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Acute Care Hospital

Memorial Hospital

Belleville, Illinois · St. Clair County · Emergency services listed

Memorial Hospital is an acute care hospital at 4500 Memorial Drive, Belleville, IL 62226. Phone: (618) 233-7750. It has an emergency department. Medicare overall rating: 5 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Memorial Hospital is an acute care hospital in Belleville, Illinois. Medicare data lists emergency services. CMS overall star rating: 5 of 5 stars. Its official website lists 35 services, specialties and programs. Medicare lists 1,162 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

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

Compare

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
5 of 5 stars5 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
35Services listed

Quick answers

Does Memorial Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Memorial Hospital. In a medical emergency, call 911.
Where is Memorial Hospital?
4500 Memorial Drive, Belleville, IL 62226, in St. Clair County, Illinois.
What is the phone number of Memorial Hospital?
(618) 233-7750, as listed by Medicare (CMS).
What is the Medicare star rating of Memorial Hospital?
5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Memorial Hospital for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Memorial Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.3753; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4]

Conditions treated[4]

  • Chronic or non-healing wounds

Treatments[4]

Procedures[4]

  • Dialysis access and vascular surgery

Programs and centers[4]

  • Pediatric emergency unit with WashU Medicine physicians
  • Orthopedic and Neurosciences Center rehabilitation program
  • Center for Advanced Wound Healing (managed by Healogics, Inc.)
  • MetroEast Dialysis Access Center

Emergency care (hospital website)[4]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

ParkingFree parking for patients and visitors near all main entrances[6]
Interpreters and languagesFree language services: in-person, video remote and phone medical interpreters, available 24/7[6]

Recognition[4]

  • Magnet designation

Doctors and clinicians (1,162)

1,162 doctors and other clinicians list Memorial 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 (1,162)

And 1,138 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Belleville

Hospitals in St. Clair County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

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

Assisted living nearby

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

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 Memorial 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) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment4 of 5 stars
Care Coordination4 of 5 stars
Symptoms After Stay3 of 5 stars
Rated the hospital 9 or 10 out of 1072%National average: 72%
Would definitely recommend the hospital77%National average: 71%
Nurses “always” communicated well80%National average: 80%
Doctors “always” communicated well79%National average: 80%
“Always” got help as soon as they wanted62%National average: 64%
Staff “always” explained medicines before giving them62%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean69%National average: 73%
Completed surveys2,396Response rate: 30%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.399No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.667No different from the national benchmark
Surgical site infections after colon surgery1.316No different from the national benchmark
MRSA bloodstream infections0.276No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.384Better than the national benchmark
Not reported to MedicareSurgical site infections after abdominal hysterectomy

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

Complications and deaths

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

Deaths within 30 days: heart attack patients9.9%
Deaths within 30 days: heart failure patients9%
Deaths within 30 days: pneumonia patients12.4%
Deaths within 30 days: COPD patients7.5%
Deaths within 30 days: stroke patients9.7%
Deaths within 30 days: coronary bypass surgery (CABG)1.9%
Serious complications (patient safety indicator PSI-90)0.6Better than the national rate
Complications after hip or knee replacement3.3%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)16.3%
Readmitted within 30 days: heart attack15.7%
Readmitted within 30 days: heart failure22.7%
Readmitted within 30 days: pneumonia18.1%
Readmitted within 30 days: COPD20.9%
Readmitted within 30 days: coronary bypass surgery13.8%
Readmitted within 30 days: hip or knee replacement6.8%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)196 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)5%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)59%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

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

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-0.3753Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Heart attack1.0557More readmissions than expected
Heart failure0.9858Fewer readmissions than expected
Pneumonia1.0045More readmissions than expected
COPD (chronic lung disease)0.9722Fewer readmissions than expected
Hip or knee replacement1.0539More readmissions than expected
Coronary bypass surgery (CABG)1.0754More readmissions than expected

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

Hospital Value-Based Purchasing Program

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

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

Total Performance Score42.00 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)63.33 out of 100
Person and community engagement (patient survey)58.00 out of 100
Safety (infections and sepsis care)36.67 out of 100
Efficiency and cost reduction (Medicare spending)10.00 out of 100

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio0.96Below the national median hospital (1.00): Medicare spent less

