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Acute Care Hospital

Mercy Hospital Jefferson

Crystal City, Missouri · Jefferson County · Emergency services listed

Summary

Mercy Hospital Jefferson is an acute care hospital in Crystal City, Missouri. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 23 services, specialties and programs. Medicare lists 567 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
23Services listed

Quick answers

Does Mercy Hospital Jefferson have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Mercy Hospital Jefferson. In a medical emergency, call 911.
Where is Mercy Hospital Jefferson?
1400 US Highway 61, Crystal City, MO 63019, in Jefferson County, Missouri.
What is the phone number of Mercy Hospital Jefferson?
(636) 933-1000, as listed by Medicare (CMS).
What is the Medicare star rating of Mercy Hospital Jefferson?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[5]

Treatments[4][5]

  • Acute withdrawal management (alcohol and opioid)
  • Hyperbarics and wound care
  • Acute rehabilitation
  • Therapy services

Procedures[5]

Programs and centers[4][5]

  • Mercy StepOne Service
  • Cancer Center
  • Birthplace
  • Spine and Pain Management
  • Home Care and Hospice

Emergency care (hospital website)[4][5]

Emergency roomYes
Open 24/7Yes
Stroke designationMissouri TCD Level III stroke certification

Visiting and practical information

Interpreters and languagesFree language assistance available in many languages[4]

Recognition[5]

  • Joint Commission Gold Seal of Approval for Hospital Accreditation
  • Missouri TCD Level II STEMI certification
  • Missouri TCD Level III stroke certification
  • Bariatric Center of Excellence

Doctors and clinicians (567)

567 doctors and other clinicians list Mercy Hospital Jefferson 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 (567)

