Does Northwestern Medicine Central Dupage Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Northwestern Medicine Central Dupage Hospital. In a medical emergency, call 911.

Where is Northwestern Medicine Central Dupage Hospital?

25 North Winfield Road, Winfield, IL 60190, in Du Page County, Illinois.

What is the phone number of Northwestern Medicine Central Dupage Hospital?

(630) 682-1600, as listed by Medicare (CMS).

What is the Medicare star rating of Northwestern Medicine Central Dupage Hospital?

5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Northwestern Medicine Central Dupage Hospital

Quick answers

Does Northwestern Medicine Central Dupage Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Northwestern Medicine Central Dupage Hospital. In a medical emergency, call 911.
Where is Northwestern Medicine Central Dupage Hospital?: 25 North Winfield Road, Winfield, IL 60190, in Du Page County, Illinois.
What is the phone number of Northwestern Medicine Central Dupage Hospital?: (630) 682-1600, as listed by Medicare (CMS).
What is the Medicare star rating of Northwestern Medicine Central Dupage Hospital?: 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Behavioral Health
Cancer Care
Cardiovascular Care
Clinical Genetics
Ear, Nose and Throat
Emergency Medicine
Gastroenterology
Hematology
Imaging
Neurosciences
Occupational Health
Orthopaedics
Palliative Care
Pediatrics
Primary Care
Pulmonary
Rehabilitation
Surgical Services
Women's Health
Oncology
Neurology
Maternal-fetal medicine

Conditions treated^{[9][10][11][12]}

Stroke
Breast cancer
Cerebral aneurysms
Carotid stenosis
Vertebrobasilar stenosis
Vascular malformations
Premature birth
Low birth weight

Treatments^[10][11]

Endovascular treatment of cerebral aneurysms
Endovascular treatment of vascular malformations
Emergency C-section
Epidural and other labor pain management

Procedures^[7][9]

3-D mammography
Breast MRI and MRI-guided biopsy
Stereotactic breast biopsy
Ultrasound-guided breast biopsy
Bone density scan (DEXA)
EKG

Programs and centers^{[4][5][6][9][10][11][12][14][15]}

Comprehensive Stroke Center
Pediatric Emergency Department
Level III NICU
Pediatric Intensive Care Unit
Breast Health Center
Bluhm Cardiovascular Institute
Labor and delivery
Central Neurointerventional Lab
Clinical research and clinical trials

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

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level II
Stroke designation	Comprehensive Stroke Center

Visiting and practical information

Visiting	Visiting hours 8 a.m.-8 p.m., Monday through Sunday^[4]
Parking	General parking available 24/7 and patrolled by security; free up to 24 hours at the standard rate^[4]
Interpreters and languages	Free medically trained interpreters, ASL interpreters, TTY and video interpreting available^[4]
Patient portal	MyNM Patient Portal

Recognition^[4][5][9]

Magnet Recognition (ANCC)
U.S. News & World Report: No. 6 in Illinois and Chicago Metro Area (2026-2027)
Accredited Breast Center (National Accreditation Program for Breast Centers, American College of Surgeons)
Advanced Comprehensive Stroke Center (Joint Commission)

Doctors and clinicians (4,617)

4,617 doctors and other clinicians list Northwestern Medicine Central Dupage Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Nurse Practitioner837
Internal Medicine602
Family Practice474
Physician Assistant358
Diagnostic Radiology220
Obstetrics/Gynecology164
Cardiovascular Disease (Cardiology)133
Nephrology115
Gastroenterology114
Hospitalist109
Neurology91
Hematology/Oncology87

And 4,593 more: the button below opens the full list.

Other emergency rooms nearby

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

UChicago Medicine AdventHealth Glenoaks5.7 mi · Glendale Heights, IL · Acute Care Hospital
Edward Hospital7.8 mi · Naperville, IL · Acute Care Hospital
Advocate Good Samaritan Hospital8.4 mi · Downers Grove, IL · Acute Care Hospital
Northwestern Medicine Delnor Community Hospital9.5 mi · Geneva, IL · Acute Care Hospital
Presence Mercy Medical Center11 mi · Aurora, IL · Acute Care Hospital

Other hospitals nearby

Marianjoy Rehabilitation Center2.9 mi · Wheaton, IL · Inpatient Rehabilitation Hospital
Linden Oaks at Edward7.8 mi · Naperville, IL · Psychiatric Hospital
BHC Streamwood Hospital Inc9.3 mi · Streamwood, IL · Psychiatric 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

Ahva Care of Winfield0.4 mi · Winfield, IL · 4 of 5 stars
Wynscape Health & Rehab1.0 mi · Wheaton, IL · 5 of 5 stars
Dupage Care Center1.1 mi · Wheaton, IL · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Cadre Hospice - Chicago LLC3.9 mi · Warrenville, IL
Anodyne Palliative Services, LLC4.8 mi · Glen Ellyn, IL
Family Paramount Hospice LLC6.3 mi · Naperville, IL

All hospice providers in the state →

Home health agencies

Inspired Homecare of Illinois, LLC2.3 mi · Wheaton, IL
Harmony Home Health Agency, Inc3.3 mi · West Chicago, IL
Precision Home Health Care, Inc3.3 mi · West Chicago, IL

All home health agencies in the state →

Dialysis facilities

DaVita Geneva Crossings3.2 mi · Carol Stream, IL · 3 of 5 stars
FMC - Dupage West3.3 mi · West Chicago, IL · 3 of 5 stars
FMC - West Chicago Dialysis Center3.3 mi · West Chicago, IL · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Dupage Eye Surgery Center2.3 mi · Wheaton, IL
Cadence Ambulatory Surgery Center LLC3.9 mi · Warrenville, IL
DMG Surgical Center LLC7.1 mi · Lombard, IL

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

VNA Health Center- DuPage County Health Department0.9 mi · Wheaton, IL · Community health center
ACCESS West Chicago Family Health Center2.6 mi · West Chicago, IL · Community health center
VNA Health Center- Mona Kea3.1 mi · Carol Stream, IL · Community health center

Clinics and urgent care

Sol Core Solutions LLC0.0 mi · Winfield, IL · Urgent care center
Sterling Dme Solutions LLC0.0 mi · Winfield, IL · Urgent care center
Medaxis Health Management LLC2.3 mi · Wheaton, IL · Urgent care center

