Quick answers
- Does Midwest Medical Center have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at Midwest Medical Center. In a medical emergency, call 911.
- Where is Midwest Medical Center?
- 1 Medical Center Drive, Galena, IL 61036, in Jo Daviess County, Illinois.
- What is the phone number of Midwest Medical Center?
- (815) 777-1340, as listed by Medicare (CMS).
- What is the Medicare star rating of Midwest Medical Center?
- CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.
Specialties and care areas[5][6][8]
Conditions treated[8]
- Knee pain
- Post-surgery recovery
- Stroke
- Parkinson's disease
- Vertigo
Treatments[5][8]
- Pain management
- Vestibular/vertigo treatment
Programs and centers[5][8]
- Cardiac rehab
- Convenient Care
- Inpatient services
- Emergency & Trauma
- Lymphedema program
Emergency care (hospital website)[4][6]
| Emergency room | Yes |
|---|---|
| Open 24/7 | Yes |
Visiting and practical information
| Patient portal | Patient Portal |
|---|
Doctors and clinicians (96)
96 doctors and other clinicians list Midwest Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
Main specialties
- Emergency Medicine12
- Nurse Practitioner11
- Orthopedic Surgery10
- Internal Medicine10
- Family Practice7
- Physician Assistant6
- General Surgery5
- Diagnostic Radiology4
- Podiatry3
- Certified Registered Nurse Anesthetist (CRNA)3
- Cardiovascular Disease (Cardiology)3
- Interventional Cardiology2
Doctors with a page on this site (96)
- Adam J. Rodos, MDEmergency Medicine
- Ahmad El-Hattab, MDGeneral Surgery
- Alethia GrahamNurse Practitioner
- Alexander P. Johnson, MDHospitalist
- Ali M. Malick, MDRheumatology
- Amanda J. KriebsNurse Practitioner
- Amish M. Patel, MDAnesthesiology
- Andrew C. Bland, MDNephrology
- Andrew D. Vanderheyden, MDPathology
- Anna Lorence, MDEmergency Medicine
- Ashley S. Skrocki, CNACertified Registered Nurse Anesthetist (CRNA)
- Benjamin Roling, MDGeneral Surgery
- Brett P. Sjoberg, MDDiagnostic Radiology
- Brian D. Moran, MDInternal Medicine
- Brian L. Loc, DOCardiovascular Disease (Cardiology)
- Bruce A. Obbink, MDGeneral Surgery
- Cara R. Leppellere, MDObstetrics/Gynecology
- Chelsea L. BerryPhysician Assistant
- Christian L. Menezes, DOHospitalist
- Connor J. Golden, PAPhysician Assistant
- Cullen T. Kehoe, MDEmergency Medicine
- Cynthia J. Konz, MDInternal Medicine
- Daniel J. Givens, MDOtolaryngology
- Daniel W. ArmstrongPhysician Assistant
And 72 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- MercyOne Dubuque Medical Center16 mi · Dubuque, IA · Acute Care Hospital
- Finley Hospital19 mi · Dubuque, IA · Acute Care Hospital
- Southwest Health Center22 mi · Platteville, WI · Critical Access Hospital
- Lafayette Hospital and Clinics24 mi · Darlington, WI · Critical Access Hospital
- Jackson County Regional Health Center28 mi · Maquoketa, IA · Critical Access Hospital
Other hospitals nearby
- Grant Regional Health Center34 mi · Lancaster, WI · Critical Access Hospital
Nursing homes, hospice, home health and dialysis nearby
Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.
