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Critical Access Hospital

Pana Community Hospital

Pana, Illinois · Christian County · Emergency services listed

Summary

Pana Community Hospital is a critical access hospital in Pana, Illinois. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 74 services, specialties and programs. Medicare lists 150 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
74Services listed

Quick answers

Does Pana Community Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Pana Community Hospital. In a medical emergency, call 911.
Where is Pana Community Hospital?
101 E Ninth Street, Pana, IL 62557, in Christian County, Illinois.
What is the phone number of Pana Community Hospital?
(217) 562-2131, as listed by Medicare (CMS).
What is the Medicare star rating of Pana Community Hospital?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][6][8]

Conditions treated[6][7][13][14][15][16][17][18]

Treatments[7][10][11][13][14][16]

  • Cardiac stress testing
  • Pulmonary function testing
  • Holter monitoring
  • Arterial blood gas testing
  • Electrocardiography (EKG)
  • Electroencephalography (EEG)
  • Ventilation support
  • Computed tomography (CT)
  • Magnetic resonance imaging (MRI)
  • Mammography
  • Ultrasound
  • Nuclear medicine
  • Bone density testing (DEXA)
  • General X-ray
  • Interventional procedures (biopsies, joint injections)
  • Sedation for MRI
  • Neurological exams by telemedicine
  • Hand therapy

Procedures[6][8][17][19]

Programs and centers[4][5][7][9][12][13][17]

  • Bridge to Home (swing bed) program
  • Cardiopulmonary rehabilitation
  • Prairie Heart Stat Heart program
  • Hospitalist program
  • Excel Sports Enhancement Program
  • PCH Transport Services
  • Total joint program

Emergency care (hospital website)[4][7]

Emergency roomYes
Open 24/7Yes
Stroke designationAcute Stroke Ready Hospital (designation earned 2014)

Visiting and practical information

VisitingVisiting hours 8 a.m. to 8 p.m., every day[4]
Patient portalhttps://panahospital.iqhealth.com/

Recognition[19]

  • College of American Pathologists (CAP) laboratory accreditation

Doctors and clinicians (150)

150 doctors and other clinicians list Pana Community Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (150)

And 126 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

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

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

What patients said (patient survey)

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

Summary star rating (all survey topics)Not reported to Medicare
Overall rating of the hospitalNot reported to Medicare
Would recommend the hospitalNot reported to Medicare
Nurses communicated wellNot reported to Medicare
Doctors communicated wellNot reported to Medicare
Staff explained medicinesNot reported to Medicare
Information about recovery at homeNot reported to Medicare
Room and bathroom kept cleanNot reported to Medicare
Quiet at nightNot reported to Medicare
Rated the hospital 9 or 10 out of 1086%National average: 72%
Would definitely recommend the hospital85%National average: 71%
Nurses “always” communicated well91%National average: 80%
Doctors “always” communicated well90%National average: 80%
Staff “always” explained medicines before giving them62%National average: 62%
Were given information about recovery at home90%National average: 86%
Room and bathroom “always” clean78%National average: 74%
Area around the room “always” quiet at night61%National average: 60%
Completed surveys27Response rate: 23%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

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

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patientsToo few cases to report
Deaths within 30 days: pneumonia patients14.8%
Deaths within 30 days: COPD patients9.1%
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Not reported to Medicare
Complications after hip or knee replacementNot reported to Medicare

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackNot reported to Medicare
Readmitted within 30 days: heart failureToo few cases to report
Readmitted within 30 days: pneumonia17.4%
Readmitted within 30 days: COPD20.1%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)152 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)Too few cases to report