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

ER wait times and Medicare ratings nearby

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

Prices

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

Show the prices of 51 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ED Level 3 Limited $2,674 $1,604.40 $273.42 – $2,674
Emergency room visit (moderate): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $1,604.40
  • AETNA [200] — BJC HB AETNA NATIONAL: $1,986.78
  • AETNA [200] — BJC HB FIRST HEALTH: $1,986.78
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $2,005.50
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $273.42
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $273.42
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $1,604.40
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $1,986.78
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $1,550.92
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $1,553.59
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ED Level 3 Limited+Proc $2,674 $1,604.40 $273.42 – $2,674
Emergency room visit (moderate): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $1,604.40
  • AETNA [200] — BJC HB AETNA NATIONAL: $1,986.78
  • AETNA [200] — BJC HB FIRST HEALTH: $1,986.78
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $2,005.50
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $273.42
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $273.42
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $1,604.40
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $1,986.78
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $1,550.92
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $1,553.59
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ED Level 4 Intermed $3,765 $2,259 $469.04 – $3,275.55
Emergency room visit (moderately high): 10 of 35 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,259
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,259
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $2,183.70
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $2,187.47
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $2,586.56
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $2,556.44
  • BCBS OOS [607] — BJC HB ANTHEM TRADITIONAL: $3,275.55
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS COMMUNITY: $2,586.56
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ALLIANCE EPO: $3,200.25
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE COMMUNITY: $2,556.44
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ED Level 4 Intermedate+Proc $3,765 $2,259 $469.04 – $3,275.55
Emergency room visit (moderately high): 10 of 35 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,259
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,259
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $2,183.70
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $2,187.47
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $2,586.56
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $2,556.44
  • BCBS OOS [607] — BJC HB ANTHEM TRADITIONAL: $3,275.55
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS COMMUNITY: $2,586.56
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ALLIANCE EPO: $3,200.25
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE COMMUNITY: $2,556.44
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ED Level 5 Extended $5,551 $3,330.60 $596.49 – $5,551
Emergency room visit (high): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $3,330.60
  • AETNA [200] — BJC HB AETNA NATIONAL: $4,124.39
  • AETNA [200] — BJC HB FIRST HEALTH: $4,124.39
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $4,163.25
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $596.49
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $596.49
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $3,330.60
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $4,124.39
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $3,219.58
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $3,225.13
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ED Level 5 Extended+Proc $5,551 $3,330.60 $596.49 – $5,551
Emergency room visit (high): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $3,330.60
  • AETNA [200] — BJC HB AETNA NATIONAL: $4,124.39
  • AETNA [200] — BJC HB FIRST HEALTH: $4,124.39
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $4,163.25
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $596.49
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $596.49
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $3,330.60
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $4,124.39
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $3,219.58
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $3,225.13

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC Basic Metabolic Panel $261 $156.60 $8.46 – $261
Basic metabolic panel (blood test): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $14.64
  • AETNA [200] — BJC HB AETNA NATIONAL: $193.92
  • AETNA [200] — BJC HB FIRST HEALTH: $193.92
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $195.75
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $8.46
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $8.46
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $14.64
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $193.92
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $151.38
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $18.10
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC Comp Metabolic Panel $359 $215.40 $10.56 – $359
Comprehensive metabolic panel (blood test): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $18.27
  • AETNA [200] — BJC HB AETNA NATIONAL: $266.74
  • AETNA [200] — BJC HB FIRST HEALTH: $266.74
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $269.25
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $10.56
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $10.56
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $18.27
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $266.74
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $208.22
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $22.58
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: HC Obstetric Panel $337 $202.20 $47.81 – $341.04
Obstetric blood test panel: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $82.71
  • AETNA [200] — BJC HB AETNA NATIONAL: $250.39
  • AETNA [200] — BJC HB FIRST HEALTH: $250.39
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $252.75
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $47.81
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $47.81
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $82.71
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $250.39
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $195.46
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $102.28
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC Lipid Panel $95 $57 $13.39 – $181.83
Cholesterol panel (lipid panel): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $23.16
  • AETNA [200] — BJC HB AETNA NATIONAL: $70.59
  • AETNA [200] — BJC HB FIRST HEALTH: $70.59
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $71.25
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $13.39
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $13.39
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $23.16
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $70.59
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $55.10
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $28.63
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC Renal Function Panel $313 $187.80 $8.68 – $313
Kidney function panel: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $15.02
  • AETNA [200] — BJC HB AETNA NATIONAL: $232.56
  • AETNA [200] — BJC HB FIRST HEALTH: $232.56
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $234.75
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $8.68
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $8.68
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $15.02
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $232.56
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $181.54
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $18.56
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC Hepatic Function Panel $88 $52.80 $8.17 – $242.73
Liver function panel: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $14.13
  • AETNA [200] — BJC HB AETNA NATIONAL: $65.38
  • AETNA [200] — BJC HB FIRST HEALTH: $65.38
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $66
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $8.17
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $8.17
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $14.13
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $65.38
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $51.04
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $17.48
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC Urinalysis Auto W Micro $42 $25.20 $3.17 – $46.11
Urine test (automated, with microscope): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $5.48
  • AETNA [200] — BJC HB AETNA NATIONAL: $31.21
  • AETNA [200] — BJC HB FIRST HEALTH: $31.21
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $31.50
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $3.17
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $3.17
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $5.48
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $31.21
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $24.36
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $6.78
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC Urinalysis Auto W Micro|UNUSUAL NON-OVERLAPPING SERVICE $42 $25.20 $11.77 – $24.99
Urine test (automated, with microscope): rates for 1 insurance plan
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $24.99
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC Urinalysis Nonaut WO MCR $41 $24.60 $3.48 – $41
Urine test (manual, without microscope): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $6.02
  • AETNA [200] — BJC HB AETNA NATIONAL: $30.46
  • AETNA [200] — BJC HB FIRST HEALTH: $30.46
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $30.75
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $3.48
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $3.48
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $6.02
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $30.46
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $23.78
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $7.44
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Urinalysis Auto WO Micro $26 $15.60 $2.25 – $34.80
Urine test (automated, without microscope): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $3.89
  • AETNA [200] — BJC HB AETNA NATIONAL: $19.32
  • AETNA [200] — BJC HB FIRST HEALTH: $19.32
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $19.50
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $2.25
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $2.25
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $3.89
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $19.32
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $15.08
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $4.80
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC Prostat Spec Ag Tot Diag $128 $76.80 $18.39 – $201.84
PSA (prostate specific antigen) blood test: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $31.81
  • AETNA [200] — BJC HB AETNA NATIONAL: $95.10
  • AETNA [200] — BJC HB FIRST HEALTH: $95.10
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $96
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $18.39
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $18.39
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $31.81
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $95.10
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $74.24
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $39.33
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC Thyroid Stim Hormone $110 $66 $16.80 – $212.28
Thyroid stimulating hormone (TSH) test: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $29.06
  • AETNA [200] — BJC HB AETNA NATIONAL: $81.73
  • AETNA [200] — BJC HB FIRST HEALTH: $81.73
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $82.50
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $16.80
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $16.80
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $29.06
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $81.73
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $63.80
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $35.94
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC Cbc Auto W Auto Diff $154 $92.40 $7.77 – $154
Complete blood count (CBC) with differential: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $13.44
  • AETNA [200] — BJC HB AETNA NATIONAL: $114.42
  • AETNA [200] — BJC HB FIRST HEALTH: $114.42
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $115.50
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $7.77
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $7.77
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $13.44
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $114.42
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $89.32
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $16.62
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC Cbc Auto W Auto Diff|UNUSUAL NON-OVERLAPPING SERVICE $154 $92.40 $18.38 – $93.20
Complete blood count (CBC) with differential: rates for 1 insurance plan
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $91.63
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC Cbc Auto WO Auto Diff $100 $60 $6.47 – $126.15
Complete blood count (CBC), automated: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $11.19
  • AETNA [200] — BJC HB AETNA NATIONAL: $74.30
  • AETNA [200] — BJC HB FIRST HEALTH: $74.30
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $75
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $6.47
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $6.47
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $11.19
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $74.30
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $58
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $13.86
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Prothrombin Time $29 $17.40 $4.29 – $33.06
Blood clotting time test (prothrombin time, PT): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $7.42
  • AETNA [200] — BJC HB AETNA NATIONAL: $21.55
  • AETNA [200] — BJC HB FIRST HEALTH: $21.55
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $21.75
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $4.29
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $4.29
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $7.42
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $21.55
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $16.82
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $9.18
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Prothrombin Tm-Ptt No Mix $29 $17.40 $4.29 – $29
Blood clotting time test (prothrombin time, PT): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $7.42
  • AETNA [200] — BJC HB AETNA NATIONAL: $21.55
  • AETNA [200] — BJC HB FIRST HEALTH: $21.55
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $21.75
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $4.29
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $4.29
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $7.42
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $21.55
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $16.82
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $9.18
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Thrombplastin Time Prtl $132 $79.20 $6.01 – $132
Blood clotting test (partial thromboplastin time, PTT): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $10.40
  • AETNA [200] — BJC HB AETNA NATIONAL: $98.08
  • AETNA [200] — BJC HB FIRST HEALTH: $98.08
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $99
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $6.01
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $6.01
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $10.40
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $98.08
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $76.56
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $12.87