Nursing homes
- Galena Stauss Nursing Home3.2 mi · Galena, IL · 3 of 5 stars
- St Dominic Villa11 mi · Hazel Green, WI · 2 of 5 stars
- Mill Valley Care Center11 mi · Bellevue, IA · 5 of 5 stars
All nursing homes in the state →
Hospice providers
- Hospice of Dubuque22 mi · Dubuque, IA · 5 of 5 stars
All hospice providers in the state →
Home health agencies
- 24 Hour Care, LLC0.0 mi · Galena, IL · 2 of 5 stars
- Open Arms Home Health Care, L L C15 mi · Dubuque, IA
- UnityPoint at Home19 mi · Dubuque, IA
All home health agencies in the state →
Dialysis facilities
- Tri- State Dialysis - Dubuque19 mi · Dubuque, IA · 3 of 5 stars
- FKC Dubuque Dialysis22 mi · Dubuque, IA
- Tri State Dialysis24 mi · Platteville, WI · 3 of 5 stars
Outpatient surgery centers nearby
Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.
- Upper Mississippi Surgery Center12 mi · Hazel Green, WI
- Dubuque Endoscopy Center19 mi · Dubuque, IA
- Tri-State Surgery Center, LLC22 mi · Dubuque, IA
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
- Crescent Community Health Center Mobile Dental Unit16 mi · Dubuque, IA · Community health center
- Crescent Community Health Center16 mi · Dubuque, IA · Community health center
- Crescent Community Health Center16 mi · Dubuque, IA · Community health center
Clinics and urgent care
- Midwest Medical Center0.0 mi · Galena, IL · Rural health clinic
- Midwest Medical Center13 mi · Elizabeth, IL · Rural health clinic
- Lafayette Hospital and Clinics13 mi · Shullsburg, WI · Rural health clinic
Pharmacies
- Hartig Drug Co Corp0.0 mi · Galena, IL · Community/retail pharmacy
- Midwest Medical Center0.0 mi · Galena, IL · Community/retail pharmacy
- Walmart Inc.0.0 mi · Galena, IL · Community/retail pharmacy
Assisted living nearby
Licensed homes from the official state licence list, by straight-line distance.
- Sunrise Villa12 mi · Bellevue, IA
- Shullsburg Home CBRF13 mi · Shullsburg, WI
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 Midwest Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey)
What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
| Summary star rating (all survey topics) | 5 of 5 stars |
|---|---|
| Overall rating of the hospital | 5 of 5 stars |
| Would recommend the hospital | 5 of 5 stars |
| Nurses communicated well | 5 of 5 stars |
| Doctors communicated well | 5 of 5 stars |
| Staff explained medicines | 5 of 5 stars |
| Information about recovery at home | 4 of 5 stars |
| Room and bathroom kept clean | 5 of 5 stars |
| Quiet at night | 5 of 5 stars |
| Rated the hospital 9 or 10 out of 10 | 90%National average: 72% |
| Would definitely recommend the hospital | 89%National average: 71% |
| Nurses “always” communicated well | 90%National average: 80% |
| Doctors “always” communicated well | 92%National average: 80% |
| Staff “always” explained medicines before giving them | 84%National average: 62% |
| Were given information about recovery at home | 92%National average: 86% |
| Room and bathroom “always” clean | 87%National average: 74% |
| Area around the room “always” quiet at night | 68%National average: 60% |
| Completed surveys | 118Response rate: 40% |
Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.
Infections caught in the hospital
What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.
| Central line bloodstream infections (CLABSI) | Not reported to Medicare |
|---|---|
| Catheter-associated urinary tract infections (CAUTI) | Not reported to Medicare |
| Surgical site infections after colon surgery | Not reported to Medicare |
| Surgical site infections after abdominal hysterectomy | Not reported to Medicare |
| MRSA bloodstream infections | Not reported to Medicare |
| Clostridioides difficile (C. diff) intestinal infections | Not reported to Medicare |
Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.
Complications and deaths
What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
| Deaths within 30 days: heart attack patients | Too few cases to report |
|---|---|
| Deaths within 30 days: heart failure patients | Too few cases to report |
| Deaths within 30 days: pneumonia patients | Too few cases to report |
| Deaths within 30 days: COPD patients | Too few cases to report |
| Deaths within 30 days: stroke patients | Too few cases to report |
| Deaths within 30 days: coronary bypass surgery (CABG) | Not reported to Medicare |
| Serious complications (patient safety indicator PSI-90) | Not reported to Medicare |
| Complications after hip or knee replacement | Too few cases to report |
Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.