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

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

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

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

$ 9 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.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 99203 LEVEL 3 VISIT NEW PT ProFee (30-44 mins) $327.50 $327.50 $32.75 – $311.13
New patient office visit (about 30–44 minutes): 10 of 20 insurance plan rates
  • Aetna — Aetna: $294.75
  • Associated General Contractors — Associated General Contractors: $311.13
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $294.75
  • Caterpillar — Caterpillar: $255.45
  • Cigna — Cigna: $239.08
  • Consociate Care — Consociate Care: $294.75
  • Galaxy Health Network — Galaxy Health Network: $278.38
  • Health Alliance — Health Alliance: $288.20
  • Healthlink — Healthlink: $262
  • HealthSmart — HealthSmart: $278.38
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99203 Office/Outpatient Visit - New Patient, Level 3 (30-44 min) $194 $194 $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $184.30
New patient office visit (about 30–44 minutes): 10 of 20 insurance plan rates
  • Aetna — Aetna: $174.60
  • Associated General Contractors — Associated General Contractors: $184.30
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $174.60
  • Caterpillar — Caterpillar: $151.32
  • Cigna — Cigna: $141.62
  • Consociate Care — Consociate Care: $174.60
  • Galaxy Health Network — Galaxy Health Network: $164.90
  • Health Alliance — Health Alliance: $170.72
  • Healthlink — Healthlink: $155.20
  • HealthSmart — HealthSmart: $164.90
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 99204 LEVEL 4 VISIT NEW PT ProFee $496.25 $496.25 $49.63 – $471.44
New patient office visit (about 45–59 minutes): 10 of 20 insurance plan rates
  • Aetna — Aetna: $446.63
  • Associated General Contractors — Associated General Contractors: $471.44
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $446.63
  • Caterpillar — Caterpillar: $387.08
  • Cigna — Cigna: $362.26
  • Consociate Care — Consociate Care: $446.63
  • Galaxy Health Network — Galaxy Health Network: $421.81
  • Health Alliance — Health Alliance: $436.70
  • Healthlink — Healthlink: $397
  • HealthSmart — HealthSmart: $421.81
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99204 Office/Outpatient Visit - New Patient, Level 4 (45-59 min) $292 $292 $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $277.40
New patient office visit (about 45–59 minutes): 10 of 20 insurance plan rates
  • Aetna — Aetna: $262.80
  • Associated General Contractors — Associated General Contractors: $277.40
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $262.80
  • Caterpillar — Caterpillar: $227.76
  • Cigna — Cigna: $213.16
  • Consociate Care — Consociate Care: $262.80
  • Galaxy Health Network — Galaxy Health Network: $248.20
  • Health Alliance — Health Alliance: $256.96
  • Healthlink — Healthlink: $233.60
  • HealthSmart — HealthSmart: $248.20
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 99205 LEVEL 5 VISIT NEW PT ProFee $641.25 $641.25 $64.13 – $609.19
New patient office visit (about 60–74 minutes): 10 of 20 insurance plan rates
  • Aetna — Aetna: $577.13
  • Associated General Contractors — Associated General Contractors: $609.19
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $577.13
  • Caterpillar — Caterpillar: $500.18
  • Cigna — Cigna: $468.11
  • Consociate Care — Consociate Care: $577.13
  • Galaxy Health Network — Galaxy Health Network: $545.06
  • Health Alliance — Health Alliance: $564.30
  • Healthlink — Healthlink: $513
  • HealthSmart — HealthSmart: $545.06
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99205 Office/Outpatient Visit - New Patient, Level 5 (60 Min) $386 $386 $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $366.70
New patient office visit (about 60–74 minutes): 10 of 20 insurance plan rates
  • Aetna — Aetna: $347.40
  • Associated General Contractors — Associated General Contractors: $366.70
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $347.40
  • Caterpillar — Caterpillar: $301.08
  • Cigna — Cigna: $281.78
  • Consociate Care — Consociate Care: $347.40
  • Galaxy Health Network — Galaxy Health Network: $328.10
  • Health Alliance — Health Alliance: $339.68
  • Healthlink — Healthlink: $308.80
  • HealthSmart — HealthSmart: $328.10
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99213 Office/Outpatient Visit - Established Patient, Level 3 $152.25 $152.25 $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $150.10
Established patient office visit (about 20–29 minutes): 10 of 20 insurance plan rates
  • Aetna — Aetna: $137.03
  • Associated General Contractors — Associated General Contractors: $144.64
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $137.03
  • Caterpillar — Caterpillar: $118.76
  • Cigna — Cigna: $111.14
  • Consociate Care — Consociate Care: $137.03
  • Galaxy Health Network — Galaxy Health Network: $129.41
  • Health Alliance — Health Alliance: $133.98
  • Healthlink — Healthlink: $121.80
  • HealthSmart — HealthSmart: $129.41
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99213 LEVEL 3 TX RM EST PT CHARGE $143.50 $143.50 $14.35 – $136.33
Established patient office visit (about 20–29 minutes): 10 of 20 insurance plan rates
  • Aetna — Aetna: $129.15
  • Associated General Contractors — Associated General Contractors: $136.33
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $129.15
  • Caterpillar — Caterpillar: $111.93
  • Cigna — Cigna: $104.76
  • Consociate Care — Consociate Care: $129.15
  • Galaxy Health Network — Galaxy Health Network: $121.98
  • Health Alliance — Health Alliance: $126.28
  • Healthlink — Healthlink: $114.80
  • HealthSmart — HealthSmart: $121.98
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Nursing OP 15-20min $143.50 $143.50 $14.35 – $136.33
Established patient office visit (about 20–29 minutes): 10 of 20 insurance plan rates
  • Aetna — Aetna: $129.15
  • Associated General Contractors — Associated General Contractors: $136.33
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $129.15
  • Caterpillar — Caterpillar: $111.93
  • Cigna — Cigna: $104.76
  • Consociate Care — Consociate Care: $129.15
  • Galaxy Health Network — Galaxy Health Network: $121.98
  • Health Alliance — Health Alliance: $126.28
  • Healthlink — Healthlink: $114.80
  • HealthSmart — HealthSmart: $121.98
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99214 LEVEL 4 TX RM EST PT CHARGE $162.75 $162.75 $16.28 – $154.61
Established patient office visit (about 30–39 minutes): 10 of 20 insurance plan rates
  • Aetna — Aetna: $146.48
  • Associated General Contractors — Associated General Contractors: $154.61
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $146.48
  • Caterpillar — Caterpillar: $126.95
  • Cigna — Cigna: $118.81
  • Consociate Care — Consociate Care: $146.48
  • Galaxy Health Network — Galaxy Health Network: $138.34
  • Health Alliance — Health Alliance: $143.22
  • Healthlink — Healthlink: $130.20
  • HealthSmart — HealthSmart: $138.34
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Nursing OP 20-40min $162.75 $162.75 $16.28 – $154.61
Established patient office visit (about 30–39 minutes): 10 of 20 insurance plan rates
  • Aetna — Aetna: $146.48
  • Associated General Contractors — Associated General Contractors: $154.61
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $146.48
  • Caterpillar — Caterpillar: $126.95
  • Cigna — Cigna: $118.81
  • Consociate Care — Consociate Care: $146.48
  • Galaxy Health Network — Galaxy Health Network: $138.34
  • Health Alliance — Health Alliance: $143.22
  • Healthlink — Healthlink: $130.20
  • HealthSmart — HealthSmart: $138.34
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 99214 Office/OP Estab., Moderate (MDM) $350.50 $350.50 $35.05 – $332.98