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT Head/Brain W/O Cont $1,433 $859.80 $104.71 – $1,725
CT scan of the head or brain, without contrast: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $505.83
  • AETNA [200] — BJC HB AETNA NATIONAL: $1,064.72
  • AETNA [200] — BJC HB FIRST HEALTH: $1,064.72
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $1,074.75
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $104.71
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $104.71
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $505.83
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $1,064.72
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $831.14
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $916
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT Head/Brain W/O Cont|UNUSUAL NON-OVERLAPPING SERVICE $1,433 $859.80 $852.63 – $872.27
CT scan of the head or brain, without contrast: rates for 1 insurance plan
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $852.64
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MRI Brain/Stem W/WO Cont $3,367 $2,020.20 $349.44 – $4,092.48
MRI of the brain, before and after contrast: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $1,596.86
  • AETNA [200] — BJC HB AETNA NATIONAL: $2,501.68
  • AETNA [200] — BJC HB FIRST HEALTH: $2,501.68
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $2,525.25
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $349.44
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $349.44
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $1,596.86
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $2,501.68
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $1,952.86
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $989
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MRI Brain/Stem W/WO Cont|REDUCED SERVICES $3,367 $2,020.20 $349.44 – $2,003.37
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $349.44
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $349.44
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $349.44
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $349.44
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $349.44
  • BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $349.44
  • COX HEALTH [757] — BJC HB MEDICARE COXHEALTH BSP: $366.91
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $2,003.37
  • DEVOTED HEALTH PLAN [847] — BJC HB MEDICARE DEVOTED BSP: $366.91
  • ESSENCE HEALTHCARE [221] — BJC HB MEDICARE ESSENCE BSP: $349.44
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC Xray Chest 2 Views $457 $274.20 $43.02 – $479.37
Chest X-ray, 2 views: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $76.22
  • AETNA [200] — BJC HB AETNA NATIONAL: $339.55
  • AETNA [200] — BJC HB FIRST HEALTH: $339.55
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $342.75
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $87.17
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $87.17
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $76.22
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $339.55
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $265.06
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $80.73
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC Xray Chest 2 Views|TECHNICAL COMPONENT $457 $274.20 $52.24
Chest X-ray, 2 views: rates for 5 insurance plans
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $52.24
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $52.24
  • CORESOURCE [497] — BJC HB AETNA COMMERCIAL COMMUNITY: $52.24
  • FMH BENEFIT SERVICE INC [222] — BJC HB AETNA COMMERCIAL COMMUNITY: $52.24
  • MAIL HANDLERS [495] — BJC HB AETNA COMMERCIAL COMMUNITY: $52.24
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC Xray Chest 2 Views|UNUSUAL NON-OVERLAPPING SERVICE $457 $274.20 $42.11 – $359.80
Chest X-ray, 2 views: rates for 1 insurance plan
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $271.92
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC Spine Lumbar Min 4 Views $527 $316.20 $72.35 – $801.27
X-ray of the lower spine, at least 4 views: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $117.39
  • AETNA [200] — BJC HB AETNA NATIONAL: $391.56
  • AETNA [200] — BJC HB FIRST HEALTH: $391.56
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $395.25
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $104.71
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $104.71
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $117.39
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $391.56
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $305.66
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $136.11
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MRI Lumbar Spn W/O Cont $2,371 $1,422.60 $238.99 – $3,826.26
MRI of the lower back (lumbar spine), without contrast: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $957.97
  • AETNA [200] — BJC HB AETNA NATIONAL: $1,761.65
  • AETNA [200] — BJC HB FIRST HEALTH: $1,761.65
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $1,778.25
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $238.99
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $238.99
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $957.97
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $1,761.65
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $1,375.18
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $989
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MRI Lumbar Spn W/O Cont|REDUCED SERVICES $2,371 $1,422.60 $238.99 – $1,410.74
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $238.99
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $238.99
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $238.99
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $238.99
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $238.99
  • BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $238.99
  • COX HEALTH [757] — BJC HB MEDICARE COXHEALTH BSP: $250.94
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $1,410.75
  • DEVOTED HEALTH PLAN [847] — BJC HB MEDICARE DEVOTED BSP: $250.94
  • ESSENCE HEALTHCARE [221] — BJC HB MEDICARE ESSENCE BSP: $238.99
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT Pelvis With Contrast $1,540 $924 $175.68 – $1,944.45
CT scan of the pelvis, with contrast: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $1,068.63
  • AETNA [200] — BJC HB AETNA NATIONAL: $1,144.22
  • AETNA [200] — BJC HB FIRST HEALTH: $1,144.22
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $1,155
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $175.68
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $175.68
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $1,068.63
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $1,144.22
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $893.20
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $916
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MR Lo Ext Any Jnt WO Con $2,390 $1,434 $267.88 – $2,742.24
MRI of a leg joint (such as the knee), without contrast: 10 of 59 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $1,016.99
  • AETNA [200] — BJC HB AETNA NATIONAL: $1,775.77
  • AETNA [200] — BJC HB FIRST HEALTH: $1,775.77
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $1,792.50
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $1,016.99
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $1,775.77
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $1,386.20
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $989
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $285.81
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $284.03
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MR Lo Ext Any Jnt WO Con|REDUCED SERVICES|RIGHT SIDE $2,390 $1,434 $1,314.50 – $2,390
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $1,314.50
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $1,553.50
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $1,422.05
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MR Lo Ext Any Jnt WO Con|RIGHT SIDE $2,390 $1,434 $1,314.50 – $2,390
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $1,314.50
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $1,553.50
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $1,314.50
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT Abd & Pelvis W/Con $4,732 $2,839.20 $349.44 – $4,732
CT scan of the abdomen and pelvis, with contrast: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $1,425.61
  • AETNA [200] — BJC HB AETNA NATIONAL: $3,515.88
  • AETNA [200] — BJC HB FIRST HEALTH: $3,515.88
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $3,549
