Quick answers
- Does Riverside Medical Center have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at Riverside Medical Center. In a medical emergency, call 911.
- Where is Riverside Medical Center?
- 350 N Wall St, Kankakee, IL 60901, in Kankakee County, Illinois.
- What is the phone number of Riverside Medical Center?
- (815) 933-1671, as listed by Medicare (CMS).
- What is the Medicare star rating of Riverside Medical Center?
- 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
- Does Medicare reduce its payments to Riverside Medical Center for hospital-acquired conditions?
- No. For fiscal year 2026, CMS lists no Medicare payment reduction for Riverside Medical Center under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.5093; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).
Specialties and care areas[4][5]
- Cancer Care
- Heart & Vascular
- Neurology & Neurosurgery
- Orthopedics
- ENT & Hearing
- General Surgery
- Internal & Geriatric Medicine
- OB/GYN & Labor & Delivery
- Physical Medicine & Rehabilitation
- Primary Care
- Pulmonary & Sleep Medicine
- Rheumatology
- Urology
- Women's Health
- Radiology & Imaging
- Interventional Radiology
- Neurosciences
- OB/GYN
Treatments[4]
- Infusion services
Programs and centers[4][5][6][7][8][9][11][12]
- Cardiopulmonary Rehabilitation
- Wound Center
- Laboratory Services
- Infusion Services
- Interventional Radiology
- Radiology & Imaging
- Family Birthing Center
- On-site pediatric hospitalists
- Chest Pain Center
- Heart Failure Center
- Pediatric Emergency Care (EDAP)
- Sexual Assault Nurse Examiner (SANE) program
Emergency care (hospital website)[4][5][6][7]
| Emergency room | Yes |
|---|---|
| Open 24/7 | Yes |
| Trauma designation | Level II |
| Stroke designation | Primary Stroke Center |
Visiting and practical information
| Visiting | Visiting 6:30 a.m.-8:30 p.m. daily; up to four visitors at a time depending on the patient's situation[4] |
|---|---|
| Parking | Free parking in the Pavilion (P) garage and C Wing (C) garage[4] |
| Patient portal | Riverside MyChart |
Recognition[4][6][7]
- Level II Trauma Center
- Magnet recognized
- Chest Pain Center accredited by the American College of Cardiology
- Heart Failure Center accredited by the American College of Cardiology
- Emergency Department Approved for Pediatrics (EDAP), designated by State of Illinois
Doctors and clinicians (554)
554 doctors and other clinicians list Riverside Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
Main specialties
- Nurse Practitioner110
- Diagnostic Radiology58
- Internal Medicine47
- Family Practice42
- Physician Assistant35
- Certified Registered Nurse Anesthetist (CRNA)28
- Emergency Medicine17
- Neurology15
- Anesthesiology15
- Cardiovascular Disease (Cardiology)12
- Orthopedic Surgery11
- Otolaryngology9
Doctors with a page on this site (554)
- Aaron Benner, MDDiagnostic Radiology
- Aaron Gurfinchel, MDNephrology
- Abhimanyu Beri, MDCardiac Electrophysiology
- Abraham Thomas, MDInternal Medicine
- Adam S. Vohra, MDCardiovascular Disease (Cardiology)
- Adham M. Karim, MDInternal Medicine
- Afton K. Swanson, NPNurse Practitioner
- Agata GebalaPhysician Assistant
- Ahmad Shoubaki, MDAnesthesiology
- Ahmed A. Hamimi, MDDiagnostic Radiology
- Ahmed Abdelkader, MDNeurology
- Ahmer V. Farooq, DOUrology
- Ahsan Basha, MDHematology/Oncology
- Aileen Sim, NPNurse Practitioner
- Akhil ShoriPain Management
- Alaina LastresNurse Practitioner
- Albert C. Tanlim, MDInternal Medicine
- Alec H. Fisher, MDPlastic and Reconstructive Surgery
- Alexander E. Michalow, MDOrthopedic Surgery
- Alfredo Ceballos, MDAnesthesiology
- Alicia N. KendraNurse Practitioner
- Aline V. Dang, DOGeneral Surgery
- Alison ArochaNurse Practitioner
- Allan Wang, MDDiagnostic Radiology
And 530 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- Presence St Marys Hospital0.5 mi · Kankakee, IL · Acute Care Hospital
- Iroquois Memorial Hospital26 mi · Watseka, IL · Critical Access Hospital
- Franciscan Health Olympia & Chicago Heights29 mi · Olympia Fields, IL · Acute Care Hospital
- Silver Cross Hospital and Medical Centers29 mi · New Lenox, IL · Acute Care Hospital
- Silver Oaks Behavioral Hospital30 mi · New Lenox, IL · Psychiatric Hospital
Find the closest emergency room to where you are → · Compare ER wait times
Other hospitals near Kankakee
- Saint Joseph Medical Center31 mi · Joliet, IL · Acute Care Hospital
All hospitals in Kankakee · Hospitals in Kankakee County · Hospitals near me
Nursing homes, hospice, home health and dialysis nearby
Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.
