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Critical Access Hospital

Red Bud Regional Hospital

Red Bud, Illinois · Randolph County · Emergency services listed

Summary

Red Bud Regional Hospital is a critical access hospital in Red Bud, Illinois. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 52 services, specialties and programs. Medicare lists 92 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

Call(618) 282‑3831 Directions Website Medicare profile
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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
25Beds (hospital website)
92Doctors and clinicians
52Services listed

Quick answers

Does Red Bud Regional Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Red Bud Regional Hospital. In a medical emergency, call 911.
Where is Red Bud Regional Hospital?
325 Spring Street, Red Bud, IL 62278, in Randolph County, Illinois.
What is the phone number of Red Bud Regional Hospital?
(618) 282-3831, as listed by Medicare (CMS).
What is the Medicare star rating of Red Bud Regional Hospital?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[5][11]

Conditions treated[5][13]

Treatments[5][8][12][15]

  • IV infusions
  • Blood transfusions
  • IV antibiotics and antifungals
  • Heart and event monitoring
  • Pulmonary function testing
  • Spirometry
  • Methacholine challenge
  • 6-minute walk study
  • Arterial blood gas testing
  • Wound care
  • Diagnostic imaging
  • Mammography
  • Microbiology lab testing
  • Hematology lab testing
  • Chemistry lab testing
  • Coagulation lab testing
  • Blood bank

Procedures[11]

Programs and centers[5][8][12][15]

  • Swing Bed Program
  • Senior Emotional Health
  • Breast Health
  • Walk-In Clinic
  • Outpatient Service Center
  • Free mammogram program (Illinois Breast and Cervical Cancer Program)
  • Laboratory Fast Track for standing lab orders

Emergency care (hospital website)[5][9][14]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingMed/Surg unit visiting 8 a.m.-7 p.m. daily; visitors under 16 need pre-approval[7]
Patient portalHospital patient portal

Recognition[10]

  • Gold Seal of Accreditation, The Joint Commission
  • Chest Pain Accreditation, Society of Cardiovascular Patient Care
  • Mammography Accreditation, American College of Radiology

Doctors and clinicians (92)

92 doctors and other clinicians list Red Bud Regional 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 (92)

And 68 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 →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well5 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines4 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean5 of 5 stars
Quiet at night5 of 5 stars
Rated the hospital 9 or 10 out of 1078%National average: 72%
Would definitely recommend the hospital70%National average: 71%
Nurses “always” communicated well84%National average: 80%
Doctors “always” communicated well79%National average: 80%
Staff “always” explained medicines before giving them71%National average: 62%
Were given information about recovery at home86%National average: 86%
Room and bathroom “always” clean87%National average: 74%
Area around the room “always” quiet at night71%National average: 60%
Completed surveys145Response rate: 32%

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 infections0.784No different from 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 patientsToo few cases to report
Deaths within 30 days: heart failure patients10.8%
Deaths within 30 days: pneumonia patients15.6%
Deaths within 30 days: COPD patientsToo few cases to report
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 attackToo few cases to report
Readmitted within 30 days: heart failure23.3%
Readmitted within 30 days: pneumonia17.6%
Readmitted within 30 days: COPD20.5%
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)122 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)100%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in IllinoisBest hospitals in Illinois

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Red Bud Regional Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES $249 $87.15 $87.15 – $194.22
New patient office visit (about 30–44 minutes): rates for 7 insurance plans
  • Cigna — Commercial: $130.73
  • ClaimDoc — Commercial: $97.26
  • Humana ChoiceCare — Commercial: $194.22
  • Multiplan Complementary — Commercial: $179.28
  • Multiplan Primary — Commercial: $149.40
  • Prime Health Services — Commercial/PPO: $186.75
  • Self-Pay — Commercial: $87.15
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99244=RVU--> BILL 99203 $249 $87.15 $87.15 – $194.22
New patient office visit (about 30–44 minutes): rates for 7 insurance plans
  • Cigna — Commercial: $130.73
  • ClaimDoc — Commercial: $97.26
  • Humana ChoiceCare — Commercial: $194.22
  • Multiplan Complementary — Commercial: $179.28
  • Multiplan Primary — Commercial: $149.40
  • Prime Health Services — Commercial/PPO: $186.75
  • Self-Pay — Commercial: $87.15
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99205= RVU --> BILL 99203 $249 $87.15 $87.15 – $194.22
New patient office visit (about 30–44 minutes): rates for 7 insurance plans
  • Cigna — Commercial: $130.73
  • ClaimDoc — Commercial: $97.26
  • Humana ChoiceCare — Commercial: $194.22
  • Multiplan Complementary — Commercial: $179.28
  • Multiplan Primary — Commercial: $149.40
  • Prime Health Services — Commercial/PPO: $186.75
  • Self-Pay — Commercial: $87.15
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES $369 $129.15 $129.15 – $287.82
New patient office visit (about 45–59 minutes): rates for 7 insurance plans
  • Cigna — Commercial: $193.73
  • ClaimDoc — Commercial: $157.99
  • Humana ChoiceCare — Commercial: $287.82
  • Multiplan Complementary — Commercial: $265.68
  • Multiplan Primary — Commercial: $221.40
  • Prime Health Services — Commercial/PPO: $276.75
  • Self-Pay — Commercial: $129.15
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES $451 $157.85 $157.85 – $351.78
New patient office visit (about 60–74 minutes): rates for 7 insurance plans
  • Cigna — Commercial: $236.78
  • ClaimDoc — Commercial: $215.18
  • Humana ChoiceCare — Commercial: $351.78
  • Multiplan Complementary — Commercial: $324.72
  • Multiplan Primary — Commercial: $270.60
  • Prime Health Services — Commercial/PPO: $338.25
  • Self-Pay — Commercial: $157.85
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99214= RVU --> BILL 99213 $170 $59.50 $59.50 – $132.60
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans
  • Cigna — Commercial: $89.25
  • ClaimDoc — Commercial: $77.70
  • Humana ChoiceCare — Commercial: $132.60
  • Multiplan Complementary — Commercial: $122.40
  • Multiplan Primary — Commercial: $102
  • Prime Health Services — Commercial/PPO: $127.50
  • Self-Pay — Commercial: $59.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99245=RVU--> BILL 99213 $170 $59.50 $59.50 – $132.60
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans
  • Cigna — Commercial: $89.25
  • ClaimDoc — Commercial: $77.70
  • Humana ChoiceCare — Commercial: $132.60
  • Multiplan Complementary — Commercial: $122.40
  • Multiplan Primary — Commercial: $102
  • Prime Health Services — Commercial/PPO: $127.50
  • Self-Pay — Commercial: $59.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN $170 $59.50 $59.50 – $132.60
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans
  • Cigna — Commercial: $89.25
  • ClaimDoc — Commercial: $77.70
  • Humana ChoiceCare — Commercial: $132.60
  • Multiplan Complementary — Commercial: $122.40
  • Multiplan Primary — Commercial: $102
  • Prime Health Services — Commercial/PPO: $127.50
  • Self-Pay — Commercial: $59.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN $248 $86.80 $86.80 – $193.44
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans
  • Cigna — Commercial: $130.20
  • ClaimDoc — Commercial: $114.44
  • Humana ChoiceCare — Commercial: $193.44
  • Multiplan Complementary — Commercial: $178.56
  • Multiplan Primary — Commercial: $148.80
  • Prime Health Services — Commercial/PPO: $186
  • Self-Pay — Commercial: $86.80
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $250 $87.50 $87.50 – $195
Office consultation with a specialist (moderate): rates for 6 insurance plans
  • Cigna — Commercial: $131.25
  • Humana ChoiceCare — Commercial: $195
  • Multiplan Complementary — Commercial: $180
  • Multiplan Primary — Commercial: $150
  • Prime Health Services — Commercial/PPO: $187.50
  • Self-Pay — Commercial: $87.50
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES $365 $127.75 $127.75 – $284.70
Office consultation with a specialist (moderate to high): rates for 6 insurance plans
  • Cigna — Commercial: $191.63
  • Humana ChoiceCare — Commercial: $284.70
  • Multiplan Complementary — Commercial: $262.80
  • Multiplan Primary — Commercial: $219
  • Prime Health Services — Commercial/PPO: $273.75
  • Self-Pay — Commercial: $127.75
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS $260 $91 $91 – $202.80
Preventive checkup, new patient, age 18–39: rates for 6 insurance plans
  • Cigna — Commercial: $136.50
  • Humana ChoiceCare — Commercial: $202.80
  • Multiplan Complementary — Commercial: $187.20
  • Multiplan Primary — Commercial: $156
  • Prime Health Services — Commercial/PPO: $195
  • Self-Pay — Commercial: $91
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS $309 $108.15 $108.15 – $241.02
Preventive checkup, new patient, age 40–64: rates for 6 insurance plans
  • Cigna — Commercial: $162.23
  • Humana ChoiceCare — Commercial: $241.02
  • Multiplan Complementary — Commercial: $222.48
  • Multiplan Primary — Commercial: $185.40
  • Prime Health Services — Commercial/PPO: $231.75
  • Self-Pay — Commercial: $108.15
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INTERMEDIATE ED VIST $1,456.94 $378.81 $276.82 – $1,239
Emergency room visit (moderate): 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $291.39
  • Aetna — POS/PPO: $378.80
  • Aetna Better Health of Illinois — Medicare Advantage: $291.39
  • Alliance Coal — Medicare Advantage: $480.79
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $415.23
  • Blue Cross and Blue Shield of Illinois — HMO: $451.65
  • Blue Cross and Blue Shield of Illinois — PPO: $451.65
  • Cigna — Commercial: $764.89
  • ClaimDoc — Commercial: $349.67
  • Deaconess OneCare — Commercial: $684.76
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INTERMEDIATE ED VIST $1,456.94 $378.81 $378.80 – $1,136.41
Emergency room visit (moderate): 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $378.80
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $456.02
  • Blue Cross and Blue Shield of Illinois — HMO: $495.36
  • Blue Cross and Blue Shield of Illinois — PPO: $495.36
  • Cigna — Commercial: $764.89
  • Deaconess OneCare — Commercial: $641.05
  • DHP — Commercial: $728.47
  • Hope Trust — Commercial: $509.93
  • Humana ChoiceCare — Commercial: $1,136.41
  • Multiplan Complementary — Commercial: $1,049
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ED VISIT LOW MDM $212 $74.20 $74.20 – $165.36
Emergency room visit (moderate): rates for 7 insurance plans
  • Cigna — Commercial: $111.30
  • ClaimDoc — Commercial: $84.73
  • Humana ChoiceCare — Commercial: $165.36
  • Multiplan Complementary — Commercial: $152.64
  • Multiplan Primary — Commercial: $127.20
  • Prime Health Services — Commercial/PPO: $159
  • Self-Pay — Commercial: $74.20
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXTENDED ED VISIT $1,763.12 $458.42 $334.99 – $1,454.57
Emergency room visit (moderately high): 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $352.62
  • Aetna — POS/PPO: $458.41
  • Aetna Better Health of Illinois — Medicare Advantage: $352.62
  • Alliance Coal — Medicare Advantage: $581.83
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $502.49
  • Blue Cross and Blue Shield of Illinois — HMO: $546.57
  • Blue Cross and Blue Shield of Illinois — PPO: $546.57
  • Cigna — Commercial: $925.64
  • ClaimDoc — Commercial: $423.15
  • Deaconess OneCare — Commercial: $828.67
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXTENDED ED VISIT $1,763.12 $458.42 $458.41 – $1,375.23
Emergency room visit (moderately high): 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $458.41
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $551.86
  • Blue Cross and Blue Shield of Illinois — HMO: $599.46
  • Blue Cross and Blue Shield of Illinois — PPO: $599.46
  • Cigna — Commercial: $925.64
  • Deaconess OneCare — Commercial: $775.77
  • DHP — Commercial: $881.56
  • Hope Trust — Commercial: $617.09
  • Humana ChoiceCare — Commercial: $1,375.23
  • Multiplan Complementary — Commercial: $1,269.45
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ED VISIT MODERATE MDM $315 $110.25 $110.25 – $245.70
Emergency room visit (moderately high): rates for 7 insurance plans
  • Cigna — Commercial: $165.38
  • ClaimDoc — Commercial: $144.90
  • Humana ChoiceCare — Commercial: $245.70
  • Multiplan Complementary — Commercial: $226.80
  • Multiplan Primary — Commercial: $189
  • Prime Health Services — Commercial/PPO: $236.25
  • Self-Pay — Commercial: $110.25
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE ED VST $2,247.88 $584.45 $427.10 – $2,079
Emergency room visit (high): 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $449.58
  • Aetna — POS/PPO: $584.45
  • Aetna Better Health of Illinois — Medicare Advantage: $449.58
  • Alliance Coal — Medicare Advantage: $741.80
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $640.65
  • Blue Cross and Blue Shield of Illinois — HMO: $696.84
  • Blue Cross and Blue Shield of Illinois — PPO: $696.84
  • Cigna — Commercial: $1,180.14
  • ClaimDoc — Commercial: $539.49
  • Deaconess OneCare — Commercial: $1,056.50
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE ED VST $2,247.88 $584.45 $584.45 – $1,753.35
Emergency room visit (high): 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $584.45
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $703.59
  • Blue Cross and Blue Shield of Illinois — HMO: $764.28
  • Blue Cross and Blue Shield of Illinois — PPO: $764.28
  • Cigna — Commercial: $1,180.14
  • Deaconess OneCare — Commercial: $989.07
  • DHP — Commercial: $1,123.94
  • Hope Trust — Commercial: $786.76
  • Humana ChoiceCare — Commercial: $1,753.35
  • Multiplan Complementary — Commercial: $1,618.47
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ED VISIT HIGH MDM $469 $164.15 $164.15 – $365.82
Emergency room visit (high): rates for 7 insurance plans
  • Cigna — Commercial: $246.23
  • ClaimDoc — Commercial: $210.35
  • Humana ChoiceCare — Commercial: $365.82
  • Multiplan Complementary — Commercial: $337.68
  • Multiplan Primary — Commercial: $281.40
  • Prime Health Services — Commercial/PPO: $351.75
  • Self-Pay — Commercial: $164.15