Established patient office visit (about 30–39 minutes): 10 of 20 insurance plan rates
  • Aetna — Aetna: $315.45
  • Associated General Contractors — Associated General Contractors: $332.98
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $315.45
  • Caterpillar — Caterpillar: $273.39
  • Cigna — Cigna: $255.87
  • Consociate Care — Consociate Care: $315.45
  • Galaxy Health Network — Galaxy Health Network: $297.93
  • Health Alliance — Health Alliance: $308.44
  • Healthlink — Healthlink: $280.40
  • HealthSmart — HealthSmart: $297.93
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99385 Preventive Evaluation, New Pt; 18-39 Yrs $276.15 $276.15 $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $262.34
Preventive checkup, new patient, age 18–39: 10 of 20 insurance plan rates
  • Aetna — Aetna: $248.54
  • Associated General Contractors — Associated General Contractors: $262.34
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $248.54
  • Caterpillar — Caterpillar: $215.40
  • Cigna — Cigna: $201.59
  • Consociate Care — Consociate Care: $248.54
  • Galaxy Health Network — Galaxy Health Network: $234.73
  • Health Alliance — Health Alliance: $243.01
  • Healthlink — Healthlink: $220.92
  • HealthSmart — HealthSmart: $234.73
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99386 Preventive Evaluation, New Pt; 40-64 Yrs $303.45 $303.45 $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $288.28
Preventive checkup, new patient, age 40–64: 10 of 20 insurance plan rates
  • Aetna — Aetna: $273.11
  • Associated General Contractors — Associated General Contractors: $288.28
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $273.11
  • Caterpillar — Caterpillar: $236.69
  • Cigna — Cigna: $221.52
  • Consociate Care — Consociate Care: $273.11
  • Galaxy Health Network — Galaxy Health Network: $257.93
  • Health Alliance — Health Alliance: $267.04
  • Healthlink — Healthlink: $242.76
  • HealthSmart — HealthSmart: $257.93
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99283 ED VISIT E&M PATIENT, LEV 3, REQ MED APPROP HSTRY/EXAM/LOW MDM, CC $606.50 $606.50 $60.65 – $576.18
Emergency room visit (moderate): 10 of 20 insurance plan rates
  • Aetna — Aetna: $545.85
  • Associated General Contractors — Associated General Contractors: $576.18
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $545.85
  • Caterpillar — Caterpillar: $473.07
  • Cigna — Cigna: $442.75
  • Consociate Care — Consociate Care: $545.85
  • Galaxy Health Network — Galaxy Health Network: $515.53
  • Health Alliance — Health Alliance: $533.72
  • Healthlink — Healthlink: $485.20
  • HealthSmart — HealthSmart: $515.53
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99283 Level 3 ED TechFee $606.50 $606.50 $60.65 – $576.18
Emergency room visit (moderate): 10 of 20 insurance plan rates
  • Aetna — Aetna: $545.85
  • Associated General Contractors — Associated General Contractors: $576.18
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $545.85
  • Caterpillar — Caterpillar: $473.07
  • Cigna — Cigna: $442.75
  • Consociate Care — Consociate Care: $545.85
  • Galaxy Health Network — Galaxy Health Network: $515.53
  • Health Alliance — Health Alliance: $533.72
  • Healthlink — Healthlink: $485.20
  • HealthSmart — HealthSmart: $515.53
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 25 In the file: 99283 ED Low MDM $807.75 $807.75 $80.78 – $767.36
Emergency room visit (moderate): 10 of 20 insurance plan rates
  • Aetna — Aetna: $726.98
  • Associated General Contractors — Associated General Contractors: $767.36
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $726.98
  • Caterpillar — Caterpillar: $630.05
  • Cigna — Cigna: $589.66
  • Consociate Care — Consociate Care: $726.98
  • Galaxy Health Network — Galaxy Health Network: $686.59
  • Health Alliance — Health Alliance: $710.82
  • Healthlink — Healthlink: $646.20
  • HealthSmart — HealthSmart: $686.59
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99284 ED VISIT E&M PATIENT, LEV 4, REQ MED APPROP HSTRY/EXAM/MODERATE MDM, CC $947 $947 $94.70 – $899.65
Emergency room visit (moderately high): 10 of 20 insurance plan rates
  • Aetna — Aetna: $852.30
  • Associated General Contractors — Associated General Contractors: $899.65
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $852.30
  • Caterpillar — Caterpillar: $738.66
  • Cigna — Cigna: $691.31
  • Consociate Care — Consociate Care: $852.30
  • Galaxy Health Network — Galaxy Health Network: $804.95
  • Health Alliance — Health Alliance: $833.36
  • Healthlink — Healthlink: $757.60
  • HealthSmart — HealthSmart: $804.95
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99284 Level 4 ED TechFee $947 $947 $94.70 – $899.65
Emergency room visit (moderately high): 10 of 20 insurance plan rates
  • Aetna — Aetna: $852.30
  • Associated General Contractors — Associated General Contractors: $899.65
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $852.30
  • Caterpillar — Caterpillar: $738.66
  • Cigna — Cigna: $691.31
  • Consociate Care — Consociate Care: $852.30
  • Galaxy Health Network — Galaxy Health Network: $804.95
  • Health Alliance — Health Alliance: $833.36
  • Healthlink — Healthlink: $757.60
  • HealthSmart — HealthSmart: $804.95
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 25 In the file: 99284 ED Moderate MDM $1,087.25 $1,087.25 $108.73 – $1,032.89
Emergency room visit (moderately high): 10 of 20 insurance plan rates
  • Aetna — Aetna: $978.53
  • Associated General Contractors — Associated General Contractors: $1,032.89
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $978.53
  • Caterpillar — Caterpillar: $848.06
  • Cigna — Cigna: $793.69
  • Consociate Care — Consociate Care: $978.53
  • Galaxy Health Network — Galaxy Health Network: $924.16
  • Health Alliance — Health Alliance: $956.78
  • Healthlink — Healthlink: $869.80
  • HealthSmart — HealthSmart: $924.16
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99285 ED VISIT E M PATIENT, LEV 5, REQ MED APPROP HSTRY/EXAM/HIGH MDM, CC $1,536.50 $1,536.50 $153.65 – $1,459.68
Emergency room visit (high): 10 of 20 insurance plan rates
  • Aetna — Aetna: $1,382.85
  • Associated General Contractors — Associated General Contractors: $1,459.68
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $1,382.85
  • Caterpillar — Caterpillar: $1,198.47
  • Cigna — Cigna: $1,121.65
  • Consociate Care — Consociate Care: $1,382.85
  • Galaxy Health Network — Galaxy Health Network: $1,306.03
  • Health Alliance — Health Alliance: $1,352.12
  • Healthlink — Healthlink: $1,229.20
  • HealthSmart — HealthSmart: $1,306.03
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99285 Level 5 ED TechFee $1,536.50 $1,536.50 $153.65 – $1,459.68
Emergency room visit (high): 10 of 20 insurance plan rates
  • Aetna — Aetna: $1,382.85
  • Associated General Contractors — Associated General Contractors: $1,459.68
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $1,382.85
  • Caterpillar — Caterpillar: $1,198.47
  • Cigna — Cigna: $1,121.65
  • Consociate Care — Consociate Care: $1,382.85
  • Galaxy Health Network — Galaxy Health Network: $1,306.03
  • Health Alliance — Health Alliance: $1,352.12
  • Healthlink — Healthlink: $1,229.20
  • HealthSmart — HealthSmart: $1,306.03
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 25 In the file: 99285 ED High MDM $2,250.50 $2,250.50 $225.05 – $2,137.98
Emergency room visit (high): 10 of 20 insurance plan rates
  • Aetna — Aetna: $2,025.45
  • Associated General Contractors — Associated General Contractors: $2,137.98
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $2,025.45
  • Caterpillar — Caterpillar: $1,755.39
  • Cigna — Cigna: $1,642.87
  • Consociate Care — Consociate Care: $2,025.45
  • Galaxy Health Network — Galaxy Health Network: $1,912.93
  • Health Alliance — Health Alliance: $1,980.44
  • Healthlink — Healthlink: $1,800.40
  • HealthSmart — HealthSmart: $1,912.93