Return visits to the hospital (readmissions)
What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.
| Returned to any hospital within 30 days (all patients) | Not reported to Medicare |
|---|---|
| Readmitted within 30 days: heart attack | Too few cases to report |
| Readmitted within 30 days: heart failure | Too few cases to report |
| Readmitted within 30 days: pneumonia | 16.8% |
| Readmitted within 30 days: COPD | Too few cases to report |
| Readmitted within 30 days: coronary bypass surgery | Not reported to Medicare |
| Readmitted within 30 days: hip or knee replacement | Too few cases to report |
Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.
Emergency room times and sepsis care
What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.
| Average (median) time patients spent in the emergency room before leaving (OP-18b) | Not reported to Medicare |
|---|---|
| Patients who left the emergency room before being seen (OP-22) | Not reported to Medicare |
| Sepsis patients who got all the recommended early care (SEP-1) | Not reported to Medicare |
Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.
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 55 common services exactly as Midwest Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.
What the prices mean
- Hospital charge
- The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
- Cash price
- The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
- Insurance rates
- The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
- Hospital and doctor fees
- A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.
How to use hospital prices: estimates, financial assistance and your rights →
Office and emergency visits
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: 99203 Office/Outpatient Visit Level 3 New | $212.80 | $193.65 | $41.60 – $227.50 |
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: 99203 Office/Outpatient Visit Level 3 New | $240.70 | $219.04 | $164.05 – $228.66 |
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: 99203 Office/Outpatient Visit Level 3 New | $240.70 | $219.04 | Not listed in the file |
| New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: 99204 Office Visit Level 4 New (Ofc) | $316.60 | $288.11 | $66.40 – $339.86 |
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: 99204 Office Visit Level 4 New (Ofc) | $345 | $313.95 | $245.97 – $327.75 |
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: 99204 Office Visit Level 4 New (Ofc) | $345 | $313.95 | Not listed in the file |
| New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: Office Visit Level 5 New - 99205 | $397.50 | $361.73 | $70.85 – $448.73 |
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Office Visit Level 5 New - 99205 | $425.40 | $387.11 | $324.94 – $417.95 |
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: Office Visit Level 5 New - 99205 | $425.40 | $387.11 | Not listed in the file |
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: CONVENIENT CARE ED FACILITY CHARGE | $178.30 | $162.25 | $101.45 – $169.38 |
Established patient office visit (about 20–29 minutes): 10 of 21 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: CONVENIENT CARE ED FACILITY CHARGE | $178.30 | $162.25 | $101.45 – $169.38 |
Established patient office visit (about 20–29 minutes): 10 of 17 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: 99213 Office/Outpatient Visit Level 3 Est (Ofc) | $116 | $105.56 | $28.35 – $184.93 |
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: 99214 Outpatient Visit Level 4 Established (Ofc) | $184.30 | $167.71 | $42.50 – $262.40 |
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: 99214 Outpatient Visit Level 4 Established (Ofc) | $212.10 | $193.01 | $169.68 – $244.40 |
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: 99214 Outpatient Visit Level 4 Established (Ofc) | $212.10 | $193.01 | Not listed in the file |
| Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OFFICE CONSULT LEVEL 3 - 99243 | $350.10 | $318.59 | $194.84 – $332.60 |
Office consultation with a specialist (moderate): 10 of 11 insurance plan rates
| |||
| Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) In the file: OFFICE CONSULT LEVEL 3 - 99243 | $350.10 | $318.59 | Not listed in the file |
| Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: OFFICE CONSULT LEVEL 4 - 99244 | $470.30 | $427.97 | $291.99 – $446.79 |
Office consultation with a specialist (moderate to high): 10 of 11 insurance plan rates
| |||
| Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) In the file: OFFICE CONSULT LEVEL 4 - 99244 | $470.30 | $427.97 | Not listed in the file |
| Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: Preventive Medicine 18-39 years New - 99385 | $289.50 | $263.44 | $32.15 – $275.02 |
Preventive checkup, new patient, age 18–39: 10 of 16 insurance plan rates
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Preventive Medicine 18-39 years New - 99385 | $317.30 | $288.74 | $212.71 – $301.44 |
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) In the file: Preventive Medicine 18-39 years New - 99385 | $317.30 | $288.74 | Not listed in the file |
| Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: Preventive Medicine 40-64 years New - 99386 | $314.40 | $286.10 | $66.40 – $307.76 |
Preventive checkup, new patient, age 40–64: 10 of 16 insurance plan rates
| |||
| Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Preventive Medicine 40-64 years New - 99386 | $354.20 | $322.32 | $246.21 – $336.49 |
Preventive checkup, new patient, age 40–64: 10 of 11 insurance plan rates
| |||
| Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) In the file: Preventive Medicine 40-64 years New - 99386 | $354.20 | $322.32 | Not listed in the file |
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: 99283 - Level 3 - Lynx Visit Level | $529.40 | $481.75 | $301.23 – $502.93 |
Emergency room visit (moderate): 10 of 21 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: 99283 - FAC ED Level 3 | $529.40 | $481.75 | $301.23 – $502.93 |
Emergency room visit (moderate): 10 of 21 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: 99283 - Level 3 - Lynx Visit Level | $529.40 | $481.75 | $301.23 – $502.93 |
Emergency room visit (moderate): 10 of 17 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: 99284 - Level 4 - Lynx Visit Level | $886.10 | $806.35 | $504.19 – $841.79 |
Emergency room visit (moderately high): 10 of 21 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: 99284 - FAC ED Level 4 | $886.10 | $806.35 | $504.19 – $841.79 |
Emergency room visit (moderately high): 10 of 21 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: 99284 - Level 4 - Lynx Visit Level | $886.10 | $806.35 | $504.19 – $841.79 |
Emergency room visit (moderately high): 10 of 17 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: 99285 - Level 5 - Lynx Visit Level | $1,454.50 | $1,323.60 | $827.61 – $1,381.78 |
Emergency room visit (high): 10 of 21 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: 99285 - FAC ED Level 5 | $1,454.50 | $1,323.60 | $827.61 – $1,381.78 |
Emergency room visit (high): 10 of 21 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: 99285 - Level 5 - Lynx Visit Level | $1,454.50 | $1,323.60 | $827.61 – $1,381.78 |
Emergency room visit (high): 10 of 17 insurance plan rates
| |||
Lab tests
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BMP 8 | $48.50 | $44.13 | $31.04 – $97.89 |
Basic metabolic panel (blood test): 10 of 22 insurance plan rates
| |||
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic Metabolic Panel UCL | $48.50 | $44.13 | $31.04 – $97.89 |
Basic metabolic panel (blood test): 10 of 22 insurance plan rates
| |||
| Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: BMP 8 | $48.50 | $44.13 | $31.04 – $46.08 |
Basic metabolic panel (blood test): 10 of 17 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: CMP 8 | $62.50 | $56.88 | $40 – $141.11 |
Comprehensive metabolic panel (blood test): 10 of 22 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: CMP 8 | $62.50 | $56.88 | $40 – $59.38 |
Comprehensive metabolic panel (blood test): 10 of 17 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · modifier 90 In the file: Comprehensive Metabolic Panel UCL | $62.50 | $56.88 | $40 – $141.11 |