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABO CA TOTA $764.26 $198.71 $17.04 – $630.51
Basic metabolic panel (blood test): 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $152.85
  • Aetna — POS/PPO: $198.71
  • Aetna Better Health of Illinois — Medicare Advantage: $152.85
  • Alliance Coal — Medicare Advantage: $152.85
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $217.81
  • Blue Cross and Blue Shield of Illinois — HMO: $236.92
  • Blue Cross and Blue Shield of Illinois — PPO: $236.92
  • Cigna — Commercial: $401.24
  • ClaimDoc — Commercial: $183.42
  • Deaconess OneCare — Commercial: $152.85
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABO CA TOTA $764.26 $198.71 $198.71 – $596.12
Basic metabolic panel (blood test): 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $198.71
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $239.21
  • Blue Cross and Blue Shield of Illinois — HMO: $259.85
  • Blue Cross and Blue Shield of Illinois — PPO: $259.85
  • Cigna — Commercial: $401.24
  • Deaconess OneCare — Commercial: $336.27
  • DHP — Commercial: $382.13
  • Hope Trust — Commercial: $267.49
  • Humana ChoiceCare — Commercial: $596.12
  • Multiplan Complementary — Commercial: $550.27
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG BASIC METABOLIC PANEL CALCIUM TOTAL $49 $17.15 $10.58 – $38.22
Basic metabolic panel (blood test): rates for 7 insurance plans
  • Cigna — Commercial: $25.73
  • ClaimDoc — Commercial: $10.58
  • Humana ChoiceCare — Commercial: $38.22
  • Multiplan Complementary — Commercial: $35.28
  • Multiplan Primary — Commercial: $29.40
  • Prime Health Services — Commercial/PPO: $36.75
  • Self-Pay — Commercial: $17.15
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP METAB PANEL $929.58 $241.70 $21.26 – $766.90
Comprehensive metabolic panel (blood test): 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $185.92
  • Aetna — POS/PPO: $241.69
  • Aetna Better Health of Illinois — Medicare Advantage: $185.92
  • Alliance Coal — Medicare Advantage: $185.92
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $264.93
  • Blue Cross and Blue Shield of Illinois — HMO: $288.17
  • Blue Cross and Blue Shield of Illinois — PPO: $288.17
  • Cigna — Commercial: $488.03
  • ClaimDoc — Commercial: $223.10
  • Deaconess OneCare — Commercial: $185.92
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMP METAB PANEL $929.58 $241.70 $241.69 – $725.07
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $241.69
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $290.96
  • Blue Cross and Blue Shield of Illinois — HMO: $316.06
  • Blue Cross and Blue Shield of Illinois — PPO: $316.06
  • Cigna — Commercial: $488.03
  • Deaconess OneCare — Commercial: $409.02
  • DHP — Commercial: $464.79
  • Hope Trust — Commercial: $325.35
  • Humana ChoiceCare — Commercial: $725.07
  • Multiplan Complementary — Commercial: $669.30
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPREHENSIVE METABOLIC PANEL $67 $23.45 $13.20 – $52.26
Comprehensive metabolic panel (blood test): rates for 7 insurance plans
  • Cigna — Commercial: $35.18
  • ClaimDoc — Commercial: $13.20
  • Humana ChoiceCare — Commercial: $52.26
  • Multiplan Complementary — Commercial: $48.24
  • Multiplan Primary — Commercial: $40.20
  • Prime Health Services — Commercial/PPO: $50.25
  • Self-Pay — Commercial: $23.45
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL $2,987 $776.62 $76.96 – $2,464.28
Obstetric blood test panel: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $597.40
  • Aetna — POS/PPO: $776.62
  • Aetna Better Health of Illinois — Medicare Advantage: $597.40
  • Alliance Coal — Medicare Advantage: $597.40
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $851.30
  • Blue Cross and Blue Shield of Illinois — HMO: $925.97
  • Blue Cross and Blue Shield of Illinois — PPO: $925.97
  • Cigna — Commercial: $1,568.18
  • ClaimDoc — Commercial: $716.88
  • Deaconess OneCare — Commercial: $597.40
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL $2,987 $776.62 $776.62 – $2,329.86
Obstetric blood test panel: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $776.62
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $934.93
  • Blue Cross and Blue Shield of Illinois — HMO: $1,015.58
  • Blue Cross and Blue Shield of Illinois — PPO: $1,015.58
  • Cigna — Commercial: $1,568.18
  • Deaconess OneCare — Commercial: $1,314.28
  • DHP — Commercial: $1,493.50
  • Hope Trust — Commercial: $1,045.45
  • Humana ChoiceCare — Commercial: $2,329.86
  • Multiplan Complementary — Commercial: $2,150.64
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $1,074.81 $279.46 $42.02 – $886.72
Cholesterol panel (lipid panel): 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $214.96
  • Aetna — POS/PPO: $279.45
  • Aetna Better Health of Illinois — Medicare Advantage: $214.96
  • Alliance Coal — Medicare Advantage: $214.96
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $306.32
  • Blue Cross and Blue Shield of Illinois — HMO: $333.19
  • Blue Cross and Blue Shield of Illinois — PPO: $333.19
  • Cigna — Commercial: $564.28
  • ClaimDoc — Commercial: $257.95
  • Deaconess OneCare — Commercial: $214.96
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL $1,074.81 $279.46 $279.45 – $838.35
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $279.45
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $336.42
  • Blue Cross and Blue Shield of Illinois — HMO: $365.44
  • Blue Cross and Blue Shield of Illinois — PPO: $365.44
  • Cigna — Commercial: $564.28
  • Deaconess OneCare — Commercial: $472.92
  • DHP — Commercial: $537.41
  • Hope Trust — Commercial: $376.18
  • Humana ChoiceCare — Commercial: $838.35
  • Multiplan Complementary — Commercial: $773.86
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Doctor (professional) fee In the file: LIPID PROFILE $89 $31.15 $16.74 – $69.42
Cholesterol panel (lipid panel): rates for 7 insurance plans
  • Cigna — Commercial: $46.73
  • ClaimDoc — Commercial: $16.74
  • Humana ChoiceCare — Commercial: $69.42
  • Multiplan Complementary — Commercial: $64.08
  • Multiplan Primary — Commercial: $53.40
  • Prime Health Services — Commercial/PPO: $66.75
  • Self-Pay — Commercial: $31.15
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $739.03 $192.15 $17.47 – $609.70
Kidney function panel: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $147.81
  • Aetna — POS/PPO: $192.15
  • Aetna Better Health of Illinois — Medicare Advantage: $147.81
  • Alliance Coal — Medicare Advantage: $147.81
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $210.62
  • Blue Cross and Blue Shield of Illinois — HMO: $229.10
  • Blue Cross and Blue Shield of Illinois — PPO: $229.10
  • Cigna — Commercial: $387.99
  • ClaimDoc — Commercial: $177.37
  • Deaconess OneCare — Commercial: $147.81
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $739.03 $192.15 $192.15 – $576.44
Kidney function panel: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $192.15
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $231.32
  • Blue Cross and Blue Shield of Illinois — HMO: $251.27
  • Blue Cross and Blue Shield of Illinois — PPO: $251.27
  • Cigna — Commercial: $387.99
  • Deaconess OneCare — Commercial: $325.17
  • DHP — Commercial: $369.52
  • Hope Trust — Commercial: $258.66
  • Humana ChoiceCare — Commercial: $576.44
  • Multiplan Complementary — Commercial: $532.10
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: RENAL PROFILE $45 $15.75 $10.85 – $35.10
Kidney function panel: rates for 7 insurance plans
  • Cigna — Commercial: $23.63
  • ClaimDoc — Commercial: $10.85
  • Humana ChoiceCare — Commercial: $35.10
  • Multiplan Complementary — Commercial: $32.40
  • Multiplan Primary — Commercial: $27
  • Prime Health Services — Commercial/PPO: $33.75
  • Self-Pay — Commercial: $15.75
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PAN $703.75 $182.98 $16.44 – $580.59
Liver function panel: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $140.75
  • Aetna — POS/PPO: $182.98
  • Aetna Better Health of Illinois — Medicare Advantage: $140.75
  • Alliance Coal — Medicare Advantage: $140.75
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $200.57
  • Blue Cross and Blue Shield of Illinois — HMO: $218.16
  • Blue Cross and Blue Shield of Illinois — PPO: $218.16
  • Cigna — Commercial: $369.47
  • ClaimDoc — Commercial: $168.90
  • Deaconess OneCare — Commercial: $140.75
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PAN $703.75 $182.98 $182.98 – $548.93
Liver function panel: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $182.98
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $220.27
  • Blue Cross and Blue Shield of Illinois — HMO: $239.28
  • Blue Cross and Blue Shield of Illinois — PPO: $239.28
  • Cigna — Commercial: $369.47
  • Deaconess OneCare — Commercial: $309.65
  • DHP — Commercial: $351.88
  • Hope Trust — Commercial: $246.31
  • Humana ChoiceCare — Commercial: $548.93
  • Multiplan Complementary — Commercial: $506.70
Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: HEPATIC (LIVER) FUNCTION PANEL $46 $16.10 $10.21 – $35.88
Liver function panel: rates for 7 insurance plans
  • Cigna — Commercial: $24.15
  • ClaimDoc — Commercial: $10.21
  • Humana ChoiceCare — Commercial: $35.88
  • Multiplan Complementary — Commercial: $33.12
  • Multiplan Primary — Commercial: $27.60
  • Prime Health Services — Commercial/PPO: $34.50
  • Self-Pay — Commercial: $16.10
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA, AUTO W-SCOPE $293.04 $76.20 $6.38 – $241.76
Urine test (automated, with microscope): 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $58.61
  • Aetna — POS/PPO: $76.19
  • Aetna Better Health of Illinois — Medicare Advantage: $58.61
  • Alliance Coal — Medicare Advantage: $58.61
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $83.52
  • Blue Cross and Blue Shield of Illinois — HMO: $90.84
  • Blue Cross and Blue Shield of Illinois — PPO: $90.84
  • Cigna — Commercial: $153.85
  • ClaimDoc — Commercial: $70.33
  • Deaconess OneCare — Commercial: $58.61
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA, AUTO W-SCOPE $293.04 $76.20 $76.19 – $228.57
Urine test (automated, with microscope): 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $76.19
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $91.72
  • Blue Cross and Blue Shield of Illinois — HMO: $99.63
  • Blue Cross and Blue Shield of Illinois — PPO: $99.63
  • Cigna — Commercial: $153.85
  • Deaconess OneCare — Commercial: $128.94
  • DHP — Commercial: $146.52
  • Hope Trust — Commercial: $102.56
  • Humana ChoiceCare — Commercial: $228.57
  • Multiplan Complementary — Commercial: $210.99
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY $23 $8.05 $3.96 – $17.94
Urine test (automated, with microscope): rates for 7 insurance plans
  • Cigna — Commercial: $12.08
  • ClaimDoc — Commercial: $3.96
  • Humana ChoiceCare — Commercial: $17.94
  • Multiplan Complementary — Commercial: $16.56
  • Multiplan Primary — Commercial: $13.80
  • Prime Health Services — Commercial/PPO: $17.25
  • Self-Pay — Commercial: $8.05
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA NONAUTO W-O SCOPE $128.24 $33.35 $5.14 – $105.80
Urine test (manual, without microscope): 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $25.65
  • Aetna — POS/PPO: $33.34
  • Aetna Better Health of Illinois — Medicare Advantage: $25.65
  • Alliance Coal — Medicare Advantage: $25.65
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $36.55
  • Blue Cross and Blue Shield of Illinois — HMO: $39.75
  • Blue Cross and Blue Shield of Illinois — PPO: $39.75
  • Cigna — Commercial: $67.33
  • ClaimDoc — Commercial: $30.78
  • Deaconess OneCare — Commercial: $25.65
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA NONAUTO W-O SCOPE $128.24 $33.35 $33.34 – $100.03
Urine test (manual, without microscope): 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $33.34
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $40.14
  • Blue Cross and Blue Shield of Illinois — HMO: $43.60
  • Blue Cross and Blue Shield of Illinois — PPO: $43.60
  • Cigna — Commercial: $67.33
  • Deaconess OneCare — Commercial: $56.43
  • DHP — Commercial: $64.12
  • Hope Trust — Commercial: $44.88
  • Humana ChoiceCare — Commercial: $100.03
  • Multiplan Complementary — Commercial: $92.33
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT URINE QUALITATIVE DIPSTICK ASCORBIC ACID $18 $6.30 $4.35 – $14.04
Urine test (manual, without microscope): rates for 7 insurance plans
  • Cigna — Commercial: $9.45
  • ClaimDoc — Commercial: $4.35
  • Humana ChoiceCare — Commercial: $14.04
  • Multiplan Complementary — Commercial: $12.96
  • Multiplan Primary — Commercial: $10.80
  • Prime Health Services — Commercial/PPO: $13.50
  • Self-Pay — Commercial: $6.30
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT KETONE, URINE $18 $6.30 $2.81 – $14.04
Urine test (automated, without microscope): rates for 7 insurance plans
  • Cigna — Commercial: $9.45
  • ClaimDoc — Commercial: $2.81
  • Humana ChoiceCare — Commercial: $14.04
  • Multiplan Complementary — Commercial: $12.96
  • Multiplan Primary — Commercial: $10.80
  • Prime Health Services — Commercial/PPO: $13.50
  • Self-Pay — Commercial: $6.30
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY $18 $6.30 $2.81 – $14.04
Urine test (automated, without microscope): rates for 7 insurance plans
  • Cigna — Commercial: $9.45
  • ClaimDoc — Commercial: $2.81
  • Humana ChoiceCare — Commercial: $14.04
  • Multiplan Complementary — Commercial: $12.96
  • Multiplan Primary — Commercial: $10.80
  • Prime Health Services — Commercial/PPO: $13.50
  • Self-Pay — Commercial: $6.30
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE Not listed in the file Not listed in the file $4.52
Urine test (automated, without microscope): rates for 1 insurance plan
  • United Healthcare — Commercial: $4.52
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA, TOTAL $603.07 $156.80 $37.01 – $497.53
PSA (prostate specific antigen) blood test: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $120.61
  • Aetna — POS/PPO: $156.80
  • Aetna Better Health of Illinois — Medicare Advantage: $120.61
  • Alliance Coal — Medicare Advantage: $120.61
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $171.87
  • Blue Cross and Blue Shield of Illinois — HMO: $186.95
  • Blue Cross and Blue Shield of Illinois — PPO: $186.95
  • Cigna — Commercial: $316.61
  • ClaimDoc — Commercial: $144.74
  • Deaconess OneCare — Commercial: $120.61
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA, TOTAL $603.07 $156.80 $156.80 – $470.39
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $156.80
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $188.76
  • Blue Cross and Blue Shield of Illinois — HMO: $205.04
  • Blue Cross and Blue Shield of Illinois — PPO: $205.04
  • Cigna — Commercial: $316.61
  • Deaconess OneCare — Commercial: $265.35
  • DHP — Commercial: $301.54
  • Hope Trust — Commercial: $211.07
  • Humana ChoiceCare — Commercial: $470.39
  • Multiplan Complementary — Commercial: $434.21
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL $50 $17.50 $17.50 – $39
PSA (prostate specific antigen) blood test: rates for 7 insurance plans
  • Cigna — Commercial: $26.25
  • ClaimDoc — Commercial: $22.99
  • Humana ChoiceCare — Commercial: $39
  • Multiplan Complementary — Commercial: $36
  • Multiplan Primary — Commercial: $30
  • Prime Health Services — Commercial/PPO: $37.50
  • Self-Pay — Commercial: $17.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIM TSH $457.06 $118.84 $33.79 – $377.07
Thyroid stimulating hormone (TSH) test: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $91.41
  • Aetna — POS/PPO: $118.84
  • Aetna Better Health of Illinois — Medicare Advantage: $91.41
  • Alliance Coal — Medicare Advantage: $91.41
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $130.26
  • Blue Cross and Blue Shield of Illinois — HMO: $141.69
  • Blue Cross and Blue Shield of Illinois — PPO: $141.69
  • Cigna — Commercial: $239.96
  • ClaimDoc — Commercial: $109.69
  • Deaconess OneCare — Commercial: $91.41
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THYROID STIM TSH $457.06 $118.84 $118.84 – $356.51
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $118.84
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $143.06
  • Blue Cross and Blue Shield of Illinois — HMO: $155.40
  • Blue Cross and Blue Shield of Illinois — PPO: $155.40
  • Cigna — Commercial: $239.96
  • Deaconess OneCare — Commercial: $201.11
  • DHP — Commercial: $228.53
  • Hope Trust — Commercial: $159.97
  • Humana ChoiceCare — Commercial: $356.51
  • Multiplan Complementary — Commercial: $329.08
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG ASSAY OF THYROID STIMULATING HORMONE TSH $96 $33.60 $21 – $74.88
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans
  • Cigna — Commercial: $50.40
  • ClaimDoc — Commercial: $21
  • Humana ChoiceCare — Commercial: $74.88
  • Multiplan Complementary — Commercial: $69.12
  • Multiplan Primary — Commercial: $57.60
  • Prime Health Services — Commercial/PPO: $72
  • Self-Pay — Commercial: $33.60
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W-PLT AUTO COMPD $439.04 $114.16 $15.64 – $362.21
Complete blood count (CBC) with differential: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $87.81
  • Aetna — POS/PPO: $114.15
  • Aetna Better Health of Illinois — Medicare Advantage: $87.81
  • Alliance Coal — Medicare Advantage: $87.81
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $125.13
  • Blue Cross and Blue Shield of Illinois — HMO: $136.10
  • Blue Cross and Blue Shield of Illinois — PPO: $136.10
  • Cigna — Commercial: $230.50
  • ClaimDoc — Commercial: $105.37
  • Deaconess OneCare — Commercial: $87.81
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W-PLT AUTO COMPD $439.04 $114.16 $114.15 – $342.45
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $114.15
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $137.42
  • Blue Cross and Blue Shield of Illinois — HMO: $149.27
  • Blue Cross and Blue Shield of Illinois — PPO: $149.27
  • Cigna — Commercial: $230.50
  • Deaconess OneCare — Commercial: $193.18
  • DHP — Commercial: $219.52
  • Hope Trust — Commercial: $153.66
  • Humana ChoiceCare — Commercial: $342.45
  • Multiplan Complementary — Commercial: $316.11
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: CBC W MANUAL DIFFERENTIAL $39 $13.65 $9.71 – $30.42
Complete blood count (CBC) with differential: rates for 7 insurance plans
  • Cigna — Commercial: $20.48
  • ClaimDoc — Commercial: $9.71
  • Humana ChoiceCare — Commercial: $30.42
  • Multiplan Complementary — Commercial: $28.08
  • Multiplan Primary — Commercial: $23.40
  • Prime Health Services — Commercial/PPO: $29.25
  • Self-Pay — Commercial: $13.65
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W-PLT $305.91 $79.54 $13.02 – $252.38
Complete blood count (CBC), automated: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $61.18
  • Aetna — POS/PPO: $79.54
  • Aetna Better Health of Illinois — Medicare Advantage: $61.18
  • Alliance Coal — Medicare Advantage: $61.18
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $87.18
  • Blue Cross and Blue Shield of Illinois — HMO: $94.83
  • Blue Cross and Blue Shield of Illinois — PPO: $94.83
  • Cigna — Commercial: $160.60
  • ClaimDoc — Commercial: $73.42
  • Deaconess OneCare — Commercial: $61.18
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W-PLT $305.91 $79.54 $79.54 – $238.61
Complete blood count (CBC), automated: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $79.54
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $95.75
  • Blue Cross and Blue Shield of Illinois — HMO: $104.01
  • Blue Cross and Blue Shield of Illinois — PPO: $104.01
  • Cigna — Commercial: $160.60
  • Deaconess OneCare — Commercial: $134.60
  • DHP — Commercial: $152.96
  • Hope Trust — Commercial: $107.07
  • Humana ChoiceCare — Commercial: $238.61
  • Multiplan Complementary — Commercial: $220.26
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT CBC W AUTO DIFF $39 $13.65 $8.09 – $30.42
Complete blood count (CBC), automated: rates for 7 insurance plans
  • Cigna — Commercial: $20.48
  • ClaimDoc — Commercial: $8.09
  • Humana ChoiceCare — Commercial: $30.42
  • Multiplan Complementary — Commercial: $28.08
  • Multiplan Primary — Commercial: $23.40
  • Prime Health Services — Commercial/PPO: $29.25
  • Self-Pay — Commercial: $13.65
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $176.65 $45.93 $7.91 – $145.74
Blood clotting time test (prothrombin time, PT): 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $35.33
  • Aetna — POS/PPO: $45.93
  • Aetna Better Health of Illinois — Medicare Advantage: $35.33
  • Alliance Coal — Medicare Advantage: $35.33
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $50.35
  • Blue Cross and Blue Shield of Illinois — HMO: $54.76
  • Blue Cross and Blue Shield of Illinois — PPO: $54.76
  • Cigna — Commercial: $92.74
  • ClaimDoc — Commercial: $42.40
  • Deaconess OneCare — Commercial: $35.33
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $176.65 $45.93 $45.93 – $137.79
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $45.93
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $55.29
  • Blue Cross and Blue Shield of Illinois — HMO: $60.06
  • Blue Cross and Blue Shield of Illinois — PPO: $60.06
  • Cigna — Commercial: $92.74
  • Deaconess OneCare — Commercial: $77.73
  • DHP — Commercial: $88.33
  • Hope Trust — Commercial: $61.83
  • Humana ChoiceCare — Commercial: $137.79
  • Multiplan Complementary — Commercial: $127.19
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG PROTHROMBIN TIME $26 $9.10 $5.36 – $20.28
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans
  • Cigna — Commercial: $13.65
  • ClaimDoc — Commercial: $5.36
  • Humana ChoiceCare — Commercial: $20.28
  • Multiplan Complementary — Commercial: $18.72
  • Multiplan Primary — Commercial: $15.60
  • Prime Health Services — Commercial/PPO: $19.50
  • Self-Pay — Commercial: $9.10
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLAST TIMEPTT $267.29 $69.50 $12.07 – $220.51
Blood clotting test (partial thromboplastin time, PTT): 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $53.46
  • Aetna — POS/PPO: $69.50
  • Aetna Better Health of Illinois — Medicare Advantage: $53.46
  • Alliance Coal — Medicare Advantage: $53.46
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $76.18
  • Blue Cross and Blue Shield of Illinois — HMO: $82.86
  • Blue Cross and Blue Shield of Illinois — PPO: $82.86
  • Cigna — Commercial: $140.33
  • ClaimDoc — Commercial: $64.15
  • Deaconess OneCare — Commercial: $53.46
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THROMBOPLAST TIMEPTT $267.29 $69.50 $69.50 – $208.49
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $69.50
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $83.66
  • Blue Cross and Blue Shield of Illinois — HMO: $90.88
  • Blue Cross and Blue Shield of Illinois — PPO: $90.88
  • Cigna — Commercial: $140.33
  • Deaconess OneCare — Commercial: $117.61
  • DHP — Commercial: $133.65
  • Hope Trust — Commercial: $93.55
  • Humana ChoiceCare — Commercial: $208.49
  • Multiplan Complementary — Commercial: $192.45
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Doctor (professional) fee In the file: APTT $33 $11.55 $7.51 – $25.74
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans
  • Cigna — Commercial: $17.33
  • ClaimDoc — Commercial: $7.51
  • Humana ChoiceCare — Commercial: $25.74
  • Multiplan Complementary — Commercial: $23.76
  • Multiplan Primary — Commercial: $19.80
  • Prime Health Services — Commercial/PPO: $24.75
  • Self-Pay — Commercial: $11.55