And 543 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state licence 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 Mercy Hospital Jefferson 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 hospital5 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1076%National average: 72%
Would definitely recommend the hospital78%National average: 71%
Nurses “always” communicated well80%National average: 80%
Doctors “always” communicated well79%National average: 80%
Staff “always” explained medicines before giving them62%National average: 62%
Were given information about recovery at home88%National average: 86%
Room and bathroom “always” clean75%National average: 74%
Area around the room “always” quiet at night63%National average: 60%
Completed surveys468Response rate: 21%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.455No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)1.648No different from the national benchmark
Surgical site infections after colon surgery1.846No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections1.418No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.183Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 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 patients13.3%
Deaths within 30 days: heart failure patients11.1%
Deaths within 30 days: pneumonia patients13.5%
Deaths within 30 days: COPD patients8.5%
Deaths within 30 days: stroke patients11.7%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.74No different from the national rate
Complications after hip or knee replacement3.7%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack15.5%
Readmitted within 30 days: heart failure22.7%
Readmitted within 30 days: pneumonia18.6%
Readmitted within 30 days: COPD20%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement6.5%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)202 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)86%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 65 common services exactly as Mercy Hospital Jefferson lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Visit Level III New Patient $335 $217.75 $69.88 – $160.27
New patient office visit (about 30–44 minutes): 10 of 124 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $69.88
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $117.25
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $50.25
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $50.25
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $69.88
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $69.88
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $130.65
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $130.65
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $130.65
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $130.65
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Visit Level III New Pt $335 $217.75 $69.88 – $160.27
New patient office visit (about 30–44 minutes): 10 of 124 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $69.88
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $117.25
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $50.25
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $50.25
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $69.88
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $69.88
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $130.65
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $130.65
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $130.65
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $130.65
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Visit Level III New Pt/Behavioral Health $335 $217.75 $21.78 – $335
New patient office visit (about 30–44 minutes): 10 of 124 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $69.88
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $117.25
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $50.25
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $50.25
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $69.88
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $69.88
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $130.65
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $130.65
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $130.65
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $130.65
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Visit Level IV New Pt/Behavioral Health $397 $258.05 $114.23 – $261.99
New patient office visit (about 45–59 minutes): 10 of 124 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $114.23
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $138.95
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $59.55
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $59.55
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $114.23
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $114.23
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $154.83
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $154.83
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $154.83
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $154.83
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Visit Level IV New Pt $397 $258.05 $114.23 – $261.99
New patient office visit (about 45–59 minutes): 10 of 124 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $114.23
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $138.95
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $59.55
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $59.55
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $114.23
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $114.23
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $154.83
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $154.83
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $154.83
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $154.83
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Visit Level IV New Pt Mlp $161 $104.65 $114.23 – $3,059.39
New patient office visit (about 45–59 minutes): 10 of 122 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $114.23
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $56.35
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $24.15
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $24.15
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $114.23
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $114.23
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $62.79
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $62.79
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $62.79
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $62.79
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Visit Level V New Pt $546 $354.90 $156.60 – $359.17
New patient office visit (about 60–74 minutes): 10 of 124 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $156.60
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $191.10
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $81.90
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $81.90
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $156.60
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $156.60
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $212.94
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $212.94
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $212.94
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $212.94
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Visit Level V New Pt/Behavioral Health $546 $354.90 $35.49 – $546
New patient office visit (about 60–74 minutes): 10 of 124 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $156.60
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $191.10
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $81.90
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $81.90
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $156.60
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $156.60
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $212.94
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $212.94
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $212.94
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $212.94
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Visit Level V New Patient $546 $354.90 $156.60 – $359.17
New patient office visit (about 60–74 minutes): 10 of 124 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $156.60
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $191.10
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $81.90
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $81.90
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $156.60
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $156.60
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $212.94
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $212.94
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $212.94
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $212.94
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: L&D Level II, 0-6 Hrs $773 $502.45 $718 – $882
Established patient office visit (about 20–29 minutes): 10 of 129 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $56.12
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $1,048
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $115.95
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $115.95
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $56.12
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $56.12
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $301.47
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $301.47
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $301.47
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $301.47
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: L&D Level II, 12-18 Hrs $1,538 $999.70 $99.97 – $1,538
Established patient office visit (about 20–29 minutes): 10 of 129 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $56.12
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $1,048
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $230.70
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $230.70
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $56.12
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $56.12
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $599.82
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $599.82
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $599.82
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $599.82
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: L&D Level II, 18-24 Hrs $1,763 $1,145.95 $718 – $882
Established patient office visit (about 20–29 minutes): 10 of 129 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $56.12
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $1,048
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $264.45
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $264.45
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $56.12
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $56.12
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $687.57
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $687.57
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $687.57
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $687.57
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Est Pt-Level 4 Twoc $879 $571.35 $82.58 – $189.41
Established patient office visit (about 30–39 minutes): 10 of 124 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $82.58
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $307.65
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $131.85
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $131.85
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $82.58
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $82.58
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $342.81
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $342.81
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $342.81
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $342.81
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lactation Consult 46-60 Minutes $831 $540.15 $82.58 – $189.41
Established patient office visit (about 30–39 minutes): 10 of 124 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $82.58
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $290.85
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $124.65
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $124.65
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $82.58
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $82.58
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $324.09
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $324.09
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $324.09
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $324.09
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP Visit Level IV Est Pt/Behavioral Health $352 $228.80 $22.88 – $352
Established patient office visit (about 30–39 minutes): 10 of 124 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $82.58
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $123.20
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $52.80
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $52.80
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $82.58
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $82.58
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $137.28
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $137.28
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $137.28
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $137.28
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New/Est Office/OP Cnslt Low 30-39 Min Pf $165 $107.25 $56.12 – $57.84
Office consultation with a specialist (moderate): 10 of 88 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $57.75
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $24.75
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $24.75
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $44.88
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $64.35
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $64.35
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $64.35
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $64.35
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $64.35
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $44.55
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New/Est Office/OP Cnslt Low 30-39 Min $202 $131.30 $13.13 – $202
Office consultation with a specialist (moderate): 10 of 86 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $70.70
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $30.30
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $30.30
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $54.94
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $78.78
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $78.78
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $78.78
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $78.78
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $78.78
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $54.54
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New/Est Office/OP Cnslt Low 30-39 Min Mlp $140 $91 $9.10 – $140
Office consultation with a specialist (moderate): 10 of 84 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $49
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $21
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $21
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $38.08
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $54.60
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $54.60
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $54.60
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $54.60
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $54.60
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $37.80
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New/Est Office/OP Cnslt Mod 40-54 Min Pf $242 $157.30 $15.73 – $242
Office consultation with a specialist (moderate to high): 10 of 88 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $84.70
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $36.30
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $36.30
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $65.82
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $94.38
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $94.38
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $94.38
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $94.38
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $94.38
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $65.34
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New/Est Office/OP Cnslt Mod 40-54 Min $338 $219.70 $21.97 – $338
Office consultation with a specialist (moderate to high): 10 of 86 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $118.30
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $50.70
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $50.70
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $91.94
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $131.82
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $131.82
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $131.82
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $131.82
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $131.82
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $91.26
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New/Est Office/OP Cnslt Mod 40-54 Min Mlp $205 $133.25 $13.33 – $205
Office consultation with a specialist (moderate to high): 10 of 84 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $71.75
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $30.75
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $30.75
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $55.76
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $79.95
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $79.95
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $79.95
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $79.95
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $79.95
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $55.35
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Visit Care Level 3 $1,984 $1,289.60 $451 – $2,310
Emergency room visit (moderate): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $268.22
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $1,194
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $227.55
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $227.55
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $268.22
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $268.22
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $963
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $963
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $963
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $963
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Visit Care Level 4 $2,065 $1,342.25 $451 – $2,310
Emergency room visit (moderately high): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $410
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $1,194
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $410
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $410
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $963
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $963
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $963
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $963
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $963
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $691
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Visit Care Level 5 $2,759 $1,793.35 $522.66 – $862.39
Emergency room visit (high): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $585.16
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $1,194
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $585.16
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $585.16
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $963
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $963
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $963
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $963
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $963
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $1,100

