Does Presence Saints Mary and Elizabeth Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Presence Saints Mary and Elizabeth Medical Center. In a medical emergency, call 911.

Where is Presence Saints Mary and Elizabeth Medical Center?

2233 W Division St, Chicago, IL 60622, in Cook County, Illinois.

What is the phone number of Presence Saints Mary and Elizabeth Medical Center?

(312) 770-2000, as listed by Medicare (CMS).

What is the Medicare star rating of Presence Saints Mary and Elizabeth Medical Center?

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

Presence Saints Mary and Elizabeth Medical Center

Quick answers

Does Presence Saints Mary and Elizabeth Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Presence Saints Mary and Elizabeth Medical Center. In a medical emergency, call 911.
Where is Presence Saints Mary and Elizabeth Medical Center?: 2233 W Division St, Chicago, IL 60622, in Cook County, Illinois.
What is the phone number of Presence Saints Mary and Elizabeth Medical Center?: (312) 770-2000, as listed by Medicare (CMS).
What is the Medicare star rating of Presence Saints Mary and Elizabeth Medical Center?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5]

Emergency Care
Brain and Spine Care
Cancer Care
Cardiac Rehabilitation
Diabetes
Endocrinology
Gynecology
Heart and Vascular Care
Imaging and Mammograms
Lab Services
Mental Health
Neurology
Orthopedic and Sports Medicine
Pulmonology
Rehabilitation
Respiratory Care
Sleep Care
Weight Loss
Pharmacy
Cardiology
Behavioral health
Primary care
Obstetrics and midwifery

Conditions treated^[10][11]

Stroke
Traumatic brain injury
Multiple sclerosis
Parkinson's disease
Amyotrophic lateral sclerosis (ALS)
Peripheral neuropathy
Cerebral palsy
Guillain-Barré syndrome
Huntington's disease
Post-polio syndrome
Bell's palsy
Balance disorders and fall risk
Benign paroxysmal positional vertigo
Vestibular neuritis and labyrinthitis
Meniere's disease
Migraine-related dizziness
Central vertigo
Persistent postural-perceptual dizziness
Lymphedema
Recovery after lumpectomy or mastectomy
Scar tissue restrictions
Cancer-related fatigue

Treatments^{[4][5][10][11]}

Physical therapy (neuromuscular, pelvic health, vestibular, pregnancy and postpartum)
Occupational therapy
Speech therapy
Manual lymphatic drainage
Compression bandaging
Mammography
Direct-access colonoscopy
Cardiac rehabilitation
Genetic services for cancer care
Respiratory care
Vestibular physical therapy
Pelvic health physical therapy
Pregnancy and postpartum physical therapy
Lab services
Weight loss

Procedures^[5][6]

Direct-access colonoscopy
Outpatient surgery

Programs and centers^{[4][5][10][11]}

Birthing Center
Stroke Center
Pediatric Special Care
Clinical Research
Genetic Services for Cancer Care
Neuromuscular rehabilitation program
Breast cancer recovery and lymphedema care
Sleep care program
FastTrackCare ER arrival reservation

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Visiting hours 10 a.m. to 8 p.m. daily; children under 12 need an adult^[6]
Parking	Free parking in Lots 1, 2 and 3, assigned by destination^[6]
Interpreters and languages	Language assistance page available; phone 312-770-2000^[6]
Patient portal	MyChart

Recognition^[4][7]

Geriatric-Accredited Emergency Department
Lown Institute Honor Roll 2026

Doctors and clinicians (333)

333 doctors and other clinicians list Presence Saints Mary and Elizabeth Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (333)

Abelardo J. Jarava, MDFamily Practice
Abigail L. Smith, MDFamily Practice
Ada I. Arias, MDCritical Care (Intensivists)
Adam Black, MDEmergency Medicine
Adam T. Dickler, MDRadiation Oncology
Adeeb Alshahrour, MDObstetrics/Gynecology
Adnan AnsariInternal Medicine
Ahmad Alwakkaf, MDHospitalist
Ajay Bhatia, MDInternal Medicine
Ajay Reddy, MDCardiovascular Disease (Cardiology)
Ajit K. Kesani, MDNephrology
Alberto Manalo, MDInternal Medicine
Alex Lima, MDFamily Practice
Alexander Ruiz, MDFamily Practice
Alfredo E. Rumilla, MDFamily Practice
Alicia M. ManganoNurse Practitioner
Alketa Zyka, DOInternal Medicine
Allison Fillman, MDEmergency Medicine
Amjad I. Sheikh, MDCardiovascular Disease (Cardiology)
Amr Yafi, MDNephrology
Amrik S. Ray, MDPulmonary Disease
Amy E. Yuksel, MDEmergency Medicine
Andrea Schoen, CNACertified Registered Nurse Anesthetist (CRNA)
Andrew J. Engel, MDAnesthesiology

And 309 more: the button below opens the full list.

Other emergency rooms nearby

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

Humboldt Park Health0.9 mi · Chicago, IL · Acute Care Hospital
Rush University Medical Center1.6 mi · Chicago, IL · Acute Care Hospital
John H Stroger Jr Hospital2.1 mi · Chicago, IL · Acute Care Hospital
Jesse Brown VA Medical Center - VA Chicago Healthcare System2.2 mi · Chicago, IL · Federal/VA Acute Care Hospital
University of Illinois Hospital and Clinics2.4 mi · Chicago, IL · Acute Care Hospital

Other hospitals nearby

Rush Specialty Hospital, LLC2.4 mi · Chicago, IL · Long-Term Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Winston Manor CNV & Nursing0.4 mi · Chicago, IL · 2 of 5 stars
Center Home Hispanic Elderly0.8 mi · Chicago, IL · 1 of 5 stars
Little Sisters of the Poor1.8 mi · Chicago, IL · 5 of 5 stars

All nursing homes in the state →

Outpatient surgery centers nearby

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

Rush Surgicenter Inc1.6 mi · Chicago, IL
Chicago Surgery Center, LLC1.6 mi · Chicago, IL
Fullerton Kimball Medical & Surgical Center1.6 mi · Chicago, IL

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

PrimeCare Wicker Park0.1 mi · Chicago, IL · Community health center
Erie Clemente Wildcats Student Health Center0.2 mi · Chicago, IL · Community health center
Erie Division Street Health Center0.2 mi · Chicago, IL · Community health center

Clinics and urgent care

A Bright First Inc0.1 mi · Chicago, IL · Urgent care center
Midwest Express Care 2, Inc0.1 mi · Chicago, IL · Urgent care center
Midwest Express Care 2, Inc1.6 mi · Chicago, IL · Urgent care center

Pharmacies

Barry's Drugs0.1 mi · Chicago, IL · Community/retail pharmacy
Centennial Medical Management0.1 mi · Chicago, IL · Pharmacy
Highland Park CVS LLC0.1 mi · Chicago, 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 Presence Saints Mary and Elizabeth Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	65%National average: 72%
Would definitely recommend the hospital	69%National average: 71%
Nurses “always” communicated well	74%National average: 80%
Doctors “always” communicated well	78%National average: 80%
Staff “always” explained medicines before giving them	55%National average: 62%
Were given information about recovery at home	82%National average: 86%
Room and bathroom “always” clean	67%National average: 74%
Area around the room “always” quiet at night	58%National average: 60%
Completed surveys	1,045Response rate: 30%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	1.101No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0Better than the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.111Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients	11.4%
Deaths within 30 days: heart failure patients	10%
Deaths within 30 days: pneumonia patients	13.4%
Deaths within 30 days: COPD patients	7.9%
Deaths within 30 days: stroke patients	10.8%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.02No different from the national rate
Complications after hip or knee replacement	Too few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.6%
Readmitted within 30 days: heart failure	21.5%
Readmitted within 30 days: pneumonia	17.9%
Readmitted within 30 days: COPD	19.5%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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

Emergency room times and sepsis care

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

Average (median) time patients spent in the emergency room before leaving (OP-18b)	192 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)	47%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Chicago Best hospitals in Chicago

