Quick answers
- Does Memorial Medical Center have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at Memorial Medical Center. In a medical emergency, call 911.
- Where is Memorial Medical Center?
- 701 N First St, Springfield, IL 62702, in Sangamon County, Illinois.
- What is the phone number of Memorial Medical Center?
- (217) 788-3000, as listed by Medicare (CMS).
- What is the Medicare star rating of Memorial Medical Center?
- 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
- Does Medicare reduce its payments to Memorial Medical Center for hospital-acquired conditions?
- Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Memorial Medical Center under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.7218; 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]
- Cancer Care
- Heart Care
- Neurological Care
- Orthopedic Care
- Digestive Care
- Lung & Respiratory Care
- Urological Care
- Women's Health
- Maternity Care
- Intensive Care
- Imaging & Radiology
- Emergency Care
- Pain Care
- Palliative Care
- Sleep Care
- Wound Care
- Diabetes Care
- Surgical Services
- Therapy Care
Procedures[4]
- Hernia care
Programs and centers[4]
- Memorial Burn Care
- Memorial Heart and Vascular Services
- Memorial Rehab Services
- Memorial Transplant Services
- Memorial Behavioral Services
- Home hospice
Emergency care (hospital website)[4]
| Emergency room | Yes |
|---|---|
| Open 24/7 | Yes |
| Stroke designation | Comprehensive Stroke Center |
Visiting and practical information
Recognition[4]
- Magnet Recognition with Distinction (2026)
- Comprehensive Stroke Center (The Joint Commission)
Doctors and clinicians (1,227)
1,227 doctors and other clinicians list Memorial Medical Center 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
- Nurse Practitioner314
- Family Practice110
- Internal Medicine108
- Certified Registered Nurse Anesthetist (CRNA)88
- Physician Assistant85
- Emergency Medicine51
- Diagnostic Radiology42
- Obstetrics/Gynecology39
- Orthopedic Surgery26
- Anesthesiology25
- Gastroenterology22
- Psychiatry21
Doctors with a page on this site (1,227)
- Aaron A. Moore, MDUrology
- Aaron Fleming, MDEmergency Medicine
- Aaron Konrad, MDDiagnostic Radiology
- Aaron M. Golitko, DOEmergency Medicine
- Aaron T. Brewer, MDGeneral Surgery
- Abby L. Cunningham, NPNurse Practitioner
- Abdul A. Aadam, MDGastroenterology
- Abdul M. Swied, MDGastroenterology
- Abdul Moiz Hafiz, MDInterventional Cardiology
- Abebech J. Waktola, MDNephrology
- Abhishek K. Kulkarni, MDCardiovascular Disease (Cardiology)
- Abigail Buckholz, MDPsychiatry
- Abigail G. Buoy, MDPsychiatry
- Abigail L. MorganNurse Practitioner
- Abigail M. Cochran, MDPlastic and Reconstructive Surgery
- Abigail M. Crocker, CNACertified Registered Nurse Anesthetist (CRNA)
- Abigail White, MDGeneral Surgery
- Adam C. King, MDDiagnostic Radiology
- Adam J. Reid, MDGeneral Surgery
- Adam M. MagerlCertified Registered Nurse Anesthetist (CRNA)
- Adam W. Berry, MDDermatology
- Adebola Orekoya, MDCardiovascular Disease (Cardiology)
- Adrienne M. Stich, MDInternal Medicine
- Afshan IqbalInfectious Disease
And 1,203 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- St Johns Hospital0.5 mi · Springfield, IL · Acute Care Hospital
- Taylorville Memorial Hospital26 mi · Taylorville, IL · Critical Access Hospital
- Abraham Lincoln Memorial Hospital28 mi · Lincoln, IL · Critical Access Hospital
- Jacksonville Memorial Hospital32 mi · Jacksonville, IL · Critical Access Hospital
- Decatur Memorial Hospital37 mi · Decatur, IL · Acute Care Hospital
Find the closest emergency room to where you are → · Compare ER wait times
Other hospitals near Springfield
- Andrew McFarland Mental Health Center5.6 mi · Springfield, IL · Psychiatric Hospital
All hospitals in Springfield · Hospitals in Sangamon 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
- Arcadia Care on the Hill0.4 mi · Springfield, IL · 1 of 5 stars
- Regency Care1.9 mi · Springfield, IL · 1 of 5 stars
- Avenues at Springfield2.8 mi · Springfield, IL · 2 of 5 stars
All nursing homes in the state →
Hospice providers
- Hands of God Hospice1.3 mi · Springfield, IL
- Elara Caring VII2.9 mi · Springfield, IL · 2 of 5 stars
- Gentiva2.9 mi · Springfield, IL · 3 of 5 stars
All hospice providers in the state →
Home health agencies
- Elara Caring V2.9 mi · Springfield, IL · 4.5 of 5 stars
- Enhabit Home Health3.4 mi · Springfield, IL · 3.5 of 5 stars
- SC Home Health NFP3.4 mi · Springfield, IL · 3 of 5 stars
All home health agencies in the state →
Dialysis facilities
- DaVita Springfield Central Dialysis1.3 mi · Springfield, IL · 1 of 5 stars
- DaVita Springfield Montvale Dialysis2.9 mi · Springfield, IL · 3 of 5 stars
- FMC - RAI - Centre West Springfield2.9 mi · Springfield, IL · 2 of 5 stars
Outpatient surgery centers nearby
Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.