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic Metabolic Pnl Calcium Total $191 $124.15 $12.42 – $191
Basic metabolic panel (blood test): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $8.30
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $47.75
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $28.65
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $28.65
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $8.30
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $8.30
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $11.26
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $11.26
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $11.26
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $11.26
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel $36 $23.40 $9.50 – $23.76
Comprehensive metabolic panel (blood test): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $10.36
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $9
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $5.40
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $5.40
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $10.36
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $10.36
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $14.07
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $14.07
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $14.07
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $14.07
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel $174 $113.10 $12.05 – $30.13
Cholesterol panel (lipid panel): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $13.14
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $43.50
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $26.10
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $26.10
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $13.14
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $13.14
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $17.83
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $17.83
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $17.83
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $17.83
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC Lipid Panel $174 $113.10 $11.31 – $174
Cholesterol panel (lipid panel): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $13.14
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $43.50
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $26.10
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $26.10
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $13.14
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $13.14
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $17.83
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $17.83
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $17.83
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $17.83
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Function Panel $246 $159.90 $7.81 – $19.53
Kidney function panel: 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $8.52
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $61.50
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $36.90
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $36.90
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $8.52
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $8.52
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $11.56
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $11.56
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $11.56
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $11.56
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel $217 $141.05 $7.35 – $18.38
Liver function panel: 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $8.01
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $54.25
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $32.55
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $32.55
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $8.01
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $8.01
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $10.88
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $10.88
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $10.88
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $10.88
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Automated W Micro $17 $11.05 $1.11 – $17
Urine test (automated, with microscope): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $3.11
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $4.25
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $2.55
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $2.55
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $3.11
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $3.11
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $4.21
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $4.21
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $4.21
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $4.21
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC Urinalysis Non-Auto $54 $35.10 $3.51 – $54
Urine test (manual, without microscope): 10 of 138 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $3.41
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $13.50
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $8.10
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $8.10
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $3.41
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $3.41
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2.78
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $2.78
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $2.78
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2.78
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Non Automated WO Micro $54 $35.10 $3.51 – $54
Urine test (manual, without microscope): 10 of 138 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $3.41
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $13.50
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $8.10
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $8.10
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $3.41
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $3.41
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2.78
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $2.78
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $2.78
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2.78
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urine Ph Nonautomated $54 $35.10 $3.51 – $54
Urine test (manual, without microscope): 10 of 138 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $3.41
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $13.50
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $8.10
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $8.10
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $3.41
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $3.41
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2.78
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $2.78
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $2.78
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2.78
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC Urinalysis Automated W/O Micro $54 $35.10 $2.03 – $5.06
Urine test (automated, without microscope): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $2.21
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $13.50
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $8.10
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $8.10
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $2.21
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $2.21
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2.78
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $2.78
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $2.78
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2.78
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Specific Gravity Urine Automated $54 $35.10 $2.03 – $5.06
Urine test (automated, without microscope): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $2.21
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $13.50
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $8.10
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $8.10
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $2.21
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $2.21
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2.78
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $2.78
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $2.78
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2.78
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Automated W/O Micro $12 $7.80 $0.78 – $12
Urine test (automated, without microscope): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $2.21
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $3
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $1.80
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $1.80
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $2.21
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $2.21
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2.78
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $2.78
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $2.78
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2.78
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psa Total Diagnostic $101 $65.65 $6.57 – $101
PSA (prostate specific antigen) blood test: 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $18.04
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $25.25
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $15.15
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $15.15
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $18.04
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $18.04
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $24.50
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $24.50
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $24.50
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $24.50
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psa Ultrasensitive $146 $94.90 $9.49 – $146
PSA (prostate specific antigen) blood test: 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $18.04
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $36.50
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $21.90
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $21.90
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $18.04
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $18.04
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $24.50
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $24.50
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $24.50
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $24.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tsh Thyroid Stimulating Hormone $92 $59.80 $5.98 – $92
Thyroid stimulating hormone (TSH) test: 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $16.48
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $23
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $13.80
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $13.80
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $16.48
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $16.48
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $22.37
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $22.37
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $22.37
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $22.37
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tsh Newborn $17 $11.05 $15.12 – $37.80
Thyroid stimulating hormone (TSH) test: 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $16.48
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $4.25
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $2.55
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $2.55
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $16.48
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $16.48
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $22.37
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $22.37
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $22.37
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $22.37
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cbc W Auto Diff $27 $17.55 $6.99 – $17.48
Complete blood count (CBC) with differential: 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $7.62
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $6.75
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $4.05
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $4.05
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $7.62
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $7.62
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $10.36
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $10.36
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $10.36
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $10.36
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cbc Automated WO Diff $22 $14.30 $5.82 – $14.56
Complete blood count (CBC), automated: 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $6.35
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $5.50
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $3.30
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $3.30
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $6.35
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $6.35
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $8.62
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $8.62
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $8.62
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $8.62
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC Prothrombin Time $47 $30.55 $3.86 – $9.65
Blood clotting time test (prothrombin time, PT): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $4.21
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $11.75
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $7.05
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $7.05
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $4.21
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $4.21
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $5.23
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $5.23
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $5.23
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $5.23
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time Mixing Test $89 $57.85 $3.86 – $9.65
Blood clotting time test (prothrombin time, PT): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $4.21
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $22.25
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $13.35
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $13.35
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $4.21
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $4.21
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $5.23
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $5.23
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $5.23
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $5.23
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time $22 $14.30 $1.43 – $22
Blood clotting time test (prothrombin time, PT): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $4.21
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $5.50
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $3.30
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $3.30
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $4.21
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $4.21
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $5.23
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $5.23
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $5.23
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $5.23
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ptt Partial Thromboplastin Time $41 $26.65 $2.67 – $41
Blood clotting test (partial thromboplastin time, PTT): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $5.90
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $10.25
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $6.15
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $6.15
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $5.90
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $5.90
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $7.99
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $7.99
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $7.99
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $7.99
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ptt Mixing $146 $94.90 $5.41 – $13.52
Blood clotting test (partial thromboplastin time, PTT): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $5.90
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $36.50
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $21.90
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $21.90
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $5.90
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $5.90
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $7.99
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $7.99
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $7.99
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $7.99