Nursing homes
- Miller Health Care Center0.2 mi · Kankakee, IL · 2 of 5 stars
- Citadel Care Center-Kankakee0.3 mi · Kankakee, IL · 3 of 5 stars
- Arc at Kankakee0.8 mi · Kankakee, IL · 3 of 5 stars
All nursing homes in the state →
Hospice providers
- Uplifted Care4.2 mi · Bourbonnais, IL · 4 of 5 stars
- Iroquois Memorial Hospice24 mi · Watseka, IL · 4 of 5 stars
- Heartland Hospice (Frankfort)24 mi · Frankfort, IL
All hospice providers in the state →
Home health agencies
- Prime Healthcare Home Care and Hospice, LLC1.5 mi · Kankakee, IL · 3.5 of 5 stars
- R.M.C. Home Health Care15 mi · Peotone, IL · 3.5 of 5 stars
- Candlelight Home Healthcare LLC24 mi · Coal City, IL · 4 of 5 stars
All home health agencies in the state →
Dialysis facilities
- DaVita Kankakee River Dialysis1.5 mi · Kankakee, IL · 1 of 5 stars
- DaVita Kankakee County Dialysis4.2 mi · Bourbonnais, IL · 2 of 5 stars
- Iroquois Kidney Center24 mi · Watseka, IL
Outpatient surgery centers nearby
Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.
- Center for Digestive Health4.2 mi · Bourbonnais, IL
- Oak Surgery Center4.2 mi · Bourbonnais, IL
- Riverside Ambulatory Surgery Center4.2 mi · Bourbonnais, IL
Community care nearby
Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.
Community health centers
- Community Health Partnership of Illinois1.0 mi · Kankakee, IL · Community health center
- Mobile Medical and Dental Van 021.0 mi · Kankakee, IL · Community health center
- Kankakee Community Health Center2.2 mi · Kankakee, IL · Community health center
Clinics and urgent care
- Express Dme LLC20 mi · Braidwood, IL · Urgent care center
- Carle Watseka24 mi · Watseka, IL · Rural health clinic
- Family Health Care of Watseka24 mi · Watseka, IL · Rural health clinic
Pharmacies
- Kankakee Il CVS LLC1.5 mi · Kankakee, IL · Pharmacy
- Medcentre Pharmacy1.5 mi · Kankakee, IL · Community/retail pharmacy
- St Marys Hospital - Kankakee LLC1.5 mi · Kankakee, IL · Community/retail pharmacy
About the Medicare star rating
CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →
Medicare quality data
What Riverside Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey)
What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
| Summary star rating (all survey topics) | 3 of 5 stars |
|---|---|
| Overall rating of the hospital | 3 of 5 stars |
| Would recommend the hospital | 4 of 5 stars |
| Nurses communicated well | 3 of 5 stars |
| Doctors communicated well | 3 of 5 stars |
| Patients got help quickly from staff | 3 of 5 stars |
| Staff explained medicines | 3 of 5 stars |
| Information about recovery at home | 4 of 5 stars |
| Room and bathroom kept clean | 4 of 5 stars |
| Restfulness of Environment | 3 of 5 stars |
| Care Coordination | 3 of 5 stars |
| Symptoms After Stay | 3 of 5 stars |
| Rated the hospital 9 or 10 out of 10 | 70%National average: 72% |
| Would definitely recommend the hospital | 69%National average: 71% |
| Nurses “always” communicated well | 77%National average: 80% |
| Doctors “always” communicated well | 79%National average: 80% |
| “Always” got help as soon as they wanted | 59%National average: 64% |
| Staff “always” explained medicines before giving them | 60%National average: 62% |
| Were given information about recovery at home | 87%National average: 86% |
| Room and bathroom “always” clean | 74%National average: 73% |
| Completed surveys | 1,415Response rate: 25% |
Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.
