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Acute Care Hospital

Saint Joseph Hospital-Elgin

Elgin, Illinois · Kane County · Emergency services listed

Saint Joseph Hospital-Elgin is an acute care hospital at 77 N Airlite Street, Elgin, IL 60123. Phone: (847) 695-3200. It has an emergency department. Medicare overall rating: 4 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Saint Joseph Hospital-Elgin is an acute care hospital in Elgin, Illinois. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 59 services, specialties and programs. Medicare lists 240 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(847) 695‑3200 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
184Beds (hospital website)
240Doctors and clinicians
59Services listed

Quick answers

Does Saint Joseph Hospital-Elgin have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Saint Joseph Hospital-Elgin. In a medical emergency, call 911.
Where is Saint Joseph Hospital-Elgin?
77 N Airlite Street, Elgin, IL 60123, in Kane County, Illinois.
What is the phone number of Saint Joseph Hospital-Elgin?
(847) 695-3200, as listed by Medicare (CMS).
What is the Medicare star rating of Saint Joseph Hospital-Elgin?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Saint Joseph Hospital-Elgin for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Saint Joseph Hospital-Elgin under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.1627; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4][9][10][11][12][13][14]

Conditions treated[11][12][13]

Treatments[10][11][13]

Procedures[4][10][13][14]

Programs and centers[5][10][11][12]

  • Paramedic training program
  • Comprehensive Rehabilitation Center (40-bed inpatient rehab unit)
  • Outpatient rehabilitation
  • Inpatient and outpatient behavioral health
  • Saint Joseph Hospital for Sports Medicine

Emergency care (hospital website)[4][8][9][16]

Emergency roomYes
Open 24/7Yes
Stroke designationPrimary Stroke Center

Visiting and practical information

VisitingVisiting hours 8 a.m. to 8 p.m. daily; children under 12 must be accompanied by an adult[6]
ParkingParking varies by department, e.g., patient rooms in Lot 1, outpatient surgery and lab in Lot 2[6]
Interpreters and languagesLanguage and sign-language interpreters available at no charge; request from your nurse or call the operator[15]
Patient portalPatient Portal

Recognition[4][7][8][10]

  • IDPH Gold-Level Antimicrobial Stewardship Honor Roll (October 2026)
  • Geriatric-Accredited Emergency Department
  • Lown Institute Hospitals Index 'A' grades (Health Equity, Inclusivity) 2026
  • IDPH Gold-Level Antimicrobial Stewardship Honor Roll 2026
  • Joint Commission Disease Specific Certification, total hip and knee replacement

Doctors and clinicians (240)

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

Main specialties

Doctors with a page on this site (240)

And 216 more: the button below opens the full list.

Other emergency rooms nearby

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

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Elgin

All hospitals in Elgin · Hospitals in Kane County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

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

Medicare quality data

What Saint Joseph Hospital-Elgin 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 hospital3 of 5 stars
Would recommend the hospital2 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well2 of 5 stars
Patients got help quickly from staff1 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment3 of 5 stars
Care Coordination2 of 5 stars
Symptoms After Stay2 of 5 stars
Rated the hospital 9 or 10 out of 1062%National average: 72%
Would definitely recommend the hospital62%National average: 71%
Nurses “always” communicated well73%National average: 80%
Doctors “always” communicated well70%National average: 80%
“Always” got help as soon as they wanted48%National average: 64%
Staff “always” explained medicines before giving them53%National average: 62%
Were given information about recovery at home81%National average: 86%
Room and bathroom “always” clean71%National average: 73%
Completed surveys464Response rate: 28%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Infections caught in the hospital

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

Clostridioides difficile (C. diff) intestinal infections0.204No different from the national benchmark
Not reported to MedicareCentral line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients11.3%
Deaths within 30 days: heart failure patients10%
Deaths within 30 days: pneumonia patients16%
Deaths within 30 days: COPD patients8.8%
Deaths within 30 days: stroke patients12.4%
Serious complications (patient safety indicator PSI-90)0.86No different from the national rate
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)
Too few cases to reportComplications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)17%
Readmitted within 30 days: heart attack14.7%
Readmitted within 30 days: heart failure22.9%
Readmitted within 30 days: pneumonia17.3%
Readmitted within 30 days: COPD20.4%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

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

Average (median) time patients spent in the emergency room before leaving (OP-18b)136 minutesNational average: 162 minutes
Sepsis patients who got all the recommended early care (SEP-1)52%National average: 66%
Not reported to MedicarePatients who left the emergency room before being seen (OP-22)

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Saint Joseph Hospital-Elgin, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score0.1627Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack1.0598More readmissions than expected
Heart failure0.9543Fewer readmissions than expected
Pneumonia0.9263Fewer readmissions than expected
COPD (chronic lung disease)0.9796Fewer readmissions than expected
Hip or knee replacement1.0288More readmissions than expected
No result publishedCoronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

No result for this hospital: Hospital Value-Based Purchasing Program; Medicare spending per patient. This is normal when a hospital is paid under another Medicare system (for example critical access, children’s or psychiatric hospitals), is not in the program that year, or has too few cases.

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 ElginBest hospitals in Illinois

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 64 common services exactly as Saint Joseph Hospital-Elgin 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 →

$ 1 amount is marked with “!”: it is more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. It is shown exactly as listed; ask the hospital before relying on it.

Show the prices of 64 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ED LEVEL 3 $1,286 $291 $75.26 – $1,054.52
Emergency room visit (moderate): 10 of 54 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $349.31
  • Aetna — Aetna Medicare: $291.09
  • Aetna Better Health — Aetna Better Health Dual Eligible: $305.64
  • Aetna Better Health — Aetna Better Health Medicaid: $307.80
  • BCBS — BCBS Dual Eligible: $276.54
  • BCBS — BCBS Medicaid: $307.80
  • BCBS — BCBS Medicare HMO: $291.09
  • BCBS — BCBS Medicare PPO: $291.09
  • BCBS — BCBS MyBlue 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: ED LEVEL 4 $2,344 $444 $128.31 – $1,922.08
Emergency room visit (moderately high): 10 of 56 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $533.94
  • Aetna — Aetna Medicare: $444.95
  • Aetna Better Health — Aetna Better Health Dual Eligible: $467.20
  • Aetna Better Health — Aetna Better Health Medicaid: $307.80
  • BCBS — BCBS Dual Eligible: $422.70
  • BCBS — BCBS Medicaid: $307.80
  • BCBS — BCBS Medicare HMO: $444.95
  • BCBS — BCBS Medicare PPO: $444.95
  • BCBS — BCBS MyBlue Plus POS: $600.68
  • BCBS — BCBS Smart Health Care: $622.93
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ED LEVEL 5 $5,377 $635 $185.25 – $4,301.60
Emergency room visit (high): 10 of 53 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $762.06
  • Aetna — Aetna Medicare: $635.05
  • Aetna Better Health — Aetna Better Health Dual Eligible: $666.80
  • Aetna Better Health — Aetna Better Health Medicaid: $307.80
  • BCBS — BCBS Dual Eligible: $603.30
  • BCBS — BCBS Medicaid: $307.80
  • BCBS — BCBS Medicare HMO: $635.05
  • BCBS — BCBS Medicare PPO: $635.05
  • BCBS — BCBS MyBlue Plus POS: $857.32
  • BCBS — BCBS Smart Health Care: $889.07

