Does Roseland Community Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Roseland Community Hospital. In a medical emergency, call 911.

Where is Roseland Community Hospital?

45 W 111th Street, Chicago, IL 60628, in Cook County, Illinois.

What is the phone number of Roseland Community Hospital?

(773) 995-3000, as listed by Medicare (CMS).

What is the Medicare star rating of Roseland Community Hospital?

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

Roseland Community Hospital — Chicago, IL

Quick answers

Does Roseland Community Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Roseland Community Hospital. In a medical emergency, call 911.
Where is Roseland Community Hospital?: 45 W 111th Street, Chicago, IL 60628, in Cook County, Illinois.
What is the phone number of Roseland Community Hospital?: (773) 995-3000, as listed by Medicare (CMS).
What is the Medicare star rating of Roseland Community Hospital?: 1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][5][6][7][10]}

Obstetrics and Gynecology (OB-GYN)
Dental
Diagnostic Imaging
Surgical Services
Emergency Room
Surgery
OB-GYN
Adult behavioral health

Conditions treated^[10]

Major depression
Panic attacks
Bipolar disorder
Obsessive compulsive disorder
Post-traumatic stress disorder
Alcohol dependence

Procedures^[9]

MRI
CT scan
Mammography
Ultrasound
Nuclear medicine studies
PET scan
X-ray

Programs and centers^[4][8]

Behavioral Health Unit
Acute Care Unit
Intensive Care Unit
Medical Stabilization Unit
Heart of the Rose Clinic
Illinois Breast and Cervical Cancer Program (IBCCP)
Illinois Breast and Cervical Cancer Program (free mammograms and Pap smears)

Emergency care (hospital website)^[5]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Patient portal	Patient portal

Doctors and clinicians (47)

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

Main specialties

And 23 more: the button below opens the full list.

Other emergency rooms nearby

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

Advocate Trinity Hospital3.7 mi · Chicago, IL · Acute Care Hospital
OSF Little Company of Mary Medical Center4.0 mi · Evergreen Park, IL · Acute Care Hospital
South Shore Hospital4.9 mi · Chicago, IL · Acute Care Hospital
Jackson Park Hospital4.9 mi · Chicago, IL · Acute Care Hospital
Advocate Christ Hospital & Medical Center5.9 mi · Oak Lawn, IL · Acute Care Hospital

Other hospitals nearby

Larabida Childrens Hospital I5.8 mi · Chicago, IL · Children's Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Morgan Park Healthcare0.9 mi · Chicago, IL · 1 of 5 stars
Landmark at 95th Rehabilitation and Nursing Center2.3 mi · Chicago, IL · 1 of 5 stars
Smith Village2.8 mi · Chicago, IL · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Vital Care Hospice LLC4.5 mi · Evergreen Park, IL
Ucm Home Care5.9 mi · Harvey, IL
Shiloh Hospice & Palliative Care, LLC6.7 mi · South Holland, IL

All hospice providers in the state →

Home health agencies

Alpha Home Health Care, Inc2.1 mi · Chicago, IL
Nightengale of Chicago Inc.2.1 mi · Chicago, IL
Sunset Neighborhood Services Corporation2.1 mi · Chicago, IL

All home health agencies in the state →

Dialysis facilities

DaVita Washington Heights Dialysis0.3 mi · Chicago, IL · 2 of 5 stars
FMC - Roseland0.3 mi · Chicago, IL · 1 of 5 stars
Dialysis Care Center-Beverly2.1 mi · Chicago, IL · 1 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Vascular Access Centers of Il at Morgan Park LLC2.1 mi · Chicago, IL
Premier Cardiac Surgery Center LLC5.9 mi · Merrionette Park, IL
Midwest Eye Care & Surgery Ctr6.6 mi · Calumet City, IL

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Aunt Martha's Roseland Community Health Center0.0 mi · Chicago, IL · Community health center
Chicago Family Health Center - Roseland0.1 mi · Chicago, IL · Community health center
LCHC at Cornerstone Recovering Community0.2 mi · Chicago, IL · Community health center

Clinics and urgent care

Insight Chicago, Inc.0.3 mi · Chicago, IL · Urgent care center
Midwest Express Care 2, Inc3.0 mi · Calumet Park, IL · Urgent care center
Midwest Express Care 2, Inc4.5 mi · Evergreen Park, IL · Urgent care center