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 In the file: CT-HEAD WO $4,596.25 $1,195.03 $520 – $3,791.91
CT scan of the head or brain, without contrast: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $919.25
  • Aetna — POS/PPO: $1,195.03
  • Aetna Better Health of Illinois — Medicare Advantage: $919.25
  • Alliance Coal — Medicare Advantage: $1,516.76
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $1,309.93
  • Blue Cross and Blue Shield of Illinois — HMO: $1,424.84
  • Blue Cross and Blue Shield of Illinois — PPO: $1,424.84
  • Cigna — Commercial: $2,413.03
  • ClaimDoc — Commercial: $1,103.10
  • Deaconess OneCare — Commercial: $520
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-HEAD WO $4,596.25 $1,195.03 $1,195.03 – $3,585.08
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $1,195.03
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $1,438.63
  • Blue Cross and Blue Shield of Illinois — HMO: $1,562.73
  • Blue Cross and Blue Shield of Illinois — PPO: $1,562.73
  • Cigna — Commercial: $2,413.03
  • Deaconess OneCare — Commercial: $2,022.35
  • DHP — Commercial: $2,298.13
  • Hope Trust — Commercial: $1,608.69
  • Humana ChoiceCare — Commercial: $3,585.08
  • Multiplan Complementary — Commercial: $3,309.30
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL $210 $73.50 $73.50 – $163.80
CT scan of the head or brain, without contrast: rates for 7 insurance plans
  • Cigna — Commercial: $110.25
  • ClaimDoc — Commercial: $122.85
  • Humana ChoiceCare — Commercial: $163.80
  • Multiplan Complementary — Commercial: $151.20
  • Multiplan Primary — Commercial: $126
  • Prime Health Services — Commercial/PPO: $157.50
  • Self-Pay — Commercial: $73.50
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR-BRAIN WWO $11,338.50 $2,948.01 $955 – $9,354.26
MRI of the brain, before and after contrast: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $2,267.70
  • Aetna — POS/PPO: $2,948.01
  • Aetna Better Health of Illinois — Medicare Advantage: $2,267.70
  • Alliance Coal — Medicare Advantage: $3,741.71
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $3,231.47
  • Blue Cross and Blue Shield of Illinois — HMO: $3,514.94
  • Blue Cross and Blue Shield of Illinois — PPO: $3,514.94
  • Cigna — Commercial: $5,952.71
  • ClaimDoc — Commercial: $2,721.24
  • Deaconess OneCare — Commercial: $955
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR-BRAIN WWO $11,338.50 $2,948.01 $2,948.01 – $8,844.03
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $2,948.01
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $3,548.95
  • Blue Cross and Blue Shield of Illinois — HMO: $3,855.09
  • Blue Cross and Blue Shield of Illinois — PPO: $3,855.09
  • Cigna — Commercial: $5,952.71
  • Deaconess OneCare — Commercial: $4,988.94
  • DHP — Commercial: $5,669.25
  • Hope Trust — Commercial: $3,968.48
  • Humana ChoiceCare — Commercial: $8,844.03
  • Multiplan Complementary — Commercial: $8,163.72
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL $432 $151.20 $151.20 – $366.65
MRI of the brain, before and after contrast: rates for 7 insurance plans
  • Cigna — Commercial: $226.80
  • ClaimDoc — Commercial: $366.65
  • Humana ChoiceCare — Commercial: $336.96
  • Multiplan Complementary — Commercial: $311.04
  • Multiplan Primary — Commercial: $259.20
  • Prime Health Services — Commercial/PPO: $324
  • Self-Pay — Commercial: $151.20
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CH-CHEST 2V CR $1,194.03 $310.45 $226.87 – $985.07
Chest X-ray, 2 views: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $238.81
  • Aetna — POS/PPO: $310.45
  • Aetna Better Health of Illinois — Medicare Advantage: $238.81
  • Alliance Coal — Medicare Advantage: $394.03
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $340.30
  • Blue Cross and Blue Shield of Illinois — HMO: $370.15
  • Blue Cross and Blue Shield of Illinois — PPO: $370.15
  • Cigna — Commercial: $626.87
  • ClaimDoc — Commercial: $286.57
  • Deaconess OneCare — Commercial: $561.19
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CH-CHEST 2V CR $1,194.03 $310.45 $310.45 – $931.34
Chest X-ray, 2 views: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $310.45
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $373.73
  • Blue Cross and Blue Shield of Illinois — HMO: $405.97
  • Blue Cross and Blue Shield of Illinois — PPO: $405.97
  • Cigna — Commercial: $626.87
  • Deaconess OneCare — Commercial: $525.37
  • DHP — Commercial: $597.02
  • Hope Trust — Commercial: $417.91
  • Humana ChoiceCare — Commercial: $931.34
  • Multiplan Complementary — Commercial: $859.70
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RADIOLOGIC EXAM CHEST 2 VIEWS $126 $44.10 $38.16 – $98.28
Chest X-ray, 2 views: rates for 7 insurance plans
  • Cigna — Commercial: $66.15
  • ClaimDoc — Commercial: $38.16
  • Humana ChoiceCare — Commercial: $98.28
  • Multiplan Complementary — Commercial: $90.72
  • Multiplan Primary — Commercial: $75.60
  • Prime Health Services — Commercial/PPO: $94.50
  • Self-Pay — Commercial: $44.10
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SP-LS SPNE 4VPLUS CR $3,718.82 $966.90 $235 – $3,068.03
X-ray of the lower spine, at least 4 views: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $743.76
  • Aetna — POS/PPO: $966.89
  • Aetna Better Health of Illinois — Medicare Advantage: $743.76
  • Alliance Coal — Medicare Advantage: $1,227.21
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $1,059.86
  • Blue Cross and Blue Shield of Illinois — HMO: $1,152.83
  • Blue Cross and Blue Shield of Illinois — PPO: $1,152.83
  • Cigna — Commercial: $1,952.38
  • ClaimDoc — Commercial: $892.52
  • Deaconess OneCare — Commercial: $1,747.85
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SP-LS SPNE 4VPLUS CR $3,718.82 $966.90 $966.89 – $2,900.68
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $966.89
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $1,163.99
  • Blue Cross and Blue Shield of Illinois — HMO: $1,264.40
  • Blue Cross and Blue Shield of Illinois — PPO: $1,264.40
  • Cigna — Commercial: $1,952.38
  • Deaconess OneCare — Commercial: $1,636.28
  • DHP — Commercial: $1,859.41
  • Hope Trust — Commercial: $1,301.59
  • Humana ChoiceCare — Commercial: $2,900.68
  • Multiplan Complementary — Commercial: $2,677.55
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS $221 $77.35 $58.54 – $172.38
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans
  • Cigna — Commercial: $116.03
  • ClaimDoc — Commercial: $58.54
  • Humana ChoiceCare — Commercial: $172.38
  • Multiplan Complementary — Commercial: $159.12
  • Multiplan Primary — Commercial: $132.60
  • Prime Health Services — Commercial/PPO: $165.75
  • Self-Pay — Commercial: $77.35
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR-LUMB SPINE WO $8,572.43 $2,228.84 $955 – $7,072.25
MRI of the lower back (lumbar spine), without contrast: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $1,714.49
  • Aetna — POS/PPO: $2,228.83
  • Aetna Better Health of Illinois — Medicare Advantage: $1,714.49
  • Alliance Coal — Medicare Advantage: $2,828.90
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $2,443.14
  • Blue Cross and Blue Shield of Illinois — HMO: $2,657.45
  • Blue Cross and Blue Shield of Illinois — PPO: $2,657.45
  • Cigna — Commercial: $4,500.53
  • ClaimDoc — Commercial: $2,057.38
  • Deaconess OneCare — Commercial: $955
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR-LUMB SPINE WO $8,572.43 $2,228.84 $2,228.83 – $6,686.50
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $2,228.83
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $2,683.17
  • Blue Cross and Blue Shield of Illinois — HMO: $2,914.63
  • Blue Cross and Blue Shield of Illinois — PPO: $2,914.63
  • Cigna — Commercial: $4,500.53
  • Deaconess OneCare — Commercial: $3,771.87
  • DHP — Commercial: $4,286.22
  • Hope Trust — Commercial: $3,000.35
  • Humana ChoiceCare — Commercial: $6,686.50
  • Multiplan Complementary — Commercial: $6,172.15
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL $1,638 $573.30 $219.91 – $1,277.64
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans
  • Cigna — Commercial: $859.95
  • ClaimDoc — Commercial: $219.91
  • Humana ChoiceCare — Commercial: $1,277.64
  • Multiplan Complementary — Commercial: $1,179.36
  • Multiplan Primary — Commercial: $982.80
  • Prime Health Services — Commercial/PPO: $1,228.50
  • Self-Pay — Commercial: $573.30
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT-PELVIS W $5,777.55 $1,502.17 $520 – $4,766.48
CT scan of the pelvis, with contrast: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $1,155.51
  • Aetna — POS/PPO: $1,502.16
  • Aetna Better Health of Illinois — Medicare Advantage: $1,155.51
  • Alliance Coal — Medicare Advantage: $1,906.59
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $1,646.60
  • Blue Cross and Blue Shield of Illinois — HMO: $1,791.04
  • Blue Cross and Blue Shield of Illinois — PPO: $1,791.04
  • Cigna — Commercial: $3,033.21
  • ClaimDoc — Commercial: $1,386.61
  • Deaconess OneCare — Commercial: $520
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-PELVIS W $5,777.55 $1,502.17 $1,502.16 – $4,506.49
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $1,502.16
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $1,808.37
  • Blue Cross and Blue Shield of Illinois — HMO: $1,964.37
  • Blue Cross and Blue Shield of Illinois — PPO: $1,964.37
  • Cigna — Commercial: $3,033.21
  • Deaconess OneCare — Commercial: $2,542.12
  • DHP — Commercial: $2,888.78
  • Hope Trust — Commercial: $2,022.14
  • Humana ChoiceCare — Commercial: $4,506.49
  • Multiplan Complementary — Commercial: $4,159.84
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG CT PELVIS W/CONTRAST MATERIAL $220 $77 $77 – $258.58
CT scan of the pelvis, with contrast: rates for 7 insurance plans
  • Cigna — Commercial: $115.50
  • ClaimDoc — Commercial: $258.58
  • Humana ChoiceCare — Commercial: $171.60
  • Multiplan Complementary — Commercial: $158.40
  • Multiplan Primary — Commercial: $132
  • Prime Health Services — Commercial/PPO: $165
  • Self-Pay — Commercial: $77
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR-LW JOINT WO $8,063.61 $2,096.54 $955 – $6,652.48
MRI of a leg joint (such as the knee), without contrast: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $1,612.72
  • Aetna — POS/PPO: $2,096.54
  • Aetna Better Health of Illinois — Medicare Advantage: $1,612.72
  • Alliance Coal — Medicare Advantage: $2,660.99
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $2,298.13
  • Blue Cross and Blue Shield of Illinois — HMO: $2,499.72
  • Blue Cross and Blue Shield of Illinois — PPO: $2,499.72
  • Cigna — Commercial: $4,233.40
  • ClaimDoc — Commercial: $1,935.27
  • Deaconess OneCare — Commercial: $955
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR-LW JOINT WO $8,063.61 $2,096.54 $2,096.54 – $6,289.62
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $2,096.54
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $2,523.91
  • Blue Cross and Blue Shield of Illinois — HMO: $2,741.63
  • Blue Cross and Blue Shield of Illinois — PPO: $2,741.63
  • Cigna — Commercial: $4,233.40
  • Deaconess OneCare — Commercial: $3,547.99
  • DHP — Commercial: $4,031.81
  • Hope Trust — Commercial: $2,822.26
  • Humana ChoiceCare — Commercial: $6,289.62
  • Multiplan Complementary — Commercial: $5,805.80
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL $1,259 $440.65 $233.24 – $982.02
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans
  • Cigna — Commercial: $660.98
  • ClaimDoc — Commercial: $233.24
  • Humana ChoiceCare — Commercial: $982.02
  • Multiplan Complementary — Commercial: $906.48
  • Multiplan Primary — Commercial: $755.40
  • Prime Health Services — Commercial/PPO: $944.25
  • Self-Pay — Commercial: $440.65
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT-ABD PELVIS W $11,636.32 $3,025.45 $520 – $9,599.96
CT scan of the abdomen and pelvis, with contrast: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $2,327.26
  • Aetna — POS/PPO: $3,025.44
  • Aetna Better Health of Illinois — Medicare Advantage: $2,327.26
  • Alliance Coal — Medicare Advantage: $3,839.99
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $3,316.35
  • Blue Cross and Blue Shield of Illinois — HMO: $3,607.26
  • Blue Cross and Blue Shield of Illinois — PPO: $3,607.26
  • Cigna — Commercial: $6,109.07
  • ClaimDoc — Commercial: $2,792.72
  • Deaconess OneCare — Commercial: $520
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-ABD PELVIS W $11,636.32 $3,025.45 $3,025.44 – $9,076.33
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $3,025.44
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $3,642.17
  • Blue Cross and Blue Shield of Illinois — HMO: $3,956.35
  • Blue Cross and Blue Shield of Illinois — PPO: $3,956.35
  • Cigna — Commercial: $6,109.07
  • Deaconess OneCare — Commercial: $5,119.98
  • DHP — Commercial: $5,818.16
  • Hope Trust — Commercial: $4,072.71
  • Humana ChoiceCare — Commercial: $9,076.33
  • Multiplan Complementary — Commercial: $8,378.15
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL $320 $112 $112 – $345.58
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans
  • Cigna — Commercial: $168
  • ClaimDoc — Commercial: $345.58
  • Humana ChoiceCare — Commercial: $249.60
  • Multiplan Complementary — Commercial: $230.40
  • Multiplan Primary — Commercial: $192
  • Prime Health Services — Commercial/PPO: $240
  • Self-Pay — Commercial: $112
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US-ABDOMEN COMP WO $4,234.07 $1,100.86 $494 – $3,493.11
Ultrasound of the abdomen, complete: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $846.81
  • Aetna — POS/PPO: $1,100.86
  • Aetna Better Health of Illinois — Medicare Advantage: $846.81
  • Alliance Coal — Medicare Advantage: $1,397.24
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $1,206.71
  • Blue Cross and Blue Shield of Illinois — HMO: $1,312.56
  • Blue Cross and Blue Shield of Illinois — PPO: $1,312.56
  • Cigna — Commercial: $2,222.89
  • ClaimDoc — Commercial: $1,016.18
  • Deaconess OneCare — Commercial: $1,990.01
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US-ABDOMEN COMP WO $4,234.07 $1,100.86 $1,100.86 – $3,302.57
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $1,100.86
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $1,325.26
  • Blue Cross and Blue Shield of Illinois — HMO: $1,439.58
  • Blue Cross and Blue Shield of Illinois — PPO: $1,439.58
  • Cigna — Commercial: $2,222.89
  • Deaconess OneCare — Commercial: $1,862.99
  • DHP — Commercial: $2,117.04
  • Hope Trust — Commercial: $1,481.92
  • Humana ChoiceCare — Commercial: $3,302.57
  • Multiplan Complementary — Commercial: $3,048.53
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION $353 $123.55 $123.55 – $275.34
Ultrasound of the abdomen, complete: rates for 7 insurance plans
  • Cigna — Commercial: $185.33
  • ClaimDoc — Commercial: $130.69
  • Humana ChoiceCare — Commercial: $275.34
  • Multiplan Complementary — Commercial: $254.16
  • Multiplan Primary — Commercial: $211.80
  • Prime Health Services — Commercial/PPO: $264.75
  • Self-Pay — Commercial: $123.55
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US-PELVIS PREG $4,020.86 $1,045.43 $494 – $3,317.21
Pregnancy ultrasound (after the first trimester): 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $804.17
  • Aetna — POS/PPO: $1,045.42
  • Aetna Better Health of Illinois — Medicare Advantage: $804.17
  • Alliance Coal — Medicare Advantage: $1,326.88
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $1,145.95
  • Blue Cross and Blue Shield of Illinois — HMO: $1,246.47
  • Blue Cross and Blue Shield of Illinois — PPO: $1,246.47
  • Cigna — Commercial: $2,110.95
  • ClaimDoc — Commercial: $965.01
  • Deaconess OneCare — Commercial: $1,889.80
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US-PELVIS PREG $4,020.86 $1,045.43 $1,045.42 – $3,136.27
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $1,045.42
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $1,258.53
  • Blue Cross and Blue Shield of Illinois — HMO: $1,367.09
  • Blue Cross and Blue Shield of Illinois — PPO: $1,367.09
  • Cigna — Commercial: $2,110.95
  • Deaconess OneCare — Commercial: $1,769.18
  • DHP — Commercial: $2,010.43
  • Hope Trust — Commercial: $1,407.30
  • Humana ChoiceCare — Commercial: $3,136.27
  • Multiplan Complementary — Commercial: $2,895.02
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION $443 $155.05 $151.78 – $345.54
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans
  • Cigna — Commercial: $232.58
  • ClaimDoc — Commercial: $151.78
  • Humana ChoiceCare — Commercial: $345.54
  • Multiplan Complementary — Commercial: $318.96
  • Multiplan Primary — Commercial: $265.80
  • Prime Health Services — Commercial/PPO: $332.25
  • Self-Pay — Commercial: $155.05
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US-TRANSVAGINAL $1,253.25 $325.85 $238.12 – $1,033.93
Transvaginal ultrasound: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $250.65
  • Aetna — POS/PPO: $325.85
  • Aetna Better Health of Illinois — Medicare Advantage: $250.65
  • Alliance Coal — Medicare Advantage: $413.57
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $357.18
  • Blue Cross and Blue Shield of Illinois — HMO: $388.51
  • Blue Cross and Blue Shield of Illinois — PPO: $388.51
  • Cigna — Commercial: $657.96
  • ClaimDoc — Commercial: $300.78
  • Deaconess OneCare — Commercial: $589.03
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US-TRANSVAGINAL $1,253.25 $325.85 $325.85 – $977.54
Transvaginal ultrasound: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $325.85
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $392.27
  • Blue Cross and Blue Shield of Illinois — HMO: $426.11
  • Blue Cross and Blue Shield of Illinois — PPO: $426.11
  • Cigna — Commercial: $657.96
  • Deaconess OneCare — Commercial: $551.43
  • DHP — Commercial: $626.63
  • Hope Trust — Commercial: $438.64
  • Humana ChoiceCare — Commercial: $977.54
  • Multiplan Complementary — Commercial: $902.34
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US TRANSVAGINAL $205 $71.75 $71.75 – $159.90
Transvaginal ultrasound: rates for 7 insurance plans
  • Cigna — Commercial: $107.63
  • ClaimDoc — Commercial: $132.79
  • Humana ChoiceCare — Commercial: $159.90
  • Multiplan Complementary — Commercial: $147.60
  • Multiplan Primary — Commercial: $123
  • Prime Health Services — Commercial/PPO: $153.75
  • Self-Pay — Commercial: $71.75
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR-DIG MAMMO UNILAT $664.87 $172.87 $126.33 – $548.52
Diagnostic mammogram, one breast: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $132.97
  • Aetna — POS/PPO: $172.87
  • Aetna Better Health of Illinois — Medicare Advantage: $132.97
  • Alliance Coal — Medicare Advantage: $219.41
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $189.49
  • Blue Cross and Blue Shield of Illinois — HMO: $206.11
  • Blue Cross and Blue Shield of Illinois — PPO: $206.11
  • Cigna — Commercial: $349.06
  • ClaimDoc — Commercial: $159.57
  • Deaconess OneCare — Commercial: $312.49
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BR-DIG MAMMO UNILAT $664.87 $172.87 $172.87 – $518.60
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $172.87
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $208.10
  • Blue Cross and Blue Shield of Illinois — HMO: $226.06
  • Blue Cross and Blue Shield of Illinois — PPO: $226.06
  • Cigna — Commercial: $349.06
  • Deaconess OneCare — Commercial: $292.54
  • DHP — Commercial: $332.44
  • Hope Trust — Commercial: $232.70
  • Humana ChoiceCare — Commercial: $518.60
  • Multiplan Complementary — Commercial: $478.71
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI $165 $57.75 $57.75 – $142.13
Diagnostic mammogram, one breast: rates for 7 insurance plans
  • Cigna — Commercial: $86.63
  • ClaimDoc — Commercial: $142.13
  • Humana ChoiceCare — Commercial: $128.70
  • Multiplan Complementary — Commercial: $118.80
  • Multiplan Primary — Commercial: $99
  • Prime Health Services — Commercial/PPO: $123.75
  • Self-Pay — Commercial: $57.75
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR-DIG MAMMO BILAT $754.99 $196.30 $143.45 – $622.87
Diagnostic mammogram, both breasts: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $151
  • Aetna — POS/PPO: $196.30
  • Aetna Better Health of Illinois — Medicare Advantage: $151
  • Alliance Coal — Medicare Advantage: $249.15
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $215.17
  • Blue Cross and Blue Shield of Illinois — HMO: $234.05
  • Blue Cross and Blue Shield of Illinois — PPO: $234.05
  • Cigna — Commercial: $396.37
  • ClaimDoc — Commercial: $181.20
  • Deaconess OneCare — Commercial: $354.85
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BR-DIG MAMMO BILAT $754.99 $196.30 $196.30 – $588.89
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $196.30
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $236.31
  • Blue Cross and Blue Shield of Illinois — HMO: $256.70
  • Blue Cross and Blue Shield of Illinois — PPO: $256.70
  • Cigna — Commercial: $396.37
  • Deaconess OneCare — Commercial: $332.20
  • DHP — Commercial: $377.50
  • Hope Trust — Commercial: $264.25
  • Humana ChoiceCare — Commercial: $588.89
  • Multiplan Complementary — Commercial: $543.59
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $200 $70 $70 – $178.73
Diagnostic mammogram, both breasts: rates for 7 insurance plans
  • Cigna — Commercial: $105
  • ClaimDoc — Commercial: $178.73
  • Humana ChoiceCare — Commercial: $156
  • Multiplan Complementary — Commercial: $144
  • Multiplan Primary — Commercial: $120
  • Prime Health Services — Commercial/PPO: $150
  • Self-Pay — Commercial: $70
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR-DIG MAMMO SCRN BI $574.23 $149.30 $109.10 – $473.74
Screening mammogram, both breasts: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $114.85
  • Aetna — POS/PPO: $149.30
  • Aetna Better Health of Illinois — Medicare Advantage: $114.85
  • Alliance Coal — Medicare Advantage: $189.50
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $163.66
  • Blue Cross and Blue Shield of Illinois — HMO: $178.01
  • Blue Cross and Blue Shield of Illinois — PPO: $178.01
  • Cigna — Commercial: $301.47
  • ClaimDoc — Commercial: $137.82
  • Deaconess OneCare — Commercial: $239
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR-DIG MAMMO SCRN UN $393.20 $102.24 $74.71 – $353
Screening mammogram, both breasts: 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $78.64
  • Aetna — POS/PPO: $102.23
  • Aetna Better Health of Illinois — Medicare Advantage: $78.64
  • Alliance Coal — Medicare Advantage: $129.76
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $112.06
  • Blue Cross and Blue Shield of Illinois — HMO: $121.89
  • Blue Cross and Blue Shield of Illinois — PPO: $121.89
  • Cigna — Commercial: $206.43
  • ClaimDoc — Commercial: $94.37
  • Deaconess OneCare — Commercial: $239
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BR-DIG MAMMO SCRN UN $393.20 $102.24 $102.23 – $306.70
Screening mammogram, both breasts: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $102.23
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $123.07
  • Blue Cross and Blue Shield of Illinois — HMO: $133.69
  • Blue Cross and Blue Shield of Illinois — PPO: $133.69
  • Cigna — Commercial: $206.43
  • Deaconess OneCare — Commercial: $173.01
  • DHP — Commercial: $196.60
  • Hope Trust — Commercial: $137.62
  • Humana ChoiceCare — Commercial: $306.70
  • Multiplan Complementary — Commercial: $283.10