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Basic Metabolic Panel $234.75 $234.75 $23.48 – $223.01
Basic metabolic panel (blood test): 10 of 20 insurance plan rates
  • Aetna — Aetna: $211.28
  • Associated General Contractors — Associated General Contractors: $223.01
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $211.28
  • Caterpillar — Caterpillar: $183.11
  • Cigna — Cigna: $171.37
  • Consociate Care — Consociate Care: $211.28
  • Galaxy Health Network — Galaxy Health Network: $199.54
  • Health Alliance — Health Alliance: $206.58
  • Healthlink — Healthlink: $187.80
  • HealthSmart — HealthSmart: $199.54
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CMP $361.75 $361.75 $36.18 – $343.66
Comprehensive metabolic panel (blood test): 10 of 20 insurance plan rates
  • Aetna — Aetna: $325.58
  • Associated General Contractors — Associated General Contractors: $343.66
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $325.58
  • Caterpillar — Caterpillar: $282.17
  • Cigna — Cigna: $264.08
  • Consociate Care — Consociate Care: $325.58
  • Galaxy Health Network — Galaxy Health Network: $307.49
  • Health Alliance — Health Alliance: $318.34
  • Healthlink — Healthlink: $289.40
  • HealthSmart — HealthSmart: $307.49
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Lipid Panel w/Rfx Direct LDL $253.25 $253.25 $25.33 – $240.59
Cholesterol panel (lipid panel): 10 of 20 insurance plan rates
  • Aetna — Aetna: $227.93
  • Associated General Contractors — Associated General Contractors: $240.59
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $227.93
  • Caterpillar — Caterpillar: $197.54
  • Cigna — Cigna: $184.87
  • Consociate Care — Consociate Care: $227.93
  • Galaxy Health Network — Galaxy Health Network: $215.26
  • Health Alliance — Health Alliance: $222.86
  • Healthlink — Healthlink: $202.60
  • HealthSmart — HealthSmart: $215.26
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Lipid Pnl $253.25 $253.25 $25.33 – $240.59
Cholesterol panel (lipid panel): 10 of 20 insurance plan rates
  • Aetna — Aetna: $227.93
  • Associated General Contractors — Associated General Contractors: $240.59
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $227.93
  • Caterpillar — Caterpillar: $197.54
  • Cigna — Cigna: $184.87
  • Consociate Care — Consociate Care: $227.93
  • Galaxy Health Network — Galaxy Health Network: $215.26
  • Health Alliance — Health Alliance: $222.86
  • Healthlink — Healthlink: $202.60
  • HealthSmart — HealthSmart: $215.26
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Renal Pnl $270.25 $270.25 $27.03 – $256.74
Kidney function panel: 10 of 20 insurance plan rates
  • Aetna — Aetna: $243.23
  • Associated General Contractors — Associated General Contractors: $256.74
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $243.23
  • Caterpillar — Caterpillar: $210.80
  • Cigna — Cigna: $197.28
  • Consociate Care — Consociate Care: $243.23
  • Galaxy Health Network — Galaxy Health Network: $229.71
  • Health Alliance — Health Alliance: $237.82
  • Healthlink — Healthlink: $216.20
  • HealthSmart — HealthSmart: $229.71
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Hepatic Function Panel $244.25 $244.25 $24.43 – $232.04
Liver function panel: 10 of 20 insurance plan rates
  • Aetna — Aetna: $219.83
  • Associated General Contractors — Associated General Contractors: $232.04
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $219.83
  • Caterpillar — Caterpillar: $190.52
  • Cigna — Cigna: $178.30
  • Consociate Care — Consociate Care: $219.83
  • Galaxy Health Network — Galaxy Health Network: $207.61
  • Health Alliance — Health Alliance: $214.94
  • Healthlink — Healthlink: $195.40
  • HealthSmart — HealthSmart: $207.61
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Urinalysis with Culture if Indicated $123.75 $123.75 $12.38 – $117.56
Urine test (automated, with microscope): 10 of 20 insurance plan rates
  • Aetna — Aetna: $111.38
  • Associated General Contractors — Associated General Contractors: $117.56
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $111.38
  • Caterpillar — Caterpillar: $96.53
  • Cigna — Cigna: $90.34
  • Consociate Care — Consociate Care: $111.38
  • Galaxy Health Network — Galaxy Health Network: $105.19
  • Health Alliance — Health Alliance: $108.90
  • Healthlink — Healthlink: $99
  • HealthSmart — HealthSmart: $105.19
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Urinalysis with Microscopic $123.75 $123.75 $12.38 – $117.56
Urine test (automated, with microscope): 10 of 20 insurance plan rates
  • Aetna — Aetna: $111.38
  • Associated General Contractors — Associated General Contractors: $117.56
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $111.38
  • Caterpillar — Caterpillar: $96.53
  • Cigna — Cigna: $90.34
  • Consociate Care — Consociate Care: $111.38
  • Galaxy Health Network — Galaxy Health Network: $105.19
  • Health Alliance — Health Alliance: $108.90
  • Healthlink — Healthlink: $99
  • HealthSmart — HealthSmart: $105.19
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: Urine Dipstick POC $26.25 $26.25 $2.63 – $24.94
Urine test (automated, with microscope): 10 of 20 insurance plan rates
  • Aetna — Aetna: $23.63
  • Associated General Contractors — Associated General Contractors: $24.94
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $23.63
  • Caterpillar — Caterpillar: $20.48
  • Cigna — Cigna: $19.16
  • Consociate Care — Consociate Care: $23.63
  • Galaxy Health Network — Galaxy Health Network: $22.31
  • Health Alliance — Health Alliance: $23.10
  • Healthlink — Healthlink: $21
  • HealthSmart — HealthSmart: $22.31
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 81002 Urine Dip Test $26.25 $26.25 $2.63 – $24.94
Urine test (manual, without microscope): 10 of 20 insurance plan rates
  • Aetna — Aetna: $23.63
  • Associated General Contractors — Associated General Contractors: $24.94
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $23.63
  • Caterpillar — Caterpillar: $20.48
  • Cigna — Cigna: $19.16
  • Consociate Care — Consociate Care: $23.63
  • Galaxy Health Network — Galaxy Health Network: $22.31
  • Health Alliance — Health Alliance: $23.10
  • Healthlink — Healthlink: $21
  • HealthSmart — HealthSmart: $22.31
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: 81003 24 HR $11.25 $11.25 $1.13 – $10.69
Urine test (automated, without microscope): 10 of 20 insurance plan rates
  • Aetna — Aetna: $10.13
  • Associated General Contractors — Associated General Contractors: $10.69
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $10.13
  • Caterpillar — Caterpillar: $8.78
  • Cigna — Cigna: $8.21
  • Consociate Care — Consociate Care: $10.13
  • Galaxy Health Network — Galaxy Health Network: $9.56
  • Health Alliance — Health Alliance: $9.90
  • Healthlink — Healthlink: $9
  • HealthSmart — HealthSmart: $9.56
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: 84153 Component $202.25 $202.25 $20.23 – $192.14
PSA (prostate specific antigen) blood test: 10 of 20 insurance plan rates
  • Aetna — Aetna: $182.03
  • Associated General Contractors — Associated General Contractors: $192.14
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $182.03
  • Caterpillar — Caterpillar: $157.76
  • Cigna — Cigna: $147.64
  • Consociate Care — Consociate Care: $182.03
  • Galaxy Health Network — Galaxy Health Network: $171.91
  • Health Alliance — Health Alliance: $177.98
  • Healthlink — Healthlink: $161.80
  • HealthSmart — HealthSmart: $171.91
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: PSA Diagnostic $180.50 $180.50 $18.05 – $171.48
PSA (prostate specific antigen) blood test: 10 of 20 insurance plan rates
  • Aetna — Aetna: $162.45
  • Associated General Contractors — Associated General Contractors: $171.48
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $162.45
  • Caterpillar — Caterpillar: $140.79
  • Cigna — Cigna: $131.77
  • Consociate Care — Consociate Care: $162.45
  • Galaxy Health Network — Galaxy Health Network: $153.43
  • Health Alliance — Health Alliance: $158.84
  • Healthlink — Healthlink: $144.40
  • HealthSmart — HealthSmart: $153.43
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Thyroid Stimulating Hormone $244.25 $244.25 $24.43 – $232.04
Thyroid stimulating hormone (TSH) test: 10 of 20 insurance plan rates
  • Aetna — Aetna: $219.83
  • Associated General Contractors — Associated General Contractors: $232.04
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $219.83
  • Caterpillar — Caterpillar: $190.52
  • Cigna — Cigna: $178.30
  • Consociate Care — Consociate Care: $219.83
  • Galaxy Health Network — Galaxy Health Network: $207.61
  • Health Alliance — Health Alliance: $214.94
  • Healthlink — Healthlink: $195.40
  • HealthSmart — HealthSmart: $207.61
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: 85025 PRENATAL PROFILE $49.50 $49.50 $4.95 – $47.03
Complete blood count (CBC) with differential: 10 of 20 insurance plan rates
  • Aetna — Aetna: $44.55
  • Associated General Contractors — Associated General Contractors: $47.03
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $44.55
  • Caterpillar — Caterpillar: $38.61
  • Cigna — Cigna: $36.14
  • Consociate Care — Consociate Care: $44.55
  • Galaxy Health Network — Galaxy Health Network: $42.08
  • Health Alliance — Health Alliance: $43.56
  • Healthlink — Healthlink: $39.60
  • HealthSmart — HealthSmart: $42.08
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CBC w/ Differential $188.25 $188.25 $18.83 – $178.84
Complete blood count (CBC) with differential: 10 of 20 insurance plan rates
  • Aetna — Aetna: $169.43
  • Associated General Contractors — Associated General Contractors: $178.84
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $169.43
  • Caterpillar — Caterpillar: $146.84
  • Cigna — Cigna: $137.42
  • Consociate Care — Consociate Care: $169.43
  • Galaxy Health Network — Galaxy Health Network: $160.01
  • Health Alliance — Health Alliance: $165.66
  • Healthlink — Healthlink: $150.60
  • HealthSmart — HealthSmart: $160.01
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: Hemoglobin & Hematocrit Clinic POC (RE) $26.25 $26.25 $2.63 – $24.94
Complete blood count (CBC) with differential: 10 of 20 insurance plan rates
  • Aetna — Aetna: $23.63
  • Associated General Contractors — Associated General Contractors: $24.94
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $23.63
  • Caterpillar — Caterpillar: $20.48
  • Cigna — Cigna: $19.16
  • Consociate Care — Consociate Care: $23.63
  • Galaxy Health Network — Galaxy Health Network: $22.31
  • Health Alliance — Health Alliance: $23.10
  • Healthlink — Healthlink: $21
  • HealthSmart — HealthSmart: $22.31
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CBC w/ Manual Differential $141 $141 $14.10 – $133.95
Complete blood count (CBC), automated: 10 of 20 insurance plan rates
  • Aetna — Aetna: $126.90
  • Associated General Contractors — Associated General Contractors: $133.95
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $126.90
  • Caterpillar — Caterpillar: $109.98
  • Cigna — Cigna: $102.93
  • Consociate Care — Consociate Care: $126.90
  • Galaxy Health Network — Galaxy Health Network: $119.85
  • Health Alliance — Health Alliance: $124.08
  • Healthlink — Healthlink: $112.80
  • HealthSmart — HealthSmart: $119.85
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: 85610 Protime $91.50 $91.50 $9.15 – $86.93
Blood clotting time test (prothrombin time, PT): 10 of 20 insurance plan rates
  • Aetna — Aetna: $82.35
  • Associated General Contractors — Associated General Contractors: $86.93
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $82.35
  • Caterpillar — Caterpillar: $71.37
  • Cigna — Cigna: $66.80
  • Consociate Care — Consociate Care: $82.35
  • Galaxy Health Network — Galaxy Health Network: $77.78
  • Health Alliance — Health Alliance: $80.52
  • Healthlink — Healthlink: $73.20
  • HealthSmart — HealthSmart: $77.78
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Prothrombin Time and INR $91.50 $91.50 $9.15 – $86.93
Blood clotting time test (prothrombin time, PT): 10 of 20 insurance plan rates
  • Aetna — Aetna: $82.35
  • Associated General Contractors — Associated General Contractors: $86.93
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $82.35
  • Caterpillar — Caterpillar: $71.37
  • Cigna — Cigna: $66.80
  • Consociate Care — Consociate Care: $82.35
  • Galaxy Health Network — Galaxy Health Network: $77.78
  • Health Alliance — Health Alliance: $80.52
  • Healthlink — Healthlink: $73.20
  • HealthSmart — HealthSmart: $77.78
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: PT/ PTT $88.75 $88.75 $8.88 – $84.31
Blood clotting test (partial thromboplastin time, PTT): 10 of 20 insurance plan rates
  • Aetna — Aetna: $79.88
  • Associated General Contractors — Associated General Contractors: $84.31
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $79.88
  • Caterpillar — Caterpillar: $69.23
  • Cigna — Cigna: $64.79
  • Consociate Care — Consociate Care: $79.88
  • Galaxy Health Network — Galaxy Health Network: $75.44
  • Health Alliance — Health Alliance: $78.10
  • Healthlink — Healthlink: $71
  • HealthSmart — HealthSmart: $75.44
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Partial Thromboplastin Time $88.75 $88.75 $8.88 – $84.31
Blood clotting test (partial thromboplastin time, PTT): 10 of 20 insurance plan rates
  • Aetna — Aetna: $79.88
  • Associated General Contractors — Associated General Contractors: $84.31
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $79.88
  • Caterpillar — Caterpillar: $69.23
  • Cigna — Cigna: $64.79
  • Consociate Care — Consociate Care: $79.88
  • Galaxy Health Network — Galaxy Health Network: $75.44
  • Health Alliance — Health Alliance: $78.10
  • Healthlink — Healthlink: $71
  • HealthSmart — HealthSmart: $75.44