Pharmacies

Walgreen Co0.0 mi · Winfield, IL · Pharmacy
1918 Winter Street Operating Co LLC2.3 mi · Wheaton, IL · Community/retail pharmacy
Dupage County2.3 mi · Wheaton, IL · Clinic pharmacy

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	79%National average: 72%
Would definitely recommend the hospital	82%National average: 71%
Nurses “always” communicated well	80%National average: 80%
Doctors “always” communicated well	79%National average: 80%
Staff “always” explained medicines before giving them	62%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	74%National average: 74%
Area around the room “always” quiet at night	62%National average: 60%
Completed surveys	1,496Response rate: 30%

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)	0.288Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.445Better than the national benchmark
Surgical site infections after colon surgery	1.63No different from the national benchmark
Surgical site infections after abdominal hysterectomy	0No different from the national benchmark
MRSA bloodstream infections	0.305No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.355Better 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 patients	11%
Deaths within 30 days: heart failure patients	8.9%
Deaths within 30 days: pneumonia patients	14.2%
Deaths within 30 days: COPD patients	7.1%
Deaths within 30 days: stroke patients	11%
Deaths within 30 days: coronary bypass surgery (CABG)	1.4%
Serious complications (patient safety indicator PSI-90)	0.72Better than the national rate
Complications after hip or knee replacement	3.3%

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 attack	12.4%
Readmitted within 30 days: heart failure	20.8%
Readmitted within 30 days: pneumonia	17.6%
Readmitted within 30 days: COPD	20.3%
Readmitted within 30 days: coronary bypass surgery	8.6%
Readmitted within 30 days: hip or knee replacement	5.6%

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)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	230 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	4%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	55%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.

ER wait times in Illinois Best hospitals in Illinois

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 72 common services exactly as Northwestern Medicine Central Dupage Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HB Office/Outpatient Visit New Level 3	$543	$380.10	$37.47 – $543
New patient office visit (about 30–44 minutes): 10 of 43 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $170.50 AETNA HEALTH PLAN [171] — CDH AETNA BP: $162.90 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $190.05 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $77.65 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $60.27 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $60.27 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $60.27 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $223.06 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $95.57 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $325.80
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HB Office/Outpatient Visit New Level 4	$626	$438.20	$43.19 – $626
New patient office visit (about 45–59 minutes): 10 of 43 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $196.56 AETNA HEALTH PLAN [171] — CDH AETNA BP: $187.80 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $219.10 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $89.52 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $69.49 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $69.49 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $69.49 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $257.16 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $110.18 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $375.60
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HB Office/Outpatient Visit New Level 5	$915	$640.50	$63.14 – $915
New patient office visit (about 60–74 minutes): 10 of 43 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $287.31 AETNA HEALTH PLAN [171] — CDH AETNA BP: $274.50 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $320.25 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $130.85 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $101.57 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $101.57 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $101.57 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $375.88 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $161.04 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $549
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Hcpf Established Patient Level 3 Bh	$216	$151.20	$14.90 – $216
Established patient office visit (about 20–29 minutes): 10 of 47 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $114.05 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $67.82 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $124.42 AETNA HEALTH PLAN [171] — CDH AETNA BP: $64.80 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $75.60 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $30.89 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $23.98 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $23.98 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $23.98 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $88.73
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HB Office/Outpatient Visit Established Level 3	$416	$291.20	$28.70 – $416
Established patient office visit (about 20–29 minutes): 10 of 43 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $130.62 AETNA HEALTH PLAN [171] — CDH AETNA BP: $124.80 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $145.60 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $59.49 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $46.18 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $46.18 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $46.18 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $170.89 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $73.22 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $249.60
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Hcpf Established Patient Level 4 Bh	$235	$164.50	$16.22 – $235
Established patient office visit (about 30–39 minutes): 10 of 47 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $124.08 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $73.79 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $135.36 AETNA HEALTH PLAN [171] — CDH AETNA BP: $70.50 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $82.25 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $33.61 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $26.09 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $26.09 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $26.09 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $96.54
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HB Office/Outpatient Visit Established Level 4	$569	$398.30	$39.26 – $569
Established patient office visit (about 30–39 minutes): 10 of 43 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $178.67 AETNA HEALTH PLAN [171] — CDH AETNA BP: $170.70 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $199.15 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $81.37 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $63.16 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $63.16 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $63.16 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $233.75 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $100.14 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $341.40
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HB ED Visit Level 3	$1,924	$1,346.80	$132.76 – $1,924
Emergency room visit (moderate): 10 of 51 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $1,015.87 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $604.14 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $1,108.22 AETNA HEALTH PLAN [171] — CDH AETNA BP: $577.20 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $673.40 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $275.13 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $213.56 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $213.56 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $213.56 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $790.38
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HB ED Visit Level 4	$6,236	$4,365.20	$248.88 – $3,607
Emergency room visit (moderately high): 10 of 48 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: 52.8% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: 31.4% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA ASA: 57.6% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA BP: 30% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: 35% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: 14.3% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: 11.1% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: 11.1% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: 11.1% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: 41.08% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HB ED Visit Level 5	$5,049	$3,534.30	$348.38 – $5,049
Emergency room visit (high): 10 of 50 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $2,665.87 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $1,585.39 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $2,908.22 AETNA HEALTH PLAN [171] — CDH AETNA BP: $1,514.70 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $1,767.15 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $722.01 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $560.44 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $560.44 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $560.44 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $2,074.13