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R $82 $28.70 $16.65 – $63.96
Electrocardiogram (ECG/EKG) with reading: rates for 7 insurance plans
  • Cigna — Commercial: $43.05
  • ClaimDoc — Commercial: $16.65
  • Humana ChoiceCare — Commercial: $63.96
  • Multiplan Complementary — Commercial: $59.04
  • Multiplan Primary — Commercial: $49.20
  • Prime Health Services — Commercial/PPO: $61.50
  • Self-Pay — Commercial: $28.70
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee In the file: PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I $704 $246.40 $246.40 – $973.63
Left heart catheterization (diagnostic): rates for 7 insurance plans
  • Cigna — Commercial: $369.60
  • ClaimDoc — Commercial: $973.63
  • Humana ChoiceCare — Commercial: $549.12
  • Multiplan Complementary — Commercial: $506.88
  • Multiplan Primary — Commercial: $422.40
  • Prime Health Services — Commercial/PPO: $528
  • Self-Pay — Commercial: $246.40
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $280.73
Left heart catheterization (diagnostic): rates for 1 insurance plan
  • ClaimDoc — Commercial: $280.73
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $692.90
Left heart catheterization (diagnostic): rates for 1 insurance plan
  • ClaimDoc — Commercial: $692.90
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION $1,689 $591.15 $591.15 – $1,317.42
Heart rhythm study (electrophysiology evaluation): rates for 7 insurance plans
  • Cigna — Commercial: $886.73
  • ClaimDoc — Commercial: $836
  • Humana ChoiceCare — Commercial: $1,317.42
  • Multiplan Complementary — Commercial: $1,216.08
  • Multiplan Primary — Commercial: $1,013.40
  • Prime Health Services — Commercial/PPO: $1,266.75
  • Self-Pay — Commercial: $591.15
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: COMPREHENSIVE EP EVALUATION Not listed in the file Not listed in the file $453.85
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan
  • ClaimDoc — Commercial: $453.85
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: COMPREHENSIVE EP EVALUATION Not listed in the file Not listed in the file $382.15
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan
  • ClaimDoc — Commercial: $382.15
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION $2,860 $1,001 $1,001 – $2,230.80
Heart rhythm study with ablation for atrial fibrillation: rates for 7 insurance plans
  • Cigna — Commercial: $1,501.50
  • ClaimDoc — Commercial: $1,135.66
  • Humana ChoiceCare — Commercial: $2,230.80
  • Multiplan Complementary — Commercial: $2,059.20
  • Multiplan Primary — Commercial: $1,716
  • Prime Health Services — Commercial/PPO: $2,145
  • Self-Pay — Commercial: $1,001
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOMNO GT4 GE6YO $6,920.93 $1,799.45 $1,314.98 – $5,709.77
Sleep study (overnight, in a sleep lab): 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $1,384.19
  • Aetna — POS/PPO: $1,799.44
  • Aetna Better Health of Illinois — Medicare Advantage: $1,384.19
  • Alliance Coal — Medicare Advantage: $2,283.91
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $1,972.47
  • Blue Cross and Blue Shield of Illinois — HMO: $2,145.49
  • Blue Cross and Blue Shield of Illinois — PPO: $2,145.49
  • Cigna — Commercial: $3,633.49
  • ClaimDoc — Commercial: $1,661.02
  • Deaconess OneCare — Commercial: $3,252.84
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POLYSOMNO GT4 GE6YO $6,920.93 $1,799.45 $1,799.44 – $5,398.33
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $1,799.44
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $2,166.25
  • Blue Cross and Blue Shield of Illinois — HMO: $2,353.12
  • Blue Cross and Blue Shield of Illinois — PPO: $2,353.12
  • Cigna — Commercial: $3,633.49
  • Deaconess OneCare — Commercial: $3,045.21
  • DHP — Commercial: $3,460.47
  • Hope Trust — Commercial: $2,422.33
  • Humana ChoiceCare — Commercial: $5,398.33
  • Multiplan Complementary — Commercial: $4,983.07
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $1,689 $591.15 $591.15 – $1,317.42
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans
  • Cigna — Commercial: $886.73
  • ClaimDoc — Commercial: $704.24
  • Humana ChoiceCare — Commercial: $1,317.42
  • Multiplan Complementary — Commercial: $1,216.08
  • Multiplan Primary — Commercial: $1,013.40
  • Prime Health Services — Commercial/PPO: $1,266.75
  • Self-Pay — Commercial: $591.15

