Does Saint Francis Hospital-Evanston have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Saint Francis Hospital-Evanston. In a medical emergency, call 911.

Where is Saint Francis Hospital-Evanston?

355 Ridge Ave, Evanston, IL 60202, in Cook County, Illinois.

What is the phone number of Saint Francis Hospital-Evanston?

(847) 316-4000, as listed by Medicare (CMS).

What is the Medicare star rating of Saint Francis Hospital-Evanston?

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

Saint Francis Hospital-Evanston — Evanston, IL

Quick answers

Does Saint Francis Hospital-Evanston have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Saint Francis Hospital-Evanston. In a medical emergency, call 911.
Where is Saint Francis Hospital-Evanston?: 355 Ridge Ave, Evanston, IL 60202, in Cook County, Illinois.
What is the phone number of Saint Francis Hospital-Evanston?: (847) 316-4000, as listed by Medicare (CMS).
What is the Medicare star rating of Saint Francis Hospital-Evanston?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][12]

Heart care
Cancer treatment
Stroke management
Orthopedics
Women's health
Inpatient rehabilitation
Senior care
Behavioral health

Conditions treated^[4][7]

Stroke

Treatments^[4]

Cancer treatment

Procedures^[4][7]

Robotic-assisted minimally invasive procedures
Imaging and lab tests
Robotic-assisted surgery

Programs and centers^{[4][5][9][10]}

Inpatient rehabilitation center
Paramedic and EMS training program
Internal medicine residency program
Transitional year residency program

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level I

Visiting and practical information

Visiting	Visiting hours are 8 a.m. to 8 p.m. every day^[8]
Parking	No charge. Small lot for MRI, PET-CT, pain management; otherwise parking garage^[8]
Interpreters and languages	Language help arranged through Martti at no cost to patients^[11]
Patient portal	MyChart

Recognition^[4][5]

Geriatric-Accredited Emergency Department
Paramedic program accredited by CAAHEP

Doctors and clinicians (436)

436 doctors and other clinicians list Saint Francis Hospital-Evanston 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 412 more: the button below opens the full list.

Other emergency rooms nearby

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

Northshore University Healthsystem - Evanston Hospital3.0 mi · Evanston, IL · Acute Care Hospital
Swedish Hospital3.5 mi · Chicago, IL · Acute Care Hospital
Methodist Hospital of Chicago3.6 mi · Chicago, IL · Acute Care Hospital
Montrose Behavioral Health Hospital4.2 mi · Chicago, IL · Psychiatric Hospital
Thorek Memorial Hospital5.0 mi · Chicago, IL · Acute Care Hospital

Other hospitals nearby

Advocate Illinois Masonic Medical Center6.2 mi · Chicago, IL · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Alpine Care of Evanston0.3 mi · Evanston, IL · 3 of 5 stars
Clark Manor0.7 mi · Chicago, IL · 3 of 5 stars
Dobson Plaza0.8 mi · Evanston, IL · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Loving Care Hospice Inc.2.6 mi · Chicago, IL
Nova Hospice Care LLC2.8 mi · Lincolnwood, IL
Willow Branch Hospice, LLC3.7 mi · Chicago, IL

All hospice providers in the state →

Home health agencies

Great Paragon Healthcare, Inc1.1 mi · Chicago, IL
Admire Home Healthcare Agency, Inc2.4 mi · Skokie, IL · 4 of 5 stars
Caress Home Health Care Inc2.4 mi · Skokie, IL

All home health agencies in the state →

Dialysis facilities

DaVita Evanston Renal Center0.4 mi · Evanston, IL · 3 of 5 stars
FMC - Rogers Park1.1 mi · Chicago, IL · 1 of 5 stars
FMC - Midamerica Evanston2.2 mi · Evanston, IL · 2 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.

North Shore Surgical Center2.8 mi · Lincolnwood, IL
Illinois Sports Medicine & Orthopedic Surgery Cent5.5 mi · Morton Grove, IL
AMITA Health Endoscopy Center Lincoln Park6.1 mi · Chicago, IL

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

ACCESS Evanston Family Health Center0.7 mi · Evanston, IL · Community health center
Tapestry 360 Health - Gale0.7 mi · Chicago, IL · Community health center
LCHC at Good News Partners0.7 mi · Chicago, IL · Community health center

Clinics and urgent care

Midwest Express Care 2 Inc1.1 mi · Chicago, IL · Urgent care center
On Call Medical Services LLC1.1 mi · Chicago, IL · Urgent care center
Masbi Dream LLC2.6 mi · Chicago, IL · Urgent care center

Pharmacies

Asbury Evanston CVS LLC0.4 mi · Evanston, IL · Community/retail pharmacy
Evolve Pharmacy LLC0.4 mi · Evanston, IL · Pharmacy
Highland Park CVS, L.L.C.0.4 mi · Evanston, IL · Pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Saint Francis Hospital-Evanston 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)	2 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	60%National average: 72%
Would definitely recommend the hospital	63%National average: 71%
Nurses “always” communicated well	72%National average: 80%
Doctors “always” communicated well	75%National average: 80%
Staff “always” explained medicines before giving them	51%National average: 62%
Were given information about recovery at home	80%National average: 86%
Room and bathroom “always” clean	75%National average: 74%
Area around the room “always” quiet at night	50%National average: 60%
Completed surveys	590Response rate: 26%

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)	0.864No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.463No different from the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	1.203No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.275Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	11.6%
Deaths within 30 days: heart failure patients	8.8%
Deaths within 30 days: pneumonia patients	16%
Deaths within 30 days: COPD patients	8.1%
Deaths within 30 days: stroke patients	10.7%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.84No different from the national rate
Complications after hip or knee replacement	4.7%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.5%
Readmitted within 30 days: heart failure	21.4%
Readmitted within 30 days: pneumonia	17.8%
Readmitted within 30 days: COPD	21%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	6%

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

Emergency room times and sepsis care

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

Average (median) time patients spent in the emergency room before leaving (OP-18b)	179 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)	44%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Evanston Best hospitals in Illinois