- Orthopaedic Surgery Center of Il2.9 mi · Springfield, IL
- Springfield Clinic LLP3.4 mi · Springfield, IL
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
- SIU Center for Family Medicine - General Internal Medicine Clinic0.2 mi · Springfield, IL · Community health center
- SIU Center for Family Medicine-Springfield0.3 mi · Springfield, IL · Community health center
- SIU Center for Healthy Aging and Wellness0.3 mi · Springfield, IL · Community health center
Clinics and urgent care
- Aurora Medical Supply LLC2.9 mi · Springfield, IL · Urgent care center
- Memorial Physician Services19 mi · Petersburg, IL · Rural health clinic
- Virden Family Health Care22 mi · Virden, IL · Rural health clinic
Pharmacies
- Hook-Superx LLC0.6 mi · Springfield, IL · Pharmacy
- C & D Pharmacy Services Inc1.3 mi · Springfield, IL · Community/retail pharmacy
- Highland Park CVS, L.L.C.1.3 mi · Springfield, IL · Pharmacy
About the Medicare star rating
CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →
Medicare quality data
What Memorial Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey)
What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
| Summary star rating (all survey topics) | 2 of 5 stars |
|---|---|
| Overall rating of the hospital | 3 of 5 stars |
| Would recommend the hospital | 4 of 5 stars |
| Nurses communicated well | 2 of 5 stars |
| Doctors communicated well | 3 of 5 stars |
| Patients got help quickly from staff | 1 of 5 stars |
| Staff explained medicines | 2 of 5 stars |
| Information about recovery at home | 3 of 5 stars |
| Room and bathroom kept clean | 3 of 5 stars |
| Restfulness of Environment | 2 of 5 stars |
| Care Coordination | 2 of 5 stars |
| Symptoms After Stay | 3 of 5 stars |
| Rated the hospital 9 or 10 out of 10 | 65%National average: 72% |
| Would definitely recommend the hospital | 69%National average: 71% |
| Nurses “always” communicated well | 71%National average: 80% |
| Doctors “always” communicated well | 73%National average: 80% |
| “Always” got help as soon as they wanted | 46%National average: 64% |
| Staff “always” explained medicines before giving them | 54%National average: 62% |
| Were given information about recovery at home | 85%National average: 86% |
| Room and bathroom “always” clean | 64%National average: 73% |
| Completed surveys | 607Response rate: 26% |
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) | 1.499No different from the national benchmark |
|---|---|
| Catheter-associated urinary tract infections (CAUTI) | 1.852Worse than the national benchmark |
| Surgical site infections after colon surgery | 0.764No different from the national benchmark |
| Surgical site infections after abdominal hysterectomy | 0No different from the national benchmark |
| MRSA bloodstream infections | 0.594No different from the national benchmark |
| Clostridioides difficile (C. diff) intestinal infections | 0.95No different from the national benchmark |
Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.