Pharmacies

Ameer Pharmacy Inc.0.3 mi · Chicago, IL · Community/retail pharmacy
B & G Heinz Pharmacy, Inc0.3 mi · Chicago, IL · Community/retail pharmacy
True Care Pharmacy Inc.0.3 mi · Chicago, IL · Community/retail pharmacy

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

Silver Birch of Hammond8.7 mi · Hammond, IN
Assisted Living at Hartsfield Village12 mi · Munster, IN

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	1 of 5 stars
Overall rating of the hospital	1 of 5 stars
Would recommend the hospital	1 of 5 stars
Nurses communicated well	1 of 5 stars
Doctors communicated well	1 of 5 stars
Staff explained medicines	1 of 5 stars
Information about recovery at home	1 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	41%National average: 72%
Would definitely recommend the hospital	42%National average: 71%
Nurses “always” communicated well	61%National average: 80%
Doctors “always” communicated well	69%National average: 80%
Staff “always” explained medicines before giving them	51%National average: 62%
Were given information about recovery at home	74%National average: 86%
Room and bathroom “always” clean	63%National average: 74%
Area around the room “always” quiet at night	48%National average: 60%
Completed surveys	206Response rate: 20%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	2.04Worse than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	9.6%
Deaths within 30 days: pneumonia patients	14%
Deaths within 30 days: COPD patients	9.4%
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.14No different from the national rate
Complications after hip or knee replacement	Not 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 attack	Too few cases to report
Readmitted within 30 days: heart failure	22%
Readmitted within 30 days: pneumonia	17.5%
Readmitted within 30 days: COPD	20.1%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not 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)	246 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	8%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	11%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 Chicago Best hospitals in Chicago