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 74 common services exactly as Presence Saints Mary and Elizabeth Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES - 99203 - 76100003	$677	Not listed in the file	$78.84 – $555.14
New patient office visit (about 30–44 minutes): rates for 3 insurance plans Ravenswood Physicians Associates IPA — Ravenswood Physicians Associates IPA Commercial: $78.84 Resurrection Physicians Provider Group IPA — Resurrection Physicians Provider Group IPA Commercial: $78.84 UHC — UHC VA: $88.38
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES - 99204 - 76100004	$852	Not listed in the file	$128 – $698.64
New patient office visit (about 45–59 minutes): rates for 3 insurance plans Ravenswood Physicians Associates IPA — Ravenswood Physicians Associates IPA Commercial: $128 Resurrection Physicians Provider Group IPA — Resurrection Physicians Provider Group IPA Commercial: $128 UHC — UHC VA: $143.25
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES - 99205 - 76100005	$1,106	Not listed in the file	$176.87 – $906.92
New patient office visit (about 60–74 minutes): rates for 3 insurance plans Ravenswood Physicians Associates IPA — Ravenswood Physicians Associates IPA Commercial: $176.87 Resurrection Physicians Provider Group IPA — Resurrection Physicians Provider Group IPA Commercial: $176.87 UHC — UHC VA: $195.42
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN - 99213 - 76100008	$677	Not listed in the file	$61.70 – $555.14
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans Ravenswood Physicians Associates IPA — Ravenswood Physicians Associates IPA Commercial: $61.70 Resurrection Physicians Provider Group IPA — Resurrection Physicians Provider Group IPA Commercial: $61.70 UHC — UHC VA: $70.10
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN - 99214 - 76100009	$852	Not listed in the file	$91.09 – $698.64
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans Ravenswood Physicians Associates IPA — Ravenswood Physicians Associates IPA Commercial: $91.09 Resurrection Physicians Provider Group IPA — Resurrection Physicians Provider Group IPA Commercial: $91.09 UHC — UHC VA: $103.29
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC ED LEVEL 3	$1,381	$291	$78.55 – $1,132.42
Emergency room visit (moderate): 10 of 54 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $349.31 Aetna — Aetna Medicare: $291.09 Aetna Better Health — Aetna Better Health Dual Eligible: $305.64 Aetna Better Health — Aetna Better Health Medicaid: $445.71 BCBS — BCBS Dual Eligible: $276.54 BCBS — BCBS Ill MyBlue Plus POS: $392.97 BCBS — BCBS Medicaid: $445.71 BCBS — BCBS Medicare HMO: $291.09 BCBS — BCBS Medicare PPO: $291.09 BCBS — BCBS Smart Health Care: $407.53
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HC ED LEVEL 4	$2,598	$444	$134.09 – $2,130.36
Emergency room visit (moderately high): 10 of 54 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $533.94 Aetna — Aetna Medicare: $444.95 Aetna Better Health — Aetna Better Health Dual Eligible: $467.20 Aetna Better Health — Aetna Better Health Medicaid: $445.71 BCBS — BCBS Dual Eligible: $422.70 BCBS — BCBS Ill MyBlue Plus POS: $600.68 BCBS — BCBS Medicaid: $445.71 BCBS — BCBS Medicare HMO: $444.95 BCBS — BCBS Medicare PPO: $444.95 BCBS — BCBS Smart Health Care: $622.93
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HC ED LEVEL 5	$4,023	$635	$193.15 – $3,218.40
Emergency room visit (high): 10 of 53 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $762.06 Aetna — Aetna Medicare: $635.05 Aetna Better Health — Aetna Better Health Dual Eligible: $666.80 Aetna Better Health — Aetna Better Health Medicaid: $445.71 BCBS — BCBS Dual Eligible: $603.30 BCBS — BCBS Ill MyBlue Plus POS: $857.32 BCBS — BCBS Medicaid: $445.71 BCBS — BCBS Medicare HMO: $635.05 BCBS — BCBS Medicare PPO: $635.05 BCBS — BCBS Smart Health Care: $889.07