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 69 common services exactly as Saint Francis Hospital-Evanston lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES - 99203 - 76100003	$677	Not listed in the file	$78.84 – $561.91
New patient office visit (about 30–44 minutes): rates for 3 insurance plans Ravenswood Physicians Associates IPA — Ravenswood Physicians Associates IPA Commercial: $78.84 Resurrection Physicians Provider Group IPA — Resurrection Physician Provider Group IPA Commercial: $78.84 UHC — UHC VA: $88.38
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES - 99204 - 76100004	$852	Not listed in the file	$128 – $707.16
New patient office visit (about 45–59 minutes): rates for 3 insurance plans Ravenswood Physicians Associates IPA — Ravenswood Physicians Associates IPA Commercial: $128 Resurrection Physicians Provider Group IPA — Resurrection Physician Provider Group IPA Commercial: $128 UHC — UHC VA: $143.25
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES - 99205 - 76100005	$1,106	Not listed in the file	$176.87 – $917.98
New patient office visit (about 60–74 minutes): rates for 3 insurance plans Ravenswood Physicians Associates IPA — Ravenswood Physicians Associates IPA Commercial: $176.87 Resurrection Physicians Provider Group IPA — Resurrection Physician Provider Group IPA Commercial: $176.87 UHC — UHC VA: $195.42
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN - 99213 - 76100008	$339	Not listed in the file	$61.70 – $281.37
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans Ravenswood Physicians Associates IPA — Ravenswood Physicians Associates IPA Commercial: $61.70 Resurrection Physicians Provider Group IPA — Resurrection Physician Provider Group IPA Commercial: $61.70 UHC — UHC VA: $70.10
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN - 99214 - 76100009	$852	Not listed in the file	$91.09 – $707.16
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans Ravenswood Physicians Associates IPA — Ravenswood Physicians Associates IPA Commercial: $91.09 Resurrection Physicians Provider Group IPA — Resurrection Physician Provider Group IPA Commercial: $91.09 UHC — UHC VA: $103.29
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC ED LEVEL 3	$1,381	$291	$78.55 – $1,146.23
Emergency room visit (moderate): 10 of 50 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $349.31 Aetna — Aetna Medicare: $291.09 Aetna Better Health — Aetna Better Health Dual Eligible: $305.64 Aetna Better Health — Aetna Better Health Medicaid: $445.71 BCBS — BCBS Dual Eligible: $276.54 BCBS — BCBS Medicaid: $445.71 BCBS — BCBS Medicare HMO: $291.09 BCBS — BCBS Medicare PPO: $291.09 BCBS — BCBS My Blue Plus POS: $392.97 BCBS — BCBS Smart Health Care: $407.53
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HC ED LEVEL 4	$2,598	$444	$134.09 – $2,156.34
Emergency room visit (moderately high): 10 of 50 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $533.94 Aetna — Aetna Medicare: $444.95 Aetna Better Health — Aetna Better Health Dual Eligible: $467.20 Aetna Better Health — Aetna Better Health Medicaid: $445.71 BCBS — BCBS Dual Eligible: $422.70 BCBS — BCBS Medicaid: $445.71 BCBS — BCBS Medicare HMO: $444.95 BCBS — BCBS Medicare PPO: $444.95 BCBS — BCBS My Blue Plus POS: $600.68 BCBS — BCBS Smart Health Care: $622.93
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HC ED LEVEL 5	$4,023	$635	$193.15 – $3,339.09
Emergency room visit (high): 10 of 49 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $762.06 Aetna — Aetna Medicare: $635.05 Aetna Better Health — Aetna Better Health Dual Eligible: $666.80 Aetna Better Health — Aetna Better Health Medicaid: $445.71 BCBS — BCBS Dual Eligible: $603.30 BCBS — BCBS Medicaid: $445.71 BCBS — BCBS Medicare HMO: $635.05 BCBS — BCBS Medicare PPO: $635.05 BCBS — BCBS My Blue Plus POS: $857.32 BCBS — BCBS Smart Health Care: $889.07