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 50 common services exactly as Roseland Community Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	$120	Not listed in the file	$60 – $132
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $78.84 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $78.84 AMBETTER MCR — AMBETTER MCR: $78.84 BCBS DUAL MCR — BCBS DUAL MCR: $73.32 BCBS HMO — BCBS HMO: $60 BCBS MCR ADV — BCBS MCR ADV: $78.84 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $60 CHOICECARE - ALL PLANS — CHOICECARE - ALL PLANS: $90 HUMANA - ALL PLANS — HUMANA - ALL PLANS: $132 MOLINA MCR ADV/MRKTPLCE - ALL PLANS — MOLINA MCR ADV/MRKTPLCE - ALL PLANS: $78.84
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	$165	Not listed in the file	$82.50 – $181.50
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $128 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $128 AMBETTER MCR — AMBETTER MCR: $128 BCBS DUAL MCR — BCBS DUAL MCR: $119.04 BCBS HMO — BCBS HMO: $82.50 BCBS MCR ADV — BCBS MCR ADV: $128 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $82.50 CHOICECARE - ALL PLANS — CHOICECARE - ALL PLANS: $123.75 HUMANA - ALL PLANS — HUMANA - ALL PLANS: $181.50 MOLINA MCR ADV/MRKTPLCE - ALL PLANS — MOLINA MCR ADV/MRKTPLCE - ALL PLANS: $128
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	$225	Not listed in the file	$112.50 – $247.50
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $176.87 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $176.87 AMBETTER MCR — AMBETTER MCR: $176.87 BCBS DUAL MCR — BCBS DUAL MCR: $164.49 BCBS HMO — BCBS HMO: $112.50 BCBS MCR ADV — BCBS MCR ADV: $176.87 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $112.50 CHOICECARE - ALL PLANS — CHOICECARE - ALL PLANS: $168.75 HUMANA - ALL PLANS — HUMANA - ALL PLANS: $247.50 MOLINA MCR ADV/MRKTPLCE - ALL PLANS — MOLINA MCR ADV/MRKTPLCE - ALL PLANS: $176.87
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more	$80	Not listed in the file	$40 – $88
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $61.70 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $61.70 AMBETTER MCR — AMBETTER MCR: $61.70 BCBS DUAL MCR — BCBS DUAL MCR: $57.38 BCBS HMO — BCBS HMO: $40 BCBS MCR ADV — BCBS MCR ADV: $61.70 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $40 CHOICECARE - ALL PLANS — CHOICECARE - ALL PLANS: $60 HUMANA - ALL PLANS — HUMANA - ALL PLANS: $88 MOLINA MCR ADV/MRKTPLCE - ALL PLANS — MOLINA MCR ADV/MRKTPLCE - ALL PLANS: $61.70
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$120	Not listed in the file	$60 – $132
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $91.09 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $91.09 AMBETTER MCR — AMBETTER MCR: $91.09 BCBS DUAL MCR — BCBS DUAL MCR: $84.71 BCBS HMO — BCBS HMO: $60 BCBS MCR ADV — BCBS MCR ADV: $91.09 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $60 CHOICECARE - ALL PLANS — CHOICECARE - ALL PLANS: $90 HUMANA - ALL PLANS — HUMANA - ALL PLANS: $132 MOLINA MCR ADV/MRKTPLCE - ALL PLANS — MOLINA MCR ADV/MRKTPLCE - ALL PLANS: $91.09
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (18-39 years)	$85	Not listed in the file	$42.50 – $93.50
Preventive checkup, new patient, age 18–39: rates for 4 insurance plans BCBS HMO — BCBS HMO: $42.50 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $42.50 CHOICECARE - ALL PLANS — CHOICECARE - ALL PLANS: $63.75 HUMANA - ALL PLANS — HUMANA - ALL PLANS: $93.50
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (40-64 years)	$90	Not listed in the file	$45 – $99
Preventive checkup, new patient, age 40–64: rates for 4 insurance plans BCBS HMO — BCBS HMO: $45 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $45 CHOICECARE - ALL PLANS — CHOICECARE - ALL PLANS: $67.50 HUMANA - ALL PLANS — HUMANA - ALL PLANS: $99
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making	$627	Not listed in the file	$272.05 – $689.70
Emergency room visit (moderate): 10 of 13 insurance plan rates AETNA - ALL PLANS — AETNA - ALL PLANS: $412 AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $292.53 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $292.53 AMBETTER MCR — AMBETTER MCR: $292.53 BCBS DUAL MCR — BCBS DUAL MCR: $272.05 BCBS HMO — BCBS HMO: $313.50 BCBS MCR ADV — BCBS MCR ADV: $292.53 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $313.50 CHOICECARE - ALL PLANS — CHOICECARE - ALL PLANS: $470.25 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $294
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making	$976	Not listed in the file	$294 – $1,073.60
Emergency room visit (moderately high): 10 of 13 insurance plan rates AETNA - ALL PLANS — AETNA - ALL PLANS: $412 AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $447.15 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $447.15 AMBETTER MCR — AMBETTER MCR: $447.15 BCBS DUAL MCR — BCBS DUAL MCR: $415.85 BCBS HMO — BCBS HMO: $585.60 BCBS MCR ADV — BCBS MCR ADV: $447.15 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $488 CHOICECARE - ALL PLANS — CHOICECARE - ALL PLANS: $732 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $294
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making	$1,402	Not listed in the file	$294 – $1,542.20
Emergency room visit (high): 10 of 13 insurance plan rates AETNA - ALL PLANS — AETNA - ALL PLANS: $412 AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $638.18 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $638.18 AMBETTER MCR — AMBETTER MCR: $638.18 BCBS DUAL MCR — BCBS DUAL MCR: $593.51 BCBS HMO — BCBS HMO: $841.20 BCBS MCR ADV — BCBS MCR ADV: $638.18 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $701 CHOICECARE - ALL PLANS — CHOICECARE - ALL PLANS: $1,051.50 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $294

