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Acute Care Hospital

Northwestern Medicine McHenry

Also listed as: Northwestern Medicine McHenry Hospital

McHenry, Illinois · McHenry County · Emergency services listed

Northwestern Medicine McHenry is an acute care hospital at 4201 Medical Center Drive, McHenry, IL 60050. Phone: (815) 344-5000. It has an emergency department. Medicare overall rating: 5 of 5 stars (CMS, October 2026).

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

Summary

Northwestern Medicine McHenry is an acute care hospital in McHenry, Illinois. Medicare data lists emergency services. CMS overall star rating: 5 of 5 stars. Its official website lists 25 services, specialties and programs. Medicare lists 1,558 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

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

Compare

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
5 of 5 stars5 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
143Beds (hospital website)
25Services listed

Quick answers

Does Northwestern Medicine McHenry have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Northwestern Medicine McHenry. In a medical emergency, call 911.
Where is Northwestern Medicine McHenry?
4201 Medical Center Drive, McHenry, IL 60050, in McHenry County, Illinois.
What is the phone number of Northwestern Medicine McHenry?
(815) 344-5000, as listed by Medicare (CMS).
What is the Medicare star rating of Northwestern Medicine McHenry?
5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Northwestern Medicine McHenry for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Northwestern Medicine McHenry under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.5521; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4][5][6][7]

Conditions treated[6]

  • Diseased heart valves

Treatments[4][6]

Procedures[4]

  • Open-heart surgery
  • TAVR

Programs and centers[4][6][7]

  • Bluhm Cardiovascular Institute
  • Cancer care (accredited by the Commission on Cancer)
  • Inpatient physical rehabilitation
  • Caring Paws animal-assisted therapy
  • Clinical research and clinical trials

Emergency care (hospital website)[5][6]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel II

Visiting and practical information

VisitingVisiting hours 8 a.m.-8 p.m., Monday through Sunday[4]
ParkingOn-site parking is available for patients and visitors[4]
Patient portalMyNM Patient Portal

Recognition[4]

  • Cancer Center accredited by the Commission on Cancer

Doctors and clinicians (1,558)

1,558 doctors and other clinicians list Northwestern Medicine McHenry as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (1,558)

And 1,534 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near McHenry

Hospitals in McHenry County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean5 of 5 stars
Restfulness of Environment4 of 5 stars
Care Coordination3 of 5 stars
Symptoms After Stay3 of 5 stars
Rated the hospital 9 or 10 out of 1075%National average: 72%
Would definitely recommend the hospital74%National average: 71%
Nurses “always” communicated well80%National average: 80%
Doctors “always” communicated well77%National average: 80%
“Always” got help as soon as they wanted66%National average: 64%
Staff “always” explained medicines before giving them63%National average: 62%
Were given information about recovery at home89%National average: 86%
Room and bathroom “always” clean81%National average: 73%
Completed surveys1,244Response rate: 30%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.752No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.379No different from the national benchmark
Surgical site infections after colon surgery1.027No different from the national benchmark
MRSA bloodstream infections0.835No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.49Better than the national benchmark
Not reported to MedicareSurgical site infections after abdominal hysterectomy

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

Complications and deaths

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

Deaths within 30 days: heart attack patients11%
Deaths within 30 days: heart failure patients7.1%
Deaths within 30 days: pneumonia patients12%
Deaths within 30 days: COPD patients5.6%
Deaths within 30 days: stroke patients12.7%
Deaths within 30 days: coronary bypass surgery (CABG)1.9%
Serious complications (patient safety indicator PSI-90)0.73No different from the national rate
Complications after hip or knee replacement4.6%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)14.5%
Readmitted within 30 days: heart attack13.4%
Readmitted within 30 days: heart failure20%
Readmitted within 30 days: pneumonia16%
Readmitted within 30 days: COPD20%
Readmitted within 30 days: coronary bypass surgery11%
Readmitted within 30 days: hip or knee replacement6.5%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)194 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)76%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

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

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-0.5521Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Heart attack1.0632More readmissions than expected
Heart failure0.9522Fewer readmissions than expected
Pneumonia1.0154More readmissions than expected
COPD (chronic lung disease)0.9987Fewer readmissions than expected
Hip or knee replacement1.0790More readmissions than expected
Coronary bypass surgery (CABG)1.1516More readmissions than expected

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

Hospital Value-Based Purchasing Program

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

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

Total Performance Score49.25 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)81.67 out of 100
Person and community engagement (patient survey)57.00 out of 100
Safety (infections and sepsis care)58.33 out of 100
Efficiency and cost reduction (Medicare spending)0.00 out of 100

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio1.00Same as the national median hospital

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

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 71 common services exactly as Northwestern Medicine McHenry 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 →

