $352.75
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $269.75
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $269.75
  • HUMANA HMO/PPO — Medicare Advantage: $311.25
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: MG Mammo Implant Screening Bil w/ Tomo. $415 $415 $108 – $352.75
Screening mammogram, both breasts: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $332
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $268.51
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $268.51
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $268.51
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $352.75
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $352.75
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $352.75
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $269.75
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $269.75
  • HUMANA HMO/PPO — Medicare Advantage: $311.25
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: MG Mammo Screening Bilateral w/ Tomo. $415 $415 $108 – $352.75
Screening mammogram, both breasts: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $332
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $268.51
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $268.51
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $268.51
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $352.75
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $352.75
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $352.75
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $269.75
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $269.75
  • HUMANA HMO/PPO — Medicare Advantage: $311.25

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Hospital (facility) fee In the file: 93000 EKG w/ 12+ leads; Tracing/Interp/Report $42 $42 $27.17 – $60
Electrocardiogram (ECG/EKG) with reading: 10 of 24 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $28.69
  • AETNA - Commercial-Indemnity — Other Commercial: $28.69
  • AETNA - Commercial-Mut Defined — Other Commercial: $28.69
  • AETNA - Commercial-POS — Aetna: $28.69
  • AETNA - Commercial-PPO — Aetna: $28.69
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $33.60
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $27.17
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $27.17
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $27.17
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $60
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Hospital (facility) fee In the file: EKG POC $133 $133 $86.05 – $113.05
Electrocardiogram (ECG/EKG) with reading: 10 of 24 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $89.24
  • AETNA - Commercial-Indemnity — Other Commercial: $89.24
  • AETNA - Commercial-Mut Defined — Other Commercial: $89.24
  • AETNA - Commercial-POS — Aetna: $89.24
  • AETNA - Commercial-PPO — Aetna: $89.24
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $106.40
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $86.05
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $86.05
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $86.05
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $113.05
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: Electrocardiogram, routine ECG with at least 12 leads, with interpretation and report 93000 $59 $59 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: 95810 Sleep Staging $4,814 $4,814 $1,182 – $4,091.90
Sleep study (overnight, in a sleep lab): 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $3,851.20
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $3,114.66
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $3,114.66
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $3,114.66
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $4,091.90
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $4,091.90
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $4,091.90
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $3,129.10
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $3,129.10
  • HUMANA HMO/PPO — Medicare Advantage: $3,610.50
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: 95810 Polysomnography; age 6 years or older, attended by a technologist $1,729 $1,729 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee · modifier 52 In the file: 95810 Sleep Staging Less Than 6 Hours $4,814 $4,814 $1,182 – $4,091.90
Sleep study (overnight, in a sleep lab): 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $3,851.20
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $3,114.66
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $3,114.66
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $3,114.66
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $4,091.90
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $4,091.90
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $4,091.90
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $3,129.10
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $3,129.10
  • HUMANA HMO/PPO — Medicare Advantage: $3,610.50

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT Therapeutic Exercise Units $119 $119 $76.99 – $160
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $95.20
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $76.99
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $76.99
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $76.99
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $101.15
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $101.15
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $101.15
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $77.35
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $77.35
  • HUMANA HMO/PPO — Medicare Advantage: $89.25
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier CQGP In the file: PT Therapeutic Exercise Assistant Units $119 $119 $76.99 – $160
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $95.20
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $76.99
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $76.99
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $76.99
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $101.15
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $101.15
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $101.15
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $77.35
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $77.35