Infections caught in the hospital
What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.
| Central line bloodstream infections (CLABSI) | 0.422No different from the national benchmark |
|---|---|
| Catheter-associated urinary tract infections (CAUTI) | 0.472No different from the national benchmark |
| Surgical site infections after colon surgery | 0No different from the national benchmark |
| MRSA bloodstream infections | 0No different from the national benchmark |
| Clostridioides difficile (C. diff) intestinal infections | 0.645No different from the national benchmark |
| Not reported to Medicare | Surgical site infections after abdominal hysterectomy |
Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.
Complications and deaths
What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
| Deaths within 30 days: heart attack patients | 12.1% |
|---|---|
| Deaths within 30 days: heart failure patients | 12.8% |
| Deaths within 30 days: pneumonia patients | 17.5% |
| Deaths within 30 days: COPD patients | 8.2% |
| Deaths within 30 days: stroke patients | 13.9% |
| Deaths within 30 days: coronary bypass surgery (CABG) | 1.9% |
| Serious complications (patient safety indicator PSI-90) | 1.06No different from the national rate |
| Too few cases to report | Complications after hip or knee replacement |
Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.
Return visits to the hospital (readmissions)
What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.
| Returned to any hospital within 30 days (all patients) | 16.3% |
|---|---|
| Readmitted within 30 days: heart attack | 14.3% |
| Readmitted within 30 days: heart failure | 21.5% |
| Readmitted within 30 days: pneumonia | 17.3% |
| Readmitted within 30 days: COPD | 20.2% |
| Readmitted within 30 days: coronary bypass surgery | 11.3% |
| Too few cases to report | Readmitted within 30 days: hip or knee replacement |
Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.
Emergency room times and sepsis care
What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.
| Emergency room volume (patients per year) | High (40,000–59,999) |
|---|---|
| Average (median) time patients spent in the emergency room before leaving (OP-18b) | 169 minutesNational average: 162 minutes |
| Patients who left the emergency room before being seen (OP-22) | 0%National average: 2% |
| Sepsis patients who got all the recommended early care (SEP-1) | 68%National average: 66% |
Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.
Medicare payment programs
Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Riverside Medical Center, fiscal year 2026 (October 2025 to September 2026).
Show the Medicare payment program results
Hospital-Acquired Condition Reduction Program
What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.
CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.
| Medicare payment reduction, fiscal year 2026 | NoCMS lists no payment reduction for this hospital. |
|---|---|
| Total HAC Score | -0.5093Lower is better. Hospitals above the 75th percentile of all scores get the reduction. |
Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.
Hospital Readmissions Reduction Program
What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.
CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).
| Heart attack | 1.0113More readmissions than expected |
|---|---|
| Heart failure | 0.9793Fewer readmissions than expected |
| Pneumonia | 0.9825Fewer readmissions than expected |
| COPD (chronic lung disease) | 0.9958Fewer readmissions than expected |
| Coronary bypass surgery (CABG) | 1.0218More readmissions than expected |
| No result published | Hip or knee replacement (not reported, or too few cases) |
Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.
Hospital Value-Based Purchasing Program
What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.
CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.
| Total Performance Score | 26.75 out of 100Median of the 2,455 hospitals in the program: 29.50 |
|---|---|
| Clinical outcomes (deaths and complications) | 28.00 out of 100 |
| Person and community engagement (patient survey) | 29.00 out of 100 |
| Safety (infections and sepsis care) | 50.00 out of 100 |
| Efficiency and cost reduction (Medicare spending) | 0.00 out of 100 |
Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.
Medicare spending per patient (MSPB)
What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.
CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.
| Medicare spending per patient, ratio | 1.09Above the national median hospital (1.00): Medicare spent more |
|---|
Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.
ER wait times and Medicare ratings nearby
How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.
Prices
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 73 common services exactly as Riverside Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.
What the prices mean
- Hospital charge
- The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
- Cash price
- The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
- Insurance rates
- The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
- Hospital and doctor fees
- A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.