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANEL $376 $8 $5.08 – $300.80
Basic metabolic panel (blood test): 10 of 57 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $10.15
  • Aetna — Aetna Medicare: $8.46
  • Aetna Better Health — Aetna Better Health Dual Eligible: $8.88
  • Aetna Better Health — Aetna Better Health Medicaid: $6.35
  • BCBS — BCBS Dual Eligible: $8.04
  • BCBS — BCBS Medicaid: $6.35
  • BCBS — BCBS Medicare HMO: $8.46
  • BCBS — BCBS Medicare PPO: $8.46
  • BCBS — BCBS MyBlue Plus POS: $11.42
  • BCBS — BCBS Smart Health Care: $11.84
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHENSIVE METABOLIC PANEL $626 $10 $6.34 – $500.80
Comprehensive metabolic panel (blood test): 10 of 56 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $12.67
  • Aetna — Aetna Medicare: $10.56
  • Aetna Better Health — Aetna Better Health Dual Eligible: $11.09
  • Aetna Better Health — Aetna Better Health Medicaid: $6.35
  • BCBS — BCBS Dual Eligible: $10.03
  • BCBS — BCBS Medicaid: $6.35
  • BCBS — BCBS Medicare HMO: $10.56
  • BCBS — BCBS Medicare PPO: $10.56
  • BCBS — BCBS MyBlue Plus POS: $14.26
  • BCBS — BCBS Smart Health Care: $14.78
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: OB PRENATAL PANEL $432 $47 $6.35 – $345.60
Obstetric blood test panel: 10 of 53 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $57.37
  • Aetna — Aetna Medicare: $47.81
  • Aetna Better Health — Aetna Better Health Dual Eligible: $50.20
  • Aetna Better Health — Aetna Better Health Medicaid: $6.35
  • BCBS — BCBS Dual Eligible: $45.42
  • BCBS — BCBS Medicaid: $6.35
  • BCBS — BCBS Medicare HMO: $47.81
  • BCBS — BCBS Medicare PPO: $47.81
  • BCBS — BCBS MyBlue Plus POS: $64.54
  • BCBS — BCBS Smart Health Care: $66.93
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL $581 $13 $6.35 – $464.80
Cholesterol panel (lipid panel): 10 of 54 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $16.07
  • Aetna — Aetna Medicare: $13.39
  • Aetna Better Health — Aetna Better Health Dual Eligible: $14.06
  • Aetna Better Health — Aetna Better Health Medicaid: $6.35
  • BCBS — BCBS Dual Eligible: $12.72
  • BCBS — BCBS Medicaid: $6.35
  • BCBS — BCBS Medicare HMO: $13.39
  • BCBS — BCBS Medicare PPO: $13.39
  • BCBS — BCBS MyBlue Plus POS: $18.08
  • BCBS — BCBS Smart Health Care: $18.75
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL $256 $8 $5.21 – $204.80
Kidney function panel: 10 of 54 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $10.42
  • Aetna — Aetna Medicare: $8.68
  • Aetna Better Health — Aetna Better Health Dual Eligible: $9.11
  • Aetna Better Health — Aetna Better Health Medicaid: $6.35
  • BCBS — BCBS Dual Eligible: $8.25
  • BCBS — BCBS Medicaid: $6.35
  • BCBS — BCBS Medicare HMO: $8.68
  • BCBS — BCBS Medicare PPO: $8.68
  • BCBS — BCBS MyBlue Plus POS: $11.72
  • BCBS — BCBS Smart Health Care: $12.15
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL $606 $8 $4.90 – $484.80
Liver function panel: 10 of 53 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $9.80
  • Aetna — Aetna Medicare: $8.17
  • Aetna Better Health — Aetna Better Health Dual Eligible: $8.58
  • Aetna Better Health — Aetna Better Health Medicaid: $6.35
  • BCBS — BCBS Dual Eligible: $7.76
  • BCBS — BCBS Medicaid: $6.35
  • BCBS — BCBS Medicare HMO: $8.17
  • BCBS — BCBS Medicare PPO: $8.17
  • BCBS — BCBS MyBlue Plus POS: $11.03
  • BCBS — BCBS Smart Health Care: $11.44
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS WITH MICROSCOPIC $146 $3 $1.90 – $116.80
Urine test (automated, with microscope): 10 of 57 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $3.80
  • Aetna — Aetna Medicare: $3.17
  • Aetna Better Health — Aetna Better Health Dual Eligible: $3.33
  • Aetna Better Health — Aetna Better Health Medicaid: $2.12
  • BCBS — BCBS Dual Eligible: $3.01
  • BCBS — BCBS Medicaid: $2.12
  • BCBS — BCBS Medicare HMO: $3.17
  • BCBS — BCBS Medicare PPO: $3.17
  • BCBS — BCBS MyBlue Plus POS: $4.28
  • BCBS — BCBS Smart Health Care: $4.44
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINE DIPSTICK $111 $3 $2.09 – $88.80
Urine test (manual, without microscope): 10 of 53 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $4.18
  • Aetna — Aetna Medicare: $3.48
  • Aetna Better Health — Aetna Better Health Dual Eligible: $3.65
  • Aetna Better Health — Aetna Better Health Medicaid: $2.12
  • BCBS — BCBS Dual Eligible: $3.31
  • BCBS — BCBS Medicaid: $2.12
  • BCBS — BCBS Medicare HMO: $3.48
  • BCBS — BCBS Medicare PPO: $3.48
  • BCBS — BCBS MyBlue Plus POS: $4.70
  • BCBS — BCBS Smart Health Care: $4.87
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINE DIPSTICK, AUTOMATED $121 $2 $1.35 – $96.80
Urine test (automated, without microscope): 10 of 56 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $2.70
  • Aetna — Aetna Medicare: $2.25
  • Aetna Better Health — Aetna Better Health Dual Eligible: $2.36
  • Aetna Better Health — Aetna Better Health Medicaid: $2.12
  • BCBS — BCBS Dual Eligible: $2.14
  • BCBS — BCBS Medicaid: $2.12
  • BCBS — BCBS Medicare HMO: $2.25
  • BCBS — BCBS Medicare PPO: $2.25
  • BCBS — BCBS MyBlue Plus POS: $3.04
  • BCBS — BCBS Smart Health Care: $3.15
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: GLUCOSE, URINE, AUTOMATED $121 $2 $1.35 – $96.80
Urine test (automated, without microscope): 10 of 49 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $2.70
  • Aetna — Aetna Medicare: $2.25
  • Aetna Better Health — Aetna Better Health Dual Eligible: $2.36
  • BCBS — BCBS Dual Eligible: $2.14
  • BCBS — BCBS Medicare HMO: $2.25
  • BCBS — BCBS Medicare PPO: $2.25
  • BCBS — BCBS MyBlue Plus POS: $3.04
  • BCBS — BCBS Smart Health Care: $3.15
  • Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $3.65
  • Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: KETONES, URINE, AUTOMATED $121 $2 $1.35 – $96.80
Urine test (automated, without microscope): 10 of 49 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $2.70
  • Aetna — Aetna Medicare: $2.25
  • Aetna Better Health — Aetna Better Health Dual Eligible: $2.36
  • BCBS — BCBS Dual Eligible: $2.14
  • BCBS — BCBS Medicare HMO: $2.25
  • BCBS — BCBS Medicare PPO: $2.25
  • BCBS — BCBS MyBlue Plus POS: $3.04
  • BCBS — BCBS Smart Health Care: $3.15
  • Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $3.65
  • Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROSTATIC SPECIFIC AG, DIAG $286 $18 $8.41 – $228.80
PSA (prostate specific antigen) blood test: 10 of 54 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $22.07
  • Aetna — Aetna Medicare: $18.39
  • Aetna Better Health — Aetna Better Health Dual Eligible: $19.31
  • Aetna Better Health — Aetna Better Health Medicaid: $8.41
  • BCBS — BCBS Dual Eligible: $17.47
  • BCBS — BCBS Medicaid: $8.41
  • BCBS — BCBS Medicare HMO: $18.39
  • BCBS — BCBS Medicare PPO: $18.39
  • BCBS — BCBS MyBlue Plus POS: $24.83
  • BCBS — BCBS Smart Health Care: $25.75
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROSTATE SPECIFIC AG (PSA) $286 $18 $8.41 – $228.80
PSA (prostate specific antigen) blood test: 10 of 47 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $22.07
  • Aetna — Aetna Medicare: $18.39
  • Aetna Better Health — Aetna Better Health Dual Eligible: $19.31
  • BCBS — BCBS Dual Eligible: $17.47
  • BCBS — BCBS Medicare HMO: $18.39
  • BCBS — BCBS Medicare PPO: $18.39
  • BCBS — BCBS MyBlue Plus POS: $24.83
  • BCBS — BCBS Smart Health Care: $25.75
  • Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $29.79
  • Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA TOTAL $286 $18 $8.41 – $228.80
PSA (prostate specific antigen) blood test: 10 of 47 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $22.07
  • Aetna — Aetna Medicare: $18.39
  • Aetna Better Health — Aetna Better Health Dual Eligible: $19.31
  • BCBS — BCBS Dual Eligible: $17.47
  • BCBS — BCBS Medicare HMO: $18.39
  • BCBS — BCBS Medicare PPO: $18.39
  • BCBS — BCBS MyBlue Plus POS: $24.83
  • BCBS — BCBS Smart Health Care: $25.75
  • Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $29.79
  • Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: THYROID STIMULATING HORMONE $350 $16 $9.28 – $280
Thyroid stimulating hormone (TSH) test: 10 of 54 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $20.16
  • Aetna — Aetna Medicare: $16.80
  • Aetna Better Health — Aetna Better Health Dual Eligible: $17.64
  • Aetna Better Health — Aetna Better Health Medicaid: $9.28
  • BCBS — BCBS Dual Eligible: $15.96
  • BCBS — BCBS Medicaid: $9.28
  • BCBS — BCBS Medicare HMO: $16.80
  • BCBS — BCBS Medicare PPO: $16.80
  • BCBS — BCBS MyBlue Plus POS: $22.68
  • BCBS — BCBS Smart Health Care: $23.52
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH NEONATAL SCREEN $350 $16 $9.28 – $280
Thyroid stimulating hormone (TSH) test: 10 of 47 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $20.16
  • Aetna — Aetna Medicare: $16.80
  • Aetna Better Health — Aetna Better Health Dual Eligible: $17.64
  • BCBS — BCBS Dual Eligible: $15.96
  • BCBS — BCBS Medicare HMO: $16.80
  • BCBS — BCBS Medicare PPO: $16.80
  • BCBS — BCBS MyBlue Plus POS: $22.68
  • BCBS — BCBS Smart Health Care: $23.52
  • Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $27.22
  • Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH (CASCADE) $350 $16 $9.28 – $280
Thyroid stimulating hormone (TSH) test: 10 of 47 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $20.16
  • Aetna — Aetna Medicare: $16.80
  • Aetna Better Health — Aetna Better Health Dual Eligible: $17.64
  • BCBS — BCBS Dual Eligible: $15.96
  • BCBS — BCBS Medicare HMO: $16.80
  • BCBS — BCBS Medicare PPO: $16.80
  • BCBS — BCBS MyBlue Plus POS: $22.68
  • BCBS — BCBS Smart Health Care: $23.52
  • Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $27.22
  • Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: COMPLETE BLOOD COUNT $250 $7 $4.17 – $200
Complete blood count (CBC) with differential: 10 of 56 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $9.32
  • Aetna — Aetna Medicare: $7.77
  • Aetna Better Health — Aetna Better Health Dual Eligible: $8.16
  • Aetna Better Health — Aetna Better Health Medicaid: $4.17
  • BCBS — BCBS Dual Eligible: $7.38
  • BCBS — BCBS Medicaid: $4.17
  • BCBS — BCBS Medicare HMO: $7.77
  • BCBS — BCBS Medicare PPO: $7.77
  • BCBS — BCBS MyBlue Plus POS: $10.49
  • BCBS — BCBS Smart Health Care: $10.88
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC NO DIFF $123 $6 $3.88 – $98.40
Complete blood count (CBC), automated: 10 of 55 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $7.76
  • Aetna — Aetna Medicare: $6.47
  • Aetna Better Health — Aetna Better Health Dual Eligible: $6.79
  • Aetna Better Health — Aetna Better Health Medicaid: $4.17
  • BCBS — BCBS Dual Eligible: $6.15
  • BCBS — BCBS Medicaid: $4.17
  • BCBS — BCBS Medicare HMO: $6.47
  • BCBS — BCBS Medicare PPO: $6.47
  • BCBS — BCBS MyBlue Plus POS: $8.73
  • BCBS — BCBS Smart Health Care: $9.06
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: WHOLE BLOOD INR $122 $4 $2.57 – $140.80
Blood clotting time test (prothrombin time, PT): 10 of 54 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $5.15
  • Aetna — Aetna Medicare: $4.29
  • Aetna Better Health — Aetna Better Health Dual Eligible: $4.50
  • Aetna Better Health — Aetna Better Health Medicaid: $3.11
  • BCBS — BCBS Dual Eligible: $4.08
  • BCBS — BCBS Medicaid: $3.11
  • BCBS — BCBS Medicare HMO: $4.29
  • BCBS — BCBS Medicare PPO: $4.29
  • BCBS — BCBS MyBlue Plus POS: $5.79
  • BCBS — BCBS Smart Health Care: $6.01
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: LUPUS PROTHROMBIN TIME $167 $4 $2.57 – $140.80
Blood clotting time test (prothrombin time, PT): 10 of 47 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $5.15
  • Aetna — Aetna Medicare: $4.29
  • Aetna Better Health — Aetna Better Health Dual Eligible: $4.50
  • BCBS — BCBS Dual Eligible: $4.08
  • BCBS — BCBS Medicare HMO: $4.29
  • BCBS — BCBS Medicare PPO: $4.29
  • BCBS — BCBS MyBlue Plus POS: $5.79
  • BCBS — BCBS Smart Health Care: $6.01
  • Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $6.95
  • Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME - 85610 - 30120255 $176 $4 $2.57 – $140.80
Blood clotting time test (prothrombin time, PT): 10 of 47 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $5.15
  • Aetna — Aetna Medicare: $4.29
  • Aetna Better Health — Aetna Better Health Dual Eligible: $4.50
  • BCBS — BCBS Dual Eligible: $4.08
  • BCBS — BCBS Medicare HMO: $4.29
  • BCBS — BCBS Medicare PPO: $4.29
  • BCBS — BCBS MyBlue Plus POS: $5.79
  • BCBS — BCBS Smart Health Care: $6.01
  • Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $6.95
  • Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PARTIAL THROMBOPLASTIN TIME $167 $6 $3.11 – $193.60
Blood clotting test (partial thromboplastin time, PTT): 10 of 53 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $7.21
  • Aetna — Aetna Medicare: $6.01
  • Aetna Better Health — Aetna Better Health Dual Eligible: $6.31
  • Aetna Better Health — Aetna Better Health Medicaid: $3.11
  • BCBS — BCBS Dual Eligible: $5.71
  • BCBS — BCBS Medicaid: $3.11
  • BCBS — BCBS Medicare HMO: $6.01
  • BCBS — BCBS Medicare PPO: $6.01
  • BCBS — BCBS MyBlue Plus POS: $8.11
  • BCBS — BCBS Smart Health Care: $8.41
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT LUPUS ANTICOAGULANT EVAL $167 $6 $3.11 – $193.60
Blood clotting test (partial thromboplastin time, PTT): 10 of 47 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $7.21
  • Aetna — Aetna Medicare: $6.01
  • Aetna Better Health — Aetna Better Health Dual Eligible: $6.31
  • BCBS — BCBS Dual Eligible: $5.71
  • BCBS — BCBS Medicare HMO: $6.01
  • BCBS — BCBS Medicare PPO: $6.01
  • BCBS — BCBS MyBlue Plus POS: $8.11
  • BCBS — BCBS Smart Health Care: $8.41
  • Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $9.74
  • Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: *PTT 50/50 MIX PRE-INCUBATION $167 $6 $3.11 – $193.60
Blood clotting test (partial thromboplastin time, PTT): 10 of 46 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $7.21
  • Aetna — Aetna Medicare: $6.01
  • Aetna Better Health — Aetna Better Health Dual Eligible: $6.31
  • BCBS — BCBS Dual Eligible: $5.71
  • BCBS — BCBS Medicare HMO: $6.01
  • BCBS — BCBS Medicare PPO: $6.01
  • BCBS — BCBS MyBlue Plus POS: $8.11
  • BCBS — BCBS Smart Health Care: $8.41
  • Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $9.74
  • Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $6.01

