Does OSF Saint Elizabeth MDL Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at OSF Saint Elizabeth MDL Center. In a medical emergency, call 911.

Where is OSF Saint Elizabeth MDL Center?

925 West Street, Peru, IL 61354, in La Salle County, Illinois.

What is the phone number of OSF Saint Elizabeth MDL Center?

(815) 433-3100, as listed by Medicare (CMS).

What is the Medicare star rating of OSF Saint Elizabeth MDL Center?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Does Medicare reduce its payments to OSF Saint Elizabeth MDL Center for hospital-acquired conditions?

No. For fiscal year 2026, CMS lists no Medicare payment reduction for OSF Saint Elizabeth MDL Center under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.1184; 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).

OSF Saint Elizabeth MDL Center — Phone, Address & ER

Quick answers

Does OSF Saint Elizabeth MDL Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at OSF Saint Elizabeth MDL Center. In a medical emergency, call 911.
Where is OSF Saint Elizabeth MDL Center?: 925 West Street, Peru, IL 61354, in La Salle County, Illinois.
What is the phone number of OSF Saint Elizabeth MDL Center?: (815) 433-3100, as listed by Medicare (CMS).
What is the Medicare star rating of OSF Saint Elizabeth MDL Center?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to OSF Saint Elizabeth MDL Center for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for OSF Saint Elizabeth MDL Center under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.1184; 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^{[5][6][7][8][9]}

Pregnancy & Birth (Family Birthing Center)
Emergency Care
Inpatient Care (Hospitalist Program)
Women's Health
Testing & Diagnostics
Supportive and Palliative Care
Behavioral and Mental Health
Brain and Spine
Cancer
Heart and Vascular
Lung and Pulmonology
Orthopedics
Surgery
Rehabilitation
Infusion Services
Wound Care
Primary Care
Urgent Care
Occupational Health

Treatments^[5][6][8]

Palliative care
Infusion services
Hospitalist-led inpatient care
Labor and delivery care
Postpartum and breastfeeding support (lactation consultants)
Midwife services
Phototherapy for newborn jaundice

Procedures^[5][9]

Cesarean section (C-section)
CT scan
MRI
Ultrasound
X-ray
Mammography
Automated Breast Ultrasound (ABUS)
EKG
Laboratory testing

Programs and centers^[5][7][8]

Family Birthing Center
Hospitalist Program
Virtual emergency care
OSF OnCall virtual pregnancy and postpartum support
Virtual maternal and fetal monitoring (AI-assisted)
Birthing and parenting classes
Post-discharge care team app (up to 30 days)
Doula-friendly labor support

Emergency care (hospital website)^[7]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Generally two visitors at a time; quiet hours begin 8 p.m.; enter via North Emergency Department entrance on 6th Street^[10]
Patient portal	OSF MyChart

Doctors and clinicians (946)

946 doctors and other clinicians list OSF Saint Elizabeth MDL Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (946)

Aamir Abdullah, MDInternal Medicine
Abby R. Vladika, NPNurse Practitioner
Abdul K. Mohammed, MDPathology
Abdul R. Sozzer, DODiagnostic Radiology
Abdul-Rahim Shilbayeh, MDInternal Medicine
Abel R. Castellano, MDDiagnostic Radiology
Adam KressFamily Practice
Adam M. Bizub, CNACertified Registered Nurse Anesthetist (CRNA)
Addis Mekonnen, MDHospitalist
Adelaide M. Horcher, MDPathology
Adrian Zhubi, MDPsychiatry
Adriana P. Dumitrescu, MDFamily Practice
Afreen Hyder, MDGastroenterology
Ahmad Al Moujahed, MDInfectious Disease
Ahmad Hussein, MDEmergency Medicine
Ahmed M. Eldib, MDOrthopedic Surgery
Ahmet Sakiri, MDInternal Medicine
Aimee R. Baker, DOFamily Practice
Ajeet D. Gordhan, MDDiagnostic Radiology
Alejandro Aquino, MDCardiovascular Disease (Cardiology)
Alex C. Wu, MDDiagnostic Radiology
Alex Htun, MDHospitalist
Alex K. ArmstrongPhysician Assistant
Alex Woehlke, DODiagnostic Radiology

And 922 more: the button below opens the full list.