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL	$422	$8	$5.08 – $337.60
Basic metabolic panel (blood test): 10 of 56 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $10.15 Aetna — Aetna Commercial: $12.94 Aetna — Aetna Medicare: $8.46 Aetna Better Health — Aetna Better Health Dual Eligible: $8.88 Aetna Better Health — Aetna Better Health Medicaid: $9.20 BCBS — BCBS Dual Eligible: $8.04 BCBS — BCBS Ill MyBlue Plus POS: $11.42 BCBS — BCBS Medicaid: $9.20 BCBS — BCBS Medicare HMO: $8.46 BCBS — BCBS Medicare PPO: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HC METABOLIC PANEL,COMPREHENSIVE	$596	$10	$6.34 – $476.80
Comprehensive metabolic panel (blood test): 10 of 58 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $12.67 Aetna — Aetna Commercial: $16.16 Aetna — Aetna Medicare: $10.56 Aetna Better Health — Aetna Better Health Dual Eligible: $11.09 Aetna Better Health — Aetna Better Health Medicaid: $9.20 BCBS — BCBS Dual Eligible: $10.03 BCBS — BCBS Ill MyBlue Plus POS: $14.26 BCBS — BCBS Medicaid: $9.20 BCBS — BCBS Medicare HMO: $10.56 BCBS — BCBS Medicare PPO: $10.56
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC LIPID PANEL	$175	$13	$8.03 – $153.85
Cholesterol panel (lipid panel): 10 of 57 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $16.07 Aetna — Aetna Commercial: $20.49 Aetna — Aetna Medicare: $13.39 Aetna Better Health — Aetna Better Health Dual Eligible: $14.06 Aetna Better Health — Aetna Better Health Medicaid: $9.20 BCBS — BCBS Dual Eligible: $12.72 BCBS — BCBS Ill MyBlue Plus POS: $18.08 BCBS — BCBS Medicaid: $9.20 BCBS — BCBS Medicare HMO: $13.39 BCBS — BCBS Medicare PPO: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HC RENAL FUNCTION PANEL	$144	$8	$5.21 – $144
Kidney function panel: 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $10.42 Aetna — Aetna Commercial: $13.28 Aetna — Aetna Medicare: $8.68 Aetna Better Health — Aetna Better Health Dual Eligible: $9.11 Aetna Better Health — Aetna Better Health Medicaid: $9.20 BCBS — BCBS Dual Eligible: $8.25 BCBS — BCBS Ill MyBlue Plus POS: $11.72 BCBS — BCBS Medicaid: $9.20 BCBS — BCBS Medicare HMO: $8.68 BCBS — BCBS Medicare PPO: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HC HEPATIC FUNCTION PANEL	$206	$8	$4.90 – $184.97
Liver function panel: 10 of 54 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $9.80 Aetna — Aetna Commercial: $12.50 Aetna — Aetna Medicare: $8.17 Aetna Better Health — Aetna Better Health Dual Eligible: $8.58 Aetna Better Health — Aetna Better Health Medicaid: $9.20 BCBS — BCBS Dual Eligible: $7.76 BCBS — BCBS Ill MyBlue Plus POS: $11.03 BCBS — BCBS Medicaid: $9.20 BCBS — BCBS Medicare HMO: $8.17 BCBS — BCBS Medicare PPO: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HC URINALYSIS, AUTO, W/SCOPE	$16	$3	$1.90 – $16
Urine test (automated, with microscope): 10 of 56 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $3.80 Aetna — Aetna Commercial: $4.85 Aetna — Aetna Medicare: $3.17 Aetna Better Health — Aetna Better Health Dual Eligible: $3.33 Aetna Better Health — Aetna Better Health Medicaid: $3.07 BCBS — BCBS Dual Eligible: $3.01 BCBS — BCBS Ill MyBlue Plus POS: $4.28 BCBS — BCBS Medicaid: $3.07 BCBS — BCBS Medicare HMO: $3.17 BCBS — BCBS Medicare PPO: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HC URINALYSIS NONAUTO W/O SCOPE	$17	$3	$2.09 – $17
Urine test (manual, without microscope): 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $4.18 Aetna — Aetna Commercial: $5.32 Aetna — Aetna Medicare: $3.48 Aetna Better Health — Aetna Better Health Dual Eligible: $3.65 Aetna Better Health — Aetna Better Health Medicaid: $3.07 BCBS — BCBS Dual Eligible: $3.31 BCBS — BCBS Ill MyBlue Plus POS: $4.70 BCBS — BCBS Medicaid: $3.07 BCBS — BCBS Medicare HMO: $3.48 BCBS — BCBS Medicare PPO: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC URINALYSIS, AUTO, W/O SCOPE	$58	$2	$1.35 – $47.34
Urine test (automated, without microscope): 10 of 55 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $2.70 Aetna — Aetna Commercial: $3.44 Aetna — Aetna Medicare: $2.25 Aetna Better Health — Aetna Better Health Dual Eligible: $2.36 Aetna Better Health — Aetna Better Health Medicaid: $3.07 BCBS — BCBS Dual Eligible: $2.14 BCBS — BCBS Ill MyBlue Plus POS: $3.04 BCBS — BCBS Medicaid: $3.07 BCBS — BCBS Medicare HMO: $2.25 BCBS — BCBS Medicare PPO: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL - 84153 - 30100312	$159	$18	$11.03 – $138.80
PSA (prostate specific antigen) blood test: 10 of 55 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $22.07 Aetna — Aetna Commercial: $28.14 Aetna — Aetna Medicare: $18.39 Aetna Better Health — Aetna Better Health Dual Eligible: $19.31 Aetna Better Health — Aetna Better Health Medicaid: $12.17 BCBS — BCBS Dual Eligible: $17.47 BCBS — BCBS Ill MyBlue Plus POS: $24.83 BCBS — BCBS Medicaid: $12.17 BCBS — BCBS Medicare HMO: $18.39 BCBS — BCBS Medicare PPO: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC ASSAY THYROID STIM HORMONE	$183	$16	$10.08 – $146.40
Thyroid stimulating hormone (TSH) test: 10 of 57 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $20.16 Aetna — Aetna Commercial: $25.70 Aetna — Aetna Medicare: $16.80 Aetna Better Health — Aetna Better Health Dual Eligible: $17.64 Aetna Better Health — Aetna Better Health Medicaid: $13.44 BCBS — BCBS Dual Eligible: $15.96 BCBS — BCBS Ill MyBlue Plus POS: $22.68 BCBS — BCBS Medicaid: $13.44 BCBS — BCBS Medicare HMO: $16.80 BCBS — BCBS Medicare PPO: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HC COMPLETE CBC & AUTO DIFF WBC	$304	$7	$4.66 – $243.20
Complete blood count (CBC) with differential: 10 of 58 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $9.32 Aetna — Aetna Commercial: $11.89 Aetna — Aetna Medicare: $7.77 Aetna Better Health — Aetna Better Health Dual Eligible: $8.16 Aetna Better Health — Aetna Better Health Medicaid: $6.04 BCBS — BCBS Dual Eligible: $7.38 BCBS — BCBS Ill MyBlue Plus POS: $10.49 BCBS — BCBS Medicaid: $6.04 BCBS — BCBS Medicare HMO: $7.77 BCBS — BCBS Medicare PPO: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HC COMPLETE CBC	$53	$6	$3.88 – $53
Complete blood count (CBC), automated: 10 of 54 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $7.76 Aetna — Aetna Commercial: $9.90 Aetna — Aetna Medicare: $6.47 Aetna Better Health — Aetna Better Health Dual Eligible: $6.79 Aetna Better Health — Aetna Better Health Medicaid: $6.04 BCBS — BCBS Dual Eligible: $6.15 BCBS — BCBS Ill MyBlue Plus POS: $8.73 BCBS — BCBS Medicaid: $6.04 BCBS — BCBS Medicare HMO: $6.47 BCBS — BCBS Medicare PPO: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC PROTHROMBIN TIME	$62	$4	$2.57 – $58.13
Blood clotting time test (prothrombin time, PT): 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $5.15 Aetna — Aetna Commercial: $6.56 Aetna — Aetna Medicare: $4.29 Aetna Better Health — Aetna Better Health Dual Eligible: $4.50 Aetna Better Health — Aetna Better Health Medicaid: $4.51 BCBS — BCBS Dual Eligible: $4.08 BCBS — BCBS Ill MyBlue Plus POS: $5.79 BCBS — BCBS Medicaid: $4.51 BCBS — BCBS Medicare HMO: $4.29 BCBS — BCBS Medicare PPO: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC THROMBOPLAS TIME PARTIAL	$91	$6	$3.61 – $75.47
Blood clotting test (partial thromboplastin time, PTT): 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $7.21 Aetna — Aetna Commercial: $9.20 Aetna — Aetna Medicare: $6.01 Aetna Better Health — Aetna Better Health Dual Eligible: $6.31 Aetna Better Health — Aetna Better Health Medicaid: $4.51 BCBS — BCBS Dual Eligible: $5.71 BCBS — BCBS Ill MyBlue Plus POS: $8.11 BCBS — BCBS Medicaid: $4.51 BCBS — BCBS Medicare HMO: $6.01 BCBS — BCBS Medicare PPO: $6.01