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: HB Bmp With Bun/Creat Ratio	$314	$219.80	$21.67 – $314
Basic metabolic panel (blood test): 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $98.60 AETNA HEALTH PLAN [171] — CDH AETNA BP: $94.20 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $109.90 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $44.90 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $34.85 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $34.85 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $34.85 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $128.99 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $55.26 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $188.40
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HB Basic Metabolic Panel	$314	$219.80	$21.67 – $314
Basic metabolic panel (blood test): 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $98.60 AETNA HEALTH PLAN [171] — CDH AETNA BP: $94.20 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $109.90 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $44.90 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $34.85 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $34.85 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $34.85 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $128.99 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $55.26 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $188.40
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HB Ref Cmp With Bun/Creat Ratio	$438	$306.60	$30.22 – $438
Comprehensive metabolic panel (blood test): 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $137.53 AETNA HEALTH PLAN [171] — CDH AETNA BP: $131.40 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $153.30 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $62.63 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $48.62 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $48.62 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $48.62 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $179.93 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $77.09 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $262.80
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HB Comprehensive Metabolic Panel	$438	$306.60	$30.22 – $438
Comprehensive metabolic panel (blood test): 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $137.53 AETNA HEALTH PLAN [171] — CDH AETNA BP: $131.40 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $153.30 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $62.63 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $48.62 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $48.62 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $48.62 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $179.93 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $77.09 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $262.80
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HB Ref Chem-12/Alt (Gva)	$438	$306.60	$30.22 – $438
Comprehensive metabolic panel (blood test): 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $137.53 AETNA HEALTH PLAN [171] — CDH AETNA BP: $131.40 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $153.30 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $62.63 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $48.62 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $48.62 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $48.62 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $179.93 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $77.09 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $262.80
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HB Ref Lipid Panel (Lc)	$263	$184.10	$18.15 – $263
Cholesterol panel (lipid panel): 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $82.58 AETNA HEALTH PLAN [171] — CDH AETNA BP: $78.90 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $92.05 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $37.61 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $29.19 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $29.19 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $29.19 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $108.04 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $46.29 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $157.80
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HB Lipid Panel	$263	$184.10	$18.15 – $263
Cholesterol panel (lipid panel): 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $82.58 AETNA HEALTH PLAN [171] — CDH AETNA BP: $78.90 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $92.05 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $37.61 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $29.19 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $29.19 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $29.19 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $108.04 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $46.29 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $157.80
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HB Lipid Panel, Reflex Ldl-D	$263	$184.10	$18.15 – $263
Cholesterol panel (lipid panel): 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $82.58 AETNA HEALTH PLAN [171] — CDH AETNA BP: $78.90 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $92.05 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $37.61 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $29.19 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $29.19 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $29.19 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $108.04 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $46.29 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $157.80
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HB Renal Function Panel	$397	$277.90	$27.39 – $397
Kidney function panel: 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $124.66 AETNA HEALTH PLAN [171] — CDH AETNA BP: $119.10 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $138.95 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $56.77 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $44.07 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $44.07 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $44.07 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $163.09 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $69.87 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $238.20
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HB Ref Renal Function Panel	$212	$148.40	$14.63 – $212
Kidney function panel: 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $66.57 AETNA HEALTH PLAN [171] — CDH AETNA BP: $63.60 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $74.20 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $30.32 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $23.53 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $23.53 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $23.53 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $87.09 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $37.31 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $127.20
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HB Ref Liver Fibrosis Risk Profile, Hepatic Function Panel (Lc)	$172	$120.40	$11.87 – $172
Liver function panel: 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $54.01 AETNA HEALTH PLAN [171] — CDH AETNA BP: $51.60 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $60.20 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $24.60 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $19.09 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $19.09 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $19.09 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $70.66 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $30.27 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $103.20
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HB Ref Liver Fibrosis, Hepatic Function Panel (Q)	$199	$139.30	$13.73 – $199
Liver function panel: 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $62.49 AETNA HEALTH PLAN [171] — CDH AETNA BP: $59.70 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $69.65 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $28.46 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $22.09 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $22.09 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $22.09 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $81.75 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $35.02 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $119.40
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HB Hepatic Function Panel	$388	$271.60	$26.77 – $388
Liver function panel: 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $121.83 AETNA HEALTH PLAN [171] — CDH AETNA BP: $116.40 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $135.80 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $55.48 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $43.07 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $43.07 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $43.07 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $159.39 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $68.29 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $232.80
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HB Ref Urinalysis W Microscopic (Q)	$200	$140	$13.80 – $200
Urine test (automated, with microscope): 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $62.80 AETNA HEALTH PLAN [171] — CDH AETNA BP: $60 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $70 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $28.60 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $22.20 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $22.20 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $22.20 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $82.16 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $35.20 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $120
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HB Urinalysis W Microscopic	$180	$126	$12.42 – $180
Urine test (automated, with microscope): 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $56.52 AETNA HEALTH PLAN [171] — CDH AETNA BP: $54 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $63 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $25.74 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $19.98 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $19.98 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $19.98 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $73.94 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $31.68 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $108
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HB Ketone, Urine	$84	$58.80	$5.80 – $84
Urine test (automated, with microscope): 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $26.38 AETNA HEALTH PLAN [171] — CDH AETNA BP: $25.20 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $29.40 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $12.01 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $9.32 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $9.32 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $9.32 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $34.51 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $14.78 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $50.40
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HB Specific Gravity, Urine	$94	$65.80	$6.49 – $94
Urine test (manual, without microscope): 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $29.52 AETNA HEALTH PLAN [171] — CDH AETNA BP: $28.20 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $32.90 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $13.44 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $10.43 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $10.43 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $10.43 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $38.62 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $16.54 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $56.40
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HB Urinalysis Nonauto W/O Scope (POC)	$31	$21.70	$2.14 – $31
Urine test (manual, without microscope): 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $9.73 AETNA HEALTH PLAN [171] — CDH AETNA BP: $9.30 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $10.85 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $4.43 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $3.44 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $3.44 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $3.44 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $12.73 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $5.46 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $18.60
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HB Urine Analysis (POCT)	$31	$21.70	$2.14 – $31
Urine test (manual, without microscope): 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $9.73 AETNA HEALTH PLAN [171] — CDH AETNA BP: $9.30 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $10.85 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $4.43 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $3.44 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $3.44 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $3.44 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $12.73 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $5.46 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $18.60
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HB Ref Urinalysis W/O Microscopic	$53	$37.10	$3.66 – $53
Urine test (automated, without microscope): 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $16.64 AETNA HEALTH PLAN [171] — CDH AETNA BP: $15.90 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $18.55 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $7.58 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $5.88 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $5.88 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $5.88 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $21.77 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $9.33 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $31.80
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HB Urinalysis W/O Microscopic	$122	$85.40	$8.42 – $122