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: STROKE HEAD W/O CONTRAST $3,762 $111 $69.20 – $3,009.60
CT scan of the head or brain, without contrast: 10 of 56 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $133.78
  • Aetna — Aetna Commercial: $1,078
  • Aetna — Aetna Medicare: $111.48
  • Aetna Better Health — Aetna Better Health Dual Eligible: $117.05
  • Aetna Better Health — Aetna Better Health Medicaid: $263.61
  • BCBS — BCBS Dual Eligible: $105.91
  • BCBS — BCBS Medicaid: $263.61
  • BCBS — BCBS Medicare HMO: $111.48
  • BCBS — BCBS Medicare PPO: $111.48
  • BCBS — BCBS MyBlue Plus POS: $150.50
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: HEAD W/O CONTRAST $3,762 $111 $69.20 – $3,009.60
CT scan of the head or brain, without contrast: 10 of 49 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $133.78
  • Aetna — Aetna Commercial: $1,078
  • Aetna — Aetna Medicare: $111.48
  • Aetna Better Health — Aetna Better Health Dual Eligible: $117.05
  • BCBS — BCBS Dual Eligible: $105.91
  • BCBS — BCBS Medicare HMO: $111.48
  • BCBS — BCBS Medicare PPO: $111.48
  • BCBS — BCBS MyBlue Plus POS: $150.50
  • BCBS — BCBS Smart Health Care: $156.07
  • Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $180.60
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: PITUITARY W/WO CONTRAST $6,581 $372 $218.23 – $5,264.80
MRI of the brain, before and after contrast: 10 of 56 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $446.42
  • Aetna — Aetna Commercial: $1,582
  • Aetna — Aetna Medicare: $372.02
  • Aetna Better Health — Aetna Better Health Dual Eligible: $390.62
  • Aetna Better Health — Aetna Better Health Medicaid: $353.04
  • BCBS — BCBS Dual Eligible: $353.42
  • BCBS — BCBS Medicaid: $353.04
  • BCBS — BCBS Medicare HMO: $372.02
  • BCBS — BCBS Medicare PPO: $372.02
  • BCBS — BCBS MyBlue Plus POS: $502.23
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: BRAIN W/WO CONTRAST $6,581 $372 $218.23 – $5,264.80
MRI of the brain, before and after contrast: 10 of 49 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $446.42
  • Aetna — Aetna Commercial: $1,582
  • Aetna — Aetna Medicare: $372.02
  • Aetna Better Health — Aetna Better Health Dual Eligible: $390.62
  • BCBS — BCBS Dual Eligible: $353.42
  • BCBS — BCBS Medicare HMO: $372.02
  • BCBS — BCBS Medicare PPO: $372.02
  • BCBS — BCBS MyBlue Plus POS: $502.23
  • BCBS — BCBS Smart Health Care: $520.83
  • Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $602.67
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: IAC W/WO CONTRAST - 70553 - 61000200 $6,581 $372 $218.23 – $5,264.80
MRI of the brain, before and after contrast: 10 of 49 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $446.42
  • Aetna — Aetna Commercial: $1,582
  • Aetna — Aetna Medicare: $372.02
  • Aetna Better Health — Aetna Better Health Dual Eligible: $390.62
  • BCBS — BCBS Dual Eligible: $353.42
  • BCBS — BCBS Medicare HMO: $372.02
  • BCBS — BCBS Medicare PPO: $372.02
  • BCBS — BCBS MyBlue Plus POS: $502.23
  • BCBS — BCBS Smart Health Care: $520.83
  • Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $602.67
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST 2V W/LORDOTIC $937 $92 $23.92 – $749.60
Chest X-ray, 2 views: 10 of 53 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $111.35
  • Aetna — Aetna Medicare: $92.79
  • Aetna Better Health — Aetna Better Health Dual Eligible: $97.43
  • Aetna Better Health — Aetna Better Health Medicaid: $48.70
  • BCBS — BCBS Dual Eligible: $88.15
  • BCBS — BCBS Medicaid: $48.70
  • BCBS — BCBS Medicare HMO: $92.79
  • BCBS — BCBS Medicare PPO: $92.79
  • BCBS — BCBS MyBlue Plus POS: $125.27
  • BCBS — BCBS Smart Health Care: $129.91
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST INSPIRATION/EXPIRATION $937 $92 $23.92 – $749.60
Chest X-ray, 2 views: 10 of 46 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $111.35
  • Aetna — Aetna Medicare: $92.79
  • Aetna Better Health — Aetna Better Health Dual Eligible: $97.43
  • BCBS — BCBS Dual Eligible: $88.15
  • BCBS — BCBS Medicare HMO: $92.79
  • BCBS — BCBS Medicare PPO: $92.79
  • BCBS — BCBS MyBlue Plus POS: $125.27
  • BCBS — BCBS Smart Health Care: $129.91
  • Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $150.32
  • Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $92.79
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST DECUB BILATERAL $937 $92 $23.92 – $749.60
Chest X-ray, 2 views: 10 of 46 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $111.35
  • Aetna — Aetna Medicare: $92.79
  • Aetna Better Health — Aetna Better Health Dual Eligible: $97.43
  • BCBS — BCBS Dual Eligible: $88.15
  • BCBS — BCBS Medicare HMO: $92.79
  • BCBS — BCBS Medicare PPO: $92.79
  • BCBS — BCBS MyBlue Plus POS: $125.27
  • BCBS — BCBS Smart Health Care: $129.91
  • Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $150.32
  • Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $92.79
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: LUMBAR SPINE COMPLETE 5 VIEWS $1,495 $111 $42.10 – $1,196
X-ray of the lower spine, at least 4 views: 10 of 55 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $133.78
  • Aetna — Aetna Medicare: $111.48
  • Aetna Better Health — Aetna Better Health Dual Eligible: $117.05
  • Aetna Better Health — Aetna Better Health Medicaid: $48.70
  • BCBS — BCBS Dual Eligible: $105.91
  • BCBS — BCBS Medicaid: $48.70
  • BCBS — BCBS Medicare HMO: $111.48
  • BCBS — BCBS Medicare PPO: $111.48
  • BCBS — BCBS MyBlue Plus POS: $150.50
  • BCBS — BCBS Smart Health Care: $156.07
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: LUMBAR SPINE W/O CONTRAST - 72148 - 61000320 $5,151 $254 $127.07 – $4,120.80
MRI of the lower back (lumbar spine), without contrast: 10 of 56 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $305.33
  • Aetna — Aetna Commercial: $1,582
  • Aetna — Aetna Medicare: $254.44
  • Aetna Better Health — Aetna Better Health Dual Eligible: $267.16
  • Aetna Better Health — Aetna Better Health Medicaid: $209.24
  • BCBS — BCBS Dual Eligible: $241.72
  • BCBS — BCBS Medicaid: $209.24
  • BCBS — BCBS Medicare HMO: $254.44
  • BCBS — BCBS Medicare PPO: $254.44
  • BCBS — BCBS MyBlue Plus POS: $343.49
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: PELVIS W/CONTRAST $3,591 $187 $177.50 – $2,872.80
CT scan of the pelvis, with contrast: 10 of 55 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $224.45
  • Aetna — Aetna Commercial: $1,078
  • Aetna — Aetna Medicare: $187.04
  • Aetna Better Health — Aetna Better Health Dual Eligible: $196.39
  • Aetna Better Health — Aetna Better Health Medicaid: $263.61
  • BCBS — BCBS Dual Eligible: $177.69
  • BCBS — BCBS Medicaid: $263.61
  • BCBS — BCBS Medicare HMO: $187.04
  • BCBS — BCBS Medicare PPO: $187.04
  • BCBS — BCBS MyBlue Plus POS: $252.50
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: ANKLE RIGHT W/O CONTRAST $4,540 $254 $145.94 – $5,448.80
MRI of a leg joint (such as the knee), without contrast: 10 of 56 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $305.33
  • Aetna — Aetna Commercial: $1,582
  • Aetna — Aetna Medicare: $254.44
  • Aetna Better Health — Aetna Better Health Dual Eligible: $267.16
  • Aetna Better Health — Aetna Better Health Medicaid: $209.24
  • BCBS — BCBS Dual Eligible: $241.72
  • BCBS — BCBS Medicaid: $209.24
  • BCBS — BCBS Medicare HMO: $254.44
  • BCBS — BCBS Medicare PPO: $254.44
  • BCBS — BCBS MyBlue Plus POS: $343.49
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: LOWER EXT JT LT W/O CONTRAST $4,540 $254 $145.94 – $5,448.80
MRI of a leg joint (such as the knee), without contrast: 10 of 50 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $305.33
  • Aetna — Aetna Commercial: $1,582
  • Aetna — Aetna Medicare: $254.44
  • Aetna Better Health — Aetna Better Health Dual Eligible: $267.16
  • BCBS — BCBS Dual Eligible: $241.72
  • BCBS — BCBS Medicaid: $209.24
  • BCBS — BCBS Medicare HMO: $254.44
  • BCBS — BCBS Medicare PPO: $254.44
  • BCBS — BCBS MyBlue Plus POS: $343.49
  • BCBS — BCBS Smart Health Care: $356.22
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: ANKLE LEFT W/O CONTRAST $4,540 $254 $145.94 – $5,448.80
MRI of a leg joint (such as the knee), without contrast: 10 of 49 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $305.33
  • Aetna — Aetna Commercial: $1,582
  • Aetna — Aetna Medicare: $254.44
  • Aetna Better Health — Aetna Better Health Dual Eligible: $267.16
  • BCBS — BCBS Dual Eligible: $241.72
  • BCBS — BCBS Medicare HMO: $254.44
  • BCBS — BCBS Medicare PPO: $254.44
  • BCBS — BCBS MyBlue Plus POS: $343.49
  • BCBS — BCBS Smart Health Care: $356.22
  • Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $412.19
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ENTEROGRAPHY ABD/PEL W/CONT $9,474 $372 $222.78 – $7,579.20
CT scan of the abdomen and pelvis, with contrast: 10 of 53 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $446.42
  • Aetna — Aetna Commercial: $1,078
  • Aetna — Aetna Medicare: $372.02
  • Aetna Better Health — Aetna Better Health Dual Eligible: $390.62
  • Aetna Better Health — Aetna Better Health Medicaid: $263.61
  • BCBS — BCBS Dual Eligible: $353.42
  • BCBS — BCBS Medicaid: $263.61
  • BCBS — BCBS Medicare HMO: $372.02
  • BCBS — BCBS Medicare PPO: $372.02
  • BCBS — BCBS MyBlue Plus POS: $502.23
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: ABDOMEN/PELVIS WITH CONTRAST $9,474 $372 $222.78 – $7,579.20
CT scan of the abdomen and pelvis, with contrast: 10 of 46 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $446.42
  • Aetna — Aetna Commercial: $1,078
  • Aetna — Aetna Medicare: $372.02
  • Aetna Better Health — Aetna Better Health Dual Eligible: $390.62
  • BCBS — BCBS Dual Eligible: $353.42
  • BCBS — BCBS Medicare HMO: $372.02
  • BCBS — BCBS Medicare PPO: $372.02
  • BCBS — BCBS MyBlue Plus POS: $502.23
  • BCBS — BCBS Smart Health Care: $520.83
  • Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $602.67
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN; COMPLETE $2,494 $111 $79.39 – $1,995.20
Ultrasound of the abdomen, complete: 10 of 53 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $133.78
  • Aetna — Aetna Medicare: $111.48
  • Aetna Better Health — Aetna Better Health Dual Eligible: $117.05
  • Aetna Better Health — Aetna Better Health Medicaid: $146.03
  • BCBS — BCBS Dual Eligible: $105.91
  • BCBS — BCBS Medicaid: $146.03
  • BCBS — BCBS Medicare HMO: $111.48
  • BCBS — BCBS Medicare PPO: $111.48
  • BCBS — BCBS MyBlue Plus POS: $150.50
  • BCBS — BCBS Smart Health Care: $156.07
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: OB PREGNANCY COMP > 14 WEEKS $1,800 $111 $87.31 – $1,440
Pregnancy ultrasound (after the first trimester): 10 of 52 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $133.78
  • Aetna — Aetna Medicare: $111.48
  • Aetna Better Health — Aetna Better Health Dual Eligible: $117.05
  • Aetna Better Health — Aetna Better Health Medicaid: $87.31
  • BCBS — BCBS Dual Eligible: $105.91
  • BCBS — BCBS Medicaid: $87.31
  • BCBS — BCBS Medicare HMO: $111.48
  • BCBS — BCBS Medicare PPO: $111.48
  • BCBS — BCBS MyBlue Plus POS: $150.50
  • BCBS — BCBS Smart Health Care: $156.07
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: TRANVAGINAL PELVIS $1,653 $111 $87.97 – $1,322.40
Transvaginal ultrasound: 10 of 53 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $133.78
  • Aetna — Aetna Medicare: $111.48
  • Aetna Better Health — Aetna Better Health Dual Eligible: $117.05
  • Aetna Better Health — Aetna Better Health Medicaid: $94.78
  • BCBS — BCBS Dual Eligible: $105.91
  • BCBS — BCBS Medicaid: $94.78
  • BCBS — BCBS Medicare HMO: $111.48
  • BCBS — BCBS Medicare PPO: $111.48
  • BCBS — BCBS MyBlue Plus POS: $150.50
  • BCBS — BCBS Smart Health Care: $156.07
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MAMM DIAGNOSTIC LEFT $718 $88 $41.41 – $718
Diagnostic mammogram, one breast: 10 of 52 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $106.50
  • Aetna — Aetna Medicare: $88.75
  • Aetna Better Health — Aetna Better Health Dual Eligible: $93.19
  • Aetna Better Health — Aetna Better Health Medicaid: $41.41
  • BCBS — BCBS Dual Eligible: $84.31
  • BCBS — BCBS Medicaid: $41.41
  • BCBS — BCBS Medicare HMO: $88.75
  • BCBS — BCBS Medicare PPO: $88.75
  • BCBS — BCBS MyBlue Plus POS: $119.81
  • BCBS — BCBS Smart Health Care: $124.25
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MAMM DIAGNOSTIC RIGHT $718 $88 $41.41 – $718
Diagnostic mammogram, one breast: 10 of 45 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $106.50
  • Aetna — Aetna Medicare: $88.75
  • Aetna Better Health — Aetna Better Health Dual Eligible: $93.19
  • BCBS — BCBS Dual Eligible: $84.31
  • BCBS — BCBS Medicare HMO: $88.75
  • BCBS — BCBS Medicare PPO: $88.75
  • BCBS — BCBS MyBlue Plus POS: $119.81
  • BCBS — BCBS Smart Health Care: $124.25
  • Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $143.78
  • Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $88.75
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: DIGITAL IMPLANT MAMM $917 $114 $41.41 – $917
Diagnostic mammogram, both breasts: 10 of 52 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $136.85
  • Aetna — Aetna Medicare: $114.04
  • Aetna Better Health — Aetna Better Health Dual Eligible: $119.74
  • Aetna Better Health — Aetna Better Health Medicaid: $41.41
  • BCBS — BCBS Dual Eligible: $108.34
  • BCBS — BCBS Medicaid: $41.41
  • BCBS — BCBS Medicare HMO: $114.04
  • BCBS — BCBS Medicare PPO: $114.04
  • BCBS — BCBS MyBlue Plus POS: $153.95
  • BCBS — BCBS Smart Health Care: $159.66
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: DIGITAL DIAG MAMMO BILATERAL $917 $114 $41.41 – $917
Diagnostic mammogram, both breasts: 10 of 45 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $136.85
  • Aetna — Aetna Medicare: $114.04
  • Aetna Better Health — Aetna Better Health Dual Eligible: $119.74
  • BCBS — BCBS Dual Eligible: $108.34
  • BCBS — BCBS Medicare HMO: $114.04
  • BCBS — BCBS Medicare PPO: $114.04
  • BCBS — BCBS MyBlue Plus POS: $153.95
  • BCBS — BCBS Smart Health Care: $159.66
  • Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $184.74
  • Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $114.04
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MAMMO SCREENING LT $783 $93 $41.41 – $864
Screening mammogram, both breasts: 10 of 54 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $112.68
  • Aetna — Aetna Medicare: $93.90
  • Aetna Better Health — Aetna Better Health Dual Eligible: $98.60
  • Aetna Better Health — Aetna Better Health Medicaid: $41.41
  • BCBS — BCBS Dual Eligible: $89.21
  • BCBS — BCBS Medicaid: $41.41
  • BCBS — BCBS Medicare HMO: $93.90
  • BCBS — BCBS Medicare PPO: $93.90
  • BCBS — BCBS MyBlue Plus POS: $126.77
  • BCBS — BCBS Smart Health Care: $131.46
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: DIGITAL IMPLANT SCREEN MAMM $783 $93 $41.41 – $864
Screening mammogram, both breasts: 10 of 47 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $112.68
  • Aetna — Aetna Medicare: $93.90
  • Aetna Better Health — Aetna Better Health Dual Eligible: $98.60
  • BCBS — BCBS Dual Eligible: $89.21
  • BCBS — BCBS Medicare HMO: $93.90
  • BCBS — BCBS Medicare PPO: $93.90
  • BCBS — BCBS MyBlue Plus POS: $126.77
  • BCBS — BCBS Smart Health Care: $131.46
  • Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $152.12
  • Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $93.90
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: DIGITAL SCREEN MAM BI $783 $93 $41.41 – $864
Screening mammogram, both breasts: 10 of 47 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $112.68
  • Aetna — Aetna Medicare: $93.90
  • Aetna Better Health — Aetna Better Health Dual Eligible: $98.60
  • BCBS — BCBS Dual Eligible: $89.21
  • BCBS — BCBS Medicare HMO: $93.90
  • BCBS — BCBS Medicare PPO: $93.90
  • BCBS — BCBS MyBlue Plus POS: $126.77
  • BCBS — BCBS Smart Health Care: $131.46
  • Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $152.12
  • Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $93.90