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL	$422	$8	$5.08 – $350.26
Basic metabolic panel (blood test): 10 of 54 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $10.15 Aetna — Aetna Commercial: $12.94 Aetna — Aetna Medicare: $8.46 Aetna Better Health — Aetna Better Health Dual Eligible: $8.88 Aetna Better Health — Aetna Better Health Medicaid: $9.20 BCBS — BCBS Dual Eligible: $8.04 BCBS — BCBS Medicaid: $9.20 BCBS — BCBS Medicare HMO: $8.46 BCBS — BCBS Medicare PPO: $8.46 BCBS — BCBS My Blue Plus POS: $11.42
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HC METABOLIC PANEL,COMPREHENSIVE	$596	$10	$6.34 – $494.68
Comprehensive metabolic panel (blood test): 10 of 57 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $12.67 Aetna — Aetna Commercial: $16.16 Aetna — Aetna Medicare: $10.56 Aetna Better Health — Aetna Better Health Dual Eligible: $11.09 Aetna Better Health — Aetna Better Health Medicaid: $9.20 BCBS — BCBS Dual Eligible: $10.03 BCBS — BCBS Medicaid: $9.20 BCBS — BCBS Medicare HMO: $10.56 BCBS — BCBS Medicare PPO: $10.56 BCBS — BCBS My Blue Plus POS: $14.26
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC LIPID PANEL	$175	$13	$8.03 – $153.85
Cholesterol panel (lipid panel): 10 of 56 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $16.07 Aetna — Aetna Commercial: $20.49 Aetna — Aetna Medicare: $13.39 Aetna Better Health — Aetna Better Health Dual Eligible: $14.06 Aetna Better Health — Aetna Better Health Medicaid: $9.20 BCBS — BCBS Dual Eligible: $12.72 BCBS — BCBS Medicaid: $9.20 BCBS — BCBS Medicare HMO: $13.39 BCBS — BCBS Medicare PPO: $13.39 BCBS — BCBS My Blue Plus POS: $18.08
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HC RENAL FUNCTION PANEL	$144	$8	$5.21 – $144
Kidney function panel: 10 of 53 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $10.42 Aetna — Aetna Commercial: $13.28 Aetna — Aetna Medicare: $8.68 Aetna Better Health — Aetna Better Health Dual Eligible: $9.11 Aetna Better Health — Aetna Better Health Medicaid: $9.20 BCBS — BCBS Dual Eligible: $8.25 BCBS — BCBS Medicaid: $9.20 BCBS — BCBS Medicare HMO: $8.68 BCBS — BCBS Medicare PPO: $8.68 BCBS — BCBS My Blue Plus POS: $11.72
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HC HEPATIC FUNCTION PANEL	$206	$8	$4.90 – $184.97
Liver function panel: 10 of 54 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $9.80 Aetna — Aetna Commercial: $12.50 Aetna — Aetna Medicare: $8.17 Aetna Better Health — Aetna Better Health Dual Eligible: $8.58 Aetna Better Health — Aetna Better Health Medicaid: $9.20 BCBS — BCBS Dual Eligible: $7.76 BCBS — BCBS Medicaid: $9.20 BCBS — BCBS Medicare HMO: $8.17 BCBS — BCBS Medicare PPO: $8.17 BCBS — BCBS My Blue Plus POS: $11.03
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HC URINALYSIS, AUTO, W/SCOPE	$16	$3	$1.90 – $16
Urine test (automated, with microscope): 10 of 55 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $3.80 Aetna — Aetna Commercial: $4.85 Aetna — Aetna Medicare: $3.17 Aetna Better Health — Aetna Better Health Dual Eligible: $3.33 Aetna Better Health — Aetna Better Health Medicaid: $3.07 BCBS — BCBS Dual Eligible: $3.01 BCBS — BCBS Medicaid: $3.07 BCBS — BCBS Medicare HMO: $3.17 BCBS — BCBS Medicare PPO: $3.17 BCBS — BCBS My Blue Plus POS: $4.28
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HC URINALYSIS NONAUTO W/O SCOPE	$9	$3	$1.97 – $9
Urine test (manual, without microscope): 10 of 53 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $4.18 Aetna — Aetna Commercial: $5.32 Aetna — Aetna Medicare: $3.48 Aetna Better Health — Aetna Better Health Dual Eligible: $3.65 Aetna Better Health — Aetna Better Health Medicaid: $3.07 BCBS — BCBS Dual Eligible: $3.31 BCBS — BCBS Medicaid: $3.07 BCBS — BCBS Medicare HMO: $3.48 BCBS — BCBS Medicare PPO: $3.48 BCBS — BCBS My Blue Plus POS: $4.70
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC URINALYSIS, AUTO, W/O SCOPE	$58	$2	$1.35 – $48.14
Urine test (automated, without microscope): 10 of 57 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $2.70 Aetna — Aetna Commercial: $3.44 Aetna — Aetna Medicare: $2.25 Aetna Better Health — Aetna Better Health Dual Eligible: $2.36 Aetna Better Health — Aetna Better Health Medicaid: $3.07 BCBS — BCBS Dual Eligible: $2.14 BCBS — BCBS Medicaid: $3.07 BCBS — BCBS Medicare HMO: $2.25 BCBS — BCBS Medicare PPO: $2.25 BCBS — BCBS My Blue Plus POS: $3.04
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL - 84153 - 30100312	$159	$18	$11.03 – $138.80
PSA (prostate specific antigen) blood test: 10 of 54 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $22.07 Aetna — Aetna Commercial: $28.14 Aetna — Aetna Medicare: $18.39 Aetna Better Health — Aetna Better Health Dual Eligible: $19.31 Aetna Better Health — Aetna Better Health Medicaid: $12.17 BCBS — BCBS Dual Eligible: $17.47 BCBS — BCBS Medicaid: $12.17 BCBS — BCBS Medicare HMO: $18.39 BCBS — BCBS Medicare PPO: $18.39 BCBS — BCBS My Blue Plus POS: $24.83
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC ASSAY THYROID STIM HORMONE	$183	$16	$10.08 – $151.89
Thyroid stimulating hormone (TSH) test: 10 of 56 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $20.16 Aetna — Aetna Commercial: $25.70 Aetna — Aetna Medicare: $16.80 Aetna Better Health — Aetna Better Health Dual Eligible: $17.64 Aetna Better Health — Aetna Better Health Medicaid: $13.44 BCBS — BCBS Dual Eligible: $15.96 BCBS — BCBS Medicaid: $13.44 BCBS — BCBS Medicare HMO: $16.80 BCBS — BCBS Medicare PPO: $16.80 BCBS — BCBS My Blue Plus POS: $22.68
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HC COMPLETE CBC & AUTO DIFF WBC	$304	$7	$4.66 – $252.32
Complete blood count (CBC) with differential: 10 of 56 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $9.32 Aetna — Aetna Commercial: $11.89 Aetna — Aetna Medicare: $7.77 Aetna Better Health — Aetna Better Health Dual Eligible: $8.16 Aetna Better Health — Aetna Better Health Medicaid: $6.04 BCBS — BCBS Dual Eligible: $7.38 BCBS — BCBS Medicaid: $6.04 BCBS — BCBS Medicare HMO: $7.77 BCBS — BCBS Medicare PPO: $7.77 BCBS — BCBS My Blue Plus POS: $10.49
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HC COMPLETE CBC	$53	$6	$3.88 – $53
Complete blood count (CBC), automated: 10 of 54 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $7.76 Aetna — Aetna Commercial: $9.90 Aetna — Aetna Medicare: $6.47 Aetna Better Health — Aetna Better Health Dual Eligible: $6.79 Aetna Better Health — Aetna Better Health Medicaid: $6.04 BCBS — BCBS Dual Eligible: $6.15 BCBS — BCBS Medicaid: $6.04 BCBS — BCBS Medicare HMO: $6.47 BCBS — BCBS Medicare PPO: $6.47 BCBS — BCBS My Blue Plus POS: $8.73
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC PROTHROMBIN TIME	$62	$4	$2.57 – $58.13
Blood clotting time test (prothrombin time, PT): 10 of 54 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $5.15 Aetna — Aetna Commercial: $6.56 Aetna — Aetna Medicare: $4.29 Aetna Better Health — Aetna Better Health Dual Eligible: $4.50 Aetna Better Health — Aetna Better Health Medicaid: $4.51 BCBS — BCBS Dual Eligible: $4.08 BCBS — BCBS Medicaid: $4.51 BCBS — BCBS Medicare HMO: $4.29 BCBS — BCBS Medicare PPO: $4.29 BCBS — BCBS My Blue Plus POS: $5.79
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC THROMBOPLAS TIME PARTIAL	$91	$6	$3.61 – $75.53
Blood clotting test (partial thromboplastin time, PTT): 10 of 53 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $7.21 Aetna — Aetna Commercial: $9.20 Aetna — Aetna Medicare: $6.01 Aetna Better Health — Aetna Better Health Dual Eligible: $6.31 Aetna Better Health — Aetna Better Health Medicaid: $4.51 BCBS — BCBS Dual Eligible: $5.71 BCBS — BCBS Medicaid: $4.51 BCBS — BCBS Medicare HMO: $6.01 BCBS — BCBS Medicare PPO: $6.01 BCBS — BCBS My Blue Plus POS: $8.11