How to use hospital prices: estimates, financial assistance and your rights →
Show the prices of 73 common services
Office and emergency visits
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $815 | $216.95 | $73.38 – $95.39 |
New patient office visit (about 30–44 minutes): 10 of 15 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN | $947 | $252.09 | $119.50 – $155.35 |
New patient office visit (about 45–59 minutes): 10 of 15 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN | $1,160 | $308.79 | $164.36 – $213.67 |
New patient office visit (about 60–74 minutes): 10 of 15 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES | $1,127 | $300.01 | $164.36 – $213.67 |
New patient office visit (about 60–74 minutes): 10 of 15 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $791 | $210.56 | $58.18 – $75.63 |
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $791 | $210.56 | $58.18 – $75.63 |
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 27_TH In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $791 | $210.56 | $58.18 – $75.63 |
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $919 | $244.64 | $85.77 – $111.50 |
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $919 | $244.64 | $85.77 – $111.50 |
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 27 In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $919 | $244.64 | $85.77 – $111.50 |
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM | $1,422 | $378.54 | $270 – $2,200 |
Emergency room visit (moderate): 10 of 17 insurance plan rates
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| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $1,317 | $350.59 | $270 – $2,200 |
Emergency room visit (moderate): 10 of 17 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $1,317 | $350.59 | $270 – $2,200 |
Emergency room visit (moderate): 10 of 17 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM | $2,172 | $578.19 | $270 – $2,200 |
Emergency room visit (moderately high): 10 of 17 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $2,011 | $535.33 | $270 – $2,200 |
Emergency room visit (moderately high): 10 of 17 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $2,011 | $535.33 | $270 – $2,200 |
Emergency room visit (moderately high): 10 of 17 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM | $2,915 | $775.97 | $270 – $2,200 |
Emergency room visit (high): 10 of 17 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $2,830 | $753.35 | $270 – $2,200 |
Emergency room visit (high): 10 of 17 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $2,830 | $753.35 | $270 – $2,200 |
Emergency room visit (high): 10 of 17 insurance plan rates
| |||
Lab tests
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $234 | $62.29 | $8.46 – $118.99 |
Basic metabolic panel (blood test): 10 of 15 insurance plan rates
| |||
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA | $255 | $67.88 | $8.46 – $118.99 |
Basic metabolic panel (blood test): 10 of 14 insurance plan rates
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| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XU In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $234 | $62.29 | $8.46 – $11 |
Basic metabolic panel (blood test): 10 of 15 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL | $460 | $122.45 | $10.56 – $148.50 |
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates
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| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $483 | $128.57 | $10.56 – $148.50 |
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates
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| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $483 | $128.57 | $10.56 – $13.73 |
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $389 | $103.55 | $13.39 – $188.29 |
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $389 | $103.55 | $13.39 – $17.41 |
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $389 | $103.55 | $13.39 – $17.41 |
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KIDNEY FUNCTION BLOOD TEST PANEL | $322 | $85.72 | $8.68 – $122.06 |
Kidney function panel: 10 of 15 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: KIDNEY FUNCTION BLOOD TEST PANEL | $322 | $85.72 | $8.68 – $11.28 |
Kidney function panel: 10 of 15 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier Q1 In the file: KIDNEY FUNCTION BLOOD TEST PANEL | $322 | $85.72 | $8.68 – $11.28 |
Kidney function panel: 10 of 15 insurance plan rates
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER FUNCTION BLOOD TEST PANEL | $478 | $127.24 | $8.17 – $114.90 |
Liver function panel: 10 of 15 insurance plan rates
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XU In the file: LIVER FUNCTION BLOOD TEST PANEL | $478 | $127.24 | $8.17 – $10.62 |
Liver function panel: 10 of 15 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $130 | $34.61 | $3.17 – $44.59 |
Urine test (automated, with microscope): 10 of 15 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $130 | $34.61 | $3.17 – $4.12 |
Urine test (automated, with microscope): 10 of 15 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $130 | $34.61 | $3.17 – $4.12 |
Urine test (automated, with microscope): 10 of 15 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE | $10 | $2.66 | $3.48 – $48.94 |