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HEART CATH/LV $26,067 $3,457 $663.63 – $21,374.94
Left heart catheterization (diagnostic): 10 of 50 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $4,148.51
  • Aetna — Aetna Commercial: $6,109
  • Aetna — Aetna Medicare: $3,457.09
  • Aetna Better Health — Aetna Better Health Dual Eligible: $3,629.94
  • Aetna Better Health — Aetna Better Health Medicaid: $2,092
  • BCBS — BCBS Dual Eligible: $3,284.24
  • BCBS — BCBS Medicaid: $2,092
  • BCBS — BCBS Medicare HMO: $3,457.09
  • BCBS — BCBS Medicare PPO: $3,457.09
  • BCBS — BCBS MyBlue Plus POS: $4,667.07
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: COMPR EPS W/O INDUCTION $18,681 $8,317 $232 – $18,389.55
Heart rhythm study (electrophysiology evaluation): 10 of 50 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $9,980.76
  • Aetna — Aetna Commercial: $5,107
  • Aetna — Aetna Medicare: $8,317.30
  • Aetna Better Health — Aetna Better Health Dual Eligible: $8,733.17
  • Aetna Better Health — Aetna Better Health Medicaid: $5,524.79
  • BCBS — BCBS Dual Eligible: $7,901.44
  • BCBS — BCBS Medicaid: $5,524.79
  • BCBS — BCBS Medicare HMO: $8,317.30
  • BCBS — BCBS Medicare PPO: $8,317.30
  • BCBS — BCBS MyBlue Plus POS: $11,228.36
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COMP EPS TRSEP W ABLAT AF PVI $50,449 $27,872 $232 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $50,449
Heart rhythm study with ablation for atrial fibrillation: 10 of 49 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $33,447.07
  • Aetna — Aetna Commercial: $10,088
  • Aetna — Aetna Medicare: $27,872.56
  • Aetna Better Health — Aetna Better Health Dual Eligible: $29,266.19
  • Aetna Better Health — Aetna Better Health Medicaid: $15,156.12
  • BCBS — BCBS Dual Eligible: $26,478.93
  • BCBS — BCBS Medicaid: $15,156.12
  • BCBS — BCBS Medicare HMO: $27,872.56
  • BCBS — BCBS Medicare PPO: $27,872.56
  • BCBS — BCBS MyBlue Plus POS: $37,627.96