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT Brain/Head Stroke Protocol $3,235 $3,235 $323.50 – $3,073.25
CT scan of the head or brain, without contrast: 10 of 20 insurance plan rates
  • Aetna — Aetna: $2,911.50
  • Associated General Contractors — Associated General Contractors: $3,073.25
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $2,911.50
  • Caterpillar — Caterpillar: $2,523.30
  • Cigna — Cigna: $2,361.55
  • Consociate Care — Consociate Care: $2,911.50
  • Galaxy Health Network — Galaxy Health Network: $2,749.75
  • Health Alliance — Health Alliance: $2,846.80
  • Healthlink — Healthlink: $2,588
  • HealthSmart — HealthSmart: $2,749.75
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT Brain/Head w/o Contrast $3,235 $3,235 $323.50 – $3,073.25
CT scan of the head or brain, without contrast: 10 of 20 insurance plan rates
  • Aetna — Aetna: $2,911.50
  • Associated General Contractors — Associated General Contractors: $3,073.25
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $2,911.50
  • Caterpillar — Caterpillar: $2,523.30
  • Cigna — Cigna: $2,361.55
  • Consociate Care — Consociate Care: $2,911.50
  • Galaxy Health Network — Galaxy Health Network: $2,749.75
  • Health Alliance — Health Alliance: $2,846.80
  • Healthlink — Healthlink: $2,588
  • HealthSmart — HealthSmart: $2,749.75
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI Brain w/ + w/o Contrastt - BCE $5,340 $5,340 $534 – $5,073
MRI of the brain, before and after contrast: 10 of 20 insurance plan rates
  • Aetna — Aetna: $4,806
  • Associated General Contractors — Associated General Contractors: $5,073
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $4,806
  • Caterpillar — Caterpillar: $4,165.20
  • Cigna — Cigna: $3,898.20
  • Consociate Care — Consociate Care: $4,806
  • Galaxy Health Network — Galaxy Health Network: $4,539
  • Health Alliance — Health Alliance: $4,699.20
  • Healthlink — Healthlink: $4,272
  • HealthSmart — HealthSmart: $4,539
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI Brain w/ + w/o Contrast $5,340 $5,340 $534 – $5,073
MRI of the brain, before and after contrast: 10 of 20 insurance plan rates
  • Aetna — Aetna: $4,806
  • Associated General Contractors — Associated General Contractors: $5,073
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $4,806
  • Caterpillar — Caterpillar: $4,165.20
  • Cigna — Cigna: $3,898.20
  • Consociate Care — Consociate Care: $4,806
  • Galaxy Health Network — Galaxy Health Network: $4,539
  • Health Alliance — Health Alliance: $4,699.20
  • Healthlink — Healthlink: $4,272
  • HealthSmart — HealthSmart: $4,539
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI Pituitary w/ + w/o Contrast $5,340 $5,340 $534 – $5,073
MRI of the brain, before and after contrast: 10 of 20 insurance plan rates
  • Aetna — Aetna: $4,806
  • Associated General Contractors — Associated General Contractors: $5,073
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $4,806
  • Caterpillar — Caterpillar: $4,165.20
  • Cigna — Cigna: $3,898.20
  • Consociate Care — Consociate Care: $4,806
  • Galaxy Health Network — Galaxy Health Network: $4,539
  • Health Alliance — Health Alliance: $4,699.20
  • Healthlink — Healthlink: $4,272
  • HealthSmart — HealthSmart: $4,539
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: XR Chest 2 Views $445 $445 $44.50 – $422.75
Chest X-ray, 2 views: 10 of 20 insurance plan rates
  • Aetna — Aetna: $400.50
  • Associated General Contractors — Associated General Contractors: $422.75
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $400.50
  • Caterpillar — Caterpillar: $347.10
  • Cigna — Cigna: $324.85
  • Consociate Care — Consociate Care: $400.50
  • Galaxy Health Network — Galaxy Health Network: $378.25
  • Health Alliance — Health Alliance: $391.60
  • Healthlink — Healthlink: $356
  • HealthSmart — HealthSmart: $378.25
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: XR Spine Lumbosacral 4+ Views $708 $708 $70.80 – $672.60
X-ray of the lower spine, at least 4 views: 10 of 20 insurance plan rates
  • Aetna — Aetna: $637.20
  • Associated General Contractors — Associated General Contractors: $672.60
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $637.20
  • Caterpillar — Caterpillar: $552.24
  • Cigna — Cigna: $516.84
  • Consociate Care — Consociate Care: $637.20
  • Galaxy Health Network — Galaxy Health Network: $601.80
  • Health Alliance — Health Alliance: $623.04
  • Healthlink — Healthlink: $566.40
  • HealthSmart — HealthSmart: $601.80
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI Spine Lumbar w/o Contrast $4,340 $4,340 $434 – $4,123
MRI of the lower back (lumbar spine), without contrast: 10 of 20 insurance plan rates
  • Aetna — Aetna: $3,906
  • Associated General Contractors — Associated General Contractors: $4,123
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $3,906
  • Caterpillar — Caterpillar: $3,385.20
  • Cigna — Cigna: $3,168.20
  • Consociate Care — Consociate Care: $3,906
  • Galaxy Health Network — Galaxy Health Network: $3,689
  • Health Alliance — Health Alliance: $3,819.20
  • Healthlink — Healthlink: $3,472
  • HealthSmart — HealthSmart: $3,689
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT Pelvis w/ Contrast $3,032.50 $3,032.50 $303.25 – $2,880.88
CT scan of the pelvis, with contrast: 10 of 20 insurance plan rates
  • Aetna — Aetna: $2,729.25
  • Associated General Contractors — Associated General Contractors: $2,880.88
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $2,729.25
  • Caterpillar — Caterpillar: $2,365.35
  • Cigna — Cigna: $2,213.73
  • Consociate Care — Consociate Care: $2,729.25
  • Galaxy Health Network — Galaxy Health Network: $2,577.63
  • Health Alliance — Health Alliance: $2,668.60
  • Healthlink — Healthlink: $2,426
  • HealthSmart — HealthSmart: $2,577.63
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TCLT In the file: MRI Ankle w/o Contrast Left $3,757.75 $3,757.75 $375.78 – $3,569.86
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates
  • Aetna — Aetna: $3,381.98
  • Associated General Contractors — Associated General Contractors: $3,569.86
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $3,381.98
  • Caterpillar — Caterpillar: $2,931.05
  • Cigna — Cigna: $2,743.16
  • Consociate Care — Consociate Care: $3,381.98
  • Galaxy Health Network — Galaxy Health Network: $3,194.09
  • Health Alliance — Health Alliance: $3,306.82
  • Healthlink — Healthlink: $3,006.20
  • HealthSmart — HealthSmart: $3,194.09
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TCRT In the file: MRI Ankle w/o Contrast Right $3,757.75 $3,757.75 $375.78 – $3,569.86
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates
  • Aetna — Aetna: $3,381.98
  • Associated General Contractors — Associated General Contractors: $3,569.86
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $3,381.98
  • Caterpillar — Caterpillar: $2,931.05
  • Cigna — Cigna: $2,743.16
  • Consociate Care — Consociate Care: $3,381.98
  • Galaxy Health Network — Galaxy Health Network: $3,194.09
  • Health Alliance — Health Alliance: $3,306.82
  • Healthlink — Healthlink: $3,006.20
  • HealthSmart — HealthSmart: $3,194.09
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TCLT In the file: MRI Hip w/o Contrast Left $3,757.75 $3,757.75 $375.78 – $3,569.86
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates
  • Aetna — Aetna: $3,381.98
  • Associated General Contractors — Associated General Contractors: $3,569.86
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $3,381.98
  • Caterpillar — Caterpillar: $2,931.05
  • Cigna — Cigna: $2,743.16
  • Consociate Care — Consociate Care: $3,381.98
  • Galaxy Health Network — Galaxy Health Network: $3,194.09
  • Health Alliance — Health Alliance: $3,306.82
  • Healthlink — Healthlink: $3,006.20
  • HealthSmart — HealthSmart: $3,194.09
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: 74177 CT Abdomen and Pelvis w/ Contrast $6,396 $6,396 $639.60 – $6,076.20
CT scan of the abdomen and pelvis, with contrast: 10 of 20 insurance plan rates
  • Aetna — Aetna: $5,756.40
  • Associated General Contractors — Associated General Contractors: $6,076.20
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $5,756.40
  • Caterpillar — Caterpillar: $4,988.88
  • Cigna — Cigna: $4,669.08
  • Consociate Care — Consociate Care: $5,756.40
  • Galaxy Health Network — Galaxy Health Network: $5,436.60
  • Health Alliance — Health Alliance: $5,628.48
  • Healthlink — Healthlink: $5,116.80
  • HealthSmart — HealthSmart: $5,436.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT Abdomen and Pelvis w/ Contrast $6,396 $6,396 $639.60 – $6,076.20
CT scan of the abdomen and pelvis, with contrast: 10 of 20 insurance plan rates
  • Aetna — Aetna: $5,756.40
  • Associated General Contractors — Associated General Contractors: $6,076.20