Comprehensive metabolic panel (blood test): 10 of 22 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid Panel | $163.20 | $148.51 | $104.45 – $155.04 |
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: Lipid Panel | $163.20 | $148.51 | $104.45 – $155.04 |
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · modifier 90 In the file: Lipid Panel UCL | $163.20 | $148.51 | $104.45 – $155.04 |
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal Panel 11 | $159.80 | $145.42 | $102.27 – $151.81 |
Kidney function panel: 10 of 22 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: Renal Panel 11 | $159.80 | $145.42 | $102.27 – $151.81 |
Kidney function panel: 10 of 17 insurance plan rates
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic Panel | $155.20 | $141.23 | $99.33 – $147.44 |
Liver function panel: 10 of 22 insurance plan rates
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic Function Panel 3 | $155.20 | $141.23 | $99.33 – $147.44 |
Liver function panel: 10 of 22 insurance plan rates
| |||
| Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: Hepatic Panel | $155.20 | $141.23 | $99.33 – $147.44 |
Liver function panel: 10 of 17 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA Complete 1 | $54.50 | $49.59 | $34.88 – $51.77 |
Urine test (automated, with microscope): 10 of 22 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: UA Complete 1 | $54.50 | $49.59 | $34.88 – $51.77 |
Urine test (automated, with microscope): 10 of 17 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urine Dipstick POC | $38.50 | $35.03 | $21.10 – $36.58 |
Urine test (manual, without microscope): 10 of 22 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urine Dipstick POC - Clinic | $38.50 | $35.03 | $21.10 – $36.58 |
Urine test (manual, without microscope): 10 of 22 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Nitrite Urine Dipstick | $38.50 | $35.03 | $21.10 – $36.58 |
Urine test (manual, without microscope): 10 of 22 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis | $40.20 | $36.58 | $25.73 – $38.19 |
Urine test (automated, without microscope): 10 of 22 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: Urinalysis | $40.20 | $36.58 | $25.73 – $38.19 |
Urine test (automated, without microscope): 10 of 17 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA Diagnostic | $156.90 | $142.78 | $100.42 – $149.06 |
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: PSA Diagnostic | $156.90 | $142.78 | $100.42 – $149.06 |
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · modifier 90 In the file: PSA Postprostatectomy UCL | $156.90 | $142.78 | $100.42 – $149.06 |
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid Stimulating Hormone | $184 | $167.44 | $101.95 – $174.80 |
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: Thyroid Stimulating Hormone | $184 | $167.44 | $117.76 – $174.80 |
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · modifier 90 In the file: Thyroid Function Cascade UCL | $184 | $167.44 | $101.95 – $174.80 |
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC w/ Auto Diff 3 | $138.80 | $126.31 | $62.99 – $131.86 |
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: No - Add Manual Diff | $138.80 | $126.31 | $62.99 – $131.86 |
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC w/Auto Diff 3 BCE | $138.80 | $126.31 | $62.99 – $131.86 |
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Hemogram | $118.70 | $108.02 | $50.06 – $112.77 |
Complete blood count (CBC), automated: 10 of 22 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Yes - Add Manual Diff | $118.70 | $108.02 | $50.06 – $112.77 |
Complete blood count (CBC), automated: 10 of 22 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC w/ Auto Diff 8 | $118.70 | $108.02 | $50.06 – $112.77 |
Complete blood count (CBC), automated: 10 of 22 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin Time | $24.20 | $22.02 | $15.49 – $43.85 |
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: Prothrombin Time | $24.20 | $22.02 | $15.49 – $22.99 |
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · modifier 90 In the file: PT/INR. 1 | $24.20 | $22.02 | $15.49 – $43.85 |