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL	$4,076	$111	$67.90 – $3,260.80
CT scan of the head or brain, without contrast: 10 of 55 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $133.78 Aetna — Aetna Commercial: $1,526 Aetna — Aetna Medicare: $111.48 Aetna Better Health — Aetna Better Health Dual Eligible: $117.05 Aetna Better Health — Aetna Better Health Medicaid: $381.74 BCBS — BCBS Dual Eligible: $105.91 BCBS — BCBS Ill MyBlue Plus POS: $150.50 BCBS — BCBS Medicaid: $381.74 BCBS — BCBS Medicare HMO: $111.48 BCBS — BCBS Medicare PPO: $111.48
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HC MRI BRAIN COMBO	$4,255	$372	$214.11 – $3,404
MRI of the brain, before and after contrast: 10 of 54 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $446.42 Aetna — Aetna Commercial: $1,526 Aetna — Aetna Medicare: $372.02 Aetna Better Health — Aetna Better Health Dual Eligible: $390.62 Aetna Better Health — Aetna Better Health Medicaid: $511.24 BCBS — BCBS Dual Eligible: $353.42 BCBS — BCBS Ill MyBlue Plus POS: $502.23 BCBS — BCBS Medicaid: $511.24 BCBS — BCBS Medicare HMO: $372.02 BCBS — BCBS Medicare PPO: $372.02
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC CHEST X-RAY 2 VW	$605	$92	$23.59 – $605
Chest X-ray, 2 views: 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $111.35 Aetna — Aetna Commercial: $605 Aetna — Aetna Medicare: $92.79 Aetna Better Health — Aetna Better Health Dual Eligible: $97.43 Aetna Better Health — Aetna Better Health Medicaid: $70.52 BCBS — BCBS Dual Eligible: $88.15 BCBS — BCBS Ill MyBlue Plus POS: $125.27 BCBS — BCBS Medicaid: $70.52 BCBS — BCBS Medicare HMO: $92.79 BCBS — BCBS Medicare PPO: $92.79
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: HC X-RAY LUMBAR SPINE 4 VW	$1,238	$111	$41.38 – $1,238
X-ray of the lower spine, at least 4 views: 10 of 55 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $133.78 Aetna — Aetna Commercial: $1,238 Aetna — Aetna Medicare: $111.48 Aetna Better Health — Aetna Better Health Dual Eligible: $117.05 Aetna Better Health — Aetna Better Health Medicaid: $70.52 BCBS — BCBS Dual Eligible: $105.91 BCBS — BCBS Ill MyBlue Plus POS: $150.50 BCBS — BCBS Medicaid: $70.52 BCBS — BCBS Medicare HMO: $111.48 BCBS — BCBS Medicare PPO: $111.48
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HC MRI, LUMBAR SPINE	$3,580	$254	$124.73 – $2,864
MRI of the lower back (lumbar spine), without contrast: 10 of 54 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $305.33 Aetna — Aetna Commercial: $1,526 Aetna — Aetna Medicare: $254.44 Aetna Better Health — Aetna Better Health Dual Eligible: $267.16 Aetna Better Health — Aetna Better Health Medicaid: $303.01 BCBS — BCBS Dual Eligible: $241.72 BCBS — BCBS Ill MyBlue Plus POS: $343.49 BCBS — BCBS Medicaid: $303.01 BCBS — BCBS Medicare HMO: $254.44 BCBS — BCBS Medicare PPO: $254.44
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: HC CT SCAN OF PELVIS CONTRAST	$2,197	$187	$174.07 – $1,757.60
CT scan of the pelvis, with contrast: 10 of 53 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $224.45 Aetna — Aetna Commercial: $1,526 Aetna — Aetna Medicare: $187.04 Aetna Better Health — Aetna Better Health Dual Eligible: $196.39 Aetna Better Health — Aetna Better Health Medicaid: $381.74 BCBS — BCBS Dual Eligible: $177.69 BCBS — BCBS Ill MyBlue Plus POS: $252.50 BCBS — BCBS Medicaid: $381.74 BCBS — BCBS Medicare HMO: $187.04 BCBS — BCBS Medicare PPO: $187.04
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HC MRI LOWER EXTREM JT, W/O CONTRAST	$5,957	$254	$143.19 – $4,765.60
MRI of a leg joint (such as the knee), without contrast: 10 of 54 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $305.33 Aetna — Aetna Commercial: $1,526 Aetna — Aetna Medicare: $254.44 Aetna Better Health — Aetna Better Health Dual Eligible: $267.16 Aetna Better Health — Aetna Better Health Medicaid: $303.01 BCBS — BCBS Dual Eligible: $241.72 BCBS — BCBS Ill MyBlue Plus POS: $343.49 BCBS — BCBS Medicaid: $303.01 BCBS — BCBS Medicare HMO: $254.44 BCBS — BCBS Medicare PPO: $254.44
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HC CT SCAN ABDOMEN/PELVIS W CONTRAST	$6,385	$372	$218.38 – $5,108
CT scan of the abdomen and pelvis, with contrast: 10 of 53 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $446.42 Aetna — Aetna Commercial: $1,526 Aetna — Aetna Medicare: $372.02 Aetna Better Health — Aetna Better Health Dual Eligible: $390.62 Aetna Better Health — Aetna Better Health Medicaid: $381.74 BCBS — BCBS Dual Eligible: $353.42 BCBS — BCBS Ill MyBlue Plus POS: $502.23 BCBS — BCBS Medicaid: $381.74 BCBS — BCBS Medicare HMO: $372.02 BCBS — BCBS Medicare PPO: $372.02
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE	$2,926	$111	$78.07 – $2,340.80
Ultrasound of the abdomen, complete: 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $133.78 Aetna — Aetna Commercial: $1,526 Aetna — Aetna Medicare: $111.48 Aetna Better Health — Aetna Better Health Dual Eligible: $117.05 Aetna Better Health — Aetna Better Health Medicaid: $211.47 BCBS — BCBS Dual Eligible: $105.91 BCBS — BCBS Ill MyBlue Plus POS: $150.50 BCBS — BCBS Medicaid: $211.47 BCBS — BCBS Medicare HMO: $111.48 BCBS — BCBS Medicare PPO: $111.48
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: HC US, OB >/= 14 WKS, SNGL FETUS	$1,737	$111	$90.15 – $1,526
Pregnancy ultrasound (after the first trimester): 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $133.78 Aetna — Aetna Commercial: $1,526 Aetna — Aetna Medicare: $111.48 Aetna Better Health — Aetna Better Health Dual Eligible: $117.05 Aetna Better Health — Aetna Better Health Medicaid: $126.43 BCBS — BCBS Dual Eligible: $105.91 BCBS — BCBS Ill MyBlue Plus POS: $150.50 BCBS — BCBS Medicaid: $126.43 BCBS — BCBS Medicare HMO: $111.48 BCBS — BCBS Medicare PPO: $111.48
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HC ULTRASOUND,TRANSVAGINAL	$1,429	$111	$86.46 – $1,429
Transvaginal ultrasound: 10 of 54 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $133.78 Aetna — Aetna Commercial: $1,429 Aetna — Aetna Medicare: $111.48 Aetna Better Health — Aetna Better Health Dual Eligible: $117.05 Aetna Better Health — Aetna Better Health Medicaid: $137.26 BCBS — BCBS Dual Eligible: $105.91 BCBS — BCBS Ill MyBlue Plus POS: $150.50 BCBS — BCBS Medicaid: $137.26 BCBS — BCBS Medicare HMO: $111.48 BCBS — BCBS Medicare PPO: $111.48
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: HC MAMMOGRAPHY; UNILATERAL	$647	$87	$59.97 – $647
Diagnostic mammogram, one breast: 10 of 50 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $104.45 Aetna — Aetna Commercial: $647 Aetna — Aetna Medicare: $87.04 Aetna Better Health — Aetna Better Health Dual Eligible: $91.39 Aetna Better Health — Aetna Better Health Medicaid: $59.97 BCBS — BCBS Dual Eligible: $82.69 BCBS — BCBS Ill MyBlue Plus POS: $117.50 BCBS — BCBS Medicaid: $59.97 BCBS — BCBS Medicare HMO: $87.04 BCBS — BCBS Medicare PPO: $87.04
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: HC MAMMOGRAPHY; BILATERAL	$877	$111	$59.97 – $877
Diagnostic mammogram, both breasts: 10 of 49 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $134.36 Aetna — Aetna Commercial: $877 Aetna — Aetna Medicare: $111.97 Aetna Better Health — Aetna Better Health Dual Eligible: $117.57 Aetna Better Health — Aetna Better Health Medicaid: $59.97 BCBS — BCBS Dual Eligible: $106.37 BCBS — BCBS Ill MyBlue Plus POS: $151.16 BCBS — BCBS Medicaid: $59.97 BCBS — BCBS Medicare HMO: $111.97 BCBS — BCBS Medicare PPO: $111.97
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HC MAMMOGRAM, SCREENING	$720	$92	$59.97 – $720
Screening mammogram, both breasts: 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $110.48 Aetna — Aetna Commercial: $720 Aetna — Aetna Medicare: $92.07 Aetna Better Health — Aetna Better Health Dual Eligible: $96.67 Aetna Better Health — Aetna Better Health Medicaid: $59.97 BCBS — BCBS Dual Eligible: $87.47 BCBS — BCBS Ill MyBlue Plus POS: $124.29 BCBS — BCBS Medicaid: $59.97 BCBS — BCBS Medicare HMO: $92.07 BCBS — BCBS Medicare PPO: $92.07