  • HUMANA HMO/PPO — Medicare Advantage: $89.25
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GO In the file: OT Therapeutic Exercise Units $215 $215 $108 – $182.75
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $172
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $139.11
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $139.11
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $139.11
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $182.75
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $182.75
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $182.75
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $139.75
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $139.75
  • HUMANA HMO/PPO — Medicare Advantage: $161.25
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT Evaluation Units, Low Complexity $298 $298 $160 – $253.30
Physical therapy evaluation (low complexity): 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $238.40
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $192.81
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $192.81
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $192.81
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $253.30
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $253.30
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $253.30
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $193.70
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $193.70
  • HUMANA HMO/PPO — Medicare Advantage: $223.50
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT Evaluation Units, Moderate Complexity $298 $298 $160 – $253.30
Physical therapy evaluation (moderate complexity): 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $238.40
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $192.81
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $192.81
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $192.81
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $253.30
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $253.30
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $253.30
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $193.70
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $193.70
  • HUMANA HMO/PPO — Medicare Advantage: $223.50
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT Evaluation Units, High Complexity $298 $298 $160 – $253.30
Physical therapy evaluation (high complexity): 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $238.40
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $192.81
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $192.81
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $192.81
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $253.30
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $253.30
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $253.30
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $193.70
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $193.70
  • HUMANA HMO/PPO — Medicare Advantage: $223.50
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: 90832 Psychotherapy, 30 minutes with patient and/or family member $144 $144 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: 90834 Psychotherapy, 45 minutes with patient and/or family member $179 $179 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: 90837 Psychotherapy, 60 minutes with patient and/or family member $275 $275 Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: 90846 Family Psychotherapy w/o patient 50 minutes $298 $298 $60 – $238.40
Family psychotherapy, without the patient: 10 of 24 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $203.53
  • AETNA - Commercial-Indemnity — Other Commercial: $203.53
  • AETNA - Commercial-Mut Defined — Other Commercial: $203.53
  • AETNA - Commercial-POS — Aetna: $203.53
  • AETNA - Commercial-PPO — Aetna: $203.53
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $238.40
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $192.81
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $192.81
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $192.81
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $60
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: 90847 Family Psychotherapy with patient 50 minutes $333 $333 Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: 90853 IOP GROUP THERAPY PER SESION Charge $89 $89 Not listed in the file

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: 19120 Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue $1,576 $1,576 Not listed in the file
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: 27130 Arthroplasty, acetabular and proximal femoral prosthetic replacement $4,732 $4,732 Not listed in the file
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: Total Hip Arthroplasty 27130 $4,732 $4,732 Not listed in the file
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments $3,954 $3,954 Not listed in the file
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: Total Knee Arthroplasty 27447 $3,954 $3,954 Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: 29826 Arthroscopy, shoulder, surgical; decompress subacromial space w/ part acromioplasty w/ release $1,493 $1,493 Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: Arthroscopy, shoulder, surgical, decompression of subacromial space with partial acromioplasty, with $1,493 $1,493 Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: 29881 Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral) including chondroplasty $1,730 $1,730 Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: Arthroscopy, knee, surgical; with meniscectomy, medial or lateral including debridement/shaving of a $1,730 $1,730 Not listed in the file
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: 42820 Tonsillectomy and adenoidectomy; younger than age 12 $918 $918 Not listed in the file
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: Tonsillectomy and adenoidectomy, younger than age 12 42820 $918 $918 Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: 43235 Esophagogastroduodenoscopy, flexible, transoral; diagnostic, collection of specimen brsh/floss $499 $499 Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: Esophagogastroduodenoscopy, flexible, transoral, diagnostic, including collection of specimen(s) by $499 $499 Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: 43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple $553 $553 Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: Esophagogastroduodenoscopy, flexible, transoral, with biopsy, single or multiple 43239 $553 $553 Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: 45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing $705 $705 Not listed in the file