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Partial Thromboplastin Time | $107.30 | $97.64 | $57.16 – $101.94 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: Partial Thromboplastin Time | $107.30 | $97.64 | $68.67 – $101.94 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · modifier 90 In the file: Activated Partial Thrombopl Time UCL | $51.80 | $47.14 | $33.15 – $57.16 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates
| |||
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT Head or Brain w/o Cont | $1,870.70 | $1,702.34 | $912.70 – $1,777.16 |
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT Head or Brain w/o Cont | $1,870.70 | $1,702.34 | $1,197.25 – $1,777.16 |
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI Brain w/ + w/o Cont | $3,479.30 | $3,166.16 | $2,117.24 – $3,305.34 |
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MRI Brain w/ + w/o Cont | $3,479.30 | $3,166.16 | $2,226.75 – $3,305.34 |
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: XR Chest 2 Views | $288.60 | $262.63 | $153.54 – $274.17 |
Chest X-ray, 2 views: 10 of 22 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: XR Chest 2 Views | $288.60 | $262.63 | $184.70 – $274.17 |
Chest X-ray, 2 views: 10 of 17 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR Spine Lumbosacral Min 4 Views w/ Obl | $421.10 | $383.20 | $269.50 – $400.05 |
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: XR Spine Lumbosacral Min 4 Views w/ Obl | $421.10 | $383.20 | $269.50 – $400.05 |
X-ray of the lower spine, at least 4 views: 10 of 17 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI Spine Lumbar w/o Cont | $2,467 | $2,244.97 | $1,535.77 – $2,343.65 |
MRI of the lower back (lumbar spine), without contrast: 10 of 22 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MRI Spine Lumbar w/o Cont | $2,467 | $2,244.97 | $1,578.88 – $2,343.65 |
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT Pelvis w/ Cont | $2,242.60 | $2,040.77 | $1,313.45 – $2,130.47 |
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT Pelvis w/ Cont | $2,242.60 | $2,040.77 | $1,435.26 – $2,130.47 |
CT scan of the pelvis, with contrast: 10 of 17 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI Toes w/o Cont Rt | $2,304.70 | $2,097.28 | $1,475.01 – $2,189.47 |
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI Toes w/o Cont Lt | $2,304.70 | $2,097.28 | $1,475.01 – $2,189.47 |
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: MRI Toes w/o Cont Rt | $2,304.70 | $2,097.28 | $1,475.01 – $2,189.47 |
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT Abdomen +Pelvis w/ Cont | $4,692.40 | $4,270.08 | $2,496.36 – $4,457.78 |
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Radiology Request | $4,692.40 | $4,270.08 | $2,496.36 – $4,457.78 |
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT Chest +Abdomen +Pelvis w/ Cont | $7,141.80 | $6,499.04 | $4,570.75 – $6,784.71 |
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US Abdomen Comp | $968 | $880.88 | $502.89 – $919.60 |
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US Abdomen Comp | $968 | $880.88 | $550.79 – $919.60 |
Ultrasound of the abdomen, complete: 10 of 17 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US Pregnant > 14 Weeks 1st Gest | $1,090 | $991.90 | $417.57 – $1,035.50 |
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: US Pregnant > 14 Weeks 1st Gest | $1,090 | $991.90 | $620.21 – $1,035.50 |
Pregnancy ultrasound (after the first trimester): 10 of 17 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US Transvaginal | $479.70 | $436.53 | $272.95 – $455.71 |
Transvaginal ultrasound: 10 of 22 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US Pelvis Non-OB Comp Transvaginal | $479.70 | $436.53 | $272.95 – $455.71 |
Transvaginal ultrasound: 10 of 22 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: US Transvaginal | $479.70 | $436.53 | $272.95 – $455.71 |
Transvaginal ultrasound: 10 of 17 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MA Addl Views Lt. | $268 | $243.88 | $142.58 – $254.60 |
Diagnostic mammogram, one breast: 10 of 22 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MA Addl Views Rt. | $268 | $243.88 | $142.58 – $254.60 |