Other emergency rooms nearby

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

OSF Saint Paul Medical Center15 mi · Mendota, IL · Critical Access Hospital
OSF Saint Clare Medical Center17 mi · Princeton, IL · Critical Access Hospital
Valley West Community Hospital34 mi · Sandwich, IL · Critical Access Hospital
Morris Hospital & Healthcare Centers36 mi · Morris, IL · Acute Care Hospital
OSF Saint Katharine Medical Center40 mi · Dixon, IL · Acute Care Hospital

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

Other hospitals near Peru

Saint James Hospital40 mi · Pontiac, IL · Acute Care Hospital

Hospitals in La Salle 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

Allure of Peru0.8 mi · Peru, IL · 3 of 5 stars
Manor Court of Peru1.4 mi · Peru, IL · 4 of 5 stars
Goldwater Care Spring Valley3.8 mi · Spring Valley, IL · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Vitas Healthcare Corporation of Illinois1.0 mi · Peru, IL · 4 of 5 stars
In-Home Care Connection Hospice Services17 mi · Princeton, IL

All hospice providers in the state →

Dialysis facilities

FMC - Spring Valley5.3 mi · Spring Valley, IL · 4 of 5 stars
FMC - Ottawa Dialysis14 mi · Ottawa, IL · 3 of 5 stars
FMC - Streator20 mi · Streator, IL · 2 of 5 stars

All dialysis facilities 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

Community Health Partnership of Illinois15 mi · Mendota, IL · Community health center
Mobile Medical & Dental Van15 mi · Mendota, IL · Community health center

Clinics and urgent care

OSF Healthcare - Medical Group - Midtown1.0 mi · Peru, IL · Rural health clinic
OSF Healthcare - Medical Group - Plaza1.0 mi · Peru, IL · Rural health clinic
St. Margaret's Health-Peru1.0 mi · Peru, IL · Urgent care center

Pharmacies

Highland Park CVS LLC1.0 mi · Peru, IL · Pharmacy
Hy-Vee Inc1.0 mi · Peru, IL · Community/retail pharmacy
Walgreen Co1.0 mi · Peru, IL · Pharmacy

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Patients got help quickly from staff	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Restfulness of Environment	2 of 5 stars
Care Coordination	3 of 5 stars
Symptoms After Stay	3 of 5 stars
Rated the hospital 9 or 10 out of 10	60%National average: 72%
Would definitely recommend the hospital	59%National average: 71%
Nurses “always” communicated well	77%National average: 80%
Doctors “always” communicated well	78%National average: 80%
“Always” got help as soon as they wanted	61%National average: 64%
Staff “always” explained medicines before giving them	60%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	67%National average: 73%
Completed surveys	665Response rate: 23%

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.

Catheter-associated urinary tract infections (CAUTI)	0.814No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.326No different from the national benchmark
Not reported to Medicare	Central line bloodstream infections (CLABSI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

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 failure patients	11%
Deaths within 30 days: pneumonia patients	17.4%
Deaths within 30 days: COPD patients	7.8%
Deaths within 30 days: stroke patients	11.4%
Serious complications (patient safety indicator PSI-90)	0.81No different from the national rate
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG)
Too few cases to report	Deaths within 30 days: heart attack patients; Complications after hip or knee replacement

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)	15.1%
Readmitted within 30 days: heart failure	21.6%
Readmitted within 30 days: pneumonia	17.8%
Readmitted within 30 days: COPD	20.4%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: heart attack; Readmitted within 30 days: hip or knee replacement

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)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	139 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	86%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 OSF Saint Elizabeth MDL Center, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026	NoCMS lists no payment reduction for this hospital.
Total HAC Score	-0.1184Lower 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 failure	0.9542Fewer readmissions than expected
Pneumonia	0.9798Fewer readmissions than expected
COPD (chronic lung disease)	0.9504Fewer readmissions than expected
No result published	Heart attack; Hip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

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

Hospital Value-Based Purchasing Program

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

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

Total Performance Score	18.83 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	3.33 out of 100
Person and community engagement (patient survey)	22.00 out of 100
Safety (infections and sepsis care)	50.00 out of 100
Efficiency and cost reduction (Medicare spending)	0.00 out of 100

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio	1.02Above the national median hospital (1.00): Medicare spent more