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $349.44
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $349.44
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $1,425.61
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $3,515.88
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $2,744.56
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $916
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC Sono Abdominal Complete $955 $573 $104.71 – $1,479
Ultrasound of the abdomen, complete: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $261.31
  • AETNA [200] — BJC HB AETNA NATIONAL: $709.57
  • AETNA [200] — BJC HB FIRST HEALTH: $709.57
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $716.25
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $104.71
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $104.71
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $261.31
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $709.57
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $553.90
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $267.59
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC Sono Abdominal Complete|UNUSUAL NON-OVERLAPPING SERVICE $955 $573 $149.12 – $568.23
Ultrasound of the abdomen, complete: rates for 1 insurance plan
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $568.23
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC Sono OB >=14 Wks 1gest $1,056 $633.60 $104.71 – $1,305.87
Pregnancy ultrasound (after the first trimester): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $303.74
  • AETNA [200] — BJC HB AETNA NATIONAL: $784.61
  • AETNA [200] — BJC HB FIRST HEALTH: $784.61
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $792
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $104.71
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $104.71
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $303.74
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $784.61
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $612.48
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $301.04
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC Sonography, Transvaginal $641 $384.60 $104.71 – $1,008.33
Transvaginal ultrasound: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $266.03
  • AETNA [200] — BJC HB AETNA NATIONAL: $476.26
  • AETNA [200] — BJC HB FIRST HEALTH: $476.26
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $480.75
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $104.71
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $104.71
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $266.03
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $476.26
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $371.78
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $294.12
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC Diagnostic Mamm Uni With Cad|BILATERAL PROCEDURE|RIGHT SIDE $660 $396 $163.47 – $660
Diagnostic mammogram, one breast: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $284.42
  • AETNA [200] — BJC HB AETNA NATIONAL: $490.38
  • AETNA [200] — BJC HB FIRST HEALTH: $490.38
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $495
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $164.10
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $164.10
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $284.42
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $490.38
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $382.80
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $303.36
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC Diagnostic Mamm Uni With Cad|BILATERAL PROCEDURE|LEFT SIDE $660 $396 $163.47 – $660
Diagnostic mammogram, one breast: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $284.42
  • AETNA [200] — BJC HB AETNA NATIONAL: $490.38
  • AETNA [200] — BJC HB FIRST HEALTH: $490.38
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $495
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $164.10
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $164.10
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $284.42
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $490.38
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $382.80
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $303.36
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC Diag Mamm Unilat Ddi|BILATERAL PROCEDURE|RIGHT SIDE $660 $396 $163.47 – $660
Diagnostic mammogram, one breast: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $284.42
  • AETNA [200] — BJC HB AETNA NATIONAL: $490.38
  • AETNA [200] — BJC HB FIRST HEALTH: $490.38
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $495
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $164.10
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $164.10
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $284.42
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $490.38
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $382.80
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $303.36
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HC Diagnostic Mamm Bi With Cad $488 $292.80 $102.44 – $578.55
Diagnostic mammogram, both breasts: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $358.24
  • AETNA [200] — BJC HB AETNA NATIONAL: $362.58
  • AETNA [200] — BJC HB FIRST HEALTH: $362.58
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $366
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $105.28
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $105.28
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $358.24
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $362.58
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $283.04
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $386.41
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HC Diag Mamm Bilat Ddi $488 $292.80 $105.28 – $488
Diagnostic mammogram, both breasts: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $358.24
  • AETNA [200] — BJC HB AETNA NATIONAL: $362.58
  • AETNA [200] — BJC HB FIRST HEALTH: $362.58
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $366
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $105.28
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $105.28
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $358.24
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $362.58
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $283.04
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $386.41
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC Screening Mamm Bi With Cad $349 $209.40 $84.26 – $397.59
Screening mammogram, both breasts: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $290.16
  • AETNA [200] — BJC HB AETNA NATIONAL: $259.31
  • AETNA [200] — BJC HB FIRST HEALTH: $259.31
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $261.75
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $86.82
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $86.82
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $290.16
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $259.31
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $202.42
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $319.51
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC Screen Mamm Bilat Ddi $349 $209.40 $86.82 – $349
Screening mammogram, both breasts: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $290.16
  • AETNA [200] — BJC HB AETNA NATIONAL: $259.31
  • AETNA [200] — BJC HB FIRST HEALTH: $259.31
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $261.75
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $86.82
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $86.82
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $290.16
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $259.31
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $202.42
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $319.51
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC Screening Mamm Bi With Cad|REDUCED SERVICES|LEFT SIDE $349 $209.40 $8.68 – $86.82
Screening mammogram, both breasts: 10 of 13 insurance plan rates
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $43.41
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $43.41
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $46.01
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $46.01
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $46.01
  • BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $46.01
  • COX HEALTH [757] — BJC HB MEDICARE COXHEALTH BSP: $44.24
  • DEVOTED HEALTH PLAN [847] — BJC HB MEDICARE DEVOTED BSP: $44.24
  • ESSENCE HEALTHCARE [221] — BJC HB MEDICARE ESSENCE BSP: $44.71
  • HUMANA MEDICARE [228] — BJC HB MEDICARE HUMANA BSP: $44.15