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Blood test, basic group of blood chemicals (Calcium, total)	$110	$9.19	$7.87 – $121
Basic metabolic panel (blood test): 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $8.46 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $8.46 AMBETTER MCAID — AMBETTER MCAID: $9.19 AMBETTER MCR — AMBETTER MCR: $8.46 BCBS DUAL MCR — BCBS DUAL MCR: $7.87 BCBS HMO — BCBS HMO: $55 BCBS MCR ADV — BCBS MCR ADV: $8.46 BCBS MEDICAID — BCBS MEDICAID: $9.19 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $55 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $9.19
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals	$108	$9.19	$9.19 – $118.80
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $10.56 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $10.56 AMBETTER MCAID — AMBETTER MCAID: $9.19 AMBETTER MCR — AMBETTER MCR: $10.56 BCBS DUAL MCR — BCBS DUAL MCR: $9.82 BCBS HMO — BCBS HMO: $54 BCBS MCR ADV — BCBS MCR ADV: $10.56 BCBS MEDICAID — BCBS MEDICAID: $9.19 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $54 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $9.19
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides)	$33.48	$9.19	$9.19 – $36.83
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $13.39 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $13.39 AMBETTER MCAID — AMBETTER MCAID: $9.19 AMBETTER MCR — AMBETTER MCR: $13.39 BCBS DUAL MCR — BCBS DUAL MCR: $12.45 BCBS HMO — BCBS HMO: $16.74 BCBS MCR ADV — BCBS MCR ADV: $13.39 BCBS MEDICAID — BCBS MEDICAID: $9.19 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $16.74 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $9.19
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel	$87	$9.19	$7.60 – $95.70
Liver function panel: 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $8.17 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $8.17 AMBETTER MCAID — AMBETTER MCAID: $9.19 AMBETTER MCR — AMBETTER MCR: $8.17 BCBS DUAL MCR — BCBS DUAL MCR: $7.60 BCBS HMO — BCBS HMO: $43.50 BCBS MCR ADV — BCBS MCR ADV: $8.17 BCBS MEDICAID — BCBS MEDICAID: $9.19 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $43.50 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $9.19
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated	$8	$3.06	$2.95 – $8.80
Urine test (automated, with microscope): 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $3.17 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $3.17 AMBETTER MCAID — AMBETTER MCAID: $3.06 AMBETTER MCR — AMBETTER MCR: $3.17 BCBS DUAL MCR — BCBS DUAL MCR: $2.95 BCBS HMO — BCBS HMO: $4 BCBS MCR ADV — BCBS MCR ADV: $3.17 BCBS MEDICAID — BCBS MEDICAID: $3.06 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $4 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $3.06
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, manual test	$17	$3.06	$3.06 – $18.70
Urine test (manual, without microscope): 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $3.48 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $3.48 AMBETTER MCAID — AMBETTER MCAID: $3.06 AMBETTER MCR — AMBETTER MCR: $3.48 BCBS DUAL MCR — BCBS DUAL MCR: $3.24 BCBS HMO — BCBS HMO: $8.50 BCBS MCR ADV — BCBS MCR ADV: $3.48 BCBS MEDICAID — BCBS MEDICAID: $3.06 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $8.50 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $3.06
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test	$39	$3.06	$2.09 – $42.90
Urine test (automated, without microscope): 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $2.25 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $2.25 AMBETTER MCAID — AMBETTER MCAID: $3.06 AMBETTER MCR — AMBETTER MCR: $2.25 BCBS DUAL MCR — BCBS DUAL MCR: $2.09 BCBS HMO — BCBS HMO: $19.50 BCBS MCR ADV — BCBS MCR ADV: $2.25 BCBS MEDICAID — BCBS MEDICAID: $3.06 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $19.50 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $3.06
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total	$63	$12.17	$12.17 – $69.30
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $18.39 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $18.39 AMBETTER MCAID — AMBETTER MCAID: $12.17 AMBETTER MCR — AMBETTER MCR: $18.39 BCBS DUAL MCR — BCBS DUAL MCR: $17.10 BCBS HMO — BCBS HMO: $31.50 BCBS MCR ADV — BCBS MCR ADV: $18.39 BCBS MEDICAID — BCBS MEDICAID: $12.17 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $31.50 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $12.17
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH)	$56	$13.43	$13.43 – $61.60
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $16.80 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $16.80 AMBETTER MCAID — AMBETTER MCAID: $13.43 AMBETTER MCR — AMBETTER MCR: $16.80 BCBS DUAL MCR — BCBS DUAL MCR: $15.62 BCBS HMO — BCBS HMO: $28 BCBS MCR ADV — BCBS MCR ADV: $16.80 BCBS MEDICAID — BCBS MEDICAID: $13.43 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $28 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $13.43
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	$110	$6.04	$6.04 – $121
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $7.77 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $7.77 AMBETTER MCAID — AMBETTER MCAID: $6.04 AMBETTER MCR — AMBETTER MCR: $7.77 BCBS DUAL MCR — BCBS DUAL MCR: $7.23 BCBS HMO — BCBS HMO: $55 BCBS MCR ADV — BCBS MCR ADV: $7.77 BCBS MEDICAID — BCBS MEDICAID: $6.04 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $55 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $6.04
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time	$50	$4.51	$3.99 – $55
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $4.29 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $4.29 AMBETTER MCAID — AMBETTER MCAID: $4.51 AMBETTER MCR — AMBETTER MCR: $4.29 BCBS DUAL MCR — BCBS DUAL MCR: $3.99 BCBS HMO — BCBS HMO: $25 BCBS MCR ADV — BCBS MCR ADV: $4.29 BCBS MEDICAID — BCBS MEDICAID: $4.51 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $25 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $4.51
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood	$56	$4.51	$4.51 – $61.60
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $6.01 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $6.01 AMBETTER MCAID — AMBETTER MCAID: $4.51 AMBETTER MCR — AMBETTER MCR: $6.01 BCBS DUAL MCR — BCBS DUAL MCR: $5.59 BCBS HMO — BCBS HMO: $28 BCBS MCR ADV — BCBS MCR ADV: $6.01 BCBS MEDICAID — BCBS MEDICAID: $4.51 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $28 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $4.51