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

ER wait times and Medicare ratings nearby

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

ER wait times in Illinois Best hospitals in Illinois

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 76 common services exactly as OSF Saint Elizabeth MDL Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Show the prices of 76 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99203 OP VISIT NEW PT LEVEL III	$342	$205.20	Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99203 PRO OUTPATIENT VISIT, NEW PATIENT, LEVEL III	$281	$168.60	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99204 OP VISIT NEW PT LEVEL IV	$544	$326.40	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99204 PRO OUTPATIENT VISIT, NEW PATIENT, LEVEL IV	$437	$262.20	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99205 OP VISIT NEW PT LEVEL V	$712	$427.20	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99205 PRO OUTPATIENT VISIT, NEW PATIENT, LEVEL V	$551	$330.60	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99213 OP VISIT EST PT LEVEL III	$295	$177	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BEHAVIORAL HEALTH OP VISIT EST PT LEVEL III	$318	$190.80	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99213 PRO OUTPATIENT VISIT, ESTABLISHED PATIENT, LEVEL III	$173	$103.80	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99214 OP VISIT EST PT LEVEL IV	$445	$267	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BEHAVIORAL HEALTH OP VISIT EST PT LEVEL IV	$478	$286.80	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99214 PRO OUTPATIENT VISIT, ESTABLISHED PATIENT, LEVEL IV	$259	$155.40	Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99243 OP CONSULTATION LEVEL III	$269	$161.40	Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99243 PRO OP CONSULTATION LEVEL III	$757	$454.20	Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99244 OP CONSULTATION LEVEL IV	$265	$159	Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99244 PRO OP CONSULTATION LEVEL IV	$1,073	$643.80	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$292.53 – $298.38
Emergency room visit (moderate): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $292.53 BCBS — Medicare Managed Care Plan: $298.38 UnitedHealthCare — Medicare Managed Care Plan: $295.45
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99283 ED VISIT, LEVEL III	$1,080	$648	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$447.15 – $456.09
Emergency room visit (moderately high): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $447.15 BCBS — Medicare Managed Care Plan: $456.09 UnitedHealthCare — Medicare Managed Care Plan: $451.62
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99284 ED VISIT, LEVEL IV	$1,711	$1,026.60	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$638.18 – $650.95
Emergency room visit (high): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $638.18 BCBS — Medicare Managed Care Plan: $650.95 UnitedHealthCare — Medicare Managed Care Plan: $644.56
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 99285 ED VISIT, LEVEL V	$2,844	$1,706.40	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca	Not listed in the file	Not listed in the file	$8.46 – $8.63
Basic metabolic panel (blood test): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $8.46 BCBS — Medicare Managed Care Plan: $8.63 UnitedHealthCare — Medicare Managed Care Plan: $8.54
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL W TOTAL CALCIUM	$294	$176.40	Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL W TOTAL CALCIUM	$233	$139.80	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$10.56 – $10.77
Comprehensive metabolic panel (blood test): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $10.56 BCBS — Medicare Managed Care Plan: $10.77 UnitedHealthCare — Medicare Managed Care Plan: $10.67
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$390	$234	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$372	$223.20	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$47.81 – $48.77
Obstetric blood test panel: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $47.81 BCBS — Medicare Managed Care Plan: $48.77 UnitedHealthCare — Medicare Managed Care Plan: $48.29
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$13.39 – $13.66
Cholesterol panel (lipid panel): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $13.39 BCBS — Medicare Managed Care Plan: $13.66 UnitedHealthCare — Medicare Managed Care Plan: $13.52
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PANEL	$356	$213.60	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL	$268	$160.80	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$8.68 – $8.85
Kidney function panel: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $8.68 BCBS — Medicare Managed Care Plan: $8.85 UnitedHealthCare — Medicare Managed Care Plan: $8.77
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$390	$234	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$255	$153	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$8.17 – $8.33
Liver function panel: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $8.17 BCBS — Medicare Managed Care Plan: $8.33 UnitedHealthCare — Medicare Managed Care Plan: $8.25
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL	$336	$201.60	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL	$184	$110.40	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$3.17 – $3.23
Urine test (automated, with microscope): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $3.17 BCBS — Medicare Managed Care Plan: $3.23 UnitedHealthCare — Medicare Managed Care Plan: $3.20
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO W/SCOPE	$135	$81	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO W/SCOPE	$81	$48.60	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$3.48 – $3.55
Urine test (manual, without microscope): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $3.48 BCBS — Medicare Managed Care Plan: $3.55 UnitedHealthCare — Medicare Managed Care Plan: $3.51
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee · modifier QW In the file: HC URINALYSIS,NON AUTO W/O MICROSCOPY	$63	$37.80	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$2.25 – $2.30
Urine test (automated, without microscope): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $2.25 BCBS — Medicare Managed Care Plan: $2.30 UnitedHealthCare — Medicare Managed Care Plan: $2.27
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO W/O SCOPE	$97	$58.20	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO W/O SCOPE	$74	$44.40	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$18.39 – $18.76
PSA (prostate specific antigen) blood test: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $18.39 BCBS — Medicare Managed Care Plan: $18.76 UnitedHealthCare — Medicare Managed Care Plan: $18.57
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LAB PSA TOTAL	$283	$169.80	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LAB PSA TOTAL	$223	$133.80	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$16.80 – $17.14
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $16.80 BCBS — Medicare Managed Care Plan: $17.14 UnitedHealthCare — Medicare Managed Care Plan: $16.97
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE	$356	$213.60	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE	$240	$144	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$7.77 – $7.93
Complete blood count (CBC) with differential: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $7.77 BCBS — Medicare Managed Care Plan: $7.93 UnitedHealthCare — Medicare Managed Care Plan: $7.85
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC - BLOOD COUNT; DIFFERENTIAL WBC	$196	$117.60	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC - BLOOD COUNT; DIFFERENTIAL WBC	$153	$91.80	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$6.47 – $6.60
Complete blood count (CBC), automated: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $6.47 BCBS — Medicare Managed Care Plan: $6.60 UnitedHealthCare — Medicare Managed Care Plan: $6.53
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BLOOD COUNT; HEMOGRAM & PLATELET COUNT	$108	$64.80	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BLOOD COUNT; HEMOGRAM & PLATELET COUNT	$108	$64.80	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$4.29 – $4.38
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $4.29 BCBS — Medicare Managed Care Plan: $4.38 UnitedHealthCare — Medicare Managed Care Plan: $4.33
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$126	$75.60	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$119	$71.40	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$6.01 – $6.13
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $6.01 BCBS — Medicare Managed Care Plan: $6.13 UnitedHealthCare — Medicare Managed Care Plan: $6.07
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME, PARTIAL (PTT)	$209	$125.40	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME, PARTIAL (PTT)	$110	$66	Not listed in the file