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $5,756.40
  • Caterpillar — Caterpillar: $4,988.88
  • Cigna — Cigna: $4,669.08
  • Consociate Care — Consociate Care: $5,756.40
  • Galaxy Health Network — Galaxy Health Network: $5,436.60
  • Health Alliance — Health Alliance: $5,628.48
  • Healthlink — Healthlink: $5,116.80
  • HealthSmart — HealthSmart: $5,436.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT Enterography w/ Contrast $6,396 $6,396 $639.60 – $6,076.20
CT scan of the abdomen and pelvis, with contrast: 10 of 20 insurance plan rates
  • Aetna — Aetna: $5,756.40
  • Associated General Contractors — Associated General Contractors: $6,076.20
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $5,756.40
  • Caterpillar — Caterpillar: $4,988.88
  • Cigna — Cigna: $4,669.08
  • Consociate Care — Consociate Care: $5,756.40
  • Galaxy Health Network — Galaxy Health Network: $5,436.60
  • Health Alliance — Health Alliance: $5,628.48
  • Healthlink — Healthlink: $5,116.80
  • HealthSmart — HealthSmart: $5,436.60
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US Abdomen Complete $1,251.25 $1,251.25 $125.13 – $1,188.69
Ultrasound of the abdomen, complete: 10 of 20 insurance plan rates
  • Aetna — Aetna: $1,126.13
  • Associated General Contractors — Associated General Contractors: $1,188.69
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $1,126.13
  • Caterpillar — Caterpillar: $975.98
  • Cigna — Cigna: $913.41
  • Consociate Care — Consociate Care: $1,126.13
  • Galaxy Health Network — Galaxy Health Network: $1,063.56
  • Health Alliance — Health Alliance: $1,101.10
  • Healthlink — Healthlink: $1,001
  • HealthSmart — HealthSmart: $1,063.56
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US OB Greater Than 14 Weeks $927.25 $927.25 $92.73 – $880.89
Pregnancy ultrasound (after the first trimester): 10 of 20 insurance plan rates
  • Aetna — Aetna: $834.53
  • Associated General Contractors — Associated General Contractors: $880.89
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $834.53
  • Caterpillar — Caterpillar: $723.26
  • Cigna — Cigna: $676.89
  • Consociate Care — Consociate Care: $834.53
  • Galaxy Health Network — Galaxy Health Network: $788.16
  • Health Alliance — Health Alliance: $815.98
  • Healthlink — Healthlink: $741.80
  • HealthSmart — HealthSmart: $788.16
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: 76830 US Transvaginal Non-OB $813 $813 $81.30 – $772.35
Transvaginal ultrasound: 10 of 20 insurance plan rates
  • Aetna — Aetna: $731.70
  • Associated General Contractors — Associated General Contractors: $772.35
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $731.70
  • Caterpillar — Caterpillar: $634.14
  • Cigna — Cigna: $593.49
  • Consociate Care — Consociate Care: $731.70
  • Galaxy Health Network — Galaxy Health Network: $691.05
  • Health Alliance — Health Alliance: $715.44
  • Healthlink — Healthlink: $650.40
  • HealthSmart — HealthSmart: $691.05
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US Transvaginal Non-OB $813 $813 $81.30 – $772.35
Transvaginal ultrasound: 10 of 20 insurance plan rates
  • Aetna — Aetna: $731.70
  • Associated General Contractors — Associated General Contractors: $772.35
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $731.70
  • Caterpillar — Caterpillar: $634.14
  • Cigna — Cigna: $593.49
  • Consociate Care — Consociate Care: $731.70
  • Galaxy Health Network — Galaxy Health Network: $691.05
  • Health Alliance — Health Alliance: $715.44
  • Healthlink — Healthlink: $650.40
  • HealthSmart — HealthSmart: $691.05
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: 77065 MG Mammo Digital Diagnostic Left $344.75 $344.75 $34.48 – $327.51
Diagnostic mammogram, one breast: 10 of 20 insurance plan rates
  • Aetna — Aetna: $310.28
  • Associated General Contractors — Associated General Contractors: $327.51
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $310.28
  • Caterpillar — Caterpillar: $268.91
  • Cigna — Cigna: $251.67
  • Consociate Care — Consociate Care: $310.28
  • Galaxy Health Network — Galaxy Health Network: $293.04
  • Health Alliance — Health Alliance: $303.38
  • Healthlink — Healthlink: $275.80
  • HealthSmart — HealthSmart: $293.04
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: 77065 MG Mammo Digital Diagnostic Right $344.75 $344.75 $34.48 – $327.51
Diagnostic mammogram, one breast: 10 of 20 insurance plan rates
  • Aetna — Aetna: $310.28
  • Associated General Contractors — Associated General Contractors: $327.51
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $310.28
  • Caterpillar — Caterpillar: $268.91
  • Cigna — Cigna: $251.67
  • Consociate Care — Consociate Care: $310.28
  • Galaxy Health Network — Galaxy Health Network: $293.04
  • Health Alliance — Health Alliance: $303.38
  • Healthlink — Healthlink: $275.80
  • HealthSmart — HealthSmart: $293.04
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TCLT In the file: MG Mammo Digital Diagnostic Left $344.75 $344.75 $34.48 – $327.51
Diagnostic mammogram, one breast: 10 of 20 insurance plan rates
  • Aetna — Aetna: $310.28
  • Associated General Contractors — Associated General Contractors: $327.51
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $310.28
  • Caterpillar — Caterpillar: $268.91
  • Cigna — Cigna: $251.67
  • Consociate Care — Consociate Care: $310.28
  • Galaxy Health Network — Galaxy Health Network: $293.04
  • Health Alliance — Health Alliance: $303.38
  • Healthlink — Healthlink: $275.80
  • HealthSmart — HealthSmart: $293.04
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: 77066 MG Mammo Digital Diagnostic Bilat $560.25 $560.25 $56.03 – $532.24
Diagnostic mammogram, both breasts: 10 of 20 insurance plan rates
  • Aetna — Aetna: $504.23
  • Associated General Contractors — Associated General Contractors: $532.24
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $504.23
  • Caterpillar — Caterpillar: $437
  • Cigna — Cigna: $408.98
  • Consociate Care — Consociate Care: $504.23
  • Galaxy Health Network — Galaxy Health Network: $476.21
  • Health Alliance — Health Alliance: $493.02
  • Healthlink — Healthlink: $448.20
  • HealthSmart — HealthSmart: $476.21
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MG Mammo Digital Diagnostic Bilat $560.25 $560.25 $56.03 – $532.24
Diagnostic mammogram, both breasts: 10 of 20 insurance plan rates
  • Aetna — Aetna: $504.23
  • Associated General Contractors — Associated General Contractors: $532.24
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $504.23
  • Caterpillar — Caterpillar: $437
  • Cigna — Cigna: $408.98
  • Consociate Care — Consociate Care: $504.23
  • Galaxy Health Network — Galaxy Health Network: $476.21
  • Health Alliance — Health Alliance: $493.02
  • Healthlink — Healthlink: $448.20
  • HealthSmart — HealthSmart: $476.21
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: 77067 MG Mammo Digital Screening Bilateral $477.50 $477.50 $47.75 – $453.63
Screening mammogram, both breasts: 10 of 20 insurance plan rates
  • Aetna — Aetna: $429.75
  • Associated General Contractors — Associated General Contractors: $453.63
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $429.75
  • Caterpillar — Caterpillar: $372.45
  • Cigna — Cigna: $348.58
  • Consociate Care — Consociate Care: $429.75
  • Galaxy Health Network — Galaxy Health Network: $405.88
  • Health Alliance — Health Alliance: $420.20
  • Healthlink — Healthlink: $382
  • HealthSmart — HealthSmart: $405.88
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC52 In the file: 77067 MG Mammo Digital Screening Left $184.50 $184.50 $18.45 – $175.28
Screening mammogram, both breasts: 10 of 20 insurance plan rates
  • Aetna — Aetna: $166.05
  • Associated General Contractors — Associated General Contractors: $175.28
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $166.05
  • Caterpillar — Caterpillar: $143.91
  • Cigna — Cigna: $134.69
  • Consociate Care — Consociate Care: $166.05
  • Galaxy Health Network — Galaxy Health Network: $156.83
  • Health Alliance — Health Alliance: $162.36
  • Healthlink — Healthlink: $147.60
  • HealthSmart — HealthSmart: $156.83
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC52 In the file: 77067 MG Mammo Digital Screening Right $184.50 $184.50 $18.45 – $175.28
Screening mammogram, both breasts: 10 of 20 insurance plan rates
  • Aetna — Aetna: $166.05
  • Associated General Contractors — Associated General Contractors: $175.28
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $166.05
  • Caterpillar — Caterpillar: $143.91
  • Cigna — Cigna: $134.69
  • Consociate Care — Consociate Care: $166.05
  • Galaxy Health Network — Galaxy Health Network: $156.83
  • Health Alliance — Health Alliance: $162.36
  • Healthlink — Healthlink: $147.60
  • HealthSmart — HealthSmart: $156.83