Urine test (automated, without microscope): 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $38.31 AETNA HEALTH PLAN [171] — CDH AETNA BP: $36.60 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $42.70 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $17.45 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $13.54 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $13.54 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $13.54 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $50.12 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $21.47 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $73.20
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HB Ketone, Urine	$53	$37.10	$3.66 – $53
Urine test (automated, without microscope): 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $16.64 AETNA HEALTH PLAN [171] — CDH AETNA BP: $15.90 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $18.55 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $7.58 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $5.88 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $5.88 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $5.88 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $21.77 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $9.33 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $31.80
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HB Prostate Specific Antigen, Diagnostic	$327	$228.90	$22.56 – $327
PSA (prostate specific antigen) blood test: 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $102.68 AETNA HEALTH PLAN [171] — CDH AETNA BP: $98.10 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $114.45 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $46.76 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $36.30 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $36.30 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $36.30 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $134.33 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $57.55 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $196.20
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HB Ref Psa, Post Prostatectomy�With Hama�Treatment (Q)	$253	$177.10	$17.46 – $253
PSA (prostate specific antigen) blood test: 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $79.44 AETNA HEALTH PLAN [171] — CDH AETNA BP: $75.90 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $88.55 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $36.18 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $28.08 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $28.08 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $28.08 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $103.93 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $44.53 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $151.80
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HB Prostate Specific Antigen, Total	$327	$228.90	$22.56 – $327
PSA (prostate specific antigen) blood test: 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $102.68 AETNA HEALTH PLAN [171] — CDH AETNA BP: $98.10 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $114.45 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $46.76 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $36.30 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $36.30 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $36.30 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $134.33 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $57.55 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $196.20
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HB Ref Thyroid-Stimulating Hormone (Tsh) (Lc)	$232	$162.40	$16.01 – $232
Thyroid stimulating hormone (TSH) test: 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $72.85 AETNA HEALTH PLAN [171] — CDH AETNA BP: $69.60 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $81.20 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $33.18 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $25.75 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $25.75 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $25.75 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $95.31 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $40.83 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $139.20
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HB Ref Tsh With Reflex to Free T4 (Q)	$232	$162.40	$16.01 – $232
Thyroid stimulating hormone (TSH) test: 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $72.85 AETNA HEALTH PLAN [171] — CDH AETNA BP: $69.60 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $81.20 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $33.18 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $25.75 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $25.75 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $25.75 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $95.31 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $40.83 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $139.20
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HB Ref Newborn Metabolic Screen, Tsh/T4	$232	$162.40	$16.01 – $232
Thyroid stimulating hormone (TSH) test: 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $72.85 AETNA HEALTH PLAN [171] — CDH AETNA BP: $69.60 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $81.20 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $33.18 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $25.75 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $25.75 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $25.75 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $95.31 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $40.83 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $139.20
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HB Ref Cbc W/ Platelets & Differential	$219	$153.30	$15.11 – $219
Complete blood count (CBC) with differential: 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $68.77 AETNA HEALTH PLAN [171] — CDH AETNA BP: $65.70 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $76.65 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $31.32 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $24.31 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $24.31 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $24.31 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $89.97 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $38.54 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $131.40
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HB Ref Liver Fibrosis Risk Profile, Cbc W/Diff (Lc)	$112	$78.40	$7.73 – $112
Complete blood count (CBC) with differential: 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $35.17 AETNA HEALTH PLAN [171] — CDH AETNA BP: $33.60 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $39.20 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $16.02 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $12.43 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $12.43 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $12.43 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $46.01 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $19.71 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $67.20
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HB Ref Anemia Profile B, Cbc (Lc)	$112	$78.40	$7.73 – $112
Complete blood count (CBC) with differential: 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $35.17 AETNA HEALTH PLAN [171] — CDH AETNA BP: $33.60 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $39.20 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $16.02 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $12.43 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $12.43 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $12.43 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $46.01 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $19.71 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $67.20
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HB Ref Cbc (Q)	$93	$65.10	$6.42 – $93
Complete blood count (CBC), automated: 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $29.20 AETNA HEALTH PLAN [171] — CDH AETNA BP: $27.90 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $32.55 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $13.30 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $10.32 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $10.32 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $10.32 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $38.20 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $16.37 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $55.80
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HB Cbc	$175	$122.50	$12.08 – $175
Complete blood count (CBC), automated: 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $54.95 AETNA HEALTH PLAN [171] — CDH AETNA BP: $52.50 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $61.25 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $25.03 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $19.43 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $19.43 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $19.43 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $71.89 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $30.80 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $105
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HB Ref Hemoglobinopathy Fractionation Cascade, Cbc (Lc)	$97	$67.90	$6.69 – $97
Complete blood count (CBC), automated: 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $30.46 AETNA HEALTH PLAN [171] — CDH AETNA BP: $29.10 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $33.95 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $13.87 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $10.77 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $10.77 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $10.77 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $39.85 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $17.07 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $58.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HB Prothrombin Time Mixing Study	$111	$77.70	$7.66 – $111
Blood clotting time test (prothrombin time, PT): 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $34.85 AETNA HEALTH PLAN [171] — CDH AETNA BP: $33.30 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $38.85 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $15.87 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $12.32 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $12.32 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $12.32 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $45.60 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $19.54 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $66.60
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HB Ref Disseminated Intravascular Coagulation (Dic) Profile, Pt (Lc)	$74	$51.80	$5.11 – $74
Blood clotting time test (prothrombin time, PT): 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $23.24 AETNA HEALTH PLAN [171] — CDH AETNA BP: $22.20 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $25.90 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $10.58 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $8.21 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $8.21 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $8.21 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $30.40 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $13.02 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $44.40
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HB Ref Lupus Anticoagulant Profile, Prothrombin Time (Mayo)	$71	$49.70	$4.90 – $71
Blood clotting time test (prothrombin time, PT): 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $22.29 AETNA HEALTH PLAN [171] — CDH AETNA BP: $21.30 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $24.85 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $10.15 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $7.88 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $7.88 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $7.88 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $29.17 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $12.50 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $42.60
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HB Ref Thrombophilia Profile, Thromboplastin Time Partial (Mayo)	$110	$77	$7.59 – $110
Blood clotting test (partial thromboplastin time, PTT): 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $34.54 AETNA HEALTH PLAN [171] — CDH AETNA BP: $33 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $38.50 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $15.73 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $12.21 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $12.21 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $12.21 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $45.19 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $19.36 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $66
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HB Lupus Anticoagulant Evaluation Panel, Silica Clotting Time Screen	$110	$77	$7.59 – $110
Blood clotting test (partial thromboplastin time, PTT): 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $34.54 AETNA HEALTH PLAN [171] — CDH AETNA BP: $33 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $38.50 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $15.73 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $12.21 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $12.21 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $12.21 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $45.19 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $19.36 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $66
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HB Aptt Mixing Study	$190	$133	$13.11 – $190
Blood clotting test (partial thromboplastin time, PTT): 10 of 38 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $59.66 AETNA HEALTH PLAN [171] — CDH AETNA BP: $57 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $66.50 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $27.17 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $21.09 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $21.09 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $21.09 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $78.05 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $33.44 BLUE CROSS BLUE SHIELD [1401] — CDH ADVOCATE IPA: $114