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT scan head or brain without contrast	$273	$381.53	$104.19 – $400
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $112.03 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $112.03 AMBETTER MCAID — AMBETTER MCAID: $381.53 AMBETTER MCR — AMBETTER MCR: $112.03 BCBS DUAL MCR — BCBS DUAL MCR: $104.19 BCBS HMO — BCBS HMO: $136.50 BCBS MCR ADV — BCBS MCR ADV: $112.03 BCBS MEDICAID — BCBS MEDICAID: $381.53 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $136.50 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $381.53
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI scan of brain before and after contrast	$942	$510.96	$347.69 – $1,036.20
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $373.86 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $373.86 AMBETTER MCAID — AMBETTER MCAID: $510.96 AMBETTER MCR — AMBETTER MCR: $373.86 BCBS DUAL MCR — BCBS DUAL MCR: $347.69 BCBS HMO — BCBS HMO: $471 BCBS MCR ADV — BCBS MCR ADV: $373.86 BCBS MEDICAID — BCBS MEDICAID: $510.96 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $471 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $510.96
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray of chest, 2 views	$222	$70.48	$70.48 – $244.20
Chest X-ray, 2 views: 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $93.26 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $93.26 AMBETTER MCAID — AMBETTER MCAID: $70.48 AMBETTER MCR — AMBETTER MCR: $93.26 BCBS DUAL MCR — BCBS DUAL MCR: $86.73 BCBS HMO — BCBS HMO: $111 BCBS MCR ADV — BCBS MCR ADV: $93.26 BCBS MEDICAID — BCBS MEDICAID: $70.48 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $111 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $70.48
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray of lower and sacral spine, minimum of 4 views	$273	$70.48	$70.48 – $300.30
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $112.03 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $112.03 AMBETTER MCAID — AMBETTER MCAID: $70.48 AMBETTER MCR — AMBETTER MCR: $112.03 BCBS DUAL MCR — BCBS DUAL MCR: $104.19 BCBS HMO — BCBS HMO: $136.50 BCBS MCR ADV — BCBS MCR ADV: $112.03 BCBS MEDICAID — BCBS MEDICAID: $70.48 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $136.50 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $70.48
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal without contrast	$597	$302.84	$237.79 – $750
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $255.69 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $255.69 AMBETTER MCAID — AMBETTER MCAID: $302.84 AMBETTER MCR — AMBETTER MCR: $255.69 BCBS DUAL MCR — BCBS DUAL MCR: $237.79 BCBS HMO — BCBS HMO: $298.50 BCBS MCR ADV — BCBS MCR ADV: $255.69 BCBS MEDICAID — BCBS MEDICAID: $302.84 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $298.50 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $302.84
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast	$461	$381.53	$174.81 – $507.10
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $187.96 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $187.96 AMBETTER MCAID — AMBETTER MCAID: $381.53 AMBETTER MCR — AMBETTER MCR: $187.96 BCBS DUAL MCR — BCBS DUAL MCR: $174.81 BCBS HMO — BCBS HMO: $230.50 BCBS MCR ADV — BCBS MCR ADV: $187.96 BCBS MEDICAID — BCBS MEDICAID: $381.53 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $230.50 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $381.53
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI scan of leg joint without contrast	$597	$302.84	$237.79 – $750
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $255.69 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $255.69 AMBETTER MCAID — AMBETTER MCAID: $302.84 AMBETTER MCR — AMBETTER MCR: $255.69 BCBS DUAL MCR — BCBS DUAL MCR: $237.79 BCBS HMO — BCBS HMO: $298.50 BCBS MCR ADV — BCBS MCR ADV: $255.69 BCBS MEDICAID — BCBS MEDICAID: $302.84 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $298.50 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $302.84