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL	$4,076	$111	$67.90 – $3,383.08
CT scan of the head or brain, without contrast: 10 of 56 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $133.78 Aetna — Aetna Commercial: $1,090 Aetna — Aetna Medicare: $111.48 Aetna Better Health — Aetna Better Health Dual Eligible: $117.05 Aetna Better Health — Aetna Better Health Medicaid: $381.74 BCBS — BCBS Dual Eligible: $105.91 BCBS — BCBS Medicaid: $381.74 BCBS — BCBS Medicare HMO: $111.48 BCBS — BCBS Medicare PPO: $111.48 BCBS — BCBS My Blue Plus POS: $150.50
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HC MRI BRAIN COMBO	$4,255	$372	$214.11 – $3,531.65
MRI of the brain, before and after contrast: 10 of 57 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $446.42 Aetna — Aetna Commercial: $1,090 Aetna — Aetna Medicare: $372.02 Aetna Better Health — Aetna Better Health Dual Eligible: $390.62 Aetna Better Health — Aetna Better Health Medicaid: $511.24 BCBS — BCBS Dual Eligible: $353.42 BCBS — BCBS Medicaid: $511.24 BCBS — BCBS Medicare HMO: $372.02 BCBS — BCBS Medicare PPO: $372.02 BCBS — BCBS My Blue Plus POS: $502.23
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC CHEST X-RAY 2 VW	$605	$92	$23.59 – $605
Chest X-ray, 2 views: 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $111.35 Aetna — Aetna Commercial: $605 Aetna — Aetna Medicare: $92.79 Aetna Better Health — Aetna Better Health Dual Eligible: $97.43 Aetna Better Health — Aetna Better Health Medicaid: $70.52 BCBS — BCBS Dual Eligible: $88.15 BCBS — BCBS Medicaid: $70.52 BCBS — BCBS Medicare HMO: $92.79 BCBS — BCBS Medicare PPO: $92.79 BCBS — BCBS My Blue Plus POS: $125.27
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: HC X-RAY LUMBAR SPINE 4 VW	$1,238	$111	$41.38 – $1,090
X-ray of the lower spine, at least 4 views: 10 of 53 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $133.78 Aetna — Aetna Commercial: $1,090 Aetna — Aetna Medicare: $111.48 Aetna Better Health — Aetna Better Health Dual Eligible: $117.05 Aetna Better Health — Aetna Better Health Medicaid: $70.52 BCBS — BCBS Dual Eligible: $105.91 BCBS — BCBS Medicaid: $70.52 BCBS — BCBS Medicare HMO: $111.48 BCBS — BCBS Medicare PPO: $111.48 BCBS — BCBS My Blue Plus POS: $150.50
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HC MRI, LUMBAR SPINE	$3,580	$254	$124.73 – $2,971.40
MRI of the lower back (lumbar spine), without contrast: 10 of 54 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $305.33 Aetna — Aetna Commercial: $1,090 Aetna — Aetna Medicare: $254.44 Aetna Better Health — Aetna Better Health Dual Eligible: $267.16 Aetna Better Health — Aetna Better Health Medicaid: $303.01 BCBS — BCBS Dual Eligible: $241.72 BCBS — BCBS Medicaid: $303.01 BCBS — BCBS Medicare HMO: $254.44 BCBS — BCBS Medicare PPO: $254.44 BCBS — BCBS My Blue Plus POS: $343.49
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: HC CT SCAN OF PELVIS CONTRAST	$2,197	$187	$174.07 – $1,823.51
CT scan of the pelvis, with contrast: 10 of 53 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $224.45 Aetna — Aetna Commercial: $1,090 Aetna — Aetna Medicare: $187.04 Aetna Better Health — Aetna Better Health Dual Eligible: $196.39 Aetna Better Health — Aetna Better Health Medicaid: $381.74 BCBS — BCBS Dual Eligible: $177.69 BCBS — BCBS Medicaid: $381.74 BCBS — BCBS Medicare HMO: $187.04 BCBS — BCBS Medicare PPO: $187.04 BCBS — BCBS My Blue Plus POS: $252.50
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HC MRI LOWER EXTREM JT, W/O CONTRAST	$5,957	$254	$143.19 – $4,944.31
MRI of a leg joint (such as the knee), without contrast: 10 of 54 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $305.33 Aetna — Aetna Commercial: $1,090 Aetna — Aetna Medicare: $254.44 Aetna Better Health — Aetna Better Health Dual Eligible: $267.16 Aetna Better Health — Aetna Better Health Medicaid: $303.01 BCBS — BCBS Dual Eligible: $241.72 BCBS — BCBS Medicaid: $303.01 BCBS — BCBS Medicare HMO: $254.44 BCBS — BCBS Medicare PPO: $254.44 BCBS — BCBS My Blue Plus POS: $343.49
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HC CT SCAN ABDOMEN/PELVIS W CONTRAST	$6,385	$372	$218.38 – $5,299.55
CT scan of the abdomen and pelvis, with contrast: 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $446.42 Aetna — Aetna Commercial: $1,090 Aetna — Aetna Medicare: $372.02 Aetna Better Health — Aetna Better Health Dual Eligible: $390.62 Aetna Better Health — Aetna Better Health Medicaid: $381.74 BCBS — BCBS Dual Eligible: $353.42 BCBS — BCBS Medicaid: $381.74 BCBS — BCBS Medicare HMO: $372.02 BCBS — BCBS Medicare PPO: $372.02 BCBS — BCBS My Blue Plus POS: $502.23
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE	$2,926	$111	$78.07 – $2,428.58
Ultrasound of the abdomen, complete: 10 of 54 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $133.78 Aetna — Aetna Commercial: $1,090 Aetna — Aetna Medicare: $111.48 Aetna Better Health — Aetna Better Health Dual Eligible: $117.05 Aetna Better Health — Aetna Better Health Medicaid: $211.47 BCBS — BCBS Dual Eligible: $105.91 BCBS — BCBS Medicaid: $211.47 BCBS — BCBS Medicare HMO: $111.48 BCBS — BCBS Medicare PPO: $111.48 BCBS — BCBS My Blue Plus POS: $150.50
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HC ULTRASOUND,TRANSVAGINAL	$1,429	$111	$86.46 – $1,186.07
Transvaginal ultrasound: 10 of 53 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $133.78 Aetna — Aetna Commercial: $1,090 Aetna — Aetna Medicare: $111.48 Aetna Better Health — Aetna Better Health Dual Eligible: $117.05 Aetna Better Health — Aetna Better Health Medicaid: $137.26 BCBS — BCBS Dual Eligible: $105.91 BCBS — BCBS Medicaid: $137.26 BCBS — BCBS Medicare HMO: $111.48 BCBS — BCBS Medicare PPO: $111.48 BCBS — BCBS My Blue Plus POS: $150.50
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: HC MAMMOGRAPHY; UNILATERAL	$647	$87	$59.97 – $647
Diagnostic mammogram, one breast: 10 of 50 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $104.45 Aetna — Aetna Commercial: $647 Aetna — Aetna Medicare: $87.04 Aetna Better Health — Aetna Better Health Dual Eligible: $91.39 Aetna Better Health — Aetna Better Health Medicaid: $59.97 BCBS — BCBS Dual Eligible: $82.69 BCBS — BCBS Medicaid: $59.97 BCBS — BCBS Medicare HMO: $87.04 BCBS — BCBS Medicare PPO: $87.04 BCBS — BCBS My Blue Plus POS: $117.50
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: HC MAMMOGRAPHY; BILATERAL	$877	$111	$59.97 – $877
Diagnostic mammogram, both breasts: 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $134.36 Aetna — Aetna Commercial: $877 Aetna — Aetna Medicare: $111.97 Aetna Better Health — Aetna Better Health Dual Eligible: $117.57 Aetna Better Health — Aetna Better Health Medicaid: $59.97 BCBS — BCBS Dual Eligible: $106.37 BCBS — BCBS Medicaid: $59.97 BCBS — BCBS Medicare HMO: $111.97 BCBS — BCBS Medicare PPO: $111.97 BCBS — BCBS My Blue Plus POS: $151.16
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HC MAMMOGRAM, SCREENING	$720	$92	$59.97 – $720
Screening mammogram, both breasts: 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $110.48 Aetna — Aetna Commercial: $720 Aetna — Aetna Medicare: $92.07 Aetna Better Health — Aetna Better Health Dual Eligible: $96.67 Aetna Better Health — Aetna Better Health Medicaid: $59.97 BCBS — BCBS Dual Eligible: $87.47 BCBS — BCBS Medicaid: $59.97 BCBS — BCBS Medicare HMO: $92.07 BCBS — BCBS Medicare PPO: $92.07 BCBS — BCBS My Blue Plus POS: $124.29