Complications and deaths
What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
| Deaths within 30 days: heart attack patients | 13.1% |
|---|---|
| Deaths within 30 days: heart failure patients | 11.8% |
| Deaths within 30 days: pneumonia patients | 16% |
| Deaths within 30 days: COPD patients | 7% |
| Deaths within 30 days: stroke patients | 11% |
| Deaths within 30 days: coronary bypass surgery (CABG) | 3.1% |
| Serious complications (patient safety indicator PSI-90) | 1.3Worse than the national rate |
| Complications after hip or knee replacement | 3.6% |
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) | 17.3% |
|---|---|
| Readmitted within 30 days: heart attack | 14.8% |
| Readmitted within 30 days: heart failure | 22.5% |
| Readmitted within 30 days: pneumonia | 17.4% |
| Readmitted within 30 days: COPD | 22% |
| Readmitted within 30 days: coronary bypass surgery | 10.6% |
| Readmitted within 30 days: hip or knee replacement | 5.9% |
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) | 232 minutesNational average: 162 minutes |
| Patients who left the emergency room before being seen (OP-22) | 3%National average: 2% |
| Sepsis patients who got all the recommended early care (SEP-1) | 41%National average: 66% |
Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.
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 Medical Center, fiscal year 2026 (October 2025 to September 2026).
Show the Medicare payment program results
Hospital-Acquired Condition Reduction Program
What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.
CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.
| Medicare payment reduction, fiscal year 2026 | YesCMS applies a 1-percent payment reduction to this hospital. |
|---|---|
| Total HAC Score | 0.7218Lower is better. Hospitals above the 75th percentile of all scores get the reduction. |
Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.
Hospital Readmissions Reduction Program
What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.
CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).
| Heart attack | 1.0334More readmissions than expected |
|---|---|
| Heart failure | 1.0456More readmissions than expected |
| Pneumonia | 0.9546Fewer readmissions than expected |
| COPD (chronic lung disease) | 0.9743Fewer readmissions than expected |
| Coronary bypass surgery (CABG) | 0.9563Fewer readmissions than expected |
| No result published | Hip or knee replacement (not reported, or too few cases) |
Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.
Hospital Value-Based Purchasing Program
What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.
CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.
| Total Performance Score | 16.25 out of 100Median of the 2,455 hospitals in the program: 29.50 |
|---|---|
| Clinical outcomes (deaths and complications) | 22.00 out of 100 |
| Person and community engagement (patient survey) | 18.00 out of 100 |
| Safety (infections and sepsis care) | 25.00 out of 100 |
| Efficiency and cost reduction (Medicare spending) | 0.00 out of 100 |
Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.
Medicare spending per patient (MSPB)
What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.
CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.
| Medicare spending per patient, ratio | 1.03Above the national median hospital (1.00): Medicare spent more |
|---|
Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.
ER wait times and Medicare ratings nearby
How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.
Prices
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 54 common services exactly as Memorial Medical Center 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 54 common services
Office and emergency visits
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FMS-New PT Visit Only Lvl III | $359 | $359 | $80.78 – $359 |
New patient office visit (about 30–44 minutes): 10 of 42 insurance plan rates
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR/NIR New Patient Charging Levels -> Level 3 | $359 | $359 | $80.78 – $359 |
New patient office visit (about 30–44 minutes): 10 of 42 insurance plan rates
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HVC-NEW PT VISIT ONLY LVL III | $359 | $359 | $80.78 – $359 |
New patient office visit (about 30–44 minutes): 10 of 42 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FMS-New PT Visit Only Lvl IV | $384 | $384 | $86.40 – $384 |
New patient office visit (about 45–59 minutes): 10 of 42 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR/NIR New Patient Charging Levels -> Level 4 | $384 | $384 | $86.40 – $384 |
New patient office visit (about 45–59 minutes): 10 of 42 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HVC-NEW PT VISIT ONLY LVL IV | $384 | $384 | $86.40 – $384 |
New patient office visit (about 45–59 minutes): 10 of 42 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FMS-New PT Visit Only Lvl V | $407 | $407 | $91.58 – $407 |