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT scan of abdomen and pelvis with contrast	$942	$381.53	$347.69 – $1,036.20
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $373.86 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $373.86 AMBETTER MCAID — AMBETTER MCAID: $381.53 AMBETTER MCR — AMBETTER MCR: $373.86 BCBS DUAL MCR — BCBS DUAL MCR: $347.69 BCBS HMO — BCBS HMO: $471 BCBS MCR ADV — BCBS MCR ADV: $373.86 BCBS MEDICAID — BCBS MEDICAID: $381.53 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $471 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $381.53
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Complete ultrasound scan of abdomen	$273	$211.36	$104.19 – $300.30
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $112.03 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $112.03 AMBETTER MCAID — AMBETTER MCAID: $211.36 AMBETTER MCR — AMBETTER MCR: $112.03 BCBS DUAL MCR — BCBS DUAL MCR: $104.19 BCBS HMO — BCBS HMO: $136.50 BCBS MCR ADV — BCBS MCR ADV: $112.03 BCBS MEDICAID — BCBS MEDICAID: $211.36 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $136.50 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $211.36
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus	$273	$126.37	$104.19 – $300.30
Pregnancy ultrasound (after the first trimester): 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $112.03 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $112.03 AMBETTER MCAID — AMBETTER MCAID: $126.37 AMBETTER MCR — AMBETTER MCR: $112.03 BCBS DUAL MCR — BCBS DUAL MCR: $104.19 BCBS HMO — BCBS HMO: $136.50 BCBS MCR ADV — BCBS MCR ADV: $112.03 BCBS MEDICAID — BCBS MEDICAID: $126.37 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $136.50 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $126.37
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina	$273	$137.18	$104.19 – $300.30
Transvaginal ultrasound: 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $112.03 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $112.03 AMBETTER MCAID — AMBETTER MCAID: $137.18 AMBETTER MCR — AMBETTER MCR: $112.03 BCBS DUAL MCR — BCBS DUAL MCR: $104.19 BCBS HMO — BCBS HMO: $136.50 BCBS MCR ADV — BCBS MCR ADV: $112.03 BCBS MEDICAID — BCBS MEDICAID: $137.18 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $136.50 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $137.18
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography of 1 breast	$168	$59.94	$59.94 – $184.80
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $127.17 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $127.17 AMBETTER MCAID — AMBETTER MCAID: $59.94 AMBETTER MCR — AMBETTER MCR: $127.17 BCBS DUAL MCR — BCBS DUAL MCR: $118.27 BCBS HMO — BCBS HMO: $84 BCBS MCR ADV — BCBS MCR ADV: $127.17 BCBS MEDICAID — BCBS MEDICAID: $59.94 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $84 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $59.94
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography of both breasts	$121	$59.94	$59.94 – $193.54
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $161.28 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $161.28 AMBETTER MCAID — AMBETTER MCAID: $59.94 AMBETTER MCR — AMBETTER MCR: $161.28 BCBS DUAL MCR — BCBS DUAL MCR: $149.99 BCBS HMO — BCBS HMO: $60.50 BCBS MCR ADV — BCBS MCR ADV: $161.28 BCBS MEDICAID — BCBS MEDICAID: $59.94 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $60.50 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $59.94
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography	$214	$59.94	$59.94 – $235.40
Screening mammogram, both breasts: 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $129.09 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $129.09 AMBETTER MCAID — AMBETTER MCAID: $59.94 AMBETTER MCR — AMBETTER MCR: $129.09 BCBS DUAL MCR — BCBS DUAL MCR: $120.05 BCBS HMO — BCBS HMO: $107 BCBS MCR ADV — BCBS MCR ADV: $129.09 BCBS MEDICAID — BCBS MEDICAID: $59.94 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $107 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $59.94