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

ServiceHospital chargeCash priceInsurance 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/Brain WO Cont $2,316 $1,505.40 $90.66 – $242.36
CT scan of the head or brain, without contrast: 10 of 132 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $102.72
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $128.26
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $347.40
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $347.40
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $102.72
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $102.72
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $175.75
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $175.75
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $175.75
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $175.75
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Brain W/WO Cont $4,013 $2,608.45 $342.80 – $786.23
MRI of the brain, before and after contrast: 10 of 132 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $342.80
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $442.12
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $601.95
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $601.95
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $342.80
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $342.80
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $599.67
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $599.67
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $599.67
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $599.67
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xr Chest 2 Views $441 $286.65 $201 – $310
Chest X-ray, 2 views: 10 of 132 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $85.51
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $104.26
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $66.15
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $66.15
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $85.51
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $85.51
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $171.99
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $171.99
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $171.99
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $171.99
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xr Spine Lumbar Min 4 Views $780 $507 $201 – $310
X-ray of the lower spine, at least 4 views: 10 of 132 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $102.72
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $128.26
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $117
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $117
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $102.72
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $102.72
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $304.20
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $304.20
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $304.20
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $304.20
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Lumbar Spine WO Cont $2,108 $1,370.20 $351
MRI of the lower back (lumbar spine), without contrast: 10 of 132 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $234.45
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $280.22
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $316.20
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $316.20
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $234.45
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $234.45
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $400.52
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $400.52
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $400.52
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $400.52
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis W Cont $2,112 $1,372.80 $475 – $525
CT scan of the pelvis, with contrast: 10 of 132 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $172.35
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $216.41
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $316.80
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $316.80
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $172.35
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $172.35
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $291.49
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $291.49
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $291.49
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $291.49
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Extr Lwr Jt WO Cont Lt $2,522 $1,639.30 $351
MRI of a leg joint (such as the knee), without contrast: 10 of 132 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $234.45
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $280.22
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $378.30
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $378.30
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $234.45
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $234.45
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $369.42
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $369.42
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $369.42
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $369.42
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Extr Lwr Jt WO Cont Rt $2,522 $1,639.30 $560 – $775
MRI of a leg joint (such as the knee), without contrast: 10 of 132 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $234.45
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $280.22
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $378.30
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $378.30
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $234.45
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $234.45
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $369.42
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $369.42
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $369.42
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $369.42
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Extr Lwr Jt WO Cont Bi $3,982 $2,588.30 $560 – $775
MRI of a leg joint (such as the knee), without contrast: 10 of 132 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $234.45
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $280.22
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $597.30
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $597.30
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $234.45
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $234.45
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $369.42
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $369.42
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $369.42
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $369.42
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abd Pelvis With Contrast $6,047 $3,930.55 $304.45 – $804.79
CT scan of the abdomen and pelvis, with contrast: 10 of 132 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $342.80
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $442.12
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $907.05
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $907.05
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $342.80
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $342.80
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $367.30
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $367.30
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $367.30
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $367.30
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdomen Complete $1,725 $1,121.25 $102.72 – $235.61
Ultrasound of the abdomen, complete: 10 of 132 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $102.72
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $128.26
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $258.75
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $258.75
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $102.72
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $102.72
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $672.75
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $672.75
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $672.75
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $672.75
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Preg Uter 14 Wks Or> $786 $510.90 $102.72 – $235.61
Pregnancy ultrasound (after the first trimester): 10 of 133 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $102.72
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $128.26
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $117.90
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $117.90
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $102.72
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $102.72
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $306.54
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $306.54
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $306.54
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $306.54
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Transvaginal Non OB $1,075 $698.75 $102 – $402
Transvaginal ultrasound: 10 of 132 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $102.72
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $128.26
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $161.25
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $161.25
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $102.72
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $102.72
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $419.25
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $419.25
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $419.25
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $419.25
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mamm Diagnostic Unilat Rt W Cad $467 $303.55 $30.36 – $467
Diagnostic mammogram, one breast: 10 of 132 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $80.89
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $163.45
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $70.05
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $70.05
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $80.89
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $80.89
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $182.13
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $182.13
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $182.13
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $182.13
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mamm Diagnostic Unilat Lt W Cad $467 $303.55 $30.36 – $467
Diagnostic mammogram, one breast: 10 of 132 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $80.89
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $163.45
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $70.05
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $70.05
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $80.89
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $80.89
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $182.13
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $182.13
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $182.13
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $182.13
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mamm Diagnostic Bilat W Cad $701 $455.65 $103.80 – $536.77
Diagnostic mammogram, both breasts: 10 of 132 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $103.80
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $245.35
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $105.15
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $105.15
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $103.80
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $103.80
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $273.39
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $273.39
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $273.39
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $273.39
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mamm Scrn Bilat Implant W Cad $516 $335.40 $85.60 – $445.16
Screening mammogram, both breasts: 10 of 132 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $85.60
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $180.60
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $77.40
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $77.40
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $85.60
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $85.60
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $201.24
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $201.24
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $201.24
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $201.24
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mamm Scrn Bilateral W Cad $516 $335.40 $85.60 – $445.16
Screening mammogram, both breasts: 10 of 132 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $85.60
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $180.60
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $77.40
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $77.40
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $85.60
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $85.60
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $201.24
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $201.24
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $201.24
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $201.24
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mamm Scrn Right W Cad $344 $223.60 $22.36 – $344
Screening mammogram, both breasts: 10 of 132 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $85.60
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $120.40
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $51.60
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $51.60
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $85.60
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $85.60
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $134.16
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $134.16
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $134.16
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $134.16