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: HC ELECTROPHYS EV,R A-V PACE/REC,W/ INDUCT	$9,192	$8,317	$762.28 – $9,192
Heart rhythm study (electrophysiology evaluation): 10 of 48 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $9,192 Aetna — Aetna Commercial: $3,647 Aetna — Aetna Medicare: $8,317.30 Aetna Better Health — Aetna Better Health Dual Eligible: $8,733.17 Aetna Better Health — Aetna Better Health Medicaid: $8,000.50 BCBS — BCBS Dual Eligible: $7,901.44 BCBS — BCBS Medicaid: $8,000.50 BCBS — BCBS Medicare HMO: $8,317.30 BCBS — BCBS Medicare PPO: $8,317.30 BCBS — BCBS My Blue Plus POS: $9,192
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: HC EPHYS EVL TRNSPTL TX ATRIL FIB ISOLAT PULM VEIN	$47,058	$27,872	$980.24 – $47,058
Heart rhythm study with ablation for atrial fibrillation: 10 of 48 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $33,447.07 Aetna — Aetna Commercial: $25,000 Aetna — Aetna Medicare: $27,872.56 Aetna Better Health — Aetna Better Health Dual Eligible: $29,266.19 Aetna Better Health — Aetna Better Health Medicaid: $21,947.71 BCBS — BCBS Dual Eligible: $26,478.93 BCBS — BCBS Medicaid: $21,947.71 BCBS — BCBS Medicare HMO: $27,872.56 BCBS — BCBS Medicare PPO: $27,872.56 BCBS — BCBS My Blue Plus POS: $37,627.96
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$8,168	$915	$563.35 – $6,779.44
Sleep study (overnight, in a sleep lab): 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,098.88 Aetna — Aetna Medicare: $915.73 Aetna Better Health — Aetna Better Health Dual Eligible: $961.52 Aetna Better Health — Aetna Better Health Medicaid: $992.62 BCBS — BCBS Dual Eligible: $869.94 BCBS — BCBS Medicaid: $992.62 BCBS — BCBS Medicare HMO: $915.73 BCBS — BCBS Medicare PPO: $915.73 BCBS — BCBS My Blue Plus POS: $1,236.24 BCBS — BCBS Smart Health Care: $1,282.02

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC OT EXERCISE OTA COMPLEX EA 15	$289	$29	$28.19 – $239.87
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $35.60 Aetna — Aetna Medicare: $29.67 Aetna Better Health — Aetna Better Health Dual Eligible: $31.15 Aetna Better Health — Aetna Better Health Medicaid: $45.27 BCBS — BCBS Dual Eligible: $28.19 BCBS — BCBS Medicaid: $45.27 BCBS — BCBS Medicare HMO: $29.67 BCBS — BCBS Medicare PPO: $29.67 BCBS — BCBS My Blue Plus POS: $40.05 BCBS — BCBS Smart Health Care: $41.54
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC THERAPEUTIC EXERCISES, EA 15 MIN	$289	$29	$28.19 – $239.87
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 48 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $35.60 Aetna — Aetna Medicare: $29.67 Aetna Better Health — Aetna Better Health Dual Eligible: $31.15 BCBS — BCBS Dual Eligible: $28.19 BCBS — BCBS Medicare HMO: $29.67 BCBS — BCBS Medicare PPO: $29.67 BCBS — BCBS My Blue Plus POS: $40.05 BCBS — BCBS Smart Health Care: $41.54 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $48.07 Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $29.67
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: HC PHYS THRP EVAL, LOW COMPLEXITY, 20 MIN	$365	$98	$73 – $302.95
Physical therapy evaluation (low complexity): 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $118.67 Aetna — Aetna Medicare: $98.89 Aetna Better Health — Aetna Better Health Dual Eligible: $103.83 Aetna Better Health — Aetna Better Health Medicaid: $237.99 BCBS — BCBS Dual Eligible: $93.95 BCBS — BCBS Medicaid: $237.99 BCBS — BCBS Medicare HMO: $98.89 BCBS — BCBS Medicare PPO: $98.89 BCBS — BCBS My Blue Plus POS: $133.50 BCBS — BCBS Smart Health Care: $138.45
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: HC PHYS THRP EVAL, MODERATE COMPLEXITY, 30 MIN	$402	$98	$80.40 – $333.66
Physical therapy evaluation (moderate complexity): 10 of 50 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $118.68 Aetna — Aetna Medicare: $98.90 Aetna Better Health — Aetna Better Health Dual Eligible: $103.85 Aetna Better Health — Aetna Better Health Medicaid: $237.99 BCBS — BCBS Dual Eligible: $93.96 BCBS — BCBS Medicaid: $237.99 BCBS — BCBS Medicare HMO: $98.90 BCBS — BCBS Medicare PPO: $98.90 BCBS — BCBS My Blue Plus POS: $133.52 BCBS — BCBS Smart Health Care: $138.46
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: HC PHYS THRP EVAL, HIGH COMPLEXITY, 45 MIN	$441	$98	$88.20 – $366.03
Physical therapy evaluation (high complexity): 10 of 49 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $118.69 Aetna — Aetna Medicare: $98.91 Aetna Better Health — Aetna Better Health Dual Eligible: $103.86 Aetna Better Health — Aetna Better Health Medicaid: $237.99 BCBS — BCBS Dual Eligible: $93.96 BCBS — BCBS Medicaid: $237.99 BCBS — BCBS Medicare HMO: $98.91 BCBS — BCBS Medicare PPO: $98.91 BCBS — BCBS My Blue Plus POS: $133.53 BCBS — BCBS Smart Health Care: $138.47
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: HC PSYTX PT&/FAMILY 30 MINUTES	$217	$189	$43.40 – $217
Psychotherapy, 30 minutes: 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $217 Aetna — Aetna Medicare: $189.27 Aetna Better Health — Aetna Better Health Dual Eligible: $198.73 Aetna Better Health — Aetna Better Health Medicaid: $162.42 BCBS — BCBS Dual Eligible: $179.81 BCBS — BCBS Medicaid: $162.42 BCBS — BCBS Medicare HMO: $189.27 BCBS — BCBS Medicare PPO: $189.27 BCBS — BCBS My Blue Plus POS: $217 BCBS — BCBS Smart Health Care: $217
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES	$332	$189	$66.40 – $332
Psychotherapy, 45 minutes: 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $227.12 Aetna — Aetna Medicare: $189.27 Aetna Better Health — Aetna Better Health Dual Eligible: $198.73 Aetna Better Health — Aetna Better Health Medicaid: $194.07 BCBS — BCBS Dual Eligible: $179.81 BCBS — BCBS Medicaid: $194.07 BCBS — BCBS Medicare HMO: $189.27 BCBS — BCBS Medicare PPO: $189.27 BCBS — BCBS My Blue Plus POS: $255.51 BCBS — BCBS Smart Health Care: $264.98
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: HC PSYCHOTHERAPY W/PATIENT 60 MINUTES	$473	$189	$94.60 – $473
Psychotherapy, 60 minutes: 10 of 49 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $227.12 Aetna — Aetna Medicare: $189.27 Aetna Better Health — Aetna Better Health Dual Eligible: $198.73 Aetna Better Health — Aetna Better Health Medicaid: $194.07 BCBS — BCBS Dual Eligible: $179.81 BCBS — BCBS Medicaid: $194.07 BCBS — BCBS Medicare HMO: $189.27 BCBS — BCBS Medicare PPO: $189.27 BCBS — BCBS My Blue Plus POS: $255.51 BCBS — BCBS Smart Health Care: $264.98
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: HC FAMILY PSYTX W/O PATIENT	$261	$189	$52.20 – $261
Family psychotherapy, without the patient: 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $227.12 Aetna — Aetna Medicare: $189.27 Aetna Better Health — Aetna Better Health Dual Eligible: $198.73 Aetna Better Health — Aetna Better Health Medicaid: $211.65 BCBS — BCBS Dual Eligible: $179.81 BCBS — BCBS Medicaid: $211.65 BCBS — BCBS Medicare HMO: $189.27 BCBS — BCBS Medicare PPO: $189.27 BCBS — BCBS My Blue Plus POS: $255.51 BCBS — BCBS Smart Health Care: $261
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: HC FAMILY PSYTX W/PATIENT	$287	$189	$57.40 – $287
Family psychotherapy, with the patient: 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $227.12 Aetna — Aetna Medicare: $189.27 Aetna Better Health — Aetna Better Health Dual Eligible: $198.73 Aetna Better Health — Aetna Better Health Medicaid: $211.65 BCBS — BCBS Dual Eligible: $179.81 BCBS — BCBS Medicaid: $211.65 BCBS — BCBS Medicare HMO: $189.27 BCBS — BCBS Medicare PPO: $189.27 BCBS — BCBS My Blue Plus POS: $255.51 BCBS — BCBS Smart Health Care: $264.98
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: HC GROUP PSYCHOTHERAPY	$388	$108	$24.98 – $388
Group psychotherapy: 10 of 47 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $130 Aetna — Aetna Medicare: $108.33 Aetna Better Health — Aetna Better Health Dual Eligible: $113.75 Aetna Better Health — Aetna Better Health Medicaid: $295.79 BCBS — BCBS Dual Eligible: $102.91 BCBS — BCBS Medicaid: $295.79 BCBS — BCBS Medicare HMO: $108.33 BCBS — BCBS Medicare PPO: $108.33 BCBS — BCBS My Blue Plus POS: $146.25 BCBS — BCBS Smart Health Care: $151.66