Diagnostic mammogram, one breast: 10 of 22 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MA Diag Rt. | $335.70 | $305.49 | $178.59 – $318.92 |
Diagnostic mammogram, one breast: 10 of 22 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MA Diag Bil. | $402.50 | $366.27 | $214.13 – $382.38 |
Diagnostic mammogram, both breasts: 10 of 22 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: MA Diag Bil. | $402.50 | $366.27 | $229.02 – $382.38 |
Diagnostic mammogram, both breasts: 10 of 17 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MA Routine Screen Implant Bil. | $607.60 | $552.92 | $323.24 – $577.22 |
Screening mammogram, both breasts: 10 of 22 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MA Routine Screen Bil. | $352.20 | $320.50 | $187.37 – $334.59 |
Screening mammogram, both breasts: 10 of 22 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: MA Routine Screen Implant Bil. | $607.60 | $552.92 | $345.72 – $577.22 |
Screening mammogram, both breasts: 10 of 17 insurance plan rates
| |||
Heart tests and sleep study
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: EKG 12 Lead, Interp/Report Only Charge | $186 | $169.26 | $24.18 – $176.70 |
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates
| |||
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) In the file: EKG 12 Lead, Interp/Report Only Charge | $186 | $169.26 | Not listed in the file |
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Sleep Study / 4+ Request | $2,921.80 | $2,658.84 | $1,662.50 – $2,775.71 |
Sleep study (overnight, in a sleep lab): 10 of 21 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: Sleep Study / 4+ Request | $2,921.80 | $2,658.84 | $1,662.50 – $2,775.71 |
Sleep study (overnight, in a sleep lab): 10 of 17 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysomnography; W/4-more Add | $4,477.40 | $4,074.43 | $226.20 – $4,253.53 |
Sleep study (overnight, in a sleep lab): 10 of 11 insurance plan rates
| |||
Physical therapy and mental health
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: Therapeutic Exercise Charges | $110.60 | $100.65 | $62.93 – $105.07 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: 97110 PT THERAPEUTIC EXERCISE 15 MIN | $110.60 | $100.65 | $62.93 – $105.07 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: PT Therapeutic Exercise Units | $110.60 | $100.65 | $62.93 – $105.07 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: 97161 PT Evaluation Low Complexity Units | $215.40 | $196.01 | $78 – $204.63 |
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GO In the file: PT Low Complex Units | $215.40 | $196.01 | $78 – $204.63 |
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: PT Evaluation Low Complexity Units | $215.40 | $196.01 | $78 – $204.63 |
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GO In the file: PT Moderate Complex Units | $246.10 | $223.95 | $78 – $233.79 |
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: PT Evaluation Moderate Complexity Units | $246.10 | $223.95 | $78 – $233.79 |
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · modifier GO In the file: PT Moderate Complex Units | $246.10 | $223.95 | $140.03 – $233.79 |
Physical therapy evaluation (moderate complexity): 10 of 17 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: PT High Complex Units | $307.50 | $279.82 | $78 – $292.12 |
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: PT Evaluation High Complexity Units | $307.50 | $279.82 | $78 – $292.12 |
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · modifier GP In the file: PT High Complex Units | $307.50 | $279.82 | $174.97 – $292.12 |
Physical therapy evaluation (high complexity): 10 of 17 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: 90832 Psychotherapy, 30 min with patient MMC | $117.40 | $106.83 | $4.46 – $155.62 |
Psychotherapy, 30 minutes: 10 of 16 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: 90832 Psychotherapy, 30 min with patient | $117.40 | $106.83 | $4.46 – $155.62 |
Psychotherapy, 30 minutes: 10 of 16 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: 90834 Psychotherapy, 45 min with patient MMC | $156.30 | $142.23 | $5.92 – $206.57 |