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lt Heart Cath Including Inj Lt Ventriculography, S/I $8,354 $5,430.10 $4,901 – $11,413
Left heart catheterization (diagnostic): 10 of 124 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $3,185.47
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $8,066
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $1,253.10
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $1,253.10
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $3,185.47
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $3,185.47
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $6,592
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $6,592
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $6,592
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $6,592
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom Attended >3 Chn 6/> Yrs $6,619 $4,302.35 $867.31 – $1,986.07
Sleep study (overnight, in a sleep lab): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $843.78
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $2,316.65
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $992.85
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $992.85
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $843.78
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $843.78
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2,581.41
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $2,581.41
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $2,581.41
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2,581.41
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom Attended >3 Chn 6/> Yrs <6 Hrs $4,311 $2,802.15 $843.78 – $1,935.28
Sleep study (overnight, in a sleep lab): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $843.78
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $1,508.85
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $646.65
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $646.65
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $843.78
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $843.78
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $1,681.29
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $1,681.29
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $1,681.29
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $1,681.29

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ot Peds Treatment $185 $120.25 $25.31 – $64.22
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $28
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $184
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $27.75
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $27.75
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $28
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $28
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ot Ther Exer 1 or > Area Ea 15m $187 $121.55 $25.31 – $64.22
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $28
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $184
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $28.05
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $28.05
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $28
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $28
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Peds Treatment $185 $120.25 $12.03 – $185
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $28
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $184
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $27.75
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $27.75
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $28
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $28
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level I 120 Min $667 $433.55 $86.18 – $216.29
Physical therapy evaluation (low complexity): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $94.30
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $184
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $100.05
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $100.05
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $94.30
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $94.30
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level I 150 Min $934 $607.10 $86.18 – $216.29
Physical therapy evaluation (low complexity): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $94.30
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $184
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $140.10
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $140.10
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $94.30
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $94.30
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level I 105 Min $514 $334.10 $86.18 – $216.29
Physical therapy evaluation (low complexity): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $94.30
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $184
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $77.10
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $77.10
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $94.30
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $94.30
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level II 15 Min $152 $98.80 $86.18 – $216.29
Physical therapy evaluation (moderate complexity): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $94.30
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $184
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $22.80
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $22.80
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $94.30
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $94.30
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level II 150 Min $869 $564.85 $86.18 – $216.29
Physical therapy evaluation (moderate complexity): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $94.30
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $184
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $130.35
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $130.35
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $94.30
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $94.30
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level II 45 Min $318 $206.70 $20.67 – $318
Physical therapy evaluation (moderate complexity): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $94.30
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $184
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $47.70
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $47.70
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $94.30
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $94.30
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level III 105 Min $702 $456.30 $86.18 – $216.29
Physical therapy evaluation (high complexity): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $94.30
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $184
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $105.30
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $105.30
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $94.30
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $94.30
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level III 120 Min $773 $502.45 $50.25 – $773
Physical therapy evaluation (high complexity): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $94.30
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $184
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $115.95
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $115.95
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $94.30
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $94.30
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Level III 135 Min $844 $548.60 $137 – $312
Physical therapy evaluation (high complexity): 10 of 136 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $94.30
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $184
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $126.60
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $126.60
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $94.30
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $94.30
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $209
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $209
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cd Ther 30 Min W Patient $406 $263.90 $26.39 – $406
Psychotherapy, 30 minutes: 10 of 93 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $142.10
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $60.90
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $60.90
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $158.34
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $158.34
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $158.34
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $158.34
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $158.34
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $109.62
  • AMBETTER CONTRACTED [320452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $109.62
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psych Ther 30 Min With Patient $365 $237.25 $485.68
Psychotherapy, 30 minutes: 10 of 93 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $127.75
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $54.75
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $54.75
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $142.35
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $142.35
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $142.35
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $142.35
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $142.35
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $98.55
  • AMBETTER CONTRACTED [320452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $98.55
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psych Ther 30 Min With Patient Pf $116 $75.40 $7.54 – $116
Psychotherapy, 30 minutes: 10 of 91 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $40.60
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $17.40
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $17.40
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $45.24
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $45.24
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $45.24
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $45.24
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $45.24
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $31.32
  • AMBETTER CONTRACTED [320452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $31.32
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cd Ther 45 Min W Patient $429 $278.85 $485.68