$ 4 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Show the prices of 71 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance 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 $104.80 – $543
New patient office visit (about 30–44 minutes): 10 of 28 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $264.44
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $186.79
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $285.08
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $192.77
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $104.80
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $193.74
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $184.08
  • BEECHSTREET [176] — NWR BEECHSTREET: $434.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $259.55
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $259.55
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 $120.82 – $626
New patient office visit (about 45–59 minutes): 10 of 28 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $304.86
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $215.34
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $328.65
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $222.23
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $120.82
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $223.36
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $212.21
  • BEECHSTREET [176] — NWR BEECHSTREET: $500.80
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $299.23
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $299.23
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 $176.60 – $915
New patient office visit (about 60–74 minutes): 10 of 28 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $445.61
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $314.76
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $480.38
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $324.83
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $176.60
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $326.47
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $310.19
  • BEECHSTREET [176] — NWR BEECHSTREET: $732
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $437.37
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $437.37
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 $80.29 – $416
Established patient office visit (about 20–29 minutes): 10 of 28 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $202.59
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $143.10
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $218.40
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $147.68
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $80.29
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $148.43
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $141.02
  • BEECHSTREET [176] — NWR BEECHSTREET: $332.80
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $198.85
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $198.85
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 $41.69 – $216
Established patient office visit (about 20–29 minutes): 10 of 28 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $105.19
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $74.30
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $113.40
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $76.68
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $41.69
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $77.07
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $73.22
  • BEECHSTREET [176] — NWR BEECHSTREET: $172.80
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $103.25
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $103.25
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 $109.82 – $569
Established patient office visit (about 30–39 minutes): 10 of 28 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $277.10
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $195.74
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $298.73
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $202
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $109.82
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $203.02
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $192.89
  • BEECHSTREET [176] — NWR BEECHSTREET: $455.20
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $271.98
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $271.98
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 $45.36 – $235
Established patient office visit (about 30–39 minutes): 10 of 28 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $114.45
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $80.84
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $123.38
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $83.43
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $45.36
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $83.85
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $79.67
  • BEECHSTREET [176] — NWR BEECHSTREET: $188
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $112.33
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $112.33
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HB ED Visit Level 3 $1,924 $1,346.80 $371.33 – $1,924
Emergency room visit (moderate): 10 of 28 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $936.99
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $661.86
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $1,010.10
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $683.02
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $371.33
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $686.48
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $652.24
  • BEECHSTREET [176] — NWR BEECHSTREET: $1,539.20
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $919.67
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $919.67
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HB ED Visit Level 4 $6,065.50 $4,245.85 $2,274 – $2,527
Emergency room visit (moderately high): 10 of 30 insurance plan rates
  • UNITED HEALTHCARE [158] — NWR UHC CORE: $2,274
  • UNITED HEALTHCARE [158] — NWR UHC HMO/PPO: $2,527
  • AETNA HEALTH PLAN [171] — NWR AETNA: 48.7% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: 34.4% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: 52.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: 35.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: 19.3% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: 35.68% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: 33.9% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS MEDICARE ADV [2304] — NWR BLUE CROSS MEDICARE ADVT: 100% (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 $14,131.50 $9,892.05 $2,274 – $2,527
Emergency room visit (high): 10 of 30 insurance plan rates
  • UNITED HEALTHCARE [158] — NWR UHC CORE: $2,274
  • UNITED HEALTHCARE [158] — NWR UHC HMO/PPO: $2,527
  • AETNA HEALTH PLAN [171] — NWR AETNA: 48.7% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: 34.4% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: 52.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: 35.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: 19.3% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: 35.68% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: 33.9% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS MEDICARE ADV [2304] — NWR BLUE CROSS MEDICARE ADVT: 100% (a percentage in the contract, not a dollar amount)