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: HB CT Head/Brain W/O Dye	$3,535	$2,474.50	$243.92 – $3,535
CT scan of the head or brain, without contrast: 10 of 42 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $1,109.99 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $2,036.16 AETNA HEALTH PLAN [171] — CDH AETNA BP: $1,060.50 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $1,237.25 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $505.51 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $392.39 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $392.39 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $392.39 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $1,452.18 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $622.16
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HB MRI Brain Stem W/O & W/Dye	$7,693	$5,385.10	$530.82 – $7,693
MRI of the brain, before and after contrast: 10 of 42 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $2,415.60 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $4,431.17 AETNA HEALTH PLAN [171] — CDH AETNA BP: $2,307.90 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $2,692.55 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $1,100.10 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $853.92 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $853.92 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $853.92 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $3,160.28 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $1,353.97
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HB-Xray Exam Chest 2 Views	$963	$674.10	$66.45 – $963
Chest X-ray, 2 views: 10 of 43 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $508.46 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $302.38 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $554.69 AETNA HEALTH PLAN [171] — CDH AETNA BP: $288.90 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $337.05 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $137.71 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $106.89 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $106.89 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $106.89 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $395.60
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: HB X-Ray Exam L-2 Spine 4/>Vws	$1,299	$909.30	$89.63 – $1,299
X-ray of the lower spine, at least 4 views: 10 of 43 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $685.87 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $407.89 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $748.22 AETNA HEALTH PLAN [171] — CDH AETNA BP: $389.70 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $454.65 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $185.76 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $144.19 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $144.19 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $144.19 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $533.63
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HB MRI Lumbar Spine W/O Dye	$5,482	$3,837.40	$378.26 – $5,482
MRI of the lower back (lumbar spine), without contrast: 10 of 42 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $1,721.35 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $3,157.63 AETNA HEALTH PLAN [171] — CDH AETNA BP: $1,644.60 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $1,918.70 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $783.93 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $608.50 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $608.50 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $608.50 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $2,252.01 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $964.83
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: HB CT Pelvis W/Dye	$4,154	$2,907.80	$286.63 – $4,154
CT scan of the pelvis, with contrast: 10 of 42 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $1,304.36 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $2,392.70 AETNA HEALTH PLAN [171] — CDH AETNA BP: $1,246.20 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $1,453.90 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $594.02 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $461.09 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $461.09 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $461.09 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $1,706.46 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $731.10
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HB MRI Jnt of Lwr Extre W/O Dye	$5,479	$3,835.30	$378.05 – $5,479
MRI of a leg joint (such as the knee), without contrast: 10 of 42 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $1,720.41 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $3,155.90 AETNA HEALTH PLAN [171] — CDH AETNA BP: $1,643.70 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $1,917.65 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $783.50 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $608.17 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $608.17 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $608.17 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $2,250.77 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $964.30
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HB CT Abd & Pelv W/Contrast	$8,642	$6,049.40	$596.30 – $8,642
CT scan of the abdomen and pelvis, with contrast: 10 of 42 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $2,713.59 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $4,977.79 AETNA HEALTH PLAN [171] — CDH AETNA BP: $2,592.60 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $3,024.70 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $1,235.81 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $959.26 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $959.26 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $959.26 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $3,550.13 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $1,520.99
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HB US Exam Abdom Complete	$2,532	$1,772.40	$174.71 – $2,532
Ultrasound of the abdomen, complete: 10 of 43 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $1,336.90 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $795.05 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $1,458.43 AETNA HEALTH PLAN [171] — CDH AETNA BP: $759.60 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $886.20 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $362.08 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $281.05 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $281.05 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $281.05 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $1,040.15
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: HB OB US >/= 14 Wks Sngl Fetus	$1,723	$1,206.10	$118.89 – $1,723
Pregnancy ultrasound (after the first trimester): 10 of 43 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $909.74 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $541.02 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $992.45 AETNA HEALTH PLAN [171] — CDH AETNA BP: $516.90 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $603.05 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $246.39 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $191.25 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $191.25 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $191.25 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $707.81
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HB Transvaginal US Non-OB	$1,542	$1,079.40	$106.40 – $1,542
Transvaginal ultrasound: 10 of 43 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $814.18 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $484.19 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $888.19 AETNA HEALTH PLAN [171] — CDH AETNA BP: $462.60 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $539.70 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $220.51 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $171.16 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $171.16 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $171.16 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $633.45
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: HB Diagnostic Mammography Incl Cad Unilateral	$664	$464.80	$45.82 – $664
Diagnostic mammogram, one breast: 10 of 43 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $350.59 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $208.50 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $382.46 AETNA HEALTH PLAN [171] — CDH AETNA BP: $199.20 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $232.40 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $94.95 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $73.70 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $73.70 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $73.70 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $272.77
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: HB Diagnostic Mammography Incl Cad Bilateral	$734	$513.80	$50.65 – $734
Diagnostic mammogram, both breasts: 10 of 43 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $387.55 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $230.48 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $422.78 AETNA HEALTH PLAN [171] — CDH AETNA BP: $220.20 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $256.90 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $104.96 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $81.47 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $81.47 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $81.47 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $301.53
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HB Screening Mammography Bilateral Incl Cad	$748	$523.60	$51.61 – $748
Screening mammogram, both breasts: 10 of 43 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $394.94 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $234.87 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $430.85 AETNA HEALTH PLAN [171] — CDH AETNA BP: $224.40 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $261.80 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $106.96 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $83.03 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $83.03 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $83.03 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $307.28