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$112.03 – $114.27
CT scan of the head or brain, without contrast: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $112.03 BCBS — Medicare Managed Care Plan: $114.27 UnitedHealthCare — Medicare Managed Care Plan: $113.15
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 70450 CT HEAD/BRAIN W/O CONTRAST	$3,410	$2,046	Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 70450 CT HEAD/BRAIN W/O CONTRAST	$3,410	$2,046	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$373.86 – $381.34
MRI of the brain, before and after contrast: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $373.86 BCBS — Medicare Managed Care Plan: $381.34 UnitedHealthCare — Medicare Managed Care Plan: $377.60
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 70553 MRI BRAIN (INC BRAIN STEM) WO/W CONTRAST	$7,514	$4,508.40	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 70553 MRI BRAIN (INC BRAIN STEM) WO/W CONTRAST	$7,514	$4,508.40	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$93.26 – $95.12
Chest X-ray, 2 views: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $93.26 BCBS — Medicare Managed Care Plan: $95.12 UnitedHealthCare — Medicare Managed Care Plan: $94.19
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 71046 CHEST 2 VIEWS	$466	$279.60	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$112.03 – $114.27
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $112.03 BCBS — Medicare Managed Care Plan: $114.27 UnitedHealthCare — Medicare Managed Care Plan: $113.15
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 72110 SPINE LUMBAR MIN 4 VIEWS	$797	$478.20	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$255.69 – $260.80
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $255.69 BCBS — Medicare Managed Care Plan: $260.80 UnitedHealthCare — Medicare Managed Care Plan: $258.25
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST	$4,996	$2,997.60	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST	$4,996	$2,997.60	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$187.96 – $191.72
CT scan of the pelvis, with contrast: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $187.96 BCBS — Medicare Managed Care Plan: $191.72 UnitedHealthCare — Medicare Managed Care Plan: $189.84
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 72193 CT PELVIS W/ CONTRAST	$3,874	$2,324.40	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 72193 CT PELVIS W/ CONTRAST	$3,874	$2,324.40	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$255.69 – $260.80
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $255.69 BCBS — Medicare Managed Care Plan: $260.80 UnitedHealthCare — Medicare Managed Care Plan: $258.25
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee · modifier LT In the file: HC 73721 MRI LOW EXTREM, JOINT, W/O CONTRAST - LT	$4,703	$2,821.80	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: HC 73721 MRI LOW EXTREM, JOINT, W/O CONTRAST - LT	$4,703	$2,821.80	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$373.86 – $381.34
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $373.86 BCBS — Medicare Managed Care Plan: $381.34 UnitedHealthCare — Medicare Managed Care Plan: $377.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 74177 CT ABD AND PELVIS, WITH CONTRAST	$8,305	$4,983	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 74177 CT ABD AND PELVIS, WITH CONTRAST	$8,305	$4,983	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$112.03 – $114.27
Ultrasound of the abdomen, complete: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $112.03 BCBS — Medicare Managed Care Plan: $114.27 UnitedHealthCare — Medicare Managed Care Plan: $113.15
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 76700 US ABDOMEN COMPLETE	$1,275	$765	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$112.03 – $114.27
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $112.03 BCBS — Medicare Managed Care Plan: $114.27 UnitedHealthCare — Medicare Managed Care Plan: $113.15
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 76805 US PREG UTRS >14 WKS SGL FETS & MOM EVA	$1,358	$814.80	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$112.03 – $114.27
Transvaginal ultrasound: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $112.03 BCBS — Medicare Managed Care Plan: $114.27 UnitedHealthCare — Medicare Managed Care Plan: $113.15
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 76830 US TRANSVAGINAL	$1,174	$704.40	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 77065 MAMMOGRAM,(SCREEN TO DIAGNOSTIC) +/- CAD,UNI	$500	$300	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$88.75 – $90.52
Diagnostic mammogram, one breast: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $88.75 BCBS — Medicare Managed Care Plan: $90.52 UnitedHealthCare — Medicare Managed Care Plan: $89.64
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee · modifier RT In the file: HC 77065 MAMMOGRAM,DIAGNOSTIC,+/- CAD,UNI-RT	$500	$300	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 77066 MAMMOGRAM,DIAGNOSTIC,+/- CAD,BILATERAL	$600	$360	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 77066 MAMMOGRAM,DIAGNOSTIC,+/- CAD,IMPLANTS,BILATERAL	$600	$360	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 77066 MAMMOGRAM,(SCREEN TO DIAGNOSTIC),+/- CAD,BILAT	$600	$360	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 77067 MAMMOGRAM SCREENING,+/- CAD,BILATERAL	$689	$413.40	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 77067 MAMMOGRAM SCRN,W/IMPLANTS,+/- CAD,BILAT	$689	$413.40	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 77067 MAMMOGRAM SCRN,W/IMPLANTS,+/- CAD,UNI-LT	$459	$275.40	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 93656 COMP EP EVAL W TRNSEPTAL CATH INS/REPOS MULT ELECTRD CATHS	$25,759	$15,455.40	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$791.95 – $938.65
Sleep study (overnight, in a sleep lab): rates for 4 insurance plans Aetna — All Commercial Plans: $791.95 Aetna — Medicare Managed Care Plan: $920.24 BCBS — Medicare Managed Care Plan: $938.65 UnitedHealthCare — Medicare Managed Care Plan: $929.44
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 95810 POLYSOMNOGRAPHY, 4 OR > PARAM	$5,667	$3,400.20	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 95810 POLYSOMNOGRAPHY, 4 OR > PARAM	$5,368	$3,220.80	Not listed in the file