Lab tests

ServiceHospital chargeCash priceInsurance 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 $60.60 – $314
Basic metabolic panel (blood test): 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $108.02
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $164.85
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $111.47
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $60.60
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $112.04
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $106.45
  • BEECHSTREET [176] — NWR BEECHSTREET: $251.20
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $150.09
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $150.09
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $150.09
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HB Basic Metabolic Panel $314 $219.80 $60.60 – $314
Basic metabolic panel (blood test): 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $108.02
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $164.85
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $111.47
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $60.60
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $112.04
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $106.45
  • BEECHSTREET [176] — NWR BEECHSTREET: $251.20
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $150.09
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $150.09
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $150.09
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HB Ref Cmp With Bun/Creat Ratio $438 $306.60 $84.53 – $438
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $150.67
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $229.95
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $155.49
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $84.53
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $156.28
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $148.48
  • BEECHSTREET [176] — NWR BEECHSTREET: $350.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $209.36
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $209.36
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $209.36
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HB Comprehensive Metabolic Panel $438 $306.60 $84.53 – $438
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $150.67
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $229.95
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $155.49
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $84.53
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $156.28
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $148.48
  • BEECHSTREET [176] — NWR BEECHSTREET: $350.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $209.36
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $209.36
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $209.36
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HB Ref Chem-12/Alt (Gva) $438 $306.60 $84.53 – $438
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $150.67
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $229.95
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $155.49
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $84.53
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $156.28
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $148.48
  • BEECHSTREET [176] — NWR BEECHSTREET: $350.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $209.36
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $209.36
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $209.36
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HB Ref Lipid Panel (Lc) $263 $184.10 $50.76 – $263
Cholesterol panel (lipid panel): 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $90.47
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $138.08
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $93.37
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $50.76
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $93.84
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $89.16
  • BEECHSTREET [176] — NWR BEECHSTREET: $210.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $125.71
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $125.71
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $125.71
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HB Lipid Panel $263 $184.10 $50.76 – $263
Cholesterol panel (lipid panel): 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $90.47
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $138.08
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $93.37
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $50.76
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $93.84
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $89.16
  • BEECHSTREET [176] — NWR BEECHSTREET: $210.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $125.71
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $125.71
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $125.71
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HB Lipid Panel, Reflex Ldl-D $263 $184.10 $50.76 – $263
Cholesterol panel (lipid panel): 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $90.47
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $138.08
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $93.37
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $50.76
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $93.84
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $89.16
  • BEECHSTREET [176] — NWR BEECHSTREET: $210.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $125.71
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $125.71
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $125.71
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HB Ref Renal Function Panel $212 $148.40 $40.92 – $212
Kidney function panel: 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $72.93
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $111.30
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $75.26
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $40.92
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $75.64
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $71.87
  • BEECHSTREET [176] — NWR BEECHSTREET: $169.60
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $101.34
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $101.34
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $101.34
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HB Renal Function Panel $313 $219.10 $60.41 – $313
Kidney function panel: 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $107.67
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $164.33
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $111.12
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $60.41
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $111.68
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $106.11
  • BEECHSTREET [176] — NWR BEECHSTREET: $250.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $149.61
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $149.61
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $149.61
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 $33.20 – $172
Liver function panel: 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $59.17
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $90.30
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $61.06
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $33.20
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $61.37
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $58.31
  • BEECHSTREET [176] — NWR BEECHSTREET: $137.60
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $82.22
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $82.22
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $82.22
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HB Hepatic Function Panel $395 $276.50 $76.24 – $395
Liver function panel: 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $135.88
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $207.38
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $140.23
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $76.24
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $140.94
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $133.91
  • BEECHSTREET [176] — NWR BEECHSTREET: $316
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $188.81
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $188.81
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $188.81
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HB Ref Liver Fibrosis, Hepatic Function Panel (Q) $199 $139.30 $38.41 – $199
Liver function panel: 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $68.46
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $104.48
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $70.65
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $38.41
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $71
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $67.46
  • BEECHSTREET [176] — NWR BEECHSTREET: $159.20
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $95.12
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $95.12
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $95.12
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HB Urinalysis W Microscopic $146 $102.20 $28.18 – $146
Urine test (automated, with microscope): 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $50.22
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $76.65
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $51.83
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $28.18
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $52.09
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $49.49
  • BEECHSTREET [176] — NWR BEECHSTREET: $116.80
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $69.79
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $69.79
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $69.79
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HB Ketone, Urine $84 $58.80 $16.21 – $84
Urine test (automated, with microscope): 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $28.90
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $44.10
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $29.82
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $16.21
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $29.97
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $28.48
  • BEECHSTREET [176] — NWR BEECHSTREET: $67.20
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $40.15
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $40.15
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $40.15
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HB Specific Gravity, Urine $158 $110.60 $30.49 – $158
Urine test (manual, without microscope): 10 of 22 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $54.35
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $82.95
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $56.09
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $30.49
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $56.37
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $53.56
  • BEECHSTREET [176] — NWR BEECHSTREET: $126.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $75.52
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $75.52
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $75.52
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HB Urinalysis Nonauto W/O Scope (POC) $31 $21.70 $5.98 – $31
Urine test (manual, without microscope): 10 of 22 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $10.66
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $16.28
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $11.01
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $5.98
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $11.06
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $10.51
  • BEECHSTREET [176] — NWR BEECHSTREET: $24.80
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $14.82
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $14.82
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $14.82
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HB Urine Analysis (POCT) $31 $21.70 $5.98 – $31
Urine test (manual, without microscope): 10 of 22 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $10.66
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $16.28
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $11.01
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $5.98
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $11.06
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $10.51
  • BEECHSTREET [176] — NWR BEECHSTREET: $24.80
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $14.82
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $14.82
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $14.82
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HB Ref Urinalysis W/O Microscopic $53 $37.10 $10.23 – $53
Urine test (automated, without microscope): 10 of 22 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $18.23
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $27.83
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $18.82
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $10.23
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $18.91
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $17.97
  • BEECHSTREET [176] — NWR BEECHSTREET: $42.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $25.33
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $25.33
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $25.33
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HB Ketone, Urine $53 $37.10 $10.23 – $53
Urine test (automated, without microscope): 10 of 22 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $18.23
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $27.83
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $18.82
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $10.23
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $18.91
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $17.97
  • BEECHSTREET [176] — NWR BEECHSTREET: $42.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $25.33
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $25.33
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $25.33
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HB Urinalysis W/O Microscopic $146 $102.20 $28.18 – $146
Urine test (automated, without microscope): 10 of 22 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $50.22
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $76.65
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $51.83
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $28.18
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $52.09
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $49.49
  • BEECHSTREET [176] — NWR BEECHSTREET: $116.80
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $69.79
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $69.79
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $69.79
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HB Prostate Specific Antigen, Diagnostic $248 $173.60 $47.86 – $248
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $85.31
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $130.20
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $88.04
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $47.86
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $88.49
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $84.07
  • BEECHSTREET [176] — NWR BEECHSTREET: $198.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $118.54
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $118.54
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $118.54
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HB Prostate Specific Antigen, Total $194 $135.80 $37.44 – $194
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $66.74
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $101.85
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $68.87
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $37.44
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $69.22
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $65.77
  • BEECHSTREET [176] — NWR BEECHSTREET: $155.20
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $92.73
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $92.73
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $92.73
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HB Ref Psa, Post Prostatectomy�With Hama�Treatment (Q) $146 $102.20 $28.18 – $146
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $50.22
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $76.65
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $51.83
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $28.18
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $52.09
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $49.49
  • BEECHSTREET [176] — NWR BEECHSTREET: $116.80
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $69.79
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $69.79
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $69.79
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HB Ref Newborn Metabolic Screen, Tsh/T4 $232 $162.40 $44.78 – $232
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $79.81
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $121.80
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $82.36
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $44.78
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $82.78
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $78.65
  • BEECHSTREET [176] — NWR BEECHSTREET: $185.60
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $110.90
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $110.90
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $110.90
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HB Ref Thyroid-Stimulating Hormone (Tsh) (Lc) $232 $162.40 $44.78 – $232
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $79.81
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $121.80
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $82.36
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $44.78
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $82.78
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $78.65
  • BEECHSTREET [176] — NWR BEECHSTREET: $185.60
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $110.90
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $110.90
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $110.90
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 $44.78 – $232
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $79.81
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $121.80
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $82.36
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $44.78
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $82.78
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $78.65
  • BEECHSTREET [176] — NWR BEECHSTREET: $185.60
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $110.90
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $110.90
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $110.90
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 $21.62 – $112
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $38.53
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $58.80
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $39.76
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $21.62
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $39.96
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $37.97
  • BEECHSTREET [176] — NWR BEECHSTREET: $89.60
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $53.54
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $53.54
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $53.54
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 $21.62 – $112
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $38.53
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $58.80
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $39.76
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $21.62
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $39.96
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $37.97
  • BEECHSTREET [176] — NWR BEECHSTREET: $89.60
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $53.54
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $53.54
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $53.54
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HB Cbc With Differential $174 $121.80 $33.58 – $174
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $59.86
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $91.35
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $61.77
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $33.58
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $62.08
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $58.99
  • BEECHSTREET [176] — NWR BEECHSTREET: $139.20
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $83.17
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $83.17
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $83.17
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HB Cbc $149 $104.30 $28.76 – $149
Complete blood count (CBC), automated: 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $51.26
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $78.23
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $52.90
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $28.76
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $53.16
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $50.51
  • BEECHSTREET [176] — NWR BEECHSTREET: $119.20
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $71.22
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $71.22
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $71.22
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HB Ref Cbc (Q) $93 $65.10 $17.95 – $93
Complete blood count (CBC), automated: 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $31.99
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $48.83
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $33.02
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $17.95
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $33.18
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $31.53
  • BEECHSTREET [176] — NWR BEECHSTREET: $74.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $44.45
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $44.45
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $44.45
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HB Ref Hemoglobinopathy Fractionation Cascade, Cbc (Lc) $97 $67.90 $18.72 – $97
Complete blood count (CBC), automated: 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $33.37
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $50.93
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $34.44
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $18.72
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $34.61
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $32.88
  • BEECHSTREET [176] — NWR BEECHSTREET: $77.60
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $46.37
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $46.37
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $46.37
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HB Prothrombin Time Mixing Study $111 $77.70 $21.42 – $111
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $38.18
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $58.28
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $39.41
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $21.42
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $39.60
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $37.63
  • BEECHSTREET [176] — NWR BEECHSTREET: $88.80
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $53.06
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $53.06
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $53.06
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HB Prothrombin Time-Inr, Hemochron (POCT) $39 $27.30 $7.53 – $39
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $13.42
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $20.48
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $13.85
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $7.53
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $13.92
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $13.22
  • BEECHSTREET [176] — NWR BEECHSTREET: $31.20
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $18.64
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $18.64
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $18.64
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 $14.28 – $74
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $25.46
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $38.85
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $26.27
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $14.28
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $26.40
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $25.09
  • BEECHSTREET [176] — NWR BEECHSTREET: $59.20
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $35.37
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $35.37
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $35.37
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 $151 $105.70 $29.14 – $151
Blood clotting test (partial thromboplastin time, PTT): 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $51.94
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $79.28
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $53.61
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $29.14
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $53.88
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $51.19
  • BEECHSTREET [176] — NWR BEECHSTREET: $120.80
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $72.18
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $72.18
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $72.18
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 $21.23 – $110
Blood clotting test (partial thromboplastin time, PTT): 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $37.84
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $57.75
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $39.05
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $21.23
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $39.25
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $37.29
  • BEECHSTREET [176] — NWR BEECHSTREET: $88
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $52.58
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $52.58
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $52.58
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HB Aptt Mixing Study $161 $112.70 $31.07 – $161
Blood clotting test (partial thromboplastin time, PTT): 10 of 21 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $55.38
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $84.53
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $57.16
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $31.07
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $57.44
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $54.58
  • BEECHSTREET [176] — NWR BEECHSTREET: $128.80
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $76.96
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $76.96
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $76.96