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: HB Left Hrt Cath W/Ventrclgrphy	$15,397	$10,777.90	$1,062.39 – $15,397
Left heart catheterization (diagnostic): 10 of 49 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $6,051.02 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $4,834.66 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $6,589.92 AETNA HEALTH PLAN [171] — CDH AETNA BP: $4,619.10 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $5,388.95 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $2,201.77 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $4,850.06 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $4,850.06 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $4,850.06 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $6,325.09
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: HB Ep Evaluation Without Induction	$12,822	$8,975.40	$884.72 – $12,822
Heart rhythm study (electrophysiology evaluation): 10 of 47 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $5,039.05 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $4,026.11 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $5,487.82 AETNA HEALTH PLAN [171] — CDH AETNA BP: $3,846.60 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $4,487.70 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $1,833.55 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $1,423.24 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $1,423.24 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $1,423.24 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $5,267.28
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: HB Electrophysiology Evaluation Without Induction	$18,842	$13,189.40	$1,300.10 – $18,842
Heart rhythm study (electrophysiology evaluation): 10 of 47 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $7,404.91 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $5,916.39 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $8,064.38 AETNA HEALTH PLAN [171] — CDH AETNA BP: $5,652.60 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $6,594.70 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $2,694.41 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $2,091.46 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $2,091.46 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $2,091.46 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $7,740.29
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: HB Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation	$26,424	$18,496.80	$1,823.26 – $26,424
Heart rhythm study with ablation for atrial fibrillation: 10 of 49 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $10,384.63 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $8,297.14 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $11,309.47 AETNA HEALTH PLAN [171] — CDH AETNA BP: $7,927.20 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $9,248.40 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $3,778.63 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $2,933.06 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $2,933.06 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $2,933.06 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $10,854.98
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: HB Polysom 6/> Yrs 4/> Param	$6,270	$4,389	$432.63 – $6,270
Sleep study (overnight, in a sleep lab): 10 of 47 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $3,310.56 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $1,968.78 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $3,611.52 AETNA HEALTH PLAN [171] — CDH AETNA BP: $1,881 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $2,194.50 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $896.61 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $695.97 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $695.97 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $695.97 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $2,575.72