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: HC LEFT HEART CATH INJ VETRICULOGRAPHY, RS/I	$10,602	$3,457	$650.35 – $8,481.60
Left heart catheterization (diagnostic): 10 of 48 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $4,148.51 Aetna — Aetna Commercial: $7,222 Aetna — Aetna Medicare: $3,457.09 Aetna Better Health — Aetna Better Health Dual Eligible: $3,629.94 Aetna Better Health — Aetna Better Health Medicaid: $3,029.45 BCBS — BCBS Dual Eligible: $3,284.24 BCBS — BCBS Ill MyBlue Plus POS: $4,667.07 BCBS — BCBS Medicaid: $3,029.45 BCBS — BCBS Medicare HMO: $3,457.09 BCBS — BCBS Medicare PPO: $3,457.09
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: HC EPHYS EVL TRNSPTL TX ATRIL FIB ISOLAT PULM VEIN	$47,058	$27,872	$980.24 – $47,058
Heart rhythm study with ablation for atrial fibrillation: 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $33,447.07 Aetna — Aetna Commercial: $10,088 Aetna — Aetna Medicare: $27,872.56 Aetna Better Health — Aetna Better Health Dual Eligible: $29,266.19 Aetna Better Health — Aetna Better Health Medicaid: $21,947.71 BCBS — BCBS Dual Eligible: $26,478.93 BCBS — BCBS Ill MyBlue Plus POS: $37,627.96 BCBS — BCBS Medicaid: $21,947.71 BCBS — BCBS Medicare HMO: $27,872.56 BCBS — BCBS Medicare PPO: $27,872.56
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$8,168	$915	$563.35 – $6,697.76
Sleep study (overnight, in a sleep lab): 10 of 49 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,098.88 Aetna — Aetna Medicare: $915.73 Aetna Better Health — Aetna Better Health Dual Eligible: $961.52 Aetna Better Health — Aetna Better Health Medicaid: $992.62 BCBS — BCBS Dual Eligible: $869.94 BCBS — BCBS Ill MyBlue Plus POS: $1,236.24 BCBS — BCBS Medicaid: $992.62 BCBS — BCBS Medicare HMO: $915.73 BCBS — BCBS Medicare PPO: $915.73 BCBS — BCBS Smart Health Care: $1,282.02

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC OT EXERCISE OTA COMPLEX EA 15	$289	$29	$28.19 – $236.98
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 53 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $35.60 Aetna — Aetna Medicare: $29.67 Aetna Better Health — Aetna Better Health Dual Eligible: $31.15 Aetna Better Health — Aetna Better Health Medicaid: $45.27 BCBS — BCBS Dual Eligible: $28.19 BCBS — BCBS Ill MyBlue Plus POS: $40.05 BCBS — BCBS Medicaid: $45.27 BCBS — BCBS Medicare HMO: $29.67 BCBS — BCBS Medicare PPO: $29.67 BCBS — BCBS Smart Health Care: $41.54
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC THERAPEUTIC EXERCISES, EA 15 MIN	$289	$29	$28.19 – $236.98
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 48 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $35.60 Aetna — Aetna Medicare: $29.67 Aetna Better Health — Aetna Better Health Dual Eligible: $31.15 BCBS — BCBS Dual Eligible: $28.19 BCBS — BCBS Ill MyBlue Plus POS: $40.05 BCBS — BCBS Medicare HMO: $29.67 BCBS — BCBS Medicare PPO: $29.67 BCBS — BCBS Smart Health Care: $41.54 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $48.07 Celtic (Wellcare) — Celtic WellCare Complete (WellCare) Medicare: $29.67
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: HC PHYS THRP EVAL, LOW COMPLEXITY, 20 MIN	$365	$98	$73 – $299.30
Physical therapy evaluation (low complexity): 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $118.67 Aetna — Aetna Medicare: $98.89 Aetna Better Health — Aetna Better Health Dual Eligible: $103.83 Aetna Better Health — Aetna Better Health Medicaid: $237.99 BCBS — BCBS Dual Eligible: $93.95 BCBS — BCBS Ill MyBlue Plus POS: $133.50 BCBS — BCBS Medicaid: $237.99 BCBS — BCBS Medicare HMO: $98.89 BCBS — BCBS Medicare PPO: $98.89 BCBS — BCBS Smart Health Care: $138.45
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: HC PHYS THRP EVAL, MODERATE COMPLEXITY, 30 MIN	$402	$98	$80.40 – $329.64
Physical therapy evaluation (moderate complexity): 10 of 53 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $118.68 Aetna — Aetna Medicare: $98.90 Aetna Better Health — Aetna Better Health Dual Eligible: $103.85 Aetna Better Health — Aetna Better Health Medicaid: $237.99 BCBS — BCBS Dual Eligible: $93.96 BCBS — BCBS Ill MyBlue Plus POS: $133.52 BCBS — BCBS Medicaid: $237.99 BCBS — BCBS Medicare HMO: $98.90 BCBS — BCBS Medicare PPO: $98.90 BCBS — BCBS Smart Health Care: $138.46
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: HC PHYS THRP EVAL, HIGH COMPLEXITY, 45 MIN	$441	$98	$88.20 – $361.62
Physical therapy evaluation (high complexity): 10 of 49 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $118.69 Aetna — Aetna Medicare: $98.91 Aetna Better Health — Aetna Better Health Dual Eligible: $103.86 Aetna Better Health — Aetna Better Health Medicaid: $237.99 BCBS — BCBS Dual Eligible: $93.96 BCBS — BCBS Ill MyBlue Plus POS: $133.53 BCBS — BCBS Medicaid: $237.99 BCBS — BCBS Medicare HMO: $98.91 BCBS — BCBS Medicare PPO: $98.91 BCBS — BCBS Smart Health Care: $138.47
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: HC PSYTX PT&/FAMILY 30 MINUTES - 90832 - 91400003	$217	$189	$43.40 – $217
Psychotherapy, 30 minutes: 10 of 49 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $217 Aetna — Aetna Medicare: $189.27 Aetna Better Health — Aetna Better Health Dual Eligible: $198.73 Aetna Better Health — Aetna Better Health Medicaid: $162.42 BCBS — BCBS Dual Eligible: $179.81 BCBS — BCBS Ill MyBlue Plus POS: $217 BCBS — BCBS Medicaid: $162.42 BCBS — BCBS Medicare HMO: $189.27 BCBS — BCBS Medicare PPO: $189.27 BCBS — BCBS Smart Health Care: $217
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES - 90834 - 91400001	$332	$189	$66.40 – $332
Psychotherapy, 45 minutes: 10 of 49 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $227.12 Aetna — Aetna Medicare: $189.27 Aetna Better Health — Aetna Better Health Dual Eligible: $198.73 Aetna Better Health — Aetna Better Health Medicaid: $194.07 BCBS — BCBS Dual Eligible: $179.81 BCBS — BCBS Ill MyBlue Plus POS: $255.51 BCBS — BCBS Medicaid: $194.07 BCBS — BCBS Medicare HMO: $189.27 BCBS — BCBS Medicare PPO: $189.27 BCBS — BCBS Smart Health Care: $264.98
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: HC PSYCHOTHERAPY W/PATIENT 60 MINUTES - 90837 - 91400006	$473	$189	$94.60 – $473
Psychotherapy, 60 minutes: 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $227.12 Aetna — Aetna Medicare: $189.27 Aetna Better Health — Aetna Better Health Dual Eligible: $198.73 Aetna Better Health — Aetna Better Health Medicaid: $194.07 BCBS — BCBS Dual Eligible: $179.81 BCBS — BCBS Ill MyBlue Plus POS: $255.51 BCBS — BCBS Medicaid: $194.07 BCBS — BCBS Medicare HMO: $189.27 BCBS — BCBS Medicare PPO: $189.27 BCBS — BCBS Smart Health Care: $264.98
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: HC FAMILY PSYTX W/O PATIENT - 90846 - 91600001	$261	$189	$52.20 – $261
Family psychotherapy, without the patient: 10 of 46 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $227.12 Aetna — Aetna Medicare: $189.27 Aetna Better Health — Aetna Better Health Dual Eligible: $198.73 Aetna Better Health — Aetna Better Health Medicaid: $211.65 BCBS — BCBS Dual Eligible: $179.81 BCBS — BCBS Ill MyBlue Plus POS: $255.51 BCBS — BCBS Medicaid: $211.65 BCBS — BCBS Medicare HMO: $189.27 BCBS — BCBS Medicare PPO: $189.27 BCBS — BCBS Smart Health Care: $261
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: HC FAMILY PSYTX W/PATIENT - 90847 - 91600002	$287	$189	$57.40 – $287
Family psychotherapy, with the patient: 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $227.12 Aetna — Aetna Medicare: $189.27 Aetna Better Health — Aetna Better Health Dual Eligible: $198.73 Aetna Better Health — Aetna Better Health Medicaid: $211.65 BCBS — BCBS Dual Eligible: $179.81 BCBS — BCBS Ill MyBlue Plus POS: $255.51 BCBS — BCBS Medicaid: $211.65 BCBS — BCBS Medicare HMO: $189.27 BCBS — BCBS Medicare PPO: $189.27 BCBS — BCBS Smart Health Care: $264.98
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: HC GROUP PSYCHOTHERAPY - 90853 - 91500003	$388	$108	$24.98 – $388
Group psychotherapy: 10 of 49 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $130 Aetna — Aetna Medicare: $108.33 Aetna Better Health — Aetna Better Health Dual Eligible: $113.75 Aetna Better Health — Aetna Better Health Medicaid: $295.79 BCBS — BCBS Dual Eligible: $102.91 BCBS — BCBS Ill MyBlue Plus POS: $146.25 BCBS — BCBS Medicaid: $295.79 BCBS — BCBS Medicare HMO: $108.33 BCBS — BCBS Medicare PPO: $108.33 BCBS — BCBS Smart Health Care: $151.66
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: HC GROUP PSYCHOTHERAPY IOP	$388	$108	$24.98 – $388
Group psychotherapy: 10 of 42 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $130 Aetna — Aetna Medicare: $108.33 Aetna Better Health — Aetna Better Health Dual Eligible: $113.75 BCBS — BCBS Dual Eligible: $102.91 BCBS — BCBS Ill MyBlue Plus POS: $146.25 BCBS — BCBS Medicare HMO: $108.33 BCBS — BCBS Medicare PPO: $108.33 BCBS — BCBS Smart Health Care: $151.66 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $175.49 Celtic (Wellcare) — Celtic WellCare Complete (WellCare) Medicare: $108.33