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: HC Left Heart Cath W/Vent $11,910 $7,146 $5,359.50 – $10,361.70
Left heart catheterization (diagnostic): 10 of 24 insurance plan rates
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $6,907.80
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $7,872.51
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $7,777.23
  • BCBS OOS [607] — BJC HB ANTHEM TRADITIONAL: $10,361.70
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS COMMUNITY: $7,872.51
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE COMMUNITY: $7,777.23
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM TRADITIONAL: $10,361.70
  • BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS COMMUNITY: $7,872.51
  • BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE COMMUNITY: $7,777.23
  • BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM TRADITIONAL: $10,361.70
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC Poly >6yr W 4+ Para $7,722 $4,633.20 $860.13 – $7,722
Sleep study (overnight, in a sleep lab): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $4,378.37
  • AETNA [200] — BJC HB AETNA NATIONAL: $5,737.45
  • AETNA [200] — BJC HB FIRST HEALTH: $5,737.45
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $5,791.50
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $860.13
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $860.13
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $4,378.37
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $5,737.45
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $4,478.76
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $4,409.26
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC Polysomnography 4+ Para (<6hr) $5,792 $3,475.20 $860.13 – $5,792
Sleep study (overnight, in a sleep lab): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $3,284.06
  • AETNA [200] — BJC HB AETNA NATIONAL: $4,303.46
  • AETNA [200] — BJC HB FIRST HEALTH: $4,303.46
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $4,344
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $860.13
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $860.13
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $3,284.06
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $4,303.46
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $3,359.36
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $3,307.23
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC Poly >6yr W 4+ Para|REDUCED SERVICES $7,722 $4,633.20 $860.13 – $966.25
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $860.13
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $860.13
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $860.13
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $860.13
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $860.13
  • BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $860.13
  • COX HEALTH [757] — BJC HB MEDICARE COXHEALTH BSP: $903.13
  • DEVOTED HEALTH PLAN [847] — BJC HB MEDICARE DEVOTED BSP: $903.13
  • ESSENCE HEALTHCARE [221] — BJC HB MEDICARE ESSENCE BSP: $860.13
  • HUMANA MEDICARE [228] — BJC HB MEDICARE HUMANA BSP: $860.13