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: HB CT Head/Brain W/O Dye $3,535 $2,474.50 $682.26 – $3,535
CT scan of the head or brain, without contrast: 10 of 23 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $1,216.04
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $1,855.88
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $1,254.93
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $682.26
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $1,261.29
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $1,198.37
  • BEECHSTREET [176] — NWR BEECHSTREET: $2,828
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $1,689.73
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $1,689.73
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $1,689.73
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 $1,484.75 – $7,693
MRI of the brain, before and after contrast: 10 of 23 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $2,646.39
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $4,038.83
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $2,731.02
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $1,484.75
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $2,744.86
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $2,607.93
  • BEECHSTREET [176] — NWR BEECHSTREET: $6,154.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $3,677.25
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $3,677.25
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $3,677.25
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HB-Xray Exam Chest 2 Views $963 $674.10 $185.86 – $963
Chest X-ray, 2 views: 10 of 24 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $468.98
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $331.27
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $505.58
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $341.87
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $185.86
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $343.60
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $326.46
  • BEECHSTREET [176] — NWR BEECHSTREET: $770.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $460.31
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $460.31
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 $250.71 – $1,299
X-ray of the lower spine, at least 4 views: 10 of 24 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $632.61
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $446.86
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $681.98
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $461.15
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $250.71
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $463.48
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $440.36
  • BEECHSTREET [176] — NWR BEECHSTREET: $1,039.20
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $620.92
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $620.92
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 $1,058.03 – $5,482
MRI of the lower back (lumbar spine), without contrast: 10 of 23 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $1,885.81
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $2,878.05
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $1,946.11
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $1,058.03
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $1,955.98
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $1,858.40
  • BEECHSTREET [176] — NWR BEECHSTREET: $4,385.60
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $2,620.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $2,620.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $2,620.40
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 $801.72 – $4,154
CT scan of the pelvis, with contrast: 10 of 23 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $1,428.98
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $2,180.85
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $1,474.67
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $801.72
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $1,482.15
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $1,408.21
  • BEECHSTREET [176] — NWR BEECHSTREET: $3,323.20
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $1,985.61
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $1,985.61
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $1,985.61
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 $1,057.45 – $5,479
MRI of a leg joint (such as the knee), without contrast: 10 of 23 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $1,884.78
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $2,876.48
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $1,945.05
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $1,057.45
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $1,954.91
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $1,857.38
  • BEECHSTREET [176] — NWR BEECHSTREET: $4,383.20
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $2,618.96
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $2,618.96
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $2,618.96
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 $1,667.91 – $8,642
CT scan of the abdomen and pelvis, with contrast: 10 of 23 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $2,972.85
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $4,537.05
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $3,067.91
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $1,667.91
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $3,083.47
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $2,929.64
  • BEECHSTREET [176] — NWR BEECHSTREET: $6,913.60
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $4,130.88
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $4,130.88
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $4,130.88
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HB US Exam Abdom Complete $2,532 $1,772.40 $488.68 – $2,532
Ultrasound of the abdomen, complete: 10 of 24 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $1,233.08
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $871.01
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $1,329.30
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $898.86
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $488.68
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $903.42
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $858.35
  • BEECHSTREET [176] — NWR BEECHSTREET: $2,025.60
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $1,210.30
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $1,210.30
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 $332.54 – $1,723
Pregnancy ultrasound (after the first trimester): 10 of 24 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $839.10
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $592.71
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $904.58
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $611.67
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $332.54
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $614.77
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $584.10
  • BEECHSTREET [176] — NWR BEECHSTREET: $1,378.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $823.59
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $823.59
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HB Transvaginal US Non-OB $1,542 $1,079.40 $297.61 – $1,542
Transvaginal ultrasound: 10 of 24 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $750.95
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $530.45
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $809.55
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $547.41
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $297.61
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $550.19
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $522.74
  • BEECHSTREET [176] — NWR BEECHSTREET: $1,233.60
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $737.08
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $737.08
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: HB Diagnostic Mammography Incl Cad Unilateral $664 $464.80 $128.15 – $664
Diagnostic mammogram, one breast: 10 of 24 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $323.37
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $228.42
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $348.60
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $235.72
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $128.15
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $236.92
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $225.10
  • BEECHSTREET [176] — NWR BEECHSTREET: $531.20
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $317.39
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $317.39
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: HB Diagnostic Mammography Incl Cad Bilateral $734 $513.80 $141.66 – $734
Diagnostic mammogram, both breasts: 10 of 24 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $357.46
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $252.50
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $385.35
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $260.57
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $141.66
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $261.89
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $248.83
  • BEECHSTREET [176] — NWR BEECHSTREET: $587.20
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $350.85
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $350.85
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HB Screening Mammography Bilateral Incl Cad $748 $523.60 $144.36 – $748
Screening mammogram, both breasts: 10 of 24 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $364.28
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $257.31
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $392.70
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $265.54
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $144.36
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $266.89
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $253.57
  • BEECHSTREET [176] — NWR BEECHSTREET: $598.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $357.54
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $357.54