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$29.67 – $30.26
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $29.67 BCBS — Medicare Managed Care Plan: $30.26 UnitedHealthCare — Medicare Managed Care Plan: $29.97
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC 97110 PT THERAPEUTIC EXERCISE, EA 15 MIN	$175	$105	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC 97110 PT THERAPEUTIC EXERCISE, EA 15 MIN	$175	$105	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$98.89 – $100.87
Physical therapy evaluation (low complexity): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $98.89 BCBS — Medicare Managed Care Plan: $100.87 UnitedHealthCare — Medicare Managed Care Plan: $99.88
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC 97161 PT EVALUATION, LOW COMPLEXITY	$386	$231.60	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC 97161 PT EVALUATION, LOW COMPLEXITY	$386	$231.60	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$99.73 – $101.72
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $99.73 BCBS — Medicare Managed Care Plan: $101.72 UnitedHealthCare — Medicare Managed Care Plan: $100.73
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC 97162 PT EVALUATION, MODERATE COMPLEXITY	$412	$247.20	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC 97162 PT EVALUATION, MODERATE COMPLEXITY	$412	$247.20	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$94.04 – $95.92
Physical therapy evaluation (high complexity): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $94.04 BCBS — Medicare Managed Care Plan: $95.92 UnitedHealthCare — Medicare Managed Care Plan: $94.98
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC 97163 PT EVALUATION, HIGH COMPLEXITY	$464	$278.40	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC 97163 PT EVALUATION, HIGH COMPLEXITY	$464	$278.40	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes	Not listed in the file	Not listed in the file	$190.21 – $194.01
Psychotherapy, 30 minutes: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $190.21 BCBS — Medicare Managed Care Plan: $194.01 UnitedHealthCare — Medicare Managed Care Plan: $192.11
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 90832 PSYCHOTHERAPY 30 MIN W/PT	$280	$168	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 90832 IOP PSYCHOTHERAPY 30 MIN W/PT	$311	$186.60	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes	Not listed in the file	Not listed in the file	$190.21 – $194.01
Psychotherapy, 45 minutes: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $190.21 BCBS — Medicare Managed Care Plan: $194.01 UnitedHealthCare — Medicare Managed Care Plan: $192.11
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 90834 PSYCHOTHERAPY 45 MIN W/PT	$388	$232.80	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 90834 IOP PSYCHOTHERAPY 45 MIN W/PT	$388	$232.80	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes	Not listed in the file	Not listed in the file	$190.21 – $194.01
Psychotherapy, 60 minutes: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $190.21 BCBS — Medicare Managed Care Plan: $194.01 UnitedHealthCare — Medicare Managed Care Plan: $192.11
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 90837 PSYCHOTHERAPY 60 MIN W/PT	$429	$257.40	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 90837 PRO PSYCHOTHERAPY 60 MIN W/PT	$162	$97.20	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min	Not listed in the file	Not listed in the file	$190.21 – $194.01
Family psychotherapy, without the patient: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $190.21 BCBS — Medicare Managed Care Plan: $194.01 UnitedHealthCare — Medicare Managed Care Plan: $192.11
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 90846 FAMILY PSYCHOTHERAPY W/O PT,50 MIN	$340	$204	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 90846 IOP FAMILY PSYCHOTHERAPY W/O PT,50 MIN	$340	$204	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min	Not listed in the file	Not listed in the file	$190.21 – $194.01
Family psychotherapy, with the patient: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $190.21 BCBS — Medicare Managed Care Plan: $194.01 UnitedHealthCare — Medicare Managed Care Plan: $192.11
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 90847 FAMILY PSYCHOTHERAPY W/ PT 50 MIN	$391	$234.60	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 90847 IOP FAMILY PSYCHOTHERAPY WITH PT,50 MIN	$391	$234.60	Not listed in the file
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 90853 / G0176 IOP ACTIVITY THERAPY FOR MENT HLTH PER SESS 45 MIN>	$316	$189.60	Not listed in the file
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 90853 / G0176 PHP ACTIVITY THERAPY FOR MENT HLTH PER SESS 45 MIN>	$316	$189.60	Not listed in the file
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 90853 / G0177 PHP TRAINING/ED SVCS FOR MENT HLTH PER SESS 45 MIN>	$316	$189.60	Not listed in the file