Psychotherapy, 45 minutes: 10 of 93 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $150.15
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $64.35
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $64.35
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $167.31
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $167.31
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $167.31
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $167.31
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $167.31
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $115.83
  • AMBETTER CONTRACTED [320452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $115.83
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psych Ther 45 Min With Patient $386 $250.90 $25.09 – $386
Psychotherapy, 45 minutes: 10 of 93 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $135.10
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $57.90
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $57.90
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $150.54
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $150.54
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $150.54
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $150.54
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $150.54
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $104.22
  • AMBETTER CONTRACTED [320452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $104.22
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psych Ther 45 Min With Patient Pf $154 $100.10 $10.01 – $154
Psychotherapy, 45 minutes: 10 of 91 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $53.90
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $23.10
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $23.10
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $60.06
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $60.06
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $60.06
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $60.06
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $60.06
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $41.58
  • AMBETTER CONTRACTED [320452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $41.58
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cd Ther 60 Min W Patient $429 $278.85 $132.97 – $632.21
Psychotherapy, 60 minutes: 10 of 93 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $150.15
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $64.35
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $64.35
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $167.31
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $167.31
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $167.31
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $167.31
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $167.31
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $115.83
  • AMBETTER CONTRACTED [320452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $115.83
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psych Ther 60 Min With Patient $429 $278.85 $132.97 – $632.21
Psychotherapy, 60 minutes: 10 of 93 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $150.15
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $64.35
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $64.35
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $167.31
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $167.31
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $167.31
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $167.31
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $167.31
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $115.83
  • AMBETTER CONTRACTED [320452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $115.83
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psych Ther 60 Min With Patient Pf $226 $146.90 $132.97 – $632.21
Psychotherapy, 60 minutes: 10 of 91 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $79.10
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $33.90
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $33.90
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $88.14
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $88.14
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $88.14
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $88.14
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $88.14
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $61.02
  • AMBETTER CONTRACTED [320452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $61.02
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cd Fam Ther WO Patient 50 Min (Max Qty 2) $397 $258.05 $137
Family psychotherapy, without the patient: 10 of 92 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $138.95
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $59.55
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $59.55
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $154.83
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $154.83
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $154.83
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $154.83
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $154.83
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $137
  • AMBETTER CONTRACTED [320452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $137
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psych Fam Ther WO Pt 50min (Max Qty 2) $397 $258.05 $137
Family psychotherapy, without the patient: 10 of 92 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $138.95
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $59.55
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $59.55
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $154.83
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $154.83
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $154.83
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $154.83
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $154.83
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $137
  • AMBETTER CONTRACTED [320452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $137
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cd Fam Ther W Patient 50 Min (Max Qty 2) $360 $234 $23.40 – $360
Family psychotherapy, with the patient: 10 of 92 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $126
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $54
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $54
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $140.40
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $140.40
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $140.40
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $140.40
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $140.40
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $137
  • AMBETTER CONTRACTED [320452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $137
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psych Fam Ther W Pt 50min (Max Qty 2) $360 $234 $23.40 – $360
Family psychotherapy, with the patient: 10 of 92 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $126
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $54
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $54
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $140.40
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $140.40
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $140.40
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $140.40
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $140.40
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $137
  • AMBETTER CONTRACTED [320452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $137
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psych Fam Ther W Pt 50min (Max Qty 2) Pf $152 $98.80 $9.88 – $152
Family psychotherapy, with the patient: 10 of 91 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $53.20
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $22.80
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $22.80
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $59.28
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $59.28
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $59.28
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $59.28
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $59.28
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $41.04
  • AMBETTER CONTRACTED [320452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $41.04
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group Therapy 60 Min $325 $211.25 $78.86 – $130.12
Group psychotherapy: 10 of 97 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $113.75
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $48.75
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $48.75
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $126.75
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $126.75
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $126.75
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $126.75
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $126.75
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $137
  • AMBETTER CONTRACTED [320452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $137
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group Tx-Cd/Psych Iop $990 $643.50 $64.35 – $990
Group psychotherapy: 10 of 96 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $686
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $148.50
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $148.50
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $386.10
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $386.10
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $386.10
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $386.10
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $386.10
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $375
  • AMBETTER CONTRACTED [320452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $375
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group Tx-Iop $990 $643.50 $78.86 – $130.12
Group psychotherapy: 10 of 96 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $686
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $148.50
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $148.50
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $386.10
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $386.10
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $386.10
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $386.10
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $386.10
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $375
  • AMBETTER CONTRACTED [320452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $375