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Sleep study in sleep lab (6 years or older)	$2,490	$992.08	$855.83 – $2,739
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $920.24 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $920.24 AMBETTER MCAID — AMBETTER MCAID: $992.08 AMBETTER MCR — AMBETTER MCR: $920.24 BCBS DUAL MCR — BCBS DUAL MCR: $855.83 BCBS HMO — BCBS HMO: $1,245 BCBS MCR ADV — BCBS MCR ADV: $920.24 BCBS MEDICAID — BCBS MEDICAID: $992.08 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $1,245 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $992.08

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$74	$45.25	$27.59 – $81.40
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $29.67 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $29.67 AMBETTER MCAID — AMBETTER MCAID: $45.25 AMBETTER MCR — AMBETTER MCR: $29.67 BCBS DUAL MCR — BCBS DUAL MCR: $27.59 BCBS HMO — BCBS HMO: $37 BCBS MCR ADV — BCBS MCR ADV: $29.67 BCBS MEDICAID — BCBS MEDICAID: $45.25 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $37 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $45.25
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 20 minutes	$79	$237.86	$39.50 – $237.86
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $98.89 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $98.89 AMBETTER MCAID — AMBETTER MCAID: $237.86 AMBETTER MCR — AMBETTER MCR: $98.89 BCBS DUAL MCR — BCBS DUAL MCR: $91.97 BCBS HMO — BCBS HMO: $39.50 BCBS MCR ADV — BCBS MCR ADV: $98.89 BCBS MEDICAID — BCBS MEDICAID: $237.86 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $39.50 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $237.86
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 30 minutes	$120	$237.86	$60 – $237.86
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $98.89 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $98.89 AMBETTER MCAID — AMBETTER MCAID: $237.86 AMBETTER MCR — AMBETTER MCR: $98.89 BCBS DUAL MCR — BCBS DUAL MCR: $91.97 BCBS HMO — BCBS HMO: $60 BCBS MCR ADV — BCBS MCR ADV: $98.89 BCBS MEDICAID — BCBS MEDICAID: $237.86 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $60 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $237.86
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 45 minutes	$180	$237.86	$90 – $237.86
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $98.89 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $98.89 AMBETTER MCAID — AMBETTER MCAID: $237.86 AMBETTER MCR — AMBETTER MCR: $98.89 BCBS DUAL MCR — BCBS DUAL MCR: $91.97 BCBS HMO — BCBS HMO: $90 BCBS MCR ADV — BCBS MCR ADV: $98.89 BCBS MEDICAID — BCBS MEDICAID: $237.86 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $90 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $237.86