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$4,195.85 – $4,279.77
Removal of breast growth (open surgery): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $4,195.85 BCBS — Medicare Managed Care Plan: $4,279.77 UnitedHealthCare — Medicare Managed Care Plan: $4,237.81
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$13,758.17 – $14,033.33
Total hip replacement: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $13,758.17 BCBS — Medicare Managed Care Plan: $14,033.33 UnitedHealthCare — Medicare Managed Care Plan: $13,895.75
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$13,758.17 – $14,033.33
Total knee replacement: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $13,758.17 BCBS — Medicare Managed Care Plan: $14,033.33 UnitedHealthCare — Medicare Managed Care Plan: $13,895.75
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$3,506.34 – $3,576.46
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $3,506.34 BCBS — Medicare Managed Care Plan: $3,576.46 UnitedHealthCare — Medicare Managed Care Plan: $3,541.40
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$971.94 – $991.38
Upper GI endoscopy (diagnostic): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $971.94 BCBS — Medicare Managed Care Plan: $991.38 UnitedHealthCare — Medicare Managed Care Plan: $981.66
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 43235 EGD, TRANSORAL DIAG W/SPEC COLL	$1,328	$796.80	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$971.94 – $991.38
Upper GI endoscopy with biopsy: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $971.94 BCBS — Medicare Managed Care Plan: $991.38 UnitedHealthCare — Medicare Managed Care Plan: $981.66
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 43239 ENDOSCOPY, UGI WITH BIOPSY SINGLE/MULTIPLE	$1,328	$796.80	Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$996.56 – $1,016.49
Colonoscopy (diagnostic): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $996.56 BCBS — Medicare Managed Care Plan: $1,016.49 UnitedHealthCare — Medicare Managed Care Plan: $1,006.53
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$1,282.34 – $1,307.99
Colonoscopy with biopsy: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $1,282.34 BCBS — Medicare Managed Care Plan: $1,307.99 UnitedHealthCare — Medicare Managed Care Plan: $1,295.17
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$1,282.34 – $1,307.99
Colonoscopy with removal of polyps (snare): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $1,282.34 BCBS — Medicare Managed Care Plan: $1,307.99 UnitedHealthCare — Medicare Managed Care Plan: $1,295.17
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$1,282.34 – $1,307.99
Ultrasound of the lower bowel by endoscope: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $1,282.34 BCBS — Medicare Managed Care Plan: $1,307.99 UnitedHealthCare — Medicare Managed Care Plan: $1,295.17
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$996.56 – $1,016.49
Screening colonoscopy (not high risk): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $996.56 BCBS — Medicare Managed Care Plan: $1,016.49 UnitedHealthCare — Medicare Managed Care Plan: $1,006.53
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$6,478.50 – $6,608.07
Gallbladder removal by laparoscope: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $6,478.50 BCBS — Medicare Managed Care Plan: $6,608.07 UnitedHealthCare — Medicare Managed Care Plan: $6,543.28
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$3,836.82 – $3,913.56
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $3,836.82 BCBS — Medicare Managed Care Plan: $3,913.56 UnitedHealthCare — Medicare Managed Care Plan: $3,875.19
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$11,391.13 – $11,618.95
Prostate removal by laparoscope (radical prostatectomy): rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $11,391.13 BCBS — Medicare Managed Care Plan: $11,618.95 UnitedHealthCare — Medicare Managed Care Plan: $11,505.04
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$3,468.96 – $3,538.34
Hysteroscopy with biopsy of the uterus lining: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $3,468.96 BCBS — Medicare Managed Care Plan: $3,538.34 UnitedHealthCare — Medicare Managed Care Plan: $3,503.65
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$756.44 – $771.56
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $756.44 BCBS — Medicare Managed Care Plan: $771.56 UnitedHealthCare — Medicare Managed Care Plan: $764
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 62323 EPIDURAL NJX, LUMBAR/SACRAL WITH IMAGING	$2,988	$1,792.80	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$947.82 – $966.77
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $947.82 BCBS — Medicare Managed Care Plan: $966.77 UnitedHealthCare — Medicare Managed Care Plan: $957.30
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee · modifier RT In the file: HC 64483 INJ TRANSFORAMINAL LUM/SCR SINGLE - RT	$2,159	$1,295.40	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee · modifier LT In the file: HC 64483 INJ TRANSFORAMINAL LUM/SCR SINGLE LT	$2,159	$1,295.40	Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$2,092.58 – $2,134.43
Carpal tunnel release: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $2,092.58 BCBS — Medicare Managed Care Plan: $2,134.43 UnitedHealthCare — Medicare Managed Care Plan: $2,113.50
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$589.39 – $601.18
Laser treatment of clouding after cataract surgery: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $589.39 BCBS — Medicare Managed Care Plan: $601.18 UnitedHealthCare — Medicare Managed Care Plan: $595.28
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC 66821 AFTER CATARACT LASER SURGERY	$2,175	$1,305	Not listed in the file
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$2,473.11 – $2,522.57
Cataract removal with lens implant: rates for 3 insurance plans Aetna — Medicare Managed Care Plan: $2,473.11 BCBS — Medicare Managed Care Plan: $2,522.57 UnitedHealthCare — Medicare Managed Care Plan: $2,497.84