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: THERAPEUTIC EXERCISE/EA 15 - 97110 - 43000330 $378 $29 $28.30 – $309.96
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 51 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $35.75
  • Aetna — Aetna Medicare: $29.79
  • Aetna Better Health — Aetna Better Health Dual Eligible: $31.28
  • Aetna Better Health — Aetna Better Health Medicaid: $31.26
  • BCBS — BCBS Dual Eligible: $28.30
  • BCBS — BCBS Medicaid: $31.26
  • BCBS — BCBS Medicare HMO: $29.79
  • BCBS — BCBS Medicare PPO: $29.79
  • BCBS — BCBS MyBlue Plus POS: $40.22
  • BCBS — BCBS Smart Health Care: $41.71
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: THERAPEUTIC EXERCISE/EA 15 - 97110 - 42000330 $378 $29 $28.30 – $309.96
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 48 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $35.75
  • Aetna — Aetna Medicare: $29.79
  • Aetna Better Health — Aetna Better Health Dual Eligible: $31.28
  • BCBS — BCBS Dual Eligible: $28.30
  • BCBS — BCBS Medicare HMO: $29.79
  • BCBS — BCBS Medicare PPO: $29.79
  • BCBS — BCBS MyBlue Plus POS: $40.22
  • BCBS — BCBS Smart Health Care: $41.71
  • Celtic (Ambetter) — Celtic Insurance Company (Ambetter) Exchange: $48.26
  • Celtic (WellCare) — Celtic WellCare Complete (WellCare) Medicare: $29.79
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL LOW COMPLEXITY $617 $99 $94.74 – $505.94
Physical therapy evaluation (low complexity): 10 of 50 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $119.68
  • Aetna — Aetna Medicare: $99.73
  • Aetna Better Health — Aetna Better Health Dual Eligible: $104.72
  • Aetna Better Health — Aetna Better Health Medicaid: $164.34
  • BCBS — BCBS Dual Eligible: $94.74
  • BCBS — BCBS Medicaid: $164.34
  • BCBS — BCBS Medicare HMO: $99.73
  • BCBS — BCBS Medicare PPO: $99.73
  • BCBS — BCBS MyBlue Plus POS: $134.64
  • BCBS — BCBS Smart Health Care: $139.62
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL MODERATE COMPLEXITY $678 $99 $94.75 – $555.96
Physical therapy evaluation (moderate complexity): 10 of 51 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $119.69
  • Aetna — Aetna Medicare: $99.74
  • Aetna Better Health — Aetna Better Health Dual Eligible: $104.73
  • Aetna Better Health — Aetna Better Health Medicaid: $164.34
  • BCBS — BCBS Dual Eligible: $94.75
  • BCBS — BCBS Medicaid: $164.34
  • BCBS — BCBS Medicare HMO: $99.74
  • BCBS — BCBS Medicare PPO: $99.74
  • BCBS — BCBS MyBlue Plus POS: $134.65
  • BCBS — BCBS Smart Health Care: $139.64
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL HIGH COMPLEXITY $745 $99 $94.76 – $610.90
Physical therapy evaluation (high complexity): 10 of 53 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $119.70
  • Aetna — Aetna Medicare: $99.75
  • Aetna Better Health — Aetna Better Health Dual Eligible: $104.74
  • Aetna Better Health — Aetna Better Health Medicaid: $164.34
  • BCBS — BCBS Dual Eligible: $94.76
  • BCBS — BCBS Medicaid: $164.34
  • BCBS — BCBS Medicare HMO: $99.75
  • BCBS — BCBS Medicare PPO: $99.75
  • BCBS — BCBS MyBlue Plus POS: $134.66
  • BCBS — BCBS Smart Health Care: $139.65
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY THERAPY W/O PT EA 50MIN $1,298 $189 $100.80 – $1,064.36
Family psychotherapy, without the patient: 10 of 48 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $227.12
  • Aetna — Aetna Medicare: $189.27
  • Aetna Better Health — Aetna Better Health Dual Eligible: $198.73
  • Aetna Better Health — Aetna Better Health Medicaid: $146.16
  • BCBS — BCBS Dual Eligible: $179.81
  • BCBS — BCBS Medicaid: $146.16
  • BCBS — BCBS Medicare HMO: $189.27
  • BCBS — BCBS Medicare PPO: $189.27
  • BCBS — BCBS MyBlue Plus POS: $255.51
  • BCBS — BCBS Smart Health Care: $264.98
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY THERAPY W PT EA 50 MIN $1,298 $189 $104.24 – $1,064.36
Family psychotherapy, with the patient: 10 of 49 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $227.12
  • Aetna — Aetna Medicare: $189.27
  • Aetna Better Health — Aetna Better Health Dual Eligible: $198.73
  • Aetna Better Health — Aetna Better Health Medicaid: $146.16
  • BCBS — BCBS Dual Eligible: $179.81
  • BCBS — BCBS Medicaid: $146.16
  • BCBS — BCBS Medicare HMO: $189.27
  • BCBS — BCBS Medicare PPO: $189.27
  • BCBS — BCBS MyBlue Plus POS: $255.51
  • BCBS — BCBS Smart Health Care: $264.98