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 In the file: THER EXRCS-15MN COTA $343.58 $89.34 $65.28 – $283.45
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $68.72
  • Aetna — POS/PPO: $89.33
  • Aetna Better Health of Illinois — Medicare Advantage: $68.72
  • Alliance Coal — Medicare Advantage: $68.72
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $97.92
  • Blue Cross and Blue Shield of Illinois — HMO: $106.51
  • Blue Cross and Blue Shield of Illinois — PPO: $106.51
  • Cigna — Commercial: $180.38
  • ClaimDoc — Commercial: $82.46
  • Deaconess OneCare — Commercial: $161.48
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THER EXRCS-15MIN PT $343.58 $89.34 $65.28 – $283.45
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $68.72
  • Aetna — POS/PPO: $89.33
  • Aetna Better Health of Illinois — Medicare Advantage: $68.72
  • Alliance Coal — Medicare Advantage: $68.72
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $97.92
  • Blue Cross and Blue Shield of Illinois — HMO: $106.51
  • Blue Cross and Blue Shield of Illinois — PPO: $106.51
  • Cigna — Commercial: $180.38
  • ClaimDoc — Commercial: $82.46
  • Deaconess OneCare — Commercial: $161.48
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THER EXRCS-15MIN PTA $343.58 $89.34 $65.28 – $283.45
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $68.72
  • Aetna — POS/PPO: $89.33
  • Aetna Better Health of Illinois — Medicare Advantage: $68.72
  • Alliance Coal — Medicare Advantage: $68.72
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $97.92
  • Blue Cross and Blue Shield of Illinois — HMO: $106.51
  • Blue Cross and Blue Shield of Illinois — PPO: $106.51
  • Cigna — Commercial: $180.38
  • ClaimDoc — Commercial: $82.46
  • Deaconess OneCare — Commercial: $161.48
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL- LOW CMP PT $423.45 $110.10 $80.46 – $349.35
Physical therapy evaluation (low complexity): 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $84.69
  • Aetna — POS/PPO: $110.10
  • Aetna Better Health of Illinois — Medicare Advantage: $84.69
  • Alliance Coal — Medicare Advantage: $84.69
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $120.68
  • Blue Cross and Blue Shield of Illinois — HMO: $131.27
  • Blue Cross and Blue Shield of Illinois — PPO: $131.27
  • Cigna — Commercial: $222.31
  • ClaimDoc — Commercial: $101.63
  • Deaconess OneCare — Commercial: $199.02
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL- LOW CMP PT $423.45 $110.10 $110.10 – $330.29
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $110.10
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $132.54
  • Blue Cross and Blue Shield of Illinois — HMO: $143.97
  • Blue Cross and Blue Shield of Illinois — PPO: $143.97
  • Cigna — Commercial: $222.31
  • Deaconess OneCare — Commercial: $186.32
  • DHP — Commercial: $211.73
  • Hope Trust — Commercial: $148.21
  • Humana ChoiceCare — Commercial: $330.29
  • Multiplan Complementary — Commercial: $304.88
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $182 $63.70 $63.70 – $141.96
Physical therapy evaluation (low complexity): rates for 7 insurance plans
  • Cigna — Commercial: $95.55
  • ClaimDoc — Commercial: $116.23
  • Humana ChoiceCare — Commercial: $141.96
  • Multiplan Complementary — Commercial: $131.04
  • Multiplan Primary — Commercial: $109.20
  • Prime Health Services — Commercial/PPO: $136.50
  • Self-Pay — Commercial: $63.70
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL- MOD CMP PT $423.45 $110.10 $80.46 – $349.35
Physical therapy evaluation (moderate complexity): 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $84.69
  • Aetna — POS/PPO: $110.10
  • Aetna Better Health of Illinois — Medicare Advantage: $84.69
  • Alliance Coal — Medicare Advantage: $84.69
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $120.68
  • Blue Cross and Blue Shield of Illinois — HMO: $131.27
  • Blue Cross and Blue Shield of Illinois — PPO: $131.27
  • Cigna — Commercial: $222.31
  • ClaimDoc — Commercial: $101.63
  • Deaconess OneCare — Commercial: $199.02
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL- MOD CMP PT $423.45 $110.10 $110.10 – $330.29
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $110.10
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $132.54
  • Blue Cross and Blue Shield of Illinois — HMO: $143.97
  • Blue Cross and Blue Shield of Illinois — PPO: $143.97
  • Cigna — Commercial: $222.31
  • Deaconess OneCare — Commercial: $186.32
  • DHP — Commercial: $211.73
  • Hope Trust — Commercial: $148.21
  • Humana ChoiceCare — Commercial: $330.29
  • Multiplan Complementary — Commercial: $304.88
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $182 $63.70 $63.70 – $141.96
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans
  • Cigna — Commercial: $95.55
  • ClaimDoc — Commercial: $116.23
  • Humana ChoiceCare — Commercial: $141.96
  • Multiplan Complementary — Commercial: $131.04
  • Multiplan Primary — Commercial: $109.20
  • Prime Health Services — Commercial/PPO: $136.50
  • Self-Pay — Commercial: $63.70
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL- HGH CMP PT $423.45 $110.10 $80.46 – $349.35
Physical therapy evaluation (high complexity): 10 of 31 insurance plan rates
  • Aetna — Medicare Advantage: $84.69
  • Aetna — POS/PPO: $110.10
  • Aetna Better Health of Illinois — Medicare Advantage: $84.69
  • Alliance Coal — Medicare Advantage: $84.69
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $120.68
  • Blue Cross and Blue Shield of Illinois — HMO: $131.27
  • Blue Cross and Blue Shield of Illinois — PPO: $131.27
  • Cigna — Commercial: $222.31
  • ClaimDoc — Commercial: $101.63
  • Deaconess OneCare — Commercial: $199.02
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL- HGH CMP PT $423.45 $110.10 $110.10 – $330.29
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $110.10
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $132.54
  • Blue Cross and Blue Shield of Illinois — HMO: $143.97
  • Blue Cross and Blue Shield of Illinois — PPO: $143.97
  • Cigna — Commercial: $222.31
  • Deaconess OneCare — Commercial: $186.32
  • DHP — Commercial: $211.73
  • Hope Trust — Commercial: $148.21
  • Humana ChoiceCare — Commercial: $330.29
  • Multiplan Complementary — Commercial: $304.88
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $182 $63.70 $63.70 – $141.96
Physical therapy evaluation (high complexity): rates for 7 insurance plans
  • Cigna — Commercial: $95.55
  • ClaimDoc — Commercial: $116.23
  • Humana ChoiceCare — Commercial: $141.96
  • Multiplan Complementary — Commercial: $131.04
  • Multiplan Primary — Commercial: $109.20
  • Prime Health Services — Commercial/PPO: $136.50
  • Self-Pay — Commercial: $63.70
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 30 MIN $610 $158.60 $115.90 – $503.25
Psychotherapy, 30 minutes: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $122
  • Aetna — POS/PPO: $158.60
  • Aetna Better Health of Illinois — Medicare Advantage: $122
  • Alliance Coal — Medicare Advantage: $201.30
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $173.85
  • Blue Cross and Blue Shield of Illinois — HMO: $189.10
  • Blue Cross and Blue Shield of Illinois — PPO: $189.10
  • Cigna — Commercial: $320.25
  • ClaimDoc — Commercial: $146.40
  • Deaconess OneCare — Commercial: $286.70
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 30 MIN $610 $158.60 $158.60 – $475.80
Psychotherapy, 30 minutes: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $158.60
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $190.93
  • Blue Cross and Blue Shield of Illinois — HMO: $207.40
  • Blue Cross and Blue Shield of Illinois — PPO: $207.40
  • Cigna — Commercial: $320.25
  • Deaconess OneCare — Commercial: $268.40
  • DHP — Commercial: $305
  • Hope Trust — Commercial: $213.50
  • Humana ChoiceCare — Commercial: $475.80
  • Multiplan Complementary — Commercial: $439.20
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 30 MINUTES $159 $55.65 $55.65 – $124.02
Psychotherapy, 30 minutes: rates for 7 insurance plans
  • Cigna — Commercial: $83.48
  • ClaimDoc — Commercial: $83.81
  • Humana ChoiceCare — Commercial: $124.02
  • Multiplan Complementary — Commercial: $114.48
  • Multiplan Primary — Commercial: $95.40
  • Prime Health Services — Commercial/PPO: $119.25
  • Self-Pay — Commercial: $55.65
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 45 MIN $755 $196.30 $143.45 – $622.88
Psychotherapy, 45 minutes: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $151
  • Aetna — POS/PPO: $196.30
  • Aetna Better Health of Illinois — Medicare Advantage: $151
  • Alliance Coal — Medicare Advantage: $249.15
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $215.18
  • Blue Cross and Blue Shield of Illinois — HMO: $234.05
  • Blue Cross and Blue Shield of Illinois — PPO: $234.05
  • Cigna — Commercial: $396.38
  • ClaimDoc — Commercial: $181.20
  • Deaconess OneCare — Commercial: $354.85
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 45 MIN $755 $196.30 $196.30 – $588.90
Psychotherapy, 45 minutes: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $196.30
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $236.32
  • Blue Cross and Blue Shield of Illinois — HMO: $256.70
  • Blue Cross and Blue Shield of Illinois — PPO: $256.70
  • Cigna — Commercial: $396.38
  • Deaconess OneCare — Commercial: $332.20
  • DHP — Commercial: $377.50
  • Hope Trust — Commercial: $264.25
  • Humana ChoiceCare — Commercial: $588.90
  • Multiplan Complementary — Commercial: $543.60
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 45 MINUTES $188 $65.80 $65.80 – $146.64
Psychotherapy, 45 minutes: rates for 7 insurance plans
  • Cigna — Commercial: $98.70
  • ClaimDoc — Commercial: $110.51
  • Humana ChoiceCare — Commercial: $146.64
  • Multiplan Complementary — Commercial: $135.36
  • Multiplan Primary — Commercial: $112.80
  • Prime Health Services — Commercial/PPO: $141
  • Self-Pay — Commercial: $65.80
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 60 MIN $770 $200.20 $146.30 – $635.25
Psychotherapy, 60 minutes: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $154
  • Aetna — POS/PPO: $200.20
  • Aetna Better Health of Illinois — Medicare Advantage: $154
  • Alliance Coal — Medicare Advantage: $254.10
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $219.45
  • Blue Cross and Blue Shield of Illinois — HMO: $238.70
  • Blue Cross and Blue Shield of Illinois — PPO: $238.70
  • Cigna — Commercial: $404.25
  • ClaimDoc — Commercial: $184.80
  • Deaconess OneCare — Commercial: $361.90
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY 60 MIN $770 $200.20 $200.20 – $600.60
Psychotherapy, 60 minutes: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $200.20
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $241.01
  • Blue Cross and Blue Shield of Illinois — HMO: $261.80
  • Blue Cross and Blue Shield of Illinois — PPO: $261.80
  • Cigna — Commercial: $404.25
  • Deaconess OneCare — Commercial: $338.80
  • DHP — Commercial: $385
  • Hope Trust — Commercial: $269.50
  • Humana ChoiceCare — Commercial: $600.60
  • Multiplan Complementary — Commercial: $554.40
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 60 MINUTES $298 $104.30 $104.30 – $232.44
Psychotherapy, 60 minutes: rates for 7 insurance plans
  • Cigna — Commercial: $156.45
  • ClaimDoc — Commercial: $163.73
  • Humana ChoiceCare — Commercial: $232.44
  • Multiplan Complementary — Commercial: $214.56
  • Multiplan Primary — Commercial: $178.80
  • Prime Health Services — Commercial/PPO: $223.50
  • Self-Pay — Commercial: $104.30
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAM THERAPY W/O PAT $805 $209.30 $152.95 – $664.13
Family psychotherapy, without the patient: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $161
  • Aetna — POS/PPO: $209.30
  • Aetna Better Health of Illinois — Medicare Advantage: $161
  • Alliance Coal — Medicare Advantage: $265.65
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $229.43
  • Blue Cross and Blue Shield of Illinois — HMO: $249.55
  • Blue Cross and Blue Shield of Illinois — PPO: $249.55
  • Cigna — Commercial: $422.63
  • ClaimDoc — Commercial: $193.20
  • Deaconess OneCare — Commercial: $378.35
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAM THERAPY W/O PAT $805 $209.30 $209.30 – $627.90
Family psychotherapy, without the patient: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $209.30
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $251.97
  • Blue Cross and Blue Shield of Illinois — HMO: $273.70
  • Blue Cross and Blue Shield of Illinois — PPO: $273.70
  • Cigna — Commercial: $422.63
  • Deaconess OneCare — Commercial: $354.20
  • DHP — Commercial: $402.50
  • Hope Trust — Commercial: $281.75
  • Humana ChoiceCare — Commercial: $627.90
  • Multiplan Complementary — Commercial: $579.60
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS $243 $85.05 $85.05 – $189.54
Family psychotherapy, without the patient: rates for 7 insurance plans
  • Cigna — Commercial: $127.58
  • ClaimDoc — Commercial: $119.61
  • Humana ChoiceCare — Commercial: $189.54
  • Multiplan Complementary — Commercial: $174.96
  • Multiplan Primary — Commercial: $145.80
  • Prime Health Services — Commercial/PPO: $182.25
  • Self-Pay — Commercial: $85.05
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAM THERAPY W/PATIEN $845 $219.70 $160.55 – $697.13
Family psychotherapy, with the patient: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $169
  • Aetna — POS/PPO: $219.70
  • Aetna Better Health of Illinois — Medicare Advantage: $169
  • Alliance Coal — Medicare Advantage: $278.85
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $240.83
  • Blue Cross and Blue Shield of Illinois — HMO: $261.95
  • Blue Cross and Blue Shield of Illinois — PPO: $261.95
  • Cigna — Commercial: $443.63
  • ClaimDoc — Commercial: $202.80
  • Deaconess OneCare — Commercial: $397.15
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAM THERAPY W/PATIEN $845 $219.70 $219.70 – $659.10
Family psychotherapy, with the patient: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $219.70
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $264.49
  • Blue Cross and Blue Shield of Illinois — HMO: $287.30
  • Blue Cross and Blue Shield of Illinois — PPO: $287.30
  • Cigna — Commercial: $443.63
  • Deaconess OneCare — Commercial: $371.80
  • DHP — Commercial: $422.50
  • Hope Trust — Commercial: $295.75
  • Humana ChoiceCare — Commercial: $659.10
  • Multiplan Complementary — Commercial: $608.40
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS $236 $82.60 $82.60 – $184.08
Family psychotherapy, with the patient: rates for 7 insurance plans
  • Cigna — Commercial: $123.90
  • ClaimDoc — Commercial: $124.68
  • Humana ChoiceCare — Commercial: $184.08
  • Multiplan Complementary — Commercial: $169.92
  • Multiplan Primary — Commercial: $141.60
  • Prime Health Services — Commercial/PPO: $177
  • Self-Pay — Commercial: $82.60
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCH GROUP THERAPY $735 $191.10 $139.65 – $606.38
Group psychotherapy: 10 of 30 insurance plan rates
  • Aetna — Medicare Advantage: $147
  • Aetna — POS/PPO: $191.10
  • Aetna Better Health of Illinois — Medicare Advantage: $147
  • Alliance Coal — Medicare Advantage: $242.55
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $209.48
  • Blue Cross and Blue Shield of Illinois — HMO: $227.85
  • Blue Cross and Blue Shield of Illinois — PPO: $227.85
  • Cigna — Commercial: $385.88
  • ClaimDoc — Commercial: $176.40
  • Deaconess OneCare — Commercial: $345.45
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCH GROUP THERAPY $735 $191.10 $191.10 – $573.30
Group psychotherapy: 10 of 13 insurance plan rates
  • Aetna — POS/PPO: $191.10
  • Blue Cross and Blue Shield of Illinois — Blue Choice: $230.06
  • Blue Cross and Blue Shield of Illinois — HMO: $249.90
  • Blue Cross and Blue Shield of Illinois — PPO: $249.90
  • Cigna — Commercial: $385.88
  • Deaconess OneCare — Commercial: $323.40
  • DHP — Commercial: $367.50
  • Hope Trust — Commercial: $257.25
  • Humana ChoiceCare — Commercial: $573.30
  • Multiplan Complementary — Commercial: $529.20
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: PR GROUP PSYCHOTHERAPY $120 $42 $29.61 – $93.60
Group psychotherapy: rates for 7 insurance plans
  • Cigna — Commercial: $63
  • ClaimDoc — Commercial: $29.61
  • Humana ChoiceCare — Commercial: $93.60
  • Multiplan Complementary — Commercial: $86.40
  • Multiplan Primary — Commercial: $72
  • Prime Health Services — Commercial/PPO: $90
  • Self-Pay — Commercial: $42