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) In the file: HB Therapeutic Exercises	$236	$165.20	$16.28 – $236
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 47 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $124.61 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $74.10 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $135.94 AETNA HEALTH PLAN [171] — CDH AETNA BP: $70.80 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $82.60 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $33.75 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $26.20 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $26.20 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $26.20 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $96.95
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: HB Pt Eval Low Complex	$419	$293.30	$28.91 – $419
Physical therapy evaluation (low complexity): 10 of 47 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $221.23 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $131.57 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $241.34 AETNA HEALTH PLAN [171] — CDH AETNA BP: $125.70 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $146.65 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $59.92 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $46.51 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $46.51 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $46.51 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $172.13
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: HB Pt Eval Mod Complex	$503	$352.10	$34.71 – $503
Physical therapy evaluation (moderate complexity): 10 of 47 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $265.58 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $157.94 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $289.73 AETNA HEALTH PLAN [171] — CDH AETNA BP: $150.90 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $176.05 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $71.93 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $55.83 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $55.83 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $55.83 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $206.63
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: HB Pt Eval High Complex	$638	$446.60	$44.02 – $638
Physical therapy evaluation (high complexity): 10 of 47 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $336.86 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $200.33 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $367.49 AETNA HEALTH PLAN [171] — CDH AETNA BP: $191.40 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $223.30 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $91.23 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $70.82 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $70.82 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $70.82 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $262.09
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: HB Psychotherapy W/Patient 30 Minutes	$281	$196.70	$19.39 – $281
Psychotherapy, 30 minutes: 10 of 46 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $148.37 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $88.23 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $161.86 AETNA HEALTH PLAN [171] — CDH AETNA BP: $84.30 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $98.35 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $40.18 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $31.19 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $31.19 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $31.19 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $115.43
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: HB Cdh C/D OP Counseling Ind- 45 Min	$205	$143.50	$14.15 – $205
Psychotherapy, 45 minutes: 10 of 45 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $108.24 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $64.37 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $118.08 AETNA HEALTH PLAN [171] — CDH AETNA BP: $61.50 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $71.75 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $29.32 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $22.76 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $22.76 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $22.76 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $84.21
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: HB Psychotherapy W/Patient 45 Minutes	$392	$274.40	$27.05 – $392
Psychotherapy, 45 minutes: 10 of 45 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $206.98 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $123.09 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $225.79 AETNA HEALTH PLAN [171] — CDH AETNA BP: $117.60 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $137.20 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $56.06 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $43.51 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $43.51 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $43.51 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $161.03
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: HB Cdh C/D OP Mat Therapy	$205	$143.50	$14.15 – $205
Psychotherapy, 45 minutes: 10 of 45 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $108.24 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $64.37 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $118.08 AETNA HEALTH PLAN [171] — CDH AETNA BP: $61.50 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $71.75 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $29.32 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $22.76 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $22.76 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $22.76 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $84.21
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: HB Cdh C/D OP Counseling Ind- 60 Min	$256	$179.20	$17.66 – $256
Psychotherapy, 60 minutes: 10 of 47 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $135.17 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $80.38 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $147.46 AETNA HEALTH PLAN [171] — CDH AETNA BP: $76.80 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $89.60 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $36.61 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $28.42 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $28.42 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $28.42 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $105.16
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: HB Cdh M/H OP Counseling Ind- 60 Min	$256	$179.20	$17.66 – $256
Psychotherapy, 60 minutes: 10 of 47 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $135.17 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $80.38 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $147.46 AETNA HEALTH PLAN [171] — CDH AETNA BP: $76.80 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $89.60 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $36.61 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $28.42 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $28.42 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $28.42 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $105.16
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: HB Psychotherapy W/Patient 60 Minutes	$794	$555.80	$54.79 – $794
Psychotherapy, 60 minutes: 10 of 47 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $419.23 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $249.32 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $457.34 AETNA HEALTH PLAN [171] — CDH AETNA BP: $238.20 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $277.90 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $113.54 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $88.13 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $88.13 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $88.13 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $326.18
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: HB Family Psytx W/Patient	$456	$319.20	$31.46 – $456
Family psychotherapy, with the patient: 10 of 45 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $240.77 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $143.18 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $262.66 AETNA HEALTH PLAN [171] — CDH AETNA BP: $136.80 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $159.60 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $65.21 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $50.62 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $50.62 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $50.62 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $187.32
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: HB Cdh Family Psytx W/Patient	$256	$179.20	$17.66 – $256
Family psychotherapy, with the patient: 10 of 45 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $135.17 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $80.38 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $147.46 AETNA HEALTH PLAN [171] — CDH AETNA BP: $76.80 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $89.60 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $36.61 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $28.42 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $28.42 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $28.42 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $105.16
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: HB Adol Mh-Cd Php	$1,208	$845.60	$606.42 – $1,208
Group psychotherapy: 10 of 46 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $637.82 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $379.31 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $695.81 AETNA HEALTH PLAN [171] — CDH AETNA BP: $362.40 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $422.80 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $172.74 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $134.09 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $134.09 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $134.09 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $496.25
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: HB M/H Group Therapy	$90	$63	$6.21 – $90
Group psychotherapy: 10 of 44 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $47.52 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $28.26 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $51.84 AETNA HEALTH PLAN [171] — CDH AETNA BP: $27 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $31.50 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $12.87 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $9.99 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $9.99 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $9.99 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $36.97
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: HB Cdh M/H Intensive OP Prg Adol	$820	$574	$56.58 – $820
Group psychotherapy: 10 of 44 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $432.96 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $257.48 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $472.32 AETNA HEALTH PLAN [171] — CDH AETNA BP: $246 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $287 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $117.26 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $91.02 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $91.02 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $91.02 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $336.86