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: HB Ep Evaluation Without Induction $12,822 $8,975.40 $2,474.65 – $12,822
Heart rhythm study (electrophysiology evaluation): 10 of 26 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $6,244.31
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $4,410.77
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $6,731.55
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $4,551.81
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $2,474.65
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $4,574.89
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $4,346.66
  • BEECHSTREET [176] — NWR BEECHSTREET: $10,257.60
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $6,128.92
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $6,128.92
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 $30,293 $21,205.10 $5,846.55 – $30,293
Heart rhythm study with ablation for atrial fibrillation: 10 of 26 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $14,752.69
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $10,420.79
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $15,903.83
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $10,754.02
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $5,846.55
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $10,808.54
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $10,269.33
  • BEECHSTREET [176] — NWR BEECHSTREET: $24,234.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $14,480.05
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $14,480.05
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: HB Polysom 6/> Yrs 4/> Param $6,512 $4,558.40 $1,256.82 – $6,512
Sleep study (overnight, in a sleep lab): 10 of 24 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $2,240.13
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $2,311.76
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $1,256.82
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $2,323.48
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $2,207.57
  • BEECHSTREET [176] — NWR BEECHSTREET: $5,209.60
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $3,112.74
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $3,112.74
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $3,112.74
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS HMO: $2,323.48