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of breast lesion	$12,635	$4,175	$472.73 – $10,487.05
Removal of breast growth (open surgery): 10 of 53 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $5,010.35 Aetna — Aetna Commercial: $1,771 Aetna — Aetna Medicare: $4,175.29 Aetna Better Health — Aetna Better Health Dual Eligible: $4,384.05 Aetna Better Health — Aetna Better Health Medicaid: $1,670.60 BCBS — BCBS Dual Eligible: $3,966.53 BCBS — BCBS Medicaid: $1,670.60 BCBS — BCBS Medicare HMO: $4,175.29 BCBS — BCBS Medicare PPO: $4,175.29 BCBS — BCBS My Blue Plus POS: $5,636.64
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Total hip arthroplasty	$41,544	$13,690	$1,343.61 – $34,481.52
Total hip replacement: 10 of 48 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $16,428.90 Aetna — Aetna Commercial: $2,846 Aetna — Aetna Medicare: $13,690.75 Aetna Better Health — Aetna Better Health Dual Eligible: $14,375.29 Aetna Better Health — Aetna Better Health Medicaid: $11,914.35 BCBS — BCBS Dual Eligible: $13,006.21 BCBS — BCBS Medicaid: $11,914.35 BCBS — BCBS Medicare HMO: $13,690.75 BCBS — BCBS Medicare PPO: $13,690.75 BCBS — BCBS My Blue Plus POS: $18,482.51
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Total knee arthroplasty	$40,674	$13,690	$1,339.63 – $33,759.42
Total knee replacement: 10 of 49 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $16,428.90 Aetna — Aetna Commercial: $2,846 Aetna — Aetna Medicare: $13,690.75 Aetna Better Health — Aetna Better Health Dual Eligible: $14,375.29 Aetna Better Health — Aetna Better Health Medicaid: $11,914.35 BCBS — BCBS Dual Eligible: $13,006.21 BCBS — BCBS Medicaid: $11,914.35 BCBS — BCBS Medicare HMO: $13,690.75 BCBS — BCBS Medicare PPO: $13,690.75 BCBS — BCBS My Blue Plus POS: $18,482.51
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Sho arthrs srg decompression	$9,458.24	Not listed in the file	$173.56 – $7,850.34
Shoulder arthroscopy: shaving of shoulder bone: 10 of 14 insurance plan rates Aetna — Aetna Commercial: $1,771 Aetna Better Health — Aetna Better Health Medicaid: $2,686.13 BCBS — BCBS Medicaid: $2,686.13 Cigna — CIGNA COMMERCIAL: $4,550 Cigna — CIGNA EXCHANGE: $558 CountyCare — CountyCare Medicaid: $2,686.13 Humana — Humana Medicaid: $2,686.13 Imagine Health Network, Inc. — Imagine Health Network Commercial: $3,348 Meridian — Meridian Medicaid: $2,820.44 Molina — Molina Medicaid: $2,820.44
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Knee arthroscopy/surgery - 29881 - OR36029881	$15,087	$3,489	$579.07 – $12,522.21
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $4,186.98 Aetna — Aetna Medicare: $3,489.15 Aetna Better Health — Aetna Better Health Dual Eligible: $3,663.61 Aetna Better Health — Aetna Better Health Medicaid: $2,686.13 BCBS — BCBS Dual Eligible: $3,314.69 BCBS — BCBS Medicaid: $2,686.13 BCBS — BCBS Medicare HMO: $3,489.15 BCBS — BCBS Medicare PPO: $3,489.15 BCBS — BCBS My Blue Plus POS: $4,710.35 BCBS — BCBS Smart Health Care: $4,884.81
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Egd diagnostic brush wash	$6,320	$967	$121.59 – $5,245.60
Upper GI endoscopy (diagnostic): 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,160.62 Aetna — Aetna Commercial: $1,169 Aetna — Aetna Medicare: $967.18 Aetna Better Health — Aetna Better Health Dual Eligible: $1,015.54 Aetna Better Health — Aetna Better Health Medicaid: $1,211.13 BCBS — BCBS Dual Eligible: $918.82 BCBS — BCBS Medicaid: $1,211.13 BCBS — BCBS Medicare HMO: $967.18 BCBS — BCBS Medicare PPO: $967.18 BCBS — BCBS My Blue Plus POS: $1,305.69
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: HC EGD TRANSORAL DIAGNOSTIC	$4,886	$967	$121.59 – $5,245.60
Upper GI endoscopy (diagnostic): 10 of 45 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,160.62 Aetna — Aetna Commercial: $1,169 Aetna — Aetna Medicare: $967.18 Aetna Better Health — Aetna Better Health Dual Eligible: $1,015.54 BCBS — BCBS Dual Eligible: $918.82 BCBS — BCBS Medicare HMO: $967.18 BCBS — BCBS Medicare PPO: $967.18 BCBS — BCBS My Blue Plus POS: $1,305.69 BCBS — BCBS Smart Health Care: $1,354.05 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $1,566.83
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd biopsy single/multiple	$6,790	$967	$135.99 – $5,635.70
Upper GI endoscopy with biopsy: 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,160.62 Aetna — Aetna Commercial: $1,630 Aetna — Aetna Medicare: $967.18 Aetna Better Health — Aetna Better Health Dual Eligible: $1,015.54 Aetna Better Health — Aetna Better Health Medicaid: $1,211.13 BCBS — BCBS Dual Eligible: $918.82 BCBS — BCBS Medicaid: $1,211.13 BCBS — BCBS Medicare HMO: $967.18 BCBS — BCBS Medicare PPO: $967.18 BCBS — BCBS My Blue Plus POS: $1,305.69
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	$3,966	$967	$135.99 – $5,635.70
Upper GI endoscopy with biopsy: 10 of 45 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,160.62 Aetna — Aetna Commercial: $1,630 Aetna — Aetna Medicare: $967.18 Aetna Better Health — Aetna Better Health Dual Eligible: $1,015.54 BCBS — BCBS Dual Eligible: $918.82 BCBS — BCBS Medicare HMO: $967.18 BCBS — BCBS Medicare PPO: $967.18 BCBS — BCBS My Blue Plus POS: $1,305.69 BCBS — BCBS Smart Health Care: $1,354.05 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $1,566.83
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: HC COLONOSCOPY,DIAGNOSTIC	$4,752	$991	$183.37 – $11,380.96
Colonoscopy (diagnostic): 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,190 Aetna — Aetna Commercial: $1,630 Aetna — Aetna Medicare: $991.67 Aetna Better Health — Aetna Better Health Dual Eligible: $1,041.25 Aetna Better Health — Aetna Better Health Medicaid: $1,237.55 BCBS — BCBS Dual Eligible: $942.09 BCBS — BCBS Medicaid: $1,237.55 BCBS — BCBS Medicare HMO: $991.67 BCBS — BCBS Medicare PPO: $991.67 BCBS — BCBS My Blue Plus POS: $1,338.75
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic colonoscopy	$7,596	$991	$183.37 – $11,380.96
Colonoscopy (diagnostic): 10 of 46 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,190 Aetna — Aetna Commercial: $1,630 Aetna — Aetna Medicare: $991.67 Aetna Better Health — Aetna Better Health Dual Eligible: $1,041.25 BCBS — BCBS Dual Eligible: $942.09 BCBS — BCBS Medicare HMO: $991.67 BCBS — BCBS Medicare PPO: $991.67 BCBS — BCBS My Blue Plus POS: $1,338.75 BCBS — BCBS Smart Health Care: $1,388.34 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $1,606.51
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: HC COLORECTAL CANCER SCREEN, COLONOSCOPY HIGH RISK - 45378 - 75000068	$4,752	$991	$183.37 – $11,380.96
Colonoscopy (diagnostic): 10 of 45 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,190 Aetna — Aetna Commercial: $1,630 Aetna — Aetna Medicare: $991.67 Aetna Better Health — Aetna Better Health Dual Eligible: $1,041.25 BCBS — BCBS Dual Eligible: $942.09 BCBS — BCBS Medicare HMO: $991.67 BCBS — BCBS Medicare PPO: $991.67 BCBS — BCBS My Blue Plus POS: $1,338.75 BCBS — BCBS Smart Health Care: $1,388.34 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $1,606.51
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: HC COLONOSCOPY,BIOPSY	$6,145	$1,276	$196.91 – $7,038.40
Colonoscopy with biopsy: 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,531.27 Aetna — Aetna Commercial: $1,630 Aetna — Aetna Medicare: $1,276.06 Aetna Better Health — Aetna Better Health Dual Eligible: $1,339.86 Aetna Better Health — Aetna Better Health Medicaid: $1,237.55 BCBS — BCBS Dual Eligible: $1,212.26 BCBS — BCBS Medicaid: $1,237.55 BCBS — BCBS Medicare HMO: $1,276.06 BCBS — BCBS Medicare PPO: $1,276.06 BCBS — BCBS My Blue Plus POS: $1,722.68
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy and biopsy	$8,480	$1,276	$196.91 – $7,038.40
Colonoscopy with biopsy: 10 of 45 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,531.27 Aetna — Aetna Commercial: $1,630 Aetna — Aetna Medicare: $1,276.06 Aetna Better Health — Aetna Better Health Dual Eligible: $1,339.86 BCBS — BCBS Dual Eligible: $1,212.26 BCBS — BCBS Medicare HMO: $1,276.06 BCBS — BCBS Medicare PPO: $1,276.06 BCBS — BCBS My Blue Plus POS: $1,722.68 BCBS — BCBS Smart Health Care: $1,786.48 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $2,067.22
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy w/lesion removal	$8,268	$1,276	$246.84 – $6,862.44
Colonoscopy with removal of polyps (snare): 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,531.27 Aetna — Aetna Commercial: $1,630 Aetna — Aetna Medicare: $1,276.06 Aetna Better Health — Aetna Better Health Dual Eligible: $1,339.86 Aetna Better Health — Aetna Better Health Medicaid: $1,237.55 BCBS — BCBS Dual Eligible: $1,212.26 BCBS — BCBS Medicaid: $1,237.55 BCBS — BCBS Medicare HMO: $1,276.06 BCBS — BCBS Medicare PPO: $1,276.06 BCBS — BCBS My Blue Plus POS: $1,722.68
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: HC COLONOSCOPY,REMV LESN,SNARE	$6,145	$1,276	$246.84 – $6,862.44
Colonoscopy with removal of polyps (snare): 10 of 45 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,531.27 Aetna — Aetna Commercial: $1,630 Aetna — Aetna Medicare: $1,276.06 Aetna Better Health — Aetna Better Health Dual Eligible: $1,339.86 BCBS — BCBS Dual Eligible: $1,212.26 BCBS — BCBS Medicare HMO: $1,276.06 BCBS — BCBS Medicare PPO: $1,276.06 BCBS — BCBS My Blue Plus POS: $1,722.68 BCBS — BCBS Smart Health Care: $1,786.48 Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $2,067.22
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: HC COLORECTAL CANCER SCRN, COLONOSCOPY NOT HIGH RISK - G0121 - 75000071	$13,712	$991	$184.13 – $11,380.96
Screening colonoscopy (not high risk): 10 of 48 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $1,190 Aetna — Aetna Commercial: $1,630 Aetna — Aetna Medicare: $991.67 Aetna Better Health — Aetna Better Health Dual Eligible: $1,041.25 Aetna Better Health — Aetna Better Health Medicaid: $1,237.55 BCBS — BCBS Dual Eligible: $942.09 BCBS — BCBS Medicaid: $1,237.55 BCBS — BCBS Medicare HMO: $991.67 BCBS — BCBS Medicare PPO: $991.67 BCBS — BCBS My Blue Plus POS: $1,338.75
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic cholecystectomy	$30,198	$6,446	$750.83 – $25,064.34
Gallbladder removal by laparoscope: 10 of 51 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $7,736.10 Aetna — Aetna Medicare: $6,446.75 Aetna Better Health — Aetna Better Health Dual Eligible: $6,769.09 Aetna Better Health — Aetna Better Health Medicaid: $4,311.64 BCBS — BCBS Dual Eligible: $6,124.41 BCBS — BCBS Medicaid: $4,311.64 BCBS — BCBS Medicare HMO: $6,446.75 BCBS — BCBS Medicare PPO: $6,446.75 BCBS — BCBS My Blue Plus POS: $8,703.11 BCBS — BCBS Smart Health Care: $9,025.45
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp i/hern init reduc >5 yr	$19,280	$3,818	$599.41 – $16,002.40
Groin (inguinal) hernia repair, age 5 or older: 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $4,581.62 Aetna — Aetna Commercial: $2,228 Aetna — Aetna Medicare: $3,818.02 Aetna Better Health — Aetna Better Health Dual Eligible: $4,008.92 Aetna Better Health — Aetna Better Health Medicaid: $4,425 BCBS — BCBS Dual Eligible: $3,627.12 BCBS — BCBS Medicaid: $4,425 BCBS — BCBS Medicare HMO: $3,818.02 BCBS — BCBS Medicare PPO: $3,818.02 BCBS — BCBS My Blue Plus POS: $5,154.33
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy of prostate	$11,874	$2,138	$488 – $9,855.42
Prostate biopsy: 10 of 50 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $2,565.78 Aetna — Aetna Medicare: $2,138.15 Aetna Better Health — Aetna Better Health Dual Eligible: $2,245.06 Aetna Better Health — Aetna Better Health Medicaid: $2,137.83 BCBS — BCBS Dual Eligible: $2,031.24 BCBS — BCBS Medicaid: $2,137.83 BCBS — BCBS Medicare HMO: $2,138.15 BCBS — BCBS Medicare PPO: $2,138.15 BCBS — BCBS My Blue Plus POS: $2,886.50 BCBS — BCBS Smart Health Care: $2,993.41
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPS SURG PRST8ECT RPBIC RAD	$50,215.30	$11,335	$1,210.66 – $41,678.72
Prostate removal by laparoscope (radical prostatectomy): 10 of 48 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $13,602.36 Aetna — Aetna Commercial: $2,836 Aetna — Aetna Medicare: $11,335.30 Aetna Better Health — Aetna Better Health Dual Eligible: $11,902.07 Aetna Better Health — Aetna Better Health Medicaid: $5,526.29 BCBS — BCBS Dual Eligible: $10,768.54 BCBS — BCBS Medicaid: $5,526.29 BCBS — BCBS Medicare HMO: $11,335.30 BCBS — BCBS Medicare PPO: $11,335.30 BCBS — BCBS My Blue Plus POS: $15,302.66
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy biopsy	$10,762	$3,451	$236.73 – $8,932.46
Hysteroscopy with biopsy of the uterus lining: 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $4,142.35 Aetna — Aetna Commercial: $1,771 Aetna — Aetna Medicare: $3,451.96 Aetna Better Health — Aetna Better Health Dual Eligible: $3,624.56 Aetna Better Health — Aetna Better Health Medicaid: $2,918.62 BCBS — BCBS Dual Eligible: $3,279.36 BCBS — BCBS Medicaid: $2,918.62 BCBS — BCBS Medicare HMO: $3,451.96 BCBS — BCBS Medicare PPO: $3,451.96 BCBS — BCBS My Blue Plus POS: $4,660.15
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Carpal tunnel surgery	$8,688	$2,082	$468.29 – $7,211.04
Carpal tunnel release: 10 of 52 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $2,498.78 Aetna — Aetna Commercial: $1,630 Aetna — Aetna Medicare: $2,082.32 Aetna Better Health — Aetna Better Health Dual Eligible: $2,186.44 Aetna Better Health — Aetna Better Health Medicaid: $1,690.80 BCBS — BCBS Dual Eligible: $1,978.20 BCBS — BCBS Medicaid: $1,690.80 BCBS — BCBS Medicare HMO: $2,082.32 BCBS — BCBS Medicare PPO: $2,082.32 BCBS — BCBS My Blue Plus POS: $2,811.13