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 95810 POLYSOMNOGRAPHY > 4 PARAMETERS OBSERVATI CHARGE $5,788.25 $5,788.25 $578.83 – $5,498.84
Sleep study (overnight, in a sleep lab): 10 of 20 insurance plan rates
  • Aetna — Aetna: $5,209.43
  • Associated General Contractors — Associated General Contractors: $5,498.84
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $5,209.43
  • Caterpillar — Caterpillar: $4,514.84
  • Cigna — Cigna: $4,225.42
  • Consociate Care — Consociate Care: $5,209.43
  • Galaxy Health Network — Galaxy Health Network: $4,920.01
  • Health Alliance — Health Alliance: $5,093.66
  • Healthlink — Healthlink: $4,630.60
  • HealthSmart — HealthSmart: $4,920.01

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: OT Therapeutic Exercise Charges $153.75 $153.75 $108
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan
  • Align Networks — Align Networks: $108
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GOCO In the file: 97110 OT THER EXERCISE 15 CHARGE $153.75 $153.75 $108
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan
  • Align Networks — Align Networks: $108
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: 97110 OT THERAPEUTIC EX; 15 MINUTES; W/GROUP CHARGE $153.75 $153.75 $108
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan
  • Align Networks — Align Networks: $108
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT Low Complex Units $416.75 $416.75 $108
Physical therapy evaluation (low complexity): rates for 1 insurance plan
  • Align Networks — Align Networks: $108
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: 97161 PT EVAL, LOW COMPLEXITY $416.75 $416.75 $108
Physical therapy evaluation (low complexity): rates for 1 insurance plan
  • Align Networks — Align Networks: $108
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT Moderate Complex Units $416.75 $416.75 $108
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan
  • Align Networks — Align Networks: $108
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: 97162 PHYSICAL THERAPY EVAL MOD COMPLEX CHARGE $416.75 $416.75 $108
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan
  • Align Networks — Align Networks: $108
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT High Complex Units $416.75 $416.75 $108
Physical therapy evaluation (high complexity): rates for 1 insurance plan
  • Align Networks — Align Networks: $108
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: 97163 PHYSICAL THERAPY EVAL HIGH COMPLEX CHARGE $416.75 $416.75 $108
Physical therapy evaluation (high complexity): rates for 1 insurance plan
  • Align Networks — Align Networks: $108
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90832 Psychotherapy, 30 min with patient $141 $141 $14.10 – $133.95
Psychotherapy, 30 minutes: 10 of 20 insurance plan rates
  • Aetna — Aetna: $126.90
  • Associated General Contractors — Associated General Contractors: $133.95
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $126.90
  • Caterpillar — Caterpillar: $109.98
  • Cigna — Cigna: $102.93
  • Consociate Care — Consociate Care: $126.90
  • Galaxy Health Network — Galaxy Health Network: $119.85
  • Health Alliance — Health Alliance: $124.08
  • Healthlink — Healthlink: $112.80
  • HealthSmart — HealthSmart: $119.85
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90832 Psychotherapy, 30 minutes with patient and/or family member $141 $141 $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $133.95
Psychotherapy, 30 minutes: 10 of 20 insurance plan rates
  • Aetna — Aetna: $126.90
  • Associated General Contractors — Associated General Contractors: $133.95
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $126.90
  • Caterpillar — Caterpillar: $109.98
  • Cigna — Cigna: $102.93
  • Consociate Care — Consociate Care: $126.90
  • Galaxy Health Network — Galaxy Health Network: $119.85
  • Health Alliance — Health Alliance: $124.08
  • Healthlink — Healthlink: $112.80
  • HealthSmart — HealthSmart: $119.85
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90834 Psychotherapy, 45 minutes with patient and/or family member $186 $186 $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $176.70
Psychotherapy, 45 minutes: 10 of 20 insurance plan rates
  • Aetna — Aetna: $167.40
  • Associated General Contractors — Associated General Contractors: $176.70
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $167.40
  • Caterpillar — Caterpillar: $145.08
  • Cigna — Cigna: $135.78
  • Consociate Care — Consociate Care: $167.40
  • Galaxy Health Network — Galaxy Health Network: $158.10
  • Health Alliance — Health Alliance: $163.68
  • Healthlink — Healthlink: $148.80
  • HealthSmart — HealthSmart: $158.10
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90837 Psychotherapy, 60 minutes with patient and/or family member $276 $276 $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $262.20
Psychotherapy, 60 minutes: 10 of 20 insurance plan rates
  • Aetna — Aetna: $248.40
  • Associated General Contractors — Associated General Contractors: $262.20
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $248.40
  • Caterpillar — Caterpillar: $215.28
  • Cigna — Cigna: $201.48
  • Consociate Care — Consociate Care: $248.40
  • Galaxy Health Network — Galaxy Health Network: $234.60
  • Health Alliance — Health Alliance: $242.88
  • Healthlink — Healthlink: $220.80
  • HealthSmart — HealthSmart: $234.60
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90846 Family psychotherapy w/o patient present $178 $178 $17.80 – $169.10
Family psychotherapy, without the patient: 10 of 20 insurance plan rates
  • Aetna — Aetna: $160.20
  • Associated General Contractors — Associated General Contractors: $169.10
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $160.20
  • Caterpillar — Caterpillar: $138.84
  • Cigna — Cigna: $129.94
  • Consociate Care — Consociate Care: $160.20
  • Galaxy Health Network — Galaxy Health Network: $151.30
  • Health Alliance — Health Alliance: $156.64
  • Healthlink — Healthlink: $142.40
  • HealthSmart — HealthSmart: $151.30
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90847 Family psychotherapy w/ patient present (conjoint) $185 $185 $18.50 – $175.75
Family psychotherapy, with the patient: 10 of 20 insurance plan rates
  • Aetna — Aetna: $166.50
  • Associated General Contractors — Associated General Contractors: $175.75
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $166.50
  • Caterpillar — Caterpillar: $144.30
  • Cigna — Cigna: $135.05
  • Consociate Care — Consociate Care: $166.50
  • Galaxy Health Network — Galaxy Health Network: $157.25
  • Health Alliance — Health Alliance: $162.80
  • Healthlink — Healthlink: $148
  • HealthSmart — HealthSmart: $157.25
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90853 Group psychotherapy (other than of a multiple-family group) $50 $50 $5 – $47.50
Group psychotherapy: 10 of 20 insurance plan rates
  • Aetna — Aetna: $45
  • Associated General Contractors — Associated General Contractors: $47.50
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $45
  • Caterpillar — Caterpillar: $39
  • Cigna — Cigna: $36.50
  • Consociate Care — Consociate Care: $45
  • Galaxy Health Network — Galaxy Health Network: $42.50
  • Health Alliance — Health Alliance: $44
  • Healthlink — Healthlink: $40
  • HealthSmart — HealthSmart: $42.50