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Ot Theraptc Proc-Ea 15mn $151 $90.60 $27.90 – $332
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $332
  • AETNA [200] — BJC HB AETNA NATIONAL: $112.19
  • AETNA [200] — BJC HB FIRST HEALTH: $112.19
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $113.25
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $28.12
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $28.12
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $332
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $112.19
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $87.58
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $328
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Pt Theraptc Proc-Ea 15mn $151 $90.60 $27.90 – $332
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $332
  • AETNA [200] — BJC HB AETNA NATIONAL: $112.19
  • AETNA [200] — BJC HB FIRST HEALTH: $112.19
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $113.25
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $28.12
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $28.12
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $332
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $112.19
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $87.58
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $328
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Ot Theraptc Proc-Ea 15mn|OP PT SERVICES|OP PT BY PT ASSISTANT $151 $90.60 $27.90 – $141.70
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $28.12
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $28.12
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $28.12
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $28.12
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $28.12
  • BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $28.12
  • COX HEALTH [757] — BJC HB MEDICARE COXHEALTH BSP: $27.90
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $83.05
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $98.15
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $83.05
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC Pt Eval Low Complexity $236 $141.60 $56.32 – $332
Physical therapy evaluation (low complexity): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $332
  • AETNA [200] — BJC HB AETNA NATIONAL: $175.35
  • AETNA [200] — BJC HB FIRST HEALTH: $175.35
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $177
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $95.75
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $95.75
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $332
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $175.35
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $136.88
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $328
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC Pt Eval Low Complexity|OP PT SERVICES|OP PT BY PT ASSISTANT $236 $141.60 $95.18 – $166.40
Physical therapy evaluation (low complexity): 10 of 14 insurance plan rates
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $95.75
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $95.75
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $95.75
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $95.75
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $95.75
  • BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $95.75
  • COX HEALTH [757] — BJC HB MEDICARE COXHEALTH BSP: $95.18
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $129.80
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $153.40
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $129.80
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC Pt Eval Low Complexity|OP PT SERVICES|OP PT BY PT ASSISTANT|DOCUMENTATION ON FILE $236 $141.60 $95.18 – $153.40
Physical therapy evaluation (low complexity): 10 of 14 insurance plan rates
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $95.75
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $95.75
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $95.75
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $95.75
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $95.75
  • BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $95.75
  • COX HEALTH [757] — BJC HB MEDICARE COXHEALTH BSP: $95.18
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $129.80
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $153.40
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $129.80
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC Pt Eval Mod Complexity $271 $162.60 $66.66 – $332
Physical therapy evaluation (moderate complexity): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $332
  • AETNA [200] — BJC HB AETNA NATIONAL: $201.35
  • AETNA [200] — BJC HB FIRST HEALTH: $201.35
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $203.25
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $95.75
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $95.75
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $332
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $201.35
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $157.18
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $328
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC Pt Eval Mod Complexity|OP PT SERVICES|OP PT BY PT ASSISTANT $271 $162.60 $95.18 – $224.22
Physical therapy evaluation (moderate complexity): 10 of 14 insurance plan rates
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $95.75
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $95.75
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $95.75
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $95.75
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $95.75
  • BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $95.75
  • COX HEALTH [757] — BJC HB MEDICARE COXHEALTH BSP: $95.18
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH ACA: $176.15
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK: $200.54
  • COX HEALTH SYSTEMS INSURANCE COMPANY [220] — BJC HB COX HEALTH NETWORK EPO: $188.35
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC Pt Eval High Complexity $307 $184.20 $79.86 – $332
Physical therapy evaluation (high complexity): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $332
  • AETNA [200] — BJC HB AETNA NATIONAL: $228.10
  • AETNA [200] — BJC HB FIRST HEALTH: $228.10
  • AETNA [200] — BJC HB GROUP HEALTH PLAN PPO SELECT: $230.25
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $95.75
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $95.75
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $332
  • ALLIED BENEFITS [498] — BJC HB FIRST HEALTH: $228.10
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $178.06
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $328
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC Pt Eval High Complexity|OP PT SERVICES|OP PT BY PT ASSISTANT $307 $184.20 $95.18 – $100.54
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $95.75
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $95.75
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $95.75
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $95.75
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $95.75
  • BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $95.75
  • COX HEALTH [757] — BJC HB MEDICARE COXHEALTH BSP: $95.18
  • DEVOTED HEALTH PLAN [847] — BJC HB MEDICARE DEVOTED BSP: $100.54
  • ESSENCE HEALTHCARE [221] — BJC HB MEDICARE ESSENCE BSP: $95.75
  • MEDICA [662] — BJC HB MEDICARE WELLFIRST BSP: $95.18