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION $1,895 $663.25 $512.58 – $1,478.10
Removal of breast growth (open surgery): rates for 7 insurance plans
  • Cigna — Commercial: $994.88
  • ClaimDoc — Commercial: $512.58
  • Humana ChoiceCare — Commercial: $1,478.10
  • Multiplan Complementary — Commercial: $1,364.40
  • Multiplan Primary — Commercial: $1,137
  • Prime Health Services — Commercial/PPO: $1,421.25
  • Self-Pay — Commercial: $663.25
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT $6,157 $2,154.95 $1,558.76 – $4,802.46
Total hip replacement: rates for 7 insurance plans
  • Cigna — Commercial: $3,232.43
  • ClaimDoc — Commercial: $1,558.76
  • Humana ChoiceCare — Commercial: $4,802.46
  • Multiplan Complementary — Commercial: $4,433.04
  • Multiplan Primary — Commercial: $3,694.20
  • Prime Health Services — Commercial/PPO: $4,617.75
  • Self-Pay — Commercial: $2,154.95
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS $6,094 $2,132.90 $1,556.73 – $4,753.32
Total knee replacement: rates for 7 insurance plans
  • Cigna — Commercial: $3,199.35
  • ClaimDoc — Commercial: $1,556.73
  • Humana ChoiceCare — Commercial: $4,753.32
  • Multiplan Complementary — Commercial: $4,387.68
  • Multiplan Primary — Commercial: $3,656.40
  • Prime Health Services — Commercial/PPO: $4,570.50
  • Self-Pay — Commercial: $2,132.90
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS $3,876 $1,356.60 $208.38 – $3,023.28
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans
  • Cigna — Commercial: $2,034.90
  • ClaimDoc — Commercial: $208.38
  • Humana ChoiceCare — Commercial: $3,023.28
  • Multiplan Complementary — Commercial: $2,790.72
  • Multiplan Primary — Commercial: $2,325.60
  • Prime Health Services — Commercial/PPO: $2,907
  • Self-Pay — Commercial: $1,356.60
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG $3,400 $1,190 $657.01 – $2,652
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 7 insurance plans
  • Cigna — Commercial: $1,785
  • ClaimDoc — Commercial: $657.01
  • Humana ChoiceCare — Commercial: $2,652
  • Multiplan Complementary — Commercial: $2,448
  • Multiplan Primary — Commercial: $2,040
  • Prime Health Services — Commercial/PPO: $2,550
  • Self-Pay — Commercial: $1,190
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12 $1,200 $420 $349.63 – $936
Removal of tonsils and adenoids (under age 12): rates for 7 insurance plans
  • Cigna — Commercial: $630
  • ClaimDoc — Commercial: $349.63
  • Humana ChoiceCare — Commercial: $936
  • Multiplan Complementary — Commercial: $864
  • Multiplan Primary — Commercial: $720
  • Prime Health Services — Commercial/PPO: $900
  • Self-Pay — Commercial: $420
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $905 $316.75 $144.79 – $705.90
Upper GI endoscopy (diagnostic): rates for 7 insurance plans
  • Cigna — Commercial: $475.13
  • ClaimDoc — Commercial: $144.79
  • Humana ChoiceCare — Commercial: $705.90
  • Multiplan Complementary — Commercial: $651.60
  • Multiplan Primary — Commercial: $543
  • Prime Health Services — Commercial/PPO: $678.75
  • Self-Pay — Commercial: $316.75
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE $1,075 $376.25 $162.49 – $838.50
Upper GI endoscopy with biopsy: rates for 7 insurance plans
  • Cigna — Commercial: $564.38
  • ClaimDoc — Commercial: $162.49
  • Humana ChoiceCare — Commercial: $838.50
  • Multiplan Complementary — Commercial: $774
  • Multiplan Primary — Commercial: $645
  • Prime Health Services — Commercial/PPO: $806.25
  • Self-Pay — Commercial: $376.25
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $1,269 $444.15 $218.14 – $989.82
Colonoscopy (diagnostic): rates for 7 insurance plans
  • Cigna — Commercial: $666.23
  • ClaimDoc — Commercial: $218.14
  • Humana ChoiceCare — Commercial: $989.82
  • Multiplan Complementary — Commercial: $913.68
  • Multiplan Primary — Commercial: $761.40
  • Prime Health Services — Commercial/PPO: $951.75
  • Self-Pay — Commercial: $444.15
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $2,122
Colonoscopy (diagnostic): rates for 2 insurance plans
  • Deaconess OneCare — Commercial: $2,122
  • DHP — Commercial: $2,122
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $109.54
Colonoscopy (diagnostic): rates for 1 insurance plan
  • ClaimDoc — Commercial: $109.54
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $1,517 $530.95 $237.33 – $1,183.26
Colonoscopy with biopsy: rates for 7 insurance plans
  • Cigna — Commercial: $796.43
  • ClaimDoc — Commercial: $237.33
  • Humana ChoiceCare — Commercial: $1,183.26
  • Multiplan Complementary — Commercial: $1,092.24
  • Multiplan Primary — Commercial: $910.20
  • Prime Health Services — Commercial/PPO: $1,137.75
  • Self-Pay — Commercial: $530.95
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ $1,698 $594.30 $298.64 – $1,324.44
Colonoscopy with removal of polyps (snare): rates for 7 insurance plans
  • Cigna — Commercial: $891.45
  • ClaimDoc — Commercial: $298.64
  • Humana ChoiceCare — Commercial: $1,324.44
  • Multiplan Complementary — Commercial: $1,222.56
  • Multiplan Primary — Commercial: $1,018.80
  • Prime Health Services — Commercial/PPO: $1,273.50
  • Self-Pay — Commercial: $594.30
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX $1,202 $420.70 $302.11 – $937.56
Ultrasound of the lower bowel by endoscope: rates for 7 insurance plans
  • Cigna — Commercial: $631.05
  • ClaimDoc — Commercial: $302.11
  • Humana ChoiceCare — Commercial: $937.56
  • Multiplan Complementary — Commercial: $865.44
  • Multiplan Primary — Commercial: $721.20
  • Prime Health Services — Commercial/PPO: $901.50
  • Self-Pay — Commercial: $420.70
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLON CA SCRN NOT HI RSK IND $709 $248.15 $218.70 – $553.02
Screening colonoscopy (not high risk): rates for 7 insurance plans
  • Cigna — Commercial: $372.23
  • ClaimDoc — Commercial: $218.70
  • Humana ChoiceCare — Commercial: $553.02
  • Multiplan Complementary — Commercial: $510.48
  • Multiplan Primary — Commercial: $425.40
  • Prime Health Services — Commercial/PPO: $531.75
  • Self-Pay — Commercial: $248.15
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $2,122
Screening colonoscopy (not high risk): rates for 2 insurance plans
  • Deaconess OneCare — Commercial: $2,122
  • DHP — Commercial: $2,122
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $109.54
Screening colonoscopy (not high risk): rates for 1 insurance plan
  • ClaimDoc — Commercial: $109.54
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPAROSCOPY SURG CHOLECYSTECTOMY $2,906 $1,017.10 $814.80 – $2,266.68
Gallbladder removal by laparoscope: rates for 7 insurance plans
  • Cigna — Commercial: $1,525.65
  • ClaimDoc — Commercial: $814.80
  • Humana ChoiceCare — Commercial: $2,266.68
  • Multiplan Complementary — Commercial: $2,092.32
  • Multiplan Primary — Commercial: $1,743.60
  • Prime Health Services — Commercial/PPO: $2,179.50
  • Self-Pay — Commercial: $1,017.10
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $2,800
Gallbladder removal by laparoscope: rates for 1 insurance plan
  • Healthlink — HMO: $2,800
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE $1,761 $616.35 $616.35 – $1,373.58
Groin (inguinal) hernia repair, age 5 or older: rates for 7 insurance plans
  • Cigna — Commercial: $924.53
  • ClaimDoc — Commercial: $644.84
  • Humana ChoiceCare — Commercial: $1,373.58
  • Multiplan Complementary — Commercial: $1,267.92
  • Multiplan Primary — Commercial: $1,056.60
  • Prime Health Services — Commercial/PPO: $1,320.75
  • Self-Pay — Commercial: $616.35
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PROSTATE NEEDLE BIOPSY ANY APPROACH $667 $233.45 $153.90 – $520.26
Prostate biopsy: rates for 7 insurance plans
  • Cigna — Commercial: $350.18
  • ClaimDoc — Commercial: $153.90
  • Humana ChoiceCare — Commercial: $520.26
  • Multiplan Complementary — Commercial: $480.24
  • Multiplan Primary — Commercial: $400.20
  • Prime Health Services — Commercial/PPO: $500.25
  • Self-Pay — Commercial: $233.45
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT $7,100 $2,485 $1,425.10 – $5,538
Prostate removal by laparoscope (radical prostatectomy): rates for 7 insurance plans
  • Cigna — Commercial: $3,727.50
  • ClaimDoc — Commercial: $1,425.10
  • Humana ChoiceCare — Commercial: $5,538
  • Multiplan Complementary — Commercial: $5,112
  • Multiplan Primary — Commercial: $4,260
  • Prime Health Services — Commercial/PPO: $5,325
  • Self-Pay — Commercial: $2,485
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C $4,200 $1,470 $279.49 – $3,276
Hysteroscopy with biopsy of the uterus lining: rates for 7 insurance plans
  • Cigna — Commercial: $2,205
  • ClaimDoc — Commercial: $279.49
  • Humana ChoiceCare — Commercial: $3,276
  • Multiplan Complementary — Commercial: $3,024
  • Multiplan Primary — Commercial: $2,520
  • Prime Health Services — Commercial/PPO: $3,150
  • Self-Pay — Commercial: $1,470
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $670 $234.50 $117.11 – $522.60
Spinal injection, lower back (epidural), with imaging guidance: rates for 7 insurance plans
  • Cigna — Commercial: $351.75
  • ClaimDoc — Commercial: $117.11
  • Humana ChoiceCare — Commercial: $522.60
  • Multiplan Complementary — Commercial: $482.40
  • Multiplan Primary — Commercial: $402
  • Prime Health Services — Commercial/PPO: $502.50
  • Self-Pay — Commercial: $234.50
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL $730 $255.50 $130.44 – $569.40
Nerve root injection, lower back, with imaging guidance: rates for 7 insurance plans
  • Cigna — Commercial: $383.25
  • ClaimDoc — Commercial: $130.44
  • Humana ChoiceCare — Commercial: $569.40
  • Multiplan Complementary — Commercial: $525.60
  • Multiplan Primary — Commercial: $438
  • Prime Health Services — Commercial/PPO: $547.50
  • Self-Pay — Commercial: $255.50
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE $1,935 $677.25 $528.28 – $1,509.30
Carpal tunnel release: rates for 7 insurance plans
  • Cigna — Commercial: $1,015.88
  • ClaimDoc — Commercial: $528.28
  • Humana ChoiceCare — Commercial: $1,509.30
  • Multiplan Complementary — Commercial: $1,393.20
  • Multiplan Primary — Commercial: $1,161
  • Prime Health Services — Commercial/PPO: $1,451.25
  • Self-Pay — Commercial: $677.25
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee In the file: PR POST-CATARACT LASER SURGERY $1,314 $459.90 $353.76 – $1,024.92
Laser treatment of clouding after cataract surgery: rates for 7 insurance plans
  • Cigna — Commercial: $689.85
  • ClaimDoc — Commercial: $353.76
  • Humana ChoiceCare — Commercial: $1,024.92
  • Multiplan Complementary — Commercial: $946.08
  • Multiplan Primary — Commercial: $788.40
  • Prime Health Services — Commercial/PPO: $985.50
  • Self-Pay — Commercial: $459.90
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP $3,841 $1,344.35 $623.05 – $2,995.98
Cataract removal with lens implant: rates for 7 insurance plans
  • Cigna — Commercial: $2,016.53
  • ClaimDoc — Commercial: $623.05
  • Humana ChoiceCare — Commercial: $2,995.98
  • Multiplan Complementary — Commercial: $2,765.52
  • Multiplan Primary — Commercial: $2,304.60
  • Prime Health Services — Commercial/PPO: $2,880.75
  • Self-Pay — Commercial: $1,344.35