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 19120 EXCISION OF CYST, FIBROADENOMA, OR OTHER BENIGN OR MALIGNANT TUMOR, ABERRANT BREAST TI ProFee $2,482.75 $2,482.75 $248.28 – $2,358.61
Removal of breast growth (open surgery): 10 of 20 insurance plan rates
  • Aetna — Aetna: $2,234.48
  • Associated General Contractors — Associated General Contractors: $2,358.61
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $2,234.48
  • Caterpillar — Caterpillar: $1,936.55
  • Cigna — Cigna: $1,812.41
  • Consociate Care — Consociate Care: $2,234.48
  • Galaxy Health Network — Galaxy Health Network: $2,110.34
  • Health Alliance — Health Alliance: $2,184.82
  • Healthlink — Healthlink: $1,986.20
  • HealthSmart — HealthSmart: $2,110.34
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 27130 Total Hip Replacement $10,797.25 $10,797.25 $1,079.73 – $10,257.39
Total hip replacement: 10 of 20 insurance plan rates
  • Aetna — Aetna: $9,717.53
  • Associated General Contractors — Associated General Contractors: $10,257.39
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $9,717.53
  • Caterpillar — Caterpillar: $8,421.86
  • Cigna — Cigna: $7,881.99
  • Consociate Care — Consociate Care: $9,717.53
  • Galaxy Health Network — Galaxy Health Network: $9,177.66
  • Health Alliance — Health Alliance: $9,501.58
  • Healthlink — Healthlink: $8,637.80
  • HealthSmart — HealthSmart: $9,177.66
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 27447 ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHO ProFee $12,023 $12,023 $1,202.30 – $11,421.85
Total knee replacement: 10 of 20 insurance plan rates
  • Aetna — Aetna: $10,820.70
  • Associated General Contractors — Associated General Contractors: $11,421.85
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $10,820.70
  • Caterpillar — Caterpillar: $9,377.94
  • Cigna — Cigna: $8,776.79
  • Consociate Care — Consociate Care: $10,820.70
  • Galaxy Health Network — Galaxy Health Network: $10,219.55
  • Health Alliance — Health Alliance: $10,580.24
  • Healthlink — Healthlink: $9,618.40
  • HealthSmart — HealthSmart: $10,219.55
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 29826 ARTHROSCOPY, SHOULDER, SURGICAL; DECOMPRESSION OF SUBACROMIAL SPACE WITH PARTIAL ACROM ProFee $3,669.50 $3,669.50 $366.95 – $3,486.03
Shoulder arthroscopy: shaving of shoulder bone: 10 of 20 insurance plan rates
  • Aetna — Aetna: $3,302.55
  • Associated General Contractors — Associated General Contractors: $3,486.03
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $3,302.55
  • Caterpillar — Caterpillar: $2,862.21
  • Cigna — Cigna: $2,678.74
  • Consociate Care — Consociate Care: $3,302.55
  • Galaxy Health Network — Galaxy Health Network: $3,119.08
  • Health Alliance — Health Alliance: $3,229.16
  • Healthlink — Healthlink: $2,935.60
  • HealthSmart — HealthSmart: $3,119.08
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 29881 ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL OR LATERAL, INCLUDING ANY MENIS ProFee $6,693.50 $6,693.50 $669.35 – $6,358.83
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 20 insurance plan rates
  • Aetna — Aetna: $6,024.15
  • Associated General Contractors — Associated General Contractors: $6,358.83
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $6,024.15
  • Caterpillar — Caterpillar: $5,220.93
  • Cigna — Cigna: $4,886.26
  • Consociate Care — Consociate Care: $6,024.15
  • Galaxy Health Network — Galaxy Health Network: $5,689.48
  • Health Alliance — Health Alliance: $5,890.28
  • Healthlink — Healthlink: $5,354.80
  • HealthSmart — HealthSmart: $5,689.48
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 43235 ESOPHAGOGASTRODUODENOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC INCLUDING COLLECTION OF S ProFee $1,478.50 $1,478.50 $147.85 – $1,404.58
Upper GI endoscopy (diagnostic): 10 of 20 insurance plan rates
  • Aetna — Aetna: $1,330.65
  • Associated General Contractors — Associated General Contractors: $1,404.58
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $1,330.65
  • Caterpillar — Caterpillar: $1,153.23
  • Cigna — Cigna: $1,079.31
  • Consociate Care — Consociate Care: $1,330.65
  • Galaxy Health Network — Galaxy Health Network: $1,256.73
  • Health Alliance — Health Alliance: $1,301.08
  • Healthlink — Healthlink: $1,182.80
  • HealthSmart — HealthSmart: $1,256.73
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 43239 ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE ProFee $1,835.75 $1,835.75 $183.58 – $1,743.96
Upper GI endoscopy with biopsy: 10 of 20 insurance plan rates
  • Aetna — Aetna: $1,652.18
  • Associated General Contractors — Associated General Contractors: $1,743.96
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $1,652.18
  • Caterpillar — Caterpillar: $1,431.89
  • Cigna — Cigna: $1,340.10
  • Consociate Care — Consociate Care: $1,652.18
  • Galaxy Health Network — Galaxy Health Network: $1,560.39
  • Health Alliance — Health Alliance: $1,615.46
  • Healthlink — Healthlink: $1,468.60
  • HealthSmart — HealthSmart: $1,560.39
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 45378 COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR ProFee $2,127.25 $2,127.25 $212.73 – $2,020.89
Colonoscopy (diagnostic): 10 of 20 insurance plan rates
  • Aetna — Aetna: $1,914.53
  • Associated General Contractors — Associated General Contractors: $2,020.89
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $1,914.53
  • Caterpillar — Caterpillar: $1,659.26
  • Cigna — Cigna: $1,552.89
  • Consociate Care — Consociate Care: $1,914.53
  • Galaxy Health Network — Galaxy Health Network: $1,808.16
  • Health Alliance — Health Alliance: $1,871.98
  • Healthlink — Healthlink: $1,701.80
  • HealthSmart — HealthSmart: $1,808.16
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 45380 COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE ProFee $2,472.75 $2,472.75 $247.28 – $2,349.11
Colonoscopy with biopsy: 10 of 20 insurance plan rates
  • Aetna — Aetna: $2,225.48
  • Associated General Contractors — Associated General Contractors: $2,349.11
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $2,225.48
  • Caterpillar — Caterpillar: $1,928.75
  • Cigna — Cigna: $1,805.11
  • Consociate Care — Consociate Care: $2,225.48
  • Galaxy Health Network — Galaxy Health Network: $2,101.84
  • Health Alliance — Health Alliance: $2,176.02
  • Healthlink — Healthlink: $1,978.20
  • HealthSmart — HealthSmart: $2,101.84
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 45385 COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE ProFee $2,846.75 $2,846.75 $284.68 – $2,704.41
Colonoscopy with removal of polyps (snare): 10 of 20 insurance plan rates
  • Aetna — Aetna: $2,562.08
  • Associated General Contractors — Associated General Contractors: $2,704.41
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $2,562.08
  • Caterpillar — Caterpillar: $2,220.47
  • Cigna — Cigna: $2,078.13
  • Consociate Care — Consociate Care: $2,562.08
  • Galaxy Health Network — Galaxy Health Network: $2,419.74
  • Health Alliance — Health Alliance: $2,505.14
  • Healthlink — Healthlink: $2,277.40
  • HealthSmart — HealthSmart: $2,419.74
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: G0121 SCRN COLONOSCOPY PT NOT H ProFee $2,127.25 $2,127.25 Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 47562 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY ProFee $5,396.50 $5,396.50 $539.65 – $5,126.68
Gallbladder removal by laparoscope: 10 of 20 insurance plan rates
  • Aetna — Aetna: $4,856.85
  • Associated General Contractors — Associated General Contractors: $5,126.68
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $4,856.85
  • Caterpillar — Caterpillar: $4,209.27
  • Cigna — Cigna: $3,939.45
  • Consociate Care — Consociate Care: $4,856.85
  • Galaxy Health Network — Galaxy Health Network: $4,587.03
  • Health Alliance — Health Alliance: $4,748.92
  • Healthlink — Healthlink: $4,317.20
  • HealthSmart — HealthSmart: $4,587.03
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 49505 REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ProFee $3,845.50 $3,845.50 $384.55 – $3,653.23
Groin (inguinal) hernia repair, age 5 or older: 10 of 20 insurance plan rates
  • Aetna — Aetna: $3,460.95
  • Associated General Contractors — Associated General Contractors: $3,653.23
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $3,460.95
  • Caterpillar — Caterpillar: $2,999.49
  • Cigna — Cigna: $2,807.22
  • Consociate Care — Consociate Care: $3,460.95
  • Galaxy Health Network — Galaxy Health Network: $3,268.68
  • Health Alliance — Health Alliance: $3,384.04
  • Healthlink — Healthlink: $3,076.40
  • HealthSmart — HealthSmart: $3,268.68
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 55700 PROSTATE BIOPSY $7,331 $7,331 $733.10 – $6,964.45
Prostate biopsy: 10 of 20 insurance plan rates
  • Aetna — Aetna: $6,597.90
  • Associated General Contractors — Associated General Contractors: $6,964.45
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $6,597.90
  • Caterpillar — Caterpillar: $5,718.18
  • Cigna — Cigna: $5,351.63
  • Consociate Care — Consociate Care: $6,597.90
  • Galaxy Health Network — Galaxy Health Network: $6,231.35
  • Health Alliance — Health Alliance: $6,451.28
  • Healthlink — Healthlink: $5,864.80
  • HealthSmart — HealthSmart: $6,231.35
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 55700 BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE, ANY APPROACH ProFee $1,116.25 $1,116.25 $111.63 – $1,060.44
Prostate biopsy: 10 of 20 insurance plan rates
  • Aetna — Aetna: $1,004.63
  • Associated General Contractors — Associated General Contractors: $1,060.44
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $1,004.63
  • Caterpillar — Caterpillar: $870.68
  • Cigna — Cigna: $814.86
  • Consociate Care — Consociate Care: $1,004.63
  • Galaxy Health Network — Galaxy Health Network: $948.81
  • Health Alliance — Health Alliance: $982.30
  • Healthlink — Healthlink: $893
  • HealthSmart — HealthSmart: $948.81
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 55700 Pro Fee Biopsy of prostate $989.50 $989.50 $98.95 – $940.03
Prostate biopsy: 10 of 20 insurance plan rates
  • Aetna — Aetna: $890.55
  • Associated General Contractors — Associated General Contractors: $940.03
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $890.55
  • Caterpillar — Caterpillar: $771.81
  • Cigna — Cigna: $722.34
  • Consociate Care — Consociate Care: $890.55
  • Galaxy Health Network — Galaxy Health Network: $841.08
  • Health Alliance — Health Alliance: $870.76
  • Healthlink — Healthlink: $791.60
  • HealthSmart — HealthSmart: $841.08
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 58558 HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C ProFee Charge $5,464.25 $5,464.25 $546.43 – $5,191.04
Hysteroscopy with biopsy of the uterus lining: 10 of 20 insurance plan rates
  • Aetna — Aetna: $4,917.83
  • Associated General Contractors — Associated General Contractors: $5,191.04
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $4,917.83
  • Caterpillar — Caterpillar: $4,262.12
  • Cigna — Cigna: $3,988.90
  • Consociate Care — Consociate Care: $4,917.83
  • Galaxy Health Network — Galaxy Health Network: $4,644.61
  • Health Alliance — Health Alliance: $4,808.54
  • Healthlink — Healthlink: $4,371.40
  • HealthSmart — HealthSmart: $4,644.61
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 64721 NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL ProFee $3,619.75 $3,619.75 $361.98 – $3,438.76
Carpal tunnel release: 10 of 20 insurance plan rates
  • Aetna — Aetna: $3,257.78
  • Associated General Contractors — Associated General Contractors: $3,438.76
  • Blue Cross Blue Shield — Blue Cross Blue Shield: $3,257.78
  • Caterpillar — Caterpillar: $2,823.41
  • Cigna — Cigna: $2,642.42
  • Consociate Care — Consociate Care: $3,257.78
  • Galaxy Health Network — Galaxy Health Network: $3,076.79
  • Health Alliance — Health Alliance: $3,185.38
  • Healthlink — Healthlink: $2,895.80
  • HealthSmart — HealthSmart: $3,076.79

Source: Pana Community Hospital’s standard charges file (hospitalpricetransparencyfiles.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on October 27, 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 typeCritical Access Hospital
Address101 E Ninth Street, Pana, IL 62557
CountyChristian County
StateIllinois
Phone(217) 562‑2131
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
CMS Certification Number141341
Name in Medicare recordsPANA COMMUNITY HOSPITAL
Profile levelMedicare data + hospital website
Official websitepanahospital.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Pana Community Hospital — panahospital.com
  2. Inpatient Services — panahospital.com
  3. Quality Healthcare in Pana IL — panahospital.com
  4. Emergency Care — panahospital.com
  5. Surgery Services — panahospital.com
  6. Cardiopulmonary Rehabilitation — panahospital.com
  7. Cardiopulmonary Care — panahospital.com
  8. Imaging Services — panahospital.com
  9. Patient Transportation Services — panahospital.com
  10. Physical Therapy — panahospital.com
  11. Occupational Therapy — panahospital.com
  12. Speech Therapy — panahospital.com
  13. Aquatic Therapy — panahospital.com
  14. Sports Medicine — panahospital.com
  15. Bridge to Home Services — panahospital.com
  16. Laboratory and Testing — panahospital.com