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of breast lesion	$9,607	$4,175	$472.73 – $9,231.57
Removal of breast growth (open surgery): 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $5,010.35 Aetna — Aetna Commercial: $1,620 Aetna — Aetna Medicare: $4,175.29 Aetna Better Health — Aetna Better Health Dual Eligible: $4,384.05 Aetna Better Health — Aetna Better Health Medicaid: $1,670.60 BCBS — BCBS Dual Eligible: $3,966.53 BCBS — BCBS Ill MyBlue Plus POS: $5,636.64 BCBS — BCBS Medicaid: $1,670.60 BCBS — BCBS Medicare HMO: $4,175.29 BCBS — BCBS Medicare PPO: $4,175.29
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Total hip arthroplasty	$30,780	$13,690	$1,343.61 – $30,270.25
Total hip replacement: 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $16,428.90 Aetna — Aetna Commercial: $2,628 Aetna — Aetna Medicare: $13,690.75 Aetna Better Health — Aetna Better Health Dual Eligible: $14,375.29 Aetna Better Health — Aetna Better Health Medicaid: $11,914.35 BCBS — BCBS Dual Eligible: $13,006.21 BCBS — BCBS Ill MyBlue Plus POS: $18,482.51 BCBS — BCBS Medicaid: $11,914.35 BCBS — BCBS Medicare HMO: $13,690.75 BCBS — BCBS Medicare PPO: $13,690.75
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Total knee arthroplasty	$26,342	$13,690	$1,339.63 – $26,342
Total knee replacement: 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $16,428.90 Aetna — Aetna Commercial: $2,628 Aetna — Aetna Medicare: $13,690.75 Aetna Better Health — Aetna Better Health Dual Eligible: $14,375.29 Aetna Better Health — Aetna Better Health Medicaid: $11,914.35 BCBS — BCBS Dual Eligible: $13,006.21 BCBS — BCBS Ill MyBlue Plus POS: $18,482.51 BCBS — BCBS Medicaid: $11,914.35 BCBS — BCBS Medicare HMO: $13,690.75 BCBS — BCBS Medicare PPO: $13,690.75
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Sho arthrs srg decompression	$7,679.86	Not listed in the file	$173.56 – $6,143.89
Shoulder arthroscopy: shaving of shoulder bone: 10 of 14 insurance plan rates Aetna — Aetna Commercial: $1,620 Aetna Better Health — Aetna Better Health Medicaid: $2,686.13 BCBS — BCBS Medicaid: $2,686.13 Cigna — Cigna Commercial: $4,550 Cigna — CIGNA EXCHANGE: $558 County Care — CountyCare Medicaid: $2,820.44 Humana — Humana Medicaid: $2,686.13 Imagine Health Network, Inc — Imagine Health Network Commercial: $3,348 Meridian — Meridian Medicaid: $2,820.44 Molina — Molina Medicaid: $2,820.44
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Knee arthroscopy/surgery - 29881 - OR36029881	$14,849	$3,489	$579.07 – $11,879.20
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $4,186.98 Aetna — Aetna Medicare: $3,489.15 Aetna Better Health — Aetna Better Health Dual Eligible: $3,663.61 Aetna Better Health — Aetna Better Health Medicaid: $2,686.13 BCBS — BCBS Dual Eligible: $3,314.69 BCBS — BCBS Ill MyBlue Plus POS: $4,710.35 BCBS — BCBS Medicaid: $2,686.13 BCBS — BCBS Medicare HMO: $3,489.15 BCBS — BCBS Medicare PPO: $3,489.15 BCBS — BCBS Smart Health Care: $4,884.81
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Remove tonsils and adenoids	$8,198.75	$6,312	$287.86 – $8,198.75
Removal of tonsils and adenoids (under age 12): 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $7,575.25 Aetna — Aetna Commercial: $1,620 Aetna — Aetna Medicare: $6,312.71 Aetna Better Health — Aetna Better Health Dual Eligible: $6,628.35 Aetna Better Health — Aetna Better Health Medicaid: $2,492.42 BCBS — BCBS Dual Eligible: $5,997.07 BCBS — BCBS Ill MyBlue Plus POS: $8,198.75 BCBS — BCBS Medicaid: $2,492.42 BCBS — BCBS Medicare HMO: $6,312.71 BCBS — BCBS Medicare PPO: $6,312.71
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: HC EGD TRANSORAL DIAGNOSTIC	$4,886	$967	$121.59 – $4,550
Upper GI endoscopy (diagnostic): 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,160.62 Aetna — Aetna Commercial: $1,055 Aetna — Aetna Medicare: $967.18 Aetna Better Health — Aetna Better Health Dual Eligible: $1,015.54 Aetna Better Health — Aetna Better Health Medicaid: $1,211.13 BCBS — BCBS Dual Eligible: $918.82 BCBS — BCBS Ill MyBlue Plus POS: $1,305.69 BCBS — BCBS Medicaid: $1,211.13 BCBS — BCBS Medicare HMO: $967.18 BCBS — BCBS Medicare PPO: $967.18
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	$3,966	$967	$135.99 – $3,966
Upper GI endoscopy with biopsy: 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,160.62 Aetna — Aetna Commercial: $1,411 Aetna — Aetna Medicare: $967.18 Aetna Better Health — Aetna Better Health Dual Eligible: $1,015.54 Aetna Better Health — Aetna Better Health Medicaid: $1,211.13 BCBS — BCBS Dual Eligible: $918.82 BCBS — BCBS Ill MyBlue Plus POS: $1,305.69 BCBS — BCBS Medicaid: $1,211.13 BCBS — BCBS Medicare HMO: $967.18 BCBS — BCBS Medicare PPO: $967.18
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: HC COLONOSCOPY,DIAGNOSTIC	$4,752	$991	$183.37 – $4,550
Colonoscopy (diagnostic): 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,190 Aetna — Aetna Commercial: $1,411 Aetna — Aetna Medicare: $991.67 Aetna Better Health — Aetna Better Health Dual Eligible: $1,041.25 Aetna Better Health — Aetna Better Health Medicaid: $1,237.55 BCBS — BCBS Dual Eligible: $942.09 BCBS — BCBS Ill MyBlue Plus POS: $1,338.75 BCBS — BCBS Medicaid: $1,237.55 BCBS — BCBS Medicare HMO: $991.67 BCBS — BCBS Medicare PPO: $991.67
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: HC COLORECTAL CANCER SCREEN, COLONOSCOPY HIGH RISK - 45378 - 75000068	$4,752	$991	$183.37 – $4,550
Colonoscopy (diagnostic): 10 of 44 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,190 Aetna — Aetna Commercial: $1,411 Aetna — Aetna Medicare: $991.67 Aetna Better Health — Aetna Better Health Dual Eligible: $1,041.25 BCBS — BCBS Dual Eligible: $942.09 BCBS — BCBS Ill MyBlue Plus POS: $1,338.75 BCBS — BCBS Medicare HMO: $991.67 BCBS — BCBS Medicare PPO: $991.67 BCBS — BCBS Smart Health Care: $1,388.34 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $1,606.51
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: HC COLORECTAL CANCER SCRN, COLONOSCOPY NOT HIGH RISK - 45378 - 75000071	$4,752	$991	$183.37 – $4,550
Colonoscopy (diagnostic): 10 of 44 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,190 Aetna — Aetna Commercial: $1,411 Aetna — Aetna Medicare: $991.67 Aetna Better Health — Aetna Better Health Dual Eligible: $1,041.25 BCBS — BCBS Dual Eligible: $942.09 BCBS — BCBS Ill MyBlue Plus POS: $1,338.75 BCBS — BCBS Medicare HMO: $991.67 BCBS — BCBS Medicare PPO: $991.67 BCBS — BCBS Smart Health Care: $1,388.34 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $1,606.51
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: HC COLONOSCOPY,BIOPSY	$6,145	$1,276	$196.91 – $4,916
Colonoscopy with biopsy: 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,531.27 Aetna — Aetna Commercial: $1,411 Aetna — Aetna Medicare: $1,276.06 Aetna Better Health — Aetna Better Health Dual Eligible: $1,339.86 Aetna Better Health — Aetna Better Health Medicaid: $1,237.55 BCBS — BCBS Dual Eligible: $1,212.26 BCBS — BCBS Ill MyBlue Plus POS: $1,722.68 BCBS — BCBS Medicaid: $1,237.55 BCBS — BCBS Medicare HMO: $1,276.06 BCBS — BCBS Medicare PPO: $1,276.06
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: HC COLONOSCOPY,REMV LESN,SNARE	$6,145	$1,276	$246.84 – $14,761.60
Colonoscopy with removal of polyps (snare): 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,531.27 Aetna — Aetna Commercial: $1,411 Aetna — Aetna Medicare: $1,276.06 Aetna Better Health — Aetna Better Health Dual Eligible: $1,339.86 Aetna Better Health — Aetna Better Health Medicaid: $1,237.55 BCBS — BCBS Dual Eligible: $1,212.26 BCBS — BCBS Ill MyBlue Plus POS: $1,722.68 BCBS — BCBS Medicaid: $1,237.55 BCBS — BCBS Medicare HMO: $1,276.06 BCBS — BCBS Medicare PPO: $1,276.06
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy w/lesion removal	$18,452	$1,276	$246.84 – $14,761.60