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance 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 $45.55 – $236
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $114.93
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $81.18
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $123.90
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $83.78
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $45.55
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $84.20
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $80
  • BEECHSTREET [176] — NWR BEECHSTREET: $188.80
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $112.81
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $112.81
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: HB Pt Eval Low Complex $419 $293.30 $80.87 – $419
Physical therapy evaluation (low complexity): 10 of 26 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $204.05
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $144.14
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $219.98
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $148.75
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $80.87
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $149.50
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $142.04
  • BEECHSTREET [176] — NWR BEECHSTREET: $335.20
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $200.28
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $200.28
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: HB Pt Eval Mod Complex $503 $352.10 $97.08 – $503
Physical therapy evaluation (moderate complexity): 10 of 26 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $244.96
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $173.03
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $264.08
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $178.57
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $97.08
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $179.47
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $170.52
  • BEECHSTREET [176] — NWR BEECHSTREET: $402.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $240.43
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $240.43
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: HB Pt Eval High Complex $638 $446.60 $123.13 – $638
Physical therapy evaluation (high complexity): 10 of 26 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $310.71
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $219.47
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $334.95
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $226.49
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $123.13
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $227.64
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $216.28
  • BEECHSTREET [176] — NWR BEECHSTREET: $510.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $304.96
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $304.96
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: HB Psychotherapy W/Patient 30 Minutes $281 $196.70 $54.23 – $281
Psychotherapy, 30 minutes: 10 of 28 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $136.85
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $96.66
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $147.53
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $99.76
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $54.23
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $100.26
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $95.26
  • BEECHSTREET [176] — NWR BEECHSTREET: $224.80
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $134.32
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $134.32
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: HB Psychotherapy W/Patient 45 Minutes $392 $274.40 $75.66 – $392
Psychotherapy, 45 minutes: 10 of 28 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $190.90
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $134.85
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $205.80
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $139.16
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $75.66
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $139.87
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $132.89
  • BEECHSTREET [176] — NWR BEECHSTREET: $313.60
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $187.38
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $187.38
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: HB Psychotherapy W/Patient 60 Minutes $794 $555.80 $153.24 – $794
Psychotherapy, 60 minutes: 10 of 28 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $386.68
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $273.14
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $416.85
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $281.87
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $153.24
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $283.30
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $269.17
  • BEECHSTREET [176] — NWR BEECHSTREET: $635.20
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $379.53
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $379.53
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: HB Family Psytx W/Patient $456 $319.20 $88.01 – $456
Family psychotherapy, with the patient: 10 of 28 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $222.07
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $156.86
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $239.40
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $161.88
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $88.01
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $162.70
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $154.58
  • BEECHSTREET [176] — NWR BEECHSTREET: $364.80
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $217.97
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $217.97
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: HB Continuing Care Group Psychotherapy $118 $82.60 $22.77 – $118
Group psychotherapy: 10 of 28 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $57.47
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $40.59
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $61.95
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $41.89
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $22.77
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $42.10
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $40
  • BEECHSTREET [176] — NWR BEECHSTREET: $94.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $56.40
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $56.40
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: HB Group Psychotherapy $457 $319.90 $88.20 – $457
Group psychotherapy: 10 of 28 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $222.56
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $157.21
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $239.93
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $162.24
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $88.20
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $163.06
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $154.92
  • BEECHSTREET [176] — NWR BEECHSTREET: $365.60
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $218.45
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $218.45
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: HB M/H Intensive OP Prg Adult $370 $259 $71.41 – $370
Group psychotherapy: 10 of 25 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $127.28
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $131.35
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $71.41
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $132.02
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $125.43
  • BEECHSTREET [176] — NWR BEECHSTREET: $296
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $176.86
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $176.86
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $176.86
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS HMO: $132.02