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: HB Arthro/Surg Shld Decompress	$77,518.51	$54,262.96	Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: 10 of 52 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: 39.3% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: 31.4% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA ASA: 42.8% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA BP: 30% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: 35% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: 14.3% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: 41.08% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: HB Arthroscop Knee Med and Lat	$36,662.84	$25,663.99	Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 52 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: 39.3% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: 31.4% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA ASA: 42.8% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA BP: 30% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: 35% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: 14.3% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: 41.08% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: HB Tonsillectomy & Adenoidectomy <Age 12	$18,184.87	$12,729.41	Not listed in the file
Removal of tonsils and adenoids (under age 12): 10 of 52 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: 39.3% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: 31.4% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA ASA: 42.8% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA BP: 30% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: 35% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: 14.3% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: 41.08% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: HB Esophagogastroduodenoscopy Transoral Diagnostic	$12,017.14	$8,412	$270.41 – $3,919
Upper GI endoscopy (diagnostic): 10 of 52 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: 39.3% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: 31.4% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA ASA: 42.8% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA BP: 30% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: 35% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: 14.3% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: 11.1% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: 11.1% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: 11.1% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: 41.08% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: HB Egd Transoral Biopsy Single/Multiple	$16,992.41	$11,894.69	$317.19 – $4,597
Upper GI endoscopy with biopsy: 10 of 52 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: 39.3% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: 31.4% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA ASA: 42.8% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA BP: 30% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: 35% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: 14.3% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: 11.1% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: 11.1% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: 11.1% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: 41.08% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: HB Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$7,578	$5,304.60	$248.88 – $3,607
Colonoscopy (diagnostic): 10 of 52 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: 39.3% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: 31.4% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA ASA: 42.8% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA BP: 30% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: 35% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: 14.3% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: 11.1% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: 11.1% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: 11.1% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: 41.08% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: HB Colonoscopy W/Biopsy Single/Multiple	$5,849	$4,094.30	$403.58 – $5,849
Colonoscopy with biopsy: 10 of 52 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $2,298.66 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $1,836.59 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $2,503.37 AETNA HEALTH PLAN [171] — CDH AETNA BP: $1,754.70 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $2,047.15 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $836.41 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $649.24 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $649.24 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $649.24 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $2,402.77
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: HB Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$5,849	$4,094.30	$403.58 – $5,849
Colonoscopy with removal of polyps (snare): 10 of 52 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $2,298.66 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $1,836.59 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $2,503.37 AETNA HEALTH PLAN [171] — CDH AETNA BP: $1,754.70 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $2,047.15 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $836.41 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $649.24 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $649.24 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $649.24 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $2,402.77
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: HB Colonoscopy W/Endoscope US	$9,958.89	$6,971.22	$403.58 – $5,849
Ultrasound of the lower bowel by endoscope: 10 of 52 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: 39.3% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: 31.4% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA ASA: 42.8% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA BP: 30% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: 35% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: 14.3% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: 11.1% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: 11.1% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: 11.1% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: 41.08% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: HB Colon Ca Scrn Not Hi Rsk Ind	$4,112	$2,878.40	$283.73 – $4,112
Screening colonoscopy (not high risk): 10 of 49 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $1,616.02 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $1,291.17 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $1,759.94 AETNA HEALTH PLAN [171] — CDH AETNA BP: $1,233.60 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $1,439.20 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $588.02 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $456.43 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $456.43 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $456.43 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $1,689.21
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: HB Laparoscopy Surg Cholecystectomy	$22,604	$15,822.80	$3,232.37 – $22,604
Gallbladder removal by laparoscope: 10 of 44 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $8,883.37 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $7,097.66 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $9,674.51 AETNA HEALTH PLAN [171] — CDH AETNA BP: $6,781.20 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $7,911.40 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $3,232.37 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $9,274.42 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $8,691.24 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $8,605.34 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $9,285.72
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy Surg Cholecystectomy	$52,866.53	$37,006.57	Not listed in the file
Gallbladder removal by laparoscope: 10 of 52 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: 39.3% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: 31.4% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA ASA: 42.8% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA BP: 30% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: 35% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: 14.3% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: 41.08% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	$28,006.99	$19,604.89	Not listed in the file
Groin (inguinal) hernia repair, age 5 or older: 10 of 52 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: 39.3% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: 31.4% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA ASA: 42.8% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA BP: 30% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: 35% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: 14.3% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: 41.08% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: HB Biopsy of Prostate_Biopsy, Prostate; Needle or Punch, Single or Multiple, Any Approach	$7,184	$5,028.80	$3,606.37 – $7,184
Prostate biopsy: 10 of 45 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $3,793.15 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $2,255.78 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $4,137.98 AETNA HEALTH PLAN [171] — CDH AETNA BP: $2,155.20 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $2,514.40 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $1,027.31 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $797.42 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $797.42 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $797.42 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $2,951.19
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot	$137,559.14	$96,291.40	$425 – $695
Prostate removal by laparoscope (radical prostatectomy): 10 of 52 insurance plan rates MAGELLAN BEHAVIORAL HLTH [136] — CDH MAGELLAN BHS: $695 OPTUM/UNITED BEHAVIORAL HEALTH [157] — CDH UBH BHS: $425 AETNA HEALTH PLAN [171] — CDH AETNA: 39.3% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: 31.4% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA ASA: 42.8% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA BP: 30% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: 35% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: 14.3% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: 31.5% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy Bx Endometrium&/Polypc W/WO D&C	$34,523.39	$24,166.37	Not listed in the file
Hysteroscopy with biopsy of the uterus lining: 10 of 52 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: 39.3% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: 31.4% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA ASA: 42.8% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA BP: 30% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: 35% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: 14.3% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: 41.08% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: HB Injection Inclu Needle/Cath Plct Interlaminar Lmbr/Sac W/ Flouro	$4,722.50	$3,305.75	$16 – $112.37
Spinal injection, lower back (epidural), with imaging guidance: 10 of 52 insurance plan rates BLUE CROSS BLUE SHIELD [1401] — CDH DUPAGE MEDICAL GROUP: $112.37 HUMANA HEALTH PLAN [130] — CDH DUPAGE MEDICAL GROUP: $112.37 UNITED HEALTHCARE [158] — CDH UHC CORE: $16 UNITED HEALTHCARE [158] — CDH UHC HMO/PPO: $16 AETNA HEALTH PLAN [171] — CDH AETNA: 52.8% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: 31.4% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA ASA: 57.6% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA BP: 30% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: 35% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: 14.3% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: HB Inj Foramen Epidural L/S	$4,824	$3,376.80	$2,421.65 – $4,824
Nerve root injection, lower back, with imaging guidance: 10 of 47 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: $2,547.07 AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: $1,514.74 AETNA HEALTH PLAN [171] — CDH AETNA ASA: $2,778.62 AETNA HEALTH PLAN [171] — CDH AETNA BP: $1,447.20 AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: $1,688.40 AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: $689.83 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $535.46 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $535.46 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $535.46 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $1,981.70
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: HB Carpal Tunnel Surgery	$25,323.47	$17,726.43	Not listed in the file
Carpal tunnel release: 10 of 52 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: 39.3% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: 31.4% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA ASA: 42.8% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA BP: 30% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: 35% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: 14.3% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: 41.08% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: HB Extracapsular Catarct Removal W/O Ecp	$25,809.33	$18,066.53	Not listed in the file
Cataract removal with lens implant: 10 of 52 insurance plan rates AETNA HEALTH PLAN [171] — CDH AETNA: 39.3% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA APCN/SP: 31.4% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA ASA: 42.8% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA BP: 30% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA IL PREFERRED: 35% (a percentage in the contract, not a dollar amount) AETNA HEALTH PLAN [171] — CDH AETNA NM EMPLOYEES: 14.3% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: 31.5% (a percentage in the contract, not a dollar amount) ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: 41.08% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$535,048.60	$374,534.03	$69,612.77 – $162,639.05
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 43 insurance plan rates ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $133,721.10 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $130,042.76 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $122,676.31 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $103,550.94 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $162,639.05 ALTERNATE BLUE CROSS MEDICARE ADV [2304] — CDH MEDICARE: $69,612.77 ALTERNATE HUMANA MEDICARE ADV [2409] — CDH HUMANA MEDICARE ADVT: $69,612.77 BCBS MEDICARE ADVANTAGE [1304] — CDH BLUE CROSS MMAI (MEDICARE): $69,612.77 BLUE CROSS BLUE SHIELD [1401] — CDH BCBS BLUECHOICE OPTIONS: $133,721.10 BLUE CROSS BLUE SHIELD [1401] — CDH BCBS BLUECHOICE PREFERRED: $130,042.76
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$127,755.43	$89,428.80	$13,725.73 – $32,067.96
Hip or knee replacement (major joint of the leg), without major complications: 10 of 39 insurance plan rates ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $26,366.13 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $25,640.87 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $24,188.41 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $20,417.41 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $32,067.96 ALTERNATE BLUE CROSS MEDICARE ADV [2304] — CDH MEDICARE: $13,725.73 ALTERNATE HUMANA MEDICARE ADV [2409] — CDH HUMANA MEDICARE ADVT: $13,725.73 BCBS MEDICARE ADVANTAGE [1304] — CDH BLUE CROSS MMAI (MEDICARE): $13,725.73 BLUE CROSS BLUE SHIELD [1401] — CDH BCBS BLUECHOICE OPTIONS: $26,366.13 BLUE CROSS BLUE SHIELD [1401] — CDH BCBS BLUECHOICE PREFERRED: $25,640.87
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	$211,395.40	$147,976.78	$17,371.88 – $40,586.61
Neck (cervical) spinal fusion, without complications: 10 of 39 insurance plan rates ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $33,370.13 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $32,452.20 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $30,613.90 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $25,841.16 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $40,586.61 ALTERNATE BLUE CROSS MEDICARE ADV [2304] — CDH MEDICARE: $17,371.88 ALTERNATE HUMANA MEDICARE ADV [2409] — CDH HUMANA MEDICARE ADVT: $17,371.88 BCBS MEDICARE ADVANTAGE [1304] — CDH BLUE CROSS MMAI (MEDICARE): $17,371.88 BLUE CROSS BLUE SHIELD [1401] — CDH BCBS BLUECHOICE OPTIONS: $33,370.13 BLUE CROSS BLUE SHIELD [1401] — CDH BCBS BLUECHOICE PREFERRED: $32,452.20
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$67,476.41	$47,233.49	$8,828.61 – $20,626.64
Uterus and ovary surgery (not for cancer), without complications: 10 of 39 insurance plan rates ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE OPTIONS: $16,959.13 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE PREFERRED: $16,492.63 ALTERNATE BLUE CROSS [1402] — CDH BCBS BLUECHOICE SELECT: $15,558.38 ALTERNATE BLUE CROSS [1402] — CDH BCBS HMO: $13,132.81 ALTERNATE BLUE CROSS [1402] — CDH BCBS PPO: $20,626.64 ALTERNATE BLUE CROSS MEDICARE ADV [2304] — CDH MEDICARE: $8,828.61 ALTERNATE HUMANA MEDICARE ADV [2409] — CDH HUMANA MEDICARE ADVT: $8,828.61 BCBS MEDICARE ADVANTAGE [1304] — CDH BLUE CROSS MMAI (MEDICARE): $8,828.61 BLUE CROSS BLUE SHIELD [1401] — CDH BCBS BLUECHOICE OPTIONS: $16,959.13 BLUE CROSS BLUE SHIELD [1401] — CDH BCBS BLUECHOICE PREFERRED: $16,492.63

Source: Northwestern Medicine Central Dupage Hospital’s standard charges file (nm.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 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	Acute Care Hospital
Address	25 North Winfield Road, Winfield, IL 60190
County	Du Page County
State	Illinois
Phone	(630) 682‑1600
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	5 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	140242
Name in Medicare records	NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(630) 933‑1600^[4]
Official website	nm.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.