Urine test (manual, without microscope): 10 of 15 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE | $6 | $1.60 | $2.25 – $31.65 |
Urine test (automated, without microscope): 10 of 15 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOMATED URINALYSIS TEST | $111 | $29.55 | $2.25 – $31.65 |
Urine test (automated, without microscope): 10 of 14 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: AUTOMATED URINALYSIS TEST | $111 | $29.55 | $2.25 – $2.92 |
Urine test (automated, without microscope): 10 of 14 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL | $35 | $9.32 | $18.39 – $258.60 |
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $325 | $86.52 | $18.39 – $258.60 |
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GA In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $325 | $86.52 | $18.39 – $23.91 |
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $312 | $83.05 | $16.80 – $236.25 |
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GA In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $312 | $83.05 | $16.80 – $21.84 |
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $312 | $83.05 | $16.80 – $21.84 |
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $225 | $59.90 | $7.77 – $109.28 |
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC | $233 | $62.02 | $7.77 – $109.28 |
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $225 | $59.90 | $7.77 – $10.10 |
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED | $220 | $58.56 | $6.47 – $90.98 |
Complete blood count (CBC), automated: 10 of 15 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $200 | $53.24 | $6.47 – $90.98 |
Complete blood count (CBC), automated: 10 of 15 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $200 | $53.24 | $6.47 – $8.41 |
Complete blood count (CBC), automated: 10 of 15 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; CLOTTING TIME | $96 | $25.56 | $4.29 – $60.34 |
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME | $107 | $28.48 | $4.29 – $60.34 |
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: BLOOD TEST; CLOTTING TIME | $96 | $25.56 | $4.29 – $5.58 |
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL | $84 | $22.36 | $6.01 – $84.53 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $82 | $21.83 | $6.01 – $84.53 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $82 | $21.83 | $6.01 – $7.81 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates
| |||
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE | $3,116 | $829.48 | $111.48 – $1,260 |
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $3,025 | $805.26 | $111.48 – $1,260 |
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52_PO In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $3,025 | $805.26 | $55.75 – $1,260 |
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE | $14,800 | $3,939.76 | $372.03 – $1,774 |
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $7,950 | $2,116.29 | $372.03 – $1,774 |
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $7,950 | $2,116.29 | $372.03 – $1,774 |
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS | $594 | $158.12 | $92.80 – $850 |
Chest X-ray, 2 views: 10 of 15 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF CHEST; 2 VIEWS | $550 | $146.41 | $92.80 – $850 |
Chest X-ray, 2 views: 10 of 15 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: X-RAY OF CHEST; 2 VIEWS | $550 | $146.41 | $92.80 – $850 |
Chest X-ray, 2 views: 10 of 15 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS | $780 | $207.64 | $111.48 – $850 |
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS | $870 | $231.59 | $111.48 – $850 |
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS | $870 | $231.59 | $111.48 – $850 |
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE | $4,430 | $1,179.27 | $254.44 – $1,774 |
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $4,950 | $1,317.69 | $254.44 – $1,774 |
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $4,950 | $1,317.69 | $254.44 – $1,774 |
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF PELVIS WITH CONTRAST | $4,350 | $1,157.97 | $187.04 – $1,260 |
CT scan of the pelvis, with contrast: 10 of 17 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE | $4,341 | $1,155.57 | $187.04 – $1,260 |
CT scan of the pelvis, with contrast: 10 of 17 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: CT SCAN OF PELVIS WITH CONTRAST | $4,350 | $1,157.97 | $187.04 – $1,260 |
CT scan of the pelvis, with contrast: 10 of 17 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE | $4,430 | $1,179.27 | $254.44 – $1,774 |
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST | $4,520 | $1,203.22 | $561.39 – $1,774 |
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST | $4,520 | $1,203.22 | $254.44 – $1,774 |
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $9,400 | $2,502.28 | $372.03 – $1,260 |
CT scan of the abdomen and pelvis, with contrast: 10 of 17 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $9,400 | $2,502.28 | $372.03 – $1,260 |
CT scan of the abdomen and pelvis, with contrast: 10 of 17 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XU In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $9,400 | $2,502.28 | $372.03 – $1,260 |