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: HB Arthro/Surg Shld Decompress $61,287.53 $42,901.27 $346 – $4,551
Shoulder arthroscopy: shaving of shoulder bone: 10 of 30 insurance plan rates
  • MULTIPLAN/PHCS [142] — NWR PHCS PPO: $4,551
  • UNITED HEALTHCARE [158] — NWR UHC CORE: $346
  • UNITED HEALTHCARE [158] — NWR UHC HMO/PPO: $385
  • AETNA HEALTH PLAN [171] — NWR AETNA: 48.7% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: 34.4% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: 52.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: 35.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: 19.3% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: 32.61% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: 35.3% (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 $29,230.39 $20,461.27 $5,282 – $9,102
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 30 insurance plan rates
  • MULTIPLAN/PHCS [142] — NWR PHCS PPO: $9,102
  • UNITED HEALTHCARE [158] — NWR UHC CORE: $5,282
  • UNITED HEALTHCARE [158] — NWR UHC HMO/PPO: $5,868
  • AETNA HEALTH PLAN [171] — NWR AETNA: 48.7% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: 34.4% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: 52.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: 35.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: 19.3% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: 32.61% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: 35.3% (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 $27,298.51 $19,108.96 $3,577 – $9,102
Removal of tonsils and adenoids (under age 12): 10 of 30 insurance plan rates
  • MULTIPLAN/PHCS [142] — NWR PHCS PPO: $9,102
  • UNITED HEALTHCARE [158] — NWR UHC CORE: $3,577
  • UNITED HEALTHCARE [158] — NWR UHC HMO/PPO: $3,975
  • AETNA HEALTH PLAN [171] — NWR AETNA: 48.7% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: 34.4% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: 52.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: 35.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: 19.3% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: 32.61% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: 35.3% (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 $7,029.60 $4,920.72 $2,137 – $2,374
Upper GI endoscopy (diagnostic): 10 of 29 insurance plan rates
  • UNITED HEALTHCARE [158] — NWR UHC CORE: $2,137
  • UNITED HEALTHCARE [158] — NWR UHC HMO/PPO: $2,374
  • AETNA HEALTH PLAN [171] — NWR AETNA: 48.7% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: 34.4% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: 52.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: 35.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: 19.3% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: 35.68% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: 33.9% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS MEDICARE ADV [2304] — NWR BLUE CROSS MEDICARE ADVT: 100% (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 $15,868.01 $11,107.61 $2,137 – $9,102
Upper GI endoscopy with biopsy: 10 of 30 insurance plan rates
  • MULTIPLAN/PHCS [142] — NWR PHCS PPO: $9,102
  • UNITED HEALTHCARE [158] — NWR UHC CORE: $2,137
  • UNITED HEALTHCARE [158] — NWR UHC HMO/PPO: $2,374
  • AETNA HEALTH PLAN [171] — NWR AETNA: 48.7% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: 34.4% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: 52.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: 35.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: 19.3% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: 35.68% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: 33.9% (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 $6,679.50 $4,675.65 $2,741 – $3,045
Colonoscopy (diagnostic): 10 of 29 insurance plan rates
  • UNITED HEALTHCARE [158] — NWR UHC CORE: $2,741
  • UNITED HEALTHCARE [158] — NWR UHC HMO/PPO: $3,045
  • AETNA HEALTH PLAN [171] — NWR AETNA: 48.7% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: 34.4% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: 52.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: 35.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: 19.3% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: 35.68% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: 33.9% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS MEDICARE ADV [2304] — NWR BLUE CROSS MEDICARE ADVT: 100% (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 $1,128.86 – $5,849
Colonoscopy with biopsy: 10 of 30 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $2,848.46
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $2,012.06
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $3,070.73
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $2,076.40
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $1,128.86
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $2,086.92
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $1,982.81
  • BEECHSTREET [176] — NWR BEECHSTREET: $4,679.20
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $2,795.82
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $2,795.82
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 $1,128.86 – $5,849
Colonoscopy with removal of polyps (snare): 10 of 30 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $2,848.46
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $2,012.06
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $3,070.73
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $2,076.40
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $1,128.86
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $2,086.92
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $1,982.81
  • BEECHSTREET [176] — NWR BEECHSTREET: $4,679.20
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $2,795.82
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $2,795.82
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: HB Colonoscopy W/Endoscope US $12,420.21 $8,694.15 $2,137 – $2,374
Ultrasound of the lower bowel by endoscope: 10 of 29 insurance plan rates
  • UNITED HEALTHCARE [158] — NWR UHC CORE: $2,137
  • UNITED HEALTHCARE [158] — NWR UHC HMO/PPO: $2,374
  • AETNA HEALTH PLAN [171] — NWR AETNA: 48.7% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: 34.4% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: 52.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: 35.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: 19.3% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: 35.68% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: 33.9% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS MEDICARE ADV [2304] — NWR BLUE CROSS MEDICARE ADVT: 100% (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 $3,654 $2,557.80 $705.22 – $3,654
Screening colonoscopy (not high risk): 10 of 26 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $1,779.50
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $1,256.98
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $1,918.35
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $1,297.17
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $705.22
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $1,303.75
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $1,238.71
  • BEECHSTREET [176] — NWR BEECHSTREET: $2,923.20
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $1,746.61
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $1,746.61
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy Surg Cholecystectomy $46,175.31 $32,322.72 $7,055 – $7,839
Gallbladder removal by laparoscope: 10 of 30 insurance plan rates
  • UNITED HEALTHCARE [158] — NWR UHC CORE: $7,055
  • UNITED HEALTHCARE [158] — NWR UHC HMO/PPO: $7,839
  • AETNA HEALTH PLAN [171] — NWR AETNA: 48.7% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: 34.4% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: 52.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: 35.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: 19.3% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: 32.61% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: 35.3% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS MEDICARE ADV [2304] — NWR BLUE CROSS MEDICARE ADVT: 100% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: HB Laparoscopy Surg Cholecystectomy $22,604 $15,822.80 $4,362.57 – $22,604
Gallbladder removal by laparoscope: 10 of 20 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: $11,008.15
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: $7,775.78
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: $11,867.10
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: $8,024.42
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: $4,362.57
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $8,065.11
  • BEECHSTREET [176] — NWR BEECHSTREET: $18,083.20
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS HMO: $8,065.11
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS PAR/INDEMNITY ADP: $22,604
  • CHOICECARE [177] — NWR CHOICE CARE: $12,025.33
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 $38,671.96 $27,070.37 $5,282 – $9,102
Groin (inguinal) hernia repair, age 5 or older: 10 of 30 insurance plan rates
  • MULTIPLAN/PHCS [142] — NWR PHCS PPO: $9,102
  • UNITED HEALTHCARE [158] — NWR UHC CORE: $5,282
  • UNITED HEALTHCARE [158] — NWR UHC HMO/PPO: $5,868
  • AETNA HEALTH PLAN [171] — NWR AETNA: 48.7% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: 34.4% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: 52.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: 35.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: 19.3% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: 32.61% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: 35.3% (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 $31,128.69 $21,790.08 $2,137 – $9,102
Prostate biopsy: 10 of 30 insurance plan rates