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM $6,700 $2,345 $2,345 – $5,226
Vaginal delivery, with care before and after: rates for 7 insurance plans
  • Cigna — Commercial: $3,517.50
  • ClaimDoc — Commercial: $2,965.78
  • Humana ChoiceCare — Commercial: $5,226
  • Multiplan Complementary — Commercial: $4,824
  • Multiplan Primary — Commercial: $4,020
  • Prime Health Services — Commercial/PPO: $5,025
  • Self-Pay — Commercial: $2,345
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM $7,200 $2,520 $2,520 – $5,616
Cesarean delivery (C-section), with care before and after: rates for 7 insurance plans
  • Cigna — Commercial: $3,780
  • ClaimDoc — Commercial: $3,315.65
  • Humana ChoiceCare — Commercial: $5,616
  • Multiplan Complementary — Commercial: $5,184
  • Multiplan Primary — Commercial: $4,320
  • Prime Health Services — Commercial/PPO: $5,400
  • Self-Pay — Commercial: $2,520
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB $6,026 $2,109.10 $2,109.10 – $4,700.28
Vaginal delivery after a previous C-section, with care before and after: rates for 7 insurance plans
  • Cigna — Commercial: $3,163.65
  • ClaimDoc — Commercial: $3,129.36
  • Humana ChoiceCare — Commercial: $4,700.28
  • Multiplan Complementary — Commercial: $4,338.72
  • Multiplan Primary — Commercial: $3,615.60
  • Prime Health Services — Commercial/PPO: $4,519.50
  • Self-Pay — Commercial: $2,109.10