New patient office visit (about 60–74 minutes): 10 of 42 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR/NIR New Patient Charging Levels -> Level 5 | $407 | $407 | $91.58 – $407 |
New patient office visit (about 60–74 minutes): 10 of 42 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HVC-NEW PT VISIT ONLY LVL V | $407 | $407 | $91.58 – $407 |
New patient office visit (about 60–74 minutes): 10 of 42 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FMS-EST PT Visit Only Lvl III | $311 | $311 | $69.98 – $311 |
Established patient office visit (about 20–29 minutes): 10 of 42 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRE-Est Pt Visit Only Lvl 3 | $311 | $311 | $69.98 – $311 |
Established patient office visit (about 20–29 minutes): 10 of 42 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR/NIR Charging Levels -> Level 3 | $311 | $311 | $69.98 – $311 |
Established patient office visit (about 20–29 minutes): 10 of 42 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FMS-EST PT Visit Only Lvl IV | $338 | $338 | $76.05 – $338 |
Established patient office visit (about 30–39 minutes): 10 of 42 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRE-Est Pt Visit Only Lvl 4 | $338 | $338 | $76.05 – $338 |
Established patient office visit (about 30–39 minutes): 10 of 42 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR/NIR Charging Levels -> Level 4 | $338 | $338 | $76.05 – $338 |
Established patient office visit (about 30–39 minutes): 10 of 42 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER Visit W/Adtl Proc Level III | $1,300 | $1,300 | $44 – $1,485 |
Emergency room visit (moderate): 10 of 53 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER Medical Visit Only L3 | $1,300 | $1,300 | $44 – $1,485 |
Emergency room visit (moderate): 10 of 53 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBED-Medical Visit Only Lv III | $1,300 | $1,300 | $44 – $1,485 |
Emergency room visit (moderate): 10 of 53 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER Visit W/Addtl Proc Level IV | $1,904 | $1,904 | $88 – $3,289 |
Emergency room visit (moderately high): 10 of 53 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER Medical Visit Only L4 | $1,904 | $1,904 | $88 – $3,289 |
Emergency room visit (moderately high): 10 of 53 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBED-Medical Visit OnlyLvl IV | $1,904 | $1,904 | $88 – $3,289 |
Emergency room visit (moderately high): 10 of 53 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER Visit W/Addtl Proc Level V | $2,463 | $2,463 | $88 – $4,986 |
Emergency room visit (high): 10 of 53 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER Medical Visit Only L5 | $2,463 | $2,463 | $88 – $4,986 |
Emergency room visit (high): 10 of 53 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBED-Medical Visit OnlyLvl V | $2,463 | $2,463 | $88 – $4,986 |
Emergency room visit (high): 10 of 53 insurance plan rates
| |||
Lab tests
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic Metabolic Profile | $210 | $210 | $3.82 – $210 |
Basic metabolic panel (blood test): 10 of 52 insurance plan rates
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| Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Basic Metabolic Profile | $210 | $210 | $84 – $210 |
Basic metabolic panel (blood test): 10 of 22 insurance plan rates
| |||
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Basic Metabolic Profile | $210 | $210 | $8.29 – $126 |
Basic metabolic panel (blood test): rates for 3 insurance plans
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| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Prof. | $243 | $243 | $4.76 – $243 |
Comprehensive metabolic panel (blood test): 10 of 53 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Prof. | $243 | $243 | $97.20 – $243 |
Comprehensive metabolic panel (blood test): 10 of 22 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Comprehensive Metabolic Prof. | $243 | $243 | $10.35 – $145.80 |
Comprehensive metabolic panel (blood test): rates for 3 insurance plans
| |||
| Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric Panel - Order Set | $258 | $258 | $21.56 – $258 |
Obstetric blood test panel: 10 of 52 insurance plan rates
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| Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Obstetric Panel - Order Set | $258 | $258 | $103.20 – $258 |
Obstetric blood test panel: 10 of 22 insurance plan rates
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| Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Obstetric Panel - Order Set | $258 | $258 | $46.85 – $154.80 |
Obstetric blood test panel: rates for 3 insurance plans
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| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel w/ Calculated LDL | $332 | $332 | $6.04 – $332 |
Cholesterol panel (lipid panel): 10 of 52 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Lipid Panel w/ Calculated LDL | $332 | $332 | $132.80 – $332 |
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Lipid Panel w/ Calculated LDL | $332 | $332 | $13.12 – $199.20 |