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: 45380 Colonoscopy, flexible; with biopsy, single or multiple $1,210 $1,210 Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: 45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare techniq $1,635 $1,635 Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: Colonoscopy, flexible, with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 453 $1,635 $1,635 Not listed in the file
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: G0121 Screening Colonoscopy not high risk $553 $553 Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: 47562 Laparoscopy, surgical; cholecystectomy $2,599 $2,599 $3,800 – $5,543
Gallbladder removal by laparoscope: rates for 8 insurance plans
  • AETNA - Commercial-HMO — Aetna: $5,543
  • AETNA - Commercial-Indemnity — Other Commercial: $5,543
  • AETNA - Commercial-Mut Defined — Other Commercial: $5,543
  • AETNA - Commercial-POS — Aetna: $5,543
  • AETNA - Commercial-PPO — Aetna: $5,543
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $3,800
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $3,800
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $3,800
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: Laparoscopy, surgical, cholecystectomy 47562 $2,599 $2,599 $3,800 – $5,543
Gallbladder removal by laparoscope: rates for 8 insurance plans
  • AETNA - Commercial-HMO — Aetna: $5,543
  • AETNA - Commercial-Indemnity — Other Commercial: $5,543
  • AETNA - Commercial-Mut Defined — Other Commercial: $5,543
  • AETNA - Commercial-POS — Aetna: $5,543
  • AETNA - Commercial-PPO — Aetna: $5,543
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $3,800
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $3,800
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $3,800
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: 49505 Repair initial inguinal hernia, age 5 years or older; reducible $1,651 $1,651 Not listed in the file
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: US Biopsy Prostate $6,144 $6,144 $354 – $5,222.40
Prostate biopsy: 10 of 19 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $4,915.20
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $3,975.17
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $3,975.17
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $3,975.17
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $5,222.40
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $5,222.40
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $5,222.40
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $3,993.60
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $3,993.60
  • HUMANA HMO/PPO — Medicare Advantage: $4,608
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: US Biopsy Prostate - Report $401 $401 Not listed in the file
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: 58558 Hysteroscopy, surgical; w/ biopsy of endometrium and/or polypectomy, with or w/o D & C $1,312 $1,312 Not listed in the file
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: Hysteroscopy, surgical, with sampling of endometrium and/or polypectomy, with or without D & C 58558 $1,312 $1,312 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: 62323 ESI lumbar or sacral with fluoroscopy $2,066 $2,066 $189.57 – $1,756.10
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $1,652.80
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $1,336.70
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $1,336.70
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $1,336.70
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $1,756.10
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,756.10
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $1,756.10
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $1,342.90
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $1,342.90
  • HUMANA HMO/PPO — Medicare Advantage: $1,549.50
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: IR Injection Lumb/Sac Interlaminar $2,418 $2,418 $1,564.45 – $2,055.30
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $1,934.40
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $1,564.45
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $1,564.45
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $1,564.45
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $2,055.30
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $2,055.30
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $2,055.30
  • HEALTH ALLIANCE - Commercial-HMO — Other Commercial: $1,571.70
  • HEALTH ALLIANCE - Commercial-PPO — Other Commercial: $1,571.70
  • HUMANA HMO/PPO — Medicare Advantage: $1,813.50
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: 62323 ESI lumbar or sacral with fluoroscopy $2,066 $2,066 $189.57 – $1,756.10
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: 64483 Injection Transforaminal Epidural - single level $679 $679 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance; lumba $679 $679 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: IR Injection Lmbr/Scrl Transforam Bilat $4,567 $4,567 $2,954.85 – $3,881.95
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $3,064.46
  • AETNA - Commercial-Indemnity — Other Commercial: $3,064.46
  • AETNA - Commercial-Mut Defined — Other Commercial: $3,064.46
  • AETNA - Commercial-POS — Aetna: $3,064.46
  • AETNA - Commercial-PPO — Aetna: $3,064.46
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $3,653.60
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $2,954.85
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $2,954.85
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $2,954.85
  • CIGNA CHOICE FUND - Commercial-POS — Other Commercial: $3,881.95
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: 64721 Neuroplasty and/or transposition; median nerve at carpal tunnel $1,345 $1,345 Not listed in the file
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: Neuroplasty and/or transposition, median nerve at carpal tunnel 64721 $1,345 $1,345 Not listed in the file

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Routine obstetric care including antepartum care, vaginal delivery and postpartum care 59400 $7,627 $7,627 $800 – $2,430.96