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	$96,960	$60,006.19 – $230,315.95
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 40 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $116,352.46 Aetna — Aetna Medicare: $80,166.10 Aetna Better Health — Aetna Better Health Dual Eligible: $84,174.41 BCBS — BCBS Blue Choice: $100,277.66 BCBS — BCBS Blue Choice Options: $98,376.18 BCBS — BCBS Blue Choice Preferred: $98,846.44 BCBS — BCBS Dual Eligible: $76,157.80 BCBS — BCBS HMO: $110,459.80 BCBS — BCBS Medicare HMO: $80,166.10 BCBS — BCBS Medicare PPO: $80,166.10
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	$19,798	$12,317.96 – $32,074.06
Hip or knee replacement (major joint of the leg), without major complications: 10 of 40 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $23,758.56 Aetna — Aetna Medicare: $16,487.40 Aetna Better Health — Aetna Better Health Dual Eligible: $17,311.77 BCBS — BCBS Blue Choice: $19,772.01 BCBS — BCBS Blue Choice Options: $19,397.09 BCBS — BCBS Blue Choice Preferred: $19,489.81 BCBS — BCBS Dual Eligible: $15,663.03 BCBS — BCBS HMO: $21,779.64 BCBS — BCBS Medicare HMO: $16,487.40 BCBS — BCBS Medicare PPO: $16,487.40
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CCMCC	Not listed in the file	$24,832	$19,609.81 – $40,229.35
Neck (cervical) spinal fusion, without complications: 10 of 40 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $29,799.52 Aetna — Aetna Medicare: $20,641.90 Aetna Better Health — Aetna Better Health Dual Eligible: $21,674 BCBS — BCBS Blue Choice: $25,024.31 BCBS — BCBS Blue Choice Options: $24,549.80 BCBS — BCBS Blue Choice Preferred: $24,667.15 BCBS — BCBS Dual Eligible: $19,609.81 BCBS — BCBS HMO: $27,565.27 BCBS — BCBS Medicare HMO: $20,641.90 BCBS — BCBS Medicare PPO: $20,641.90
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CCMCC	Not listed in the file	$13,037	$7,923.11 – $26,152.66
Uterus and ovary surgery (not for cancer), without complications: 10 of 40 insurance plan rates Access Community Health Network — Access Community Health Network Commercial HMO: $15,645 Aetna — Aetna Medicare: $10,907.60 Aetna Better Health — Aetna Better Health Dual Eligible: $11,452.98 BCBS — BCBS Blue Choice: $12,717.68 BCBS — BCBS Blue Choice Options: $12,476.52 BCBS — BCBS Blue Choice Preferred: $12,536.16 BCBS — BCBS Dual Eligible: $10,362.22 BCBS — BCBS HMO: $14,009.02 BCBS — BCBS Medicare HMO: $10,907.60 BCBS — BCBS Medicare PPO: $10,907.60