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Exc Breast Lesion Open 1 or > Mlp $438 $284.70 $145.01 – $2,975
Removal of breast growth (open surgery): 10 of 121 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $394.28
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $219
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $394.28
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $394.28
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2,975
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $2,975
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $2,975
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2,975
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $2,975
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $443.14
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Exc Breast Lesion Open 1 or >Pf $516 $335.40 $145.01 – $2,975
Removal of breast growth (open surgery): 10 of 121 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $394.28
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $258
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $394.28
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $394.28
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2,975
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $2,975
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $2,975
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2,975
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $2,975
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $443.14
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Exc Breast Lesion Open 1 or > $5,275 $3,428.75 $394.28
Removal of breast growth (open surgery): rates for 7 insurance plans
  • BLUE CROSS AND BLUE SHIELD [20053] — HB JEFN ANTHEM BLUE ACCESS: $2,637.50
  • BLUE CROSS AND BLUE SHIELD [20053] — HB JEFN ANTHEM BLUE ACCESS CHOICE: $2,637.50
  • BLUE CROSS AND BLUE SHIELD [20053] — HB JEFN ANTHEM BLUE PREFERRED EFF 011520: $2,637.50
  • BLUE CROSS AND BLUE SHIELD [20053] — HB JEFN ANTHEM PATHWAY/EXCHANGE EFF 011520: $2,637.50
  • BLUE CROSS AND BLUE SHIELD [20053] — HB JEFN ANTHEM TRADITIONAL: $4,747.50
  • BLUE CROSS AND BLUE SHIELD [20053] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $394.28
  • BLUE CROSS AND BLUE SHIELD [20053] — HB STLO WASH JEFN LINC SAMC CAPE STOD PCMH BCBS ASCENSION: $2,505.63
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls $19,232.65 $12,501.22 $144.15 – $4,905
Shoulder arthroscopy: shaving of shoulder bone: 10 of 126 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $3,215.01
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $6,599
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $3,215.01
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $3,215.01
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $4,812
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $4,812
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $4,812
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $4,812
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $4,812
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $5,379
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg $13,769.19 $8,949.97 $497.16 – $4,905
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 126 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $3,215.01
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $6,599
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $3,215.01
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $3,215.01
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $4,812
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $4,812
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $4,812
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $4,812
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $4,812
  • AMBETTER [20452] — HB STLO WASH JEFN CENTENE EXCHANGE/AMBETTER EFF 090118: $5,379
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GI Upper Endoscopy Complex $3,230 $2,099.50 $209.95 – $3,230
Upper GI endoscopy (diagnostic): 10 of 122 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $891.19
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $1,130.50
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $484.50
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $484.50
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $878.56
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $891.19
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $1,259.70
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $1,259.70
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $1,259.70
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $1,259.70
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GI Egd W/Biopsy Pf $6,773 $4,402.45 $1,885.49 – $4,324.51
Upper GI endoscopy with biopsy: 10 of 121 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $1,885.49
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $1,885.49
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $1,885.49
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $1,576
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $1,576
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $1,576
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $1,576
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $1,576
  • AMERICAN HEALTH ADVANTAGE OF MO MCR [10473] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $1,885.49
  • AUXIANT CONTRACTED [320462] — HB WASH JEFN BUCHHEIT DEC NEW 070122: $1,576
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GI Colonoscopy $2,442 $1,587.30 $158.73 – $2,442
Colonoscopy (diagnostic): 10 of 122 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $913.76
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $854.70
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $366.30
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $366.30
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $664.22
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $913.76
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $952.38
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $952.38
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $952.38
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $952.38
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GI Colo Biopsy Cold Pf $9,171.31 $5,961.35 $1,089 – $2,423
Colonoscopy with biopsy: 10 of 121 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $1,175.80
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $1,175.80
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $1,175.80
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $1,576
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $1,576
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $1,576
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $1,576
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $1,576
  • AMERICAN HEALTH ADVANTAGE OF MO MCR [10473] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $1,175.80
  • AUXIANT CONTRACTED [320462] — HB WASH JEFN BUCHHEIT DEC NEW 070122: $1,576
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GI Colo Biopsy Snare Pf $7,741.01 $5,031.66 $1,089 – $2,423
Colonoscopy with removal of polyps (snare): 10 of 121 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $1,175.80
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $1,175.80
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $1,175.80
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $1,576
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $1,576
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $1,576
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $1,576
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $1,576
  • AMERICAN HEALTH ADVANTAGE OF MO MCR [10473] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $1,175.80
  • AUXIANT CONTRACTED [320462] — HB WASH JEFN BUCHHEIT DEC NEW 070122: $1,576