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of breast lesion $14,271 $4,175 $451.06 – $11,416.80
Removal of breast growth (open surgery): 10 of 55 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $5,010.35
  • Aetna — Aetna Commercial: $2,095
  • Aetna — Aetna Medicare: $4,175.29
  • Aetna Better Health — Aetna Better Health Dual Eligible: $4,384.05
  • Aetna Better Health — Aetna Better Health Medicaid: $1,153.64
  • BCBS — BCBS Dual Eligible: $3,966.53
  • BCBS — BCBS Medicaid: $1,153.64
  • BCBS — BCBS Medicare HMO: $4,175.29
  • BCBS — BCBS Medicare PPO: $4,175.29
  • BCBS — BCBS MyBlue Plus POS: $5,636.64
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Total hip arthroplasty - 27130 - OR36027130 $40,798 $13,690 $1,281.40 – $32,638.40
Total hip replacement: 10 of 49 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $16,428.90
  • Aetna — Aetna Commercial: $4,339
  • Aetna — Aetna Medicare: $13,690.75
  • Aetna Better Health — Aetna Better Health Dual Eligible: $14,375.29
  • Aetna Better Health — Aetna Better Health Medicaid: $8,227.52
  • BCBS — BCBS Dual Eligible: $13,006.21
  • BCBS — BCBS Medicaid: $8,227.52
  • BCBS — BCBS Medicare HMO: $13,690.75
  • BCBS — BCBS Medicare PPO: $13,690.75
  • BCBS — BCBS MyBlue Plus POS: $18,482.51
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Total knee arthroplasty $46,200 $13,690 $1,277.91 – $36,960
Total knee replacement: 10 of 49 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $16,428.90
  • Aetna — Aetna Commercial: $4,339
  • Aetna — Aetna Medicare: $13,690.75
  • Aetna Better Health — Aetna Better Health Dual Eligible: $14,375.29
  • Aetna Better Health — Aetna Better Health Medicaid: $8,227.52
  • BCBS — BCBS Dual Eligible: $13,006.21
  • BCBS — BCBS Medicaid: $8,227.52
  • BCBS — BCBS Medicare HMO: $13,690.75
  • BCBS — BCBS Medicare PPO: $13,690.75
  • BCBS — BCBS MyBlue Plus POS: $18,482.51
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Sho arthrs srg decompression $10,675.71 Not listed in the file $164.09 – $8,540.57
Shoulder arthroscopy: shaving of shoulder bone: 10 of 13 insurance plan rates
  • Aetna Better Health — Aetna Better Health Medicaid: $1,854.92
  • BCBS — BCBS Medicaid: $1,854.92
  • Cenpatico Medicaid — Cenpatico Medicaid: $1,947.67
  • Cigna — Cigna Commercial: $4,550
  • Cigna — CIGNA EXCHANGE: $558
  • Humana — Humana Medicaid: $1,854.92
  • Imagine Health Network, Inc — Imagine Health Network, Inc.: $3,348
  • Meridian — Meridian Medicaid: $1,947.67
  • Molina — Molina Medicaid: $1,947.67
  • Ravenswood Physicians Associates IPA — Ravenswood Physicians Associates IPA Commercial: $164.09
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Knee arthroscopy/surgery - 29881 - OR36029881 $24,993 $3,489 $559.90 – $19,994.40
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 54 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $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: $1,854.92
  • BCBS — BCBS Dual Eligible: $3,314.69
  • BCBS — BCBS Medicaid: $1,854.92
  • BCBS — BCBS Medicare HMO: $3,489.15
  • BCBS — BCBS Medicare PPO: $3,489.15
  • BCBS — BCBS MyBlue 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 $4,688 $967 $118.15 – $4,550
Upper GI endoscopy (diagnostic): 10 of 53 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $1,160.62
  • Aetna — Aetna Commercial: $1,363
  • Aetna — Aetna Medicare: $967.18
  • Aetna Better Health — Aetna Better Health Dual Eligible: $1,015.54
  • Aetna Better Health — Aetna Better Health Medicaid: $836.35
  • BCBS — BCBS Dual Eligible: $918.82
  • BCBS — BCBS Medicaid: $836.35
  • BCBS — BCBS Medicare HMO: $967.18
  • BCBS — BCBS Medicare PPO: $967.18
  • BCBS — BCBS MyBlue Plus POS: $1,305.69
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd biopsy single/multiple $4,688 $967 $132.08 – $4,550
Upper GI endoscopy with biopsy: 10 of 54 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $1,160.62
  • Aetna — Aetna Commercial: $1,835
  • Aetna — Aetna Medicare: $967.18
  • Aetna Better Health — Aetna Better Health Dual Eligible: $1,015.54
  • Aetna Better Health — Aetna Better Health Medicaid: $836.35
  • BCBS — BCBS Dual Eligible: $918.82
  • BCBS — BCBS Medicaid: $836.35
  • BCBS — BCBS Medicare HMO: $967.18
  • BCBS — BCBS Medicare PPO: $967.18
  • BCBS — BCBS MyBlue Plus POS: $1,305.69
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic colonoscopy $4,559 $991 $177.19 – $4,550
Colonoscopy (diagnostic): 10 of 53 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $1,190
  • Aetna — Aetna Commercial: $1,835
  • Aetna — Aetna Medicare: $991.67
  • Aetna Better Health — Aetna Better Health Dual Eligible: $1,041.25
  • Aetna Better Health — Aetna Better Health Medicaid: $854.60
  • BCBS — BCBS Dual Eligible: $942.09
  • BCBS — BCBS Medicaid: $854.60
  • BCBS — BCBS Medicare HMO: $991.67
  • BCBS — BCBS Medicare PPO: $991.67
  • BCBS — BCBS MyBlue Plus POS: $1,338.75
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy and biopsy $5,895 $1,276 $190.62 – $4,716
Colonoscopy with biopsy: 10 of 53 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $1,531.27
  • Aetna — Aetna Commercial: $1,835
  • Aetna — Aetna Medicare: $1,276.06
  • Aetna Better Health — Aetna Better Health Dual Eligible: $1,339.86
  • Aetna Better Health — Aetna Better Health Medicaid: $854.60
  • BCBS — BCBS Dual Eligible: $1,212.26
  • BCBS — BCBS Medicaid: $854.60
  • BCBS — BCBS Medicare HMO: $1,276.06
  • BCBS — BCBS Medicare PPO: $1,276.06
  • BCBS — BCBS MyBlue Plus POS: $1,722.68
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy w/lesion removal $5,895 $1,276 $239.20 – $4,716
Colonoscopy with removal of polyps (snare): 10 of 53 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $1,531.27
  • Aetna — Aetna Commercial: $1,835
  • Aetna — Aetna Medicare: $1,276.06
  • Aetna Better Health — Aetna Better Health Dual Eligible: $1,339.86
  • Aetna Better Health — Aetna Better Health Medicaid: $854.60
  • BCBS — BCBS Dual Eligible: $1,212.26
  • BCBS — BCBS Medicaid: $854.60
  • BCBS — BCBS Medicare HMO: $1,276.06
  • BCBS — BCBS Medicare PPO: $1,276.06
  • BCBS — BCBS MyBlue Plus POS: $1,722.68
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colon ca scrn not hi rsk ind $4,410 $991 $177.78 – $3,616.20
Screening colonoscopy (not high risk): 10 of 49 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $1,190
  • Aetna — Aetna Commercial: $1,835
  • Aetna — Aetna Medicare: $991.67
  • Aetna Better Health — Aetna Better Health Dual Eligible: $1,041.25
  • Aetna Better Health — Aetna Better Health Medicaid: $854.60
  • BCBS — BCBS Dual Eligible: $942.09
  • BCBS — BCBS Medicaid: $854.60
  • BCBS — BCBS Medicare HMO: $991.67
  • BCBS — BCBS Medicare PPO: $991.67
  • BCBS — BCBS MyBlue Plus POS: $1,338.75
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic cholecystectomy $35,695 $6,446 $708.63 – $28,556
Gallbladder removal by laparoscope: 10 of 52 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $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: $2,977.43
  • BCBS — BCBS Dual Eligible: $6,124.41
  • BCBS — BCBS Medicaid: $2,977.43
  • BCBS — BCBS Medicare HMO: $6,446.75
  • BCBS — BCBS Medicare PPO: $6,446.75
  • BCBS — BCBS MyBlue 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 $16,004 $3,818 $567.57 – $12,803.20
Groin (inguinal) hernia repair, age 5 or older: 10 of 53 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $4,581.62
  • Aetna — Aetna Commercial: $2,587
  • Aetna — Aetna Medicare: $3,818.02
  • Aetna Better Health — Aetna Better Health Dual Eligible: $4,008.92
  • Aetna Better Health — Aetna Better Health Medicaid: $3,055.71
  • BCBS — BCBS Dual Eligible: $3,627.12
  • BCBS — BCBS Medicaid: $3,055.71
  • BCBS — BCBS Medicare HMO: $3,818.02
  • BCBS — BCBS Medicare PPO: $3,818.02
  • BCBS — BCBS MyBlue Plus POS: $5,154.33
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BX, PROSTATE $3,276 $2,138 $488 – $3,276
Prostate biopsy: 10 of 51 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $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: $1,476.29
  • BCBS — BCBS Dual Eligible: $2,031.24
  • BCBS — BCBS Medicaid: $1,476.29
  • BCBS — BCBS Medicare HMO: $2,138.15
  • BCBS — BCBS Medicare PPO: $2,138.15
  • BCBS — BCBS MyBlue Plus POS: $2,886.50
  • BCBS — BCBS Smart Health Care: $2,993.41
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy biopsy $15,298 $3,451 $225.13 – $12,238.40
Hysteroscopy with biopsy of the uterus lining: 10 of 54 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $4,142.35
  • Aetna — Aetna Commercial: $2,095
  • Aetna — Aetna Medicare: $3,451.96
  • Aetna Better Health — Aetna Better Health Dual Eligible: $3,624.56
  • Aetna Better Health — Aetna Better Health Medicaid: $2,015.47
  • BCBS — BCBS Dual Eligible: $3,279.36
  • BCBS — BCBS Medicaid: $2,015.47
  • BCBS — BCBS Medicare HMO: $3,451.96
  • BCBS — BCBS Medicare PPO: $3,451.96
  • BCBS — BCBS MyBlue Plus POS: $4,660.15
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: INJ INTERLAMNR LUMB/SAC W/GUID $1,985 $752 $94.64 – $1,985
Spinal injection, lower back (epidural), with imaging guidance: 10 of 49 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $903.26
  • Aetna — Aetna Commercial: $1,363
  • Aetna — Aetna Medicare: $752.72
  • Aetna Better Health — Aetna Better Health Dual Eligible: $790.36
  • Aetna Better Health — Aetna Better Health Medicaid: $662.48
  • BCBS — BCBS Dual Eligible: $715.08
  • BCBS — BCBS Medicaid: $662.48
  • BCBS — BCBS Medicare HMO: $752.72
  • BCBS — BCBS Medicare PPO: $752.72
  • BCBS — BCBS MyBlue Plus POS: $1,016.17
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Njx aa&strd tfrm epi ls 1 $3,897 $943 $105.22 – $3,897
Nerve root injection, lower back, with imaging guidance: 10 of 54 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $1,131.80
  • Aetna — Aetna Commercial: $1,363
  • Aetna — Aetna Medicare: $943.17
  • Aetna Better Health — Aetna Better Health Dual Eligible: $990.33
  • Aetna Better Health — Aetna Better Health Medicaid: $662.48
  • BCBS — BCBS Dual Eligible: $896.01
  • BCBS — BCBS Medicaid: $662.48
  • BCBS — BCBS Medicare HMO: $943.17
  • BCBS — BCBS Medicare PPO: $943.17
  • BCBS — BCBS MyBlue Plus POS: $1,273.28
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Carpal tunnel surgery $10,862 $2,082 $456.01 – $8,689.60
Carpal tunnel release: 10 of 53 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $2,498.78
  • Aetna — Aetna Commercial: $1,835
  • Aetna — Aetna Medicare: $2,082.32
  • Aetna Better Health — Aetna Better Health Dual Eligible: $2,186.44
  • Aetna Better Health — Aetna Better Health Medicaid: $1,167.59
  • BCBS — BCBS Dual Eligible: $1,978.20
  • BCBS — BCBS Medicaid: $1,167.59
  • BCBS — BCBS Medicare HMO: $2,082.32
  • BCBS — BCBS Medicare PPO: $2,082.32
  • BCBS — BCBS MyBlue Plus POS: $2,811.13
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Xcapsl ctrc rmvl w/o ecp $13,245 $2,460 $483.74 – $10,596
Cataract removal with lens implant: 10 of 54 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $2,953.18
  • Aetna — Aetna Commercial: $3,744
  • Aetna — Aetna Medicare: $2,460.98
  • Aetna Better Health — Aetna Better Health Dual Eligible: $2,584.03
  • Aetna Better Health — Aetna Better Health Medicaid: $1,480.09
  • BCBS — BCBS Dual Eligible: $2,337.93
  • BCBS — BCBS Medicaid: $1,480.09
  • BCBS — BCBS Medicare HMO: $2,460.98
  • BCBS — BCBS Medicare PPO: $2,460.98
  • BCBS — BCBS MyBlue Plus POS: $3,322.32