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy Transoral Diagnostic $2,065.05 $1,239.03 $526.34 – $4,876.13
Upper GI endoscopy (diagnostic): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $908.45
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $908.45
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $2,769
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $908.45
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $908.45
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $908.45
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $1,941
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $1,607
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: HC Egd Endoscopy $1,980 $1,188 $497.20 – $6,771
Upper GI endoscopy (diagnostic): 10 of 29 insurance plan rates
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $1,148.40
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $6,771
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $1,941
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $1,607
  • BCBS OOS [607] — BJC HB ANTHEM TRADITIONAL: $1,722.60
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS COMMUNITY: $1,941
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE COMMUNITY: $1,607
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM TRADITIONAL: $1,722.60
  • BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS COMMUNITY: $1,941
  • BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE COMMUNITY: $1,607
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd Transoral Biopsy Single/Multiple|DISTINCT PROCEDURAL SERVICE $12,175.71 $7,305.43 $1,039.03 – $12,175.71
Upper GI endoscopy with biopsy: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $1,922.01
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $1,922.01
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $2,769
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,922.01
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,922.01
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,922.01
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $1,941
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $1,607
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd Transoral Biopsy Single/Multiple|CLRCTAL SCREEN TO DIAGN $5,250.81 $3,150.49 $908.45 – $7,209.87
Upper GI endoscopy with biopsy: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $908.45
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $908.45
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $2,769
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $908.45
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $908.45
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $908.45
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $1,941
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $1,607
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd Transoral Biopsy Single/Multiple|SEPARATE STRUCTURE $5,699.71 $3,419.83 $908.45 – $9,931.58
Upper GI endoscopy with biopsy: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $1,922.01
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $1,922.01
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $2,769
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,922.01
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,922.01
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,922.01
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $1,941
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $1,607
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd $5,331.46 $3,198.88 $258 – $8,622.23
Colonoscopy (diagnostic): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $931.46
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $931.46
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $2,769
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $931.46
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $931.46
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $931.46
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $1,941
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $1,607
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd|CLRCTAL SCREEN TO DIAGN $2,225.20 $1,335.12 $931.46 – $6,255.04
Colonoscopy (diagnostic): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $931.46
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $931.46
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $2,769
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $931.46
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $931.46
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $931.46
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $1,941
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $1,607
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd|CLRCTAL SCREEN TO DIAGN|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDU $2,223.45 $1,334.07 $931.46 – $2,769
Colonoscopy (diagnostic): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $931.46
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $931.46
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $2,769
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $931.46
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $931.46
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $931.46
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $1,941
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $1,607
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy W/Biopsy Single/Multiple|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF ANE $2,736.09 $1,641.65 $1,198.57 – $5,117.74
Colonoscopy with biopsy: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $1,198.57
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $1,198.57
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $2,769
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,198.57
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,198.57
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,198.57
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $1,941
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $1,607
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy W/Biopsy Single/Multiple|CLRCTAL SCREEN TO DIAGN $2,807.52 $1,684.51 $702.37 – $9,309.14
Colonoscopy with biopsy: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $1,198.57
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $1,198.57
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $2,769
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,198.57
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,198.57
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,198.57
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $1,941
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $1,607
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy W/Biopsy Single/Multiple|CLRCTAL SCREEN TO DIAGN|DISTINCT PROCEDURAL SERVICE $4,844.66 $2,906.80 $1,198.57 – $6,579.01
Colonoscopy with biopsy: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $1,198.57
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $1,198.57
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $2,769
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,198.57
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,198.57
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,198.57
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $1,941
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $1,607
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq|UNUSUAL NON-OVERLAPPING SERVICE|CLRCTAL SCREEN TO DIAGN $7,945.56 $4,767.34 $1,198.57 – $8,339.61
Colonoscopy with removal of polyps (snare): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $5,685
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $1,198.57
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $1,198.57
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $5,685
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $2,769
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,198.57
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,198.57
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,198.57
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $1,941
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $1,607
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq|PREVENTATIVE SERVICES $5,912.09 $3,547.25 $1,198.57 – $9,127.09
Colonoscopy with removal of polyps (snare): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $1,198.57
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $1,198.57
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $2,769
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,198.57
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,198.57
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,198.57
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $1,941
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $1,607
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRA $3,349.25 $2,009.55 $1,198.57 – $21,818.96
Colonoscopy with removal of polyps (snare): 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $1,198.57
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $1,198.57
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $2,281
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $2,769
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,198.57
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,198.57
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $1,198.57
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $1,941
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $1,607
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible|BILATERAL PROCEDURE $26,016.71 $15,610.03 $4,697 – $45,828.22
Groin (inguinal) hernia repair, age 5 or older: 10 of 60 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $9,085
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $9,085
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $10,962
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $7,630
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $5,558
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS COMMUNITY: $7,630
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE COMMUNITY: $5,558
  • BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS COMMUNITY: $7,630
  • BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE COMMUNITY: $5,558
  • CIGNA [202] — BJC HB CIGNA HMO/PPO COMMUNITY: $10,962
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible $18,783.38 $11,270.03 $3,911 – $20,346.11
Groin (inguinal) hernia repair, age 5 or older: 10 of 59 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $9,085
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $9,085
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $10,962
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $7,630
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $5,558
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS COMMUNITY: $7,630
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE COMMUNITY: $5,558
  • BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS COMMUNITY: $7,630
  • BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE COMMUNITY: $5,558
  • CIGNA [202] — BJC HB CIGNA HMO/PPO COMMUNITY: $10,962
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible|LEFT SIDE $17,021.20 $10,212.72 $3,586.18 – $32,209.12
Groin (inguinal) hernia repair, age 5 or older: 10 of 59 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $9,085
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $9,085
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $10,962
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $7,630
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $5,558
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS COMMUNITY: $7,630
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE COMMUNITY: $5,558
  • BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS COMMUNITY: $7,630
  • BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE COMMUNITY: $5,558
  • CIGNA [202] — BJC HB CIGNA HMO/PPO COMMUNITY: $10,962
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Prostate Needle Biopsy Any Approach $18,267.70 $10,960.62 $359.02 – $23,557.27
Prostate biopsy: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $5,685
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $5,685
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $6,771
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $359.02
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $359.02
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $359.02
  • BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $359.02
  • CIGNA [202] — BJC HB CIGNA HMO/PPO COMMUNITY: $6,771
  • CIGNA [202] — BJC HB CIGNA LOCAL PLUS COMMUNITY: $3,756
  • CIGNA [202] — BJC HB CIGNA SPECIAL COMMUNITY: $6,025
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy Bx Endometrium&/Polypc W/WO D&C $16,518.90 $9,911.34 $3,242.35 – $18,906.28
Hysteroscopy with biopsy of the uterus lining: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $8,463
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $3,242.35
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $3,242.35
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $8,463
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $8,072
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $3,242.35
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $3,242.35
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $3,242.35
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $6,208
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $4,892
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn $5,189.34 $3,113.60 $707.02 – $8,198
Spinal injection, lower back (epidural), with imaging guidance: 10 of 72 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $5,685
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $707.02
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $707.02
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $5,685
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $6,771
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $707.02
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $707.02
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $707.02
  • BLUE CROSS BLUE SHIELD MEDICARE [263] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $707.02
  • CIGNA [202] — BJC HB CIGNA HMO/PPO COMMUNITY: $6,771
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: HC Inj Lumb/Caud W/ Imaging $5,011 $3,006.60 $2,254.95 – $6,771
Spinal injection, lower back (epidural), with imaging guidance: 10 of 29 insurance plan rates
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $2,906.38
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $6,771
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $3,537.77
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $3,187
  • BCBS OOS [607] — BJC HB ANTHEM TRADITIONAL: $4,359.57
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS COMMUNITY: $3,537.77
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE COMMUNITY: $3,187
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM TRADITIONAL: $4,359.57
  • BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS COMMUNITY: $3,537.77
  • BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE COMMUNITY: $3,187
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: HC Epi Inj Lum/Sac W Img $7,677 $4,606.20 $618 – $13,357.98
Nerve root injection, lower back, with imaging guidance: 10 of 29 insurance plan rates
  • ALLIED BENEFITS [498] — BJC HB HOPE TRUST: $4,452.66
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $6,771
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $5,419.96
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $4,882.57
  • BCBS OOS [607] — BJC HB ANTHEM TRADITIONAL: $6,678.99
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM ACCESS COMMUNITY: $5,419.96
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM CHOICE COMMUNITY: $4,882.57
  • BLUE CROSS BLUE SHIELD [205] — BJC HB ANTHEM TRADITIONAL: $6,678.99
  • BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM ACCESS COMMUNITY: $5,419.96
  • BLUE CROSS BLUE SHIELD TRADITIONAL [500] — BJC HB ANTHEM CHOICE COMMUNITY: $4,882.57
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne|RIGHT SIDE $12,804.84 $7,682.90 $1,955.88 – $23,928.36
Carpal tunnel release: 10 of 59 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $5,685
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $5,685
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $6,771
  • CIGNA [202] — BJC HB CIGNA HMO/PPO COMMUNITY: $6,771
  • CIGNA [202] — BJC HB CIGNA LOCAL PLUS COMMUNITY: $3,756
  • CIGNA [202] — BJC HB CIGNA SPECIAL COMMUNITY: $6,025
  • CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE COMMUNITY: $4,587
  • CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E COMMUNITY: $4,587
  • CORESOURCE [497] — BJC HB AETNA COMMERCIAL COMMUNITY: $5,685
  • FMH BENEFIT SERVICE INC [222] — BJC HB AETNA COMMERCIAL COMMUNITY: $5,685
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne|LEFT SIDE $12,917 $7,750.20 $2,164.11 – $24,131.78
Carpal tunnel release: 10 of 59 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $5,685
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $5,685
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $6,771
  • CIGNA [202] — BJC HB CIGNA HMO/PPO COMMUNITY: $6,771
  • CIGNA [202] — BJC HB CIGNA LOCAL PLUS COMMUNITY: $3,756
  • CIGNA [202] — BJC HB CIGNA SPECIAL COMMUNITY: $6,025
  • CONSOCIATE [478] — BJC HB CONSOCIATE CARE COE COMMUNITY: $4,587
  • CONSOCIATE [478] — BJC HB CONSOCIATE CARE D2E COMMUNITY: $4,587
  • CORESOURCE [497] — BJC HB AETNA COMMERCIAL COMMUNITY: $5,685
  • FMH BENEFIT SERVICE INC [222] — BJC HB AETNA COMMERCIAL COMMUNITY: $5,685