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lap,Cholecystectomy Pf $17,382.55 $11,298.66 $5,940.24 – $13,624.40
Gallbladder removal by laparoscope: 10 of 121 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $5,940.24
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $5,664
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $5,940.24
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $5,940.24
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $4,812
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $4,812
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $4,812
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $4,812
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $4,812
  • AMERICAN HEALTH ADVANTAGE OF MO MCR [10473] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $5,940.24
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Rx Ing Hernia,5+Y/O,Reducibl Pf $15,523.60 $10,090.34 $3,518.04 – $8,068.91
Groin (inguinal) hernia repair, age 5 or older: 10 of 120 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $3,518.04
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $3,518.04
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $3,518.04
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2,975
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $2,975
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $2,975
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2,975
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $2,975
  • AMERICAN HEALTH ADVANTAGE OF MO MCR [10473] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $3,518.04
  • AUXIANT CONTRACTED [320462] — HB WASH JEFN BUCHHEIT DEC NEW 070122: $2,975
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Bx Prostate Needle/Punch $18,883.20 $12,274.08 $800.26 – $2,270.20
Prostate biopsy: 10 of 119 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $167.40
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $352.20
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $1,576
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $1,576
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $1,576
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $1,576
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $1,576
  • AMERICAN HEALTH ADVANTAGE OF MO MCR [10473] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $167.40
  • AUXIANT CONTRACTED [320462] — HB WASH JEFN BUCHHEIT DEC NEW 070122: $1,576
  • AUXIANT CONTRACTED [320462] — HB WASH JEFN CITY OF JACKSON DEC NEW 010125: $1,576
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy Bx Endometrium&/Polypc W/WO D&C $11,600.27 $7,540.18 $3,180.75 – $7,295.29
Hysteroscopy with biopsy of the uterus lining: 10 of 120 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $3,180.75
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $3,180.75
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $3,180.75
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2,975
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $2,975
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $2,975
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2,975
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $2,975
  • AMERICAN HEALTH ADVANTAGE OF MO MCR [10473] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $3,180.75
  • AUXIANT CONTRACTED [320462] — HB WASH JEFN BUCHHEIT DEC NEW 070122: $2,975
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inject Interlaminar Lumbar or Sacral W Imag $4,812.63 $3,128.21 $3,428 – $8,893
Spinal injection, lower back (epidural), with imaging guidance: 10 of 121 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $693.59
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $1,339.10
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $277.43
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $277.43
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $1,492.14
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $1,492.14
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $1,492.14
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $1,492.14
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $1,492.14
  • AMERICAN HEALTH ADVANTAGE OF MO MCR [10473] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $693.59
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj Transforminal Epi/Lumb/Sacral Sngl Level $3,663.03 $2,380.97 $869.07 – $1,993.28
Nerve root injection, lower back, with imaging guidance: 10 of 121 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $869.07
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $537.25
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $230.25
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $230.25
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $869.07
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $869.07
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $598.65
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $598.65
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $598.65
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $598.65
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Bilat Inj Epi/Lumb/Sacral Sngl Level $2,524 $1,640.60 $3,428 – $8,893
Nerve root injection, lower back, with imaging guidance: 10 of 75 insurance plan rates
  • AETNA CONTRACTED [320008] — HB WASH JEFN AETNA COMMERCIAL NEW 070123: $883.40
  • AETNA MEDICAID [20009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $378.60
  • AETNA MEDICAID CONTRACTED [320009] — HB WASH JEFN LINC SAMC AETNA BETTER HEALTH OF IL MEDICAID NE: $378.60
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $686.53
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $984.36
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $984.36
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $984.36
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $984.36
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $984.36
  • AUXIANT CONTRACTED [320462] — HB WASH JEFN BUCHHEIT DEC NEW 070122: $984.36
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Neuroplas/ Tranposit Median Nerve at Carp Tiunn Pf $10,038.81 $6,525.23 $406.49 – $3,033
Carpal tunnel release: 10 of 120 insurance plan rates
  • ACENTRA HEALTH CONTRACTED [320527] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $1,918.72
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN AETNA/COVENTRY MGD MEDICARE: $1,918.72
  • AETNA MEDICARE ADVANTAGE CONTRACTED [320010] — HB JEFN COVENTRY MEDICARE: $1,918.72
  • AITHER HEALTH [20449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2,975
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN LACLEDE CHAIN DEC NEW 07.01.25: $2,975
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SCHAEFER AUTOBODY DEC NEW 030121: $2,975
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN SHINE SOLAR DEC NEW 110320: $2,975
  • AITHER HEALTH CONTRACTED [320449] — HB WASH JEFN WOODARD DEC NEW 040124: $2,975
  • AMERICAN HEALTH ADVANTAGE OF MO MCR [10473] — HB JEFN MEDICARE AND 100% MANAGED MEDICARE: $1,918.72
  • AUXIANT CONTRACTED [320462] — HB WASH JEFN BUCHHEIT DEC NEW 070122: $2,975

Source: Mercy Hospital Jefferson’s standard charges file (mercy.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 10, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address1400 US Highway 61, Crystal City, MO 63019
CountyJefferson County
StateMissouri
Phone(636) 933‑1000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number260023
Name in Medicare recordsMERCY HOSPITAL JEFFERSON
Profile levelMedicare data + hospital website
Official websitemercy.net
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Sources

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

From the hospital’s website

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

  1. Mercy Hospital Jefferson — mercy.net
  2. Mercy Hospital Jefferson Quick Facts — mercy.net