CT scan of the abdomen and pelvis, with contrast: 10 of 17 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE | $1,674 | $445.62 | $111.48 – $850 |
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN | $1,550 | $412.61 | $111.48 – $850 |
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN | $1,550 | $412.61 | $111.48 – $850 |
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS | $1,577 | $419.80 | $111.48 – $850 |
Pregnancy ultrasound (after the first trimester): 10 of 15 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS | $1,460 | $388.65 | $111.48 – $850 |
Pregnancy ultrasound (after the first trimester): 10 of 15 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB | $1,107 | $294.68 | $111.48 – $850 |
Transvaginal ultrasound: 10 of 15 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA | $1,025 | $272.86 | $111.48 – $850 |
Transvaginal ultrasound: 10 of 15 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA | $1,025 | $272.86 | $111.48 – $850 |
Transvaginal ultrasound: 10 of 15 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI | $567 | $150.94 | $37.84 – $850 |
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST | $531 | $141.35 | $37.84 – $850 |
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST | $531 | $141.35 | $37.84 – $850 |
Diagnostic mammogram, one breast: 10 of 12 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI | $573 | $152.53 | $46.54 – $850 |
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS | $525 | $139.76 | $46.54 – $850 |
Diagnostic mammogram, both breasts: 10 of 12 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD | $620 | $165.04 | $35.04 – $850 |
Screening mammogram, both breasts: 10 of 15 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMMOGRAPHY | $574 | $152.80 | $35.04 – $850 |
Screening mammogram, both breasts: 10 of 12 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52_LT_PO In the file: SCREENING MAMMOGRAPHY | $574 | $152.80 | $35.04 – $850 |
Screening mammogram, both breasts: 10 of 15 insurance plan rates
| |||
Heart tests and sleep study
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY | $13,429 | $3,574.80 | $3,457.09 – $4,494.22 |
Left heart catheterization (diagnostic): 10 of 15 insurance plan rates
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION | $13,658 | $3,635.76 | $8,317.30 – $10,812.49 |
Heart rhythm study (electrophysiology evaluation): 10 of 15 insurance plan rates
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY CAUSING ATRIAL FIBRILLATION (UNCOORDINATED CONTRACTION | $54,500 | $14,507.90 | $27,872.57 – $36,234.34 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 15 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM | $7,074 | $1,883.10 | $915.73 – $1,190.45 |
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER) | $6,550 | $1,743.61 | $915.73 – $1,190.45 |
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER) | $6,550 | $1,743.61 | $915.73 – $1,190.45 |
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates
| |||
Physical therapy and mental health
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES | $210 | $55.90 | $28.05 – $36.47 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier CO_GO In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES | $420 | $111.80 | $28.05 – $36.47 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier CQ_GP_KX_PN In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES | $630 | $167.71 | $28.05 – $36.47 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN | $402 | $107.01 | $94.04 – $122.25 |
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES | $402 | $107.01 | $94.04 – $122.25 |
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP_PN In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES | $402 | $107.01 | $94.04 – $122.25 |
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN | $499 | $132.83 | $94.04 – $122.25 |
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP_KX In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES | $499 | $132.83 | $94.04 – $122.25 |
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP_KX_PN In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES | $499 | $132.83 | $94.04 – $122.25 |
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN | $675 | $179.69 | $94.04 – $122.25 |
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES | $675 | $179.69 | $94.04 – $122.25 |
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP_KX In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES | $675 | $179.69 | $94.04 – $122.25 |
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYCHOTHERAPY; 30 MINUTES | $415 | $110.47 | $189.28 – $385 |
Psychotherapy, 30 minutes: 10 of 17 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier PO In the file: PSYCHOTHERAPY; 30 MINUTES | $1,245 | $331.42 | $189.28 – $385 |
Psychotherapy, 30 minutes: 10 of 17 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier XU In the file: PSYCHOTHERAPY; 30 MINUTES | $415 | $110.47 | $189.28 – $385 |
Psychotherapy, 30 minutes: 10 of 17 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYCHOTHERAPY; 45 MINUTES | $415 | $110.47 | $189.28 – $246.06 |
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier XU In the file: PSYCHOTHERAPY; 45 MINUTES | $415 | $110.47 | $189.28 – $246.06 |
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier PO In the file: PSYCHOTHERAPY; 45 MINUTES | $415 | $110.47 | $189.28 – $246.06 |