Cholesterol panel (lipid panel): rates for 3 insurance plans
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Function Panel | $127 | $127 | $3.91 – $140.90 |
Kidney function panel: 10 of 52 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Renal Function Panel | $127 | $127 | $50.80 – $127 |
Kidney function panel: 10 of 22 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Renal Function Panel | $127 | $127 | $8.51 – $76.20 |
Kidney function panel: rates for 3 insurance plans
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel | $228 | $228 | $3.68 – $228 |
Liver function panel: 10 of 52 insurance plan rates
| |||
| Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hepatic Function Panel | $228 | $228 | $91.20 – $228 |
Liver function panel: 10 of 22 insurance plan rates
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Hepatic Function Panel | $228 | $228 | $8.01 – $136.80 |
Liver function panel: rates for 3 insurance plans
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RTUA | $146 | $146 | $1.43 – $146 |
Urine test (automated, with microscope): 10 of 52 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UACS | $146 | $146 | $1.43 – $146 |
Urine test (automated, with microscope): 10 of 52 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RTUA | $146 | $146 | $58.40 – $146 |
Urine test (automated, with microscope): 10 of 22 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: pH Urine Random Specimen | $88 | $88 | $1.57 – $88 |
Urine test (manual, without microscope): 10 of 53 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Specific Gravity Urine Random Specimen | $88 | $88 | $1.57 – $88 |
Urine test (manual, without microscope): 10 of 53 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urine Ketone Dipstick | $88 | $88 | $1.57 – $88 |
Urine test (manual, without microscope): 10 of 53 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RALS URFLX | $97 | $97 | $1.01 – $97 |
Urine test (automated, without microscope): 10 of 53 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urine Dipstick Random | $97 | $97 | $1.01 – $97 |
Urine test (automated, without microscope): 10 of 53 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RALS URFLX | $97 | $97 | $38.80 – $97 |
Urine test (automated, without microscope): 10 of 22 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate Specific Antigen | $321 | $321 | $8.29 – $321 |
PSA (prostate specific antigen) blood test: 10 of 52 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA Screening | $321 | $321 | $8.29 – $321 |
PSA (prostate specific antigen) blood test: 10 of 52 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Prostate Specific Antigen | $321 | $321 | $128.40 – $321 |
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultra Thyroid Stimulating Hormone | $337 | $337 | $7.58 – $337 |
Thyroid stimulating hormone (TSH) test: 10 of 52 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultra TSH w/Reflex Free T4 | $337 | $337 | $7.58 – $337 |
Thyroid stimulating hormone (TSH) test: 10 of 52 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Ultra Thyroid Stimulating Hormone | $337 | $337 | $134.80 – $337 |
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC w/ Auto Diff | $163 | $163 | $3.50 – $163 |
Complete blood count (CBC) with differential: 10 of 53 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NCBC | $163 | $163 | $3.50 – $163 |
Complete blood count (CBC) with differential: 10 of 53 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC w/ Auto Diff | $163 | $163 | $65.20 – $163 |
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBAT | $151 | $151 | $2.92 – $151 |
Complete blood count (CBC), automated: 10 of 52 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBAT | $151 | $151 | $60.40 – $151 |
Complete blood count (CBC), automated: 10 of 22 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CBAT | $151 | $151 | $6.34 – $90.60 |
Complete blood count (CBC), automated: rates for 3 insurance plans
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Point of care INR | $65 | $65 | $1.93 – $65 |
Blood clotting time test (prothrombin time, PT): 10 of 53 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time | $65 | $65 | $1.93 – $65 |
Blood clotting time test (prothrombin time, PT): 10 of 53 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Point of care INR | $65 | $65 | $26 – $65 |
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APTT | $205 | $205 | $2.71 – $205 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 53 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: APTT | $205 | $205 | $82 – $205 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: APTT | $205 | $205 | $5.89 – $123 |
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans
| |||
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Head without contrast | $3,138 | $3,138 | $412.03 – $3,138 |
CT scan of the head or brain, without contrast: 10 of 53 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Head Dual Energy wo Post Stroke Only | $3,138 | $3,138 | $412.03 – $3,138 |