Colonoscopy with removal of polyps (snare): 10 of 44 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,531.27 Aetna — Aetna Commercial: $1,411 Aetna — Aetna Medicare: $1,276.06 Aetna Better Health — Aetna Better Health Dual Eligible: $1,339.86 BCBS — BCBS Dual Eligible: $1,212.26 BCBS — BCBS Ill MyBlue Plus POS: $1,722.68 BCBS — BCBS Medicare HMO: $1,276.06 BCBS — BCBS Medicare PPO: $1,276.06 BCBS — BCBS Smart Health Care: $1,786.48 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $2,067.22
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: HC COLONOSCOPY FLEX ENDOSCOPE US	$4,783	$1,276	$248.67 – $4,550
Ultrasound of the lower bowel by endoscope: 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,531.27 Aetna — Aetna Commercial: $1,411 Aetna — Aetna Medicare: $1,276.06 Aetna Better Health — Aetna Better Health Dual Eligible: $1,339.86 Aetna Better Health — Aetna Better Health Medicaid: $1,237.55 BCBS — BCBS Dual Eligible: $1,212.26 BCBS — BCBS Ill MyBlue Plus POS: $1,722.68 BCBS — BCBS Medicaid: $1,237.55 BCBS — BCBS Medicare HMO: $1,276.06 BCBS — BCBS Medicare PPO: $1,276.06
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: HC COLORECTAL CANCER SCRN, COLONOSCOPY NOT HIGH RISK - G0121 - 75000071	$4,752	$991	$184.13 – $3,896.64
Screening colonoscopy (not high risk): 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,190 Aetna — Aetna Commercial: $1,411 Aetna — Aetna Medicare: $991.67 Aetna Better Health — Aetna Better Health Dual Eligible: $1,041.25 Aetna Better Health — Aetna Better Health Medicaid: $1,237.55 BCBS — BCBS Dual Eligible: $942.09 BCBS — BCBS Ill MyBlue Plus POS: $1,338.75 BCBS — BCBS Medicaid: $1,237.55 BCBS — BCBS Medicare HMO: $991.67 BCBS — BCBS Medicare PPO: $991.67
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic cholecystectomy	$26,618	$6,446	$750.83 – $21,294.40
Gallbladder removal by laparoscope: 10 of 50 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $7,736.10 Aetna — Aetna Medicare: $6,446.75 Aetna Better Health — Aetna Better Health Dual Eligible: $6,769.09 Aetna Better Health — Aetna Better Health Medicaid: $4,311.64 BCBS — BCBS Dual Eligible: $6,124.41 BCBS — BCBS Ill MyBlue Plus POS: $8,703.11 BCBS — BCBS Medicaid: $4,311.64 BCBS — BCBS Medicare HMO: $6,446.75 BCBS — BCBS Medicare PPO: $6,446.75 BCBS — BCBS Smart Health Care: $9,025.45
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp i/hern init reduc >5 yr	$23,139	$3,818	$599.41 – $18,511.20
Groin (inguinal) hernia repair, age 5 or older: 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $4,581.62 Aetna — Aetna Commercial: $1,990 Aetna — Aetna Medicare: $3,818.02 Aetna Better Health — Aetna Better Health Dual Eligible: $4,008.92 Aetna Better Health — Aetna Better Health Medicaid: $4,425 BCBS — BCBS Dual Eligible: $3,627.12 BCBS — BCBS Ill MyBlue Plus POS: $5,154.33 BCBS — BCBS Medicaid: $4,425 BCBS — BCBS Medicare HMO: $3,818.02 BCBS — BCBS Medicare PPO: $3,818.02
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy of prostate - 55700 - OR36055700	$9,936	$2,138	$488 – $8,194.40
Prostate biopsy: 10 of 49 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $2,565.78 Aetna — Aetna Medicare: $2,138.15 Aetna Better Health — Aetna Better Health Dual Eligible: $2,245.06 Aetna Better Health — Aetna Better Health Medicaid: $2,137.83 BCBS — BCBS Dual Eligible: $2,031.24 BCBS — BCBS Ill MyBlue Plus POS: $2,886.50 BCBS — BCBS Medicaid: $2,137.83 BCBS — BCBS Medicare HMO: $2,138.15 BCBS — BCBS Medicare PPO: $2,138.15 BCBS — BCBS Smart Health Care: $2,993.41
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: HC BIOPSY OF PROSTATE,NEEDLE/PUNCH	$10,243	$2,138	$488 – $8,194.40
Prostate biopsy: 10 of 42 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $2,565.78 Aetna — Aetna Medicare: $2,138.15 Aetna Better Health — Aetna Better Health Dual Eligible: $2,245.06 BCBS — BCBS Dual Eligible: $2,031.24 BCBS — BCBS Ill MyBlue Plus POS: $2,886.50 BCBS — BCBS Medicare HMO: $2,138.15 BCBS — BCBS Medicare PPO: $2,138.15 BCBS — BCBS Smart Health Care: $2,993.41 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $3,463.80 Celtic (Wellcare) — Celtic WellCare Complete (WellCare) Medicare: $2,138.15
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPS SURG PRST8ECT RPBIC RAD	$117,092.75	$11,335	$1,210.66 – $93,674.20
Prostate removal by laparoscope (radical prostatectomy): 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $13,602.36 Aetna — Aetna Commercial: $2,268 Aetna — Aetna Medicare: $11,335.30 Aetna Better Health — Aetna Better Health Dual Eligible: $11,902.07 Aetna Better Health — Aetna Better Health Medicaid: $5,526.29 BCBS — BCBS Dual Eligible: $10,768.54 BCBS — BCBS Ill MyBlue Plus POS: $15,302.66 BCBS — BCBS Medicaid: $5,526.29 BCBS — BCBS Medicare HMO: $11,335.30 BCBS — BCBS Medicare PPO: $11,335.30
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy biopsy	$10,325	$3,451	$236.73 – $8,260
Hysteroscopy with biopsy of the uterus lining: 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $4,142.35 Aetna — Aetna Commercial: $1,620 Aetna — Aetna Medicare: $3,451.96 Aetna Better Health — Aetna Better Health Dual Eligible: $3,624.56 Aetna Better Health — Aetna Better Health Medicaid: $2,918.62 BCBS — BCBS Dual Eligible: $3,279.36 BCBS — BCBS Ill MyBlue Plus POS: $4,660.15 BCBS — BCBS Medicaid: $2,918.62 BCBS — BCBS Medicare HMO: $3,451.96 BCBS — BCBS Medicare PPO: $3,451.96
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Njx interlaminar lmbr/sac	$5,578	$752	$97.07 – $4,550
Spinal injection, lower back (epidural), with imaging guidance: 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $903.26 Aetna — Aetna Commercial: $1,055 Aetna — Aetna Medicare: $752.72 Aetna Better Health — Aetna Better Health Dual Eligible: $790.36 Aetna Better Health — Aetna Better Health Medicaid: $959.35 BCBS — BCBS Dual Eligible: $715.08 BCBS — BCBS Ill MyBlue Plus POS: $1,016.17 BCBS — BCBS Medicaid: $959.35 BCBS — BCBS Medicare HMO: $752.72 BCBS — BCBS Medicare PPO: $752.72
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: HC NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL	$2,516	$943	$107.48 – $6,008
Nerve root injection, lower back, with imaging guidance: 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,131.80 Aetna — Aetna Commercial: $1,055 Aetna — Aetna Medicare: $943.17 Aetna Better Health — Aetna Better Health Dual Eligible: $990.33 Aetna Better Health — Aetna Better Health Medicaid: $959.35 BCBS — BCBS Dual Eligible: $896.01 BCBS — BCBS Ill MyBlue Plus POS: $1,273.28 BCBS — BCBS Medicaid: $959.35 BCBS — BCBS Medicare HMO: $943.17 BCBS — BCBS Medicare PPO: $943.17
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Njx aa&/strd tfrm epi l/s 1	$7,510	$943	$107.48 – $6,008
Nerve root injection, lower back, with imaging guidance: 10 of 45 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,131.80 Aetna — Aetna Commercial: $1,055 Aetna — Aetna Medicare: $943.17 Aetna Better Health — Aetna Better Health Dual Eligible: $990.33 BCBS — BCBS Dual Eligible: $896.01 BCBS — BCBS Ill MyBlue Plus POS: $1,273.28 BCBS — BCBS Medicare HMO: $943.17 BCBS — BCBS Medicare PPO: $943.17 BCBS — BCBS Smart Health Care: $1,320.44 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $1,527.94
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Carpal tunnel surgery	$8,020	$2,082	$468.29 – $6,416
Carpal tunnel release: 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $2,498.78 Aetna — Aetna Commercial: $1,411 Aetna — Aetna Medicare: $2,082.32 Aetna Better Health — Aetna Better Health Dual Eligible: $2,186.44 Aetna Better Health — Aetna Better Health Medicaid: $1,690.80 BCBS — BCBS Dual Eligible: $1,978.20 BCBS — BCBS Ill MyBlue Plus POS: $2,811.13 BCBS — BCBS Medicaid: $1,690.80 BCBS — BCBS Medicare HMO: $2,082.32 BCBS — BCBS Medicare PPO: $2,082.32