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $55,441.67 $33,265 $10,468.75 – $55,747.70
Hip or knee replacement (major joint of the leg), without major complications: 10 of 73 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $24,702
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $13,578.17
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $13,578.17
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $24,702
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $18,710.35
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $13,578.17
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $13,578.17
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $13,578.17
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $32,825.41
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $29,751.08
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC $99,998 $59,998.80 $10,503.84 – $99,998
Neck (cervical) spinal fusion, without complications: 10 of 73 insurance plan rates
  • AETNA [200] — BJC HB AETNA COMMERCIAL COMMUNITY: $46,142
  • AETNA MEDICARE [211] — BJC HB MEDICARE ADVANTRA BSP: $17,185.13
  • AETNA MEDICARE [211] — BJC HB MEDICARE GOLD ADVANTAGE BSP: $17,185.13
  • ALLIED BENEFITS [498] — BJC HB AETNA COMMERCIAL COMMUNITY: $46,142
  • APWU HEALTH PLAN [216] — BJC HB CIGNA HMO/PPO COMMUNITY: $22,068.99
  • BCBS MEDICARE ALT [649] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $17,185.13
  • BCBS MEDICARE OOS [611] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $17,185.13
  • BCBS MEDICARE OOS IL [612] — BJC HB MEDICARE ANTHEM ADVANTAGE BSP: $17,185.13
  • BCBS OOS [607] — BJC HB ANTHEM ACCESS COMMUNITY: $41,831.69
  • BCBS OOS [607] — BJC HB ANTHEM CHOICE COMMUNITY: $30,471.90

Source: Memorial Hospital’s standard charges file (bjc.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on December 15, 2025; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address4500 Memorial Drive, Belleville, IL 62226
CountySt. Clair County
StateIllinois
Phone(618) 233‑7750
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating5 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number140185
Name in Medicare recordsMEMORIAL HOSPITAL
Profile levelMedicare data + hospital website
Official websitebjc.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  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. Memorial Hospital in Belleville - BJC HealthCare — bjc.org
  2. Guest Services-Memorial Hospital in Belleville | BJC — bjc.org