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYCHOTHERAPY; 1 HOUR | $415 | $110.47 | $189.28 – $246.06 |
Psychotherapy, 60 minutes: 10 of 15 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier PO In the file: PSYCHOTHERAPY; 1 HOUR | $415 | $110.47 | $189.28 – $246.06 |
Psychotherapy, 60 minutes: 10 of 15 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier XU In the file: PSYCHOTHERAPY; 1 HOUR | $415 | $110.47 | $189.28 – $246.06 |
Psychotherapy, 60 minutes: 10 of 15 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/O PT 50 MIN | $415 | $110.47 | $103 – $246.06 |
Family psychotherapy, without the patient: 10 of 15 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/PT 50 MIN | $415 | $110.47 | $103 – $246.06 |
Family psychotherapy, with the patient: 10 of 15 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: GROUP PSYCHOTHERAPY | $471 | $125.38 | $103 – $385 |
Group psychotherapy: 10 of 17 insurance plan rates
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT_XU In the file: REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE | $7,700 | $2,049.74 | $4,175.29 – $5,427.88 |
Removal of breast growth (open surgery): 10 of 15 insurance plan rates
| |||
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE | $9,075 | $2,415.77 | $4,175.29 – $5,427.88 |
Removal of breast growth (open surgery): 10 of 15 insurance plan rates
| |||
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE | $13,200 | $3,513.84 | $4,175.29 – $5,427.88 |
Removal of breast growth (open surgery): 10 of 15 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $45,600 | $12,138.72 | $13,690.75 – $17,797.97 |
Total hip replacement: 10 of 15 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $48,735 | $12,973.26 | $13,690.75 – $17,797.97 |
Total hip replacement: 10 of 15 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $31,065 | $8,269.50 | $13,690.75 – $17,797.97 |
Total knee replacement: 10 of 15 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $30,780 | $8,193.64 | $13,690.75 – $17,797.97 |
Total knee replacement: 10 of 15 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT_XU In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE | $5,000 | $1,331 | $155.89 – $202.66 |
Shoulder arthroscopy: shaving of shoulder bone: 10 of 15 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE | $10,037.50 | $2,671.98 | $155.89 – $202.66 |
Shoulder arthroscopy: shaving of shoulder bone: 10 of 15 insurance plan rates
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $16,362.50 | $4,355.70 | $3,489.16 – $4,535.91 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 15 insurance plan rates
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $14,575 | $3,879.87 | $3,489.16 – $4,535.91 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 15 insurance plan rates
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) | $8,215 | $2,186.83 | $6,312.72 – $8,206.54 |
Removal of tonsils and adenoids (under age 12): 10 of 15 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $8,950 | $2,382.49 | $967.18 – $1,257.33 |
Upper GI endoscopy (diagnostic): 10 of 15 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $8,950 | $2,382.49 | $967.18 – $1,257.33 |
Upper GI endoscopy (diagnostic): 10 of 15 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $8,950 | $2,382.49 | $967.18 – $1,257.33 |
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XU In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $6,300 | $1,677.06 | $967.18 – $1,257.33 |
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $8,950 | $2,382.49 | $991.68 – $1,289.18 |
Colonoscopy (diagnostic): 10 of 15 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74_PT In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $8,950 | $2,382.49 | $991.68 – $1,289.18 |
Colonoscopy (diagnostic): 10 of 15 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PT In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $8,950 | $2,382.49 | $991.68 – $1,289.18 |
Colonoscopy (diagnostic): 10 of 15 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $6,000 | $1,597.20 | $1,276.06 – $1,658.88 |
Colonoscopy with biopsy: 10 of 15 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XU In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $6,150 | $1,637.13 | $1,276.06 – $1,658.88 |
Colonoscopy with biopsy: 10 of 15 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PT In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $8,950 | $2,382.49 | $1,276.06 – $1,658.88 |
Colonoscopy with biopsy: 10 of 15 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $7,425 | $1,976.54 | $1,276.06 – $1,658.88 |
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PT In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $12,300 | $3,274.26 | $1,276.06 – $1,658.88 |
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XU In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $3,000 | $798.60 | $1,276.06 – $1,658.88 |
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $3,500 | $931.70 | $991.68 – $1,289.18 |
Screening colonoscopy (not high risk): 10 of 11 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $8,950 | $2,382.49 | $991.68 – $1,289.18 |
Screening colonoscopy (not high risk): 10 of 11 insurance plan rates
| |||
| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $24,795 | $6,600.43 | $6,446.76 – $8,380.79 |