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$1,391.12	$1,210.47	$695.56 – $1,530.23
Upper GI endoscopy (diagnostic): 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $971.94 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $971.94 AMBETTER MCAID — AMBETTER MCAID: $1,210.47 AMBETTER MCR — AMBETTER MCR: $971.94 BCBS DUAL MCR — BCBS DUAL MCR: $903.91 BCBS HMO — BCBS HMO: $695.56 BCBS MCR ADV — BCBS MCR ADV: $971.94 BCBS MEDICAID — BCBS MEDICAID: $1,210.47 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $695.56 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $1,210.47
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$2,159	$1,210.47	$903.91 – $2,374.90
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $971.94 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $971.94 AMBETTER MCAID — AMBETTER MCAID: $1,210.47 AMBETTER MCR — AMBETTER MCR: $971.94 BCBS DUAL MCR — BCBS DUAL MCR: $903.91 BCBS HMO — BCBS HMO: $1,079.50 BCBS MCR ADV — BCBS MCR ADV: $971.94 BCBS MEDICAID — BCBS MEDICAID: $1,210.47 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $1,079.50 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $1,210.47
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using a flexible endoscope	$1,391.12	$1,236.88	$695.56 – $1,530.23
Colonoscopy (diagnostic): 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $996.56 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $996.56 AMBETTER MCAID — AMBETTER MCAID: $1,236.88 AMBETTER MCR — AMBETTER MCR: $996.56 BCBS DUAL MCR — BCBS DUAL MCR: $926.80 BCBS HMO — BCBS HMO: $695.56 BCBS MCR ADV — BCBS MCR ADV: $996.56 BCBS MEDICAID — BCBS MEDICAID: $1,236.88 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $695.56 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $1,236.88
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy of large bowel using a flexible endoscope	$2,811	$1,236.88	$1,192.58 – $3,092.10
Colonoscopy with biopsy: 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $1,282.34 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $1,282.34 AMBETTER MCAID — AMBETTER MCAID: $1,236.88 AMBETTER MCR — AMBETTER MCR: $1,282.34 BCBS DUAL MCR — BCBS DUAL MCR: $1,192.58 BCBS HMO — BCBS HMO: $1,405.50 BCBS MCR ADV — BCBS MCR ADV: $1,282.34 BCBS MEDICAID — BCBS MEDICAID: $1,236.88 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $1,405.50 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $1,236.88
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare	$2,811	$1,236.88	$1,192.58 – $3,092.10
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $1,282.34 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $1,282.34 AMBETTER MCAID — AMBETTER MCAID: $1,236.88 AMBETTER MCR — AMBETTER MCR: $1,282.34 BCBS DUAL MCR — BCBS DUAL MCR: $1,192.58 BCBS HMO — BCBS HMO: $1,405.50 BCBS MCR ADV — BCBS MCR ADV: $1,282.34 BCBS MEDICAID — BCBS MEDICAID: $1,236.88 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $1,405.50 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $1,236.88
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Removal of gallbladder using an endoscope	$13,744	$4,309.30	$1,933 – $15,118.40
Gallbladder removal by laparoscope: 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $6,478.50 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $6,478.50 AMBETTER MCAID — AMBETTER MCAID: $4,309.30 AMBETTER MCR — AMBETTER MCR: $6,478.50 BCBS DUAL MCR — BCBS DUAL MCR: $6,025.01 BCBS HMO — BCBS HMO: $1,933 BCBS MCR ADV — BCBS MCR ADV: $6,478.50 BCBS MEDICAID — BCBS MEDICAID: $4,309.30 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $1,933 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $4,309.30
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair of groin hernia (5 years or older)	$8,241	$4,422.60	$1,933 – $9,065.10
Groin (inguinal) hernia repair, age 5 or older: 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $3,836.82 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $3,836.82 AMBETTER MCAID — AMBETTER MCAID: $4,422.60 AMBETTER MCR — AMBETTER MCR: $3,836.82 BCBS DUAL MCR — BCBS DUAL MCR: $3,568.24 BCBS HMO — BCBS HMO: $1,933 BCBS MCR ADV — BCBS MCR ADV: $3,836.82 BCBS MEDICAID — BCBS MEDICAID: $4,422.60 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $1,933 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $4,422.60
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection of substance into lower spine canal using imaging guidance	$1,647	$958.82	$703.48 – $1,811.70
Spinal injection, lower back (epidural), with imaging guidance: 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $756.44 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $756.44 AMBETTER MCAID — AMBETTER MCAID: $958.82 AMBETTER MCR — AMBETTER MCR: $756.44 BCBS DUAL MCR — BCBS DUAL MCR: $703.48 BCBS HMO — BCBS HMO: $823.50 BCBS MCR ADV — BCBS MCR ADV: $756.44 BCBS MEDICAID — BCBS MEDICAID: $958.82 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $823.50 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $958.82
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	$2,171	$958.82	$881.47 – $2,388.10
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates AMBETTER DIRECT - ALL OTHER PLANS — AMBETTER DIRECT - ALL OTHER PLANS: $947.82 AMBETTER MARKETPLACE — AMBETTER MARKETPLACE: $947.82 AMBETTER MCAID — AMBETTER MCAID: $958.82 AMBETTER MCR — AMBETTER MCR: $947.82 BCBS DUAL MCR — BCBS DUAL MCR: $881.47 BCBS HMO — BCBS HMO: $1,085.50 BCBS MCR ADV — BCBS MCR ADV: $947.82 BCBS MEDICAID — BCBS MEDICAID: $958.82 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $1,085.50 CCHHS - ALL PLANS — CCHHS - ALL PLANS: $958.82

Source: Roseland Community Hospital’s standard charges file (apps.para-hcfs.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	45 W 111th Street, Chicago, IL 60628
County	Cook County
State	Illinois
Phone	(773) 995‑3000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	1 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	140068
Name in Medicare records	ROSELAND COMMUNITY HOSPITAL
Profile level	Medicare data + hospital website
Official website	roselandhospital.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Roseland Community Hospital — roselandhospital.org
Emergency Room — roselandhospital.org
Roseland Community Hospital – Roseland Community Hospital — roselandhospital.org
Surgical Services – Roseland Community Hospital — roselandhospital.org
IBCCP – Illinois Breast and Cervical Cancer Program – Roseland Community Hospital — roselandhospital.org
Diagnostic Imaging – Roseland Community Hospital — roselandhospital.org
Behavioral Health Unit – Roseland Community Hospital — roselandhospital.org

Roseland Community Hospital

Summary

Profile from official sources

At a glance