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $90,490.90 – $99,911.74
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 2 insurance plans
  • Healthlink — HMO: $90,490.90
  • United Healthcare — Commercial: $99,911.74
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $17,842.33 – $19,699.86
Hip or knee replacement (major joint of the leg), without major complications: rates for 2 insurance plans
  • Healthlink — HMO: $17,842.33
  • United Healthcare — Commercial: $19,699.86
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $22,582.03 – $24,933
Neck (cervical) spinal fusion, without complications: rates for 2 insurance plans
  • Healthlink — HMO: $22,582.03
  • United Healthcare — Commercial: $24,933
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $11,476.48 – $12,671.27
Uterus and ovary surgery (not for cancer), without complications: rates for 2 insurance plans
  • Healthlink — HMO: $11,476.48
  • United Healthcare — Commercial: $12,671.27

Source: Red Bud Regional Hospital’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 18, 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
Address325 Spring Street, Red Bud, IL 62278
CountyRandolph County
StateIllinois
Phone(618) 282‑3831
Emergency servicesYes
OwnershipProprietary
Medicare overall rating4 of 5 stars
CMS Certification Number141348
Name in Medicare recordsRED BUD REGIONAL HOSPITAL
Profile levelMedicare data + hospital website
Official websiteredbudregional.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. Red Bud Regional Hospital — redbudregional.com
  2. Services — redbudregional.com
  3. Visitors — redbudregional.com
  4. Outpatient Service Center | Red Bud Regional Hospital — redbudregional.com
  5. Emergency Room | Red Bud Regional Hospital — redbudregional.com
  6. Awards & Accreditations | Red Bud Regional Hospital — redbudregional.com
  7. Surgical Services | Red Bud Regional Hospital — redbudregional.com
  8. Program Provides Free Mammograms for Eligible Women | Red Bud Regional Hospital — redbudregional.com
  9. Rehabilitation Services | Red Bud Regional Hospital — redbudregional.com
  10. ER Directions | Red Bud Regional Hospital — redbudregional.com
  11. Laboratory Services | Red Bud Regional Hospital — redbudregional.com