CT scan of the head or brain, without contrast: 10 of 53 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Head without contrast | $3,138 | $3,138 | $1,255.20 – $3,138 |
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Brain w/wo contrast | $7,994 | $7,994 | $1,798.65 – $7,994 |
MRI of the brain, before and after contrast: 10 of 53 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Internal Auditory Canal w/wo contrast | $7,994 | $7,994 | $1,798.65 – $7,994 |
MRI of the brain, before and after contrast: 10 of 53 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Sella w/wo contrast | $7,994 | $7,994 | $1,798.65 – $7,994 |
MRI of the brain, before and after contrast: 10 of 53 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: D Chest 2 Views | $667 | $667 | $150.08 – $667 |
Chest X-ray, 2 views: 10 of 53 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: D Chest 2 Views Fighter Wing | $92 | $92 | $20.70 – $92 |
Chest X-ray, 2 views: 10 of 53 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: D Chest with Inspiration and Expiration | $667 | $667 | $150.08 – $667 |
Chest X-ray, 2 views: 10 of 53 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: D Lumbar Spine minimum 4 Views | $1,176 | $1,176 | $83.68 – $1,176 |
X-ray of the lower spine, at least 4 views: 10 of 53 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: D Lumbar Spine minimum 4 Views | $1,176 | $1,176 | $470.40 – $1,176 |
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: D Lumbar Spine minimum 4 Views | $1,176 | $1,176 | $49.37 – $705.60 |
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Lumbar Spine wo contrast | $6,922 | $6,922 | $1,079.76 – $6,922 |
MRI of the lower back (lumbar spine), without contrast: 10 of 53 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Lum Spine w/o for Vert Comp Fx | $6,922 | $6,922 | $1,079.76 – $6,922 |
MRI of the lower back (lumbar spine), without contrast: 10 of 53 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Thor Spine w/o for Vert Comp Fx | $6,922 | $6,922 | $1,079.76 – $6,922 |
MRI of the lower back (lumbar spine), without contrast: 10 of 53 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis w contrast | $4,521 | $4,521 | $605.61 – $4,521 |
CT scan of the pelvis, with contrast: 10 of 53 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NM CT Pelvis w contrast | $4,521 | $4,521 | $605.61 – $4,521 |
CT scan of the pelvis, with contrast: 10 of 53 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NM CT Pelvis w contrast for Bone Scan | $4,521 | $4,521 | $605.61 – $4,521 |
CT scan of the pelvis, with contrast: 10 of 53 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: MR Lower Ext Jt Rt wo contrast | $6,327 | $6,327 | $1,005.59 – $6,327 |
MRI of a leg joint (such as the knee), without contrast: 10 of 53 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MR Lower Ext Jt Lt wo contrast | $6,327 | $6,327 | $1,005.59 – $6,327 |
MRI of a leg joint (such as the knee), without contrast: 10 of 53 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee · modifier RT In the file: MR Lower Ext Jt Rt wo contrast | $6,327 | $6,327 | $2,530.80 – $6,327 |
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abd/Pel w contrast | $7,822 | $7,822 | $1,041 – $7,822 |
CT scan of the abdomen and pelvis, with contrast: 10 of 53 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NM CT Abd/Pel w contrast | $7,822 | $7,822 | $1,041 – $7,822 |
CT scan of the abdomen and pelvis, with contrast: 10 of 53 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NM CT Abd/Pel w contrast for Bone Scan | $7,822 | $7,822 | $1,041 – $7,822 |
CT scan of the abdomen and pelvis, with contrast: 10 of 53 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdomen | $2,096 | $2,096 | $188.61 – $2,096 |
Ultrasound of the abdomen, complete: 10 of 53 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Abdomen | $2,096 | $2,096 | $838.40 – $2,096 |
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US Abdomen | $2,096 | $2,096 | $106.16 – $1,257.60 |
Ultrasound of the abdomen, complete: rates for 3 insurance plans
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Pregnancy Complete | $1,561 | $1,561 | $198 – $1,561 |
Pregnancy ultrasound (after the first trimester): 10 of 53 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Pregnancy Complete | $1,561 | $1,561 | $624.40 – $1,561 |
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US Pregnancy Complete | $1,561 | $1,561 | $126.10 – $936.60 |
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Vaginal | $1,387 | $1,387 | $156.03 – $1,387 |
Transvaginal ultrasound: 10 of 53 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Vaginal | $1,387 | $1,387 | $554.80 – $1,387 |
Transvaginal ultrasound: 10 of 22 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US Vaginal | $1,387 | $1,387 | $108.82 – $832.20 |
Transvaginal ultrasound: rates for 3 insurance plans