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	Not listed in the file	Not listed in the file	$77,841.74 – $166,327.17
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $77,841.74 Aetna — Medicare Managed Care Plan: $80,195.27 BCBS — Medicare Managed Care Plan: $81,799.18 Caterpillar — All Commercial Plans: $166,327.17 Healthlink — SOI OAP PPO: $142,339.74 Humana — Medicare Managed Care Plan: $80,195.27 Meridian — Medicare Managed Care Plan: $80,195.27 Molina Healthcare — Medicare Managed Care Plan: $80,195.27 UnitedHealthCare — Medicare Managed Care Plan: $80,997.22 Wellcare — Medicare Managed Care Plan: $80,997.22
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc	Not listed in the file	Not listed in the file	Not listed in the file
Spinal fusion (not neck), without major complications: rates for 3 insurance plans Cigna — All Commercial Plans: 57.3% (a percentage in the contract, not a dollar amount) OSFDAN — PPO: 80% (a percentage in the contract, not a dollar amount) PHCS — All Commercial Plans: 75.7% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	Not listed in the file	Not listed in the file	$15,348.26 – $32,795.16
Hip or knee replacement (major joint of the leg), without major complications: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $15,348.26 Aetna — Medicare Managed Care Plan: $16,315.26 BCBS — Medicare Managed Care Plan: $16,641.57 Caterpillar — All Commercial Plans: $32,795.16 Healthlink — SOI OAP PPO: $28,065.50 Humana — Medicare Managed Care Plan: $16,315.26 Meridian — Medicare Managed Care Plan: $16,315.26 Molina Healthcare — Medicare Managed Care Plan: $16,315.26 UnitedHealthCare — Medicare Managed Care Plan: $16,478.41 Wellcare — Medicare Managed Care Plan: $16,478.41
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc	Not listed in the file	Not listed in the file	$19,425.42 – $41,506.98
Neck (cervical) spinal fusion, without complications: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $19,425.42 Aetna — Medicare Managed Care Plan: $20,482.89 BCBS — Medicare Managed Care Plan: $20,892.55 Caterpillar — All Commercial Plans: $41,506.98 Healthlink — SOI OAP PPO: $35,520.92 Humana — Medicare Managed Care Plan: $20,482.89 Meridian — Medicare Managed Care Plan: $20,482.89 Molina Healthcare — Medicare Managed Care Plan: $20,482.89 UnitedHealthCare — Medicare Managed Care Plan: $20,687.72 Wellcare — Medicare Managed Care Plan: $20,687.72
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc	Not listed in the file	Not listed in the file	$9,872.25 – $21,094.38
Uterus and ovary surgery (not for cancer), without complications: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $9,872.25 Aetna — Medicare Managed Care Plan: $10,717.76 BCBS — Medicare Managed Care Plan: $10,932.12 Caterpillar — All Commercial Plans: $21,094.38 Healthlink — SOI OAP PPO: $18,052.19 Humana — Medicare Managed Care Plan: $10,717.76 Meridian — Medicare Managed Care Plan: $10,717.76 Molina Healthcare — Medicare Managed Care Plan: $10,717.76 UnitedHealthCare — Medicare Managed Care Plan: $10,824.94 Wellcare — Medicare Managed Care Plan: $10,824.94