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file $76,969 $58,677.98 – $230,315.95
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 41 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $92,363.52
  • Aetna — Aetna Medicare: $76,969.60
  • Aetna Better Health — Aetna Better Health Dual Eligible: $80,818.08
  • BCBS — BCBS Blue Choice: $100,758.14
  • BCBS — BCBS Blue Choice Options: $98,846.49
  • BCBS — BCBS Blue Choice Preferred: $99,316.75
  • BCBS — BCBS Dual Eligible: $73,121.12
  • BCBS — BCBS HMO: $106,789.73
  • BCBS — BCBS Medicare HMO: $76,969.60
  • BCBS — BCBS Medicare PPO: $76,969.60
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 $16,044 $12,317.96 – $31,180.22
Hip or knee replacement (major joint of the leg), without major complications: 10 of 41 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $19,253.04
  • Aetna — Aetna Medicare: $16,044.20
  • Aetna Better Health — Aetna Better Health Dual Eligible: $16,846.41
  • BCBS — BCBS Blue Choice: $19,866.74
  • BCBS — BCBS Blue Choice Options: $19,489.82
  • BCBS — BCBS Blue Choice Preferred: $19,582.54
  • BCBS — BCBS Dual Eligible: $15,241.99
  • BCBS — BCBS HMO: $21,056.01
  • BCBS — BCBS Medicare HMO: $16,044.20
  • BCBS — BCBS Medicare PPO: $16,044.20
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 $20,019 $19,018.05 – $33,096.19
Neck (cervical) spinal fusion, without complications: 10 of 41 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $24,022.80
  • Aetna — Aetna Medicare: $20,019
  • Aetna Better Health — Aetna Better Health Dual Eligible: $21,019.95
  • BCBS — BCBS Blue Choice: $25,144.22
  • BCBS — BCBS Blue Choice Options: $24,667.16
  • BCBS — BCBS Blue Choice Preferred: $24,784.52
  • BCBS — BCBS Dual Eligible: $19,018.05
  • BCBS — BCBS HMO: $26,649.40
  • BCBS — BCBS Medicare HMO: $20,019
  • BCBS — BCBS Medicare PPO: $20,019
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 $10,705 $7,923.11 – $26,152.66
Uterus and ovary surgery (not for cancer), without complications: 10 of 41 insurance plan rates
  • Access Community Health Network — Access Community Health Network Medicare: $12,846.72
  • Aetna — Aetna Medicare: $10,705.60
  • Aetna Better Health — Aetna Better Health Dual Eligible: $11,240.88
  • BCBS — BCBS Blue Choice: $12,778.61
  • BCBS — BCBS Blue Choice Options: $12,536.17
  • BCBS — BCBS Blue Choice Preferred: $12,595.81
  • BCBS — BCBS Dual Eligible: $10,170.32
  • BCBS — BCBS HMO: $13,543.57
  • BCBS — BCBS Medicare HMO: $10,705.60
  • BCBS — BCBS Medicare PPO: $10,705.60