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MAM Post LT | $546 | $546 | $35.13 – $546 |
Diagnostic mammogram, one breast: 10 of 53 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: MAM Post RT | $546 | $546 | $35.13 – $546 |
Diagnostic mammogram, one breast: 10 of 53 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MAM Digital Diagnostic Lt | $546 | $546 | $35.13 – $546 |
Diagnostic mammogram, one breast: 10 of 53 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAM Digital Diagnostic Bi | $696 | $696 | $44.71 – $696 |
Diagnostic mammogram, both breasts: 10 of 53 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAM Digital Diagnostic Bi w Implants | $696 | $696 | $44.71 – $696 |
Diagnostic mammogram, both breasts: 10 of 53 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAM Baylis 2D Diagnostic Bi | $696 | $696 | $44.71 – $696 |
Diagnostic mammogram, both breasts: 10 of 53 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAM Digital Screening | $578 | $578 | $36.92 – $578 |
Screening mammogram, both breasts: 10 of 53 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAM Baylis 2D Screening | $578 | $578 | $36.92 – $578 |
Screening mammogram, both breasts: 10 of 53 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAM Digital Screening | $578 | $578 | $231.20 – $578 |
Screening mammogram, both breasts: 10 of 22 insurance plan rates
| |||
Heart tests and sleep study
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CCLP-LEFT HEART CATH LT VENT | $10,461 | $10,461 | $3,347.52 – $10,461 |
Left heart catheterization (diagnostic): 10 of 53 insurance plan rates
| |||
| Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CCLP-LEFT HEART CATH LT VENT | $10,461 | $10,461 | $4,184.40 – $10,461 |
Left heart catheterization (diagnostic): 10 of 22 insurance plan rates
| |||
| Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CCLP-LEFT HEART CATH LT VENT | $10,461 | $10,461 | $819.47 – $6,276.60 |
Left heart catheterization (diagnostic): rates for 3 insurance plans
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CCLP-EP EVAL W/O INDUCTION | $11,738 | $11,738 | $2,641.05 – $11,738 |
Heart rhythm study (electrophysiology evaluation): 10 of 53 insurance plan rates
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CCLP-EP EVAL W/O INDUCTION | $11,738 | $11,738 | $4,695.20 – $11,738 |
Heart rhythm study (electrophysiology evaluation): 10 of 22 insurance plan rates
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CCLP-EP EVAL W/O INDUCTION | $11,738 | $11,738 | $7,042.80 |
Heart rhythm study (electrophysiology evaluation): rates for 2 insurance plans
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CCLP-EP EVAL TRANSEPTAL AFIB | $68,879 | $68,879 | $11,160 – $68,879 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 53 insurance plan rates
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CCLP-EP EVALTRNSPLAFIBLA-CS | $68,879 | $68,879 | $11,160 – $68,879 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 53 insurance plan rates
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CCLP-EP EVAL TRANSEPTAL AFIB | $68,879 | $68,879 | $27,551.60 – $68,879 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 22 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SL-POLYSOMNOGRAM>6YRS | $7,700 | $7,700 | $1,732.50 – $7,700 |
Sleep study (overnight, in a sleep lab): 10 of 53 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SL-POLYSOMNOGRAM>6YRS-REDUCED | $7,700 | $7,700 | $1,732.50 – $7,700 |
Sleep study (overnight, in a sleep lab): 10 of 53 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SL-Polysomnogram>6Yrs | $7,700 | $7,700 | $1,732.50 – $7,700 |
Sleep study (overnight, in a sleep lab): 10 of 53 insurance plan rates
| |||
Physical therapy and mental health
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT-THERAPEUTIC EXERCISE/15MIN-7395 | $255 | $255 | $19.62 – $255 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 53 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT-THERAPEUTIC EXERCISE/15MIN-7395 | $255 | $255 | $19.62 – $255 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 53 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OTA-Therc Exercise/15 Min | $255 | $255 | $19.62 – $255 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 53 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT-EVALUATION LOW COMPLX-7395 | $494 | $494 | $66.87 – $494 |
Physical therapy evaluation (low complexity): 10 of 53 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT-FCE LOW COMPLX-7395 | $1,230 | $1,230 | $66.87 – $1,230 |
Physical therapy evaluation (low complexity): 10 of 53 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT-EVALUATION LOW COMPLX-7395 | $494 | $494 | $197.60 – $494 |
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT-EVALUATION MOD COMPLX-7395 | $615 | $615 | $66.87 – $615 |
Physical therapy evaluation (moderate complexity): 10 of 53 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT-FCE MOD COMPLX-7395 | $1,756 | $1,756 | $66.87 – $1,756 |