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	$86,693	$62,472.96 – $230,315.95
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 41 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $104,031.60 Aetna — Aetna Medicare: $80,140.10 Aetna Better Health — Aetna Better Health Dual Eligible: $84,147.11 BCBS — BCBS Blue Choice: $101,723.02 BCBS — BCBS Blue Choice Options: $99,791.90 BCBS — BCBS Blue Choice Preferred: $100,274.68 BCBS — BCBS Dual Eligible: $76,133.10 BCBS — BCBS HMO: $112,046.32 BCBS — BCBS Ill MyBlue Plus POS: $108,366.25 BCBS — BCBS Medicare HMO: $80,140.10
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	$18,526	$12,317.96 – $31,180.22
Hip or knee replacement (major joint of the leg), without major complications: 10 of 41 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $22,231.60 Aetna — Aetna Medicare: $17,234.30 Aetna Better Health — Aetna Better Health Dual Eligible: $18,096.02 BCBS — BCBS Blue Choice: $20,056.99 BCBS — BCBS Blue Choice Options: $19,676.23 BCBS — BCBS Blue Choice Preferred: $19,771.42 BCBS — BCBS Dual Eligible: $16,372.59 BCBS — BCBS HMO: $22,092.46 BCBS — BCBS Ill MyBlue Plus POS: $23,157.91 BCBS — BCBS Medicare HMO: $17,234.30
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CCMCC	Not listed in the file	$22,973	$20,271.38 – $37,217.26
Neck (cervical) spinal fusion, without complications: 10 of 41 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $27,568.34 Aetna — Aetna Medicare: $21,338.30 Aetna Better Health — Aetna Better Health Dual Eligible: $22,405.22 BCBS — BCBS Blue Choice: $25,385 BCBS — BCBS Blue Choice Options: $24,903.09 BCBS — BCBS Blue Choice Preferred: $25,023.57 BCBS — BCBS Dual Eligible: $20,271.39 BCBS — BCBS HMO: $27,961.19 BCBS — BCBS Ill MyBlue Plus POS: $28,717.03 BCBS — BCBS Medicare HMO: $21,338.30
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CCMCC	Not listed in the file	$12,553	$7,923.11 – $26,152.66
Uterus and ovary surgery (not for cancer), without complications: 10 of 41 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $15,063.85 Aetna — Aetna Medicare: $11,722.10 Aetna Better Health — Aetna Better Health Dual Eligible: $12,308.21 BCBS — BCBS Blue Choice: $12,900.98 BCBS — BCBS Blue Choice Options: $12,656.07 BCBS — BCBS Blue Choice Preferred: $12,717.30 BCBS — BCBS Dual Eligible: $11,136 BCBS — BCBS HMO: $14,210.23 BCBS — BCBS Ill MyBlue Plus POS: $15,691.51 BCBS — BCBS Medicare HMO: $11,722.10

Source: Presence Saints Mary and Elizabeth Medical Center’s standard charges file (saintmaryofnazarethhospital.com, JSON, CMS template 3.0; it can be a very large file), last updated by the hospital on September 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	2233 W Division St, Chicago, IL 60622
County	Cook County
State	Illinois
Phone	(312) 770‑2000
Emergency services	Yes
Ownership	Voluntary non-profit - Church
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	140180
Name in Medicare records	PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	Saint Mary of Nazareth Hospital
Official website	saintmaryofnazarethhospital.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Saint Mary of Nazareth Hospital — saintmaryofnazarethhospital.com
Our Services — saintmaryofnazarethhospital.com
Visitor Information — saintmaryofnazarethhospital.com
Awards & Recognition | Saint Mary of Nazareth Hospital — saintmaryofnazarethhospital.com
Neuromuscular Physical Therapy Services | Saint Mary of Nazareth Hospital — saintmaryofnazarethhospital.com
Breast Cancer Recovery and Lymphedema Care | Saint Mary of Nazareth Hospital — saintmaryofnazarethhospital.com