Psychotherapy, 45 minutes: 10 of 16 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: 90834 Psychotherapy, 45 min with patient | $156.30 | $142.23 | $5.92 – $206.57 |
Psychotherapy, 45 minutes: 10 of 16 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: 90837 Psychotherapy, 60 min with patient MMC | $233.70 | $212.67 | $8.74 – $304.97 |
Psychotherapy, 60 minutes: 10 of 16 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: 90837 Psychotherapy, 60 min with patient | $233.70 | $212.67 | $8.74 – $304.97 |
Psychotherapy, 60 minutes: 10 of 16 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: 90846 Psychotherapy Family w/outpatient 50 min MMC | $172.30 | $156.79 | $5.68 – $198.19 |
Family psychotherapy, without the patient: 10 of 15 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: 90846 Psychotherapy Family w/outpatient 50 min | $172.30 | $156.79 | $5.68 – $198.19 |
Family psychotherapy, without the patient: 10 of 15 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: 90847 Psychotherapy Family w/ patient 50 min MMC | $178.30 | $162.25 | $5.88 – $205.17 |
Family psychotherapy, with the patient: 10 of 16 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: 90847 Psychotherapy Family w/ patient 50 min | $178.30 | $162.25 | $5.88 – $205.17 |
Family psychotherapy, with the patient: 10 of 16 insurance plan rates
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: EXCISION OF CYST FIBROADENOMA OR OTHER | $1,011.20 | $920.19 | $240 – $1,470.05 |
Removal of breast growth (open surgery): 10 of 16 insurance plan rates
| |||
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: EXCISION OF CYST FIBROADENOMA OR OTHER | $1,685.30 | $1,533.62 | $888.63 – $1,601.04 |
Removal of breast growth (open surgery): 10 of 11 insurance plan rates
| |||
| Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) In the file: EXCISION OF CYST FIBROADENOMA OR OTHER | $1,685.30 | $1,533.62 | Not listed in the file |
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: 17045378 COLONOSCOPY ED Charge | $1,638.20 | $1,490.76 | $932.14 – $1,815.34 |
Colonoscopy (diagnostic): 10 of 22 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: 17045378 COLONOSCOPY ED Charge | $1,638.20 | $1,490.76 | $932.14 – $1,556.29 |
Colonoscopy (diagnostic): 10 of 17 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: 17045380 COLONOSCOPY AND BIOPSY ED Charge | $1,840.30 | $1,674.67 | $1,047.13 – $1,815.34 |
Colonoscopy with biopsy: 10 of 22 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: 17045380 COLONOSCOPY AND BIOPSY ED Charge | $1,840.30 | $1,674.67 | $1,047.13 – $1,748.29 |
Colonoscopy with biopsy: 10 of 17 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: 17000121 COLONOSCOPY SCREENING ED Charge | $1,638.20 | $1,490.76 | $932.14 – $1,556.29 |
Screening colonoscopy (not high risk): 10 of 21 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) In the file: 17000121 COLONOSCOPY SCREENING ED Charge | $1,638.20 | $1,490.76 | $932.14 – $1,556.29 |
Screening colonoscopy (not high risk): 10 of 17 insurance plan rates
| |||
Source: Midwest Medical Center’s standard charges file (midwestmedicalcenter.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →
Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.
Hospital information
| Hospital type | Critical Access Hospital |
|---|---|
| Address | 1 Medical Center Drive, Galena, IL 61036 |
| County | Jo Daviess County |
| State | Illinois |
| Phone | (815) 777‑1340 |
| Emergency services | Yes |
| Ownership | Voluntary non-profit - Private |
| Medicare overall rating | Not rated by CMS |
| CMS Certification Number | 141302 |
| Name in Medicare records | MIDWEST MEDICAL CENTER |
| Profile level | Medicare data + hospital website |
| Official website | midwestmedicalcenter.org |
| Corrections | Report an error or suggest an update → |
Sources
- Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
- Medicare Care Compare — official Medicare profile of this hospital
- U.S. Census Bureau 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.
- Midwest Medical Center — midwestmedicalcenter.org
- Our Services — midwestmedicalcenter.org
- Emergency — midwestmedicalcenter.org
- Rehabilitation Services — midwestmedicalcenter.org