Vaginal delivery, with care before and after: 10 of 18 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $1,328
  • AETNA - Commercial-Indemnity — Other Commercial: $1,328
  • AETNA - Commercial-Mut Defined — Other Commercial: $1,328
  • AETNA - Commercial-POS — Aetna: $1,328
  • AETNA - Commercial-PPO — Aetna: $1,328
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $800
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $2,430.96
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $2,430.96
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $2,430.96
  • UNITED HEALTHCAR - Commercial-Mut Defined — Other Commercial: $1,770
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: 59400 Routine obstetric care including antepartum care, vaginal delivery, postpartum care $7,749 $7,749 Not listed in the file
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: Routine obstetric care including antepartum care, vaginal delivery and postpartum care 59400 $7,627 $7,627 Not listed in the file
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: 59510 Routine obstetric care including antepartum care, cesarean delivery, and postpartum care $8,566 $8,566 Not listed in the file
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: Routine obstetric care including antepartum care, cesarean delivery, and postpartum care 59510 $8,566 $8,566 Not listed in the file
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: 59610 Routine obstetric care including antepartum care, vaginal delivery and postpartum care, vbac $8,090 $8,090 Not listed in the file
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: Routine obstetric care including antepartum care, vaginal delivery and postpartum care, after previo $8,090 $8,090 Not listed in the file

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $800 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,430.96
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 13 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $800 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $2,430.96
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $2,430.96
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $2,430.96
  • UNITED HEALTHCAR - Commercial-Mut Defined — Other Commercial: $1,770
  • UNITED HEALTHCAR - Commercial-PPO — Other Commercial: $1,770
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United HealthCare: $1,770
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United HealthCare: $1,770
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United HealthCare: $1,770
  • UNITED HEALTHCARE SERVICESINC. - Commercial-POS — Other Commercial: $1,770
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $800 – $2,430.96
Hip or knee replacement (major joint of the leg), without major complications: 10 of 13 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $800
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $2,430.96
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $2,430.96
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $2,430.96
  • UNITED HEALTHCAR - Commercial-Mut Defined — Other Commercial: $1,770
  • UNITED HEALTHCAR - Commercial-PPO — Other Commercial: $1,770
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United HealthCare: $1,770
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United HealthCare: $1,770
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United HealthCare: $1,770
  • UNITED HEALTHCARE SERVICESINC. - Commercial-POS — Other Commercial: $1,770
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $800 – $2,430.96
Neck (cervical) spinal fusion, without complications: 10 of 13 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $800
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $2,430.96
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $2,430.96
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $2,430.96
  • UNITED HEALTHCAR - Commercial-Mut Defined — Other Commercial: $1,770
  • UNITED HEALTHCAR - Commercial-PPO — Other Commercial: $1,770
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United HealthCare: $1,770
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United HealthCare: $1,770
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United HealthCare: $1,770
  • UNITED HEALTHCARE SERVICESINC. - Commercial-POS — Other Commercial: $1,770
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $800 – $2,430.96
Uterus and ovary surgery (not for cancer), without complications: 10 of 13 insurance plan rates
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-HMO — Other Commercial: $800
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Indemnity — Other Commercial: $2,430.96
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-Mut Defined — Blue Cross Blue Shield of IL: $2,430.96
  • BLUECROSS BLUESHIELD OF ILLINOIS - Commercial-PPO — Blue Cross Blue Shield of IL: $2,430.96
  • UNITED HEALTHCAR - Commercial-Mut Defined — Other Commercial: $1,770
  • UNITED HEALTHCAR - Commercial-PPO — Other Commercial: $1,770
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United HealthCare: $1,770
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United HealthCare: $1,770
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United HealthCare: $1,770
  • UNITED HEALTHCARE SERVICESINC. - Commercial-POS — Other Commercial: $1,770

Source: Jersey Community Hospital’s standard charges file (hospitalpricetransparencyfiles.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 10, 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 typeAcute Care Hospital
Address400 Maple Summit Road, Jerseyville, IL 62052
CountyJersey County
StateIllinois
Phone(618) 498‑6402
Emergency servicesYes
OwnershipGovernment - Local
Medicare overall rating3 of 5 stars
CMS Certification Number140059
Name in Medicare recordsJERSEY COMMUNITY HOSPITAL
Profile levelMedicare data + hospital website
Official websitejch.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. JCH HealthCare — jch.org
  2. Emergency Department — jch.org
  3. Heart Center — jch.org
  4. Imaging Center - Jersey Community Hospital — jch.org
  5. Phone Directory - Jersey Community Hospital — jch.org
  6. Women's Health - Jersey Community Hospital — jch.org
  7. Classes - Jersey Community Hospital — jch.org
  8. EMS System - Jersey Community Hospital — jch.org
  9. Locations - Jersey Community Hospital — jch.org