Source: OSF Saint Elizabeth MDL Center’s standard charges file (osf-p-001.sitecorecontenthub.cloud, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	925 West Street, Peru, IL 61354
County	La Salle County
State	Illinois
Phone	(815) 433‑3100
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	140110
Name in Medicare records	OSF SAINT ELIZABETH MDL CTR
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(815) 221‑1380^[4]
Name on the hospital’s website	OSF Saint Elizabeth Medical Center - Peru
Official website	osfhealthcare.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

Contact OSF Saint Elizabeth Medical Center - Peru | OSF HealthCare — osfhealthcare.org
Birthing Center — osfhealthcare.org
Saint Elizabeth Medical Center - Peru Programs & Services | OSF HealthCare — osfhealthcare.org
Saint Elizabeth Medical Center - Peru Emergency Care | OSF HealthCare — osfhealthcare.org
Saint Elizabeth Medical Center - Peru Inpatient Care | OSF HealthCare — osfhealthcare.org
Saint Elizabeth Medical Center - Peru Testing & Diagnostics | OSF HealthCare — osfhealthcare.org
Saint Elizabeth Medical Center - Peru Visiting a Patient | OSF HealthCare — osfhealthcare.org

OSF Saint Elizabeth MDL Center

Summary

Profile from official sources

At a glance