  • MULTIPLAN/PHCS [142] — NWR PHCS PPO: $9,102
  • UNITED HEALTHCARE [158] — NWR UHC CORE: $2,137
  • UNITED HEALTHCARE [158] — NWR UHC HMO/PPO: $2,374
  • AETNA HEALTH PLAN [171] — NWR AETNA: 48.7% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: 34.4% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: 52.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: 35.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: 19.3% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: 32.61% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: 35.3% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot $131,118.56 $91,783 $10,343 – $11,492
Prostate removal by laparoscope (radical prostatectomy): 10 of 30 insurance plan rates
  • UNITED HEALTHCARE [158] — NWR UHC CORE: $10,343
  • UNITED HEALTHCARE [158] — NWR UHC HMO/PPO: $11,492
  • AETNA HEALTH PLAN [171] — NWR AETNA: 48.7% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: 34.4% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: 52.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: 35.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: 19.3% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: 32.61% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: 35.3% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS MEDICARE ADV [2304] — NWR BLUE CROSS MEDICARE ADVT: 100% (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 $25,551.21 $17,885.85 $3,577 – $9,102
Hysteroscopy with biopsy of the uterus lining: 10 of 30 insurance plan rates
  • MULTIPLAN/PHCS [142] — NWR PHCS PPO: $9,102
  • UNITED HEALTHCARE [158] — NWR UHC CORE: $3,577
  • UNITED HEALTHCARE [158] — NWR UHC HMO/PPO: $3,975
  • AETNA HEALTH PLAN [171] — NWR AETNA: 48.7% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: 34.4% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: 52.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: 35.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: 19.3% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: 32.61% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: 35.3% (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 $3,341.50 $2,339.05 $5.68 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Spinal injection, lower back (epidural), with imaging guidance: 10 of 30 insurance plan rates
  • UNITED HEALTHCARE [158] — NWR UHC CORE: $5.68 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • UNITED HEALTHCARE [158] — NWR UHC HMO/PPO: $5.68 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AETNA HEALTH PLAN [171] — NWR AETNA: 48.7% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: 34.4% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: 52.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: 35.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: 19.3% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: 35.68% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: 33.9% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS MEDICARE ADV [2304] — NWR BLUE CROSS MEDICARE ADVT: 100% (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 $3,671.74 $2,570.22 $545.23 – $2,825
Nerve root injection, lower back, with imaging guidance: 10 of 27 insurance plan rates
  • AETNA HEALTH PLAN [171] — NWR AETNA: 48.7% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: 34.4% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: 52.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: 35.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: 19.3% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: 35.68% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: 33.9% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS MEDICARE ADV [2304] — NWR BLUE CROSS MEDICARE ADVT: 100% (a percentage in the contract, not a dollar amount)
  • ALTERNATE HUMANA MEDICARE ADV [2409] — NWR HUMANA MEDICARE ADVT: 100% (a percentage in the contract, not a dollar amount)
  • BEECHSTREET [176] — NWR BEECHSTREET: 80% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: HB Carpal Tunnel Surgery $17,932.03 $12,552.42 $3,577 – $9,102
Carpal tunnel release: 10 of 30 insurance plan rates
  • MULTIPLAN/PHCS [142] — NWR PHCS PPO: $9,102
  • UNITED HEALTHCARE [158] — NWR UHC CORE: $3,577
  • UNITED HEALTHCARE [158] — NWR UHC HMO/PPO: $3,975
  • AETNA HEALTH PLAN [171] — NWR AETNA: 48.7% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: 34.4% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: 52.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: 35.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: 19.3% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: 32.61% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: 35.3% (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 $15,300.99 $10,710.69 $3,577 – $9,102
Cataract removal with lens implant: 10 of 30 insurance plan rates
  • MULTIPLAN/PHCS [142] — NWR PHCS PPO: $9,102
  • UNITED HEALTHCARE [158] — NWR UHC CORE: $3,577
  • UNITED HEALTHCARE [158] — NWR UHC HMO/PPO: $3,975
  • AETNA HEALTH PLAN [171] — NWR AETNA: 48.7% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA APCN/SP: 34.4% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA ASA: 52.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA IL PREFERRED: 35.5% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH PLAN [171] — NWR AETNA NM EMPLOYEES: 19.3% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: 32.61% (a percentage in the contract, not a dollar amount)
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: 35.3% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance 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 $490,842.84 $343,590 $69,612.77 – $119,604.51
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 27 insurance plan rates
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $76,716.72
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $119,604.51
  • ALTERNATE BLUE CROSS MEDICARE ADV [2304] — NWR BLUE CROSS MEDICARE ADVT: $69,612.77
  • ALTERNATE HUMANA MEDICARE ADV [2409] — NWR HUMANA MEDICARE ADVT: $69,612.77
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $79,798.30
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $78,252.62
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $76,716.72
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS HMO: $76,716.72
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS PPO: $119,604.51
  • GLOBAL EXCEL [1712] — NWR MEDICARE: $69,612.77
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 $95,181.60 $66,627.12 $13,725.73 – $23,582.73
Hip or knee replacement (major joint of the leg), without major complications: 10 of 23 insurance plan rates
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $15,126.43
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $23,582.73
  • ALTERNATE BLUE CROSS MEDICARE ADV [2304] — NWR BLUE CROSS MEDICARE ADVT: $13,725.73
  • ALTERNATE HUMANA MEDICARE ADV [2409] — NWR HUMANA MEDICARE ADVT: $13,725.73
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $15,734.04
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $15,429.27
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $15,126.43
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS HMO: $15,126.43
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS PPO: $23,582.73
  • GLOBAL EXCEL [1712] — NWR MEDICARE: $13,725.73
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC $170,767.69 $119,537.38 $17,371.88 – $29,847.33
Neck (cervical) spinal fusion, without complications: 10 of 24 insurance plan rates
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $19,144.67
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $29,847.33
  • ALTERNATE BLUE CROSS MEDICARE ADV [2304] — NWR BLUE CROSS MEDICARE ADVT: $17,371.88
  • ALTERNATE HUMANA MEDICARE ADV [2409] — NWR HUMANA MEDICARE ADVT: $17,371.88
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $19,913.68
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $19,527.96
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $19,144.67
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS HMO: $19,144.67
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS PPO: $29,847.33
  • GLOBAL EXCEL [1712] — NWR MEDICARE: $17,371.88
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 $62,634.51 $43,844.16 $8,828.61 – $15,168.80
Uterus and ovary surgery (not for cancer), without complications: 10 of 23 insurance plan rates
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS HMO: $9,729.57
  • ALTERNATE BLUE CROSS [1402] — NWR BCBS PPO: $15,168.80
  • ALTERNATE BLUE CROSS MEDICARE ADV [2304] — NWR BLUE CROSS MEDICARE ADVT: $8,828.61
  • ALTERNATE HUMANA MEDICARE ADV [2409] — NWR HUMANA MEDICARE ADVT: $8,828.61
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE OPTIONS: $10,120.39
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE PREFERRED: $9,924.36
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS BLUECHOICE SELECT: $9,729.57
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS HMO: $9,729.57
  • BLUE CROSS BLUE SHIELD [1401] — NWR BCBS PPO: $15,168.80
  • GLOBAL EXCEL [1712] — NWR MEDICARE: $8,828.61

Source: Northwestern Medicine McHenry’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 typeAcute Care Hospital
Address4201 Medical Center Drive, McHenry, IL 60050
CountyMcHenry County
StateIllinois
Phone(815) 344‑5000
Emergency servicesYes
OwnershipVoluntary non-profit - Other
Medicare overall rating5 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number140116
Name in Medicare recordsNORTHWESTERN MEDICINE MCHENRY
Profile levelMedicare data + hospital website
Name on the hospital’s websiteNorthwestern Medicine McHenry Hospital
Official websitenm.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. Northwestern Medicine McHenry Hospital — nm.org
  2. McHenry Hospital Emergency Department — nm.org
  3. Northwestern Medicine McHenry Hospital | McHenry, IL | Northwestern Medicine — nm.org
  4. Bluhm Cardiovascular Institute at Northwestern Medicine McHenry Hospital | Northwestern Medicine — nm.org