Gallbladder removal by laparoscope: 10 of 15 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $19,800 | $5,270.76 | $3,818.02 – $4,963.43 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 15 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $31,625 | $8,418.58 | $3,818.02 – $4,963.43 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 15 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $22,550 | $6,002.81 | $3,818.02 – $4,963.43 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 15 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE | $5,400 | $1,437.48 | Not listed in the file |
Prostate biopsy: rates for 9 insurance plans
| |||
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE GLAND | $10,175 | $2,708.59 | Not listed in the file |
Prostate biopsy: rates for 9 insurance plans
| |||
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XU In the file: BIOPSY OF PROSTATE GLAND | $10,000 | $2,662 | Not listed in the file |
Prostate biopsy: rates for 9 insurance plans
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE | $9,075 | $2,415.77 | $3,451.96 – $4,487.55 |
Hysteroscopy with biopsy of the uterus lining: 10 of 15 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $1,840 | $489.81 | $752.73 – $978.55 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 15 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 73 In the file: INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $3,500 | $931.70 | $376.37 – $489.28 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 15 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $3,500 | $931.70 | $752.73 – $978.55 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 15 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 | $2,340 | $622.91 | $943.18 – $1,226.13 |
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $4,900 | $1,304.38 | $1,414.76 – $1,839.19 |
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 73 In the file: INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $4,900 | $1,304.38 | $471.59 – $613.07 |
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: RELEASE AND/OR RELOCATION OF HAND NERVE | $15,500 | $4,126.10 | $2,082.33 – $2,707.03 |
Carpal tunnel release: 10 of 15 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: RELEASE AND/OR RELOCATION OF HAND NERVE | $13,337.50 | $3,550.44 | $2,082.33 – $2,707.03 |
Carpal tunnel release: 10 of 15 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT_XU In the file: RELEASE AND/OR RELOCATION OF HAND NERVE | $10,000 | $2,662 | $2,082.33 – $2,707.03 |
Carpal tunnel release: 10 of 15 insurance plan rates
| |||
Hospital stays (whole stay, MS-DRG)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | Not listed in the file | Not listed in the file | $82,917.23 – $107,792.40 |
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 9 insurance plans
| |||
| 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 COMORBITY | Not listed in the file | Not listed in the file | $16,893.34 – $21,961.34 |
Hip or knee replacement (major joint of the leg), without major complications: rates for 9 insurance plans
| |||
| Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY | Not listed in the file | Not listed in the file | $21,200.82 – $27,561.07 |
Neck (cervical) spinal fusion, without complications: rates for 9 insurance plans
| |||
| Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY | Not listed in the file | Not listed in the file | $11,017.25 – $14,440.35 |
Uterus and ovary surgery (not for cancer), without complications: rates for 9 insurance plans
| |||
Source: Riverside Medical Center’s standard charges file (apim.services.craneware.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 15, 2026; retrieved November 1, 2026. The hospital’s price transparency page →
Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.
Hospital information
| Hospital type | Acute Care Hospital |
|---|---|
| Address | 350 N Wall St, Kankakee, IL 60901 |
| County | Kankakee County |
| State | Illinois |
| Phone | (815) 933‑1671 |
| Emergency services | Yes |
| Ownership | Voluntary non-profit - Private |
| Medicare overall rating | 4 of 5 stars |
| Birthing-friendly designation | Yes (meets CMS criteria) |
| CMS Certification Number | 140186 |
| Name in Medicare records | RIVERSIDE MEDICAL CENTER |
| Profile level | Medicare data + hospital website |
| Official website | riversidehealthcare.org |
| Corrections | Report an error or suggest an update → |
Sources
- Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this hospital
- U.S. Census Bureau Geocoder — map position used for distances
From the hospital’s website
Numbers match the citations above. Checked 2026-10-30.
- Riverside Medical Center — riversidehealthcare.org
- Riverside Medical Center | Hospital in Kankakee, IL — riversidehealthcare.org
- Emergency Care in Kankakee County | Riverside Healthcare — riversidehealthcare.org
- Emergency Department in Kankakee, IL| 24/7 ER | Riverside Medical Center — riversidehealthcare.org
- Pregnancy & Childbirth Care | Riverside Healthcare — riversidehealthcare.org
- Inpatient Pediatric Care | Riverside Healthcare — riversidehealthcare.org
- Family Birthing Center | Riverside Healthcare — riversidehealthcare.org
- On-Site Pediatric Care | Riverside Family Birthing Center — riversidehealthcare.org