Physical therapy evaluation (moderate complexity): 10 of 53 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT-EVALUATION MOD COMPLX-7395 | $615 | $615 | $246 – $615 |
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT-EVALUATION HIGH COMPLX-7395 | $750 | $750 | $66.87 – $750 |
Physical therapy evaluation (high complexity): 10 of 53 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT-FCE HIGH COMPLX-7395 | $2,283 | $2,283 | $66.87 – $2,283 |
Physical therapy evaluation (high complexity): 10 of 53 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT-EVALUATION HIGH COMPLX-7395 | $750 | $750 | $300 – $750 |
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR-EGD W/BX SINGLE OR MULTIPLE | $1,900 | $1,900 | $608 – $7,724 |
Upper GI endoscopy with biopsy: 10 of 53 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IR-EGD W/BX SINGLE OR MULTIPLE | $1,900 | $1,900 | $760 – $1,900 |
Upper GI endoscopy with biopsy: 10 of 22 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: IR-EGD W/BX SINGLE OR MULTIPLE | $1,900 | $1,900 | $388.72 – $1,140 |
Upper GI endoscopy with biopsy: rates for 3 insurance plans
| |||
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Bx Prostate | $4,001 | $4,001 | $1,164.81 – $7,724 |
Prostate biopsy: 10 of 53 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Bx Prostate | $4,001 | $4,001 | $1,164.81 – $7,724 |
Prostate biopsy: 10 of 53 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Ndl Bx Prostate | $4,001 | $4,001 | $1,164.81 – $7,724 |
Prostate biopsy: 10 of 53 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Nerve Root Inj Lumbar or Sacral | $4,138 | $4,138 | $1,324.16 – $6,866 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 53 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: D Spinal Puncture For Injection of Isotope | $4,138 | $4,138 | $1,324.16 – $6,866 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 53 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR-INJ-EPIDRLLUMB/SACR W/IMG | $4,138 | $4,138 | $1,324.16 – $6,866 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 53 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR-STERIOD-LUMB/SACR-SNG LVL | $5,053 | $5,053 | $1,316.80 – $6,866 |
Nerve root injection, lower back, with imaging guidance: 10 of 53 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PC-LUMB/SACR TRANSFORAMINAL-SNG LVL | $5,053 | $5,053 | $1,136.92 – $5,053 |
Nerve root injection, lower back, with imaging guidance: 10 of 53 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: D Lumbar Transforaminal Inj | $5,053 | $5,053 | $1,316.80 – $6,866 |
Nerve root injection, lower back, with imaging guidance: 10 of 53 insurance plan rates
| |||
Hospital stays (whole stay, MS-DRG)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | Not listed in the file | Not listed in the file | $38,500 – $211,601.96 |
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 50 insurance plan rates
| |||
| Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | Not listed in the file | Not listed in the file | $1,150 – $79,728.89 |
Spinal fusion (not neck), without major complications: 10 of 47 insurance plan rates
| |||
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | Not listed in the file | Not listed in the file | $1,150 – $41,722.11 |
Hip or knee replacement (major joint of the leg), without major complications: 10 of 50 insurance plan rates
| |||
| Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC | Not listed in the file | Not listed in the file | $1,150 – $52,805.32 |
Neck (cervical) spinal fusion, without complications: 10 of 50 insurance plan rates
| |||
| Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | Not listed in the file | Not listed in the file | $1,150 – $26,836.34 |
Uterus and ovary surgery (not for cancer), without complications: 10 of 50 insurance plan rates
| |||
Source: Memorial Medical Center’s standard charges file (memorial.health, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 17, 2026; retrieved November 1, 2026. The hospital’s price transparency page →
Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.
Hospital information
| Hospital type | Acute Care Hospital |
|---|---|
| Address | 701 N First St, Springfield, IL 62702 |
| County | Sangamon County |
| State | Illinois |
| Phone | (217) 788‑3000 |
| Emergency services | Yes |
| Ownership | Voluntary non-profit - Private |
| Medicare overall rating | 3 of 5 stars |
| Birthing-friendly designation | Yes (meets CMS criteria) |
| CMS Certification Number | 140148 |
| Name in Medicare records | MEMORIAL MEDICAL CENTER |
| Profile level | Medicare data + hospital website |
| Name on the hospital’s website | Springfield Memorial Hospital |
| Official website | memorial.health |
| Corrections | Report an error or suggest an update → |
Sources
- Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this hospital
- U.S. Census Bureau Geocoder — map position used for distances
From the hospital’s website
Numbers match the citations above. Checked 2026-10-30.
- Springfield Memorial Hospital — memorial.health