Source: Saint Francis Hospital-Evanston’s standard charges file (saintfrancisevanston.org, JSON, CMS template 3.0; it can be a very large file), last updated by the hospital on September 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	355 Ridge Ave, Evanston, IL 60202
County	Cook County
State	Illinois
Phone	(847) 316‑4000
Emergency services	Yes
Ownership	Voluntary non-profit - Church
Medicare overall rating	2 of 5 stars
CMS Certification Number	140080
Name in Medicare records	SAINT FRANCIS HOSPITAL-EVANSTON
Profile level	Medicare data + hospital website
Official website	saintfrancisevanston.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.

Saint Francis Hospital - Evanston — saintfrancisevanston.org
Advance Your Career With EMS and Paramedic Training Today — saintfrancisevanston.org
Saint Francis Hospital is Nationally Recognized for Commitment to High-Quality Stroke Care - Saint Francis Hospital — saintfrancisevanston.org
Visitor Information, Parking and Amenities in Saint Francis — saintfrancisevanston.org
Contact Us | Internal Medicine Residency Evanston — saintfrancisevanston.org
Contact Saint Francis Transitional Year Residency Program — saintfrancisevanston.org
Get Language Assistance and Interpretation Support in Care — saintfrancisevanston.org
COVID-19 Patient and Visitor Information — saintfrancisevanston.org

Saint Francis Hospital-Evanston

Summary

Profile from official sources

At a glance