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

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

Hospital information

Hospital typeAcute Care Hospital
Address77 N Airlite Street, Elgin, IL 60123
CountyKane County
StateIllinois
Phone(847) 695‑3200
Emergency servicesYes
OwnershipVoluntary non-profit - Church
Medicare overall rating4 of 5 stars
CMS Certification Number140217
Name in Medicare recordsSAINT JOSEPH HOSPITAL-ELGIN
Profile levelMedicare data + hospital website
Name on the hospital’s websiteSaint Joseph Hospital, Elgin
Official websitesaintjosephelgin.com
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. Saint Joseph Hospital, Elgin, IL — saintjosephelgin.com
  2. Paramedic & Emergency Medical Services Training - Saint Joseph Hospital — saintjosephelgin.com
  3. Visitor Information | Saint Joseph Hospital Elgin, IL — saintjosephelgin.com
  4. Awards and Recognition - Saint Joseph Hospital Elgin — saintjosephelgin.com
  5. Saint Joseph Hospital is Nationally Recognized for Commitment to High-Quality Stroke Care - Saint Joseph Hospital — saintjosephelgin.com
  6. Comprehensive Healthcare Services in Saint Joseph Elgin — saintjosephelgin.com
  7. Orthopedic Care - Saint Joseph Hospital at Elgin, Illinois — saintjosephelgin.com
  8. Rehabilitation Care Services in Elgin, IL | Saint Joseph — saintjosephelgin.com
  9. Compassionate Adult & Older Adult Behavioral Health Services | Saint Joseph Hospital — saintjosephelgin.com
  10. Spine Care - Saint Joseph Hospital at Elgin, Illinois — saintjosephelgin.com
  11. Mammography Services - Saint Joseph Hospital — saintjosephelgin.com
  12. Patient Rights & Responsibilities - Saint Joseph Hospital — saintjosephelgin.com
  13. About Us | Saint Joseph Hospital Elgin — saintjosephelgin.com